OpenCharities

This text was generated using OCR and may contain errors. Check the original PDF to see the document submitted to the regulator.

← Picturing Health

2024-12-31-accounts

PICTURING HEALTH, Annual Report and accounts for year ending 31 Dec 2024 Charity no. 1171738

Charity Objectives

Picturing Health's goal as a charity is to use film and art to improve public health. We make films to disseminate research and turn evidence into practice. working with leading medical and research institutions including the World Health Organisation (WHO), the MRC Clinical Trials Unit at UCL, the London School of Hygiene and Tropical Medicine (LSHTM) and many others. We make films to train health workers, often as part of much larger research and implementation projects. We make films to inform patients for use on the internet and local TV networks, and we make films to promote discussion in communities. Films cover topics from HIV and emergency paediatric medicine to mother and newborn care, 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

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 500 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 WHO guidelines.

Charity structure

At present the charity 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.

Income and financial policy

We maintain an overall reserve of 10.000 pounds, which is well above our annual core costs. We maintain a similar working fund to allow us to keep projects moving forwards pending payments from partners and clients. Picturing Health had neither contracts nor grant funding in 2024 from central government. In 2020 Picturing Health registered with the UK government's Gift Aid Scheme and we received income through this in 2024. We have a qualified accountant on the board of Trustees who oversees financial management.

Income from commissions: Most of our film projects are commissions where we are contracted to create films as part of wider projects to research or implement medical programs. This means being part of projects with multiple partners. Normally there is a set budget, so financially we work on a project by project basis, making sure that our filming and other activities fit within the contracted budget. We have a policy where we set aside ten percent of projects to pay for administration of the charity, running the website, financial management and other core costs. The policy is for at least ninety percent to go to the charitable activity directly. In reality this figure is around ninety five percent, as our core costs have been well below ten percent of the overall budget.

Income from donations: In addition to contracts we also have a number of donations. We do not

however spend money on fundraising. This allows us to spend 90% of donations on charitable activities, retaining only 10% for core running costs. The aim is to use these funds to make additional films, related to those we are commissioned to make, but aimed at different audiences. So if we are commissioned to make training films for a program, we can expand this and at the same time gather material to make films aimed at patients or communities.

ACHIEVEMENT AND PERFORMANCE Charitable activities

Picturing Health's main focus was once again this year on the creation of films. Most of the projects we have been working on have come from commissions.

NEST 360 – Essential Technology for Neonatal Intensive Care Units

(Nest 360 is a long term project with multiple funders including Gates Foundation, ELMA and others)

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

iKMC Training Films

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

In 2022 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 led to a change in WHO guidelines, which now recommend that almost all babies received KMC as soon after birth as possible and for as many hours a day as possible. This is for both high and low income settings. In 2023 we started a long term project, commissioned by the American Academy of Paediatrics (AAP) to make films for online training modules to introduce the new guidelines. In 2024 we filmed in Nigeria, Uganda, Malawi, Chile and Colombia. By the end of 2024 we had organized all the footage, created the outline of an online course to be put onto the WCEA learning management system (World Continuing Education Alliance). At the end of 2024 we had completed eight films. We expect to complete fourteen by mid 2025, totaling more than two hours of footage. This will be made available as part of an online training course on the WCEA website, which is used by nurses and midwives councils and medical training schools across Africa for Continuous Professional Development Training.

NeoiPC

We were commissioned to produce a set of seven short films for a Horizon-funded Europe-wide research project looking at ways to implement Kangaroo Care in Neonatal Intensive Care Units (NICUs) and then measuring the impact on infection prevention. This has been commissioned by Penta – Child Health Research. This year we produced the first of these films, aimed at families, to explain what Kangaroo Care is and the potential benefits. In 2024 we filmed in Basel, Switzerland to produce the second film, which was how to transfer babies from incubator into the KMC position.

Lumbar Punctures

We were asked by LSHTM to produce a film with multiple language versions aimed at adults in Africa with suspected meningitis, to encourage uptake of lumbar punctures – which are vital for the correct treatment. Without a quick diagnosis, people with meningitis are at high risk of death, as they may not receive the correct treatment. Lumbar punctures are also used to reduce the pressure around the brain, and relieve symptoms. In 2024 we completed a series of films with various language versions for the target countries (Uganda, Malawi, Mozambique, Zimbabwe and Botswana). We will produce more language versions in 2025.

CurArte and Art Therapy.

CurArte is a project we have partnered with and sponsored to use art in public health. This has in the past included giving workshops to HIV positive teens, struggling with adherence in Africa; and a 3 year collaboration with the mental health unit of a large public hospital in El Salvador. Following this, we received a donation to support two Salvadoran artists, one of them working in El Salvador’s ministry of health, to do a two-year masters in Art Therapy at an institute based in Barcelona. Both have now successfully completed their masters. As a continuation of this project curArte in 2023 started a group therapy for former political prisoners in El Salvador. This continued through 2024.

Capacity building: Most of our training and capacity building is through on the job training, where we hire local film makers. All the filming for NEST projects in Malawi has been done by a local film maker trained over many years by Picturing Health. For the IKMC project, where we are filming in multiple countries, we used a very experienced (ex BBC and others) Brazilian Film Maker as two of the locations are in South America. He worked with a local film maker in each country who provided a second camera allowing us to provide training, and also build new film making contacts. This allows us to gradually train up and build relationships with freelance film makers in many countries.

Financial Review

Core Spending: Through 2024 we continued to work to improve our website, which is key for distribution of films; to build partnerships to allow better evaluation of films within health programmes; to look for funding opportunities and used our film making activities to build capacity in our film making; used opportunities to build organisational capacity.

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 2024 we worked in Malawi, Uganda, Nigeria, El Salvador, Chile, Colombia and the UK. Overseas spending was entirely related to film production, which was coordinated from the UK. Receipts were collected for expenditure and accounting done on a project by project basis to fit within the budgets agreed with partners and commissioners. It should be noted that Picturing Health films are available for a worldwide audience – so the impact of the charity is much wider than the named countries. These are the places where we filmed and spent resources in 2024.

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.

Projected activities for 2025: Projected turnover from commissioned work in 2025 is expected to rise slightly to around £100,000.

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

Management and Governance

Trustees continued to meet on a quarterly basis. The risk register identified similar risks to 2023. The main risk continues to be the possibility of accidents involving contractors and freelancers, working with Picturing Health. This had previously been addressed until now by ensuring that all those we work with have their own insurance. However in 2024 we purchased a film production insurance to cover this risk, prior to the main filming for the iKMC project with the American Academy of Paediatrics. Another potential risk is that we do not have sufficient working capital to carry out filming when it needs to happen, often before we have received grant or other funding. We have addressed this by building up a working capital fund of around 10,000 pounds which allows us to start projects more quickly. 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.

Financial position: The accounts show activities for the year. Total income for Picturing Health was £71,687. Total expenditure on charitable activities was £84,368 of which £76,637 which directly on film making activities. The remaining £7,727 was spend on maintaining and expanding the web site and film library, administration and IT equipment. The accounts are prepared on a cash basis and because there was a net cash outflow, this does not mean that the charity is spending more than it earns. On the contrary, this year reserves and available balance have continued to rise. The balance at the year-end was £24,076, of which £28,516 was unrestricted and negative £4,440 was restricted. The explanation is that many commissions are ongoing, lasting over several years, with payments made to the charity only when key milestones are reached. The charity signs contracts with commissioning partners, but rarely receives money in advance. At the end of 2024 all projects were being carried out inside projected budgets. So the negative £4,440 figure for restricted assets will balance and break even when all current projects are completed.

Restricted funds are all from contracts where Picturing Health has been commissioned to create films or other materials by partners.

Receipts and Payments Account for the year ending 31st December 2024

Unrestricted
Funds		 Restricted
Funds		 2024 Total
Receipts
Project Income 6,166 60,205 66371
Donations 5,316 5,316
Total Receipts 11,482 60,205 71,687
Payments
Project costs 76,637 76,637
Social Media - - -
Information Technology 3,814 3,814
Administration 2,572 2,572
Advances 640 640
Other expenses 701 701
Total Payments 7,727 76,637 84,364
Defecit/Surplus for the year 3,755 -16,432 -12,677
Bank and cash balances at start of year 23,193 -2128 21,065
Bank and cash balances at end of year 26,948 -18,560 8,388

Statement of Assets and Liabilities as at 31[st] December 2024

Assets Unrestricted Restricted 2024 Total 2023 Total
Cash at bank 26,948 -18,560 8,388 21,065
Total 26,948 -18,560 8,388 21,065
Debtors (accounts
receivable		 1568 14,120
Total Assets 28,516 - 4,440 24,076 21,065

Note: The trustees confirm, in accordance with the Charitable Incorporated Organisations (General) Regulations 2012, that at the year end the CIO did not have any outstanding guarantees to third parties nor any debts secured on the assets of the CIO.

INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF PICTURING HEALTH

Charity number: 1171738

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 2024.

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;

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

24[th] October 2025

REFERENCE AND ADMINISTRATIVE DETAILS Registered Charity number 1171738

Principal address Flat 3 Springfield Jubilee Road Totnes Devon TQ9 5BW

Trustees

The trustees who served throughout the year and to the date of this report are:

Prof E M Molyneux Prof A L Kinmonth Mrs A E South Mr N Lewis Dr Grace Malenga

Independent Examiner Ian Barrett FCA FCIE Barretts Chartered Accountants & Chartered Tax Advisers 22 Union Street Newton Abbot Devon

TQ12 2JS

Approved by order of the board of trustees on 23 October 2025 and signed on its behalf by:

Prof E M Molyneux Chair of Trustees