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← Simien Mountains Mobile Medical Service - UK

2021-12-31-accounts

Trustees’ Annual Report for the period

From 1 January 2021 to 31 December 2021

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. Developing seven (7) health centres of
excellence with the necessary capabilities to
provide essential women’s healthcare.
7. 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;
8. Sponsoring “Doctors for the Simien Mountains”
to provide advice, training and assistance to
local healthcare authorities and facilities;
9. Sponsoring “Best Health Centre Maternity
Department” competitions to promote quality
standards and best practices among the 37
health centres in the North Gonder Zone;
10. 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 2021.

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 2021 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 6,956 patients,
including 132 deliveries, family planning for
829 women, screened 1,267 women for
breast cancer as well as health education for
15,610 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
8,419 patients, including family planning for
1,768 women and health education to 26,682
local residents;
3. SMMMS BSc midwives working in seven (7)
local health centres provided 5,970 antenatal
care visits, safely delivered 1,678 babies,
performed 1,889 postnatal care checks,
provided family planning for 7,319 women,
screened 174 women for cervical cancer and
6,656 women for breast cancer;
4. Our Emergency Medical Evacuation Teams
were called out 1,366 times to transport 531
expectant mothers for antenatal care visits,

346 for deliveries and 263 for their postnatal check, as well as for 226 emergencies! 5. Under our “Health Centre of Excellence” project with the North Gonder Zone we accomplished the following: a. Established a Women's Healthcare Coordinator (WHC) to serve as a focal point for actions to improve capabilities including training, mentoring and evaluation. b. Established a Health Centre Mentoring programme with the Debark Hospital and the Zone for reproductive, maternal, neonatal and child healthcare (RMNCH). c. Trained and certified our WHC and two BSc midwives to be Health Centres Mentors RMNCH. d. Certified 24 midwifes with University of Gondar to provide BEmONC services at our clinic and the health centres we support. e. Implemented the first “one-visit” cervical cancer screening and treatment at three health centres and requisitioned mobile thermocoagulation devises for treating pre-cancerous lesions at each facility. f. Trained 12 midwives from our clinic and the health centres we support on prevention of mother-to-child transmission of HIV/AIDs. 6. Provided medical staff to the Debark Hospital Casualty Treatment Centre to provide emergency medical care for military and civilian casualties from the conflict and support to the UNHCR Internally Displace Persons Centre in Kulch-Meda.

Additional information (optional) You may choose to include further statements where relevant about:

Achievements against
objectives set		 Para 1.41 Our achievements during 2021 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

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 2021 was
positive, with a balance of GBP 55,310 on hand
as of 31 December 2021
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 risks facing SMMMS-UK comes
from the continuation of the civil war between
Amhara and Tigray and the possible lack of
future funding required to sustain the programme
at planned levels.

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

Signature(s) Full name(s) Wendy Lovatt Brian Lovatt Position Chairperson Trustee Date 31 May 2022 31 May 2022

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-21 31-Dec-21

Section A Receipts and payments Section A Receipts and payments
A1 Receipts Unrestricte
d funds
to the nearest
£
77,372
-
-
-
-
-
-
-
77,372
-
-
-
77,372
36,280
2,064
3,247
246
-
-
-
-
-
41,838
-
-
-
41,838
35,535
-
6,310
41,845		 Restricted
funds
to the nearest
£
22,411
-
-
-
-
-
-
-
22,411
-
-
-
22,411
6,850
2,096
-
-
-
-
-
-
-
8,946
-
-
8,946
13,465
-
13,465		 Endowment
funds
to the nearest £		 Total funds
to the nearest
£
99,783
-
-
-
-
-
-
-
99,783
-
-
-
99,783
43,130
4,160
3,247
246
-
-
-
-
-
50,784
-
-
-
50,784
49,000		 Last year
to the nearest £
77,372 - 99,783 24,484
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
Sub total(Gross income for AR) 77,372 - 99,783 24,484
A2 Asset and investment sales, (see
table).
- - -
- - - -
Sub total - - - -
Total receipts
A3 Payments
- 99,783 24,484
Project Operatingcosts in Ethiopia 36,280 - 43,130 23,000
Medical TrainingCourse 7,450
Medical Equipment 2,064 - 4,160 3,238
Fund RaisingCampaign 3,247 - 3,247 5,000
Bank charges 246 - 246 165
- - - -
- - - -
- - - -
- - - -
- - - -
**Sub total ** 41,838 - 50,784 38,853
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
- 50,784 38,853
35,535 13,465 - 49,000 - 14,369
- - - - -
6,310 - 6,310 20,790
41,845 13,465 - 55,310 6,421

CCXX R1 accounts (SS)

18/02/2022

1

Section B Statement of assets and liabilities at the end of the period

Categories
Signed by one or two trustees on behalf of
all the trustees
B5 Liabilities
B3 Investment assets
B2 Other monetary assets
B4 Assets retained for the
charity’s own use
B1 Cash funds
Details
Details
Details
Total cash funds
(agree balances with receipts and
payments account(s))
Details
Medical equipment
Maternal waitinghouse
Details
Signature
Brian Lovatt
Digitally signed by Brian Lovatt
DN: cn=Brian Lovatt, o=Simien Mountains Mobile Medical Service, ou,
email=brianlovatt@simienmountainsmobilemedicalservice.org, c=US
Date: 2022.02.18 16:31:37 +01'00'		 Unrestricted
funds
Restricted
funds
to nearest £
to nearest £
41,845
-
-
1,280
-
12,185
41,845
13,465
OK
OK
Unrestricted
funds
Restricted
funds
to nearest £
to nearest £
-
-
-
-
-
-
-
-
-
-
-
-
Fund to which
asset belongs
Cost
(optional)
-
-
-
-
-
Fund to which
asset belongs
Cost
(optional)
-
-
-
-
-
-
-
-
-
Fund to which
liability relates
Amount due
(optional)
-
-
-
-
-
Print Name
Brian Lovatt		 Endowment
funds
to nearest £
-
-
-
-
OK
Endowment
funds
to nearest £
-
-
-
-
-
-
Current value
(optional)
-
-
-
-
-
Current value
(optional)
-
-
-
-
-
-
-
-
-
When due (optional)
Date of approval
Brian Lovatt
Digitally signed by Brian Lovatt
DN: cn=Brian Lovatt, o=Simien Mountains Mobile Medical Service, ou,
email=brianlovatt@simienmountainsmobilemedicalservice.org, c=US
Date: 2022.02.18 16:31:37 +01'00'		 Brian Lovatt 17-Feb-22

CCXX R2 accounts (SS)

18/02/2022

2

FORENGLAN DANDWALES
accounts
I ndependentExaminer'sReport
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charity("theTrust")forthe yearended
Responsibilitiesand As the charity's trustees, you are responsible for the preparationofthe
basis ofreport accountsinaccordance with the requirementsofthe CharitiesAct2011
("the Act").
Ireportinrespect ofmyexaminationofthe Trust's accounts carried out
under section145 ofthe2011Act andincarrying outmyexamination,I
havefollowedallthe applicable Directions givenbythe Charity Commission
under section145(5Xb) oftheAct.
lndependent
examiner'sstatement		 [-hecharity's gross income exceeded e250,000 andIamqualifiedto
undertake the examinationby being aqualified member of [insertnameof
applicable listed bodyll. Deletel)itnotapplicable.
Ihavecompletedmyexamination.Iconfirmthat no material mattershave
cometomy attentioninconnection with the examination(otherthan that
disclosedbelow*)which gives mecausetobelievethatin,anymaterial
respect:
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ofthe Charities Act; or
.the accounts didnotaccord with the accounting records; or
.the accounts did not comply with the applicable requirements
concerning the formandcontent of accounts set outinthe Charities
(Accounts and Reports) Regulations 2008otherthan any requirement
that the accounts give a 'trueandfair'viewwhich is notamatter
considered as partofan independentexamination.
Ihavenoconcerns andhavecome acrossnoother mattersinconnection
with the examinationtowhich attention shouldbedrawninthis reportin
order to enable aproperunderstandingofthe accountstobereached.
*Pleasedelete the wordsinthebrackets ifthey do notapply.
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