UK Registered Charity No: 1145080 www.letthechildrenhear.com www.letthechildrenhear.cominfo@letthechildrenhear.com Ugandan Registered NGO No: 10054 ## Our vision Improved hearing outcomes for children aged 0-16 years in developing countries. ## Our Mission To improve the hearing outcomes of children in Uganda by adopting strategies which focus on the prevention and early intervention of childhood hearing loss, to aid social integration, speech and language development and access to education. From its inception, LTCH has created a clear vision, mission, goals and set of objectives which underpin its strategy with the aim of providing a strong foundation on which the project can grow and become sustainable long term. ## Our objectives - To educate health care workers and the public about childhood hearing loss and the importance of prevention and early intervention. - To increase the number of Health Care Workers trained in the field of Primary Ear and Hearing Care. - To provide an accessible ear and hearing care service for children and their families. - To leave a legacy by integrating the service into the country’s health care system to provide for sustainability. - To strengthen maternal and child health care to reduce the incidence and prevalence of childhood hearing loss. |Contents|Contents| |---|---| |Welcome|3| |Our story|4| |Impact report|5| |The numbers|7| |Case studies|| |�education|8| |�screening|10| |�rehabilitation|13| |Financial review|17| |The future|20| |Our partners|22| |Thanks, and get involved|23| www.letthechildrenhear.com | 2 Welcome **Firstly I would like to welcome you to our annual report for 2020. We have had a transformative year and I am very happy to say that we have a wonderful report for you.** At the very beginning of 2020 it would have been hard to image the events that would unfold over the next twelve months. January 2020 was a very exciting time for the Charity. The team were working in partnership with UK Aid to secure a Small Charities Challenge Fund this allowed us to extend our services, funding more equipment, expand our team and invest in diploma training of one more audiologist. However, by the end of the March UK lockdown came into force, followed by Ugandan Lockdown which saw the closing of our clinics in Kampala a month later in April. Our Project Adviser will update you on how the charity has faired and the amazing achievements despite the challenges a global pandemic presents. The year was unprecedented to say the least but even though the schools remained shut we still screened school age children in children’s homes and health centre around Kampala. We have trained and worked with some fantastic people over the year and I am cannot praise highly enough the hard work our staff and volunteers have put in. Always at the centre of what we do is the children we see and treat. Hearing impairment places Ugandan children at a huge disadvantage in comparison to their hearing peers. Early detection and intervention is paramount in ensuring they get the best start in life, can learn to communicate, go to school and realise their true potential. We are working very hard with the local authority to establish a national paediatric hearing centre in Uganda which will eventually be taken on, funded and run by the local authorities. We are not there yet but UK aid funding has allowed us to make great strides towards it. Funding remains a challenge for a grass roots charity like our own and we are very fortunate to have had some very generous donations by individuals and organisation over the years. I would like to this opportunity to thank all of those who help us to continue our work in Kampala. I can assure you that the charity spends donations wisely and every penny goes where it is most needed. Jude Chapman, Chair Let the Children Hear www.letthechildrenhear.com | 3 **----- Start of picture text -----**
Our story Timeline
• Renamed to Let the
Our First trip to Uganda
Children Hear
Four friends come • Screener training
together in the memory Mobile clinic New Born Screening Trial programme sponsored
of their friend Ian • International Rotary • Audiologists from UK by Rotary Club
Hutcheon to form a fund a new mobile clinic visit and train screeners • Partnership with a
charity Health talk to parents • Audiologist from UK • New waiting room is build a Boston University saw
make it apparent that visits and delivers Kisenyi thanks to a local students come to the
our services are much
training businessman clinic to develop a
needed • Kisenyi Clinic opens • LTCH spoke at the Hearing monitoring and
conference evaluation plan
in Kampala
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
**----- End of picture text -----**
- **Ian Hutcheon Clinic for Children (IHCC) is formed** - Fundraising commences - Rotary Luton North becomes a big supporter - Our first annual golf day - Local schools fund raise - Website is launched ## **First Clinic** - Kisugu Health Centre - Maternity and other outpatients' services - • MOU with service • Out reach • Schools programme – - provider KCCA - • Trained two staff students screened in our mobile clinic - and resourced clinic **----- Start of picture text -----**
• Communication
drive and TV
appearance
**----- End of picture text -----**
- **Capacity building with UK Aid Grant** Kawempe Hospital, Uganda • Newborn screeners trained • School Screener trained • Paediatric Audiologist trained • Recruitment – 9 employees • National Referral Hospital-Kawempe - Data collection started - • MOH – resources-room & staff www.letthechildrenhear.com | 4 ## 2020 IMPACT REPORT The award of the UK Aid grant in 2020 enabled the charity to increase its resources to achieve the outcome of increased access to quality ear and hearing health services for children. An additional 3 members of staff were employed, and 4 pieces of vital equipment were purchased for the audiology clinic. was attributed to the hard work of the team in Uganda under the direction of the Monitoring and Evaluation Consultant. The new-born hearing screening programme performed particularly well. Started at Kawempe National Referral Hospital it included babies in the Neonatal Intensive Care, thereby targeting those babies most at risk of hearing loss. The emergence of the Covid pandemic meant that the charity had to revise its targets in some areas. The programme was suspended for two months during lockdown in Uganda. With the schools being closed for most of the year the charity adapted the school screening programme to screen a smaller number of school age children in children’s homes and health facilities. High transport costs post lockdown also affected access to the clinics. However, in most project areas the targets exceeded expectations. This Overall the two hearing screening programmes saw a large cohort (7,004) children having access to early intervention services. 3,376 new-born babies were screened and 2,562 school aged children were screened. From the screening programmes, 119 babies and 47 school aged children were referred to the Audiology Clinic for further audiological assessment. 426 new cases in total were referred ## Covid proved a challenge but we met it with innovation and a fantastic team. to the Audiology Clinic with most of the remaining referrals coming from other health facilities including Mulago National Referral Hospital. 32 children were fitted with hearing aids and 25 demonstrated a combination of improved hearing levels, behaviour change and improved school performance.12 children were supported with speech therapy and 9 demonstrated improved auditory skills, clear articulation, and phonation. 8 children were supported with sign language therapy and 6 demonstrated improved confidence, social interaction and communication skills and some have been enrolled into deaf schools. 3,376 new mothers received health education in addition to health education talks for 89 health care workers 55 teachers and 243 school children. The outcome of health education has seen a positive behaviour change among key stakeholders as verified by the increased number of referrals to the audiology clinic, earlier intervention, and a good follow up rate of 67% for babies referred from new-born screening to the clinic for further assessment. 640 new cases attended the Ear Clinic and were managed and treated for ear infections and other common ear diseases. Health education is a component of all programme activities particularly at the point of screening. www.letthechildrenhear.com | 5 ## 2020 IMPACT REPORT completion of the course she will work for the charity to gain further experience. The training programme included new-born hearing screening and paediatric audiology training. Four new-born hearing screeners were trained in new-born hearing screening. All passed as competent screeners at the end of the course and were subsequently employed as new-born screeners in Kawempe Hospital and Kisenyi Health Centre. 2020 saw the development of additional partnerships with key stakeholders, namely, the Ministry of Health and Kawempe National Referral Hospital to work towards future sustainability and integration of the new-born hearing screening programme within the health care system of the hospital. Five audiologists were trained in paediatric audiology and four were able to have exposure and practical hands-on experience in audiological assessment of children and were retained to work as part of the team. As one of the strategies of increasing the local capacity in terms of trained audiologists, one student has been sponsored to study the 18 month Diploma Course in Audiology in Kampala and is being supported and mentored by the charity to develop her knowledge and practical skills in paediatric audiology. Following In conclusion, 2020 was a milestone in the development of the charity. It was a very successful year not only in terms of project activities but also in respect to the structure, governance and operational systems of the organisation which were all strengthened to enable us to become a more effective and efficient small grassroots charity. Liz Choudhury Operation Advisor www.letthechildrenhear.com | 6 ## THE NUMBERS **----- Start of picture text -----**
3,376
New-born
babies screened
**----- End of picture text -----**
89 Healthcare works, 55 teachers, 243 pupils and mothers 3,376 received health education **----- Start of picture text -----**
pupils
2,562
were screened
for hearing loss
**----- End of picture text -----**
direct beneficiaries, 7,004 6,052 (86.41%) vulnerable and marginalized including 240 persons with disabilities, 72 refugees, 3,150 rural poor and 2,590 Peri-urban poor. www.letthechildrenhear.com | 7 ## 2020 IMPACT REPORT Education Health Talks & Training **www.letthechildrenhear.com** | 8 ## 2020 EDUATION & TRAINING ## **HEALTHCARE TALKS** buy-in and coming on board to support the project activities. This was strengthened through MOUs that were signed with these stakeholders and provision of space in these health facilities to implement the At the end of the project, there was increased knowledge and awareness on childhood hearing loss among the various beneficiaries including health care workers (HCWs), mothers, teachers, and pupils. This was mainly influenced by the health education talks among 89 HCWs, 55 teachers, 243 pupils and 215 mothers (of which 80% prior to the talks had never known of hearing screening tests). The talks covered topics such as common causes and possible prevention of childhood hearing loss and increased awareness on the availability and relevance of the services being provided by LTCH and the referral pathways. programmes. LTCH trains not only their own screeners but also staff at these hospitals so they can develop their screening programmes with the support of equipment from LTCH. ## **AUDIOLOGIST** In addition to screeners LTCH has funded a Diploma Student to study Audiology. The two year course will prepare them for joining the clinic as a junior audiologist. We hope to start a second student next year to future proof our operation. However lockdown delayed the commencement of the course by over six months so we are now behind with this sponsorship programme. ## **SCREENERS** In addition LTCH saw a number of key stakeholders including the Ministry of Health, Mulago National Referral Hospital and Kawempe National Referral Hospital establishing ## Training Audiologist and screeners is vital for us to grow a robust hearing clinic in Uganda Healthcare talks to teachers and parents are a big part of our awareness education www.letthechildrenhear.com | 9 ## 2020 IMPACT REPORT Screening New-born baby at Kawempe Hospital. **www.letthechildrenhear.com** | 10 2020 CASE STUDY ## EARLY INTERVENTION Tendo Frida Age: 3 months She has 2 older brothers. One of the brothers is deaf and dumb ## **Tendo’s mother, Mpirwa Rhoda explains…** “At the age of 5 months, Tendo’s older brother hardly responded to sound in the way a normal children of his age did. For example, if I call to sooth him he would continue to cry however, if touched he would stop. When I informed his father, he rubbished it saying the child was still young. By the time I sought medical attention at Mulago national referral hospital he was about 10 months. At Mulago, several tests were done, and I was asked to return after 2 weeks. When I returned, he was about 11 months, Mulago then referred us to a private medical facility in Wandegeya. At the private clinic, I was asked for some money to have tests done and when I asked my husband for the money, he declined to give it to me. While I was seeking help for our son, the community had learnt that our son had a hearing challenge and had already labelled him deaf and dumb. This was worsened by my husband’s peers who kept on telling him that we should stop spending money because once one is deaf and dumb nothing can be done. We ended up taking him to the school of children with disabilities in Entebbe and that is where he is to date. In spite of noticing his challenge at an early age, hearing loss myths coupled with financial challenges did our son a disservice. At this point I was so heart broken, depressed, and immediately developed fear of giving birth again. It took me 7 years to conceive our little girl Tendo. However when Tendo was an month old I noticed she had a similar challenge as her elder brother. When crying, however much I would clap or call her, she would not respond. By 3 months, I bought hand shakers, however much I would shake them she would not stop crying but the moment I would touch her, she would keep quiet. At this point, my memories came back. My heart was racing but this time I was determined to have solutions early enough.” www.letthechildrenhear.com | 11 ## 2020 CASE STUDY ## EARLY INTERVENTION continued One day while doing shopping in downtown Kampala, I saw ‘Let The Children Hear’ (LTCH) ambulance with information about child hearing loss. Furthermore, she asked me to bring our her brother for assessment, a request that I accepted and once they got holidays, I made sure that I brought him. I was then directed to the clinic. The new-born hearing screener asked me a lot of question about Tendo. I also disclosed that her brother had similar signs and he is currently deaf and dumb. Several tests were done, and I was asked to return after one week. As of today, there is some noticeable changes she responds by moving her head when called. I believe the small change am noticing right now is because of the hearing aids. I am going to continue monitoring her as well as informing the clinic about her progress. Further tests were done by LTCH Audiologist confirming that Tendo had hearing loss but she was quick to encourage me not to worry because something was going to be done about her situation. At this point she informed me that she was going to give Tendo hearing aids and that I should continue to be speaking to her while monitoring her responses to sound. My husband’s reaction this time was very positive and supportive to the extent that he turned up at the clinic and we received the news about Tendo’s condition together. I encourage parents to seek medical help and take their children to be assessed immediately after birth. Before visiting LTCH, I thought that children’s hearing can only be screened from at least 5 months, but now am informed it can be from birth. **Finally, I would like to thank the staff of LTCH for caring and being patient. They are good at making follow ups, honouring appointments and are supportive with offering transport and a free service which is not the case with other health facilities** . www.letthechildrenhear.com | 12 Rehabilitation Speech Therapy and Sign Language **www.letthechildrenhear.com** | 13 2020 CASE STUDY ## Speech Therapy Jeremiah Jalapa Age: 9 years He has one sister and two brothers and he is the third child **Jalapa’s mother, Judith Mugoda, explains…** “Jeremiah was born with multiple disabilities. At the age of 9 months, I noticed that he could hardly hear or made any noise, even when crying you would only notice tears rolling. He hardly spoke to the extent that even at my workplace the school management had asked me to stop taking him along with me but rather take him to ‘the school of the dumb and deaf where he belonged’. While we managed to raise funds to have his flat feet operated upon in Entebbe, we could not afford the money requested to have his hands operated too. Then when I was out I saw the LTCH ambulance so I approach the team. They asked me a lot of questions including my child’s birth history and there after I was requested to visit their Kisenyi clinic for tests to be conducted. When I got to Kisenyi, a number of tests were done by the Audiologist and I was required to return for further tests but I unfortunately a problem meant I had to leave Kampala, along with Jeremiah, and go back my village for a period of 5 years. When we returned in 2020, his father contacted the clinic again and LTCH gave us another opportunity for the child to be helped. More tests were done, and we were informed that he had a hearing challenge. The audiologist then informed us that he was going to be given hearing aids and enrolled for speech therapy free of charge to enable him not only to hear but also be able to develop speech. But now I thank God that through speech therapy, Jeremiah has greatly improved. He is social, speaks loudly, calls his siblings by name, can name animals among other things. He is a more confident child. I brought Jeremiah once a week to the clinic for speech therapy. I encourage parents to love their children because all children are a gift from God. I was patient and never gave up on my child. When I gave birth, people turned up under the pretext of coming to congratulate me upon giving birth, but the truth was they came to see and wonder what I had given birth too. A lot was being spoken in the community about my child. It was heart breaking but I believed in my child and I was not prepared to turn a blind eye irrespective of his disabilities. www.letthechildrenhear.com | 14 2020 CASE STUDY ## SIGN LANGUAGE ## Maria Nakibule Age: 7 Years **Maria’s grandmother, Viola Nakyanzi, explains…** Then she made 5 years, her mother brought her at my place and requested me to find her a school for the deaf and dumb. MARIA was born a very small girl weighing about 1 kg. At the age of 2 years, she was assessed for hearing in a private facility and diagnosed with hearing loss, however her mother was unable to afford the hearing aids. Maria did not know anything about sign language. Communication was a challenge. She was using local sign language to signal what she wanted. In addition, she was shy and introvert. A friend referred me to one of the schools around Mulago and we were asked to pay UGX: 250,000 which we did not have. So while she was staying home, I kept on looking for opportunities/good Samaritans to support her education. Someone then referred me to a certain gentleman in Lubaga (Director of the Deaf Development Foundation). This gentleman supported us a lot including referring us to LTCH. When I got to LTCH clinic at Kisenyi, the staff were very hospitable. I was asked about the child’s medical history including my residence. Tests were then carried out and I was informed that Maria is profoundly deaf and that she was going to be enrolled for sign language therapy, an opportunity that I consented to. I was also requested to join the sessions. The results, including any problems encountered and how they were overcome. Through sign language sessions, Maria has learnt and expanded her sign language vocabulary. She can even enrol for P.1. when resources are availed (scholastic materials including school fees). She is now familiar with sign language. She can read alphabets using sign language from A-Z, same to naming animals and requesting for any support. I implore parents not to discriminate against such children because there is help available and Maria is a testament to that. www.letthechildrenhear.com | 15 Let the ,Children Hear Clinic5for Children in Uganda Financial review Let the ,Children Hear www.letthechildrenhear.com | 16 Funding remains our biggest challenge ## 2020 FINANCIAL REVIEW ## Incoming resources LTCH’s total income during the year was **£60,648** (2019: £15,138). Income, except for interest on funds held on deposit, was split between UK Government funding, voluntary donations and fund-raising activities ||**Year ended 31 December 2020**|**Year ended 31 December 2020**|**Year ended 31 December 2020**|**Year ended 31 December 2019**|**Year ended 31 December 2019**|**Year ended 31 December 2019**| |---|---|---|---|---|---|---| ||Total
£|Unrestricted
£|Restricted
£|Total
£|Unrestricted
£|Restricted
£| |**Income**||||||| |**Dfid Grant**|44,550|-|44,550|0|-|-| |**Donations**|5,229|5,229|-|237|237|-| |**Fundraising activities**|10,790|10,790|-|14,781|14,781|-| |**Interest**|80|80|-|120|120|-| ||**60,649**|**16,099**|**44,550**|**15,138**|**15,138**|**-**| A further breakdown of our general fundraising activities ||**Year ended 31 December 2020**|**Year ended 31 December 2020**|**Year ended 31 December 2020**|**Year ended 31 December 2019**|**Year ended 31 December 2019**|**Year ended 31 December 2019**| |---|---|---|---|---|---|---| |**Fundraising**|Total
£|Unrestricted
£|Restricted
£|Total
£|Unrestricted
£|Restricted
£| |**General fundraising**|9,029|9,029|-|9,793|9,793|-| |**Charities Trust**|720|720|-|720|720|-| |**Gift Aid**|0|-|-|30|30|-| |**Fundraising events**|1,041|1,041|-|4,064|4,064|-| |**Miscellaneous**|0|-|-|174|174|-| ||**10,790**|**10,790**|**-**|**14,781**|**14,781**|**-**| Our largest source of income, this year, was from the DFID government grant for the expansion initiative in Kampala. General donations and fund-raising events declined this year compared to the previous year’s income due to the impact of Covid. Except for specific funding applications, we seek to raise grant funding on an unrestricted basis, so that it may be applied where most needed. Donations from individuals by regular standing order continued at a similar level to 2019. We benefit from Gift Aid on most of the regular donations we receive. www.letthechildrenhear.com | 17 Funding remains our biggest challenge ## 2020 FINANCIAL REVIEW ## Resources expended |During the year, LTCH expended a total
of**£57,818**(2019: £37,556)||**Year ended 31 December 2020**|**Year ended 31 December 2020**|**Year ended 31 December 2020**|**Year ended 31 December 2019**|**Year ended 31 December 2019**|**Year ended 31 December 2019**| |---|---|---|---|---|---|---|---| ||**Expenditure**|Total
£|Unrestricted
£|Restricted
£|Total
£|Unrestricted
£|Restricted
£| ||**Ugandan Funding**|49,169|10,169|39,000|27,620|27,620|-| ||**Fundraising costs**|444|444|-|1,244|1,244|-| ||**Administration costs**|3,311|3,311|-|1,630|1,630|-| ||**Trustee monitoring**|4,894|4,894||7,062|7,062|-| |||**57,818**|**18,818**|**39,000**|**37,556**|**37,556**|**-**| As in most previous years, the bulk of expenditure is committed directly to the project in Kampala. The funding increased considerably (78%) this year thanks to the UK funding that allowed us to expand the programme in Uganda. Fund raising and Trustee visit costs declined significantly due to the impact of Covid. Administration costs were higher than the previous year due to increased marketing and media costs. We took the decision to use the hiatus caused by Covid to overhaul the charity’s website and branding to enable us to be better placed to apply for future direct grant funding. As a small charity run entirely by volunteers, we strive to minimise our expenditure on items other than direct project costs. Our fundraising cost solely comprised the entrance fee for The London Marathon. Other than the costs for media and marketing our administration costs were only £811 for insurances, Just Giving subscriptions, internet, and bank charges. ## **Inspection of accounts** As our income for the year exceeded £25,000, we are required to have our accounts inspected by an independent examiner. This service has been provided on a pro bono basis. The inspector’s report is available on request www.letthechildrenhear.com | 18 ## 2020 FINANCIAL REVIEW ## **Reserves policy** LTCH’s reserves policy is, subject to exceptional circumstances, to maintain a minimum reserve of £6,000 or three months’ committed expenditure, whichever is the lower. On 31 December 2020, we had unrestricted reserves of £16,310 (2019: £16,152) held in a Virgin Money Interest Bearing Charity Account which is more than sufficient to cover three months of committed expenditure at current levels. Surplus funds are held in the Virgin Charity Account and although interest rates are low, the Trustees do not consider it appropriate to invest funds where there is a risk of capital depreciation. www.letthechildrenhear.com | 19 Let the ,Children Hear Clinic5for Children in Uganda IS NOT. The Future Letthe ,Children Hear www.letthechildrenhear.com 120 ## Summary and future direction The charity’s project model is based on future sustainability and integration of the paediatric screening, audiology, and rehabilitation services within the national health care system of Uganda. Paediatric audiology is a specialist area of health care and as such should be integrated within the ENT dept of a hospital alongside rehabilitation services such as speech and language therapy. A Memorandum of Understanding signed with the Ministry of Health in 2020 has facilitated talks with Mulago National Referral Hospital in Kampala. The future aim is for the charity to work in partnership with the hospital to plan a strategy for developing a paediatric audiology and rehabilitation centre within the ENT department of the hospital over the next 2-5 years. Currently there are no paediatric audiology services available at the hospital and children are only able to access quality audiology services within the community health care setting i.e Kisenyi health centre. Capacity building of screeners and audiologists will continue in line with this expansion and future external funding will be sought in addition to some funding coming from within the hospital. In 2021 it is hoped that the charity will establish new partnerships with grant funders. One such partnership which has been confirmed is with Global Partners for Hearing Health (GPPH). This grant will focus on expansion of new-born hearing screening and school screening and for the extension of screening services to include early infants 0-3 yrs. In addition to the screening programmes, the partnership proposal will also involve the charity and GPPH collaborating with government and professional leaders to develop a national plan for implementing hearing screening for all infants and young children in Uganda. www.letthechildrenhear.com | 21 Our Partners A big thank you to our partners ## **The Government of Uganda** ## **Luton Rotary North** **(GoU)** LTCH is working with local government, Kampala Capital City Authority (KCCA) and the Ministry of Health (MOH) to implement the project in various health care facilities and schools. This has provided an excellent platform for delivery of our services. We hope that this will pave the way for future expansion and consequently sustainability of the project through the integration of policies and services within the national health care system of Uganda. With special thanks to Paul Denton for continued support and guidance. Our volunteer Audiologist Pam Layton and Elham Hashim. To Pat Burnham who audits our accounts at no cost! To Stephanie and Michael for their continued support and encouragement. To Ros Thomas for her generous donation of £5,000. ENT UK ,The Oshwal Pharmacists (TOP) and the Sule family for their generous donations. **UK AID and the British People –** your funding this year has enable us to have a big impact even in a global pandemic To all our other fundraisers, sponsors and supporters your generosity make a huge difference. Our Trustees who work give their time freely and work tirelessly for the charity. To our friends at The Global Partnership for Hearing Health we look forward to growing our partnership over the coming years. www.letthechildrenhear.com| 22 **www.letthechildrenhear.com** Get involved If you would like to…. work with us, fundraise for us or get involved please email info@letthechildrenhear.com www.letthechildrenhear.com| 23 **www.letthechildrenhear.com** ## **Let the Children Hear** ## **Receipts and Payments Account - Year Ended December 31 2020 Final Accounts** |**Receipts**
Donations
Dfid Receipts
General fundraising (Just Giving Virgin Givingetc)
Tax credits on donations (Gift Aid)
Charities Trust Donations
Golf Day
Fashion Show ( Lingerie show)
Quiz Nights
Shrap Sacks
Aquaman
Amazon Smile
Make up Evenings (Tropic etc )
Soft Toys & Card sales
Trustee Expenses Refund
Virgin Deposit Account Interest
**Payments**
Golf Day
London Marathon Entry Fee
Website,computer, Office 365
Data Protection Registration
Insurance
Just Giving charges
Virgin Giving
Bank charges
Media and marketing charges
Room hire
Transfers to Uganda
**_Ugandan costs :_**
Visits from trustees/volunteers
Ambulance,equipment & medicine
Bank accounts as at December 31 2019
Bank accounts as at December 31 2020|**Year ended**
**Dec 31 2020**
**£**
5,229.10
44,550.03
9,028.81
0.00
720.00
0.00
0.00
630.00
0.00
0.00
11.55
337.60
62.00
0.00
60,569.09
79.42
60,648.51
0.00
444.00
248.86
0.00
155.80
216.00
180.00
10.00
2,500.00
0.00
39,000.00
4,894.44
10,168.53
57,817.63
29,895.53
32,726.41|**Year ended**
**Dec 31 2019**
**£**
237.30
0.00
9,792.56
29.98
719.25
2,520.00
437.00
0.00
150.00
702.08
13.55
242.20
0.00
174.00
15,017.92
120.46
15,138.38
1,244.00
0.00
596.43
40.00
129.80
511.75
0.00
302.00
0.00
50.00
26,398.00
7,062.00
1,221.59
37,555.57
52,312.72
29,895.53|**Variance**
**Comments**
**In period**
**£**
4,991.80
44,550.03
-763.75
-29.98
0.75
-2,520.00
-437.00
630.00
-150.00
-702.08
-2.00
95.40
62.00
-174.00
45,551.17
-41.04
45,510.13
-1,244.00
444.00
-347.57
-40.00
26.00
-295.75
180.00
-292.00
2,500.00
-50.00
12,602.00
-2,167.56
8,946.94
20,262.06| |---|---|---|---| CHARITY COMMISSION FOR ENGLAND AND WALES Independent examiner's report on the accounts ••• Section A Independent Examiner's Report Report to the trusteesl members of Let the Children Hear On accounts for the year ended December 2020 Charity no (if any) 1145080 Set out on pages I report to the trustees on my examination of the accounts of the above charity ("the Trusy,) for the year ended 3111212020. Responsibilities and As the charity trustees of the Trust, you are responsible for the preparation basis of report of the accounts in accordance with the requirements of the Charities Act 2011 ("the Act"). 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. I have completed my examination. I confirm that no material matters have come to my attention (other than that disclosed below ") 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 Independent examiner's statement 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. Please del te the words in the brackets if they do not apply. Signed: Date: Jf OL Joll Name: PAI PILIA Ath)A) £LLRA)F¥k¥H FCA Relevant professional qualification(s) or body (if any): Address: oi& QoLt CJlL o Trl Lk)b3 3A IER October 2018