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Trustees’ Annual Report<br>for the period<br>From (start date) 0 D 1 D 1 0 M 6 M 2 Y 1 Y to (end date) 3 D 1 D 0 M 5 M 2 Y 2 Y<br>Section A Reference and administration details<br>**----- End of picture text -----**<br>


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||||Charity name|Leber’s Hereditary||||||||Optic NeuropathySociety|||||||||||||
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|||Other names the charity is known by||LHON Society|||||||||||||||||||||
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|||Registered charity number (if any)||1||1|5|7||2|0|6|||||||||||||
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|||Charity’s principal address||8|Hill Lane||||||||||||||||||||
|||||Hockley|||||||||||||||||||||
|||||Essex|||||||||||||||||||||
|||||||||||||||Postcode|S||S|5|4|H|L||||
|||Names of the charity trustees who manage the charity|||||||||||||||||||||||
|||**Trustee Name**||||**Offce**||**(if**|**any)**|||||**Dates acted if not for**<br>**whole year**||**Name of person (or body)**<br>**entitled to appoint**<br>**trustee(if any)**|||||||||
|1||Mark Leverington|||||||||||||||||||||||
|2||Russell Wheeler|||||||||||||||||||||||
|3||James Ferguson|||||||||||||||||||||||
|4||Charlotte McMillan|||||||||||||||||||||||
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||Names of the trustees for the||charity, if any(for example, any|||||custodian trustees)|||||||||||||||||
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**March 2012** 

**TAR** 

1 



**Reference and administration details (continued)** 

**Section A** 

Names and addresses of advisers (optional information) **Type of adviser Name Address** Name of chief executive or names of senior staff members (optional information) **Section B Structure, governance and management** Description of the charity’s trusts Type of governing document (eg trust deed, constitution Constitution, dated 16 Jan 2017 How the charity is constituted Charitable Incorporated Organisation – registered 28 May 2014 (eg trust, association, company) Trustee selection methods By existing trustees. Minimum of three, maximum of twelve trustees (eg appointed by, elected by) 

Additional governance issues (optional information 

|You**may choose**to include additional<br>information, where relevant, about:<br>• policies and procedures adopted for the<br>induction and training of trustees;<br>• the charity’s organisational structure and any<br>wider network with which the charity works;<br>• relationship with any related parties;<br>• trustees’ consideration of major risks and the<br>system and procedures to manage them.|The society is a full and active member of EURORDIS, a<br>non-governmental patient-driven alliance of patient<br>organisations representing 724 rare disease patient<br>organisations in 64 countries covering over 4000 diseases<br>(www.eurordis.org).  Through this membership the society<br>aims to be kept informed of policy changes and<br>developments throughout Europe which affect rare disease<br>patients and in conjunction with EURORDIS to influence<br>those policies wherever possible for the benefit of our<br>members and rare disease patients in general.<br>The society continues to hold discussions with other LHON<br>patient representatives from other countries in Europe, with a<br>view to establishing more formal links between us in order to<br>collaborate on research and understanding of the disease.<br>The society continues to participate in the European<br>Reference Network for rare eye diseases (“ERN-EYE”) a<br>European Union initiative which brings together leading<br>specialists from 28 different specialist ophthalmic centres<br>from 13 different member states in order to collaborate on<br>research and treatment of rare eye diseases.|
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**March 2012** 

**TAR** 

2 



**Objectives and activities** 

## **Section C** 

|Summary of the objects of the charity set<br>out in its governing document|1. To relieve the charitable needs of people affected by<br>LHON, their families and carers by the provision of support,<br>advocacy, advice and information<br>2. To carry out, or to provide funds to support, research in all<br>aspects of LHON: its causes, treatment and cure. To publish<br>the useful results of such research|
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|Summary of the main activities<br>undertaken for the public beneft in relation<br>to these objects (include within this section<br>the statutory declaration that trustees have<br>had regard to the guidance issued by the<br>Charity Commission on public beneft)|We are a self-help support group for families affected by<br>LHON across the British Isles. Through our membership we<br>aim to identify as many affected families as possible and<br>build a register of people willing to take part in medical<br>research. We provide up-to-date information on LHON and<br>current research topics.|
|Additional details of objectives and activities (optional information)||
|You**may choose**to include further<br>statements, where relevant, about:<br>• policy on grantmaking;<br>• policy programme related investment;<br>• contribution made by volunteers.||



|**Section C**<br>**Objectives and activities**<br>Summary of the objects of the charity set<br>out in its governing document<br>Summary of the main activities<br>undertaken for the public beneft in relation<br>to these objects (include within this section<br>the statutory declaration that trustees have<br>had regard to the guidance issued by the<br>Charity Commission on public beneft)<br>Additional details of objectives and activities (optional information)<br>1. To relieve the charitable needs of people affected by<br>LHON, their families and carers by the provision of support,<br>advocacy, advice and information<br>2. To carry out, or to provide funds to support, research in all<br>aspects of LHON: its causes, treatment and cure. To publish<br>the useful results of such research<br>We are a self-help support group for families affected by<br>LHON across the British Isles. Through our membership we<br>aim to identify as many affected families as possible and<br>build a register of people willing to take part in medical<br>research. We provide up-to-date information on LHON and<br>current research topics.|**Section C**<br>**Objectives and activities**<br>Summary of the objects of the charity set<br>out in its governing document<br>Summary of the main activities<br>undertaken for the public beneft in relation<br>to these objects (include within this section<br>the statutory declaration that trustees have<br>had regard to the guidance issued by the<br>Charity Commission on public beneft)<br>Additional details of objectives and activities (optional information)<br>1. To relieve the charitable needs of people affected by<br>LHON, their families and carers by the provision of support,<br>advocacy, advice and information<br>2. To carry out, or to provide funds to support, research in all<br>aspects of LHON: its causes, treatment and cure. To publish<br>the useful results of such research<br>We are a self-help support group for families affected by<br>LHON across the British Isles. Through our membership we<br>aim to identify as many affected families as possible and<br>build a register of people willing to take part in medical<br>research. We provide up-to-date information on LHON and<br>current research topics.|**Section C**<br>**Objectives and activities**<br>Summary of the objects of the charity set<br>out in its governing document<br>Summary of the main activities<br>undertaken for the public beneft in relation<br>to these objects (include within this section<br>the statutory declaration that trustees have<br>had regard to the guidance issued by the<br>Charity Commission on public beneft)<br>Additional details of objectives and activities (optional information)<br>1. To relieve the charitable needs of people affected by<br>LHON, their families and carers by the provision of support,<br>advocacy, advice and information<br>2. To carry out, or to provide funds to support, research in all<br>aspects of LHON: its causes, treatment and cure. To publish<br>the useful results of such research<br>We are a self-help support group for families affected by<br>LHON across the British Isles. Through our membership we<br>aim to identify as many affected families as possible and<br>build a register of people willing to take part in medical<br>research. We provide up-to-date information on LHON and<br>current research topics.|**Section C**<br>**Objectives and activities**<br>Summary of the objects of the charity set<br>out in its governing document<br>Summary of the main activities<br>undertaken for the public beneft in relation<br>to these objects (include within this section<br>the statutory declaration that trustees have<br>had regard to the guidance issued by the<br>Charity Commission on public beneft)<br>Additional details of objectives and activities (optional information)<br>1. To relieve the charitable needs of people affected by<br>LHON, their families and carers by the provision of support,<br>advocacy, advice and information<br>2. To carry out, or to provide funds to support, research in all<br>aspects of LHON: its causes, treatment and cure. To publish<br>the useful results of such research<br>We are a self-help support group for families affected by<br>LHON across the British Isles. Through our membership we<br>aim to identify as many affected families as possible and<br>build a register of people willing to take part in medical<br>research. We provide up-to-date information on LHON and<br>current research topics.|
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||Summary of the objects of the charity set<br>out in its governing document<br>Summary of the main activities<br>undertaken for the public beneft in relation<br>to these objects (include within this section<br>the statutory declaration that trustees have<br>had regard to the guidance issued by the<br>Charity Commission on public beneft)<br>Additional details of objectives and activities (optional information)<br>1. To relieve the charitable needs of people affected by<br>LHON, their families and carers by the provision of support,<br>advocacy, advice and information<br>2. To carry out, or to provide funds to support, research in all<br>aspects of LHON: its causes, treatment and cure. To publish<br>the useful results of such research<br>We are a self-help support group for families affected by<br>LHON across the British Isles. Through our membership we<br>aim to identify as many affected families as possible and<br>build a register of people willing to take part in medical<br>research. We provide up-to-date information on LHON and<br>current research topics.|1. To relieve the charitable needs of people affected by<br>LHON, their families and carers by the provision of support,<br>advocacy, advice and information<br>2. To carry out, or to provide funds to support, research in all<br>aspects of LHON: its causes, treatment and cure. To publish<br>the useful results of such research||
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|||We are a self-help support group for families affected by<br>LHON across the British Isles. Through our membership we<br>aim to identify as many affected families as possible and<br>build a register of people willing to take part in medical<br>research. We provide up-to-date information on LHON and<br>current research topics.||
|You**may choose**to include further<br>statements, where relevant, about:<br>• policy on grantmaking;<br>• policy programme related investment;<br>• contribution made by volunteers.|You**may choose**to include further<br>statements, where relevant, about:<br>• policy on grantmaking;<br>• policy programme related investment;<br>• contribution made by volunteers.|||
|**Section D**||**Achievements and performance**||
|Summary of the main achievements of the<br>charity during the year||The year from May 2020-21 took in the most difficult period of the pandemic and the<br>majority of the society’s plans and activities were curtailed during that time. We returned<br>to face to face meetings with a patient day held in Birmingham in October 2022, which<br>will be reported on in next year’s report.  However a substantial amount of time was<br>spent planning for this during the year under review and sponsorship monies for hosting<br>the event was received in the amount of £5,000 each from corporate sponsors Chiesi<br>and Gensight, for which we are very grateful. The purpose of our events is to inform our<br>membership of important developments in research and to help them to find ways of<br>supporting each other, especially those new members for whom this is a strange and<br>traumatic event in their lives.<br>This last year we were successful in bidding for a National Lottery grant to fund an<br>outreach programme to support our membership. The majority of the grant will fund a<br>series of events up and down the country so that those members who find it difficult to<br>attend an event held centrally have more opportunity for a local meeting.<br>Raxone is the only approved therapy for treatment of LHON and has been available in<br>Scotland since early 2017 and in Wales since early 2021 but has been rejected by NHS<br>England for reimbursement on prescription in England. The active ingredient, Idebenone,<br>is, however, readily available over the counter (“OTC”) in the USA and in several other<br>countries, leaving many patients in England to effectively “self-medicate” by purchasing<br>their own supplies of generic Idebenone. This leaves patients to the mercy of the<br>marketplace regarding both the cost and the purity of the treatment. The LHON Society<br>has raised this issue several times with the appropriate authorities and will continue to do<br>so until fairness is established.<br>It had been anticipated that by the time of writing this report there might have been a<br>decision by EMA on regulatory approval in Europe for Gensight's gene therapy treatment<br>(Lumevoq). However, due to manufacturing issues at the company’s main supplier, the<br>decision is not expected before early 2024. The LHON  society has been cooperating<br>with researchers in Cambridge under Dr Patrick Yu Wai Man in the refining of patient<br>reported outcome measures (“PROMs”) which might help in better evaluating the<br>effectiveness of this, or indeed any other treatment for the condition.<br>The society has also taken part in early “scoping exercises” by the UK health technology<br>assessment agency NICE to assist them in understanding the patient view and reaction<br>to the prospect of Lumevoq becoming available in the UK and in support of an eventual<br>determination by the NHS on reimbursement of this very expensive (but likely one-off)<br>cost of this advanced therapy.||



**March 2012** 

**TAR** 

3 




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Section E Financial review<br>Brief statement of the<br>charity’s policy on reserves Considering its relatively low levels of income and<br>expenditure (see below), the trustees do not require any<br>reserves to be held by the charity<br>Details of any funds materially in deficit<br>None<br>Further financial review details (optional information)<br>You  may choose  to include additional<br>information, where relevant, about: Financial Report as at 31/05/2022<br>• the charity’s principal sources of funds<br>(including any fundraising); Opening balance brought forward: £20223<br>• how expenditure has supported the key<br>Income during the year:<br>objectives of the charity;<br>£21448<br>• investment policy and objectives including<br>any ethical investment policy adopted. Expenditure:<br>£152<br>Closing balance: £41519<br>Section F Other optional information<br>Section G Declaration<br>The trustees declare that they have approved the trustees’ report above<br>Signed on behalf of the charity’s trustees<br>Signature(s)<br>Full name(s) Mark Leverington<br>Position (eg Secretary, Chair, etc) Secretary<br>Date D 2 1 D 0 M 3 M 2 Y 3 Y<br>**----- End of picture text -----**<br>


**March 2012** 

**TAR** 

4 




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Charity Name No (if any)<br>Leber's Hereditary Optic Neuropathy Society 1157206<br>Receipts and payments accounts CC16a<br>For the period  Period start date Period end date<br>To<br>from 01/06/2021 31/05/2022<br>Section A Receipts and payments<br>Unrestricted  Restricted  Endowment<br>Total funds Last year<br>funds funds funds<br> to the nearest<br>to the nearest £ to the nearest £ to the nearest £ to the nearest £<br>£<br>A1 Receipts<br>Exclusively from donations 3,448 -   -   3,448 1,108<br>Gensight Biologics - 5,000 -   5,000 -<br>Chiesi UK 5,000 -   -   5,000 -<br>National Lottery Community Fund - 8,000 -   8,000 -<br>- -   -   -   -<br>- -   -   -   -<br>- -   -   -   -<br>- -   -   -   -<br>Sub total (Gross income for  8,448 13,000 -   21,448 1,108<br>AR)<br>A2 Asset and investment sales,<br>(see table).<br>- - - -   -<br>- - - -   -<br>Sub total  - - - -   -<br>Total receipts 8,448 13,000 - 21,448 1,108<br>A3 Payments<br>- -   -   -   -<br>- -   -   -   -<br>Bank account fees 102 -   -   102 80<br>- -   -   -   -<br>- -   -   -   -<br>EURORDIS membership fee 50 -   -   50 43<br>- -   -   -   -<br>- -   -   -   -<br>- -   -   -   -<br>Sub total 152 -   -   152 123<br>A4 Asset and investment<br>purchases, (see table)<br>- - - -   -<br>- - - -   -<br>Sub total - - - -   -<br>Total payments 152 - - 152 123<br>Net of receipts/(payments) 8,296 13,000 -   21,296 985<br>A5 Transfers between funds - -   -   -   -<br>A6 Cash funds last year end  20,223 -   -   20,223 -<br>Cash funds this year end 28,519 13,000 -   41,519 985<br>**----- End of picture text -----**<br>


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|**Section B Statement of assets and liabilities at the end of**||||||**the period**||||
|**Categories**|**Details**||||**Unrestricted**<br>**funds**||**Restricted**<br>**funds**||**Endowment**<br>**funds**|
||||||**to nearest £**||**to nearest £**||**to nearest £**|
|**B1 Cash funds**|||||**-**<br>**--**||**-**<br>**--**||**-**<br>**--**|






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-   -   -<br>-   -   -<br>Total cash funds 28,519 13,000 -<br>(agree balances with receipts and payments<br>account(s)) OK OK OK<br>Unrestricted  Restricted  Endowment<br>funds  funds  funds<br>Details to nearest £ to nearest £ to nearest £<br>B2 Other monetary assets -   -   -<br>-   -   -<br>-   -   -<br>-   -   -<br>-   -   -<br>-   -   -<br>Fund to which  Current value<br>Cost (optional)<br>Details asset belongs (optional)<br>B3 Investment assets -   -<br>-   -<br>-   -<br>-   -<br>-   -<br>Fund to which  Current value<br>Cost (optional)<br>Details asset belongs (optional)<br>B4 Assets retained for the  -   -<br>charity’s own use -   -<br>-   -<br>-   -<br>-   -<br>-   -<br>-   -<br>-   -<br>-   -<br>Fund to which  Amount due  When due<br>Details liability relates (optional) (optional)<br>B5 Liabilities -<br>-<br>-<br>-<br>-<br>Signed by one or two trustees on  Date of<br>behalf of all the trustees Signature Print Name approval<br>Mark Leverington 21/03/23<br>**----- End of picture text -----**<br>


