2024-04-05-accounts

HAMPSHIRE AND HOIMA HOSPITALS ANNUAL REPORT TO 5[th] APRIL 2024

TRUST INFORMATION

The Charity was incorporated by trust Deed on 11[th] November 2009 and is recognised by HMRC as a charity for tax purposes. The charity is registered with the Charities Commission for England and Wales. The deed was updated in Feb 2019 with the name change of the charity to Hampshire and Hoima Hospitals (HHH).

Charity Commission registered number 1141540. HMRC Number : XT21617 Registered address : 18 Purbrook Road, Tadley, Hants. RG26 4PR Bankers : HSBC Bank plc, Festival Place, Basingstoke Town Centre, Hampshire RG217LJ. Hampshire Trust bank (savings account)

Independent examiner of accounts : Kevin Rafferty; BA FCMA CGMA

The charity has no premises and no employees. All the administration of the charity is done voluntarily by the trustees. Further information can be found at hhhcharity.uk

TRUSTEES’ REPORT

The Trustees are pleased to present their report together with the financial statements of the charity for the year ending 5[th] April 2024.

Trustees

The names of the trustees on 6[th] April 2024 are

Lorraine Major (chair) Anne Reilly (treasurer) Asma Abbass (secretary) Priya Ilangovan, Howard Simpson Joy Murphy Laura Aspinall Laura Blackmore Christopher Butt Ian Simpson Samantha Wilson Joel Mulinda

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All the trustees have declared that they have read and understood the Charity Commission Guidelines entitled ‘The Duties of a Trustee’ and ‘Charities Working Internationally’ and agree to follow them. Trustees are appointed for the relevant experience they possess in relation to the objects of the Charity. There is otherwise no formal policy for the selection or training of trustees.

The objects of the Trust

The objects are ‘the relief of sickness and the preservation of health among people living permanently or temporarily within the catchment area of Hoima Regional Referral Hospital in Uganda, particularly, but not exclusively, by establishing and maintaining sustainable professional and educational partnerships between the Hampshire Hospitals National Health Service Foundation Trust in England and Hoima Regional Referral Hospital in Uganda by any means that are charitable under the law of England’.

These objects will be achieved by sending teams of volunteers from HHFT to Hoima around four times a year. The aims of visits are

1. To improve standards of clinical care and patient safety through ward based teaching and training.

2. To improve operating systems to make them more efficient and effective.

3. The provision of equipment and supplies.

It is not the purpose of visits to provide service delivery unless it is ethically necessary to intervene because lives are at immediate risk.

Related parties

Hoima Regional Referral Hospital, Uganda. Hoima School of Nursing. Hampshire Hospitals NHS Foundation Trust. Royal College of Paediatrics & Child Health. MAMA (Midwives at maternity Azur)

Structure, governance and management

The trustees meet at least four times a year. Decisions are made following discussion and agreement.

Public benefit

1. The trustees are aware of the Charity Commission’s Guidance on Public Benefit. They have reviewed the objects of the charity, its activities in 2023/24 and future plans in the light of this guidance and find that all of these comply.

2. HRRH is a government hospital which charges no fees and poor people are not excluded. Access is not restricted by age, gender, race, religion or any other defining characteristic.

3. The trustees support work to develop the Azur Clinic in Hoima. This is a not-forprofit private hospital which does charge modest user fees but does not otherwise restrict access to its services. The rationale is that there are growing links between HRRH and Azur. Clinical standards are higher at Azur and it can become a beacon of good practice from which HRRH can learn.

4. The trustees have supported teaching at the School of Nursing in Hoima whose students work on the wards at HRRH. The rationale is that most of the students live locally and many will become the nursing workforce of the future at HRRH and elsewhere in the catchment area.

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1. The activities described below have benefited the people who live in the catchment area of the hospital.

2. The benefits were related to the objects of the charity.

3. The charity pays for equipment to benefit patients which promotes the objects of the charity.

4. The trustees are not aware of any harm arising from the activities of the charity, nor of any private benefit, directly or indirectly.

Risks

The Trustees have examined the major risks to which the charity is exposed and confirm that systems are in place to mitigate exposure to major risks.

The Charity adopted a Health and Safety Policy for its activities both in Uganda and in the UK on 5[th] April 2012.

The charity reviewed the Safeguarding Policy in 2022.

The charity keeps a close eye on current health risks in Uganda, in particular ebola, zika virus and COVID 19.

The charity has comprehensive insurance cover in the UK and provides travel and medical insurance for volunteers in Uganda. HHH briefs all volunteers about risks in Uganda. The charity has £12,000 in a savings account which is the charity reserve fund. The trustees aim to have enough reserves to cover the activities for the next year.

PLANNED ACTIVITIES IN 2024/25

There are currently 2 trips planned for this coming year. A team is booked to go out in May and another team is booked to go out in September. The costs of the trip are expected to be similar to 2023/24.

The aims of the visits

1. To continue to work in partnership with HRRH on patient safety across the hospital, including human factors training.

2. To review the running of the Mothers Waiting Home (MWH), and to work with HRRH so that the project receives the support needed to make it a success.

3. To maintain a focus on standards of clinical care in paediatrics, maternity, gynaecology and theatres and, if possible, surgery and the emergency department.

4. To support the functions of management at HRRH and improvements in operating systems.

5. To continue active support for the Hoima School of Nursing.

6. To maintain a presence at the Azur Clinic.

7. To liaise with the MAMA and support the long-term volunteers in Hoima.

8. To provide equipment and supplies.

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ACTIVITIES, ACHIEVEMENTS AND PERFORMANCE

VISITS TO HOIMA

In June 2023 a team of 9 volunteers went out to Hoima. The team was primarily a midwifery and obstetric team, made up of midwives, anaesthetists and support workers. The team continued to teach and support the midwives at HRRH and worked closely with the students. The team ran refresher drills on managing obstetric emergencies and neonatal resuscitation, plus did some outreach clinics and visited the local refugee camp. The team planned to return in 2024 and to do some human factors training.

In September 2023 team of 8 volunteers went out to Hoima. The team constituted of a paediatric consultant, a GP and six nurses. The team went on outreach visits to Runga, a town on the shores of Lake Albert, where a clinic was set up to see young children and babies. The second outreach visit was to Kagadi hospital, this was an educational visit, teaching care of neonates and a resuscitation demonstration with a large attendance of health care professionals. Some of the team also visited the Local Hospice and went on outreach too. Helping and teaching on both paediatric and surgical wards was a very rewarding 2 weeks in Hoima.

In November 2023 a team of 8 volunteers went out to Hoima. The team was made up of emergency department doctors and nurses and orthopaedic surgeons. The primary aim was to teach the emergency trauma course, and to equip local staff with skills to train up other staff at HRRH. The course was very well received and has been a real success. The team have continued to have 3 monthly zoom meetings to support the team in Hoima and giving them a chance to discuss progress, challenges and to debrief on any challenging cases.

FINANCIAL SUPPORT IN HOIMA

HHH has continued to sponsor enrolled nurses in Hoima to study to become registered nurses, through the development of the “Judith Darmady Award” funding up to £1000 per year. Two students have now completed their diplomas and a third student is in his final semester.

HHH are grateful to all our donors who have enabled us to offer some financial support to be able to buy and / or repair essential equipment and to be able to develop the knowledge and skills of the workforce in HHRH.

Over £7000 was spent on sponsoring our nursing students, paying for repairs or buying equipment for HRRH when out on visits.

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MOTHERS WAITING HOME

Following it’s opening in 2022, the MWH steadily became established and more utilized by mothers. Due to major building work to create a new Maternal and Child Health hospital building, HRRH asked if the neonatal unit could be relocated to the MWH whilst the new building was being built. The trustees agreed to the request, so the mothers are now admitted to a Mother’s waiting room in the eye department. It continues to be overseen by Olive Nseka.

FUNDRAISING EVENTS

£1258 was raised following a sponsored “Swim the Serpetine” by two trustees, Laura A and Sam.

Over £2100 was raised by the June team and £4170 was raised by the September team whilst out in Hoima, with the aim of funding some new monitoring equipment, repairs of beds, a new autoclave, a new dressing trolley plus redecoration of the surgical building.

£1000 was received from a generous donor.

We continue have a small number of people giving regular donations from their salaries or via standing order for which we are very grateful.

THE GLOBAL HEALTH HUB

HHH has become involved in the creation of the Hampshire based hub. Organisations and charities that have global health projects or initiatives are welcome to join. It provides an opportunity to share information and resources and provide learning opportunities. Some of the trustees are involved in the creation of some online obstetric and midwifery teaching videos that can be used by students in Uganda and elsewhere in Africa.

CONCLUSIONS

1. The Trustees are pleased with the success of the trips that ran in 2023/4

2. “Trust House” continues to run, albeit in its new temporary location, and are all thrilled with the feedback received from mothers who have benefited from this facility.

3. The charity needs to look at ways of continuing to generate income in 2024/5, especially with some ongoing costs associated with the running of Trust House.

4. The links with the Global Health Hub has been an opportunity to share our experiences and to work collaboratively with other local global health charities.

5. The Trustees wish to take this opportunity to thank all those who have supported us this year.

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FINANCIAL REPORT

The attached accounts have been prepared on a receipts and payments basis using a proforma provided by the Charities Commission.

Lorraine Major Chair, HHH 6th July 2024

Anne Reilly Treasurer, HHH

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Charity Name No (if any) Hampshire and Hojma Hospitals Receipts and payments accounts CC16a For the period Period start date Period end date To from 06/04/2022 05/04/2023

Section A Receipts and payments

A1 Receipts	Unrestricted funds to the nearest £ 25,654 4,948 6,529 8,949 483 - - 46,563 - - - 46,563 22,175 549 20,273 4,317 - - 280 - 208 47,802 - - - 47,802 - 1,239 - 22,340 21,101	Restricted funds to the nearest £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -	Endowment funds to the nearest £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -	Total funds to the nearest £ 25,654 4,948 6,529 8,949 483 - - - 46,563 - - - 46,563 22,175 549 20,273 4,317 - - 280 - 208 47,802 - - - 47,802 - 1,239	Total funds to the nearest £ 25,654 4,948 6,529 8,949 483 - - - 46,563 - - - 46,563 22,175 549 20,273 4,317 - - 280 - 208 47,802 - - - 47,802 - 1,239	Last year to the nearest £
Gift aided donations	25,654					34,613
Other donations	4,948					27,711
Gift aid tax reclaimed	6,529					7,294
Onlinegiving	8,949					5,786
Bank interest	483					154
Other income(later refunded)						3,462
	-					-
	-					-
Sub total(Gross income for AR)	46,563					79,020
A2 Asset and investment sales, (see table).
	-
	-					-
~~Sub total~~	-					-
Total receipts A3 Payments
						79,020
Air travel costs	22,175					23,340
Public liability/ travel insurance	549					549
In countrycosts	20,273					9,991
Purchase of equipment and supplies	4,317					5,619
Fundraisingcosts	-					205
Refunds ofpayments made	-					3,100
Bank charges	280					146
Trust House build	-					33,787
Scholarshipfund / other	208					680
**Sub total **	47,802					77,417
A4 Asset and investment purchases, (see table)
	-
	-
**Sub total **	-					-
Total payments Net of receipts/(payments) A5 Transfers between funds A6 Cash funds last year end Cash funds this year end
						77,417
	- 1,239	-	-	- 1,239		1,603
	-	-	-	-		-
	22,340	-	-	22,340		20,738
	21,101	-	-	21,101		22,341

CCXX R1 accounts (SS)

29/11/2024

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Section B Statement of assets and liabilities at the end of the period	Section B Statement of assets and liabilities at the end of the period	Section B Statement of assets and liabilities at the end of the period
Categories Signed by one or two trustees on behalf of all the trustees B5 Liabilities B3 Investment assets B2 Other monetary assets B4 Assets retained for the charity’s own use B1 Cash funds	Details Details Total cash funds (agree balances with receipts and payments account(s)) Details Details Details Signature	Unrestricted funds Restricted funds to nearest £ to nearest £ - - - - - - - - Agreement Error OK Unrestricted funds Restricted funds to nearest £ to nearest £ - - - - - - - - - - - - Fund to which asset belongs Cost (optional) - - - - - Fund to which asset belongs Cost (optional) - - - - - - - - - Fund to which liability relates Amount due (optional) - - - - - Print Name	Endowment funds to nearest £
			-
			-
			-
			-
			OK
			Endowment funds to nearest £
			-
			-
			-
			-
			-
			-
			Current value (optional)
			-
			-
			-
			-
			-
			Current value (optional)
			-
			-
			-
			-
			-
			-
			-
			-
			-
			When due (optional)
			Date of approval

CCXX R2 accounts (SS)

29/11/2024

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Independent examiner's report on the accounts

Section A Independent Examiner’s Report

Report to the trustees/ Charity Name members of Hoima and Hampshire Hospitals

On accounts for the year April 5[th] , 2024 Charity no 1141540 ended (if any) Set out on pages 1-2 (remember to include the page numbers of additional sheets)

Respective responsibilities of trustees and examiner

The charity's trustees 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 My examination was carried out in accordance with general Directions given examiner’s statement 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 matters set out in the statement below.

Independent In connection with my examination, no matter has come to my attention examiner's statement (other than that disclosed below *)

1. which gives me reasonable cause to believe that in, any material respect, the requirements:

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

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

4. have not been met; or

5. to which, in my opinion, attention should be drawn in order to enable a proper understanding of the accounts to be reached.

6. Please delete the words in the brackets if they do not apply.

Date: 24/09/24

Signed:

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IER

March 2012

Name: Kevin Michael Rafferty Relevant professional BA; FCMA; CGMA qualification(s) or body (if any): Address: Lumarden, Tunworth Road Mapledurwell, Hants RG25 2LT Section B Disclosure

Only complete if the examiner needs to highlight material problems.

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IER

March 2012

Give here brief details of any items that the examiner wishes to disclose .

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IER

March 2012