## **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
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