## **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.| |---|---|---| |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**||| |||| |||| |**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 FI￿t0 which Details F￿￿t0 whtch Detrdrls B4 Assets retrined for the charitys ovm use Furvjtowhlch Amountdue duoloJHionai) r¥l•Le or￿1 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 beI￿ve 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 Inde￿ndent 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