


## **Report and Financial Statements 2024** 

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 2024 

## Contents page 

|**_Contents page_**|**_2_**|
|---|---|
|**_Reference and Administrative details_**|**_3_**|
|**_Structure, governance and management_**|**_4_**|
|**_Activity Review_**|**_5-9_**|
|**_Independent Examiners Report_**|**_10_**|
|**_Statement of Financial Statements_**|**_11_**|
|**_Balance Sheet_**|**_12_**|
|**_Accounting Policies_**|**_13 - 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 2024 

## Reference and Administrative details 

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

## **Registered Office** 

Busworks, United House Unit 4.19 39-41 North Road London N7 9DP 

## **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 (until 30 Sep 2024) Dr Andrew Hartle, Treasurer (until 30 Sep 2024) Dr Carolina Haylock Loor (from 18 Apr 2024, Chair from 1 Oct 2024) Dr Kathleen Ferguson Professor Adrian Gelb (until 30 Sep 2024) Dr Emma Lillie Dr Clare Roques, Treasurer (from 1 Oct 2024) Dr Balavenkatasubramanian Jagannathan (from 30 Sep 2024) 

## **Company Secretary** 

Kristine Stave 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

## 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 Busworks, United House, Unit 4.19, 39-41 North Road, London N7 9DP. 

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, three of the five 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-anaesthetist. 

## Induction and Training 

All new Trustees are briefed by the Secretary and receive information about the structure, governance, and activities of 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 2024 

## 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 

WFSA (UK) provides public benefit by educating and training anaesthesia providers, disseminating international standards and supporting innovation and research in anaesthesiology. The Trustees guidance on public benefit in section 4 of the Charities Act 2011 when reviewing the c 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 (the Federation or 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 charity seeks to support the Federation in its work to address the fact that five billion people (out of a global population of just seven and a half billion) do not have access to safe, affordable anaesthesia and surgery.  A new multi-year strategy for the charity was launched last year which can be accessed online at https://wfsahq.org/wp-content/uploads/WFSA-UK-Strategy-web.pdf. This confirmed three core strategic priorities for the charity as follows: 

1. Supporting educational efforts within anaesthesia and critical care in low-resource settings. 

2. Advancing public knowledge about the important role of anaesthesia and critical care within global health. 

3. Working with other organisations to improve the safety and quality of anaesthesia and critical care. 

The charity supported several key projects during 2024 as outlined below. 

## **Partnership with the Tropical Health Education Trust (THET)** 

Supported by THET, we worked in partnership with Ghana Anaesthetists Society to deliver Essential Pain Management (EPM) courses to improve pain management in Ghana with a focus on Sickle Cell Disease (SCD). During 2024, 197 multi-disciplinary health workers, including 41 new trainers, were trained in EPM courses in Kumasi and Accra. Establishing a new training faculty in Ghana ensures that future courses can be delivered independently, at a reduced cost, and in response to local needs and requirements. As part of the two EPM courses, new case discussions were piloted which address the acute and chronic pain experienced by those living with SCD. This supported participants to learn and improve their technical skills in recognising, assessing and treating SCD patients. In a recent follow-up survey, over 80% of the EPM participants shared that they use the knowledge and skills acquired from 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

the course either every day or at least three times a week in their clinical practice. The project also supported 20 Ghanaian anaesthesiologists to attend the 2024 World Congress of Anaesthesiologists as virtual scholars. 

The charity supported the phased restart of the WFSA Fellowship Programme in 2023 which during 2024 operated 19 Fellowship Programmes across Asia, Africa, Europe, Latin America and the USA. Collectively, these programmes trained 30 anaesthesiologists from 17 countries in a variety of subspeciality areas. A full list is included below: 

1. Pain Management Hyderabad, India 

2. Paediatric Anaesthesia Vellore, India 

3. Intensive Care Vellore, India 

4. Regional Anaesthesia Coimbatore, India 

5. Thoracic Anaesthesia New Delhi, India 

6. General Anaesthesia Bangkok, Thailand 

7. Paediatric Anaesthesia Bangkok, Thailand 

8. Pain Management Bangkok, Thailand 

9. Neuro - Anaesthesia Bangkok, Thailand 

10. Paediatric Anaesthesia Nairobi, Kenya 

11. Paediatric Anaesthesia Abuja, Nigeria 

12. Paediatric Anaesthesia Kampala, Uganda 

13. Paediatric Anaesthesia Lusaka, Zambia 

14. Regional Anaesthesia Kumasi, Ghana 

15. Obstetric Anaesthesia Port Harcourt, Nigeria 

16. Obstetric Anaesthesia Marrakech, Morocco 

17. Paediatric Anaesthesia Belgrade, Serbia 

18. Medical Education and Simulation San Francisco, California 

19. Obstetric Anaesthesia Medellin, Colombia 

## **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 had never had a Physician Anaesthesia Provider of Liberian origin working in the country before the inception of this programme. Instead, provision of anaesthesia has been wholly reliant on the efforts of approximately 80 anaesthetic nurses. We know that physician anaesthesia providers play a key role in developing the 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 2024 we continued to support Dr Jason Bleah to progress to his Membership in Anaesthesia with the West African College of Surgeons (WACS) and Dr Kephe Jig Miame to continue his WACS Fellowship Training. 

## **WFSA Fresenius Kabi Innovation Awards** 

The 2022-2024 WFSA Fresenius Kabi Anaesthesia Innovation Awards focused on reducing the environmental impact of anaesthesia and increasing access to safe practices in resource-limited areas. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

The Award winners presented their innovations at the 18[th] World Congress of Anaesthesiologists (WCA2024), gaining global exposure for their work. The winning projects were: 

1. **Global PRoMiSe** : A cost-effective guide to reduce medication errors during surgery, developed by Dr. Karen Nanji. 

2. **Recycling Used Syringes into Bitumen** road material, helping reduce healthcare waste sustainably. 

3. **PosiTIVA Suite** : Dr. Alan Tung created a low-cost toolkit for greener anaesthesia, making advanced techniques accessible worldwide. 

At WCA2024, the three winners shared their innovations during scientific sessions, at the WFSA Hub and were acknowledged and celebrated during the congress opening ceremony. Their projects highlighted solutions to improve patient safety, promote sustainability, and support resource-limited healthcare systems globally. 

## **Perioperative Patient Blood Management (P-PBM)** 

In 2024, the charity continued to support our WFSA initiative and partnership with CSL-Vifor which focused on Perioperative Patient Blood Management. Work centred on finalising two new short training courses in a similar format to SAFE and other successful Federation training courses. This was complemented by a launch of the project at WCA2024 with workshops, masterclasses and presentations aiming to raise awareness about the P-PBM programme of work. Advocacy efforts were continued post-congress with a blog series on the Federation website and the debut of bi-monthly webinars on Patient Blood Management. Another important milestone was achieved with the commitment of over 100 national and regional anaesthesiology societies and professional organisations to the Santa Cruz Declaration: A Global PBM Consensus . 

## Plans for 2025 

We will continue our collaboration with the Federation and with other partners for the benefit of patients worldwide through our global anaesthesia capacity-building and strengthening projects. This will include work on the Liberia Anaesthesia Development Capacity Building 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. 

During 2025 we will continue to work closely with the Federation and other partners on the funding and delivery of SAFE training courses worldwide, as well as on further revitalising the delivery of anaesthesia Fellowship programmes. 

We also expect to work with the Federation to implement the new training on Perioperative Patient Blood Management, taking a patient-centred, systematic and evidence-based approach to improve empowerment. 

## Financial review 

The WFSA (UK) generated income of £153,510; (2023: £81,897) over the course of the year. Total expenditure was £175,274; (2023: £94,855). The total reserves at the end of the year were £19,312 (2023: £53,345) of which £14,569; (2023: £41,120) 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 USA 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

(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. 

## Our approach to risk 

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 . 

## Going concern 

The Trustees have ensured that the WFSA (UK) is a going concern thanks to a commitment from our partner organisation, the WFSA, Funding was this year secured from Tropical Health & Education Trust (EPM Ghana), Fresenius Kabi (Innovation Awards), CSL Vifor (Patient Blood Management) and several smaller individual donors. 

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. 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 2024 

The Trustees (who are also Directors of WFSA (UK)) for the purpose of company law) are responsible 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 situation 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 Recommended 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 in 2022. 

21/08/2025 on ------------------------- and signed on their behalf 

by 

Dr Clare Roques 

Treasurer 

DATE: 21/08/2025 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

Independent Examiner’s Report to the Trustees of The World Federation of Societies of Anaesthesiologists (UK) 

I report on the accounts of the company for the year ended 31 December 2024 which are set out on pages 11 to 21. 

## **Responsibilities and basis of report** 

As the charity trustees of the company (and its directors for the purposes of company law) you are responsible  for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 (‘the 2006 Act’). 

Having 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 2011 (‘the 2011 Act’). In carrying out my examination I have followed the Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act. 

## **Independent examiner'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: 

1. accounting records were not kept in respect of the company as required by section 386 of the 2006 Act: or 

2. the accounts do not accord with those records; or 

3. 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 view’ 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 (FRS 102). 

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 to enable a proper understanding of the accounts to be reached. 


Chaweevan Williams FCCA Verdant Accountants Limited Chartered Certified Accountants 20-22 Wenlock Road London N1 7GU 

Date: 22 August 2025 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

## Financial Statements 

## Statement of Financial Activities 

Year ended 31 December 2024 

|**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>**2024**<br>**Funds**<br>**Funds**<br>**2023**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
||**21,532**<br>**10,978**<br>**32,510**<br>3,087<br>**6,701**<br>**9,788**<br>**-**<br>**121,000**<br>**121,000**<br>-<br>**72,109**<br>**72,109**<br>**-**<br>**-**<br>**-**<br>-<br>**-**<br>**-**|
||**21,532**<br>**131,978**<br>**153,510**<br>3,087<br>**78,810**<br>**81,897**|
||**583**<br>**2**<br>**585**<br>**-**<br>**-**<br>**-**<br>**27,329**<br>**147,360**<br>**174,689**<br>**5,225**<br>**89,630**<br>**94,855**|
||**27,912**<br>**147,362**<br>**175,274**<br>**5,225**<br>**89,630**<br>**94,855**|
||**(6,380)**<br>**(15,384**<br>**(21,764)**<br>**(2,138)**<br>**(10,820)**<br>**(12,958)**<br>**(12,268)**<br>**-**<br>**(12,268)**<br>**10,133**<br>**-**<br>**10,133**<br>**-**<br>**-**<br>**-**<br>**-**|
||**(18,649)**<br>**(15,384)**<br>**(34,033)**<br>**7,995**<br>**(10,820)**<br>**(2,825)**<br>**12,225**<br>**41,120**<br>**53,345**<br>**4,230**<br>**51,940**<br>**56,170**<br>**(6,423)**<br>**25,736**<br>**19,312**<br>**12,225**<br>**41,120**<br>**53,345**|



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. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

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

## Balance Sheet 

## Company Registration: 09312177 

As at 31 December 2024 

|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 ASSETS**<br>9<br>**RESERVES**<br>Unrestricted funds<br>Restricted funds<br>**TOTAL FUNDS**|**Total Funds**<br>**Total Funds**<br>**2024**<br>**2023**<br>**£**<br>**£**<br>9,270<br>134,898<br>11,951<br>40,427|
|---|---|
||**21,222**<br>**175,326**<br>(1,909)<br>(121,980)|
||**19,312**<br>**53,345**|
||4,742<br>12,225<br>14,569<br>41,120|
||**19,312**<br>**53,345**|



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

For the year ending 31 December 2024, 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 regime. 

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

## **Dr Clare Roques** 

Trustee/Director       ---------------------------------------------------------------- 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

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 2024 

## 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 must 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 significant 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 payables 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 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

## 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 except for 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 2024 

## Notes to Financial Statements (continued) 

2. INCOME FROM DONATIONS AND LEGACIES 

|**Donation:**<br>General<br>Sponsorship (ex. Johnson &<br>Johnson re. Obstetrics<br>Anaesthesia Round table)<br>Fellowships<br> <br>Safe Anaesthesia<br> <br>Palestine Anaesthesia<br>Training Mission (PATM)<br>VAST<br> <br> <br> <br>**Total**|**Unrestricted**<br>**Restricted**<br>**Total**<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2024**<br>**Funds**<br>**Funds**<br>**2023**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
||21,532<br>**-**<br>**21,532**<br>**3,087**<br>**-**<br>**3,087**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**2,009**<br>**2,009**<br>**-**<br>**2,501**<br>**2,501**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**1,200**<br>**1,200**<br>**-**<br>**8,969**<br>**8,969**<br>**-**<br>**3,000**<br>**3,000**|
||**21,532**<br>**10,978**<br>**32,510**<br>**3,087**<br>**6,701**<br>**9,788**|



3. INCOME FROM DONATIONS AND LEGACIES 

|**Contract with:**<br>Fresenius Kabi-Anaesthesia<br>innovation Awards<br>The Tropical Health<br>Education Trust (THET)<br>Vifor<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>**2024**<br>**Funds**<br>**Funds**<br>**2023**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
||**-**<br>**38,779**<br>**38,779**<br>**-**<br>**294**<br>**294**<br>**51,234**<br>**51,234**<br>**32,199**<br>**32,199**<br>**-**<br>**30,987**<br>**30,987**<br>**-**<br>**39,616**<br>**39,616**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**|
||**-**<br>**121,000**<br>**121,000**<br>**-**<br>**72,109**<br>**72,109**|



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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

4. COST OF GENERATING FUNDS 

|Online platform processing<br>fees<br> <br>|**Unrestricted**<br>**Restricted**<br>**Total**<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2024**<br>**Funds**<br>**Funds**<br>**2023**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**583**<br>**2**<br>**585**<br>**-**<br>**-**<br>**-**<br>**583**<br>**2**<br>**585**<br>**-**<br>**-**<br>**-**|
|---|---|



5. CHARITABLE ACTIVITIES COSTS 

|Fund a Colleague education<br>(FACE)<br>Palestine Anaesthesia<br>Training Mission (PATM)<br>Masimo-Safe Anaesthesia<br> <br>Fresenius<br> <br>THET-Saving Mothers at<br>Delivery (Somaliland &<br>Myanmar)<br>Vifor<br> <br>VAST<br>Liberian Doctor<br> <br>Legacies<br>Sundry support cost<br>safeguarding memberships<br>and bank charges<br> <br>Governance costs<br> <br> <br>|**Unrestricted**<br>**Restricted**<br>**Total**<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2024**<br>**Funds**<br>**Funds**<br>**2023**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**-**<br>**67**<br>**67**<br>**-**<br>**67**<br>**67**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**39,292**<br>**39,292**<br>**-**<br>**28,273**<br>**28,273**<br>**-**<br>**65,628**<br>**65,628**<br>**-**<br>**14,468**<br>**14,468**<br>**-**<br>**30,987**<br>**30.987**<br>**-**<br>**38,822**<br>**38,222**<br>**-**<br>11,386<br>**11,386**<br>**-**<br>**-**<br>**-**<br>**-**<br>-<br>**-**<br>**-**<br>**8,000**<br>**8,000**<br>**24,223**<br>-<br>**24,223**<br>**-**<br>**-**<br>**-**<br>**3,689**<br>**-**<br>**3,689**<br>**5,225**<br>**-**<br>**5,225**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**27,912**<br>**147,362**<br>**175,274**<br>**5,225**<br>**89,630**<br>**94,855**|
|---|---|



To Report) by making payments to its partner organisation. World Federation of Societies of Anaesthesiologists (WFSA) as described in note 14. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

## 6. GOVERNANCE COSTS 

|. GOVERNANCE COSTS||
|---|---|
|In kind governance support<br>Companies House fees<br>|**Unrestricted**<br>**Restricted**<br>**Total**<br>**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2024**<br>**Funds**<br>**Funds**<br>**2023**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
||**-**<br>-<br>-<br>**-**<br>-<br>-<br>**1,600**<br>**-**<br>**1,600**<br>**1,620**<br>**-**<br>**1,620**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**|
||**1,600**<br>**-**<br>**1,600**<br>**1,620**<br>**-**<br>**1,620**|



## 7. DEBTORS 

|Trade Debtors<br> <br>Other debtors (rent deposit)<br>Accrued income adjustment<br> <br>8. CREDITORS<br>Amount falling due within one year:<br> <br>Accruals and deferred income<br> <br> <br> <br>|**2024**<br>2023<br>**£**<br>£<br>6,795<br>**132,423**<br>**2,475**<br>**2,475**<br>**-**<br>**-**|
|---|---|
||**9,270**<br>**134,898**|
||**2024**<br>2023<br>**£**<br>£<br>**1,909**<br>**121,980**|
||**1,909**<br>**121,980**|



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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

9. ANALYSIS OF NET ASSETS BETWEEN FUNDS 

|**Funds Balanced as of 31 Dec. 2024 are**<br>**represented by:**<br>**Current Assets**<br>**Current Liabilities**<br>**Total Net Assets**<br> <br> <br> <br> <br> <br>**Funds Balanced as of 31 Dec 23 are**<br>**represented by:**<br> <br>**Current Assets**<br> <br>**Current Liabilities**<br>**Total Net Assets**<br> <br>10. NET INCOME (EXPENDITURE)<br> <br>-<br>Current year-accounts preparation<br>-<br>Current year-Independent examination<br>-<br>Under provision for previous year||**Unrestricted**<br>**Restricted**<br>**Total**<br>**Funds**<br>**Funds**<br>**2024**<br>**£**<br>**£**<br>**£**|
|---|---|---|
|||**11,951**<br>**9,270**<br>**21,221**<br>**(1,909)**<br>**-**<br>**(1,909)**|
|||**10,042**<br>**9,270**<br>19,312|
|||Unrestricted<br>Restricted<br>Total<br>Funds<br>Funds<br>2023|
|||**£**<br>**£**<br>**£**<br>**40,427**<br>**134,898**<br>**175,325**<br>**(121,980)**<br>**-**<br>**(121,980)**|
|||**(81,553)**<br>**134,898**<br>**53,345**|
|||**2024**<br>2023<br>**£**<br>£<br>**-**<br>**600**<br>**1,600**<br>**1,020**<br>**-**<br>**-**|



Net income/expenditure is stated after charging: 

## 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. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

## 12. TRUSTEES EXPENSES 

The trustees were not paid or received any other benefits from employment with the charity in the year (2024: £Nil). No trustee received payment for professional or their services supplied to the charity (2024: £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 September 2022 the charitable company took out a renewed two-year lease on an office in Horseferry Road London. The rent due under the lease was £9,000 per annum and the lease was not renewed once it expired on 29 September 2024. The US charity WFSA has indemnified WFSAUK 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 Busworks, United House, Unit 4.19, 39-41 North Road, London N7 9DP, a non-profit in the USA (registration number EIN13-3211128) registered with 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-registered partner non-profit organisation. WFSA (UK) has currently two trustees in common with WFSA. 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). 

During the year ended 31 December 2024, the WFSA (UK) made the following payments to the WFSA for: 

- SAFE Anaesthesia **£ 0** (2023 £ 0) 

- Fellowships **£ 0** (2023 £0) 

- THET **£65,628** (2023 £ 14,468) 

- Fresenius **£39,290** (2023 £28,267) 

- Liberian Doctor **£ 0** (2023 £ 8,000) 

- Perioperative Patient Blood Management projects **£ 11,371** (2023 £ 38,822) 

During the year ended 31 December 2024, the WFSA (UK) received the following donations (net in fees): 

- Professor Andrew Hartle **£ 123.60** (2023 £124) 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

## 15. MOVEMENT IN FUNDS 

|**2024**<br>**Restricted Funds**|**01/01/2024**<br>**Income**<br>**Expenditure**<br>**Transfer**<br>**31/12/2024**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
|Fund a Colleague education<br>(FACE)-formerly fellowships<br>Palestine Anaesthesia<br>Training Mission (PATM)<br>SAFE Anaesthesia (Masimo)<br> <br>Fresenius Kabi-Anaesthesia<br>Innovation Awards<br> <br>Anaesthesia Innovation<br>Awards<br>(Liberian Doctors)<br>United for Oxygen (UFO)<br> <br>Saving Mothers at Delivery<br>(Somaliland & Myanmar)-<br>THET<br> <br>VAST<br> <br>Vifor<br> <br> <br> <br>**Unrestricted Funds**<br>|(2,310)<br>2,009<br>(68)<br>370<br>-<br>2,388<br>-<br>-<br>-<br>2,388<br>475<br>-<br>-<br>(475)<br>-<br>2,694<br>38,779<br>(39,292)<br>(39,292)<br>2,181<br>3,251<br>-<br>-<br>(3,251)<br>-<br>96<br>-<br>-<br>(96)<br>-<br>30,732<br>51,234<br>(65,628)<br>(71,965)<br>10,000<br>3,000<br>8,969<br>(11,386)<br>(11,969)<br>-<br>794<br>30,987<br>(30,987)<br>(31,781)<br>-<br>**41,120**<br>**131,978**<br>**(147,361)**<br>**(158,460)**<br>**14,569**|
|General funds<br> <br>General funds adjusted<br>surplus<br>|7,317<br>21,532<br>(27,912)<br>-<br>1,683<br>4,908<br>(12,269)<br>-<br>(6,426)|
||**53,345**<br>**153,510**<br>**(187,543)**<br>**0**<br>**19,312**<br>|



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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

|**2023**<br>**Restricted Funds**<br>Fund a Colleague education<br>(FACE)-formerly fellowships<br>Palestine Anaesthesia<br>Training Mission (PATM)<br>SAFE Anaesthesia (Masimo)<br> <br>Fresenius Kabi-Anaesthesia<br>Innovation Awards<br> <br>Anaesthesia Innovation<br>Awards<br>(Liberian Doctors)<br>United for Oxygen (UFO)<br> <br>Saving Mothers at Delivery<br>(Somaliland & Myanmar)-<br>THET<br> <br>VAST<br> <br>Vifor<br> <br> <br> <br>**Unrestricted Funds**<br>|**01/01/2023**<br>**Income**<br>**Expenditure**<br>**Transfer**<br>**31/12/2023**<br>**£**<br>**£**<br>**£**<br>**£**<br>**£**|
|---|---|
||(4,743)<br>2,500<br>(67)<br>-<br>(2,310)<br>1,188<br>1,200<br>-<br>-<br>2,388<br>475<br>-<br>-<br>-<br>475<br>30,673<br>294<br>(28,273)<br>(28,267)<br>2,694<br>11,251<br>-<br>(8,000)<br>(8,000)<br>3,251<br>96<br>-<br>-<br>-<br>96<br>13,000<br>32,199<br>(14,468)<br>(14,468)<br>30,732<br>-<br>3,000<br>-<br>-<br>3,000<br>-<br>39,616<br>(38,822)<br>(38,822)<br>794<br>**51,940**<br>**78,809**<br>**(89,630)**<br>**(89,557)**<br>**41,120**<br>3,283<br>3,087<br>(5,225)<br>-<br>7,317<br>947<br>-<br>-<br>4,908<br>**56,170**<br>**81,896**<br>**(94,855)**<br>**0**<br>**53,345**|
|General funds<br> <br>General funds adjusted<br>surplus<br>||



15. MOVEMENT IN FUNDS (CONTINUED) 

## **Purposes of Restricted funds:** 

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 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. 

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World Federation of Societies of Anaesthesiologists (UK) Annual Report and Financial Statements Year ended 31 December 2024 

## **THET (Ghana)** 

Development of the health workforce in Kenya, Nigeria and Ghana, aiding them to build stronger, resilient health systems for post-pandemic recovery and to make progress towards universal health coverages and meet other . 

## **P-PBM** 

Support for piloting and rollout of a Perioperative-Patient Blood Management (P-PBM) training package. 

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