2025-04-05-accounts - Hampshire and Hoima Hospitals

This text was generated using OCR and may contain errors. Check the original PDF to see the document submitted to the regulator.

HAMPSHIRE AND HOIMA HOSPITALS ANNUAL REPORT TO 5[th] APRIL 2025

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 2025.

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

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

To improve standards of clinical care and patient safety through ward based teaching and training.
To improve operating systems to make them more efficient and effective.
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

The trustees are aware of the Charity Commission’s Guidance on Public Benefit. They have reviewed the objects of the charity, its activities in 2024/25 and future plans in the light of this guidance and find that all of these comply.
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.
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.
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.
The activities described below have benefited the people who live in the catchment area of the hospital.

The benefits were related to the objects of the charity.
The charity pays for equipment to benefit patients which promotes the objects of the charity.
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 £14,000 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 2025/26

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 2024/25.

The aims of the visits

To continue to work in partnership with HRRH on patient safety across the hospital, including human factors training.
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.
To investigate the potential for building a training centre on land owned by the diocese.
To maintain a focus on standards of clinical care in paediatrics, maternity, gynaecology and theatres and, if possible, surgery and the emergency department.
To support the functions of management at HRRH and improvements in operating systems.
To continue active support for the Hoima School of Nursing.
To maintain a presence at the Azur Clinic.
To liaise with the MAMA and support any long-term volunteers in Hoima.
To provide equipment and supplies.

ACTIVITIES, ACHIEVEMENTS AND PERFORMANCE

VISITS TO HOIMA

In May 2024 a team of 12 volunteers went out to Hoima. The team included anaesthetists, midwives, obstetricians, surgeon and support workers. The team were in Hoima when the International day of the Midwife was celebrated, so they joined in the parade through Hoima to raise awareness of pre-eclampsia. During the trip they discovered only 1 of the 10 oxygen concentrators were working, so they fundraised enough to be able to buy replacement parts to get them all working again. They provided plenty of teaching and support to their counterparts at HRRH and some outreach clinics.

In September 2024 team of 9 volunteers went out to Hoima. It was a very productive visit. There were several outreach clinics in the rural district Runga and Kyuashea and a hospice clinic. Bought a tricycle for a lady with a limb deformity. This was to allow transport and help her sell merchandise at the market. We took 24 pairs of crutches and a large physiotherapy mat and educational toys for physiotherapist. We re-arranged the assessment area outside the paeds ward to allow for easier flow of patient care. The team worked on both the paeds ward and neonates. Four team members helped with dressing care, teaching and medications on the surgical ward. Teaching included neonatal resuscitation, diabetes and fluid resuscitation for dehydration. One member of the team worked in the Emergency Department and did a lot of work with the burns patients. We were able to get the autoclave up and working with an idiots guide on how to use it was printed and laminated. The trolley was also mended and the mat replaced.

FINANCIAL SUPPORT IN HOIMA

HHH has continued to support enrolled nurses in Hoima to study to become registered nurses, through the development of the “Judith Darmady Award” funding up to £1000 per year. Three students have now completed their diplomas and are all grateful for being given the opportunity to develop their knowledge and skills and further their career development. A fourth student is being identified for this next financial year.

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 £5000 was spent on paying for repairs at HRRH or buying equipment which has been outlined as essential when out on visits. This included buying some benches for paediatrics and repairing oxygen concentrators. HHH also paid for a custom made tricycle for a lady with limb deformities to enable her to become more mobile, plus some knee and hand pads for her son, who also has limb deformities to allow him to crawl around safely.

£75 a month is paid to Olive Nseka for overseeing the running of the Mothers waiting home.

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

Over £1700 was raised by the May team to fund the repair of a number of oxygen concentrators. Over £1000 was raised in November by holding an unwanted gift sale.

We continue have a small number of people giving regular donations from their salaries or via standing order for which we are very grateful, along with some people giving one-off donations as well.

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

The Trustees are pleased with the success of the trips that ran in 2024/5
“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.
The charity needs to look at ways of continuing to generate income in 2025/6, especially with discussions around building a training centre in Hoima.
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.
The Trustees wish to take this opportunity to thank all those who have supported us this year.

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

Anne Reilly Treasurer, HHH

30th July 2025

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 06/04/2024 05/04/2025

Section A Receipts and payments

A1 Receipts	Unrestricted funds to the nearest £ 19,173 2,877 6,633 4,641 392 - - 33,716 - - - 33,716 10,989 560 12,614 5,440 723 - 108 - 1,510 31,943 - - - 31,943 1,773 - 21,101 22,874	Restricted funds to the nearest £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -	Endowment funds to the nearest £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -	Total funds to the nearest £ 19,173 2,877 6,633 4,641 392 - - - 33,716 - - - 33,716 10,989 560 12,614 5,440 723 - 108 - 1,510 31,943 - - - 31,943 1,773	Last year to the nearest £
Gift aided donations	19,173				25,654
Other donations	2,877				4,948
Gift aid tax reclaimed	6,633				6,529
Onlinegiving	4,641				8,949
Bank interest	392				483
Other income
	-				-
	-				-
*Sub total*(Gross income for AR)	33,716				46,563

A2 Asset and investment sales, (see table).
	-
	-				-
~~*Sub total*~~	-				-
*Total receipts* A3 Payments
					46,563

Air travel costs	10,989				22,175
Public liability/ travel insurance	560				549
In countrycosts	12,614				20,273
Purchase of equipment and supplies	5,440				4,317
Fundraisingcosts	723
Refunds ofpayments made	-
Bank charges	108				280
Trust House build	-
Scholarshipfund / other	1,510				208
**Sub total **	31,943				47,802

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*
					47,802

	1,773	-	-	1,773	- 1,239
	-	-	-	-	-
	21,101	-	-	21,101	22,341
	22,874	-	-	22,874	21,101

CCXX R1 accounts (SS)

08/01/2026

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)

08/01/2026

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 05/04/2025 Charity no 1141540 ended (if any) Set out on pages 1-2 (remember to include the page numbers of additional sheets)

Respective The charity's trustees are responsible for the preparation of the accounts. responsibilities of The charity’s trustees consider that an audit is not required for this year trustees and examiner 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 *)

which gives me reasonable cause to believe that in, any material respect, 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 comply with the accounting requirements of the Charities Act
have not been met; or
to which, in my opinion, attention should be drawn in order to enable a proper understanding of the accounts to be reached.
Please delete the words in the brackets if they do not apply.

Signed:

Date: 29/07/25

March 2012

IER

Name: K M 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.

March 2012

IER

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

March 2012

IER