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2022-06-30-accounts

MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

Charity Registration Number: 1130230

MOORFIELDS LIONS KORLE BU TRUST

TRUSTEES' REPORT AND UNAUDITED FINANCIA L STATEMENTS FOR THE YEAR ENDED30 JUNE 2022

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

CONTENTS
Page
References and Administrative Details of the Charity 3
Trustees' Report 4
IndependentExaminer'sReport 8
Statement of Financial Activities (incorporating Income and Expenditure Account) 9
Balance Sheet 10
Notes to the Financial Statements 11

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

REFERENCES AND ADMINISTRATIVE DETAILS OF THE CHARITY

Truste es

Secretary/Treasurer Charity Registration Number Principal Office Independent Examiner

Bankers

Legal Advisers

Howard Lee, Chair Chris Iles Hannah Faal Surinder Kumar Mongia Ian Murdoch Evelyn Mensah Raj Das-Bhaumik Andrew Pemberton Nora Colton (13[th] April 2022) Andrew Pemberton 1130230 23 Aveley Lane Farnham Surrey GU9 8PR Alistair Hayward Wright Hayward Wright Accounting Group Chartered Accountants 4 Clews Road Redditch Worcs. B98 ?ST Standard Chartered Bank 1 Basinghall Avenue London EC2V 5DD Bevan Brittan LLP Fleet Place House Holborn Viaduct London EC4M ?RF

JLD & MB Legal Consultancy No. 6 Senchi Street Airport Residential Area Accra Ghana

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

TRUSTEES' REPORT

The Trustees present their report and the unaudited financial statements of the charity for the year ended 30 June 2022. The Trustees have adopted the provisions of the Statement of Recommended Practice (SORP) "Accounting and Reporting by Charities" (FRS 102) in preparing the annual report and financial statements of the charity.

The financial statements have been prepared in accordance with the accounting policies set out in the notes to the accounts and comply with the Charity's governing document, the Charities Act 2011 and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland published on 16 July 2014 {as amended by Update Bulletin 1 published on 2 February 2016).

Objectives and activit ies

Introduction

Moorfields Lions Korie Bu Trust aims to support efforts to tackle avoidable blindness and visual impairment in Ghana by developing eye care services at Korie Bu Teaching Hospital in Ghana's capital Accra and throughout West Africa by providing surgical training for eye care personnel from across the region. The Trust has also funded the construction of a new building to house a training centre, known as the Lions International Eye Centre, and the Korie Bu Teaching Hospital Ophthalmology Department.

The Trust's formal objectives are for the relief of patients and training of ophthalmologists and related staff attending the Ophthalmology Unit of Korie Bu Teaching Hospital in Accra Ghana and for any other charitable purpose. In pursuance of this purpose, the Trustees have, in accordance with section 4 of the Charities Act 2006, had due regard to the guidance on public benefit published by the Charity Commission.

Overview

The World Health Organisation (WHO) estimates that 90% of blind people live in developing countries, yet 80% of those affected suffer needlessly because their blindness is treatable and/or preventable. Indeed, the restoration of sight and blindness prevention strategies are among the most cost-effective interventions in health care.

Africa is considered the region of the world with the greatest need for human resource development for eye care. WHO estimates that West Africa has some 2.6 million people who are blind. In Ghana there are less than 91 ophthalmologists involved in direct service delivery, serving a population of nearly 30.4 million. Two thirds of these have only had limited training to enable them to deal with cataract blindness. Currently there are no real opportunities for ophthalmologists to improve through continuing medical education or training in specific aspects of eye care (e.g. lid surgery, glaucoma surgery, etc) being available within the region. This has resulted in great limitation in the range of eye care that can be given in Ghana. The quality of eye care is also often poor. Ghana is indicative of the wider needs that exist across the region.

Moorfields Lions Karle Bu Trust aims to support efforts to make surgical training available for all within West Africa in order to raise the standard of eye care to that of the developed world.

The Trust has representation from Moorfields Eye Hospital NHS Foundation Trust, one of the world's leading eye hospitals, based in London, and from Lions Clubs International (both Lions Clubs of the British Isles and Lions Clubs International Foundation, which are integral parts of the world's largest service clubs organisation doing whatever is necessary to help those in need in communities locally and across the world). In 2006 the Trust signed an MOU with the Ministry of Health, Korie Bu Teaching Hospital, University of Ghana, WACS and West African Health Organisation to establish a training programme including the construction of a training centre integrated in a new Department of Ophthalmology to pioneer the hands-on training.

The Trust has completed its fundraising for the rebuilding of the Ophthalmology Department and continues fundraising for the provision of surgical training facilities and scholarships, so that eye care personnel, particularly surgeons, from across the whole of West Africa, can attend. Attendees will take their skills and, in time, the ability to train others, back to their host nations. The training facility is known as the Lions International Eye Centre, Korie Bu.

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MOORFIELDS LIONS KORLE BU TR UST FOR YEAR ENDED 30 JUN E 2022

Review of the year

The Trustees are pleased to report that, with the lifting of restrictions imposed by the COVID 19 pandemic in UK and Ghana, during the year to 30 June 2022 a number of training and associated activities have taken place including:

The building continues to be fully operational and agreements to enable the restricted gift of the building to the Korie Bu Teaching Hospital in Ghana, with reservation of use by the Trust for its training programme, have been agreed and work has resumed to transfer the lease of the land on which the property stands to Korie Bu Teaching Hospital.

Post COVID it was possible to organise two Courses during the year to June 2022; a Medical Retina course in November/December 2021 and a Trabeculectomy Course in May 2022. Cumulatively to date, some Surgeons have been trained in Medical Retina, Glaucoma, Anterior Segment and Oculoplastic. Development has continued to develop courses in Paediatrics, further Oculoplastic, Glaucoma Tube surgery and Sickle Cell retinopathy.

An appeal is in progress to fund a five year course development and presentation programme. By the end of this period, it is intended that our West African colleagues will be able to organise courses IN West Africa, BY West Africa, For West Africa.

Future plans

The three-year plan developed in 2019, implementation of which was delayed by the impact of COVID 19, will take the work of the Trust forward, and assist in fundraising efforts. The plan is:

  1. Completing the lease transfer which will enable the building to be donated to Korie Bu Teaching Hospital as a restricted gift, with reservation of use, so that it may develop its independent operations.

  2. Continuing to engage with stakeholders from Korie Bu Teaching Hospital, the West African region and beyond in the future operational planning of the activities of the new building.

  3. Continuing with the development of the surgical training curricula in consultation with the West African College of Surgeons.

  4. The further development of a programme of surgical training courses in the Lions International Eye Centre.

  5. Extending the use of the accommodation block known as Moorfields House.

If you would like to support the work of the Trust, please do not hesitate to get in touch via the details shown on page 3. Details of the Fund-Raising campaign can be found on video by following the link - https:ljvimeo.com/462153775 .

Acknowledgements

The Trustees remain most grateful to all donors who have contributed in support of this project and, in particular in respect of the year under review, to the Lions Clubs International Foundation, individual Lions Clubs of the British Isles.

In addition to our generous donors, the Trustees would also like to record their grateful thanks to our partners and stakeholders in Ghana including HE the President of the Republic of Ghana, the Ghana Ministry of Health, the Board of Korte Bu Teaching Hospital, the West African College of Surgeons, the British High Commissioner to Ghana, Professor Yeboah, Dr Y.5. Adam, Dr Edith Dogbe, Dr Stephen Akafo, the late Mrs Evelyn Tay, the local Lions Clubs in Ghana and the Ghanaian High Commission in London for their continued support and assistance during the year.

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

Financial review

The Trustees present their accounts for the year ended 30 June 2022.

As shown on page 9 to the financial statements, income for the year was £65,514 (2021: £13,902). Total funds expended were £60,432 (2021: £28,115), which meant that net income amounted to £5,082 (2021: net deficit of £14,213).

As at the date of the balance sheet (30 June 2022), the building continues to be fully operational. No work was undertaken by the Trust during 2022 to maintain the building awaiting the signing of the agreements to enable the building to be donated to Korle Bu Teaching Hospital (2021 £nil).

Until its dissolution on 17 March 2020, the Charity owned all of the issued share capital of West African Eye Care Limited, a dormant company incorporated in England and Wales. The principal activity of West African Eye Care Limited (Registered Company No: 07443985) was the construction and management of the Lions International Eye Centre, Karle Bu, Ghana.

The Trust e es' reserves policy is that all general fund reserves are for the expenditure involved in the handover of the building, and for provision of surgical training. The reserves policy will be reviewed once the new building has been transferred to Karle Bu Teaching Hospital.

The level of reserves at 30 June 2020 was £2,918,681 (2021: £2,913,599).

Risks

The Charity's principal risks are as follows:

The Charity's principal risks are as follows:
Risk Mitigation Current status
The Trustees do not raise
enough money.		 Ongoing fundraising. The fundraising campaign has
successfully achieved all its
goals sofar.
Thecosts rise to exceed the
monev raised.		 Ongoing project cost review
and value eni;iineerini;i.		 Remedial works have been
undertaken as necessary. An
assessment of equipment needs
has recently been done.
The building and equipment is
of insufficient quality.		 Regular specialist review of
building quality, and regular
review of equipment needs
Thebuilding does not operate
as intended.		 Assistance to Korte Bu Teaching
Hospital's Department of
Ophthalmology.		 An operating agreement
between theTrustand Korie Bu
Teaching Hospital has now been
si1med.
Ongoing charitable activities in
the building are not
sustainable.		 Ongoing fundraising and local
commercial activities.		 The future fundraising
requirement remains under
review.
The region does not support the
vision for sub-speciality
training.		 Early and ongoing links with the
West African College of
Surgeons.		 Building on successful project
events in London and Abuja,
Nigeria, West African support
for theprogrammes continues.

Governance matters

The Trust is governed by its Trust Deed dated 13 February 2009 (amended 11 June 2009): it was registered as a Charity in England and Wales on 19 June 2009 (Registration No. 1130230), and as a company in Ghana on 2 February 2010 (Registration No. EXT.1312). The Board currently has no sub-committees and meets at least bimonthly. Its accounting requirements are currently minimal and are provided pro bono by its Secretary/Treasurer. The charity employs no staff. The Board of Trustees may consist of the following:

Three nominated Trustees being members of Lions Clubs in the British Isles. One Trustee nominated by Lions Clubs International Foundation. Four nominated Trustees being representatives of Moorfields Eye Hospital NHS Foundation Trust.

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MOORFIELDS LIONS KORLE BU TRUST

FOR YEAR ENDED 30 JUNE 2022

Up to two other Trustees appointed by the agreement of seven out of the eight Trustees nominated as above.

Current membership of the Board consists of a full complement from the first category, two from the third category and two from the final category. "First Trustees" and those nominated by them hold office for the duration of the current building and fitting out project.

The Trustees hold other positions requiring familiarity with good practice in trusteeship and undertake such training as they personally identify as app ropriat e . Induction is currently individual to the joining trustee given the simplicity of the current operations. In the coming year, the Board will review the need for sub-comm ittees in the ligh t of the expansion of its activities.

The Trust does not make grant s for any purposes other than its own programme.

This report was approved and authorised f or issue by the Trustees on 12tti April 2023 and signed on its behalf by:

Howard Lee Chair of Trustees

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MOORFIELDS LIONS KORLE BU TRUST

FOR YEAR ENDED 30 JUNE 2022

INDEPENDENT EXAMINER'S REPORT

Independent Examiner's Report to the Trustees ofMoorfields Lions Korie Bu Trust (the "Charity")

J report to the Charity trustees on my examination of the accounts of the Charity for the year ended 30 June 2022.

Responsibi Ii ties and basis of report

As the Charity's trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ("the Act").

I report in respect of my examination of the Charity's accounts carried out under section 145 of the Act and in carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section I45(5)(b) of the Act.

Independent examiner's statement

I conf'lflll that I am qualified to undertake the examination because I am a member of The Institute of Chartered Accountants in England and Wales.

I have completed my examination. I conf'rrm that no material matters have come to my attention in connection with the examination giving us cause to believe that in any material respect:

Alistair Hayward Wright

Chartered Accountant

Hayward Wright Accounting Group

4 Clews Road Redditch Worcs. B98 7ST

Signed:

Date: 12[th ] April 2023

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MOORFIELDSLIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

STATEMENT OF FINANCIAL ACTIVITIES

(incorporating Income and Expenditure Account)

Notes
Incomefrom:
Donationsandgrants
2
Investments
3
Totalincome
Expenditureon:
Charitableactivities
4, 5, 6
Total expenditure
Netincome/(expenditure)for the
year andmovement infunds
Reconciliation of funds:
Total funds brought forward
9
Totalfundscarried forward
9		 Restricted
funds
2022
£
58,093
7,421		 Restricted
funds
2022
£
58,093
7,421		 Total funds
Total funds
2022
£
2021
£
58,093
11,627
7,421
2,275
65,514
13,902
60,432
28,115
60,432
28,115
5,082
(14,213)
2,913,599
2,927,812
2,918,681
2,913,599
65,514
60,432
60,432
5,082
2,913,599
2,918,681

The notes on pages 11 to 17 form part of these financial statements.

All Income and Expenditure derive from continuing activities.

In 2021 and 2022 all Income and Expenditure was to/from restricted funds.

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MOORFIELDSLIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

BALANCE SH EET

----- Start of picture text -----
Notes 2 0 22 2 0 22 2021 2021
£ £ £ £
Curr ent assets
Work in progress 1.7 2,793,689 2,793,689
Prepayments 7,654 7,622
Cash at Bank and in hand 72,888 67,838
Debtor 46,450 46,450
2,920,681 2,915,599
Cre ditors: amounts
failing due within one
year 8 2,000 2,000
Total a sse ts le ss curre nt
lia bilities 2,918,681 2,913,599
Net assets 2,918,681 2,913,599
Charity f un ds
Restricted funds 9 2,918,681 2,913,599
----- End of picture text -----

The notes on pages 11 to 17 form part of these financial statements.

The financial statements were approved by the Trustees on 12[th ] April 2023 and signed on their behalf by:

Howard Lee

Chair of Trustees

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MOORFIELDSLIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

NOTES TO THE FINANCIAL STATEMENTS

1 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 (as updated through Update Bulletin 1 published on 2 February 2016), the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102), the Charities Act 2011 and UK Generally Accepted Accounting Practice as it applies from 1 January 2015.

The charity has applied Update Bulletin 1 as published on 2 February 2016 and does not include a cash flow statement on the grounds that it is applying FRS 102 Section 1A.

The financial statements have been prepared to give a 'true and fair' view and have departed from the Charities (Accounts and Reports) Regulations 2008 only to the extent required to provide a 'true and fair' view. This departure has involved following the Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014.

The Moorfields Lions Karle Bu Trust constitutes a public benefit entity as defined by FRS 102. The financial statements are prepared on a going concern basis under the historical cost convention, modified to include certain items at fair value. The financial statements are presented in sterling which is the functional currency of the charity and rounded to the nearest pound.

The significant accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all years presented unless otherwise stated.

1.2 Funds

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the Charity for particular purposes. The costs of administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements.

1.3 Income Recognition

All incoming resources are included in the Statement of Financial Activities when the charity is legally entitled to the income after any performance conditions have been met, the amount can be measured reliably, and it is probable that the income will be received.

For donations to be recognised the charity will have been notified of the amounts and the settlement date in writing. If there are conditions attached to the donation and this requires a level of performance before entitlement can be obtained then income is deferred until those conditions are fully met or the fulfilment of those conditions is within the control of the charity and it is probable that they will be fulfilled.

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MOORFIELDSLIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

NOTES TO THE FINANCIAL STATEMENTS (cont'd)

The charity receives government grants in respect of furthering its charitable objectives. Income from government and other grants are recognised at fair value when the charity has entitlement after any performance conditions have been met, it is probable that the income will be received and the amount can be measured reliably. If entitlement is not met then these amounts are deferred.

1.4 Expenditure Recognition

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Expenditure is recognised where there is a legal or constructive obligation to make payments to third parties, it is probable that the settlement will be required and the amount of the obligation can be measured reliably. It is categorised under the following headings:

Irrecoverable VAT is charged as an expense against the activity for which expenditure arose.

1.5 Support costs allocation

Support costs are those that assist the work of the charity but do not directly represent charitable activities and include general management, administration and governance costs. They are incurred directly in support of expenditure on the objects of the charity.

1.6 Debtor

The Trust purchased (January 2020 prior to COVID restrictions being introduced) a Laser machine to enable training courses to continue as planned. The Trust will recover the debt from funds raised for training and supporting patient operations.

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MOORF IELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

NOTES TO THE FINANCIALSTATEMENTS (cont'd)

1.7 Stocks and work in progress

Through its former subsidiary, West African Eye Care Limited, the Charity, has built a facility, the Lions International Eye Centre, at the Korle Bu Teaching Hospital in Ghana. Costs incurred towards the construction and equipping of the Centre have been shown as work in progress. A lease and operating agreement with the Ghana Government has been entered into at peppercorn rent to allow the Charity and its subsidiary to occupy land at Karle Bu Teaching Hospital and construct the new department of Ophthalmology. The resulting building will be donated to the Korle Bu Teaching Hospital as a restricted gift which will allow the Charity and its subsidiary to carry out training and spectacle dispensing activities. The purpose of the restricted gift is to secure the intent of the project's donors, namely to provide a new building and charitable activities to benefit eye care. Discussions have also now commenced to transfer the lease for land from the Government of Ghana directly to the Karle Bu Teaching Hospital in Ghana.

Accordingly, the costs of building, less impairments, are treated as work in progress pending the restricted gift by the Charity of facilities to Korle Bu Teachinghospital.

1.8 Going concern

The financial statements have been prepared on a going concern basis as the Trust ees believe that no material uncertainties exist. The Trustees have considered the level of funds held and the expected level of income and expenditure for 12 months from authorising these financial statements. The budgeted income and expenditure is sufficient with the level of reserves for the charity to be able to continue as a going concern.

1.9 Creditors payable within one year

Creditors are recognised when the Charity has a present legal or constructive obligation resulting from a past event and the settlement is expected to result in an outflow of economic benefits.

1.10 Foreign currency

Foreign currency transactions are initially recognised by applying to the foreign currency amount the spot exchange rate between the functional currency and the foreign currency at the date of the transaction. 

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MOORF IELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

NOTES TO THE FINANCIALSTATEMENTS (cont'd)

1.11 1 Financial instruments

The Charity only holds basic Financial Instruments. The financial assets and financial liabilities of the Charity are as follows:

2 INCOME FROM DONATIONS AND GRANT S


INCOME FROM DONATIONS AND GRANTS
Chichester Lions Club
Legacy Marina Bailey
Good Gifts
Share Sale
Lions Clubs International Foundation
Donations fromtrust s and foundations
Donations from individuals		 2022
£
2021
£
5,000
9,496
2,131
3,000
50,093
58,093
11,627
58,093
11,627

There are no unfulfilled conditions or other contingencies attached to the government or other grants other than those set out in the Charities· activities in note 4.

3 INCOME FROM INV ESTMENTS


INCOME FROM INVESTMENTS
Moorfield House Rental income lesscosts 2022
£
7,421
7,421		 2021
£
2,275
2,275 
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MOORF IELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022

NOTES TO THE FINANCIALSTATEMENTS (cont'd)

4 ANALYSIS OF EXPENDITUREON CHARITABLE ACTIVITIES

2022 2022 2022 2022 2021
Direct Support
activities costs Total Total
£ £ £ £
Supporting Childrens eye
treatment 5,000 5,000 5,015
Medicaltraining 27,182 28,250 55,432
Maintenance of Moorfields House
Total expenditure on charitable
activities 32,182 28,250 60,432 5,015
5
TOTAL SUPPORT COSTS
2022 2021
£ £
Administrative support to Board of Trustees 22,148 16,191
Governance costs 1,920 1,935
Bank charges 1,699 984
Fund Raising costs 2,483 3,990
Total support costs 28,250 23,100
6
GOVERNANCE COSTS
2022 2021
£ £
Independent Examiner's remuneration -2021 accounts 2,000 2,000
Independent Examiner's remuneration - prior years (80) (65)
Total governancecosts 1,920 1,935

7 TRUSTEES

The Trustees, who comprise all the Key Management Personnel of the Charity, neither received nor waived any remuneration during the year (2021: £nil). 2 Trustees received reimbursement of expenses£ 2,330 relating to visits to Ghana in the current year (2021: one trustees £6,506). 

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MOORF IELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2022 NOTES TO THE FINANCIALSTATEMENTS (cont'd)

Accruals

RECONCILIATIONOFFUNDS
Balance at
1 Jul
2021
£
Training
91,624
Construction andFFE
2,821,975
2,913,599
Balance at
1Jul
2020
£
Training
105,387
Construction and FFE
2,821,975
2,927,812		 Income
£
65,514
65,514
Income
£
13,902
13,902		 2022
£
2,000
2,000
Expenditure
£
60,432
59,832
Expenditure
£
(28,115)
(28,115)		 2021
£
2,000
2,000
Balance at
30Jun
2022
£
96,706
2,821,975
2,918,681
Balance at
30Jun
2021
£
91,624
2,821,975
2,913,599

9 RECONCILIATION OF FUNDS

All the Charity's f undsare restricted.

The Training Fund represents donations and f unds raised from various sources that are designated for training courses and for patient treatment. The value of the fund was sufficient for its stated purposes as at 30 June 2022.

The Construction and FFE Fund represents donations and funds raised to support the building construction and provision of initial fixtures, fittings and equipment for the new Lions International Eye Centre and training facility. The value of the fund is sufficient to complete its stated purpose. 

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