**HOSPICE CARE KENYA ANNUAL REPORT AND ACCOUNTS 2024 - 25** 

**Company Number 07540244                                                            Charity Number 1141469** 



**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

## **Table of Contents** 

Background **...........................................................................................................................** 3 Objectives and Activities .................................................................................................................. 3 Achievement and Performance ……………………………………………………………………………………………  5 - 11 Structure Governance and Management ...................................................................................... 11 Financial Review ............................................................................................................................. 12 Policy on Reserves .......................................................................................................................... 12 Acknowledgements ................................................................................................................... 12-13 Independent Examiner’s Report .................................................................................................... 14 Statement of Financial Activity  ..................................................................................................... 15 Balance Sheet ................................................................................................................................. 16 Statement of Cash Flows …………………………… …………………………………………………………………………… 16 Notes to the Financial Statement ……………………………………………………………………………………….17 - 20 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

## **Organisation Details** 

## **Patrons** 

Lord Carey of Clifton Professor Sir Michael Richards  CBE MD FRCP 

Mr Michael Wooldridge, OBE 

## **Trustees** 

Dr Sally Hull, Chair Dr Michael Hughes,  Vice Chair Ms Yvonne Sanders  Hon. Treasurer Dr Michael Smalley, (until 31/12/24) Dr Sarah Onyango Ms Sharon Maweu Prof Heather Richardson Ms Henrietta Worthington         (from 16/01/24) 

## **Staff** 

Ms Pauline Everitt            Director 

Mrs Catherine Nelson  Development and Fundraising 

## **Registered Office** 

Hospice House                                             Telephone: 01905 418286 34 – 44 Britannia Street Email: hck@hospicecarekenya.com London Web:  www.hospicecarekenya.com WC1X 9JG 

## **Bankers** 

CAF Bank Ltd, 

Kings Hill, West Malling, Kent ME19 4TA 

## **Independent Examiner** 

Lee Barker, DMS, ACMA 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

**The trustees of Hospice Care Kenya (HCK) are delighted to present their annual report for 2024-25** . It has been a busy but productive year, with new projects starting, more people with life-limiting illnesses in Kenya helped and a constructive review of our vision and mission by the trustees. 

## **Background** 

Hospice Care Kenya is a charity, registered in the UK with the Charity Commission. It was founded in 1991 to support the newly opened Nairobi Hospice, Kenya’s first hospice for palliative care. Since then, we have helped develop palliative care services in at least 34 of Kenya’s 47 counties. 

HCK raises funds in the UK to support our partners in the development and delivery of palliative care in Kenya, by responding to specific requests for project funding from hospices, community-based organisation’s (CBO’s) and palliative care units. 

We emphasise our **‘bottom up’** approach to funding, our partners will apply for what is most relevant and needed for their individual communities. All that HCK does is about people, this remains at the heart of our work. People who are in pain, scared or isolated, we also support their families and those who have the role of caring for them or who may be grieving. 

During the year 2024-25 we continued to respond to these needs according to our grant making policy and to use our monitoring processes to ensure that our funds are used effectively to make a real difference to people in Kenya in need of palliative care. 

In carrying out these objectives and planning activities the Trustees have carefully considered the Charity Commission’s general guidance on public benefit and 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 **.** 

## **Objectives and Activities** 

This year, HCK has continued to make progress with the strategy approved in 2022. As reported last year, the strategy is based around the pillars **of Partnership, Empowerment** and **Advancement** , underpinned by a proactive and sustainable charity. 

The 18 months children’s palliative care project, ‘Every Child Counts’, was completed in March 25. This project was working in three areas of Kenya, Siaya, Meru and Kajiado County. The mid-way report showed the project had identified and was supporting 96 children with palliative care needs who had not received appropriate care previously. This was a 200% increase in numbers. 

The nurses involved in the project have visited schools and spoken to both teachers and children. This has increased awareness for children with palliative care needs and has even resulted in children accessing school again. Our final evaluation is in the process of being carried out. 

The success of this project has enabled us to attract multi- year funding, to start similar projects ~~i~~ n two new areas in 2025. Our thanks go to the Austin Bailey Foundation for making us a flagship partner enabling us to run the project in Nyeri county for the next three years. Also, our thanks go to William 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

Leech Charitable Trust for enabling a three-year project in Laikipia. 

The trustees wanted to move forward on other aspects of our strategy and we continue ~~d~~ to support education and the training of health professionals and community health workers. This reflects our strategy on Empowerment. One way we facilitated this was by enabling the Kenyan Palliative Care Association (KEHPCA) to organise monthly webinars on different aspects of paediatric palliative care. These were well received and attracted significant numbers of attendees. 

We have continued to partner with hospices and palliative care units throughout Kenya and we are pleased that we have been able to support palliative care in new locations. This is in line with the Advancement strand of HCK strategy which focuses on underserved populations and unreached locations. 

We reported last year that we hoped to start innovative projects to reduce gender disparities over the next eighteen months. Four projects were chosen to start in October 2024. 

Our relationship with our key partner, Kenya Hospice and Palliative Care Association (KEHPCA) has continued throughout the year and the director of HCK continues to meet with the new director of KEHPCA via zoom. 

HCK is keen to ensure that it has good monitoring and evaluation systems in place and operational ways of doing that. We are continually looking at ways to ensure robust systems are in place and our financial policies are regularly reviewed. 

The trustees understand that the strategy will only be effective if the charity is strong, agile and financially sustainable. Fundraising remains a challenge with a contraction in funds available from Trusts and Foundations for international development. Therefore, we continue to be very grateful to our very dedicated and committed regular donors and to those who give occasionally. We appreciate all the donations we receive, enabling our continued our support to hospices and palliative care units in Kenya. 

This year, the trustees have reviewed the vision and mission of the charity to ensure our purpose and objectives can be clearly articulated. In January 25, all the trustees attended a workshop that was facilitated by Abalone Consultancy to re-evaluate the focus of our work. It was agreed that the need for HCK will not diminish within the next five years and therefore we must prioritise our activity to ensure the best possible outcomes. 

HCK recognises the importance of social media and the increase in digital communication and has made a conscious effort to build our social media presence over the three channels of Facebook, Instagram and LinkedIn. We have seen an encouraging increase in followers to these efforts across all channels. 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

## **Achievement and Performance** 

## _**Map of palliative care facilities and projects supported in 2024-25**_ 


## **PARTNERS SUPPORTED IN KENYA 2024-25** 

|**Partners supported**|**Purpose of grant**|**2024-2025**|
|---|---|---|
|Bungoma County Referral Hospital|Training health care workers and community<br>health volunteers|£2079|
|Busia Hospice|Emergency provision of morphine.|£308|
|Eldoret|Training patent care-givers<br>Emergency provision of morphine.|£4,207|
|Embu County Hospital|Training community health volunteers<br>Support to Embu Cerebral Palsy Caregivers<br>supportgroup|£5,760|
|Garissa County Referral Hospital|Home visits and support groups|£3,062|
|KEHPCA|Paediatric palliatve care webinars for health care<br>workers|£1,260|
|Kenya Medical Training College|Partal sponsorship for Diploma in Palliatve Care<br>nursing|£3,102|
|Kanyakine Sub District Hospital|Training community health volunteers|£1,294|
|Kisumu Hospice and Palliatve Care|Training community health workers|£2,584|



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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

|Kwale Sub County Hospital|Training health care workers|£449|
|---|---|---|
|Laikipia Palliatve Care Centre|Emergency provision of morphine<br>Trainingcommunityandyouth leaders|£3,994|
|Machakos PCU|Gender disparity project - integratng palliatve<br>care into men's health services|£4,097|
|Malindi Palliatve Care Unit|Home visits and support groups|£2,048|
|Meru Hospice|Emergency provision of morphine and other drugs<br>Every Child Counts – paediatric palliatve care<br>project<br>Vertcalgardening|<br>£8,267|
|Moi Teaching & Referral hospital|Training paediatric health care workers in<br>palliatve care|£2,273|
|Msambweni County Referral Hospital|Training health care workers, volunteers and<br>community leaders from Kwale county in palliatve<br>care.<br>Gender disparity project - Supportng male carers<br>of children with palliatve care needs through<br>training and support groups.|<br>£5,575|
|Nakuru Hospice|Emergency provision of morphine.|£874|
|Nanyuki Cancer Support Group|Support group programme|£2,615|
|Nyahururu Hospice|Purchase of palliatve care medicines|£3,119|
|Nyeri Hospice|Emergency provision of morphine.<br>Every Child Counts – paediatric palliatve care<br>project|£2,363|
|Ongata Ngong Palliatve Community<br>Care (ONPACC)|Every Child Counts – paediatric palliatve care<br>project<br>Trainingfamilycare-givers|£7,412|
|Oasis of Hope|Training care givers in home-based palliatve care|£4,082|
|Siaya Hospice|Emergency provision of morphine.<br>Every Child Counts – paediatric palliatve care<br>project|£5,054|
|St Gallen Oncology Network|Gender disparity project – Improving services and<br>reducing stgma with men with prostate cancer|£952|
|St Mary’s Medical Centre|Palliatve care drugs and supplies|£1,044|
|Taita Taveta Hospice|Gender disparity project – Knited breast<br>prosthesis for women post-mastectomy|£3,034|
|Thika Level 5 Hospital PCU|Training community health volunteers, health care<br>workers and care-givers|<br>£1,987|



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**Annual Report and Financial Statements 2024 – 2025** 

## **Hospice Care Kenya** 

|Tumanini La Maisha Health Services|Support groups, home visits and palliatve care<br>drugs. Funding for Joanna’s House temporary<br>residence for patents undergoing treatment in<br>Nairobi.|£2,238|
|---|---|---|
|Turkana Cancer Support Group|Training health care workers|£4,177|
|Vihiga County Hospital|Home visits and support groups|£3,062|
|Vines Kenya, Kisii|Training community health volunteers|£3,133|
|Western Homebased Care Initatve|Training community health volunteers and<br>caregivers in Kisumu County|£2,117|
|**Total Disbursed to Kenya**||**£97,622**|



## **Partnership** 

**In 2024-25 we worked across a broader area of Kenya than ever before, working in partnership with 37 hospices, palliative care centres and training programmes in the development and delivery of palliative care across 26 Kenyan counties. Through our partnerships, we directly cared for 5,579 people living with life-limiting illness. This includes reaching almost 1,000 children in need of palliative care and their families, a 50% increase compared to last year, thanks to our projects which focus on bridging the critical gap in palliative care services for children.** 

Community-based care remains an important pillar of our support to patients, easing the burden on family carers and ensuring that those living with life-limiting illness can receive essential care even when they are too unwell to travel or cannot afford the cost of repeated hospice visits. **Across 20 counties, we helped our partners reach 1,810 patients who needed palliative care in their homes, while a further 1,092 patients were supported through group sessions** that offer help with providing care at home, emotional support and a vital sense of belonging. This included **240 families caring for children with palliative care needs.** For these children, tailored support is crucial to enable child and carer to receive specialist advice that addresses the unique medical, emotional and developmental needs of a child living with serious illness. 



_**Child and family workshops in Meru and Kajiado West**_ 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

- _“We've learnt about embracing our children and how to take care of him and ourselves. It's important to love and defend your child to society. How you treat him will determine how they treat him”._ 

Mercy Njoki, mother of Sammy age 4yrs, with cerebral palsy 

With our support over the past 5 years, our partner Nanyuki Cancer Support Group has grown into a strong and active community. Over the past year, we helped them share their experience and successful model with others, leading to the creation of three new support groups in Meru and Tharaka Nithi counties. This means more people affected by cancer can now access advice and emotional support close to home. 

**We helped 7 independent hospice partners to access emergency morphine supplies for their patients.** In May, shortages of morphine across Kenya deprived many patients of this crucial relief, putting immense strain on patients and their families. We provided emergency support to seven of our hospice partners facing this critical shortage. Thanks to our intervention, our partners were able to continue supplying morphine to their patients, preventing 842 adults and 114 children living with cancer, from going without vital pain relief. 

## **Empowerment** 

Over the past year, we have increased the inclusion of family caregivers in our community training, to strengthen community-based care for patients. This initiative eases the burden on over-stretched palliative care nurses and ensures continuity of care between hospice visits. By including family caregivers alongside community health volunteers, we give them the skills and confidence to manage medication, personal care and provide comfort for their loved ones. Many had never received any guidance before, previously coping as best they could under immense emotional and financial strain. In the past year, **we trained 315 family caregivers in basic home-based care. We also trained 585 community health volunteers, who also play a vital role in raising awareness of cancer and palliative care in their communities.** 

Thanks to the activity of community health volunteers, 791 patients previously not receiving care were referred into treatment. **Overall, community referrals from trained individuals increased palliative care service utilisation by on average 240% across all our training projects.** 

“ _Before the training, I felt overwhelmed. I didn’t know if I was doing the right thing for my sister—or for myself. This training gave me knowledge, confidence, and a support network. I’ve learned how to care for her with compassion, and how to take care of myself too.”_ 

Alphonce – carer for his sister Rosemary who lives with breast cancer 

**We also trained 435 general health professionals from government hospitals in short courses in palliative care and provided partial sponsorship for 17 nurses in need of financial assistance to study an 18-month Higher National Diploma in Palliative Care Nursing.** 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

**We introduced a new project to support patients with food and nutrition.** Food insecurity is a major challenge faced by many of our patients, especially in the poorest households. In early 2025, our hospice partners reported that at least 50% of patients lacked enough food. Good nutrition is vital for people receiving palliative care. Working with Meru Hospice, we have so far supported 30 palliative care patients and their families to grow their own food at home. Meru Hospice hosted an agronomist to train families in vertical sack gardening, and each household received starter packs with sacks, compost, seeds and seedlings. Ongoing support is being provided during palliative care home visits. We will seek funds to expand this vital project in 2025/26. 

_“Before the training, I didn’t know how I would feed my family. Buying vegetables every day is a struggle. Now, with these sacks and the skills we’ve learnt, I can grow food right outside my home. It’s a big relief. I’ll be able to feed my children and even share with my neighbours.”_ 

Jane, project participant 


## **Advancement** 

**Over the last financial year, we have further expanded our work to address the critical gap in child palliative care across a wider area of Kenya.** Our Every Child Counts brought child palliative care to Siaya, Kajiado and Meru Counties. Through awareness activities in communities and schools, and through training health professionals and community health volunteers, we have now increased the number of children enrolled at hospices and receiving care in the home across the three counties by 450%, with 224 children and their families now receiving care. This year we introduced regular support workshops for children together with their families. 

Family surveys revealed the positive impact of the project on the wellbeing of families supported. School attendance among children receiving palliative care increased by an average of **four extra days per month** . **Children now report experiencing pain far less frequently** – an average shift from ‘often’ to ‘almost never’. **Families reported reduced marginalisation** in their communities due to their child’s condition; with 91% of families reporting feeling stigmatised at the start of the project, compared with just 24% after project participation. ( see graphs below) 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 




_“The hospice staff are very lovely and love all of us. We feel happy when we go to family-day care at the hospice. We forget we have cancer and we feel like other normal children”_ 

Brian, age 12, from Meru 

_“I am forever grateful to Siaya Roselyne Hospice for the teaching and encouragement they gave me and my family when my daughter was sick.  Their support is over whelming.  Now I will continue reaching out other families who too have children with palliative care needs”._ 

Violet, parent of child patient at Siaya Roselyn Hospice. 

At the end of the year, we expanded this project into two further counties, Nyeri and Laikipia, thanks to multi-year support from the Austin Bailey Foundation and the William Leach Charity. In 2025/26 we will continue to seek funds to consolidate and expand the project in the original three counties. 

Gender inequality continues to affect access to palliative care, with men and women facing different barriers to support. In October 2024, we launched new projects across four counties to address these disparities by improving awareness, reducing stigma, and ensuring gender-specific quality of care for all, including carers. Initiatives include training and encouraging male carers of children with palliative care needs to improve family cohesion and the child’s wellbeing; developing knitted breast prostheses for women following mastectomy; providing care and support for couples living with the effects of prostate cancer; and integrating palliative care awareness and services into men’s health programmes. 

Already, over 200 carers and community stakeholders have been trained, and care has been improved for 120 people living with life-limiting illnesses. 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

## **In summary** 

**In 2024/25 we helped improve the lives of 4,592 adults and 987 children with life-limiting  illnesses in Kenya through direct provision of palliative care. We reached over 43,000 individuals with training or awareness in palliative care.** 

## **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 2025 in accordance with the provisions of Accounting and Reporting by Charities: Statement of Recommended Practice 2015 (FRS 102). 

The Trustees are pleased to confirm that no serious incident has occurred during the last year and that no serious incident has occurred that has not been reported to the Charity Commission. 

## **Recruitment and Appointment of Trustees** 

At the April 24 board meeting, Dr Sally Hull was re-elected as Chair for a further two years. Dr Michael Smalley stepped down from being Vice Chair and signalled his intention not to stand again for reelection at the end of 2024. Michael had been a trustee since 2011. He lived in Kenya for several years and this knowledge and love for the country, coupled with his professional wisdom and insight made him a valued member of the Board. HCK is truly grateful for all his support and commitment during his time of service.   He commented, 

“I am proud to have been part of the rapid expansion of palliative care in Kenya - of communitybased delivery of palliative care. It has been enormously satisfying to be involved with an organisation that supports the actions and decisions of local palliative care providers in Kenya and does not try to dictate or direct their decisions.” 

Dr Mike Hughes was elected Vice Chair. 

When there is the requirement to appoint a trustee, personal contacts and networking are used initially 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

to find suitable candidates, and this process is currently being followed. 

## **Financial review of the accounting period 1[st] April 2024 to 31[st] March 2025** 

The main activity of the charity was raising funds to support the provision and delivery of palliative care in Kenya. Total income was £67,064 (2024: £161,688). We continue to be generously supported by donations from individuals. 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. The ability to claim Gift Aid on donations makes a significant difference to our income. 

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

In 2024, HCK had two grant rounds (April 24 and October 24) and applications were invited from hospices and palliative care units who are members of KEHPCA.  In addition, proposals were sought and submitted in the summer, for gender disparity work. The trustees follow a rigorous application criteria process before awarding the grants and due diligence is carried out prior to any disbursement. The Grant Policy was reviewed and revised in January 2024 before the start of the new financial year. 

In the financial year 24-25, it became necessary to use additional funds to supply emergency morphine supplies to the hospices. There were several months when morphine was in short supply in Kenya, and the trustees felt it extremely important that this essential medication should be available to those patients the hospices treat.  Our emergency grants enabled them to purchase the morphine powder directly, plus the cost of the bottles and reconstitution so patients could continue to receive much needed pain relief. 

## **Policy on Reserves** 

Each year the Trustees review the Reserves Policy for that year. It was decided that in order to mitigate the risk of unforeseen circumstances or unexpected falls in income it is prudent to hold an amount of £25,000 in reserves. This is a slight increase from the previous year. However, although we hold £25,000 as reserves, the trustees are aware that the amount we hold is in excess of this. 

The increase is due to two large legacies (previously reported), received over the last three financial years. Legacy income is very unpredictable and the trustees plan to spend it down in a sustainable and prudent manner. The trustees have agreed to designate £40,000 for each of the next three years to support palliative care delivery through working with our partners: primarily the independent hospices. 

Using our reserves to support basic palliative care service delivery, will enable us to use the funds we raise throughout the year to support new and innovative projects. 

## **Acknowledgments:** 

We appreciate all our donors especially those who faithfully give month by month. This regular income gives a degree of certainty which is so helpful. We also want to record a big ‘thank you’ to those individuals who donate anonymously. 

In addition, we are immensely grateful to those individuals and organisations who have given us significant financial support during the year. 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

Rhododendron Trust Ofenheim Charitable Trust Paget Charitable Trust Neill Trust Austin Bailey Foundation Michael & Harriet Maunsell St Mary & All Saints Bradley & St Mary's, One World Group 

Hawthorne Charitable Trust Willoughby Harry Thompson Trust Eleanor Rathbone Trust William Leech Charitable Trust Relief Chest, Masonic Charitable Foundation 

Signed on behalf of the trustees 


Yvonne Sanders Honorary Treasurer 25[th] July 2025 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

## _**INDEPENDENT EXAMINER’S REPORT TO THE TRUSTEES OF HOSPICE CARE KENYA**_ 

I report to the trustees on my examination of the accounts of the above charity (“the Trust”) for the year ended 31/03/2025. 

## **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. 

I report in respect of my examination of the Trust’s accounts carried out under section 145 of the 2011 Act and in carrying out my examination, I have followed the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act. 

## **INDEPENDENT EXAMINER’S STATEMENT** 

I have completed my examination.  I confirm that no material matters have come to my attention in connection with the examination which gives me cause to believe that in, any material respect: 

- accounting records were not kept in accordance with section 130 of the Act or 

- the accounts do not accord with the accounting records 

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in order to enable a proper understanding of the accounts to be reached. In connection with my examination, no matter has come to my attention: 


30[th] May 2025 

Lee Barker, DMS, ACMA 1 North Street, FLIXTON, YO11 3UA 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

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

## **STATEMENT OF FINANCIAL ACTIVITIES (including Income and Expenditure Account) FOR THE YEAR ended 31st March 2025** 

|**Income and endowments from**<br>**_Donatons and Legacies_**<br>Donatons<br>Legacy<br>**_Charitable Actvites_**<br> Trust Income<br>**_Other Trading Actvites_**<br>_Other_<br>**_Investment Income_**– bank interest<br>**Total Income and Endowments**<br>**Expenditure on:**<br>**_Raising funds_**_:_<br>Fund raising costs of grants<br>and donatons<br>**_Charitable actvites:_**<br>Grants made to Kenya<br>Other Expenditure<br>**Total resources expended**<br>**Exchange rate variance**<br>**Net income being net movement in funds**<br>**Reconciliaton of funds****_:_**<br>Total funds brought forward<br>Transfer from restricted<br>**Total funds carried forward**|**Note**<br>**3**<br>**6**<br>**3**|**Unrestricted**<br>**£**<br>**Restricted**<br>**£**<br>**TOTAL**<br>**FUNDS**<br>**£**<br>29,583<br>2,054<br>**31,637**<br>3,038<br>**3,038**<br>5,500<br>18,944<br>**24,444**<br>**0**<br>550<br>**550**<br>7,395<br>**7,395**|**2024**<br>**£**|
|---|---|---|---|
|||||
||||30,644|
||||103,633|
|||||
||||20,820|
|||||
|||||
|||||
||||6,591|
|||46,066<br>20,998<br>**67,064**|161,688|
|||9,436<br>**9,436**<br>82,395<br>15,227<br>**97,622**<br>26,856<br>**26,856**||
|||||
|||||
||||11,424|
|||||
||||82,859|
||||31,317|
|||||
|||118,687<br>15,227<br>**133,914**|125,600|
|||0<br>**0**||
||||0|
|||(72,621)<br>5,771<br>**(66,850)**<br>284,876<br>**271**<br>**285,147**|36,087|
|||||
|||||
|||||
||||249,060|
|||||
|||212,255<br>**6,042**<br>**218,297**|285,147|



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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

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

## **BALANCE SHEET  31st March 2024** 

|**TATEMENT OF CASH FLOWS for the Year Ending 31st March 2024**<br>**Opening Cash Balance**<br>Operatng Actvites<br>Receipts from raising funds<br>Gif aid received<br>Decrease in debtors<br>Increase in creditors<br>Payments made<br>Grants paid to Kenya<br>**Movement from operatng actvites**<br>Investng actvites – bank interest<br>Bank compensaton<br>Net movement<br>**Closing Cash Balance**<br>**Current assets**<br>Debtors and Payments in Advance<br>Cash at Bank<br>**Creditors: amounts falling due within one year**<br>**Net current assets**<br>**Net assets**<br>**Which represent :-**<br>Unrestricted Funds<br>-<br>General funds<br>-<br>Designated funds<br>Restricted Funds<br>**Total charity funds**|**Note**<br> **4**<br>**5**<br> <br>**7**<br>|<br>|**2025**<br>**£**<br>**3,041**<br>**217,227**|**£**<br>281,403<br>(64,175)<br>217,228<br>**2024**<br>**£**<br>4,258<br>281,403<br>(514)<br>285,147<br>285.147<br>150,123<br>134,753<br>271<br>285,147|**2024**|
|---|---|---|---|---|---|
||||||**£**|
|||||||
||||||4,258|
||||||281,403|
||||**(1,971)**|||
||||||(514)|
||||**218,297**||285,147|
|||||||
||||**218,297**||285.147|
||||**92,255**<br>**120,000**<br>**6,042**|||
|||||||
|||||||
||||||150,123|
||||||134,753|
||||||271|
||||**218,297**||285,147|
||||**£**<br>54,299<br>4,821<br>1,217<br>1,457<br>(36,292)<br>(97,622)|||
|||||||
||||7,395<br>550|||
|||||||



**STATEMENT OF CASH FLOWS for the Year Ending 31[st] March 2024** 

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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

For the year ended 31st March 2025 the company was entitled to exemption from audit under section 477 of the Companies Act 2006 relating to small companies. 

The members have not required the company to obtain an audit of its accounts for the year in question in accordance with section 476, 

The directors acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and the preparation of accounts. 

These accounts have been prepared in accordance with the provisions applicable to companies subject to the small companies' regime. 

Signed on behalf of the board of directors 

These financial statements for the year ended 31st March 2025 as set out on pages 14 to 17, were approved by the Trustees on 25[th] July 2025 and signed on their behalf by 



Sally Hull Chair of Trustees 

Yvonne Sanders Honorary Treasurer 

17 



**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

## **NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31st March 2025** 

## 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 de-registered 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 Accountng 

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. Donatons and Voluntary Income 

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

- c. Gif 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. 

|Bank Charges<br>Fundraising Costs<br>Prof fees & Insurance<br>Newsleters<br>Ofce Costs<br>Travel<br>Monitoring visit<br>Staf Costs –Salary &<br>Pension<br>Website|**Fundraising**<br>**Charitable**<br>**Actvites**<br> <br>**£**<br>**£**<br>**Total**<br>**2024**<br>**£**<br>£<br>7<br>60<br>**67**<br>**75**<br>1,219<br>**1,219**<br>**1,009**<br>1,819<br>**1,819**<br>**527**<br>413<br>**413**<br>**690**<br>217<br>699<br>**916**<br>**970**<br>227<br>731<br>**958**<br>**633**<br>**0**<br>**7,551**<br>7,312<br>23,506<br>**30,818**<br>**31,169**<br>41<br>41<br>**82**<br>**117**|
|---|---|
||9,436<br>26,856<br>**36,292**<br>**42,741**|



## 3. DEBTORS 

The amount of £3041 (2024: £4,258) is the prepayment for PO box number and NPG 

## 5 CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR 

At the year end the charity had accrued £398 for pension costs (2024: £234), PAYE £241 (2024: £243) and had trade creditors of £1,332 (2024: £36). 

18 



**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

## **NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31st March 2025(Continued)** 

## 6. GRANTS MADE TO KENYA 

|**2025**<br>**£**<br>Bungoma County Referral Hospital<br>2079<br>Busia Hospice<br>308<br>Eldoret<br>4,207<br>Embu County Hospital<br>5,760<br>Garissa County Referral Hospital<br>3,062<br>Ikutha Level IV Hospital<br>-<br>KEHPCA<br>1,260<br>KEHPCA – Safeguarding course<br>-<br>Kenya Medical Training College<br>3,102<br>Kakamega County General Hospital<br>-<br>Kanyakine Sub District Hospital<br>1294<br>Kilifi PCU<br>-<br>Kisii Teaching and Referral Hospital<br>-<br>Kisumu Hospice and Palliative Care<br>2584<br>Kitale County Hospital<br>-<br>Kwale Sub County Hospital<br>449<br>Laikipia Palliative Care Centre<br>3994<br>Machakos PCU  (gender disparity project)<br>4097<br>Malindi<br>2048<br>Meru Charitable Trust (set up by the Hospice for the paediatric palliative<br>care project<br>5280<br>Meru Hospice<br>2987<br>Moi Teaching & Referral hospital<br>2273<br>Msambweni County Referral Hospital  (gender disparity project)<br>5575<br>Nairobi Hospice<br>-<br>Nakuru Hospice<br>874<br>Nanyuki Cancer Support Group<br>2615<br>Nyahururu Hospice<br>3119<br>Nyambene Subcounty Hospital<br>-<br>Nyeri Hospice (paediatric palliative care project)<br>2363<br>Ongata (ONPAC) (paediatric palliative care project)<br>7412<br>Oasis of Hope<br>4082<br>Samburu<br>-<br>Siaya Hospice (paediatric palliative care project)<br>5054<br>Sori Lakeside Hospital<br>-<br>St Gallen Oncology Network (gender disparity project)<br>952<br>St Mary’s Medical Centre<br>1044<br>Taita Taveta Hospice<br>3034<br>Thika Level 5 Hospital PCU<br>1987<br>Tumanini La Maisha Health Services<br>2238<br>Turkana Cancer Support Group (advancement)<br>4177<br>Vihiga County Hospital<br>3062<br>Vines Kenya, Kisii<br>3133<br>Western Homebased Care Initiative<br>2117<br>**Total Disbursed to Kenya**<br>**97,622**|**2024**|
|---|---|
||**£**|
||-|
||1,485|
||-|
||1,850|
||4,133|
||1,918|
||3,368|
||1,061|
||3,500|
||1,981|
||-|
||2,945|
||1,981|
|||
||1,918|
|||
||1,930|
||3,916|
||5,396|
||8,197|
|||
||-|
||-|
||-|
||1,930|
||-|
||2416|
||-|
||1485|
||2877|
||6,624|
||1,930|
||1,450|
||8,238|
||1,450|
|||
||1,450|
||1,485|
||-|
||-|
||2,000|
||1,981|
||1,964|
||-|
|||
||**82,859**|
|||



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**Hospice Care Kenya Annual Report and Financial Statements 2024 – 2025** 

## **NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31st March 2025 (Continued)** 

No Trustee received remuneration in the year and £172 travel expenses were paid. (2024: £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 £ 27,672 (2024 £28,881) 

## 7. MOVEMENT IN FUNDS 

|**As at 1 April 2024**<br>**Incoming Funds**<br>**Total Incoming**<br>**Outgoing Funds**<br>**Transfers between Funds**<br>**As at 31 March 2025**<br>**Previous Year**<br>**As at 1 April 2023**<br>**Incoming Funds**<br>**Total Incoming**<br>**Outgoing Funds**<br>**Exchange Rate Losses**<br>**Transfers between Funds**<br>**As at 31 March 2024**|||**Unrestricted**<br>150,124<br>46,066|**Designated**<br>134,753|**Designated**<br>134,753||**Restricted**<br>**Total**<br>271<br>285,148<br>20,998<br>67,064|
|---|---|---|---|---|---|---|---|
|||||||||
||||196,190<br>(36,292)<br>(67,642)||134,753<br>(82,395)<br>67,642||21,269<br>352,212<br>(15,227)<br>(133,914)<br>0|
||||92,255<br>**Unrestricted**<br>18,000<br>145,708||120,000<br>**Designated**<br>231,060|6,042<br>218,297<br>**Restricted**<br>**Total**<br>249,060<br>15,980<br>161,688||
||||163,708<br>(42,741)<br>29,157||231,060<br>(67,150)<br>(29,157)|15,980<br>410,748<br>(15,709)<br>(125,600)<br>0<br>0||
||||150,124||134,753|271<br>285,148||



The Trustees reserve policy is to hold £25,000 in reserve in general funds to cover unforeseen circumstances or unexpected falls in income. The remaining funds are designated for grant distribution. 

20