OpenCharities

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

← Hamlin Fistula UK

2025-06-30-accounts

Ending avoidable childbirth injuries and changing lives in Ethiopia

==> picture [174 x 88] intentionally omitted <==

Charity Registration Number: 1153053 Company Registration Number: 08457433 (England and Wales)

HAMLIN FISTULA UK

(a company limited by guarantee) REPORT AND AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2025

HAMLIN FISTULA UK

CONTENTS PAGE
Legal and administrative information 3
Trustees’ report 4 - 16
Auditors’ report 17 - 20
Statement of financial activities 21
Balance sheet 22
Cash flow statement 23
Notes to the financial statements 24 - 36

2

HAMLIN FISTULA UK

LEGAL AND ADMINSTRATIVE INFORMATION

Directors and Trustees

Greg Morris, Chair - appointed 15 July 2016 Marchu Belete - appointed 30 April 2025 Sarah Hewitt-Clarkson - appointed 28 February 2019 Mark Greaves - appointed 4 August 2025 Libby Grundy MBE - appointed 31 July 2020 Hewete Haileselassie - appointed 15 July 2022 Alison Murray - appointed 16 June 2019 Emnet Tadesse Yadeta - resigned 6 March 2025

Life President

Malcolm Hewitt OBE

Chief Executive Officer

Helen Marriott

Company Secretary

Helen Marriott

Registered Office

Hamlin Fistula UK, TouchBase Pears, 750 Bristol Road, Birmingham, West Midlands, B29 6NA

Charity number: 1153053

Company number: 08457433 (registered in England and Wales)

Auditor

Godfrey Wilson Limited, 5th Floor, Mariner House, 62 Prince Street, Bristol, BS1 4QD

Bankers

TSB Bank plc., 23 Hagley Street, Halesowen, B63 3AY

Charities Aid Finance Bank, Kings Hill, West Malling, Kent, M19 4TA

The Co-operative Bank, PO Box 101, 1 Balloon Street, Manchester, M60 4EP

Legal Advisors

Anthony Collins Solicitors LLP, 134 Edmund Street, Birmingham, B3 2ES

Investment managers

EFG Harris Allday, 5th Floor, 103 Colmore Row, Birmingham, B3 3AG

3

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

The trustees, who are also directors of the charity for the purposes of the Companies Act 2006, present their report and audited financial statements of the charity for the year ending 30 June 2025.

Trustees

The trustees, who are also the directors for the purposes of company law, and who served during the year and up to the date of signature of the audited financial statements were: Greg Morris - Chair, Marchu Belete, Sarah Hewitt-Clarkson, Mark Greaves, Libby Grundy MBE, Hewete Haileselassie, Alison Murray and Emnet Tadesse Yadeta.

None of the directors has any beneficial interest in the company. All of the trustees are members of the company and guarantee to contribute £1 in the event of winding up.

Structure, governance and management

The trustees are the directors of the charitable company which is governed by the Articles of Association as amended by a Special Resolution dated 5 July 2013 and by Special Resolution dated 6 March 2025. The company is a company limited by guarantee and therefore does not have a share capital. The liabilities of the members, who are also the directors and trustees, together with details of their guarantees, are shown in the notes to the accounts. The company was registered with the Charity Commission for England & Wales on 24 July 2013.

The Board of Trustees meets six times a year and is responsible for the strategic direction and policy of the charity. A staffing structure with clear line management is in place and the responsibility for the day-to-day running of the charity rests with the Chief Executive Officer.

The charity has a formal recruitment and induction process for new trustees. Regular financial reviews and reports are prepared for the trustees by the charity's administrative staff and presented at trustees’ meetings.

Details of the directors who served during the year are shown in the Legal and Administrative details on page 3.

The pay and remuneration package for key management personnel is decided by the Pay Review Committee made up of three trustees. They review the package on an annual basis taking into account sector bench marking and the consumer prices index.

Objectives

The objects of the charity, as set out in the Articles are:

  1. To relieve the needs and advance the health of patients who have suffered from childbirth

injuries in Ethiopia;

  1. Such other charitable purposes in Ethiopia as the Board shall from time to time decide; and

  2. If the continuance of such charitable work in Ethiopia becomes in the opinion of the Board impracticable, such general charitable purposes in any part of the world as the Board shall from time to time decide.

4

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

Activities

Hamlin Fistula UK is a charity registered in England and Wales dedicated to treating and preventing childbirth injuries in Ethiopia.

Founded in 1968, we are part of the Hamlin family of international charities, which was established by pioneering surgeons Drs Catherine and Reg Hamlin. Catherine and Reg were in Ethiopia to train midwives when they discovered the overwhelming numbers of women suffering from obstetric fistula and realised that little was being done to help them. They established the Addis Ababa Hamlin Fistula Hospital, to provide the country’s first fistula treatment services.

Today, the Ethiopian organisation Hamlin Fistula Ethiopia operates six fistula hospitals - a headquarters hospital in Addis Ababa and five regional hospitals in Yirgalem, Bahir Dar, Harar, Metu and Mekele. The organisation founded and runs the Hamlin College of Midwives, located in Addis Ababa, to train and deploy midwives to rural health centres. It also operates a residential rehabilitation and training centre, Desta Mender. To date, Hamlin has treated over 70,000 women.

Hamlin Fistula UK supports Hamlin Fistula Ethiopia with cash grants, medical consumables or other requirements funded by means of donations often made in tax-efficient ways by donors, and income from investments held for the longer term.

As well as providing unrestricted and restricted funds used across all Hamlin hospitals and centres, Hamlin Fistula UK has undertaken to fully cover the operating costs of Yirgalem Regional Fistula Hospital. A combination of restricted and unrestricted funds is used to meet this commitment.

Hamlin Fistula UK additionally coordinates the production of colourful knitted blankets by volunteers, which are sent to Hamlin Fistula Ethiopia and given to each patient on their arrival at a Hamlin hospital.

Notes 7 and 8 show that we contributed £644,509 to Hamlin Fistula Ethiopia in grants payable during the period and £177,025 in equipment, supplies and services.

Principal sources of funds

Our income is derived in the main from individual donors, trusts and foundations and legacies. In addition, we received approximately £55,900 (2024: £56,000) from investment income.

We would like to thank all our donors over the past year, who have included, among others: The Band Aid Charitable Trust, Ericson Trust, Guernsey Overseas Aid & Development Commission, Hodge Foundation and the Oakdale Trust.

We would also like to thank all our generous individual donors, as well as all friends, volunteers and donors who wish to remain anonymous. We would like to extend particular thanks to our Patron, Baroness Tessa Blackstone.

5

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

Every Woman Matters

Our vision is for every Ethiopian woman to be free of devastating preventable childbirth injuries and have access to quality maternal healthcare throughout her pregnancy. Our mission is to support the treatment and prevention of childbirth injuries in Ethiopia.

The need

In Ethiopia, many mothers and newborns still face serious risks due to inadequate maternal health services, especially in rural areas. Health centres often lack essential equipment and trained staff, forcing expectant mothers to travel long distances for care that may come too late.

With only about 700 obstetricians and 23,000 midwives for a population of 135 million, many women have to rely on untrained traditional birth attendants, making childbirth potentially life-threatening for both mothers and babies.

==> picture [203 x 135] intentionally omitted <==

Photo credit: Maheder Haileselassie

Women who survive may incur lasting injuries such as obstetric fistula, pelvic organ prolapse or perineal trauma. As well as suffering pain, they can find themselves divorced by their husbands, abandoned by their families and cast out by their communities due to stigma and symptoms such as incontinence.

Our exclusive partner Hamlin Fistula Ethiopia is working to tackle these issues. Hamlin is a national healthcare network and registered Ethiopian non-profit organisation powered by over 600 Ethiopian professionals. Together, they are dedicated to transforming women’s lives.

Where we work

Hamlin's Addis Ababa Fistula Hospital headquarters is a 120-bed facility that includes an operating theatre, physiotherapy department, urodynamic and stoma clinics, and comprehensive pharmacy and pathology services.

==> picture [243 x 197] intentionally omitted <==

Regional fistula hospitals extend Hamlin’s reach. These are located in Mekele and Bahir Dar in the north, Yirgalem in the south, Harar in the east, and Metu in the southwest.

The Hamlin College of Midwives trains and places newly qualified midwives in more than 80 rural health centres across the country. For patients needing postsurgery support, Desta Mender is our rehabilitation and training centre, where women are supported to learn new skills, develop income-generating activities and return to their communities.

6

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

The Impact of our Support in 2024 - 25

During the period, we contributed to the overall programme and operating costs across all Hamlin centres and initiatives, including the full operating costs of Yirgalem Regional Fistula Hospital. Our funding also supported medical supplies at all six hospitals.

As a result of our contribution, Hamlin Fistula Ethiopia was able to achieve:

==> picture [55 x 58] intentionally omitted <==

4,119 life-changing 111 students studying 2,156 patients trained in surgeries for at the Hamlin College literacy and numeracy women of Midwifery 40,292 women 272 former patients trained supported to have and supported to return to a safe birth their communities

Yirgalem Regional Fistula Hospital exceeded its surgical target by 12% during the period - performing more procedures (918) than any other hospital.

Wubit’s story of hope following fistula

==> picture [167 x 111] intentionally omitted <==

“I never attended school; instead, I helped my family on the farm, tending cattle in the fields. I married young, not truly understanding what marriage meant. At eighteen, I became pregnant. My labour lasted three days. People insisted it wasn’t the right time for delivery and used traditional methods, promising the baby would come with the sunrise. But nothing happened. By the third day, I was too weak to bear the pain.

I live in a very rural area and we had to walk over three hours to find transportation. I was carried on a stretcher, tied down so I wouldn’t fall. By the time we reached a health centre, it was too late. I lost the baby. Later, I learned I had developed a fistula.

Living with fistula brought pain, shame and loneliness. My husband left me, saying I was no longer useful. My mother told me not to cry but I cried every night, waking with swollen eyes. I stopped eating, afraid food or drink would worsen my condition. I was left with nothing but pain, stress and isolation, though my father stood by me and promised to support me as best he could.

When I heard treatment was available, my family took me to Bahir Dar Fistula Hospital. After surgery, they referred me to Addis Ababa for further treatment as my case was complicated. That journey changed my life. The treatment and love I received gave me a second chance. I remarried.

I never imagined being pregnant again. The nine months were filled with anxiety. I returned to the Hamlin hospital and, during delivery, heard my baby cry. The staff brought him to me - I couldn’t believe my eyes. I wept with joy. I cannot express how grateful I am for the care I received from the staff. They treated me like family, providing me with meals, love and support.”

7

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

Treatment: life-changing surgeries

Obstetric fistula and other childbirth injuries can mostly be repaired with a single life-changing surgery. For some, this takes less than two and a half hours. In the last year, our surgical teams provided free surgery for 4,119 women with a range of debilitating childbirth injuries:

An obstetric fistula is a hole between the birth canal and the bladder or rectum. It leaves survivors incontinent of urine or faeces – and sometimes both – through their vagina.

==> picture [46 x 46] intentionally omitted <==

Surgeons carried out 879 fistula or fistula-related surgeries.

==> picture [136 x 162] intentionally omitted <==

==> picture [38 x 38] intentionally omitted <==

A pelvic organ prolapse occurs when one or more of the pelvic organs, such as the womb, bowel or bladder, slip down into the vagina. Symptoms include urinary incontinence, pain and discomfort. Services for prolapse in public health facilities are hard to access and costly. As a result, patients often present to us with advanced stage prolapse and complications e.g. infection or ulceration.

==> picture [38 x 37] intentionally omitted <==

Surgeons conducted 2,790 surgeries to repair pelvic organ prolapse.

60 Caesarean sections were also performed, ensuring a safe birth for former patients.

Patient identification

There are estimated to be tens of thousands of women living with childbirth injuries in Ethiopia - injuries which leave them trapped in a life of pain, shame and isolation. Hamlin’s Patient Identification Officers, based at our regional fistula hospitals, provide the link between such women and the life-restoring care provided by Hamlin hospitals. Their work in remote communities is crucial in finding "hidden" patients (such as Tesfanesh, below) and restoring dignity, health and hope.

Campaigns and outreach efforts were pivotal in locating more than 800 obstetric fistula patients this year.

Tesfanesh’s Story

==> picture [110 x 95] intentionally omitted <==

Tesfanesh, 25, grew up in a remote district in Ethiopia. After marrying her husband, they were thrilled to be expecting their first child. However, joy turned to heartbreak when Tesfanesh endured a two-day labour at home. She was eventually taken to hospital, where she sadly delivered a stillborn baby:

“ After the stillbirth, I started to experience uncontrollable urine flow. I hoped it would stop, but it didn’t. The odour was strong. I washed my clothes three times a day, hid from people, and was afraid to meet neighbours. I couldn’t have a child. After six years, I was still suffering .”

Tesfanesh’s hope was rekindled when Tolera, a Hamlin Patient Identification Officer, visited her village and told her about the Addis Ababa Fistula Hospital. After successful surgery, Tesfanesh’s life was transformed:

“ Being back home feels like a dream come true after all the pain and isolation. When I returned, my husband was so emotional. Visiting the market and church again brings me joy. I can laugh and talk with friends without fear or shame. Every day, I cherish this freedom to live fully. It is a gift I’m thankful for.”

8

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

Preventing childbirth injuries: Hamlin midwives

Hamlin College of Midwives

The root cause of childbirth injuries is a lack of access to quality maternity care. The Hamlin College of Midwives opened in 2007 to train women from remote rural areas in life-saving midwifery skills. Hamlin midwives play an essential role in preventing birth injuries and saving the lives of hundreds of mothers and babies every year. The impact is remarkable – when a Hamlin midwife arrives at a clinic, new cases of obstetric fistula drop to almost zero in nearby villages.

==> picture [103 x 102] intentionally omitted <==

Hamlin is growing the number of highly skilled midwives in Ethiopia through training students in BSc and MSc degrees in Midwifery. Over the past year, 42 students were enrolled at the Hamlin College of Midwives, 26 for undergraduate studies and 16 to complete a Masters degree. We were delighted to see the graduation of 11 BSc students and our first cohort of 22 Masters students.

Since opening, the College has trained and deployed a total of 271 BSc graduate midwives.

Practising Hamlin midwives

Our skilled midwives bring essential antenatal, delivery and postnatal care to rural areas, helping to end preventable childbirth injuries and deaths. We deploy newly qualified Hamlin midwives to rural government health centres across Ethiopia. Last year, Hamlin midwives at 80 rural health centres, including some in conflict-prone areas such as the Amhara and Oromia regions:

Hamlin midwife Blen - saving lives with vital skills and equipment

==> picture [134 x 140] intentionally omitted <==

“My name is Blen Abrahim and I am a graduate of the Hamlin College of Midwives. Currently, I work at Boko Health Centre in Fedis Woreda (district), in the east of Ethiopia. I am a midwife and team leader. I am responsible for caring for mothers from conception to 41 days after delivery.

In this profession, we encounter many challenges. For example, when I was less than three months into my career and working the night shift, I arrived to find a woman in labour on the delivery couch. I quickly changed and prepared the necessary equipment. After a long labour, she was able to deliver but the baby was in distress. I was alone and had to manage the situation by myself.

I provided the mother with oxygen and began to resuscitate the baby. I attempted for a long time but he wasn’t breathing. I refused to give up hope and finally he took a breath! I was filled with hope and excitement when he began to cry properly. I placed him with his mother and helped initiate breastfeeding. I cannot express the joy I felt at that moment. I proudly said, ‘I am very lucky to be a midwife.’”

9

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

Rehabilitation: empowering women with fistula to lead independent lives

==> picture [160 x 130] intentionally omitted <==

One operation can repair a fistula. But that’s not the end of the story.

Women with fistula are often divorced by their husbands and ostracised by their communities because of symptoms like incontinence and the stigma associated with the condition.

We provide rehabilitation programmes that help patients reintegrate back into their community. For women who have been shunned by society, such care is a critical aspect of rebuilding self-belief and moving on to independence with dignity and choices.

Across all six hospitals, 2,156 women completed classes in numeracy and literacy. Participants were taught to identify letters and numbers so they could read and write their name, count numbers and carry out simple additions and subtractions. Physiotherapy and counselling were also provided, as required.

However, some women required a lot more support.

Desta Mender is our farm and training facility where former patients receive counselling and training, individually tailored to each woman. There are market gardens, an orchard and dairy farm, as well as a café. Training ranges from farming and pottery to catering and business skills. We also provide small grants to enable women to establish their own business, to generate an income and rebuild their livelihoods.

Last year, 272 women completed residential training and were provided with seed funding to return home and start a business. An additional 122 women who had previously completed the programme were provided with seed money; this had been delayed due to various challenges, including local bureaucracy.

Abebech’s story

Abebech grew up in a remote village, helping her family farm. After marrying young and becoming pregnant, she planned to give birth at home. But, after three days in labour, Abebech sadly gave birth to a stillborn baby and sustained an obstetric fistula which left her incontinent. Abebech’s husband deserted her and unable to work to support herself, she lived a life of isolation:

“Because of the fistula, people commented on the very bad smell. I didn’t visit

==> picture [104 x 103] intentionally omitted <==

my neighbours for coffee and I never went to church or the market. I cried all day and night.”

==> picture [88 x 95] intentionally omitted <==

After a year of suffering, a local organisation told Abebech about Hamlin Fistula and she was taken to Yirgalem Regional Fistula Hospital. Following successful surgery, she was invited to attend Desta Mender. Abebech approached her training with great enthusiasm. After completing literacy and numeracy training, she was so eager to continue learning that she went on to study cooking, sewing, embroidery and poultry farming. She graduated in August 2024 with high hopes.

In January 2025, Hamlin Fistula staff went to visit Abebech in her community - and found her thriving. Twice a week she sells kocho, a traditional bread, in her local market. Each time, she earns an average of 500 Ethiopian birr (£2.60) - a significant contribution to her household. In addition, she has taken up knitting at home and hopes to expand to poultry farming in time. She shares her home with her new husband, who is delighted to see her thriving and running her own business.

10

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

The impact of our volunteer-made blankets

Every woman with childbirth injuries that we treat at our hospitals receives a Comfort Pack, which includes soap, a clean new nightgown, slippers and a colourful hand-knitted blanket.

For women who have been stigmatised and isolated due to distressing symptoms such as incontinence, the blankets are a powerful demonstration of the acceptance and compassion that they will receive throughout their stay.

==> picture [187 x 125] intentionally omitted <==

Photo credit: Maheder Haileselassie

==> picture [196 x 128] intentionally omitted <==

Our blankets are all knitted by volunteers across the UK, some who knit as individuals and others as part of groups.

Last year, volunteers provided a remarkable:

Culm Valley Knitting Group

Likelesh, a former fistula patient herself, now manages our blanket store in Addis Ababa. She understands the deep significance they hold for every woman that receives one:

“Many patients dislike seeing their clothes soiled with urine, so these blankets are incredibly important to them. They love the warmth and comfort these blankets provide. They are not just items; they embody their recovery, bringing them joy and a sense of comfort. This strong emotional bond makes the blankets truly special for each patient.”

==> picture [171 x 122] intentionally omitted <==

News from across the organisation: Project Zero progress

==> picture [147 x 169] intentionally omitted <==

Hamlin Fistula's Project Zero is an initiative aimed at ending obstetric fistula in Ethiopia. Project teams target a particular woreda (district) to locate and treat women living with fistula and other childbirth injuries, as well as reduce new cases to zero through prevention and education.

Following two successful pilots in 2023/24, new pilots were launched in Saharti and Fedis woredas. Teams carried out house-to-house surveys to identify women with childbirth injuries and transport them to a Hamlin hospital for life-changing treatment and rehabilitation. To date, 382 women with untreated childbirth injuries have been found.

This year, Hamlin Fistula Ethiopia plans to target six new woredas.

11

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

News from across the organisation: responding to the impact of USAID cuts

==> picture [110 x 128] intentionally omitted <==

In January 2025, within six weeks of taking office, President Trump cut 83% of USAID’s programmes. This was devastating for Ethiopia, USAID’s largest recipient in sub-Saharan Africa. Funding had supported vital maternal health initiatives, including food for pregnant women in rural areas.

At health centres, women are traditionally served a nutritious porridge during their stay, funded by USAID. With the cuts, women must now rely on family to bring food. As a result, fewer women are attending centres to give birth - raising the risk of obstetric fistula.

==> picture [147 x 100] intentionally omitted <==

Hamlin Fistula Ethiopia is working to bridge the gap. Following a visit to southern Ethiopia, our CEO Helen Marriott launched an urgent appeal. Over 150 donors gave more than £15,000 in response. The Band Aid Charitable Trust also stepped in, funding a pilot project to provide nutritious meals for expectant mothers. The project aims to combat maternal malnutrition and encourage safer births at health centres.

Photo credit: Maheder Haileselassie

Fundraising performance

The Board of Trustees have approved investment in fundraising activity to help recruit and retain more individual donors. In FY2024-25 we increased income from individual giving by 27% compared with the previous year, with total income of £155,000 from individuals (not including major gifts over £1,000). Key successes included an emergency appeal responding to the cuts in USAID funding for Ethiopia which raised over £15,000 of unplanned income; and running our first in-house matched giving campaign which raised over £20,000 from individuals. Across the year, our fundraising appeals had an average return on investment of £4.62 per £1 spent. We also started testing digital acquisition with Meta ads which resulted in 157 new one-off donors and 16 new monthly donors. We will continue building on these successes in future years and aim to grow income from regular donors by 29%.

Our public fundraising approach

Hamlin Fistula UK is registered with the Fundraising Regulator and the Information Commissioners’ Office. We ensure that our fundraising activities adhere to the Code of Fundraising Practice and display the Fundraising Regulator logo on all printed and online fundraising materials.

We aim to be transparent and trustworthy at all times and outline our approach to respecting donor - privacy on our website: https://hamlinfistulauk.org/privacy policy/. We updated the privacy policy in August 2024, which was approved by Trustees in September. We then undertook a legitimate interest assessment before sending a change of address communication to all supporters in October 2024. We record all communication preferences and opt-out requests on our CRM.

In 2024-25, Hamlin Fistula UK did not contract any professional fundraiser or commercial participators to carry out any fundraising activities. Our in-house fundraising team occasionally engages professional services such as graphic designers, digital agencies and mailing fulfilment houses to help us deliver fundraising campaigns. We conduct due diligence before selecting an individual or company to support us in this way and monitor all work they create to ensure it meets our high standards and adheres to the Code of Fundraising Practice.

12

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

Our fundraising staff regularly attend training courses to keep up-to-date on best-practice, changes to fundraising regulation and trends in fundraising. When individuals are fundraising on behalf of Hamlin Fistula UK, for example by running the London Marathon or holding a community event, we provide them with information about our work and monitor their publicly available fundraising materials to ensure they are representing the charity appropriately and fundraising in accordance with best practice and Fundraising Regulator guidance.

We deal with complaints made directly to us and via the Fundraising Preference Service (FPS) promptly. In 2024-25, we did not receive any complaints about our fundraising activity. We did not receive any suppression requests via the FPS.

Hamlin Fistula UK did not receive any data subject access requests during the year, and there were no data breaches to report.

We follow the Chartered Institute of Fundraising Guidance on Treating Donors Fairly to ensure we are protecting vulnerable members of the public from undue pressure or persistence whilst adhering to the Code of Fundraising Practice to treat donors fairly.

Future plans

Hamlin Fistula UK aims to continue supporting Hamlin Fistula Ethiopia to work towards our shared goal of treating and preventing childbirth injuries in Ethiopia. Hamlin Fistula Ethiopia plans to expand its activities and reach more women in the coming year and beyond. We will work closely with colleagues in Ethiopia to understand the needs of the organisation and meet their funding requirements.

We will continue to provide both restricted and unrestricted funds to support treatment, prevention and rehabilitation activity across Hamlin hospitals, centres and in the community. We will purchase medical consumables on behalf of Hamlin Fistula Ethiopia as required.

We will continue to fully fund Yirgalem Regional Fistula Hospital and work with Hamlin Fistula Ethiopia to understand the future needs of the facility. This may include renovation and expansion of the hospital and we will be considering making a capital investment if necessary.

In order to meet the funding requirements in Ethiopia and ensure sustainability for the future we will continue to invest in and strengthen our fundraising activity in the UK. We will focus in particular on recruiting and retaining new supporters. We will continue to offer high quality supporter care and communications to ensure our existing supporters feel informed and valued.

13

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

Reserves policy

Unrestricted funds

It is the policy of the trustees to hold significant funds in the form of listed investments and bank deposits held by the Investment Managers. At 30 June 2025, the charity held investments with a market value of £940,405 (2024: £1,331,568) and bank deposits held by the Investment Managers for re-investment purposes of £98,832 (2024: £40,844). This level of investment fund is considered necessary in order to generate investment income to contribute to the ongoing operations of the charity. Trustees have made the decision to realise some of the investment funds in order to further support the work of Hamlin Fistula Ethiopia.

Within these funds, the charity has determined it appropriate to keep reserves equivalent to 12 months’ operating costs of both HFUK and Yirgalem Regional Fistula Hospital. This is in line with the Reserves Policy of the trustees, to enable the charity to operate in the event of a decrease in incoming resources whilst consideration is given to replacing income or changing activities.

At 30 June 2025, general undesignated unrestricted funds were £1,368,186 (2024: £1,393,240). Excluding those held in listed investments and bank deposits held by the Investment Managers for re-investment purposes, this amounted to £328,949 (2024: £20,828).

Investment policies and objectives

The overall objectives are to create sufficient income and capital growth to enable the charity to carry out its purposes consistently year by year with due and proper consideration for future needs and the maintenance of, and if possible, enhancement of the value of the invested funds while they are retained. Performance has been satisfactory over the last 12 months, driven by firm equity markets and the start of interest rate reductions. Due to the uncertainty in the world, we remain cautiously positioned with a diversified, balanced portfolio that is producing income of just under 5%. The Trustees have agreed to realise some of the investment portfolio over the next three years in line with the Reserves Policy.

The charity has an Investment Policy which includes ethical considerations which trustees have instructed our investment management company to follow. The charity's investment powers are prescribed by The Trustee Act 2000. The trustees confirm that the investments, the majority of which are held in the UK, are held in accordance with their powers.

Public benefit

Under the Charities Act 2011, charities must demonstrate that their purposes are for the public benefit. The trustees confirm that they have taken regard of the Charity Commission's guidance on public benefit. Key features of public benefit included an identifiable benefit, to the public or a section of the public and people on low incomes must be able to benefit.

The charity supports the work of Hamlin Fistula Ethiopia which provides free treatment to women suffering from childbirth injuries, irrespective of race, background or religion. The trustees have therefore concluded that Hamlin Fistula UK meets the key principles as described above.

14

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

Risk management

The CEO and Trustees use a Risk Register to manage risks to which the charity may be exposed. The register is reviewed at each board meeting so key risks can be identified. Current controls are detailed and any required actions are documented.

Other measures in place to manage risk include regular reporting on performance of planned activities, monthly reporting on financial performance and quarterly meetings of the Finance Committee, maintenance of policies covering specific areas of risk and risk assessments for overseas trips.

The main risks facing the organisation and our action to mitigate them are:

Donated services

In addition to financial donations, we receive contributions from supporters in the form of knitted blankets and baby clothes which are sent to Ethiopia for distribution to patients across Hamlin hospitals. These gifts are donated freely. We have not put a financial value to these gifts in these financial accounts.

Results

The financial statements have been prepared in accordance with the Statement of Recommended Practice "Accounting and Reporting by Charities" which was published in 2019 ("SORP 2019") and Financial Reporting Standard FRS 102.

15

HAMLIN FISTULA UK

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT) YEAR ENDED 30 JUNE 2025

Statement of trustees’ responsibilities

Approval

The trustees (who are also directors of the charity for the purposes of company law) are responsible for preparing the trustees' report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102: The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

Company law requires the trustees to prepare financial statements for each financial year, which give a true and fair view of the state of affairs of the charitable company and of the income and expenditure of the charitable company for that period. In preparing those financial statements the trustees are required to:

select suitable accounting policies and then apply them consistently;

The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charity and which enable them to ensure that the financial statements comply with the Companies Act 2006. The trustees are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

Members of the charity guarantee to contribute an amount not exceeding £1 to the assets of the charity in the event of winding up. The trustees are members of the charity but this entitles them only to voting rights. The trustees have no beneficial interest in the charity.

Auditors

Godfrey Wilson Limited were appointed as auditors to the charitable company during the year and have expressed their willingness to continue in that capacity.

Approved by the trustees on 22 January 2026 and signed on their behalf by

Greg Morris

Greg Morris - Chair

16

Independent auditors' report

To the members of

Hamlin Fistula UK

Opinion

We have audited the financial statements of Hamlin Fistula UK (the 'charity') for the year ended 30 June 2025 which comprise the statement of financial activities, balance sheet, statement of cash flows and the related notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102: The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and the provisions available for small entities, in the circumstances set out in note 9 to the financial statements and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charity's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The other information comprises the information included in the annual report other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

17

Independent auditors' report

To the members of

Hamlin Fistula UK

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Opinion on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the company and its environment obtained in the course of the audit, we have not identified material misstatements in the strategic report or the directors’ report included within the trustees’ report. We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:

Responsibilities of the trustees

As explained more fully in the trustees’ responsibilities statement set out in the trustees’ report, the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.

18

Independent auditors' report

To the members of

Hamlin Fistula UK

Our responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The procedures we carried out and the extent to which they are capable of detecting irregularities, including fraud, are detailed below:

(1) We obtained an understanding of the legal and regulatory framework that the charity operates in, and assessed the risk of non-compliance with applicable laws and regulations. Throughout the audit, we remained alert to possible indications of non-compliance.

(2) We reviewed the charity’s policies and procedures in relation to:

(3) We inspected the minutes of trustee meetings.

(4) We enquired about any non-routine communication with regulators and reviewed any reports made to them.

(5) We reviewed the financial statement disclosures and assessed their compliance with applicable laws and regulations.

(6) We performed analytical procedures to identify any unusual or unexpected transactions or balances that may indicate a risk of material fraud or error.

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. Irregularities that arise due to fraud can be even harder to detect than those that arise from error as they may involve deliberate concealment or collusion.

19

Independent auditors' report

To the members of

Hamlin Fistula UK

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

Use of our report

This report is made solely to the charityʼs members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charityʼs members those matters we are required to state to them in an auditorʼs report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charityʼs members as a body, for our audit work, for this report, or for the opinions we have formed.

==> picture [71 x 31] intentionally omitted <==

Date: 22 January 2026

Robert Wilson FCA (Senior Statutory Auditor)

For and on behalf of:

GODFREY WILSON LIMITED

Chartered accountants and statutory auditors 5th Floor Mariner House 62 Prince Street Bristol BS1 4QD

20

Hamlin Fistula UK

Statement of financial activities (incorporating an income and expenditure account)

For the year ended 30 June 2025

Restricted
Note
£
Income from:
Donations and legacies
3
157,939
Charitable activities
4
175,454
Investments
5
-
Total income
333,393
Expenditure on:
Raising funds
-
Charitable activities
218,393
Total expenditure
7
218,393
Net gains on investments
12
-
115,000
Reconciliation of funds:
Total funds brought forward
5,000
Total funds carried forward
120,000
Net income / (expenditure) and net
movement in funds		 Unrestricted
£
776,968
36
55,918
832,922
259,178
620,850
880,028
22,052
(25,054)
1,393,240
1,368,186		 2025
Total
£
934,907
175,490
55,918
1,166,315
259,178
839,243
1,098,421
22,052
89,946
1,398,240
1,488,186		 2024
Total
£
325,346
177,118
56,308
558,772
202,195
885,102
1,087,297
74,275
(454,250)
1,852,490
1,398,240

All of the above results are derived from continuing activities. There were no other recognised gains or losses other than those stated above. Movements in funds are disclosed in note 16 to the accounts.

21

Hamlin Fistula UK

Balance sheet

As at 30 June 2025

==> picture [451 x 337] intentionally omitted <==

----- Start of picture text -----
2025 2024
Note £ £ £
Fixed assets
Investments 12 940,405 1,331,568
Current assets
Debtors 13 236,037 3,388
Cash at bank and in hand 324,021 75,018
560,058 78,406
Liabilities
Creditors: amounts falling due within 1 year 14 (12,277) (11,734)
Net current assets 547,781 66,672
Net assets 15 1,488,186 1,398,240
Funds 16
Restricted funds 120,000 5,000
Unrestricted funds
General funds 1,368,186 1,393,240
Total charity funds 1,488,186 1,398,240
----- End of picture text -----

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

Approved by the trustees on 22 January 2026 and signed on their behalf by

Greg Morris

Greg Morris - Chair

22

Hamlin Fistula UK

Statement of cash flows

For the year ended 30 June 2025

Cash flows from operating activities:
Net movement in funds
Adjustments for:
Gains on investments
Dividends, interest and rents from investments
(Increase) / decrease in debtors
Increase in creditors
Net cash used in operating activities
Cash flows from investing activities:
Dividends, interest and rents from investments
Proceeds from the sale of investments
Purchase of investments
Net cash provided by investing activities
Increase / (decrease) in cash and cash equivalents in the year
Cash and cash equivalents at the beginning of the year
Cash and cash equivalents at the end of the year		 2025
£
89,946
(22,052)
(55,918)
(232,649)
543
(220,130)
55,918
759,096
(345,881)
469,133
249,003
75,018
324,021		 2024
£
(454,250)
(74,275)
(56,308)
4,666
5,704
(574,463)
56,308
576,450
(449,444)
183,314
(391,149)
466,167
75,018

The charity has not provided an analysis of changes in net debt as it does not have any long term financing arrangements.

23

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

1. Accounting policies

a) Basis of preparation

Hamlin Fistula UK is a charitable company limited by guarantee registered in England and Wales. The registered office address is TouchBase Pears, 750 Bristol Road, Birmingham, West Midlands, B29 6NA.

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities in preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) - (Charities SORP (FRS 102)), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.

Hamlin Fistula UK meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy note.

b) Going concern basis of accounting

The accounts have been prepared on the assumption that the charity is able to continue as a going concern, which the trustees consider appropriate having regard to the current level of unrestricted reserves. There are no material uncertainties about the charity's ability to continue as a going concern.

c) Income

Income is recognised when the charity has entitlement to the funds, any performance conditions attached to the item of income have been met, it is probable that the income will be received and the amount can be measured reliably.

Income from the government and other grants, whether 'capital' grants or 'revenue' grants, is recognised when the charity has entitlement to the funds, any performance conditions attached to the grants have been met, it is probable that the income will be received and the amount can be measured reliably and is not deferred.

For legacies, entitlement is taken as the earlier of the date on which either: the charity is aware that probate has been granted, the estate has been finalised and notification has been made by the executor(s) to the Trust that a distribution will be made, or when a distribution is received from the estate. Receipt of a legacy, in whole or in part, is only considered probable when the amount can be measured reliably and the charity has been notified of the executor's intention to make a distribution. Where legacies have been notified to the charity, or the charity is aware of the granting of probate, and the criteria for income recognition have not been met, then the legacy is treated as a contingent asset and disclosed if material.

24

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

1. Accounting policies (continued)

d) Donated services and facilities

Donated professional services and donated facilities are recognised as income when the charity has control over the item, any conditions associated with the donated item have been met, the receipt of economic benefit from the use by the charity of the item, is probable and the economic benefit can be measured reliably. In accordance with the Charities SORP (FRS 102), general volunteer time is not recognised.

On receipt, donated professional services and donated facilities are recognised on the basis of the value of the gift to the charity which is the amount the charity would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market; a corresponding amount is then recognised in expenditure in the period of receipt.

e) Interest receivable

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity: this is normally upon notification of the interest paid or payable by the bank.

f) Funds accounting

Unrestricted funds are available to spend on activities that further any of the purposes of the charity. Restricted funds are donations which the donor has specified are to be solely used for particular areas of the charity's work or for specific projects being undertaken by the charity.

g) Expenditure and irrecoverable VAT

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably.

Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred.

h) Grants payable

Grants which have been authorised and paid are included as expenditure in the Statement of Financial Activities. Grants which have been authorised but not yet paid are accrued in the balance sheet and are included within creditors falling due within one year or after one year (as appropriate).

i) Allocation of support and governance costs

Support costs are those functions that assist the work of the charity but do not directly undertake charitable activities. Governance costs are the costs associated with the governance arrangements of the charity, including the costs of complying with constitutional and statutory requirements and any costs associated with the strategic management of the charity’s activities. These costs have been allocated between cost of raising funds and expenditure on charitable activities based on the proportion of staff time occupied by each activity as follows:

2025 2024
Raising funds 92.0% 81.7%
Charitable activities 8.0% 18.3%

25

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

1. Accounting policies (continued)

j) Debtors

Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due.

k) Cash at bank and in hand

Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account.

l) Creditors

Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due.

m) Listed investments

Listed investments traded on a recognised stock exchange are stated at fair value at the reporting date, which is deemed to be their market value. Any gain or loss, whether realised or unrealised, is taken to the Statement of Financial Activities.

n) Financial instruments

The charitable company only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently recognised at amortised cost using the effective interest method.

o) Pension costs

The company operates a defined contribution pension scheme for its employees. There are no further liabilities other than that already recognised in the SOFA.

p) Foreign currency transactions

Transactions in foreign currencies are translated at rates prevailing at the date of the transaction. Balances denominated in foreign currencies are translated at the rate of exchange prevailing at the year end.

q) Operating leases

Rentals paid under operating leases are charged to the statement of financial activities as they fall due.

26

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

1. Accounting policies (continued)

r) Accounting estimates and key judgements

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised if the revision affects only that period, or in the period of the revision and future periods if the revision affects both current and future periods.

There are no key sources of estimation uncertainty that have a significant effect on the amounts recognised in the financial statements.

2. Prior period comparatives: statement of financial activities

Income from:
Donations and legacies
Charitable activities
Investments
Total income
Expenditure on:
Raising funds
Charitable activities
Total expenditure
Net gains on investments
Net income / (expenditure) and net
movement in funds		 Restricted
£
£
28,807
296,539
177,118
-
-
56,308
205,925
352,847
-
202,195
200,925
684,177
200,925
886,372
-
74,275
5,000
(459,250)
Unrestricted		 Total
£
325,346
177,118
56,308
558,772
202,195
885,102
1,087,297
74,275
(454,250)
2024

27

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

3. Income from donations and legacies

Donations
Legacies
Grants
Total income from donations and legacies
Prior period comparative:
Donations
Gifts in kind
Legacies
The Tory Family Foundation
Grants
Total income from donations and legacies*		 Restricted
£
£
37,939
256,173
120,000
487,360
-
33,435
157,939
776,968
Restricted
£
£
28,807
170,608
-
10,000
-
41,431
-
50,000
-
24,500
28,807
296,539
Unrestricted
Unrestricted		 Total
£
294,112
607,360
33,435
934,907
Total
£
199,415
10,000
41,431
50,000
24,500
325,346
2025
2024

*Gifts in kind relate to donated project services received in the prior year (2025: £Nil).

4. Income from charitable activities

Band Aid Charitable Trust
Guernsey Overseas Aid Commission
Grants < £20k
Book sales		 Restricted
£
£
121,187
-
42,267
-
12,000
-
-
36
175,454
36
Unrestricted		 Total
£
121,187
42,267
12,000
36
175,490
2025

28

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

4. Income from charitable activities (continued) Prior period comparative

Band Aid Charitable Trust
Guernsey Overseas Aid Commission
Grants < £20k
Total income from charitable activities		 Restricted
£
£
96,359
-
21,759
-
59,000
-
177,118
-
Unrestricted		 Total
£
96,359
21,759
59,000
177,118
2024

5. Income from investments

Income from listed investments
Bank and other interest
Total income from investments		 £
48,360
7,558
55,918
2025		 £
48,624
7,684
56,308
2024

All income from investments was unrestricted in the current period and prior period.

6. Government grants

The charitable company receives government grants, defined as funding from Guernsey Overseas Aid Commission to fund charitable activities. The total value of such grants in the period ending 30 June 2025 was £42,267 (2024: £21,759). There are no unfulfilled conditions or contingencies attaching to these grants in 2024/25.

29

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

7. Total expenditure

Hamlin Fistula Ethiopia grants payable (note 8)
Hamlin Fistula Ethiopia equipment, supplies & services
Staff costs (note 10)
Fundraising and marketing costs
Travel expenses
General office
Legal and professional fees
Accountancy
Occupation costs
Other staff costs
Insurance
Sub-total
Allocation of support and governance costs
Total expenditure		 Raising funds
£
-
-
131,433
56,202
-
-
-
-
-
-
-
187,635
71,543
259,178		 Charitable
activities
£
644,509
177,025
11,467
-
-
-
-
-
-
-
-
833,001
6,242
839,243		 Support and
governance
costs
£
-
-
11,467
-
13,001
21,073
7,173
15,892
3,348
4,756
1,075
77,785
(77,785)
-		 2025 Total
£
644,509
177,025
154,367
56,202
13,001
21,073
7,173
15,892
3,348
4,756
1,075
1,098,421
-
1,098,421

Total governance costs were £7,391 (2024: £4,313).

30

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

7.
Total expenditure (continued)
Prior period comparative
Hamlin Fistula Ethiopia grants payable (note 8)
Hamlin Fistula Ethiopia equipment, supplies & services
Staff costs (note 10)
Fundraising and marketing costs
Travel expenses
General office
Legal and professional fees
Accountancy
Occupation costs
Other staff costs
Insurance
Sub-total
Allocation of support and governance costs
Total expenditure		 Raising funds
£
-
-
64,971
63,991
-
-
-
-
-
-
-
128,962
73,233
202,195		 Charitable
activities
£
622,651
231,507
14,547
-
-
-
-
-
-
-
-
868,705
16,397
885,102		 Support and
governance
costs
£
-
-
13,970
-
24,601
15,667
12,045
12,019
6,088
4,042
1,198
89,630
(89,630)
-		 2024 Total
£
622,651
231,507
93,488
63,991
24,601
15,667
12,045
12,019
6,088
4,042
1,198
1,087,297
-
1,087,297

31

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

8. Grants payable

During the year, 29 (2024: 27) new grants were awarded to 1 institution (2024: 1) for hospital and clinic support.

Total grants committed to during the year were as follows:

Total grants payable to institutions
Hospital and clinic support grants
Hamlin Fistula Ethiopia
Total grants payable to institutions		 £
644,509
644,509
2025		 £
622,651
622,651
2024

For the current and prior period, all grants committed were paid within the period.

Allocation of support costs to grant making activities is given in note 7.

9. Net movement in funds

This is stated after charging:

Operating lease payments
Trustees' remuneration
Trustees' reimbursed expenses
Trustees' indemnity insurance
Auditor's remuneration (excluding VAT):
Audit fee
Independent examination fee
Other services		 £
-
Nil
124
891
6,500
-
10,092
2025		 £
6,727
Nil
272
893
-
2,850
7,166
2024

Trustee's reimbursed expenses relate to domestic travel and medical supplies for the hospitals from 2 trustees (2024: 2).

In common with other charities of our size and nature we use our auditors to assist with the preparation of the financial statements. Our auditors have also provided bookkeeping and payroll services to the charity during the year.

32

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

10. Staff costs and numbers

Staff costs were as follows:

Salaries and wages
Social security costs
Pension costs		 £
134,922
8,549
10,896
154,367
2025		 £
84,626
1,907
6,955
93,488
2024

No employee earned more than £60,000 during the current or prior period.

The key management personnel of the charitable company comprise the trustees and Chief Executive Officer. The total employee benefits of the key management personnel were £44,819 (2024: £37,235).

Average head count No.
4.2
2025		 No.
2.4
2024

11. Taxation

The charity is exempt from corporation tax as all its income is charitable and is applied for charitable purposes.

12. Investments

Market value at 1 July
Additions
Disposals proceeds
Net gains
Market value at 30 June		 2025
£
1,331,568
345,881
(759,096)
22,052
940,405		 2024
£
1,384,299
449,444
(576,450)
74,275
1,331,568

33

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

13. Debtors

Prepayments and accrued income
Other debtors		 2025
£
231,737
4,300
236,037		 2024
£
1,479
1,909
3,388

There were £228,553 of accrued legacies in the current year (2024: £nil).

14. Creditors : amounts due within 1 year

Trade creditors
Accruals
Other taxation and social security		 2025
£
1,472
7,500
3,305
12,277		 2024
£
6,085
3,920
1,729
11,734

15. Analysis of net assets between funds

Investments
Current assets
Current liabilities
Net assets at 30 June 2025
Prior period comparative
Investments
Current assets
Current liabilities
Net assets at 30 June 2024		 £
-
120,000
-
120,000
£
-
5,000
-
5,000
Restricted
funds
Restricted
funds		 £
940,405
440,058
(12,277)
1,368,186
£
1,331,568
73,406
(11,734)
1,393,240
General
funds
General
funds		 Total funds
£
940,405
560,058
(12,277)
1,488,186
Total
funds
£
1,331,568
78,406
(11,734)
1,398,240

34

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

16. Movements in funds

Restricted funds
Health Centre Support
Project Zero
Rehabilitation project
Tigray
Yirgalem Hospital
Addis Ababa Fistula Hospital
Total restricted funds
General funds
Total unrestricted funds
Total funds
Nutrition for Expectant
Mothers Project
Unrestricted funds		 At 1 July
2024
£
-
-
5,000
-
-
-
-
5,000
1,393,240
1,393,240
1,398,240		 Income
£
42,267
-
-
50,020
99,919
120,000
21,187
333,393
832,922
832,922
1,166,315		 £
(42,267)
-
(5,000)
(50,020)
(99,919)
-
(21,187)
(218,393)
(880,028)
(880,028)
(1,098,421)
Expenditure		 £
-
-
-
-
-
-
-
-
22,052
22,052
22,052
Gains /
(losses)		 £
-
-
-
-
-
120,000
-
120,000
1,368,186
1,368,186
1,488,186
At 30 June
2025

Purposes of restricted funds Health Centre Support Funding for midwives and medical supplies at rural health centres across Ethiopia. Project Zero Funding for a project to identify fistula cases in Ethiopian districts by going door-to-door.

Tigray Emergency funding for Mekele regional fistula hospital and midwifery services across the Tigray region where civil war has recently taken place.

Yirgalem Hospital Funding for Hamlin regional fistula hospital in southern Ethiopia.

Addis Ababa Fistula Hospital Funding for Hamlin main fistula hospital in Addis Ababa.

35

Hamlin Fistula UK

Notes to the financial statements

For the year ended 30 June 2025

16. Movements in funds (continued)

Prior period comparative

Restricted funds
Health Centre Support
Project Zero
Rehabilitation project
Tigray
Yirgalem Hospital
Total restricted funds
General funds
Total unrestricted funds
Total funds
Unrestricted funds		 At 1 July
2023
£
-
-
-
-
-
-
1,852,490
1,852,490
1,852,490		 Income
£
37,759
44,525
5,000
50,641
68,000
205,925
352,847
352,847
558,772		 £
(37,759)
(44,525)
-
(50,641)
(68,000)
(200,925)
(886,372)
(886,372)
(1,087,297)
Expenditure		 £
-
-
-
-
-
-
74,275
74,275
74,275
Gains /
(losses)		 £
-
-
5,000
-
-
5,000
1,393,240
1,393,240
1,398,240
At 30 June
2024

17. Financial instruments at fair value

Financial assets measured at fair value 2025
£
940,405		 2024
£
1,331,568

Financial assets measured at fair value comprise listed investments.

18. Operating lease commitments

The charity had operating leases at the year end with total future minimum lease payments as follows:

Amount falling due:
Within 1 year
Within 1 - 5 years		 2025
£
-
-
-		 2024
£
1,125
-
1,125

19. Related party transactions

During the period 3 trustees donated £429 (2024: 4 trustees, £765). There were no restrictions on these donations.

36