
## **HOSPICE CARE KENYA ANNUAL REPORT AND ACCOUNTS 2021 - 22** 

**Number** 

**Company Charity Number  1141469** 

**07540244** 



**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## **Table of Contents** 

|Background**....................................................................................**3|
|---|
|Objectives and Activities..................................................................................3|
|Achievement<br>and<br>Performance|
|……………………………………………………………………………………………..4 -11|
|Structure Governance and Management........................................................11|
|Financial Review............................................................................................11|
|Policy on Reserves..........................................................................................12|
|Acknowledgements........................................................................................13|
|Independent Examiner’s Report.....................................................................14|
|Statement of Financial Activity ......................................................................15|
|Balance Sheet................................................................................................16|
|Statement<br>of<br>Cash<br>Flows<br>……………………………|
|……………………………………………………………………….16-17|
|Notes<br>to<br>the<br>Financial<br>Statement|
|……………………………………………………………………………………….18 - 20|



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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## **Organisation Details** 

## **Patrons** 

Lord Carey of Clifton Professor Sir Michael Richards 

Mr Michael Wooldridge, OBE 

## **Trustees** 

Dr Sally Hull, Chair Mr David Worthington Dr Michael Hughes Dr Michael Smalley,  Vice Chair Sarah Onyango Suzanne Stevenson Yvonne Sanders Hon. Treasurer Sharon Maweu (August 21) 

## **Staf** 

Mrs Pauline Everitt, Director Mrs Catherine Nelson 

## **Registered Office** 

Hospice House Telephone: 01905 936184 34 – 44 Britannia Street Email: hck@hospicecarekenya.com London Web: www.hospicecarekenya.com WC1X 9JG **Bankers** CAF Bank Ltd, 

CAF Bank Kings Hill, West Malling, Kent ME19 4TA 

## **Examining Accountant** 

B C Lloyd FCA Ashfield, Bradley Lane, Bradley, Stafford  ST18 9DP 

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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## **Background** 

Hospice Care Kenya (HCK) is a registered UK charity. It was founded in 1991 to support the newly opened Nairobi Hospice, Kenya’s first hospice for palliative care. Today there are more than 70 hospices and palliative care services in Kenya, and the Kenyan Government has begun to provide units in regional hospitals. 

HCK raises funds in the UK to support the development and delivery of palliative care in Kenya by responding to specific requests for project funding from hospices and other palliative care units. 

## **Objectives and Activities** 

## **1. To raise funds and public awareness for:** 

- The work of the hospices and palliative care units in Kenya. In total there are now 76 hospices or palliative care units in Kenya, including PC units within 30 Government hospitals. These are for the benefit of the residents of  Kenya  and  directed  towards  the  treatment  care  and  counselling  of persons who are terminally ill with cancer or other incurable diseases. 

- The counselling of their families and close associates. 

- The education and the training of those providing or involved with such treatment, care and counselling. 

## **2. To act as an agency for UK grant-making bodies working through charities to support projects overseas.** 

In setting our programme each year we have regard to both the Charity Commission’s general guidance on public benefit and prevention and relief of  poverty  for  the  public benefit.  The  trustees  always  ensure  that  the programmes we undertake are in line with our charitable objects and aims. 

This year has been one of transition for HCK as the previous Director, of more than seven years, left and a new Director was appointed. HCK is grateful to her, for her dedication and hard work during that time. The charity has also had to respond to, and has risen to, the challenging requirements of the UK Aid grant from the Foreign, Commonwealth and Development Office. However, this has resulted in less time for applications to Trusts for project disbursements. Despite that, we were able to support more hospices and palliative care units than the year before. We continue to work closely with the Kenyan Hospice & Palliative Care Association (KEHPCA). 

HCK were sadden by the death this year of our Patron Archbishop Desmond Tutu and we are immensely grateful to him for his support over the years. 

Long-standing supporters of HCK, Iain & Gwyn Sloan, organised a fundraising concert in Malvern Priory in February. This was a superb musical evening and was tremendously  successful  in  raising  considerable  funds  for  HCK.  We  are  very grateful for all their hard work and dedication in making this such a memorable event after the restrictions of COVID-19. 

In the year 2021 - 22 we continued to review our grant making policy and the monitoring processes to ensure that our funds are used effectively to make a real 

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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

difference to people in Kenya who need palliative care.  In carrying out these objectives and planning activities the Trustees have given careful consideration to the  Charity  Commission’s  general  guidance  on  public  benefit  and  to  the obligations placed upon us by Section 17 of the Charities Act 2011 and confirm that we have complied with the duty placed upon us by the Act. 

## **Achievement and performance** 

**In 2021/22 we helped improve the lives of more than 4,300 people with life-limiting illnesses in Kenya through direct provision of palliative care or through improving access to quality care from trained health** 

## **Projects supported in 2021/22** 


**----- Start of picture text -----**<br>
Kenya Medical Training Partial sponsorship for Palliative Care  £3,997<br>College Diploma students<br>Kenya Hospice and  £2,253<br>Palliative Care  Training palliative care nurse leaders<br>£1,505<br>Association<br>(KEHPCA) Development of Palliative Care resources<br>Partial sponsorship for Palliative Care  £3,979<br>Nairobi Hospice Diploma students<br>NHIF premiums for children diagnosed with  £4,024<br>Hope for Cancer Kids cancer<br>Training community and primary health  £4,989<br>Taita Taveta Hospice workers<br>Meru Hospice Home visits, support groups, drugs £2,989<br>Marsabit County  £1,762<br>Training CHVs<br>Referral Hospital<br>Kitui Palliative Care  £1,969<br>Home visits, training patient care givers<br>Unit<br>Home visits, adult and paediatric support  £4,092<br>Malindi Palliative Care  groups<br>£4,435<br>Unit<br>Training CHVs, community members and<br>health staff<br>Kilifi County Referral  Training community health workers,  £1,996<br>Hospital awareness, support groups, home visits<br>Machakos Palliative  £2,621<br>Training community health volunteers<br>Care Unit<br>**----- End of picture text -----**<br>


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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 


**----- Start of picture text -----**<br>
Cheptais sub-county  £3,991<br>Training community health workers<br>Hospital<br>Nyahururu Hospice Home visits, awareness, drugs and supplies £2,492<br>Kendu Adventist  £1,894<br>Training hospital staff<br>Hospital<br>Laipikia Hospice Home visits, drugs and supplies £4224<br>Coast Hospice Training CHVS, day care and home visits £6,010<br>Makindu Palliative  £2,417<br>Training health workers and CHVs<br>Care Unit<br>Samburu Training health workers £5,027<br>Nanyuki Cancer  Training Community Awareness Volunteers  £2,509<br>Support Group and supporting their community activity<br>Ongata Ngong  £5,757<br>UK Aid funded project – developing<br>Palliative Community<br>community-based palliative care<br>Care<br>Siaya Roselyne  UK Aid funded project – developing  £9,624<br>Hospice community-based palliative care<br>UK Aid funded project – developing  £3,225<br>Nairobi Hospice<br>community-based palliative care<br>Safeguarding training UK Aid funded project  £1454<br>**----- End of picture text -----**<br>


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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

**In 2021/22 we supported the development and delivery of palliative care across 21 of Kenya’s 47 counties, by supporting 26 hospices, palliative care centres and training programmes.** 


## **We supported the training in  basic  palliative  care  of 521 Community Health Volunteers across 12 counties, and supported them to provide home-based palliative care to people in their communities** 

Community health volunteers (CHVs) play a vital role in providing access to homebased  palliative  care  in  rural  and  deprived  areas  of  Kenya.  They  provide compassionate care and support to families affected by life-limiting illness in their communities, supporting patients with their medication and pain relief, providing counselling  and  bereavement  support,  and training  family members  in  homebased care. They also play an important role in raising the low levels of cancer awareness in Kenya. 

_“Quite a lot of our people have different health issues and I think the training has been great in giving us the opportunity to learn how to take care of our community members who need palliative care. It’s all about having passion in what we are going to do. As we go out there let’s do it from the bottom of our hearts to support our community members”_ 

Benedine Kipruto, CHV in Illula village, Eldoret. Benedine was one of 34 

volunteers who took part in training in palliative care in June 2021 at St Mary’s 

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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 



## _**We helped train 30 CHVs in Machakos County who are now visiting patients and providing home-based care in their communities.**_ 

Marsabit County, in Kenya’s semi-arid north, covers a vast area where almost a quarter of the population live in extreme poverty. We have helped staff at the newly established Marsabit County Palliative Care Unit to train 52 community health volunteers as well as health workers to bring palliative care closer to home for this dispersed population. Since training the number of people receiving care from the palliative care unit has increased 140% compared with the previous year. 



_**Pictures  top:  Left  -Training  taking  place  in  Kajiado  West,  right  –  volunteers receive their home based care kits.**_ 

Work continued on our project to improve quality of life of people living with lifelimiting illness through developing community-led palliative care in Siaya, Kajiado West and Nairobi’s slums, with funding from UK Aid from the British Government. 168 community health volunteers were trained across the three counties. Training covered  all  aspects  of  providing  home-based  care  including  counselling  and emotional support to patients and their families. The training also covered how to recognise  and  raise  awareness  of  common  cancers  affecting  women.  Trained volunteers were equipped with a simple home-based care kit containing PPE, logbook, referral forms, and non-pharmaceutical medical items to enable volunteers to provide care in the homes of their patients. 

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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## **We supported 646 general health professionals from government hospitals to participate in short courses in palliative care and provided partial sponsorship for 18 nurses to study an 18-month Higher National Diploma in Palliative Care Nursing.** 

We helped train staff from across the health workforce including hospital staff, rural health workers and community-based health staff. An increased number of health workers with knowledge and skills in palliative care increases access to essential care for patients and helps to facilitate referrals into and out of palliative care services for patients in need. We know this works; our results show that a November 2020 training project contributed to a significant increase in referrals and patients receiving palliative care at Homa Bay PCU, with 251 patients under care in the year before the grant versus 438 patients in the last year since the training project, a 75% increase in utilisation over the year with the increased numbers coming mainly from the sub-counties which participated in the training. 

_“Many nurses and clinicians who had never heard of palliative care or had no idea how they could administer palliative treatment are now recognizing its role in all tenants of care in our institution. Thanks again for the training support. It has made a world of difference.”_ 

Denny Hong, Co-ordinator at Kendu Adventist Hospital where we supported the training of 36 health workers from across hospital departments. During the year we supported an initiative by Kenya Hospice and Palliative Care Association (KEHPCA) to train eight palliative care nurses as Nurse Leaders. The selected nurses, from hospices and palliative care centres across Kenya, received regular training and support in leadership and teaching skills, after which the nurses were supported to plan, organise and facilitate a 1-day workshop in their local workplace reaching a further 192 health care workers. 



_**Nurse Leader, Mildred Agnes Waccah, facilitates a workshop on palliative care, pain assessment and pain management for nurses, nursing students and clinical officers at Kenyatta National Hospital.**_ 

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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## **Home-based care of house-bound and isolated patients was supported from 14 hospices, providing access to palliative care across large areas of 12 counties and reaching over 1,630 patients and their families** 

During 2021/22 home visits by hospice nurses remained vital in reaching patients made  vulnerable  to  Covid-19  by  a  life-limiting  condition.  Our  support  to  this activity became even more crucial towards the end of the financial year as rising fuel prices increased the cost of making essential home visits. 


_“I have been bedridden for 5 years. I cannot sit upright or stand but the nurses from Meru Hospice have never abandoned me. They kept visiting me and delivering my medicine. I always feel honoured when they come. I am very grateful to them for their home care services”._ 

_**Photo left: Francis Mungania, patient of Meru Hospice**_ 

In addition to providing care to patients, home visits are an opportunity to support family members with counselling, bereavement support and to provide training in how to provide daily care for their loved one in the home, essential for continuity of care between hospice visits. Over 2,800 family members and carers benefitted from this support. 




_**Photos left to right: Nurse Sophie administers morphine to a patient with cervical cancer during a home visit; A home visits from Coast Hospice in Mombasa; Kitui County PCU nurse visiting a patient at home.**_ 

## **We supported  5 centres to run  regular  support groups and  day  care sessions, reaching over 458 patients and their carers** 

Hospice day-care sessions and support groups provide an opportunity to bring together patients, their families and carers, for peer support, counselling and information sharing. Patients are invited to monthly meetings to meet, support and encourage each other by sharing their stories. This is also an opportunity for nurses to train patients to better manage their condition and keep as healthy as possible. 

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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 



_**Photos above: Left - Monthly day-care taking place at Coast Hospice; right – oesophageal cancer survivor, Jane Kinyua, shares her journey at a meeting of Nanyuki Cancer Support Group meeting.**_ 


We supported a new paediatric day-care group at Malindi Palliative Care Unit (photo left) where 32 children and their parents and carers received support with the many challenges of caring for a child with palliative care needs. In Kenya access to palliative care is very limited among children with less than 5% of paediatric patients having access. With so many children and their families going without specialist care, our support to this initiative is vital. 

## **Over 40,000 people in the community were reached with information and advice on cancer and palliative care** 

We are raising awareness of cancer to help patients get diagnosed sooner and treated earlier, and raising awareness of palliative care and the services available to ensure that those who could benefit are reached with care. This work also involves  empowering  and  gaining  the  support  of  community  leaders  and ‘gatekeepers’ is vital in ensuring the sustainability of our work. As part of our UK Aid project, we are regularly meeting with community leaders to increase their knowledge on cancers affecting women and palliative care services; knowledge they then share with others. 

Trained community awareness volunteers in Laikipia County have worked hard to carry out community meetings and awareness/screening events with our support. Laikipia Hospice reports that 60% of newly registered patients at the hospice in the last year were diagnosed with early-stage cancer versus the national statistic of 80% of new cancer cases being diagnosed in the late stages, an achievement they attribute to the awareness programme. 

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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 



_**Photos  above:  Cancer  awareness  volunteers  from  Nanyuki  Cancer  Support Group in Laikipia (left) discuss breast cancer with women at a World Cancer Day event in and, Pauline Mbugua (right) talks to a group of women from Nanyuki Catholic Womens’ Association about cervical screening at an event in January.**_ 

## **Safeguarding children and vulnerable adults** 

To deepen our commitment to safeguarding and ensure that safeguarding policy and practice is in place at every level of our operations, we organised a training course to which project partners were invited. The course took place in February with  22  participants  representing  16  partner  organisations.  Participants  were encouraged to work as ‘safeguarding champions’ in their place of work to raise awareness amongst other staff and implement safeguarding policies. 

_“The training was well organised and educative. I now intend to develop safeguarding within the community where I work to protect the vulnerable; training the community health workers. We also need to educate our local leaders so they will have an understanding. It may be difficulty at first due to the culture but I believe working closely with community leaders we can do it”_ Training participant feedback 

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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## **Structure, Governance and Management** 

Hospice Care Kenya Ltd is a company limited by guarantee, company number 07540244 and is registered in England as a charity, registration number 1141469. The Company was incorporated on 23[rd] February 2011 and is governed by its Memorandum and Articles of Association of the same date. On 1[st] April 2011 the Company took over the assets and liabilities of the former charity, Hospice Care Kenya, charity registration number 1001709. The Company is managed by a Board of unpaid Trustees, who act both as Directors of the Company for the purposes of the Companies Act 2006 and Trustees of the Charity for the purposes of the Charities Act 2011.   All the activities of the Charity are classed as continuing.  The Trustees have pleasure in presenting their report and the independently-examined financial  statements  of  the  Company  for  year  ended  31[st] March  2022  in accordance  with  the  provisions  of  Accounting  and  Reporting  by  Charities: Statement of Recommended Practice 2015 ( FRS 102). 

## **Recruitment and Appointment of Trustees** 

When  there  is  the  requirement  to  appoint  a  trustee,  personal  contacts  and networking  are  used  initially  to  find  suitable  candidates.  This  year  we  were unsuccessful in finding new trustees through these means and so we advertised for potential trustees to fill identified skills gaps and a new trustee was appointed. The appointment of a trustee must have the unanimous agreement of the existing trustees.  New  trustees  are  briefed  on  the  objects  of  the  Trust  and  the Memorandum and Articles governing its activities. All new Trustees are required to sign a Trustee Declaration and Code of Conduct. 

## **Financial  review  of  the  accounting  period  1[st] April  2021  to  31[st] March 2022** 

The main activity of the charity was raising funds to support the provision and delivery of palliative care in Kenya. Total income was £232,347 (2021: £134,721). We  continue to  be generously supported by donations  from  individuals which amounted to £183,030 including a legacy of £155,713 (2021 £21,250). Given the current circumstances  we  are  very  grateful  for  this on-going support  and  in particular to those many donors giving regularly by direct debit or standing order. 

Due to the efforts of our fundraiser the charity again secured income from Trusts and Foundations. 

Our supporters continued to be restricted by Coronavirus, from undertaking any fundraising events on our behalf this year, so we were extremely thankful that the Malvern Concert was possible. 

Our first grant round for the year 2021-2022 was moved to April 2021 with the second in October 2021. We are carrying forward funds designated for grants of £ 194,126 (2021 £51,645). Grants paid under the FCDO project in the year were £23,122.79 (2021: £46,388) and a full list of the grantees is shown at note 6 (page 20) of the financial statements. 

## **Policy on Reserves** 

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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

The Trustees reviewed the Reserves Policy in the year and decided that in order to mitigate the risk of unforeseen circumstances or unexpected falls in income it is prudent to hold an amount of £14,000 in reserves. Funds over this amount will be held in a designated reserve from which grants will be paid. 


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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## _INDEPENDENT EXAMINER’S REPORT TO THE TRUSTEES OF HOSPICE CARE KENYA_ 

My report on the accounts of the Company for the year ended 31 March 2022, which are set out on pages 13 to 18, is in respect of an examination carried out under s.43 of the Charities Act 1993. 

## **RESPECTIVE RESPONSIBILITIES OF TRUSTEES AND EXAMINER** 

The  charity’s  trustees  (who  are  the  directors  for  the  purposes  of  company  law)  are responsible for the preparation of the accounts. The charity’s trustees consider that an audit is not required for this year under section 144 of the Charities Act 2011 (the Charities Act) and that an independent examination is needed. 

It is my responsibility to: 

- examine the accounts under section 145 of the Charities Act 

- to follow the procedures laid down in the general Directions given by the Charity Commission (under section 145(5)(b) of the Charities Act and 

- to state whether particular matters have come to my attention 

## **BASIS OF INDEPENDENT EXAMINER’S REPORT** 

My examination was carried out in accordance with the General Directions given by the Charity Commission.  An examination includes a review of the accounting records kept by the Charity and a comparison of the accounts presented with those records.   It also includes consideration of any unusual items or disclosures in the accounts and seeking explanations from the trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit, and consequently no opinion is given as to whether the accounts present a “true and fair view” and the report is limited to those set out in the statement below 

## **INDEPENDENT EXAMINER’S STATEMENT** 

In connection with my examination, no matter has come to my attention: 

- **(1)** which gives me reasonable cause to believe that in any material respects the requirements 

      - to keep accounting records in accordance with section 130 of the Charities Act; and 

   - to  prepare  accounts  which  accord  with  the  accounting  records  and  to comply with the requirements of the Charities Act 

   - have not been met; or 

- **(2)** to which, in my opinion, attention should be drawn in order to enable a proper understanding of the accounts to be reached. 


21st May 2022 

B C Lloyd FCA Ashfield, Bradley Lane Bradley, Stafford ST18 9DP 

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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## **HOSPICE CARE KENYA Registered Charity 1141469 Company Registration Number 07540244** 

## **STATEMENT OF FINANCIAL ACTIVITIES (including Income and Expenditure Account) FOR THE YEAR ended 31st March 2022** 

||**Not**<br>**e**|**Unrestr**<br>**icted**<br>**£**<br>**Restricte**<br>**d**<br>**£**<br>**TOTAL**<br>**FUNDS**<br>**£**<br>**2021**<br>**£**|
|---|---|---|
|**Income and endowments from**<br>**_Donations and Legacies_**|||
|Donations||27,317<br>-<br>27,317<br>69,158|
|Legacy||155,713<br>-<br>155,713<br>21,250|
|**_Charitable Activities_**|||
|Trust Income||11,500<br>28,442<br>39,942<br>42,095|
|**_Other Trading Activities_**|||
|_Events_||9,350<br>-<br>9,350<br>2,106|
|_Sale of Goods_||-<br>-<br>-<br>100|
|**_Investment Income_**– bank interest||25<br>-<br>25<br>12|
|**Total Income and Endowments**||**203,905**<br>**28,442**<br>**232,347**<br>**134,72**<br>**1**|
||||
|**Expenditure on:**|||
|**_Raising funds_**_:_|||
|Fund raising costs of grants<br>and donations|**3**|8,851<br>-<br>8,851<br>8,841|
|**_Charitable activities:_**|||
|Grants made to Kenya|**6**|38,823<br>52,348<br>91,171<br>46,388|
|Other Expenditure|**3**|15,528<br>-<br>15,528<br>10,785|
||||
|**Total resources expended**||**63,202**<br>**52,348**<br>**115,550**<br>**66,014**|
||||
|**Exchange rate variance**||-<br>**1,962**<br>**1,962**<br>**2,230**|
|**Net income being net movement in**<br>**funds**||**140,703**<br>**(21,944)**<br>**118,759**<br>**71,027**|
|**Transfer between funds**||**1,778**<br>**(1,778)**|
||||
|**Reconciliation of funds****_:_**|||
||||
|Total funds brought forward||**65,645**<br>**30,173**<br>**95,818**<br>**24,791**|
||||
|**Total funds carried forward**||**208,126**<br>**6,451**<br>**214,577**<br>**95,818**|
||||



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**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## **HOSPICE CARE KENYA Registered Charity 1141469 Company Registration Number 07540244** 

## **BALANCE SHEET  31st March 2022** 

||||**Not**<br>**e**|**2022**|||
|---|---|---|---|---|---|---|
|||||**£**|||
|**Current assets**|||||||
|Debtors and Payments in Advance|||4|697|||
|Cash at Bank||||214,36<br>1|||
|||||**215,05**<br>**8**|||
|**Creditors:  amounts  falling  due  within  one**<br>**year**|||5|**(481)**|||
|||||**214,57**<br>**7**|||
||||||||
|**Net assets**||||**214,57**<br>**7**|||
||||||||
|**Which represent :-**|||||||
|Unrestricted Funds|||||||
|**-**<br>General funds||||14,000|||
|**-**<br>Designated funds||||194,12<br>6|||
|Restricted Funds||||6,451|||
|||**STATEMENT OF CASH FLOWS for the Year Ending**|||||
||||||||
||||||**£**|**£**|
||**Opening Cash Balance**|||||**95,78**<br>**3**|
||Operating Activities||||||
||<br>Receipts from raising funds||||228,01<br>6||
||Gift aid received||||4,306||
||Payments made||||(24,37<br>9)||
||Increase in Prepayments||||(402)||
||Increase in Creditors||||221||
||Grants paid to Kenya||||(91,17<br>1)||
||**Movement from operating activities**||||116,59<br>1||
||Investing activities – bank interest||||25||
||Exchange rate variance||||1,962||
||Net movement|||||118,5<br>78|
||**Closing Cash Balance**|||||**214,3**<br>**61**|



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Hospice Care Kenya
Annual Report and Financial Statements 2021 - 2022
17

Hospice Care Kenya
Annual Report and Fir￿￿la1 Statements 2021- 2022
For the year •nded 31st March 2022 thÈ company was etr)tided to exemption from audtt unders•rtlon 477 of the
Companies Act 2006 relating to small companies.
The members have not required the company to obtsin an audit of its accounts lor the year in question in
accordance wlth section 476,
The director5 acknowledge their re5ponybilities for complying with the requirements of the Act with respect to
accounting records and the preparation of accounts.
These accounts have been prÈpare(l in accordance with the provisions applicable to companies subject to the
small companies, regime.
Slgned on behalf of the board of directors
These financial xatements lor the ye3r ended 31st March 2022 as set out on pages 13 to 18, were approved bv
the Trustees on 29" July 2022 and signed on their behalf by
Yvonne Sanders
Honorary T￿asUrer
Chair
18

**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## **NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31st March 2022** 

## 1. INCORPORATION 

The  company  was  incorporated  on  23rd  February  2011,  registered  number 07540244, limited by guarantee. It took over the assets and liabilities of the former charity, registered number 1001709 on 1st April 2011. The former charity was deregistered and the company was registered as a new charity, registered number 1141469. The name of the former charity, Hospice Care Kenya, has been retained. 

## 2. ACCOUNTING POLICIES 

- a. Basis of Accounting The financial statements have been prepared under the historical cost convention and on the accrual basis. They comply with the Statement of Recommended Practice. 

## b. Donations and Voluntary Income 

All cash income is accounted for at the time of receipt. 

## c. Gift Aid The estimated tax refund on Gift Aid donations is accounted for in the year of the receipt of the donations. 

## 3. SUPPORT COSTS 

The trust allocates its support costs between those incurred for raising funds and those incurred for  carrying out the charitable activities of the trust as shown below. 

||**Fundrai**<br>**sing**<br>**Charita**<br>**ble**<br>**Activiti**<br>**es**|
|---|---|
||**£**<br>**£**<br>**Total**<br>**2021**|
||**£**<br>**£**|
|Bank Charges|110<br>824<br>**934**<br>**471**|
|Fundraising Costs|1,363<br>-<br>**1,363**<br>**2,001**|
|Prof fees &<br>Insurance|-<br>305<br>**305**<br>**62**|
|Newsletters|624<br>-<br>**624**<br>**614**|
|Ofce Costs|440<br>735<br>**1,175**<br>**764**|
|Travel|35<br>-<br>**35**<br>**-**|
|Staf Costs –<br>Salary & Pension|6,250<br>13,635<br>**19,88**<br>**5**<br>**15,65**<br>**5**|
|Website|29<br>29<br>**58**<br>**57**|
||**8,851**<br>**15,528**<br>**24,37**<br>**9**<br>**19,62**<br>**4**|



## 4. DEBTORS 

The amount of £697 (2020: £295) is the tax refund due calculated on Gift Aid still to claim and prepayment of insurance and two PO box numbers. 

## 5 CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR 

At the year end the charity had accrued £236 for pension costs (2021: £124), £245 PAYE (2020: £82) and had trade creditors of Nil (2020: £54). 

19 



**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

## **NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31st March** 

## **2022 (Continued)** 6. GRANTS MADE TO KENYA 

|||2022|2021|
|---|---|---|---|
|||£|£|
||Cheptais Hospital|3,991|2,447|
||Coast Hospice|6,010|1,954|
||Homa Bay|-|1,690|
||Hope for Cancer Kids|4,024|-|
||KEHPCA|||
||General|3,758|4,892|
||Safeguarding Training|1,454|-|
|||5,212||
||Kenya Medical Training College|3,997|2,233|
||Kendu Adventist Hospital|1,894|-|
||Kilif PCU|1,996|-|
||<br>Kitui PCU|1,969|-|
||Laikipia Palliative Care Centre|4,224|-|
||Machakos PCU|2,620|-|
||Makindu|2,417|-|
||Malindi PCU|8,527|3,913|
||Marsabit County Hospital|1,763|-|
||Meru Hospice|2,989|-|
||Nairobi Hospice|7,515|4,526|
||Nanyuki Cancer Support Group|2,509|2,251|
||Nyahururu Hospice|2,492|-|
||Nyeri Hospice|-|2,429|
||ONPAC|6,318|5,389|
||Samburu|5,027|-|
||Siaya Hospice|10,68<br>8|7,574|
||St Mary’s Medical Centre|-|2,932|
||Taita Taveta County Hospital|4,989|2,440|
||Wamba PCU|-|1,718|
|||||
||**Total Disbursed to Kenya**|**91,17**<br>**1**|**46,388**|



20 



**Hospice Care Kenya Annual Report and Financial Statements 2021 – 2022** 

**NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31st March 2022** 

**(Continued)** 

No Trustee received remuneration in the year. Due to the Corona Virus no costs for travel to meetings was incurred by Trustees (2021: £0) 

There were no related party transactions 

No member of staff has earned more than £60,000 in the year or the previous period. 

The aggregate amount of employee benefits for key management personnel was £19,885 (2021: £15,655) 

## 7. MOVEMENT IN FUNDS 

|OVEMENT IN FUNDS||||||
|---|---|---|---|---|---|
|||**Unrestricte**<br>**d**|**Designate**<br>**d**|**Restricted**|**Total**|
|**As at 1 April 2021**||14,000|51,645|30,173<br>95,818||
|**Incoming Funds**||-|203,905|28,442<br>232,34<br>7||
|**Exchange**<br>**Rate**<br>**Gains**||||1,962<br>1,962||
|**Total Incoming**||14,000|255,550|60,577<br>330,12<br>7||
|**Outgoing Funds**||-|(63,202)|(52,348)<br>(115,55<br>0)||
|**Transfers between**<br>**Funds**||-|1,778|(1,778)<br>-||
|**As  at  31  March**<br>**2022**||14,000|194,126|6,451<br>214,57<br>7||



## **Previous Year** 

|**Previous Year**|||||
|---|---|---|---|---|
|||**Unrestricted**|**Designated**|**Restricted**|
|As at 1 April 2021||14,000|10,791|-|
|Incoming Funds||-|69,034||
|||14,000|79,825||
|Outgoing Funds||-|(29,988)||
|Exchange Rate Variance||-|-||
|Transfers between Funds||-|1,808||
|As at 31 March 2022||14,000|51,645||



The Trustees reserve policy is to hold £14,000 in reserve in general funds to cover unforeseen circumstances or unexpected falls in income. The remaining funds are designated for grant distribution. 

21 

