
**UK Registered Charity Number: 1165401** 

**Trustee’s Annual Report** 

## **And** 

## **Financial Statements** 

**For the Year Ended 4[th] April 2021** 



Contents 

2 

|Contents||
|---|---|
|Legal and administrative information|2|
|Trustee’s annual report|3|
|Charity Activities|4|
|Financial review|6|
|Statement of financial activities|7|
|Independent Examiners Report|8|



## Legal and Administrative Information 

Charity Number: 1165401 

Registered Address: Water End Farm Wrestlingworth Bedfordshire SG19 2HB 

Trustees: At the date of this report, current Trustees are: 

Appointed Dr Kathy Burgoine 22[nd] September 2012 Dr Adam Hewitt Smith 22[nd] September 2012 Mrs Sarah Burgoine 22[nd] September 2012 Dr Andrew Marshall 25[th] June 2016 Dr Emma McLaren 25[th] June 2016 Independent Examiner: Sarah Perkins Sarah Perkins Accountancy Services 4 Orchard Close Biggleswade SG18 0NE Bankers: HSBC Bank plc 12 Melbourn Street Royston SG8 7BT 



Trustee’s Annual Re ort p 

3 

## **Structure, Governance and Management** 

Born on the Edge is a charitable association registered in England and Wales by the charity commission with effect from 2[nd] February 2016. The charity is governed and administered in accordance with its constitution and mission statement. The constitution was adopted on 4[th] September 2015 and amended on 13[th] December 2015. 

The structure of the charity consists of the trustees, who are also the charity’s only members. The trustees manage the organisation of the charity and make all the major and strategic decisions about its organisation and operation. The trustees work for the charity on a voluntary basis. 

Trustee appointment and recruitment follows the requirements set out within the charity’s constitution. Trustee recruitment is a fair and open process that can be accessed by any individual aged 16 years and over (excluding employees) who has valuable skills, which will benefit the charity, and who subscribes to the purposes of the charity and wishes to see them fulfilled. The constitution requires that nominations for new trustees should come from an existing member and that appointment should follow a decision by the current trustees during a general meeting. 

## **Objectives and Activities** 

## **Charity’s Objects** 

The charity’s objects are: 

- For the public benefit to preserve and protect the health of newborn babies around the world, in particular but not exclusively by: 

- Assisting in the provision of sustainable medical equipment and facilities, providing training to health workers and empowering local families and medical staff to provide better care for newborn babies. 

## **Main Activities** 

In planning our activities for the year, the charity’s trustees kept in mind the guidance issued by the charity commission on public benefit during our trustee meetings. 

A summary of our main activities can be found on pages 4 - 5 of this report. 



Charitable Activities 


## **COVID-19** 

The 2020/21 financial year was a busy year for Born on the Edge, not least because all our work was conducted in the midst of the COVID-19 pandemic. We adopted even stricter infection control SOPs than usual, with mandatory mask wearing for everyone entering the neonatal unit in Mbale. We also supported installation of new handwashing facilities outside the ward and have been providing top ups of soap and hand sanitiser throughout the year. 


## **Celebrating a 5[th] birthday** 

In May 2020, 5 years had past since we opened the neonatal unit in Mbale. Since that time Born on the Edge, in partnership with The Ministry of Health and Mbale Hospital, have treated over 12,000 babies and saved the lives of almost 6000 babies! It continues to be an absolute honour and privilege to work alongside such an amazing team. Even in these challenging times, their dedication and passion to care for the mamas and their babies is inspirational! 


## **Staff Support** 

“Each one of us can make a difference. Together we make change.” - Barbara Mikulski 

At the heart of all our projects lie the passion, dedication and innovation of the the amazing people we work with. Our newborn clinicians work tirelessly everyday not only to provide day to day care to the smallest and sickest patients in eastern Uganda, but to teach and train each and every healthcare worker that spends time working in the neonatal unit. They deliver regular training newborn care training courses across eastern Uganda. They provide us with a continuous source of ideas and suggestions for projects and improvements. They love and care for their patients and their families as if they were their own. 

We love their passion for learning new skills be it performing brain scans, removing spinal fluid to diagnoses meningitis or complicated blood transfusions for life-threatening jaundice. And what we love more is watching them spontaneously share those skills with others. 



5 

Born on the Edge supports the salary of our two neonatal clinical officers and also supports two neonatal assistants whose roles include cleaning, health education, provision of basic physiotherapy services in our neonatal outpatient clinic and provision of an evening meal through our Nourish to Nurture programme. 

## **High Dependency Care** 

In July we were delighted to receive 4 brand new breathing machines (bubble CPAP) for our sickest babies and a brand new extra big oxygen concentrator to generate oxygen for those babies who need a little extra help. We are incredibly grateful to Safe Anaesthesia Worldwide - SAWW and Diamedica UK Ltd for this amazing gift of life. After 4-5 years of working 24/7 our current CPAP machines have been the hardest working members of the neonatal team, and have saved countless lives. But for a few months only 2 of our 6 had been functioning properly. We patched, adjusted and made do but were really struggling! Following the donation, we were able to return to 6 fully functional High-Dependency cots with bubble CPAP that are monitored continuously. 


## **Knitting** 

We are always grateful for the large numbers of generous donors throughout the world who support our project with knitted items to keep our babies warm. We are not always able thank every individual who has knitted for us but we are incredibly grateful to everyone and try to share photos of our babies keeping warm on social media when we are able. 

## **Fundraising** 

Our huge impact reducing the number of babies dying in eastern Uganda can be attributed to amazing teamwork, a novel and sustainable training model and the introduction of good quality and basic newborn care. As a product of our success, there can be as many as 60 babies on a ward we designed for 10. In our Mbale Mother Centred Model it is essential to have the mothers alongside their babies, but we now use the mother’s beds to accommodate babies, up to 8 at a time. All of this increases the spread of infection. Central to the concept of improving newborn care and reducing neonatal mortality is a centre of excellence with training capacity for the region. 

Staff attend the current neonatal unit for exposure and hands on training but the ward is too small to meet basic standards of education. Students are turned away on a daily basis because there is no space to move. So we have a plan to expand. A new fundraising campaign to support the building of our centre of excellence was started on our GlobalGiving platform in May 2020 and during the year saw almost £16,000 raised towards this cause. 



Financial Review 

6 

## **Policy on Reserves** 

The annual income and expenditure of the charity remains small and there are no direct running costs incurred on a regular basis. The charity currently has no reserves policy. This will be reviewed as and when the charity’s trustees deem necessary. Any surplus funds at the end of the financial year will be carried forward and spent in accordance with the charity’s objects and the donors’ wishes. 

## **Review of Accounts** 

Charitable income for the year totalled £31,684. The majority of this income came from individual donors via donations on our fundraising platforms including Virgin Money Giving and GlobalGiving with a few bank transfers directly into our charity account. Just over half (£15,889) was restricted funds for our centre of excellence, a quarter (£8,594) to support our newborn care trainers and the remainder unrestricted. 

Expenditure totalled £22,464. Of this, £15,727 was overseas expenditure and the remaining balance spent in the UK. The breakdown of overseas expenditure is illustrated in figure 1 below. At the end of the financial year, cash funds totalled £17,711 of which 78% was restricted to the planned centre of excellence. 

_Figure 1: Breakdown of overseas expenditure_ 


**----- Start of picture text -----**<br>
0.5%, Printing  3.3%, Training<br>and  13.5%,<br>Reproduction Consumables<br>0.1%, Travel<br>Expense 10.8%,<br>Infrastructure<br>3.2%, Medical<br>Equipment<br>68.5%, Salary<br>Support<br>**----- End of picture text -----**<br>


The trustees all provide their time on a voluntary basis. The chairman works full time on a voluntary basis on the operational activities of the charity. Essential living expenses incurred by the chairman during her voluntary work are part covered by the charity. Born on the Edge could not operate without the time and effort donated by its volunteers. 



Statement of Financial Activities 

7 

Our summary of accounts is attached on page 9. 

As the total income for the charity during the financial year 2020/21 was > £25,000, in accordance with guidance from the charity commission, an independent examination of accounts was conducted by Sarah Perkins Accountancy Services and is attached below. 

## **Financial Statement** 

The financial statements on page 9 were approved by the Trustees and signed on their behalf by: 


Date 31[st] May 2021 

Dr A Hewitt Smith Treasurer 

## **Declaration** 

The trustees are responsible for preparing the charity’s annual report and declare that they have approved the report above. 

Signed on behalf of the charity’s trustees 


Date 5[th] January 2021 

Dr A Hewitt Smith Trustee 



8 


## **������������������������������������� ���������** 

## **��������������������������������������������������������������������������** 

**������������������������** ����������������� **����������� �������������������������** �[��] �������������� **����������� ������� ����� �������� ���������������** �� ������������������������������������������������������������������������ ����������������������������������������������������� **���������������������** �������������������������������������������������������������������������� **����������������** ����������������������������������������������������������������������� �������������� 

�������������������������������������������������������������������������� ������������������������������������������������������������������������ ���������������������������������������������������������������������������� ������������������������������������ 

- **������������** �������������������������������������������������������������������������� 

- **��������������������** ����������������������������������������������������������������������� ������������������������������������������������ 

   - �������������������������������������������������������������������� �������������������������� 

   - ������������������������������������������������������������ 

   - ������������������������������������������������������������� ��������������������������������������������������������������������� ������������������������������������������������������������������� �������������������������������������������������������������������� �������������������������������������������������� 

����������������������������������������������������������������������� �������������������������������������������������������������������������� ���������������������������������������������������������������������� 

**����** 

**������� �����** ����������� **�����** ��������������������������������������� **���������������������� ������������������������� ��������� ��������** ���������������� ����������� �������������������� � **���������** 

**���������** 



9 

||**Born on the Edge**<br> <br>**Charity Name**|**Born on the Edge**<br> <br>**Charity Name**|**Born on the Edge**<br> <br>**Charity Name**|**1165401**<br>**No (if any)**|**CC16a**|
|---|---|---|---|---|---|
||**Receipts andpayments accounts**|||||
||**For the period**<br>**from**|05-Apr-20<br>Period start date|**To**|04-Apr-21<br>Period end date||
|||||||
|**Section A Receipts and payments**||||||
|**A1 Receipts**|**Unrestricted**<br>**funds**<br>**to the nearest      £**|**Restricted funds**<br>**to the nearest £**|**Endowment**<br>**funds**<br>**to the nearest £**|**Total funds**<br>**to the nearest £**|**Last year**<br>**to the nearest £**|
|<br>Donations(Unrestricted)|**7,201**|**-**<br>**15,889**<br>**8,594**|**-**|**7,201**|**17,997**|
|Donations(Centre of excellence)|**-**||**-**|**15,889**|**-**|
|Donations(Newborn trainers)|**-**||**-**|**8,594**|**-**|
|**_Sub total_**_(Gross income for AR)_|<br>**7,201**|**24,483**|**-**|**31,684**|**17,997**|
|**A2 Asset and investment sales, (see**<br>**table).**||**-**||||
||**-**||**-**|**-**|<br>**-**|
|**_Sub total_**|<br>**-**|**-**|**-**|**-**|<br>**-**|
|**_Total receipts_**<br>**A3 Payments**<br>Project Expenses - Overseas (Unrestricted)<br>Project Expenses - Overseas (Centre of excellenc<br>Project Expenses - Overseas (Newborn Trainers)<br>Project Expenses - UK<br>Project Expenses - Research<br>Fundraising Platform Fees<br>Running costs (Utilities & Bank Fees etc)<br>**_Sub total_**||||||
||**7,201**|**24,483**|**-**|**31,684**|**17,997**|
|||||||
||**5,128**|**1,990**<br>**8,594**<br>**-**<br>**-**<br>**-**<br>**-**|**-**|**5,128**|**15,447**|
||**-**|||**1,990**||
||**15**|||**8,609**||
||**6,067**||**-**|**6,067**|**9,803**|
||**-**||**-**|**-**|<br>**4,321**|
||**444**||**-**|**444**|**368**|
||**226**||**-**|**226**|**164**|
||**11,880**|**10,584**|**-**|**22,464**|**30,102**|
|||**-**||||
|**A4 Asset and investment purchases,**<br>**(see table)**||||||
||**-**||**-**|**-**|<br>**-**|
|**_Sub total_**|**-**|**-**|**-**|**-**|<br>**-**|
|**_Total payments_**<br>**_Net of receipts/(payments)_**<br>**A5 Transfers between funds**<br>**A6 Cash funds last year end**<br>**_Cash funds this year end_**||||||
||**11,880**|**10,584**|**-**|**22,464**|**30,102**|
|||||||
||**-             4,678.69**|**13,899**|**-**|<br>**9,220**|**-              12,105**|
||||**-**|**-**|<br>**-**|
||**8,491**||**-**|**8,491**|**20,596**|
||**3,812**|**13,898.59**|**-**|<br>**17,711**|**8,491**|



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


**----- Start of picture text -----**<br>
Unrestricted  Restricted funds  Endowment<br>Categories  Details   funds  funds<br>to nearest £ to nearest £ to nearest £<br>B1 Cash funds  UK HSBC charity account (unrestricted)                      3,812                           -                          -<br> UK HSBC charity account (restricted - centre of excellence)                          -                       13,899                         -<br> Total cash funds                      3,812                   13,899                         -<br>(agree balances with receipts and payments account(s)) OK OK OK<br>Unrestricted  Restricted funds  Endowment<br>funds  funds<br>Details to nearest £ to nearest £ to nearest £<br>B2 Other monetary assets  Nil                           -                             -                           -<br>Fund to which asset  Current value<br>Details belongs Cost (optional) (optional)<br>B3 Investment assets  Nil                           -                             -                           -<br>Fund to which asset  Current value<br>Details belongs Cost (optional) (optional)<br>B4 Assets retained for the charity’s   Laptop and Projector  Unrestricted                        642                         50<br>own use                          -                             -                           -<br>Fund to which  Amount due  When due<br>Details liability relates (optional) (optional)<br>B5 Liabilities  Nil                           -                             -                           -<br>Signed by one or two trustees on behalf of all the trustees  Signature Print Name Date of approval<br>A Hewitt Smith 31-May-21<br>1 22/01/2022<br>**----- End of picture text -----**<br>



**----- Start of picture text -----**<br>
CCXX R1 accounts (SS)<br>**----- End of picture text -----**<br>


