
## UK 

## **Trustees’ Report and Financial Statements 2022** 

Registered Charity Number 1166545 Company Limited by Guarantee Registered Number 09312117 (England & Wales) 



World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Contents page 

|**_Contents page_**|**_2_**|
|---|---|
|**_Reference and Administrative details_**|**_3_**|
|**_Structure, governance and management_**|**_4_**|
|**_Trustees’ Report and Activity Review_**|**_5-9_**|
|**_Statement of Financial Statements_**|**_10_**|
|**_Balance Sheet_**|**_11_**|
|**_Accounting Policies_**|**_12 - 14_**|
|**_Notes to the Financial Statement_**|**_15 - 21_**|



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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Reference and Administrative details 

## **Registered charity number** 1166545 **Company Limited by Guarantee Registered Number** 09312117 

## **Registered Office** 

57 Queen Anne Street London W1G 9JR 

## **Bankers** 

National Westminster Bank Plc Cavell House, 2a Charing Cross Road London WC2H 0PD 

## **Independent Examiner** 

Chaweevan Williams FCCA Verdant Accountant Limited 20-22 Wenlock Road, London, N1 7GU 

## **Trustees** 

Dr Wayne Morriss, Chair Dr Andrew Hartle, Treasurer Dr Kathleen Ferguson (from 15 Oct 2022) Professor Adrian Gelb Dr Berend Mets (to 12 Oct 2022) Dr Jolene Moore Dr Emma Lillie 

## **Company Secretary** 

Paul Wyatt Julian Gore-Booth (to 10 Jun 2022) Kristine Stave (from 10 Jun 2022) 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Structure, governance and management 

The charity is a company limited by guarantee (registered in England and Wales number 09312117) and has no share capital. The liability of each member in the event of winding up is limited to £1. Its registered address is 57 Queen Anne Street, London, W1G 9JR. 

As per its Articles of Association, the World Federation of Societies of Anaesthesiologists (UK) (WFSA (UK)) is governed by a Board of Directors who are also Trustees as per the Charities Act 2011. Day-today management is provided by the Company Secretary. 

At the end of the period, four of the six directors were based in the UK with the other Trustees holding positions on the World Federation of Societies of Anaesthesiologists (WFSA) as per the Articles of Association Clause 27, 3-5: 

- 27-(3) At least one director must be a UK resident. 

- 27-(4) Three directors would usually be serving members of the Board of the WFSA and the President of the WFSA would usually also serve as the President of the WFSA (UK). 

- 27-(5) Subject to the members’ discretion, at least one director shall be a non-anaesthetist. 

## Induction and Training 

All new Trustees are briefed by the Secretary and receive information about the structure, governance and activities of the WFSA (UK). All Trustees receive a copy of the Articles of Association, alongside a briefing document about their responsibilities as Trustees and useful links to the Charity Commission website. Trustees also receive documentation and contextual briefing on the global crisis in anaesthesia and surgery. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Trustees’ Report and Activity Review 

## Objectives and activities 

The object of the WFSA (UK) as set out in the Articles of Association, is: 

To preserve and protect the health of patients through ensuring they receive and have access to safe anaesthesia worldwide by educating and training anaesthesia providers, disseminating international standards and supporting innovation and research in anaesthesiology for the benefit of the public. 

## Public benefit 

The WFSA (UK) provides public benefit by educating and training anaesthesia providers, disseminating international standards and supporting innovation and research in anaesthesiology. The Trustees confirm they have complied with the guidance contained in the Charity Commission’s general guidance on public benefit in section 4 of the Charities Act 2011 when reviewing the Charity’s aims and objectives. 

## Who we are 

The WFSA (UK) is led by a team of volunteer anaesthesiologists together with other volunteers who share a mission to improve access to safe anaesthesia and to ensure that its provision is as safe as possible. We exist to further and support the global activities of the World Federation of Societies of Anaesthesiologists (WFSA) and to bring UK expertise, volunteers and financial resources to bear on the global crisis of unsafe anaesthesia and surgery. 

## Achievements and performance 

The WFSA (UK) seeks to support the WFSA in its work to address the fact that five billion people (of a global population of just over seven billion) do not have access to safe, affordable anaesthesia and surgery. Our work continued to be somewhat restricted during the financial year ending 31 December 2022 due to the global coronavirus pandemic, and the intermittent restrictions on international travel. However, the charity still supported several key projects. 

## **Collaboration with THET** 

We worked with the UK charity THET to pilot a new training package around obstetric care in Somaliland. The WFSA worked with the Royal College of Obstetricians and Gynaecologists to develop a “Master Trainers” course which was delivered virtually to a multidisciplinary cohort of clinicians involved in obstetric care in Somaliland. We also delivered a Safe Anaesthesia from Education (SAFE) – Online Obstetrics course to colleagues in Myanmar who due to the emergency in that country are unable to access face-to-face training. 

## **Fund a Colleague’s Education** 

During 2022 we continued to operate three Fellowships: Paediatric Anaesthesia in Nairobi and Bangkok, and Pain Management in Bangkok. This year we were able to support the training of 4 Fellows across these programmes. 

## **Liberia Anaesthesia Capacity Development** 

The WFSA workforce survey showed that across Africa only five countries had a Physician Anaesthesia Provider density greater than 1 per 100,000 population. The minimum recommended number is 4 per 100,000 population. The problem is particularly acute in Liberia which has a population of over 5 million but has never had a Physician Anaesthesia Provider of Liberian origin working in the country. Instead, provision of anaesthesia has been wholly reliant on the efforts of approximately 70 anaesthetic nurses. We know that physician anaesthesia providers play a key role in developing the 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

knowledge and skills of non-physician providers and provide crucial support for particularly difficult cases, and the Charity is therefore working to support the creation of a cadre of Liberian Physician Anaesthesia Providers. This work has been ongoing since 2018 and aims to support Liberian physicians to complete the West African College of Surgeons (WACS) Diploma in Anaesthesia through training in Nigeria. During 2022 we welcomed a new trainee to the programme who is currently working towards his WACS Diploma in anaesthesia qualification. Two previous years’ graduates are currently working in Liberia, while a third graduate is pursuing a higher-level anaesthesiology qualification with WACS. 

## **Innovation Awards** 

Following successful delivery of the WFSA-Fresenius Kabi Innovation Awards at the 2021 virtual World Congress of Anaesthesiologists, during 2022 we secured funding for a further round of the Award. For the current round, which is to be awarded in early 2023, we prioritised applications within the categories of a) Environmental / Eco-friendly anaesthesia – Innovations that promote the WFSA Consensus principles of environmentally sustainable anaesthesia; b) Safer Medication Management – Innovations that improve the efficiency and safety of medication management, and c) Clinical Nutrition in the perioperative setting – Innovations that focus on promoting and ensuring optimal nutrition to improve safety and outcomes for surgical & critically ill patients. We received a total of 25 applications within these three categories and worked with a global judging panel to select the winners who will be celebrated at the 2024 World Congress of Anaesthesiologists taking place in Singapore. 

## Trustees’ Report and Strategic Review (continued) 

## Plans for 2023 

We will continue our collaboration with the WFSA for the benefit of patients worldwide through our global anaesthesia capacity-building and strengthening projects. This will include work on the Liberia Anaesthesia Development Programme which we hope to expand to enable more physicians to train and complete the Diploma in Anaesthesia certification and from there pursue more advanced qualifications. We are also considering the expansion of the programme to other countries where there is a lack of Physician Anaesthesia Providers. 

During 2023 we will continue to work closely with the WFSA and other partners on the funding and delivery of SAFE training courses worldwide, as well as on revitalising the delivery of Fellowship programmes now the global COVID pandemic has receded. This may include work in Palestine in collaboration with the Palestinian Society of Anaesthesia and another UK charity. 

We also expect to work with the WFSA to develop a new training on Patient Blood Management, taking a patient-centred, systematic and evidence-based approach to improve outcomes by managing and preserving the patient’s own blood, while promoting patient safety and empowerment. 

## Financial review 

The WFSA (UK) generated income of £105,509 (2021: £95,330) over the course of the year. Total expenditure was £97,215 (2021: £73,566). The total reserves at the end of the year were £56,170 (2021: £46,800) of which £51,940 (2021: £37,955) was restricted. 

The Charity supported these projects by making contributions to its partner organisation, the World Federation of Societies of Anaesthesiologists (WFSA), a non-profit organisation registered in the US (registration number EIN 13-3211128) with the same objects. A collaboration agreement is in place between the partners, and WFSA staff and Trustees are aware of their liabilities and responsibilities in delivering the projects as specified by WFSA (UK) Trustees and grant funders. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Our approach to risk 

The Board of WFSA (UK) reviews the organisation’s risk register at least annually. Each risk is analysed in terms of likelihood and impact; and mitigatory steps included to manage this. 

## Reserves policy 

The Trustees recognise that the level of unrestricted reserves of the charity is low but point out that the charity has virtually zero running costs and is supported entirely by volunteers. Its partner organisation, WFSA, has agreed to support the charity to ensure it remains a going concern. The Charity aims to maintain £12,320 in reserves, sufficient for the winding-up of the organisation and three months’ operational costs. 

## Going concern 

The Trustees have ensured that the WFSA (UK) is a going concern thanks to a commitment from our partner organisation, the WFSA, for ongoing support of the Charity’s operations. Whilst the pandemic continued to curtail activities during 2022, funding proposals were submitted to Masimo (Palestine), Fresenius Kabi (Innovation Awards), Vifor (Patient Blood Management). 

The WFSA (UK) is an independent charity allied to the WFSA, and some resources are shared between the two organisations, notably staff and office space. While the impact of the COVID pandemic has continued to be felt during 2022 in terms of income, the running costs of WFSA (UK) are minimal and therefore the financial risk to the organisation continues to be low. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Trustees’ Report and Strategic Review (continued) 

## Statement of Trustees’ responsibilities 

The Trustees (who are also Directors of WFSA (UK)) for the purpose of company law) are responsible for preparing the Trustees’ Annual Report and the financial statements in accordance with applicable law and United Kingdom accounting standards (UK Generally Accepted Accounting Practice). 

Company law required Trustees to prepare financial statements for each financial year, which give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure of the charitable company for that period. In preparing these financial statements, the Trustees are required to: 

- Select suitable accounting policies and apply them consistently. 

- Observe the methods and principles in the Charity Statement of Recommend Practice (SORP) 

- Make judgments and accounting estimates that are reasonable and prudent. 

- State whether applicable UK Accounting Standards have been followed subject to any material departures disclosed and explained in the financial statements and 

- Prepare the financial statement on the going concern basis unless it is inappropriate to presume that the charitable company will continue in business. 

The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and direction of fraud and other irregularities. 

## Small Company Provisions 

This report has been prepared in accordance with the special provisions for small companies under Part 15 of the Companies Act 2006. 

## Independent examiner 

Chaweevan Williams FCCA of Verdant Accountants Ltd was appointed as WFSA (UK) independent examiner during the year. 

The Trustees’ report was approved by the Trustees on 28 July 2023 and signed on their behalf by 

Dr Andrew Hartle 


## Treasurer 

DATE:  28 July 2023 

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Worfd Federation of Societies of Anaesthesiologists IUKI
Annual Report and Financial Statements
Year ended 31 December 2022
Independent Examiner's Report to the Trustees of World Federation
of Societies of Anaesthesiologists (UK)
I report on the accounts of the company for the year ended 31 December 2022 which are Set out on
pages Ioto 21.
Responsibilities ?nd basls of report
As the charity trustees of the company land its directors for the purposes of company lawl you are
responsible for the preparation of the accounts In occordance with the requirements of the
Companies Act 20061'the 2006 Act'l.
Hoving satisfied myself that the accounts of the company are not required to be audited under Part
16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination
of your company's accounts as carried out under section 145 of the Charities Act 20111'the 2011 Act'l.
In carrying out my examination I have followed the Directions given by the Charity Commission under
section 14515llbl of the 2011 Act.
Independent examlner's statement
I have completed my examination. I confirm that no matters have come to my attention in connection
with the examination giving me cause to believe that in any material respect:
accounting records were not kept in respect of the company as required by section 386 of the
2CKJ6 Act; or
the accounts do not accord with those records; or
the accounts do not comply with the accounting requirements of section 396 of the 2006 Act
other than any requirement that the accounts give a 'true and fair viev/ which is not a matter
considered as part of an independent examination,. or
4. The accounts have not been prepared in accordance with the methods and principles of the
Statement of Recommended Practice for accounting and reporting by charities applicable to
charities preparing their accounts in accordance with the Financial Reporting Standard
applicable in the UK and Republic of Ireland IFRS 1021.
I have no concerns and have come acros5 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.
Chaweevan Williams FCCA
Chartered Certified Accountants
Verdants Accountants Limited
20-22 Wenlock Road,
London, Nl 7GU
Date-
AugJ9f2023
Sign

World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Financial Statements 

## Statement of Financial Activities 

Year ended 31 December 2022 

|**Income from:**<br>**Note**<br>Donations and Legacies<br>2<br>Income from Charitable<br>Activities<br>3<br>Investment<br>**Total**<br>**Expenditure on:**<br>Expenditure on Raising Funds<br>4<br>Charitable Activities<br>5<br>**Total Expenditure**<br>**Net income/(expenditure)**<br>Foreign exchange gain/(loss)<br>Transfers between funds<br>**Net movement in funds**<br>**Reconciliation of funds**<br>Total funds bought forward<br>**Total funds carried forward**|**Unrestricted**<br>**Restricted**<br>**Total**<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2022**<br>**Funds**<br>**Funds**<br>**2021**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
||**1,261**<br>**12,528**<br>**13,789**<br>10,724<br>43,544<br>54,268<br>**-**<br>**91,720**<br>**91,720**<br>-<br>40,984<br>40,984<br>**-**<br>**-**<br>**-**<br>78<br>**-**<br>78|
||**1,261**<br>**104,248**<br>**105,509**<br>10,802<br>84,528<br>95,330|
||**129**<br>**212**<br>**341**<br>22<br>481<br>503<br>**6,823**<br>**90,051**<br>**96,874**<br>2,197<br>70,866<br>73,063|
||**6,952**<br>**90,263**<br>**97,215**<br>2,219<br>71,347<br>73,566|
||**(5,691)**<br>**13,985**<br>**8,294**<br>8,583<br>13,181<br>21,764<br>**1076**<br>**-**<br>**1,076**<br>(791)<br>(7)<br>(798)<br>**-**<br>**-**<br>-<br>-<br>-|
||**(4,615)**<br>**13,985**<br>**9,370**<br>7,792<br>13,174<br>20,966<br>**8,845**<br>**37,955**<br>**46,800**<br>1,053<br>24,781<br>25,834|
||**12,492**<br>**48,311**<br>**56,170**<br>8,845<br>37,955<br>46,800|



The company made no recognised gains and losses other than those reported in the income and expenditure account. All income and expenditure derive from continuing activities. 

The Notes on pages 12 to 21 form part of these financial statements 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Balance Sheet 

## Company Registration: 09312177 

As at 31 December 2022 

|Note<br>**Current assets:**<br>Debtors<br>7<br>Cash at Bank and in hand<br>**Total current assets**<br>Creditors: amounts falling due within one year<br>8<br>**NET CURRENT ASSETS**<br>**NET ASSETS**<br>**RESERVES**<br>Unrestricted funds<br>9<br>Restricted funds<br>9<br>**TOTAL FUNDS**|**Total Funds**<br>**Total Funds**<br>**2022**<br>**2021**<br>**£**<br>**£**<br>41,432<br>12,080<br>16,238<br>36,369|
|---|---|
||**57,670**<br>**48,449**<br>(1,500)<br>(1,649)<br>**56,170**<br>**46,800**|
||**56,170**<br>**46,800**|
||4,230<br>8,845<br>51,940<br>37,955|
||**56,170**<br>**46,800**|



In approving these financial statements as trustee/directors of the charitable company we hereby confirm that: 

For the year ending 31 December 2022 the charitable company was entitled to exemption from the audit under section 477 of the Companies Act 2006 relating to the small companies. 

The members have not required the charitable company to obtain an audit of its accounts for the year in question in accordance with section 476 of the Companies Act 2006. 

The Trustees acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and for preparing financial statements. 

These financial statements have been prepared in accordance with the provisions applicable to companies subject to the small companies’ regime. 

The financial statements were approved by the board of trustees/directors on 28 July 2023 and signed on its behalf by: 

## **Dr Andrew Hartle** 


Trustee/Director 

Signature ………………………………………………………. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

The Notes on pages 12 to 21 form part of these financial statements 

## Notes to Financial Statements 

## 1. Accounting policies 

## Basis of preparation 

The financial statements have been prepared on a going concern basis and in accordance with applicable Accounting Standards in the United Kingdom, including the Statement of Recommended Practice – Accounting and Reporting by Charities (SORP), Financial Reporting Standard 102 (FRS 102) and in accordance with the Companies Act 2006 and Charities Act 2011, using applied accounting policies. 

Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy or note. 

## Public benefit entity 

The charitable company meets the definition of a public benefit entity under FRS 102. 

## Going concern 

The Trustees consider that there are no material uncertainties about the charitable company's ability to continue as a going concern and to continue acquiring new contracts. 

The Trustees do not consider that there are any sources of estimation uncertainty at the reporting date that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next reporting period. 

## Income 

Recognition of income takes place in accordance with applicable accounting policies and results are presented in accordance with SORP & FRS 102. All incoming resources are included in the Statement of Financial Activities (SoFA) when it is probable that the income will be received and that the amount can be measured reliably. 

Grants and donations are recorded in the period in which they are received, or the Charity is entitled to the income. Any donations tied to a particular purpose are credited to restricted reserve. 

Income from revenue grants and other grants are credited to the Statement of Financial Activities when received or receivable. Where unconditional entitlement to grants receivable is dependent on fulfilment of conditions within the Charity's control, the incoming resources are recognised when there is sufficient evidence that conditions will be met. It is probable that the income will be received, and the amount can be measured reliably and is not deferred. 

Contractual income is recognised when the charity has entitlement to the funds, any performance conditions attached to the income have been met, it is probable that the income will be received and that the amount can be measured reliably. 

Income received in advance of the provision of a specified service is deferred until the criteria for income recognition are met. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Notes to Financial Statements (continued) 

## Gifts and services in kind 

Donated professional services and donated facilities are recognised as income when the charity has control over the item or received the service, any conditions associated with the donation have been met, the receipt of economic benefit from the use by the charity of the item is probable and that economic benefit can be measured reliably. In the case of donated fixed assets, a designated fund is created reflecting the book value of the asset, which is then reduced over the useful economic life of the asset in line with its depreciation. 

On receipt, donated gifts, professional services and donated facilities are recognised based on the value of the gift to the charity which is the amount the charity would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market; a corresponding amount is then recognised in expenditure in the period of receipt. 

The value of services provided by volunteers has not been included in the Statement of Financial Activities. 

## Interest receivable 

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity; this is normally upon notification of the interest paid or payable by the bank. 

## Fund accounting 

Restricted funds are to be used for specific purposes as laid down by the donor. Expenditure which meets these criteria is charged to the fund. 

Unrestricted general funds are donations and other incoming resources received or generated for the charitable purposes. The General Fund has to provide for the net deficit of any activities that have inadequate income of their own and for the general administration of the Charity. 

Designated funds are unrestricted funds earmarked by the trustees for particular purposes. 

## Expenditure and irrecoverable VAT 

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and that the amount of the obligation can be measured reliably. Resources expended include attributable VAT which cannot be recovered. Expenditure is classified under the following activity headings: 

- Costs of raising funds relate to the costs incurred by the charitable company in inducing third parties to make voluntary contributions to it, as well as the cost of any activities with a fundraising purpose to obtain funds. 

- Expenditure on charitable activities includes the costs associated with main the objects of the charity and include both the direct cost and support cost relating to these activities. 

- Project management (grant making) undertaken to further the purposes of the charity and their associated support costs. Grants payable are recognised in the SoFA when they are approved by the Trustees and the recipient has been informed. 

- Support costs are those costs incurred which are not directly an output of the charitable activity. 

- Governance costs are the costs associated with the governance arrangements of the charity. These costs are associated with constitutional and statutory requirements and include any costs associated with the strategic management of the charity’s activities. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Notes to Financial Statements (continued) 

## Allocation of support costs 

Resources expended are allocated to the activity where the cost relates directly to that activity. However, the cost of overall direction and administration of each activity, comprising the salary and overhead costs of the central function, is apportioned based on project expenditure. 

## Debtors 

Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. 

## Cash at bank and in hand 

Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account.  Cash balances exclude any funds held on behalf of service users. 

## Creditors and provisions 

Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due. 

The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method. 

## Foreign currency transactions 

Monetary assets and liabilities in foreign currencies are translated into sterling at the rates of exchange ruling at the balance sheet date. Transactions in foreign currencies are translated into sterling at the rates of exchange ruling at the date of the transaction. Exchange differences are considered in arriving at the operating profit. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## Notes to Financial Statements (continued) 

2. INCOME FROM DONATIONS AND LEGACIES 

|**Donation:**<br>General<br>Sponsorship (ex. Johnson &<br>Johnson re. Obsterics<br>Anaesthesia Round table)<br>Fellowships<br>Safe Anaesthesia<br>Palestine Anaesthesia Training<br>Mission (PATM)<br>WCA Scholars<br>United for Oxygen (UFO)<br>Gift in Kind (Governance)<br>**Total**|**Unrestricted**<br>**Restricted**<br>**Total**<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2022**<br>**Funds**<br>**Funds**<br>**2021**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
||**1,261**<br>**-**<br>**1,261**<br>724<br>-<br>724<br>**-**<br>**-**<br>**-**<br>10,000<br>-<br>10,000<br>**-**<br>**11,273**<br>**11,273**<br>-<br>18,440<br>18,440<br>**-**<br>-<br>200<br>200<br>**-**<br>**1,200**<br>**1,200**<br>-<br>1,573<br>1,573<br>**-**<br>**-**<br>**-**<br>-<br>700<br>700<br>**-**<br>**55**<br>**55**<br>-<br>22,236<br>22,236<br>**-**<br>**-**<br>**-**<br>-<br>395<br>395|
||**1,261**<br>**12,528**<br>**13,789**<br>10,724<br>43,544<br>54,268|



Year 2021 included in restricted donation was £7,589 of in-kind support from WFSA 

## 3. INCOME FROM DONATIONS AND LEGACIES 

|**Contract with:**<br>Masimo – Safe Anaesthesia<br>Fresenius Kabi-Anaesthesia<br>innovation Awards<br>The Tropical Health Education<br>Trust (THET)<br>-Support to National Society in<br>Gambia<br>- Saving Mother at delivery<br>(Somaliland & Myanmar)<br>**Total**|**Unrestricted**<br>**Restricted**<br>**Total**<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2022**<br>**Funds**<br>**Funds**<br>**2021**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
||**-**<br>**19,095**<br>**19,095**<br>-<br>16,726<br>16,726<br>**-**<br>**63,625**<br>**63,625**<br>-<br>11,258<br>11,258<br>**-**<br>**-**<br>**-**<br>-<br>-<br>-<br>**-**<br>**9,000**<br>**9,000**<br>-<br>13,000<br>13,000|
||**-**<br>**91,720**<br>**91,72**<br>-<br>40,984<br>40,984|



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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

4. COST OF GENERATING FUNDS 

|Online platform processing fees|**Unrestricted**<br>**Restricted**<br>**Total**<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2022**<br>**Funds**<br>**Funds**<br>**2021**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
||**129**<br>**212**<br>**341**<br>22<br>481<br>503|
||**129**<br>**212**<br>**341**<br>22<br>481<br>503|



## 5. CHARITABLE ACTIVITIES COSTS 

|Fund a Colleague education<br>(FACE)<br>Palestine Anaesthesia Training<br>Mission (PATM)<br>Masimo-Safe Anaesthesia<br>Fresenius<br>THET-Saving Mothers at<br>Delivery (Somaliland &<br>Myanmar)<br>Alistair Davies Memorial<br>United for Oxygen (UFO)<br>WCA Scholars<br>Sundry support cost –<br>safeguarding memberships and<br>bank charges<br>Governance costs|**Unrestricted**<br>**Restricted**<br>**Total**<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2022**<br>**Funds**<br>**Funds**<br>**2021**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
||**-**<br>**28,002**<br>**28,002**<br>-<br>28,904<br>28,904<br>**-**<br>**1,000**<br>**1,000**<br>-<br>1,861<br>1,861<br>**-**<br>**19,092**<br>**19,092**<br>-<br>16,926<br>16,926<br>**-**<br>**32,952**<br>**32,952**<br>-<br>-<br>-<br>**-**<br>**9,000**<br>**9,000**<br>-<br>-<br>-<br>**-**<br>**-**<br>**-**<br>-<br>63<br>63<br>**-**<br>**5**<br>**5**<br>-<br>22,017<br>22,017<br>**-**<br>**-**<br>**-**<br>-<br>700<br>700<br>**5,323**<br>**-**<br>**5,323**<br>474<br>-<br>474<br>**1,500**<br>**-**<br>**1,500**<br>1,723<br>395<br>2,118|
||**6,823**<br>**90,051**<br>**96,874**<br>2,197<br>70,866<br>73,063|



In order to advance its purpose, the charity supported projects during the year (as described more fully in the Trustees’ Report) by making payments to its partner organisation. World Federation of Societies of Anaesthesiologists (WFSA) as described in note 14. 

## 6. GOVERNANCE COSTS 

|In kind governance support<br>Independent examiner’s fees<br>Companies House fees|**Unrestricted**<br>**Restricted**<br>**Total**<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2022**<br>**Funds**<br>**Funds**<br>**2021**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
||**-**<br>-<br>-<br>-<br>395<br>395<br>**1,500**<br>**-**<br>**1,500**<br>1,710<br>-<br>1,710<br>**-**<br>**-**<br>**-**<br>13<br>**-**<br>13|
||**1,500**<br>**-**<br>**1,500**<br>1,723<br>395<br>2,118|



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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## 7. DEBTOR 

|Trade Debtors<br>Other debtors (rent deposit)<br>Accrued income adjustment<br>8. CREDITORS<br>Amount falling due within one year:<br>Accruals and deferred income<br>9. ANALYSIS OF NET ASSETS BETWEEN FUNDS<br>**Funds Balanced as at 31 Dec. 2022 are**<br>**represented by:**<br>**Current Assets**<br>**Current Liabilities**<br>**Total Net Assets**<br>**Funds Balanced as at 31 Dec 21 are**<br>**represented by:**<br>**Current Assets**<br>**Current Liabilities**<br>**Total Net Assets**|**2022**<br>2021<br>**£**<br>£<br>**36,079**<br>6,605<br>**2,475**<br>2,475<br>**2,878**<br>3,000<br>**41,432**<br>12,080<br>**2022**<br>2021<br>**£**<br>£<br>**1,500**<br>1,649<br>**1,500**<br>1,649<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2022**<br>**£**<br>**£**<br>**£**|
|---|---|
||**16,238**<br>**41,432**<br>**57,670**<br>**(1,500)**<br>**-**<br>**(1,500)**|
||**14,738**<br>**41,432**<br>**56,170**|
||Unrestricted<br>Restricted<br>Total<br>Funds<br>Funds<br>2021|
||**£**<br>**£**<br>**£**<br>10,494<br>37,955<br>48,449<br>(1,649)<br>-<br>(1,649)|
||**8,845**<br>**37,955**<br>**46,800**|



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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## 10. NET INCOME (EXPENDITURE) 

|Net income/expenditure is stated after charging:<br>Independent examiner’s fees<br>-<br>Current year-accounts preparation<br>-<br>Current year-Independent examination<br>-<br>Under provision for previous year|**2022**<br>2021<br>**£**<br>£|
|---|---|
||**540**<br>450<br>**1,020**<br>1,200<br>**-**<br>60|



## 11. EMPLOYMENT COSTS 

Key management personnel are the trustees and secretary of the charity. The charity does not employ any staff. The trustees along with the secretary and WFSA staff take part in the day to day running and management of the charity. 

The secretary of WFSA (UK) also act as Chief Executive Officer (CEO) of WFSA, WFSA currently provides staff and admin support to WFSA (UK). There is no charge for this as it is believed to be minimal however this will be reviewed annually. 

## 12. TRUSTEES EXPENSES 

The trustees were not paid or received any other benefits from employment with the charity in the year (2022: £Nil). No trustee received payment for professional or their services supplied to the charity (2022: £Nil). No trustee received payment or reimbursement of travel and subsistence cost incurred by them relating to attendance at meetings of the trustees. 

## 13. LEASE COMMITMENTS 

In November 2018 the charitable company entered a lease on an office in Horseferry Road London. The lease is being renewed for further two years from 29 September 2022. The rent due under the lease is £9,000 per annum and US charity WFSA has indemnified WFSA-UK in respect of the rent payments and commitments under the lease. 

14. RELATED PARTIES AND TRANSACTIONS 

WFSA (UK) is related to the World Federation of Societies of Anaesthesiologist (WFSA), based at Deans Bradley House, 52 Horseferry Road London SW1 2AF, a registered firm in the US (registration number EIN13-3211128) and the Dutch Chamber of Commerce (registration number 34318914) with the same objects as WFSA (UK). 

WFSA (UK) has an independent Board of Trustees to WFSA, its US based partner non-profit organisation. As required by its constitution, WFSA (UK) has three common trustees. Meetings and business of both organisations are conducted separately, and decisions are taken by the trustees of WFSA (UK) so as not to be detrimental to the interest of WFSA (UK). A written collaboration agreement is in place, WFSA staff and trustees are aware of liabilities and responsibilities for delivering the projects specified by WFSA (UK) trustees and grant funders. (Registration number 34318914) with the same objects as WFSA (UK). 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

During the year ended 31 December 2022, the WFSA (UK) made the following payments to the WFSA for: 

- SAFE Anaesthesia **£ 19,092** (2021 £16,926) 

- Fellowships **£ 28,002** (2021 £28,002) 

- Palestine Anaesthesia Training Mission (PATM) **£ 1,000** (2021 £1,861) 

The trustee Prof. Adrian Gelb is a consultant to Masimo Inc, a company which contracted World Federation of Societies of Anaesthesiologist (UK) to deliver the Safe Anaesthesia project. In his position as consultant, he is unable to influence the decision of Masimo Inc regarding the awarding of contracts. 

During the year ended 31 December 2022, the WFSA (UK) received the following donations (net in fees): 

- Treasurer, Andrew Hartle **£ 124** (2021 £113) 

- Secretary, Paul Wyatt Julian Gore-Booth **£Nil** (2021 £105) 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

## 15. MOVEMENT IN FUNDS 

|**2022**<br>**Restricted Funds**|**01/01/2022**<br>**Income**<br>**Expenditure**<br>**Transfer**<br>**31/12/2022**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
|Fund a Colleague education<br>(FACE)-formerly fellowships<br>Palestine Anaesthesia Training<br>Mission (PATM)<br>SAFE Anaesthesia<br>Fresenius Kabi-Anaesthesia<br>Innovation Awards<br>Anaesthesia Innovation Awards<br>United for Oxygen (UFO)<br>Saving Mothers at Delivery<br>(Somaliland & Myanmar)<br>**Unrestricted Funds**|11,986<br>11,273<br>(28,002)<br>-<br>(4,743)<br>1,200<br>1,200<br>(1,000)<br>(212)<br>1,188<br>472<br>19,095<br>(19,092)<br>-<br>475<br>-<br>63,625<br>(32,952)<br>-<br>30,673<br>11,251<br>-<br>-<br>-<br>11,251<br>46<br>55<br>(5)<br>-<br>96<br>13,000<br>9,000<br>(9,000)<br>-<br>13,000|
||**37,955**<br>**104,248**<br>**(90,051)**<br>**(212)**<br>**51,940**|
|General funds<br>General funds adjusted surplus<br>**2021**<br>**Restricted Funds**<br>Fund a Colleague education<br>(FACE)-formerly fellowships<br>Palestine Anaesthesia Training<br>Mission (PATM)<br>SAFE Anaesthesia<br>Alistair Davies Memorial<br>Anaesthesia Innovation Awards<br>United for Oxygen (UFO)<br>WCA Scholars<br>Saving Mothers at Delivery<br>(Somaliland & Myanmar)<br>Governance (in Kind)<br>**Unrestricted Funds**<br>General funds|8,845<br>1,261<br>(6,823)<br>3,283<br>735<br>212<br>947|
||**46,800**<br>**105,509**<br>**(96,139)**<br>**0**<br>**56,170**|
||**01/01/2021**<br>**Income**<br>**Expenditure**<br>**Transfer**<br>**31/12/2021**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
||22,759<br>18,440<br>(29,213)<br>-<br>11,986<br>1,488<br>1,573<br>(1,861)<br>-<br>1,200<br>472<br>16,926<br>(16,926)<br>-<br>472<br>62<br>-<br>(62)<br>-<br>-<br>-<br>11,258<br>(7)<br>-<br>11,251<br>-<br>22,236<br>(22,190)<br>-<br>46<br>-<br>700<br>(700)<br>-<br>-<br>-<br>13,000<br>-<br>-<br>13,000<br>-<br>395<br>(395)<br>-<br>-|
||24,781<br>84,528<br>(71,354)<br>-<br>37,955<br>1,053<br>10,802<br>(3,010)<br>-<br>8,845|
||**25,834**<br>**95,330**<br>**(74,364)**<br>-<br>**46,800**|



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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2022 

15. MOVEMENT IN FUNDS (CONTINUED) 

## **Purposes of Restricted funds:** 

## **Fund a Colleague’s Education (FACE)** 

WFSA (UK) offers fellowships and grants for young anaesthesiologists and delivers training courses to strengthen the global capacity for safe anaesthesia and pain management. 

WFSA (UK) works with its partner organisation, WFSA, on the following: 

## **Safe Anaesthesia Project** 

Assess and strengthen anaesthesia capacity in the state of Telangana, India in order to scale up anaesthesia provision at the national level. 

## **Anaesthesia Innovation Award** 

Identify and support the development of innovation that have the potential to transform the field of anaesthesia and improve patient safety worldwide. 

## **United For Oxygen (UFO)** 

Providing medical equipment to aid hospitals in Nigeria, Zimbabwe, etc. 

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