Trustees’ Annual Report for the period
From 1 January 2020 to 31 December 2020
Charity name: Simien Mountains Mobile Medical Service - UK Charity registration number: 1162302
Objectives and Activities
| SORP ref | ||
|---|---|---|
| Summary of the purposes of the charity as set out in its governing document |
Para 1.17 | To relieve sickness and preserve and protect the health of the people living in the Simien Mountains of Ethiopia, including the provision of treatment, referral and follow-up care for common diseases, illness and injuries with priority to professional maternal and natal care, as well as training and education in health, hygiene, sanitation and basic first aid. |
| Summary of the main activities in relation to those purposes for the public benefit, in particular, the activities, projects or services identified in the accounts. |
Para 1.17 and 1.19 |
SMMMS-UK conducts the following main activities: 1. Operating the SMMMS Clinic in Kiyet, Janamora to provide basic medical and healthcare services, including 24/7 emergency and delivery services as well as basic health education to more than 14.400 residents in local communities; 2. Deploying Mobile Medical Outreach Nurse Teams to conduct mobile clinics and provide diagnosis, treatment, referral and follow-up as well as basic health education for roughly 108,000 people living in 23 of the most underserved communities in the Zone; 3. Delivering Integrated Professional Midwifery Services to build capacity and improve the quality 24/7 reproductive, maternal and neonatal services in 7 government health centres serving a total population of 226,900, of whom 53,500 are women ages 15-49; 4. Deploying a Visiting School Nurse to provide primary healthcare and health education, including age-appropriate sexual and reproductive health, at 3 primary and 1 secondary schools in the mountains. 5. Providing Emergency Medical Evacuation Services from remote mountain communities in 4 catchment areas to local health centres; 6. Supporting the Debark Regional Hospital, which is the only general hospital for the Zone, with critical medical equipment and supplies, specialist training, and technical assistance; 7. Sponsoring “Doctors for the Simien Mountains” to provide advice, training and assistance to local healthcare authorities and facilities; |
| 8. Sponsoring “Best Health Centre Maternity Department” competitions to promote quality standards and best practices among the 37 health centres in the North Gonder Zone; 9. Providing monitoring and evaluation of the project with partners and stakeholders to ensure accomplishment of objectives. |
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|---|---|---|
| Statement confirming whether the trustees have had regard to the guidance issued by the Charity Commission on public benefit |
Para 1.18 | SMMMS-UK’s activities are exclusively for the public benefit of the people of the Simien Mountains of Ethiopia and are line with the guidance issued by the Charity Commission. There is no personal benefit to any of SMMMS- UK’s trustees. |
Additional information (optional) You may choose to include further statements where relevant about:
| SORP ref | ||
|---|---|---|
| Policy on grant making | Para 1.38 | SMMMS-UK does not make grants. |
| Policy on social investment including program related investment |
Para 1.38 | SMMMS-UK does not make social investments. |
| Contribution made by volunteers |
Para 1.38 | Due to the COVID-19 pandemic, we had to suspend our sponsorship of volunteers to do field work in the project area under our “Doctors for the Simien Mountains”programme in 2020. |
Achievements and Performance
| SORP ref | ||
|---|---|---|
| Summary of the main achievements of the charity, identifying the difference the charity’s work has made to the circumstances of its beneficiaries and any wider benefits to society as a whole. |
Para 1.20 | Our main achievements in 2020 have benefitted more than 349,300 people living in remote, inaccessible and underserved communities in the Simien Mountains as follows: 1. The SMMMS clinic in Janamora provided medical and health care to 8,502 patients, including 90 deliveries, family planning for 1,011 women, screened 91 women for cervical cancer as well as health education for 12,240 local residents 2. Our five (5) mobile community nurse teams provided general healthcare, including family planning, immunisations, and screening for malnutrition, HIV/AID, TB and malaria for over 15,440 patients, including family planning for 2,616 women and health education to more than 37,782 4 local residents; 3. SMMMS BSc midwives working in seven (7) local health centres provided 9,607 antenatal care visits, safely delivered 2,511 babies, performed 4,298 postnatal care checks, provided family planning for 12,790 women, screened 349 women for cervical cancer and 5,257 women for breast cancer; 4. We completed our clinical certification of the health centres we support to conduct cervical cancer screening and treatment of precancerous lesions. 5. We initiated a new project with the local health authorities to improve women’s |
healthcare at seven (7) health centres in the Simien Mountains, as well as our own clinic, and trained 24 SMMMS and government midwives at the University of Gonder to provide basic emergency obstetric and neonatal care (BEmONC).
Additional information (optional) You may choose to include further statements where relevant about:
| Achievements against objectives set |
Para 1.41 | Our achievements during 2020 supported our overall objectives, in particular as regards improving access and utilisation of reproductive, maternal, natal and child healthcare services in the project area. |
|---|---|---|
| Performance of fundraising activities against objectives set |
Para 1.41 | Fund raising and contributions from other cooperating partners proved sufficient to continue essential activities required to achieve our objectives. |
| Investment performance against objectives |
Para 1.41 | NA |
| Financial Review | ||
| Review of the charity’s financial position at the end of the period |
Para 1.21 | Our financial position at the end of 2020 was positive, with a balance of GBP 6,310 on hand as of 31 December 2020 |
| Statement explaining the policy for holding reserves stating why they are held |
Para 1.22 | Due to the nature of our activities we do not hold reserves. |
| Amount of reserves held | Para 1.22 | NA |
| Reasons for holding zero reserves |
Para 1.22 | NA |
| Details of fund materially in deficit |
Para 1.24 | NA |
| Explanation of any uncertainties about the charity continuing as a going concern |
Para 1.23 | None |
Additional information (optional) You may choose to include further statements where relevant about:
| The charity’s principal sources of funds (including any fundraising) |
Para 1.47 | SMMMS-UK relies entirely on charitable donations and grants from individuals, foundations and trusts. |
|---|---|---|
| Investment policy and objectives including any social investment policy adopted |
Para 1.46 | SMMMS-UK does not make social investments. |
| A description of the principal risks facing the charity |
Para 1.46 | The principal risk facing SMMMS-UK comes from the possible lack of future funding required to sustain the programme at planned levels. The only way to mitigate this is to limit expenditures to the highest priority activities. |
Structure, Governance and Management
| Description of charity’s trusts: | ||
|---|---|---|
| Type of governing document (trust deed, royal charter) |
Para 1.25 | Constitution |
| How is the charity constituted? (e.g unincorporated association, CIO) |
Para 1.25 | Association Model |
| Trustee selection methods including details of any constitutional provisions e.g. election to post or name of any person or body entitled to appoint one or more trustees |
Para 1.25 | Appointment |
Additional information (optional) You may choose to include further statements where relevant about:
| Policies and procedures adopted for the induction and training of trustees |
Para 1.51 |
|
|---|---|---|
| The charity’s organisational structure and any wider network with which the charity works |
Para 1.51 |
|
| Relationship with any related parties |
Para 1.51 |
On 19 October 2019, we renewed our registration with the Ethiopian Agency for Civil Societies as a foreign charity authorised to operates in Ethiopia and to implement a new four- year project agreement with the Federal Ministry of Health for "Expanding and Extending Medical Services in the Simien Mountains, signed on 22 January 2019. We operate in close cooperation with the North Gondar Zone Department of Health, the Debark Regional Hospital, local health officers and the University of Gondar, College of Medicine and Health Sciences. |
| Reference and Administrative details | Reference and Administrative details |
|---|---|
| Charity name | SIMIEN MOUNTAINS MOBILE MEDICAL SERVICE-UK |
| Other name the charity uses | SMMMS-UK |
| Registered charity number | 1162302 |
Charity’s principal address
Flat 29, Emerson Apartments Chadwell Lane London Postcode N8 7RF United Kingdom
Names of the charity trustees who manage the charity
| Trustee name | Office (if any) | Dates acted if not for whole year |
Name of person (or body) entitled to appoint trustee (if any) |
|
|---|---|---|---|---|
| 1 | Wendy Lovatt | Chairperson | ||
| 2 | Marcus Stevens | Vice President | ||
| 3 | Hugh Lovatt | Secretary/Treasurer | ||
| 4 | Brian Lovatt |
– Corporate trustees names of the directors at the date the report was approved Director name
Name of trustees holding title to property belonging to the charity
Trustee name Dates acted if not for whole year
Funds held as custodian trustees on behalf of others
Description of the assets held in this capacity Name and objects of the charity on whose behalf the assets are held and how this falls within the custodian charity’s objects Details of arrangements for safe custody and segregation of such assets from the charity’s own assets
Additional information (optional)
Names and addresses of advisers (Optional information)
| ames and addresses of advisers (Optional information) | ames and addresses of advisers (Optional information) | ames and addresses of advisers (Optional information) |
|---|---|---|
| Type of adviser Name Address |
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| Name of chief executive or names of senior staff members (Optional information) | ||
Exemptions from disclosure
Reason for non-disclosure of key personnel details
Other optional information
Declarations
The trustees declare that they have approved the trustees’ report above.
Signed on behalf of the charity’s trustees
| on behalf of | the charity’s trustees | |
|---|---|---|
| Signature(s) Full name(s) Position Date |
||
| Wendy Lovatt | Brian Lovatt | |
| Chairperson | Trustee | |
| 2 May2021 | 2 May2021 |
Charity Name No (if any) Simien Mountains Mobile Medical Service-UK 1162302 Receipts and payments accounts CC16a For the Period start Period end To period from 01-Jan-20 31-Dec-20
| Section A Receipts and payments | Section A Receipts and payments | |||||
|---|---|---|---|---|---|---|
| A1 Receipts | Unrestricte d funds to the nearest £ 14,059 - - - - - - - 14,059 - - - 14,059 23,000 263 5,000 165 - - - - - 28,428 - - - 28,428 - 14,370 - 20,680 6,310 |
Restricted funds to the nearest £ 10,425 - - - - - - - 10,425 - - - 10,425 7,450 2,975 - - - - - - - 10,425 - - 10,425 - - - |
Endowment funds to the nearest £ |
Total funds to the nearest £ 24,484 - - - - - - - 24,484 - - - 24,484 23,000 7,450 3,238 5,000 165 - - - - - 38,853 - - - 38,853 - 14,370 |
Last year to the nearest £ |
|
| 14,059 | - | 24,484 | 41,193 | |||
| - | - | - | - | |||
| - | - | - | - | |||
| - | - | - | - | |||
| - | - | - | - | |||
| - | - | - | - | |||
| - | - | - | - | |||
| - | - | - | - | |||
| Sub total(Gross income for AR) | 14,059 | - | 24,484 | 41,193 | ||
| A2 Asset and investment sales, (see table). |
||||||
| - | - | - | ||||
| - | - | - | - | |||
| Sub total | - | - | - | - | ||
| Total receipts A3 Payments |
||||||
| - | 24,484 | 41,193 | ||||
| Project Operatingcosts in Ethiopia | 23,000 | - | 23,000 | 38,000 | ||
| EmergencyMedical TrainingCourse | - | 7,450 | ||||
| HemoCue Blood Testers | 263 | - | 3,238 | - | ||
| Fund RaisingCampaign | 5,000 | - | 5,000 | 3,143 | ||
| Bank charges | 165 | - | 165 | 160 | ||
| - | - | - | - | |||
| - | - | - | - | |||
| - | - | - | - | |||
| - | - | - | - | |||
| - | - | - | - | |||
| **Sub total ** | 28,428 | - | 38,853 | 41,303 | ||
| A4 Asset and investment purchases, (see table) |
||||||
| - | - | - | ||||
| - | - | - | ||||
| **Sub total ** | - | - | - | - | ||
| Total payments Net of receipts/(payments) A5 Transfers between funds A6 Cash funds last year end Cash funds this year end |
||||||
| - | 38,853 | 41,303 | ||||
| - 14,370 | - | - |
- 14,370 | - 110 | ||
| - | - | - | - | - | ||
| 20,680 | - | 20,680 | 20,790 | |||
| 6,310 | - | - |
6,310 | 20,680 |
CCXX R1 accounts (SS)
1
08-04-2021
Section B Statement of assets and liabilities at the end of the period Unrestricted Restritted funds funds Endowment fun(fs to nearest£ ¢ategorie5 B1 Cash funds 1fl 6,310 UnrEs1rlcted Restrlcted Endowmènt funds funds funds to nearest £ Details FIt0 which Details Ft0 whtch Detrdrls B4 Assets retrined for the charitys ovm use Furvjtowhlch Amountdue duoloJHionai) r¥l•Le or1 etails B5 Liabilities by one Or1 tnJs18es on behalfof 811 the trust8es PrR)t Narne Date of approval 08-Apr-21 Brian Lovatt CCXX R2 accounts ISSI ¢04-2021
CHARITY COMMISSION FOR ENGLAND AND WALES Independent examinerfs report on the accounts Section A Independent Examiner's Report Report to the trusteesl m•mber8 of Simien Mountains Mobile Medical Servbce - UK On accounls lor the year ènded 2020 Charlty no {If any) 1162302 Set out on pages I report to the trustees on my examination of the accounts of the above charity {Ih8 Trust.) for the year ended Responslbllllles and As the charity trustees of the Trust, you are responsible for the preparation basls of roport of the ac¢ount$ in accordance wrth the requirements of the Charities Act 2011 ('the Acr). I report in respect of My examination of the Trust'8 accounts carried out under sedion 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{51(bl of the Act. I have completed my examination. I confim that no material mattefs have come to my attention (other than that di8dosed telow") in connection WFth the examination vthich give8 me cause to beIve that in, any material respe¢t.' accounting records were not kept in accordance with section 130 of the Act or the accounts do not accord with the accounting records Indendent oxamlner's 8tatsment I have no concems and have Come a¢ro8s no other matters in connection with the examination to which attention should be drawn in order to enable proper understanding of the accounts to be reached. . Please delete the Iwrds in the brackets rfthey do not apply. Slgn•d: D•l•: Il<r Namo: Duncan Hughes R•l•v•nt proles•lonal quallflcallonls) or body Ilf any): Chartered Accountsnt ACA No. 7574356 Addros8: The Hughes Consuttancy 1 Golden Court Richmond, Surrey. TVKa 1 EU IER October 2018
Section B Disclosure Only complete If the examiner needs to high1h1 matters of concern (see CC32, IrKlependent examination of Gharity accounts.. directions and guidance for examiners). Glve hore brief detail• of any ltsms that th8 examiner wishes to disclose. IER October 2018