2023-12-31-accounts - Simien Mountains Mobile Medical Service - UK

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Trustees’ Annual Report for the period

From 1 January 2023 to 31 December 2023

Charity name: Simien Mountains Mobile Medical Service - UK Charity registration number: 1162302

Objectives and Activities	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. Providing Emergency Medical Evacuation Services from remote mountain communities to the SMMMS Clinic in Kiyet; 3. Providing mentoring on reproductive, maternal and neonatal healthcare (RMNH) to seven (7) government health centres and the SMMMS Clinic in Kiyet as well as specialised training and equipment to create health centres of excellence in women’s healthcare. 4. 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:	Additional information (optional) You may choose to include further statements where relevant about:	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 Para 1.38 volunteers

Due to the lack of security in the project, we had to suspend our sponsorship of volunteers to do field work in the project area under our “Doctors for the Simien Mountains” programme.

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	The following is a summary of our main activities and achievements. 1. Assessment of Women’s Healthcare Services. During the first quarter of 2023, we conducted a formal assessment of the level of women’s healthcare service available at the health centres damaged by the war. We used the results to develop a programme to further develop the capabilities of these facilities. 2. RMNH Mentoring for Health Centres Under the direction of the Debark General Hospital, we provided quarterly health centre- based mentoring on RMNH for the seven (7) government health centres we support, as well as our Clinic at Kiyet to sustain delivery of: midwifery professional services, BEmONC, comprehensive family planning services, screening and treatment for cervical cancer (CXCA), as well as screening and referral for breast cancers, obstetric fistula (OF) and pelvic organ prolapse (POP). 3. Cervical Cancer Prevention Campaigns During June 2023, we conducted a series of CXCA screening and treatment campaigns at selected health centres to develop the capabilities of medical staff at these facilities to provide these essential services. 4. Specialised Training and Certification. As part of our efforts to improve the availability of essential women's healthcare services in the NGZ, we organised and conducted specialised training courses and certification programmes to ensure that each of the healthcare facilities we support has sufficient qualified staff to perform as a centre of excellence for women's healthcare, including: • Palliative Care Service, 30 January – 3 February 2023, with the Hospice Ethiopia in Debark town for a total of 28 healthcare professionals from the NGZ. • BEmONC, 1 – 12 May 2023, with the University of Gonder (UofG), College of Medical and Health Sciences (CMHS) at the UofG, for 16 participants six (6) health centres and our Clinic.

	•	Comprehensive Abortion Care, 15– 26
		May 2023, with the UofG CMHS at the
		UofG, for 13 participants from seven (7)
		health centres and our Clinic.
	•	Comprehensive Family Planning, 12 – 23
		June 2023, at Debark University for 20
		participants from seven (7) health centres.
	•	Prevention of Mother – to – Child –
		Transmission (PMTCT), 3-14 July 2023,
		with the UofG CMHS at the UofG, for 20
		midwives from seven (7) health centres
		as well as our clinic.
	•	On-site Evaluation and Certification,
		during December 2023, to ensure course
		graduates retained the knowledge and
		skill required to deliver the respective
		services and to provide remedial training
		as required for certification.
5.	Provision of Specialised Equipment
	•	Non-pneumatic anti-shock garments
		(NASGs) - purchased in March 2023, and
		issued to three (3) health centres
		damaged by the war along with on-site
		training on the use of NASGs to prevent
		post-partum haemorrhaging (PPH).
	•	Basic Medical Equipment - purchased in
		June, including fetoscopes, stethoscopes
		and digital blood pressure kits and issued
		to the three (3) health centres damaged
		by the war.
6.	SMMMS Clinic Improvements
	Over the course of the year, we completed a
	number of construction projects and
	renovations improve the capabilities and
	operation of the clinic:
	•	Construction of maternal waiting home
		(MWH) 84 m2 (12m x 7m) and a new
		block for showers and toilets completed in
		July 2023, for a total cost of €34,793 (ETB
		1,308,093. It was fully furnished with
		beds, linens, chairs, cabinets and
		kitchenware. It became fully operational in
		October.
		It now provides accommodation for
		expectant mothers who can now arrive
		ahead of the delivery date for their final
		antenatal care checks and remain with
		their newborn for postnatal checks.
	•	Construction of an earth retaining wall
		along the uphill side of the clinic to protect
		it from erosion during the monsoon
		season.
	•	Replaced the Clinic Perimeter Fence
		using materials and labour provided by
		the local community.

		Repainted the Clinic interior and exterior
		walls.
7.	SMMMS Clinic Operations
	During the past year, our clinic provided
	medical and healthcare services, including
	24/7 emergency care and delivery services,
	to	6,392 patients, an 11% increase from the
	previous year. We also provide public health
	talks for 11,070 local residents. Services
	delivered of particular interest were:
	•	Maternal and Neonatal Care
		`o`1,021 antenatal care visits (ANC1–4);
		`o`710 expectant mothers attended
		mothers’ conferences;
		`o`163 safe deliveries at the clinic, with
		no maternal or neonatal deaths;
		`o`All new-born’s received post-natal
		care (PNC) checks within 6 - 24 and
		145 mothers returned for follow-up
		PNC checks at 6 days and 6 weeks.
	•	Family Planning
		`o`784 women received family planning
		services, including 642 for short
		acting (oral & injectable)
		contraceptives and 142 long acting
		(Implant & IUD).
	•	Screening Cervical and Breast Cancers
		`o`100 women screened for Cervical
		Cancer (CXCA) with 13 with testing
		positive all treated at the clinic using
		the new WiSAP thermocoagulation
		device;
		`o`959 women received clinical breast
		examinations.
	•	Medical Screening and Treatment
		`o`3,312 patients were screened for TB
		with 34 suspected cases identified
		and referred to Debark General
		Hospital;
		`o`1,805 women coming for ANC and
		family planning service were
		screened for HIV, anaemia and
		malnutrition.

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

Achievements against objectives set	Para 1.41	Our achievements during 2023 supported our overall objectives, in particular as regards improving access and utilisation of reproductive, maternal and neonatal healthcare services as well as prevention of cervical and breast cancers 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 2023 was positive, with a balance of GBP 18,851 on hand as of 31 December 2023
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 intentionally hold reserves as a matter of policy.
Amount of reserves held	Para 1.22	GBP 18,851
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 political instability following the civil war between Amhara and Tigray.

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 3 January 2023, 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 project agreement with the North Gonder Zone of the Amhara Region for “Improving Women’s Healthcare Services in the North Gondar Zone”. We operate in close cooperation with the Debark Regional Hospital, local health officers and the University of Gondar, College of Medicine and Health Sciences.

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)
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
	15 June 2024	15 June 2024

CHARITY COMMISSION | FOR ENGLAND AND WALES Indopendent examiner's report on the accounts Section A Independent Examlner's Report Report to the trustees Simien Mountains Mobile Medical SeNice - UK On accounts for the year ended 31 December 2023 Charity no (if any) 1162302 Set out on pages I report to the trustees on my examination of the accounts of the above charity { the Trust") for the year ended 3111212023 As the charity's trustees, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ("the Act"). Responsibilities and basis of report I report in respect of my examination of the Trust's accounts carried out under section 145 of the 2011 AGI and in carrying out my examination, I have followed all the applicable Directions given by the Charity Commission under section 145{5}{b) of the Act. Independent IThe charity's gross income exceeded £250,000 and l am qualified to examiner's statement undertake the examination by being a qualified member of linsert name of applicable listed bodyll. Delete I l if not applicable. I have completed my examination, I confirm that no material matters have come lo my allentinn in connection with the examination {other than that disclosed below ') which gives me Gause to believe that in, any material respect.. the aGcuuJiling records were not Kept in accordan with section 130 of the Charities Act., or the accounts did not accord with the accoLinting records., or the accounts did not comply with the applicable requirements concerning the form and content of accounts set out in the Charities {Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a 'true and fair, view which is not a matter considered as part of an independent examination. I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order lo enable a proper understanding of the accounts to be reached. Please deleto the words in the brackets if they do not apply. Date: Signed.. 811, Name: Duncan Hughes Relevant professional qualifi¢ationls) or body {if any): Chartered Accountant ICAEW NO.. 7574356 IER Oct 2018

Address: l Golden Court, Richmond, Surreyl TW9 IEU Section B DisGlosure Only complete If the examiner needs to highlight material matters of concern (see CC32, Independent examination of charity accounts.. directions and guidance for examiners). Give here brief details of any items that the examiner wishes to disclose. IER Oct 2018

Charity Name			No (if any)
Simien Mountains Mobile Medical Service-UK			1162302
Receipts and payments accounts				CC16a
For the period from	01-Jan-23 Period start	To	31-Dec-23 Period end

Section A Receipts and payments

A1 Receipts	Unrestricte d funds to the nearest £	Restricted funds to the nearest £	Endowment funds to the nearest £	Total funds to the nearest £	Last year to the nearest £
Donations	20,383 76 20,460	-	-	20,383 76 - - - - - - 20,460	45,607
Interest Income			-		48
			-		-
			-		-
			-		-
			-		-
			-		-
			-		-
*Sub total*(Gross income for AR)			-		45,655

A2 Asset and investment sales, (see table).	- - -
		- - -	-	- - -
			-		-
*Sub total*			-		-
**Total receipts **
	20,460	-	-	20,460	45,655

A3 Payments

A3 Payments
Project Operatingcosts in Ethiopia	37,600 135 37,735	-	-	37,600 135 - - - - 37,735	51,500
Bank charges			-		212
Fund RaisingCampaign			-		5,127
			-		-
			-		-
			-		-
			-		-
**Sub total **			-		56,839

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*
	37,735	-	-	37,735	56,839

	- 17,275	-	-	- 17,275	- 11,184
	- 36,127	-	-	-	-
			-	36,127	41,845
	18,851	-	-	18,851	30,661

CCXX R1 accounts (SS)

14/06/2024

Section B Statement of assets and liabilities	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 Signature Details	Unrestricted funds Restricted funds to nearest £ to nearest £ 18,851 - - - 18,851 - 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 £
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			-
			-
			-
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			-
			Current value (optional)
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			Date of approval
		Brian Lovatt	28-Mar-24

CCXX R2 accounts (SS)

14/06/2024