Haemorrhage After Childbirth Foundation Charity No. 1170338 Company No. CE009126 Trustees, Report and Unaudited Accounts 05 April 2024
Haemorrhage"After Chlldbirth Foundation Contents Pages 2to4 Trustees, Annual Report Accountant's Report Statement of Financial Activltles Summary Income and Expenditure Account Balance Sheet Notes to the Accounts 9t014 Detailed Statement of Financial Activities 15to16 Page I
Haemorrhage After Childbirth Foundation Trustees Annual Report The trustees, who are also directors of the charity for the purposes of the Companies Act 2006, present their report with the unaudited financial statements of the charity for the year ended 5 April 2024. REFERENCE AND AtXMINISTRATIVE DETAILS Company No. CEOO9126 Charlty No. 1170338 Registered Offlce 10 Mowbray Road London NW6 7QU Dlrectors and Trustees The Directors of thE charitable company are its Trustees for the purposes of charity law. The following Direr.ors and Trustees served during the year: M.A. Karoshi W. Lodhi M.E. Nauta V. Sivashanmugaraian W. Yoong Accountants Elite Accountants 717 Green Lanes London N213RX OBJECTIVES AND .cTIvITIEs Haemorrhage after Childbirth Foundation is a charity started by 5 doctors14 obstetricians and a GP} in London who were interested reducing maternal morbidity and mortality from obstetric haemorrhage in all countries. The aims of the orEanisation is the advancement of education and training of healthcare personnel on aspects of diagno¢is, prevention and surglcal and non-surgical management of obstetric haemorrhage and to include the provis on of basic equipment and training materials. We also emphasize the importance of non-technical skills or "human factors" {for example: situational awareness, leadership and teamwork, communication, ergonomics and checklists) as a crucial part of management of obstetric haemorrhage, which complements the technical aspects already mentioned. We work with healthcare professionals from developing and developed countries providing a "t'raining the trainers" prOgralme, so that they themselves can subsequently support and train their colleagJes in prevention as we l as medical and surgical management of postpartum haemorrhage. P3oe 2
Haemorrhage After Chlldbirth Foundatlon Trustees Annual Report Achievements and Performance The 2023-2024 financial year has been reasonably busy for the trustees, who delivered the following courses: 10 May 2023: Wai Yoong was Invited to run an interactive session on Human Factors (Authority Gradient and how to reduce this) in the Obstetric Anaesthesia Association Annual Conference in Edinburgh 8 June 2023: Wai Yoong with colleague Dr Tash Alam delivered teaching session for the Department of Renal Medicine on Authority Gradient at the Royal London Hospital. 13 June 2023: Faculty including Wasim Lodhi, Maud Nauta and Wai Yoong were invited to deliver an all day training course on patient safety and Human Factors to 30 West Midlands trainees (STI-31 in Obstetrics and Gynaecology 15 November 2023: Maud Nauta and Wai Yoong delivered a five hour session on how to reduce errors (HFI to.40 final year mldwlfery students (City University, London). 13-14 Jan 2024: Basic Practical Skills course was delivered by Wasim Lodhi and Wai Yoong 29 Jan - l February 2024: Wasim Lodhi, Schahrazed Rouabhi and Wai Yoong were invited as faculty of MOH course and Human Factors course at Shalamar Hospital, Lahore, Pakistan. This is an international congress of over 300 delegate5. 23 February 24.. Maud Nauta and Wal Yoong were invited to facllitate at a patient safety study day at Josep Truetta Hospital in Girona, Spain. This was a multidisciplinary study day conducted in Spanish and English for all healthcare professionals 8 March 2024: Wasim Lodhi, Maud Nauta and Wai Yoong. conducted Human Factors and Patient Safety training to 30 O&G trainees from West Midlands (ST3-51, covering aspects of maternity safety ralsed in the Ockenden Report. We were also occupied with writing article Dn MOH and patient safety for healthcare and attach the OLJtput for the past few years. Flnanrial Review In this financlal year, Wasim Lodhi became clinical lead for the department of Obstetrics and Gynaecology, which Involved slgnificant admlnistrative time dealing with day to day running of the hospital. Wai Yoong was appointed as Deputy Editor in Chief for The Obstetrician and Gynaecologist ITOG), the training journal for RCOG, whlch required time in processlng educatlonal articles, vetting submissions and making audiovlsual teaching aids for trainees. This meant that we had less time to run our usual courses which generate income for HACF. We were also occupied with wrlting research articles on MOH and patient safety for healthcare and have published 10 papers on these two topics in the past five years. We intend to resume more of our courses in the next year. Page 3
Haemorrhage After Childbirth Foundation Trustees Annual Report STRUCTURE, GOVERNANCE AND MANAGEMENT Haemorrhage After thildbirth Foundation is a Charitable Incorporated Organisation whose only voting members are its charity trustees, as detailed in its constitution. The first trustees were appointed for a term of 5 years. There must be at least three trustees. Apart from the first trustees, every trustee must be appointed by resolution. Charity Trustees must have regard to the skills, knowledge and experience needed for the effectiije administratlon of the charity. The Trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financlal position of the charlty and to enable them to ensure that the financial statements comply with the Companies Act 2006. The Trustees are also responsible for safeguarding the assets of the charity and hence taking reasonable steps for the prevention and detection of fraud and other irrEgularities. The above report has been prepared in accordance with the provlsions appllcable to companies subject'_o the small companies regime as set out in Part 15 of the Companies Act 2006 and in accordance wlth the. Charities SORP {FRS 1021. Signed on behalf of the b ard W. Yoong Trustee 21 July 2025 Page 4
Haemorrhage After Chlldblrth Foundatlon Accountants Report In order to assist you to fulfil your dutles under the Companies Act 2006 in accordance with the Charities SORP IFRS 1021, we have prepared for your approval the accounts of Haemorrhage After Childbirth Foundation for the year ended 5 April 2024 as set out on pages 6- 16 from the Charity's accounting records and from information and explanations you have given us. As a practising member firm of the Association of Chartered Certified Accountants, we are subject to its ethical and other professional requirements which are detailed at https://www.accaglobal,com/uk/en/about-us/regulation/rulebook.html. This report is made solely to the Trustees of Haemorrhage After Childbirth Foundation, as a body, in accordance with the terms of our engagement letter dated 7 July 2018. Our work has been undertaken solely to prepare for your approval the accounts of Haemorrhage After Childbirth Foundation and state those matters that we have agreed to state to the Trustees of Haemorrhage After Childbirth Foundation, as a body, in this report in accordance wlth the requjrements of the Assoclation of Chartered Certified Accountants as detailed at https://www.accaglobal.com/content/dam/acca/global/PDF-technical/audit-publicatlons/technical-factsheet-163. pdf. To the fullest extent permitted by law, we do not accept or assume responsiblllty to anyone other than Haemorrhage After Childbirth Foundatlon and its Trustees as a body for our work or for this report. It is your duty to ensure that Haemorrhage After Childbirth Foundation has kept adequate accounting records and to prépare statutory accounts that give a true and fair view of the assets, liabilities, financial position and loss of Haemorrhage After Childblrth Foundation. You consider that Haemorrhage After Childblrth Foundation is exempt from the statutory audit requirement for the year. We have not been instructed to carry out an audit or a review of the accounts of Haemorrhage After Childbirth Foundation. For this reason, we have not verified the accuracy or completeness of the accounting records or Information and explanatlons you have glven to us and we do not, therefore, express any opinlon on the statutory accounts. Elite Accountants {London) Li mited Chartered Certified Accountants 717 Green Lanes Winchmore Hill London N213RX 21st July 2025 Page 5
Haemorrhage After Childblrth Foundation Statement of Financial Actlvltles for the year ended 5 Aprll 2024 Unrestricted funds Total funds. Total funds 2024 2024 2023 Notes Income and endowments from: Charitable activities 10,440 10,440 20,040 Total 10,440 10,440 20,040 Expendlture on: Charitable activities Other 19,200 9,251 19,200 9,251 13,430 1,647 Total 28,451 28,451 15,077 Net gains on investments Net lexpenditure)/income Transfer5 between fuids (18,0111 (18,0111 4,963 Net lexpendlture)/lncome before other galns/{losses) (18,0111 , (18,011) 4,963 Other gains and losses Net movement in funds (18,011) {18,0111 4,963 Reconciliation of funds: Total funds brought forward 48,945 48,945 43,982 Total funds carried forward 30,934 30,934 48,945 P3ee 6
Haemorrhage After Chlldblrth Foundatlon Summary Income and Expendlture Account for the year ended 5 Aprll 2024 2024 2023 Income 10,440 20,040 Gross income for the year Expenditijre 10,440 20,040 28,201 14,783 Depreciation and charges for impairment of fixed assets 250 294 Total expendlture for the year Net (expenditure)/income before tax forthe year 28,451 15,077 118,011) 4,963 Net (expendlture )Ilncome for the year 118,0111 4,963 Page 7
Haemorrhage After Childbirth Foundatlon Balance Sheet at 5 Aprll 2024 Company No. CE009126 Notes 2024 2023 Fixed assets Tangible assets 1,417 1,417 1,667 1,667 Current assets Debtors Cash at bank and in hand io 141 219 33,896 34,037 14,5201 29,517 51,429 51,648 14,3701 47,278 Credltors: Amount falling due within one year Net current assets 11 Total assets less current Ilabllltles 30,934 48,945 Net assets excluding pension asset or liabillty 30,934 48,945 Total net assets 30,934 48,945 The funds of the charity Restricted funds Unrestrlcted funds General funds 12 12 30,934 48,945 30,934 48,945 Reserves 12 Total funds 30,934 48,945 These accounts have been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relatlng to small companies. For the year ended 5 April 2024 the company was entitled to exemption under section 477 of the CA)mpanies Act 2006 relating to small companies. The members have not required the company to obtain an audit in accordance with section 476 of the Companies Act 2006. The directors acknowledge their responsibilities for complying with the requirements of the Compcnies Act 2006 with respect to accounting records and the preparation of accounts. Approved by the board on 21 July 2025 And signed on its behalf by.. W. Yoong Trustee 21 July 2025 PaÉe 8
Haemorrhage After Childblrth Foundation Notes to the Accounts for the year ended 5 April 2024 l Accounting pollcles Basls of preparatlon The financial statements have been prepared in accordance with Accounting and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) {effective I January 20151 (Charities SORP IFRS 10211, the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021 and the Companies Act 2006. Change in basis of accounting or to previous accounts There has'been no change to the accounting policies (valuation rules and method of accounting) since last year and no changes have been made to accounts for previous years. Fund accounting Unrestricted funds These are available for use at the discretion of the trustee5 in furtherance of the general objects of the charity. These are unrestricted funds earmarked by the trustees for particular purposes. These are unrestricted funds which include a revaluation reserve representing the restatement of investment assets at their market values. These are available for use subject to restrictions imposed by the donor or through terms of an appeal. Designated funds Revaluation funds Restricted funds Income Recognition of income Income 15 included in the Statement of Financial Activities (SOFA) when the charity becomes entitled to, and virtually certain to receive, the income and the amount of the income can be measured with sufflclent reliability. Income wlth related Where income has related expenditure the income and related expenditure is expenditure reported gross in the SOFA. Donations and legacies Voluntary income received by way of grants, donations and gifts Is included in the the SOFA when receivable and only when the Charity ha5 unconditional entltlement to the income. Tax reclaims on Income from tax reclaims is included in the SOFA at the same time as the donations and gifts gift/donation to which it relate5. Donated services These are only included in income {with an equivalent amount in expenditure) where the benefit to the Charity is reasonably quantifiable, measurable and material. and facilities Volunteer help The value of any volunteer help received is not included in the accounts. Investment income This 15 included in the account5 when receivable. Gains/{lossesl on This includes any gain or loss resulting from revaluing investments to market value revaluation of fixed at the end of the year. assets Gains/llosses) on investment assets This includes any gain or loss on the Sale of investments. Page 9
Haemorrhage After Chlldbirth Foundation Notes to the Accounts Expenditure Recognition of expenditure Expenditure is recognised on an accruals basis. Expenditure includes any IAT which cannot be fully recovered, and is reported as part of the expenditure to wiich It relates. Expenditure on These comprise the costs associated with attracting voluntary income, fundraising raising funds trading costs and Investment management costs. Expenditure on These comprise the costs incurred by the Charity in the dellvery of its activitles and charitable activities services in the furtherance of its objects, including the making of grants and governance costs. All grant expenditure is accounted for on an actual paid basis plus an 4ccrual for grants that have been approved by the trustee5 at the end of the year but not yet paid. These include those costs associated with meeting the constitutional and >tatutory requirements of the Charity, including any audit/independent examination fees, costs linked to the strategic management of the Charity, together with a share of other administration costs. These are support costs not allocated to a particular actlvity. Grants payable Governance costs Other expenditure Taxation The charity is exempt from corporation tax on its charitable activities. Freehold investment property Investment properties are measured initially at C05t and subsequently at falr value at each balance sheet date and are not depreclated. All gains or105ses are taken to the Statement of Financial Activities as they arlse. Stocks Stock is Included at the lower of cost or net realisable value. Donated items of stock are recognised at falr value which is the amount the charity would have been willing to pay for the items on the open market. Trade and other debtors Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are'dalued at the amount prepaid net of any trade discounts due. Cash and cash equivalents Cash and cash equivalents comprise cash at bank and on hand, demand deposits with banks and other short-term highly liquid investments with original maturities of three months or less and bank overdrcfts. In the statement of financial position, bank overdrafts are shown within borrowings or current liabilitias. In the Statement of Cash Flows, cash and cash equivalents are shown net of bank overdrafts that are repayable on demand and form an integral part of the company's cash management. Trade and other creditors Short term creditors are measured at the transaction price. Other creditors and provisions are COgnised 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 reliabl5'. Creditors and provisions are normally recognised at their settlement amoun- after allowing for any t.ade discounts due. Pape 10
Haemorrhage After Chlldbirth Foundation Notes to the Accounts Research and development Expenditure on research and development is written off in the year in which it is incurred. Foreign currencles Monetary assets and liabilities denominated In currencies other than the functional currency of the charity are translated at the rates of exchange prevailing at the end of the reporting period. Transactions in currencies other than the functional currency of the charity are recorded at the rate of exchange.on the date that the transaction occurred. All exchange differences are are taken into account in arriving at net income/expenditure. Leased assets Where the charity enters into a lease which entails taking substantially all the risks and rewards of ownership of an asset, the lease is treated as a finance lease. Leases which do not transfer substantially all the risks and rewards of ownership to charity are classified as operating leases. Assets held under finance leases are initially recognised as assets of the charity at their fair value at the inception of the lease or, if lower, at the present value of the minimum lease payments. The corresponding liability to the lessor is included in the balance Sheet date as a finance lease obligation. Lease payments are apportloned between finance expenses and reduction of the lease obligation so as to 3¢hieve a constant rate of interest on the remaining balance of the liabillty. Flnance expenses are recognised immediately, unless they are directly attributable to qualifying assets, in which case they are capitalised in accordance with the charity's policy on borrowing costs. Assets held under finance leases are depreciated in the same way as owned assets. Operating lease payment5 are recognlsed as an expense on a straight-line basis over the lease term. In the event that lease incentives are received to enter into operating leases, such incentives are recognised as a liabllity. The aggregate benefit of incentives is recognised as a reduction of rental expense on a straight-line basis. Penslon costs The charity operates a defined contribution plan for Its employees. A defined contribution plan is a pension plan under which the company pays fixed contributions into a separate entity. Once the contributions have been paid the company has no further payments obligations. The contributions are recognised as expenses when they fall due. Amounts not paid are shown in accruals in the balance sheet. The assets of the plan are held separately from the company in independently administered funds. Receipt of donated goods, facllities and services All donated goods, facilities and services received are recognised within incoming resources and expenditure at an estimate of the value to the charity. 2 Company status The charity is a CIO {Charitable Incorporated Organisation) and consequently does not have share capital. Page 11
Haemorrhage After Chlldblrth Foundation Notes to the Accounts 3 Statement of Financial Activities- prior year Unrestrlcted funds Total fd$ 2023 2023 Income and endowments from: Charitable activities 20,040 20,040 Total 20,040 . 20,040 Expenditure on: Charitable activities 13,430 13,430 1,647 Other 1,647 Total 15,077 15,077 Net Income 4,963 4,963 Net Income before other galns/{losses) Other galns and losses: Net movement In funds 4,963 4,963 4,963 4,963 Reconciliation of funds:. Total funds brought forward Total funds carried fonmard 43,982 43,982 48,945 48,945 4 Income from charitable actlvltles Unrestricted Total Total 2024 2023 Practical training courses 10,440 10,440 10,440 10,440 20,040 20,040 5 Expenditure on charitable actlvltles Unrestrlcted Totsl Total 2024 2023 Expenditure on charitable activities Practical training courses Grants made 17,040 17,040 11,170 loo Governance costs Accountancy fees 2,160 19,200 2,160 19,200 2,160 13,430 PaÉfe 12
Haemorrhage After Childbirth Foundation Notes to the Accounts 6 Other expenditure Unrestrlcted Total Total 2024 2023 Employee costs Motor and travel costs Amortisation, depreciation, impairment, profit/loss on disposal of fixed assets G¢neral administrative costs 267 267 8,117 8,117 1,353 250 250 294 617 617 9,251 9,251 1,647 7 Net (expenditure)/income before transfers 2024 2023 This is stated after charging: Depreciation of owned fixed assets 8 Staff Costs No employee received emoluments in excess of £60,000. 9 Tangible fixed assets 250 294 Cost or revaluatlon At 6 April 2023 At 5 April 2024 Depreclation and impairment At 6 April 2023 Depreciation charge for the year At 5 April 2024 Net book values 2,070 2,070 2,070 2,070 403 403 250 250 653 653 At 5 April 2024 At 5 April 2023 10 Debtors 1,417 1,667 1,417 1,667 2024 2023 Other debtors 219 141 219 11 Creditors: amounts falling due within one year 2024 2023 Trade creditors Accruals 200 2,210 2,160 4,370 4,320 4,520 Page 13
Haemorrhage After Childbirth Foundatlon Notes to the Accounts 12 Movement In funds Incomlng resources (includlng other At 6 April gains/losses 2023 Resources expended At 5 Aprll 2024 Restricted funds: Unrestrlcted funds: General funds 48,945 10,440 128,451) 30,934 Total funds 13 Analysis of net assets between funds 48,945 10,440 128,451) 30,934 Unrestricted funds Restrlcted funds Total Flxed assets Net current assets 1,417 29,517 30,934 1,417 29,517 30,934 14 Reconciliation of net debt At 6 Aprll 2023 At 5 April .2024 Cash flows Cash and cash equivalents 51,429 51,429 117,5331. (17,533) 33,896 33,896 Net debt 51,429 117,533) 33,896 15 Related party disclosures Controlling party The charity is a CIO (Charitable Incorporated Organisation) and consequently does not have a controlling partv. Paoe 14
Haemorrhage After Childbirth Foundation Detalled Statement of Financial Activities for the year ended 5 Aprll 2024 Unrestricted funds Total funds Total funds 2024 2024 2023 Income and endowments from: Charitable activities Practical training courses 10,440 10,440 10,440 10,440 20,040 20,040 Total income and endowments 10,440 10,440 20,040 Expendlture on: Charitable activities Practical training courses Grants made 17,040 17,040 11,170 loo 17,040 17,040 11,270 Govetnance costs Accountancy fees 2,160 2,160 2,160 2,160 2,160 2,160 Total of expendlture on charltable artivltles 19,200 19,200 13,430 Employee costs Staff entertainment 267 267 267 267 Motor and travel costs Travel and subsistence 8,117 8,117 8,117 8,117 1,353 1,353 General adminlstrative costs, Including depreciatlon and amortisation Depreciation of Equipment expensed Subscriptions Sundry expenses 250 394 250 394 294 137 86 137 86 867 9,251 867 9,251 294 1,647 Total'of expendlture of other costs Total expendlture Net galns on investments 28,451 28,451 15,077 Net lexpendlture)/income {18,0111 118,011) 4,963 Net lexpendlture)/lncome before other galnsl(losses) Other Gains {18,0111 118,011) 4,963 Page 15
Haemorrhage After Chlldblrth Foundatlon Oetalled Statement of Flnanclal Actlvltles Net movement in funds (18,0111 118,011) ' | 4,963 Reconclllatlon of funds: Total funds brought forward 48,945 48,945 4a,982 Total funds carried fonvard 30,934 30,934 Page 16