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2022-12-31-accounts

REGISTERED CHARITY NUMBER: 1171738

REPORT OF THE TRUSTEES AND

UNAUDITED FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31 DECEMBER 2022

FOR

PICTURING HEALTH

Barretts Chartered Accountants & Chartered Tax Advisers 22 Union Street Newton Abbot Devon TQ12 2JS

PICTURING HEALTH

CONTENTS OF THE FINANCIAL STATEMENTS for the Year Ended 31 December 2022

Page
Report of the Trustees 1 to 6
Independent Examiner's Report 7
Statement of Financial Activities 8
Balance Sheet 9
Notes to the Financial Statements 10 to 13
Detailed Statement of Financial Activities 14

PICTURING HEALTH

for the Year Ended 31 December 2022

REPORT OF THE TRUSTEES

The trustees present their report with the financial statements of the charity for the year ended 31 December 2022. The trustees have adopted the provisions of 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 1 January 2019).

OBJECTIVES AND ACTIVITIES

Objectives and aims

Picturing Health was set up to use film and art to improve public health. We make films to disseminate research and turn evidence into practice. working in partnership with leading medical and research institutions including the World Health Organisation (WHO), the Medical Research Council (MRC) and the London School of Hygiene and Tropical Medicine (LSHTM). We make films to train health workers. We make films to inform patients and to promote discussion in communities. Films cover topics from HIV and emergency paediatric medicine to diabetes, dementia and mental health. We use Art in our films, and also support using art and art therapy in public health. We have worked mostly in Africa, but also have projects in Asia, Latin America and the UK.

Our core objectives are

A . Making films in the four focus areas, training health workers, disseminating research, empowering patients and informing communities.

B. Evaluating the effectiveness of films

D. S trengthening core support - distribution of films, finance, website, fundraising, core costs and insurance.

Public benefit

All our films made are available for free use under creative commons licenses and can be viewed or downloaded from: www.picturinghealth.org. We have more than 300 films currently on our website. We work in partnership with leading research institutions and medical experts to make sure that our films are evidence based and in line with current guidelines.

Page 1

PICTURING HEALTH

for the Year Ended 31 December 2022

REPORT OF THE TRUSTEES

ACHIEVEMENT AND PERFORMANCE

Charitable activities

As in previous years our main activities centred on film making. Picturing Health at present has no salaried staff, rented office or other major overheads. Rather, we put together film teams on a project by project basis. Where possible we work with local film-makers, editors, health staff and others in the countries where films are made, providing training and direction, because capacity building is an important objective. We work closely with research teams and other health organisations providing treatment on the ground including Ministries of Health.

The Memory Cafe Hub

Funder Devon County Council via the Devon Memory Cafe consortium. Link to films: https://memorycafehub.org.uk/

This project began in 2019 and was completed in 2021. Picturing Health has now built an online training platform with almost four hours of film material which we created, broken down into modules aimed at volunteers and coordinators of memory cafés. In 2022 we did more work to finish off and improve the memory cafe hub, and also to disseminate the hub and get it used in Devon. We hope to do wider dissemination in 2023.

ETAT films

Funder: Royal College of Paediatrics and Child Health

We completed a set of films in Sierra Leone for the Royal Society for Paediatrics and Child Health providing video content for an online learning platform that they have set up to teach ETAT + (Emergency Triage, Assessment and Treatment) training, for paediatric emergency teams). Where implemented, ETAT has been shown to cut mortality of acutely sick children by as much as 50%.

Odyssey Trial (PENTA 20)

Funder: Penta

Link to films:

We completed three films aimed at young people living with HIV about the results of a major clinical trial called Odyssey, which has shown that the drug dolutegravir is safe and more effective in children than other HIV medicines. This is a major development in improving HIV treatment for children. It means taking one small pill, instead of several large pills a day. The trial was carried out mostly in Africa, but also in the UK, other European countries and Thailand. The films provide accurate information about benefits and potential harms of dolutegravir. The project is funded by PENTA - (Paediatric European Network for the Treatment of Aids).

Essential Technology for New-borns

NEST 360

Link to films: https://www.picturinghealth.org/nest360-training/

We have so far published 28 short films on how to use essential equipment for keeping babies breathing in Africa. This includes a low-cost CPAP (Continuous Positive Airway Pressure) device, oxygen concentrators, pulse oximeters, suction pumps, flow splitters, radiant warmers and phototherapy devices. In 2022 we filmed another 15 films covering three more devices, which will be published in 2023. This project has been a major undertraining for Picturing Health and is likely to continue in coming years. NEST is an alliance of research institutions and hospitals in 4 African countries along with the medical engineering department at RICE University, Houston.

IKMC study

WHO

Link to films: https://www.picturinghealth.org/ikmc-trial/

We completed a set of two films about the Immediate Kangaroo Mother Care (iKMC) study - a major Randomized Controlled Clinical Trial carried out by WHO in India, Nigeria, Tanzania, Malawi and Ghana. This showed a 25% reduction in deaths of underweight, preterm and sick babies through using KMC in intensive care units - whilst babies are also receiving oxygen, CPAP, or other respiratory support. This is a very positive result which led to immediate guideline changes by WHO to make KMC the standard of care for all babies. Implementation projects are now being set up by the American Association of Paediatrics and our films have been used extensively to showcase the trial results in worldwide online meetings and trainings, as well as town hall meetings in key target countries.

Paediatric Anaemia films

Funder:Medical Research Council/Imperial College

We are completing a film to teach management of acute paediatric anaemia in African children, based on a treatment algorithm created with the results of the TRACT trial, about which we created other films.

Page 2

PICTURING HEALTH

REPORT OF THE TRUSTEES

for the Year Ended 31 December 2022

MIMBLE

Funder: Imperial College London

Link to film: https://www.picturinghealth.org/mimble/

This short film is about a research project in Africa designed to develop and test new feeds for acutely malnourished children which go beyond providing nutrition - but also restore the gut biome and so help prevent infection. Severe Acute Malnutrition is one of the main killers of children in many low resource settings.

COVID, HIV AND PREGNANCY ANIMATIONS Funders: VARIOUS

Link to films: https://www.picturinghealth.org/covid-hiv-pregnancy/#vaccination

We completed language versions for a set of 13 animations about COVID, HIV and Pregnancy - for use in Zimbabwe, Uganda and Malawi.

CurArte

CurArte was set up as part of Picturing Health as a long term project to use art in public health. It has also now registered

as a separate NGO in El Salvador, the home country of Ariel Pena, the artist who set it up. This means that Picturing Health and Curarte have overlapping as well as distinct activities. Ariel and other artists working with CurArte have created many of the images, animations and graphics in Picturing Health films. Ariel has also funded a two year masters course in art therapy for herself and an artist working in public health with the Salvadoran Health Ministry. They studied at

Metaphora, an art therapy institute based in Barcelona. Ariel did her practical work as a volunteer with Totnes Caring in Devon. The training will conclude in 2023. CurArte has an ongoing project for training for Tai Chi monitors in El Salvador

and over the last five years has helped to create a library of more than 75 films focusing on teaching Tai Chi as a therapeutic discipline.. This started as part of CurArte's multidisciplinary approach to trauma, developed while working in

the mental health unit of the public San Rafael Hospital in San Salvador.

Capacity building

Picturing Health has done a great deal of training over the last five years - with on-the-job mentoring for local film makers in Africa. This allowed us to continue filming projects throughout the pandemic, using local camera crews. In particular Ernest Mbanga in Malawi and Jeff Muwonge in Uganda carried out filming. We also worked with film makers in Zimbabwe, Sierra Leone and Nigeria.

Projects for 2023

We are in discussions with the American Association of Paediatrics to create films for an online training course about iKMC - aimed principally at healthcare workers in low resource settings. This will be a major project which is likely to take up much of our capacity in 2023.

We will explore continuation of educational animations - adapting the existing animations we have to audiences in schools and creating new educational animations. This means forming partnerships with educational charities working in schools in Africa to make sure that materials we create are linked to needs on the ground.

Page 3

PICTURING HEALTH

REPORT OF THE TRUSTEES for the Year Ended 31 December 2022

ACHIEVEMENT AND PERFORMANCE Fundraising activities Funding and expenditure of Picturing Health

Picturing Health does not have any full-time staff or rented office space, allowing the Charity to keep our overheads low. Our main overheads are to ensure proper accounting and project management. We put together teams to make films on a project by project basis. We do this to maintain high value for money, allowing us to carry out complex filming projects on small budgets. The charity's size should not be judged on its budget or staff numbers, but on its ability to produce high quality films - and on this we have a strong production rate.

Where possible the charity will contract people in the country or region where filming takes place so as to avoid expensive travel, also offering mentoring and on-the-job support for local film makers. In several cases contractors have charged below commercial rates, offering their expertise at a cheaper rate for charity work or on a voluntary basis. The charity does raise money from the public, but so far the amount raised has been very small, through donations on the website. We do not use a professional fund-raiser, nor does the charity operate with a commercial participator. The charity receives the majority of its income through carrying out contracted work (usually making films) for partners who are implementing health or research projects on the ground. Often we are able to make budgets stretch. So if commissioned to make a film about a clinical trial, we will work with the partner to also produce and disseminate training films around the same topic. Picturing Health had neither contracts nor grant funding in 2020 from central government. A number of the partners we work with (and have worked with in the past) are not based in the UK. In 2022 we received £9145 from NEST 360 which is run by Rice University in the United States, and £7884 from the World Health Organisation

In 2020 Picturing Health registered with the UK government's Gift Aid Scheme and will receive income through this in 2022.

Through the year we have worked to improve our website, which is central for distribution of films; build partnerships to allow better evaluation of films within health programmes; looked for funding opportunities and used our film making activities to build capacity in our film making; used opportunities to build organisational capacity. We expect that these building blocks will bear fruit in terms of expanding our activities in coming years.

Countries where Picturing Health operates

In most of the places we make films, we are not operating on a permanent basis. We therefore do not have a legal presence, permanent representative or offices. In 2022 we worked in Malawi, Uganda, Zimbabwe, India, El Salvador and the UK. Spending was entirely related to film production, which was coordinated from the UK. Money was transferred through the banking system. Receipts were collected for expenditure and accounting done on a project by project basis to fit within the budgets agreed with partners.

FINANCIAL REVIEW Financial position

Financial position

The accounts show activities for the year. Total income for Picturing Health was £53,752. Total expenditure on filmmaking activities was £72,721 The deficit was deducted from the funds carried forward from 2021 to give a balance at the year-end of £22,776 of which £8,810 was restricted and £13,996 was unrestricted.

Projected activities for next year.

Projected turnover from commissioned work in 2023 is expected to continue at roughly the same level as 2021 between£50,000 and £100,000.

Page 4

PICTURING HEALTH

for the Year Ended 31 December 2022

REPORT OF THE TRUSTEES

FINANCIAL REVIEW

Reserves policy

Our reserves policy states that we will maintain a year of core overhead costs in reserve and then work on a project by project basis, balancing budgets within projects. Our overheads in 2022 were £1,584.

STRUCTURE, GOVERNANCE AND MANAGEMENT Governing document

The charity is controlled by its governing document, Charitable Incorporated Organisation - Foundation constitution registered on 22nd February 2017.

Management

Trustees continued to meet on a quarterly basis. The risk register identified similar risks to 2021 - the possibility of accidents involving contractors working with Picturing Health, along with potential failure to meet the deadlines of filming contracts due to insufficient film making capacity or lack of funds. These are being addressed by ensuring that contractors have their own and by building a working capital fund. This now has sufficient funds to ensure that the charity does not have to loan money to cover short term costs. We have written a safe-guarding policy, an ethical filming policy, a privacy policy for the website and other social media. We are developing an ethical fund-raising policy. The charity does not have any trading subsidiaries. None of the trustees received remuneration, benefits or expenses . The charity has no employees, but instead works contractually. The charity had no UK volunteers, although a number of UK based contractors gave time at reduced rates for charity work.

REFERENCE AND ADMINISTRATIVE DETAILS Registered Charity number

1171738

Principal address

Flat 3 Springfield Jubilee Road Totnes Devon TQ9 5BW

Trustees

Hon Prof E M Molyneux Prof A L Kinmonth Prof Sir I Weller Mrs A E South Prof P Mugyenyi (resigned 14.5.23) Mr R Wilson Mr N Lewis (appointed 21.2.23)

Independent Examiner

Ian Barrett FCA FCIE Barretts Chartered Accountants & Chartered Tax Advisers 22 Union Street Newton Abbot Devon TQ12 2JS

Page 5

PICTURING HEALTH

for the Year Ended 31 December 2022

REPORT OF THE TRUSTEES

Approved by order of the board of trustees on 15 September 2023 and signed on its behalf by:

Hon Prof E M Molyneux - Trustee

Page 6

INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF PICTURING HEALTH

Independent examiner's report to the trustees of Picturing Health

I report to the charity trustees on my examination of the accounts of Picturing Health (the Trust) for the year ended 31 December 2022.

Responsibilities and basis of report

As the charity trustees of the Trust you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ('the Act').

I report in respect of my examination of the Trust's accounts carried out under Section 145 of the Act and in carrying out my examination I have followed all applicable Directions given by the Charity Commission under Section 145(5)(b) of the Act.

Independent examiner's statement

I have completed my examination. I confirm that no material 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 Trust as required by Section 130 of the Act; or

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

  3. the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination.

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Ian Barrett FCA FCIE

Barretts Chartered Accountants & Chartered Tax Advisers 22 Union Street Newton Abbot Devon TQ12 2JS

12 October 2023

Page 7

PICTURING HEALTH

STATEMENT OF FINANCIAL ACTIVITIES for the Year Ended 31 December 2022

Unrestricted
Restricted
fund
funds
Notes
£
£
INCOME AND ENDOWMENTS FROM
Charitable activities
Core Costs
6,240
-
Kangaroo care
-
7,884
Memory Cafe
-
2,950
NEST
-
9,145
SHINE
-
-
Odyssey
-
3,500
ETAT
-
-
ViiV
-
3,000
Lumber Puncture
-
-
Uganda Animation
-
12,159
Metafore
-
3,554
Mimble
-
5,320
Total
6,240
47,512
EXPENDITURE ON
Charitable activities
Core Costs
4,620
-
Kangaroo care
-
7,435
Memory Cafe
-
8,665
Blood transfusions
-
-
NEST
-
16,063
SHINE
-
2,348
Odyssey
-
875
ETAT
-
1,176
ViiV
-
10,581
Lumber Puncture
-
3,100
Uganda Animation
-
12,159
Metafore
-
3,387
Mimble
-
2,312
Other
-
-
Total
4,620
68,101
NET INCOME/(EXPENDITURE)
1,620
(20,589)
Transfers between funds
6
145
(145)
Net movement in funds
1,765
(20,734)
RECONCILIATION OF FUNDS
Total funds brought forward
12,201
29,544
TOTAL FUNDS CARRIED FORWARD
13,966
8,810
2022
Total
funds
£
6,240
7,884
2,950
9,145
-
3,500
-
3,000
-
12,159
3,554
5,320
53,752
4,620
7,435
8,665
-
16,063
2,348
875
1,176
10,581
3,100
12,159
3,387
2,312
-
72,721
(18,969)
-
(18,969)
41,745
22,776
2021
Total
funds
£
18,243
-
8,595
38,411
8,910
-
6,426
10,000
4,000
-
-
-
94,585
13,750
-
2,550
4,825
34,078
6,009
-
4,306
1,388
-
-
-
-
46
66,952
27,633
-
27,633
14,112
41,745

The notes form part of these financial statements

Page 8

PICTURING HEALTH

BALANCE SHEET

31 December 2022

Unrestricted
Restricted
fund
funds
Notes
£
£
CURRENT ASSETS
Debtors
3
2,139
12,987
Cash at bank
11,827
5,593
13,966
18,580
CREDITORS
Amounts falling due within one year
4
-
(9,770)
NET CURRENT ASSETS
13,966
8,810
TOTAL ASSETS LESS CURRENT
LIABILITIES
13,966
8,810
NET ASSETS
13,966
8,810
FUNDS
6
Unrestricted funds
Restricted funds
TOTAL FUNDS
2022
Total
funds
£
15,126
17,420
32,546
(9,770)
22,776
22,776
22,776
13,966
8,810
22,776
2021
Total
funds
£
36,210
14,251
50,461
(8,716)
41,745
41,745
41,745
12,201
29,544
41,745

The financial statements were approved by the Board of Trustees and authorised for issue on 15 September 2023 and were signed on its behalf by:

Hon Prof E M Molyneux - Trustee

The notes form part of these financial statements

Page 9

PICTURING HEALTH

NOTES TO THE FINANCIAL STATEMENTS for the Year Ended 31 December 2022

1. ACCOUNTING POLICIES

Basis of preparing the financial statements

The financial statements of the charity, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) '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 1 January 2019)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Charities Act 2011. The financial statements have been prepared under the historical cost convention.

Income

All income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds, it is probable that the income will be received and the amount can be measured reliably.

Expenditure

Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources.

Taxation

The charity is exempt from tax on its charitable activities.

Fund accounting

Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees.

Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes.

Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.

2. TRUSTEES' REMUNERATION AND BENEFITS

There were no trustees' remuneration or other benefits for the year ended 31 December 2022 nor for the year ended 31 December 2021.

Trustees' expenses

There were no trustees' expenses paid for the year ended 31 December 2022 nor for the year ended 31 December 2021.

3. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Other debtors
2022
2021
Other debtors
2022
2021
Other debtors
2022
2021
Other debtors
2022
2021
Other debtors
2022
2021
£ £
NEST 0 11,909
Memory Cafe 0 6,300
ViiV 4,000 10,000
Lumber Puncture 0 4,000
Metafora 167 0
Mimble 5,320 0
Odyssey 3,500 0
Film makers advances 2,139 4,001
TOTAL 15,126 36,210

continued...

Page 10

PICTURING HEALTH

NOTES TO THE FINANCIAL STATEMENTS - continued for the Year Ended 31 December 2022

4. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Other creditors
2022
2021
Other creditors
2022
2021
Other creditors
2022
2021
£ £
General fund advances to projects prior to income (note 5) 9,770 8,716
TOTAL 9,770 8,716

5. LOANS

Working capital advances occur when payments are made prior to funding being received.

6. MOVEMENT IN FUNDS

MOVEMENT IN FUNDS
Net Transfers
movement between At
At 1.1.22 in funds funds 31.12.22
£ £ £ £
Unrestricted funds
General fund 12,201 1,620 145 13,966
Restricted funds
Kangaroo care - 449 - 449
Memory Cafe project 6,045 (5,715) 255 585
COVID (2,905) - - (2,905)
Blood transfusion 2,253 - - 2,253
NEST 7,780 (6,918) - 862
Odyssey (39) 2,625 - 2,586
SHINE 1,678 (2,348) - (670)
ETAT 2,120 (1,176) - 944
ViiV 8,612 (7,581) - 1,031
Lumber Puncture 4,000 (3,100) (400) 500
Metafore - 167 - 167
Mimble - 3,008 - 3,008
29,544 (20,589) (145) 8,810
TOTAL FUNDS 41,745 (18,969) - 22,776

continued...

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PICTURING HEALTH

NOTES TO THE FINANCIAL STATEMENTS - continued for the Year Ended 31 December 2022

6. MOVEMENT IN FUNDS - continued

Net movement in funds, included in the above are as follows:

Incoming Resources Movement
resources expended in funds
£ £ £
Unrestricted funds
General fund 6,240 (4,620) 1,620
Restricted funds
Kangaroo care 7,884 (7,435) 449
Memory Cafe project 2,950 (8,665) (5,715)
NEST 9,145 (16,063) (6,918)
Odyssey 3,500 (875) 2,625
SHINE - (2,348) (2,348)
ETAT - (1,176) (1,176)
ViiV 3,000 (10,581) (7,581)
Lumber Puncture - (3,100) (3,100)
Metafore 3,554 (3,387) 167
Uganda Animation 12,159 (12,159) -
Mimble 5,320 (2,312) 3,008
47,512 (68,101) (20,589)
TOTAL FUNDS 53,752 (72,721) (18,969)

Comparatives for movement in funds

Net Transfers
movement between At
At 1.1.21 in funds funds 31.12.21
£ £ £ £
Unrestricted funds
General fund 7,709 4,659 (167) 12,201
Restricted funds
CurArteUk Donations - (167) 167 -
Memory Cafe project - 6,045 - 6,045
COVID (2,905) - - (2,905)
Blood transfusion 7,123 (4,870) - 2,253
NEST 3,447 4,333 - 7,780
Odyssey (39) - - (39)
SHINE (1,223) 2,901 - 1,678
ETAT - 2,120 - 2,120
ViiV - 8,612 - 8,612
Lumber Puncture - 4,000 - 4,000
6,403 22,974 167 29,544
TOTAL FUNDS 14,112 27,633 - 41,745

continued...

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PICTURING HEALTH

NOTES TO THE FINANCIAL STATEMENTS - continued for the Year Ended 31 December 2022

6. MOVEMENT IN FUNDS - continued

Comparative net movement in funds, included in the above are as follows:

Incoming Resources Movement
resources expended in funds
£ £ £
Unrestricted funds
General fund 5,799 (1,140) 4,659
Restricted funds
CurArteUk Donations 12,444 (12,611) (167)
Memory Cafe project 8,595 (2,550) 6,045
Blood transfusion - (4,870) (4,870)
NEST 38,411 (34,078) 4,333
SHINE 8,910 (6,009) 2,901
ETAT 6,426 (4,306) 2,120
ViiV 10,000 (1,388) 8,612
Lumber Puncture 4,000 - 4,000
88,786 (65,812) 22,974
TOTAL FUNDS 94,585 (66,952) 27,633

7. RELATED PARTY DISCLOSURES

There were no related party transactions for the year ended 31 December 2022.

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PICTURING HEALTH

DETAILED STATEMENT OF FINANCIAL ACTIVITIES for the Year Ended 31 December 2022

DETAILED STATEMENT OF FINANCIAL ACTIVITIES
for the Year Ended 31 December 2022
2022 2021
£ £
INCOME AND ENDOWMENTS
Charitable activities
Donations 632 13,339
Grants 53,120 81,246
53,752 94,585
Total incoming resources 53,752 94,585
EXPENDITURE
Charitable activities
Film-makers fees 68,101 51,538
Workshop costs & activities - 12,610
Misc costs 3,036 -
Website IT & social media fees 1,584 1,140
Consultancy - 1,618
72,721 66,906
Other
Bank charges - 46
Total resources expended 72,721 66,952
Net (expenditure)/income (18,969) 27,633

This page does not form part of the statutory financial statements

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