UK Registered Charity Number: 1165401
Trustee’s Annual Report
And
Financial Statements
For the Year Ended
4[th] April 2023
Contents
2
Legal and administrative information Trustee’s annual report Charity Activities Financial review Statement of financial activities Independent Examiners Report
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 Station Place Letchworth Hertfordshire SG6 3AJ
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
During our trustee meetings, in planning our activities for the year, the charity’s trustees kept in mind the guidance issued by the charity commission on public benefit.
A summary of our main activities can be found on pages 4 - 5 of this report.
4
Charitable Activities
Eastern Uganda’s first breastfeeding specialist
We are over the moon to welcome Gorret, an expert mama, to our team to train her as a breastfeeding specialist. All part of our long-term plan to establish human donor breastmilk at Mbale RRH and driven by her personal experience & passion to make a difference, Gorret is already busy supporting mamas who are experiencing life with a preterm. During March 2023 Gorret started her formal qualification and our hospital carpenter and his team started renovation works to create a breastmilk donation area within the neonatal unit. We also spent the year preparing protocols, guidelines and procuring essential equipment to allow us to operationalise the first human donor breastmilk bank in a government hospital in Uganda later in 2023.
Nourish to Nurture
In our setting, where there are limited alternatives to breastmilk, we try our hardest to support every mother to establish successful breastfeeding and give their newborn babies the best start in life. Many of our mothers cannot afford to eat three meals a day, and for anyone who has ever breastfed a child, you will know how ravenous you can become. Our Nourish to Nurture programme supports mamas in need by providing an extra nutritious meal each day. Without the extra meal, many of our mothers go hungry, are unable to express breast milk and some even decide to runaway home with their sick baby. Born on the Edge supports Ruth, pictured here, to cook rice, vegetables and beans for up to 40 mamas each day.
Staff Support
Our day-to-day support for newborn care in the eastern region of Uganda often goes unnoticed but plays a huge part in the overseas spending of the charity. Providing salary support for our newborn care trainers not only provides daily learning opportunities for staff and students working on the ward but touches the lives of thousands of babies each year. At least one of our newborn trainers is on the ward every day of the week providing hands on mentoring. During the year we have treated over 3200 babies and saved over 1180 lives. During 2022/23 we also supported one of our key neonatal nurses who sadly lost her funding for her job. A key member of the team, Born on the Edge provided short term salary support to avoid shortages on the ward.
5
Early Intervention Programme
Many developmental disabilities, such as cerebral palsy originate from difficulties in the newborn period. Prematurity, infections and difficulty establishing breathing at birth can all lead to long term disabilities. Our early intervention programme begins right away in the neonatal unit with developmentally appropriate care and neonatal physiotherapy. We then follow our high-risk infants up in our weekly clinic, giving them early advice and support and physiotherapy. Those babies are then invited for a development assessment clinic at 6 months. Born on the Edge has continued supporting our amazing and dedicated Early Intervention Programme Nurse, Naume following the end of the formal THET funded Baby Ubuntu project.
Newborn Care Training Courses
Sadly, in Uganda, the number of babies dying in the first month after birth remains one of the highest in the world. Our Newborn Care Training Course began in 2014 and over the years has grown and developed into a 15-module course covering all the key elements of caring for sick and small newborns. It is now peer-reviewed and endorsed by the Neonatal Nurses Association in the UK. The first part of this year we ran a “train the trainers” course and now have 5 local neonatal staff who are trained and able to deliver the course. These new trainers ran 5 courses across eastern Uganda during the year including two courses in Mbale itself.
Medical Equipment Maintenance
As soon as we start using a piece of medical equipment, its lifetime clock starts ticking. All of our clinical team are trained to use and clean the machines correctly, but the heat, dust and continuous use give all our equipment a hard time. Our amazing CPAP (breathing) machines run 24/7, 365 days a year, saving life after life. In fact, they work harder than anyone else on the team! But just like the best of us, they need a little tender, loving care to keep them running at their best. Born on the Edge supports Herbert, our technician as and when he is needed, often out of hours and in an emergency. He is always available when a key piece of equipment needs an expert eye to get it back up and running and spends hours cleaning, maintaining, and checking our equipment is performing at its best.
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 except annual website hosting fees. 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 £42,671 of which £23,802 were restricted funds. Restricted funds included grant funding from the Tropical Health Education Trust (THET) through collaborators at the London School of Hygiene & Tropical Medicine (£10,894) and funds raised through GlobalGiving that are restricted to their individual projects (centre of excellence, £4,863) and newborn trainers, £8,045). Other grants were received from UK based grant making organisations including from the Kitchen Tables Charities Trust. The majority of individual donations were processed through our GlobalGiving page with TotalGiving providing the second biggest fundraising platform for the charity. Charity Commission guidance states that overseas income should be recorded from the country of the platform that disperses the funds and not from an individual donor’s country of residence and so this year all individual donations through GlobalGiving are listed as income from the USA despite the varied countries of residence of donors. UK income = £27,959, overseas income = £14,712 (USA: £12945 donations, £1767 grants). Major sources of income are listed in figure 1.
Charitable expenditure totalled £42,715. Of this £20,898 was from restricted funds and the majority (£40,398) was spent overseas (See figure 2). £9,668 of grant money from THET was spent in the FY 2022/23. The largest charitable activity includes providing salary support for our newborn care training team in Uganda (52%), including our charity chairman who works as a full-time volunteer but received a small monthly stipend (£500) to cover living expenses. As the charities unrestricted income dropped during the financial year, this support was stopped at the end of December 2022. 3% of income was spent on fundraising costs. The majority of this is fees that are deducted at source by our fundraising platform GlobalGiving.
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. Born on the Edge could not operate without the time and effort donated by its volunteers.
Our summary of accounts is attached on page 11.
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 on pages 9-11.
7
Figure 1: Income Sources FY 2022/23
----- Start of picture text -----
Donations - Facebook,
Donations - Amazon,
Donations - Gift Aid,
£1,209.78 , 3%
Fundraising Donations -
Platform Fees,
GlobalGiving
£1,182.43 , 3%
(Centre of
Excellence),
£4,863.14 , 11%
Donations -
GlobalGiving
(Newborn
Trainers),
£8,045.48 , 19%
Grants (Non-
government), Donations -
£20,393.55 , 48%
GlobalGiving
(Unrestricted),
£36.66 , 0%
Donations - Paypal, Donations -
£4,185.07 , 10% Individual,
£1,438.45 , 3%
----- End of picture text -----
Figure 2: Expenditure by Category FY2022/23
----- Start of picture text -----
Fundraising Costs,
Charitable Activities - UK,
£1,182.43 , 3%
£787.18 , 2%
Bank Fees and
Charges, £347.43 , 1%
Charitable Activities -
Overseas - (Breastmilk
Bank), £779.30 , 2%
Charitable
Activities -
Charitable Overseas (Baby
Activities - Ubuntu),
Overseas £9,667.96 , 22%
(Unrestricted),
£5,893.73 , 14%
Charitable Activities -
Overseas (Centre of
Excellence),
Charitable Activities -
£2,557.26 , 6%
Overseas (Newborn
Trainers), £21,499.34 ,
----- End of picture text -----
Statement of Financial Activities
8
Financial Statement
The financial statements on page 11 were approved by the Trustees and signed on their behalf by:
Date 27[th] May 2023
Dr A Hewitt Smith Trustee & 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 27[th] January 2023
Dr Kathy Burgoine Trustee & Chairperson
9
Independent examiner's report on the accounts
Section A
Independent Examiner’s Report
Report to the trustees/ Born On The Edge members of On accounts for the year 5[th] April 2023 Charity no 1165401 ended (if any) Set out on page 3 I report to the trustees on my examination of the accounts of the above charity (“the Trust”) for the year ended 05/04/2023. Responsibilities and As the charity's trustees, you are responsible for the preparation of the basis of report accounts in accordance with the requirements of the Charities Act 2011 (“the Act”). I report in respect of my examination of the Trust’s accounts carried out under section 145 of the 2011 Act 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 I have completed my examination. I confirm that no material matters have examiner's statement come to my attention in connection with the examination which gives me cause to believe that in, any material respect: the accounting records were not kept in accordance with section 130 of the Charities Act; or the accounts did not accord with the accounting 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 to enable a proper understanding of the accounts to be reached.
IER
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Signed: Date: 07/01/2024
Name: Sarah Perkins Accountancy Services Ltd
Relevant professional
qualification(s) or body
(if any):
Address: 4 Orchard Close
Biggleswade
Beds SG18 0NE
1 Oct 2018
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10
Section B Disclosure
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 .
2
Oct 2018
IER
11
Charity Name No (if any) Born on the Edge 1165401 Receipts and payments accounts CC16a For the period Period start date Period end date To from 05-Apr-22 04-Apr-23
Section A Receipts and payments
| A1 Receipts | Unrestricted 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 (Unrestricted) |
9,369 - - 9,500 |
- | - | 9,369 | 18,736 |
| Donations (Centre ofexcellence) | 4,863 | - | 4,863 | 6,379 | |
| Donations (Newborntrainers) | 8,045 | - | 8,045 | 5,744 | |
| Grants | 10,894 | - | 20,394 | 12,062 | |
| Sub total(Gross income for AR) | 18,869 - - 18,869 6,673 - ) 13,454 - 187 1,182 320 21,816 - - 21,816 - 2,947 -602 7,513 3,963 |
23,802 | - | 42,671 | 42,921 |
| A2 Asset and investment sales, (see table). | |||||
| - | - | - | - |
||
| Sub total | - | - | - | - |
|
| Total receipts A3 Payments Charitable Activities - Overseas (Unrestricted) Charitable Activities - Overseas (Centre of excellen Charitable Activities - Overseas (Newborn Trainers Charitable Activities - Overseas (Early Intervention Programme) Charitable Activities - UK Fundraising Platform Fees Running costs (Bank Fees etc) Sub total |
|||||
| 23,802 | - | 42,671 | 42,921 | ||
| - | - | 6,673 | 2,922 | ||
| **2,557 ** | - | **2,557 ** | - | ||
| 8,045 | - | 21,499 | 15,956 | ||
| 9,668 | - | 9,668 | 10,157 | ||
| 600 | - | 787 | 1,591 | ||
| - | - | 1,182 | 1,540 | ||
| 28 | - | 347 | 241 | ||
| 20,898 | - | 42,715 | 32,407 | ||
| 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 |
|||||
| 20,898 | - | 42,715 | 32,407 | ||
| 2,904 | - | - 43 |
10,514 | ||
| **602 ** | - | - | - |
||
| 20,712 | - | 28,225 | 17,711 | ||
| 24,218 | - | 28,181 |
28,225 |
Section B Statement of assets and liabilities at the end of the period
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Unrestricted Restricted funds Endowment
Categories Details funds funds
to nearest £ to nearest £ to nearest £
B1 Cash funds UK HSBC charity account 3,963 24,218 -
Total cash funds 3,963 24,218 -
(agree balances with receipts and payments account(s)) OK OK OK
Unrestricted Restricted funds Endowment
funds funds
Details to nearest £ to nearest £ to nearest £
B2 Other monetary assets Nil - - -
Fund to which asset Current value
Details belongs Cost (optional) (optional)
B3 Investment assets Nil - - -
Fund to which asset Current value
Details belongs Cost (optional) (optional)
B4 Assets retained for the charity’s own Macbook Air Laptop - 800
use - - -
Fund to which Amount due When due
Details liability relates (optional) (optional)
B5 Liabilities Nil - - -
Signed by one or two trustees on behalf of all the
trustees Signature Print Name Date of approval
A Hewitt Smith 27-May-23
1 29/05/2023
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CCXX R1 accounts (SS)