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← Cmv Action

2024-01-31-accounts

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Trustees’ Annual Report and Financial Statements For the year ended 31 January 2024

(Charitable Incorporated Organisation)

Registered charity number: 1171773

Contents

Chair’s Forward

2

Trustees’ Annual Report

3 to 9

Financial statements

Financial statements 10 to 13 - Statement of Financial Activities 10 - Balance Sheet 11 - Statement of Cash Flows 11 - Notes to the Financial Statements 12 to 13

Independent Examiner’s Report

14

1

CHAIR’S REPORT

In the reporting year we continued working towards meeting our three charitable aims. Despite a decline in fundraising from the previous year, we were able to continue our vital work with families and raising awareness. We also actively supported research and worked to educate professionals. As part of our future plans, we increased the size of the team of contractors and volunteers.

As Chair, I would like to acknowledge that none of the work we did last year would have been possible without the commitment and dedication of our team and supporters. During the reporting period we were fortunate to have 7 committed and hardworking trustees some of whom have personal experience of the virus. For part of the year we also had the services of a dedicated fundraiser and an experienced part time project manager. In the reporting period we made the decision to look at further contracts to increase both our fundraising capacity and our social media presence. In December we contracted a Fundraiser and Social Media officer and in January an Awareness officer. On behalf of the trustees I would like to thank this dedicated and supportive team for their commitment.

We are also supported by our volunteers who bring their personal and professional experience. Some of them support other families who contact us. Last year our volunteer team was joined by a researcher. For some time we had wanted to improve our filing and upgrade our emails. We have now migrated to Microsoft and this was facilitated by another volunteer. I am incredibly grateful to all our volunteers.

In additional to all our volunteers, I want to take this opportunity to thank everyone who supported the charity during the reporting period whether it is sharing their experiences, supporting other families, fundraising for us or raising an awareness. I would also like to thank the medical professionals who give us their time and expertise both to support individual families and the aims of the charity. I recognise that everyone has very busy lives and as a small charity your help has made the difference to our work this year.

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Sarah Dewar CHAIR OF CMV ACTION 18 November 2024

2

TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 JANUARY 2024

Introduction

The Trustees have pleasure in presenting their annual report on the activities of CMV Action (‘the Charity’) for the year ended 31 January 2024. This report sets out the activities for the year undertaken by the Trustees and the volunteers who have supported the Charity over the past year.

Our Trustees, Patron, Support Team and Advisers

The names of those individuals who served as Trustees of the Charity during the year and who were appointed subsequent to the year end is as follows:

Trustees

Sarah Dewar Chair Liz Estall Alice Fletcher-Etherington Angela Henry Amy Taylor Graham Jones (Resigned 20 May 2024) Lucy Kelly (Resigned 31 March 2024) Tom Kelman Treasurer (Resigned 30 September 2024) Patron Professor Paul Griffiths MBE Emeritus Professor of Virology at University College London Support Team Natalie Hawkes Awareness Officer (appointed 15 January 2024) Leena O’Hara Operations Manager (appointed 28 April 2024) Clare Kelly Finance Manager (appointed 9 September 2024) Giles King IT adviser Hannah Phillips Community Fundraiser (appointed 9 December 2023) Sharon Wood Operations Manager (resigned 18 May 2024) Sue McKinney Fundraising Manager (resigned 30 June 2023) Medical advisers Dr. Chrissie Jones Associate Professor of Paediatric Infectious Diseases, Southampton University Professor Asma Khalil Professor of Obstetrics and Maternal Fetal Medicine at St George’s Hospital, University of London Dr Seilesh Kadambari Consultant in Paediatric Infectious Diseases, Great Ormond Street & Honorary Associate Professor UCL GOS Institute of Child Health Professional Advisers Banker Lloyds Banking Group Independent Examiner Mohammed Afzaal Bhatti (FCCA) KBM UK Ltd Legal Advisor DLA Piper UK LLP

3

TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 JANUARY 2024 (continued)

Our legal structure and governance

The Charity is an Charitable Incorporated Association (CIO) which has been registered as a charity since 11 June 2012 with the Charity Commission for England and Wales. In February 2018 we converted the Charity to a CIO. The Charity is governed by a constitution for unincorporated associations as provided by the Charity Commission for England and Wales. The constitution sets out the objects of the Charity and how its activities are to be conducted and governed. A copy of the full constitution can be found on our website www.cmvaction.org.uk.

The Trustees are all volunteers who due to the size of the Charity and its limited financial resources undertake some of the activities of the Charity, including offering support to pregnant women, parents and professionals. They are assisted by a support team of volunteers who have experience of CMV. The Trustees’ carried out meetings either in person in London or by video. Our newsletter and website provide members with information on the current and the future activities the Trustees are undertaking to further the objects of the Charity. The Trustees always welcome any questions or feedback from members and stakeholders.

In appointing new Trustees, the existing Trustees undertake a proportionate recruitment process that identifies the skills needed for the role, advertise the role and interview candidates for the role prior to their selection.

Trustees undertake appropriate training to fulfil their role and to keep up to date with the law and regulations surrounding the governance and operation of the Charity. They pay particular attention to the clear guidance provided by the Charity Commission for England and Wales and endeavour to act in accordance with the 6 principles set out in the Good Governance – A Code for the Voluntary and Community Sector.

Our charitable objects

The three charitable objects of the Charity are as follows.

  1. To promote and protect the physical and mental health of families affected by congenital CMV through the provision of support, education and practical advice.

  2. To advance the education of the medical profession and the general public into congenital CMV and its implications for the family.

  3. To promote research into the causes, effects, prevention, treatment and management of congenital CMV and to disseminate the useful results thereof.

The work we did to meet our charitable aims for this year

This report will look at the three key aims CMV Action trustees have set and review how the charity worked to meet these aims. It will also look at the way the charity built capacity which is an essential part of meeting our aims.

Aim 1: To promote and protect the physical and mental health of families affected by congenital CMV through the provision of support, education and practical advice

We have maintained our level of support to everyone who has contacted the charity including those with a diagnosis of the virus in pregnancy or with a child with a diagnosis. We also support those who are planning a pregnancy, work in an early years setting where the risks are higher or want general prevention advice.

4

TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 JANUARY 2024 (continued)

Aim 1: To promote and protect the physical and mental health of families affected by congenital CMV through the provision of support, education and practical advice (continued)

During the reporting period we received 59 email requests and 60 telephone requests directly to the charity. In additional, we were contacted regularly via messaging on social media. Whilst the number of direct requests have reduced in number, we are finding we are being asked for very specific advice and more information that is contained in our publications. We have been fortunate to have a group of medical professionals to ask for advice in these more complex cases. We have received an increase in the number of calls when treatment in pregnancy may be appropriate leading to an increased need to refer to our medical advisors. This means that individual support requests can take significantly more time and resources.

We regularly received feedback about the support we offer. One family told us The CMV website was the only source of information that we found online that we felt gave an accurate breakdown of information and guidance, and then along with this, a number of telephone calls with the support team really made such a huge impact. The team were caring, understanding with lived experience of CMV, and always available to help answer as best they could, what felt like really difficult questions to ask.

Our Facebook group for families in the UK continues to offer UK families affected by the virus a place to share experiences and receive advice from others in a similar position. It has become a supportive environment.

Our support volunteers and trustees are aware of the impact any diagnosis of CMV has on a family and the trustees were delighted to support a project looking at the psychological impact on families undertaken by the team at Imperial (TINI-CC Research Project). In May we heard feedback on the interim evaluation of the project. In July the Chair attend a family picnic with some of the families involved with CMV Action contributing the refreshments. This was a worthwhile opportunity to hear about the impact of the project and talk to families with recent experience of a diagnosis of CMV.

Aim 2: To advance the education of the medical profession and the general public into congenital CMV and its implications for the family

As part of National Awareness month in June, we invited medical professionals, researchers, parents and young adults affected by CMV to write about What CMV Means to Me. The resulting articles led to a successful social media campaign depicting those impacted by the virus personally and professionally. The campaign also led to an article in the press.

We recognise the particular importance of midwives as they will be the first point of contact for a pregnant woman and their significant role has been reflected in the inclusion of CMV in the NICE guidelines. We have attended both professional conferences and midwifery schools in the last year. In May we attended the Primary Care Public Health Conference and in July presented a talk and had a stand at the Northern Maternity and Midwifery conference. The combination of both events enabled us to interact with over 3,000 midwives, GPs and other health professionals. We also visited two universities to speak to smaller groups of student midwives and show them our resources for their practice. The informal feedback for these was excellent but we noted that those who knew most about the virus had attended talks given by us. We are planning to work with UK universities providing midwifery degrees to offer face to face or online CMV sessions as we recognise that a more individualised approach can be more effective than a conference.

5

TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 JANUARY 2024 (continued)

Aim 2: To advance the education of the medical profession and the general public into congenital CMV and its implications for the family (continued)

In additional to professionals, it remains vitally important to increase awareness in the general public of the virus and how it can be prevented. Amongst some of the projects we have been involved in is one regarding a cCMV film and media resource which is hoping to both raise awareness and support parents. We supported the successful grant application with work on the resources starting shortly.

Our website has a range of resources to download and the key ones have been translated into a number of languages. We have recently received feedback for our resource for those working in childcare settings thanking us for creating a specific resource.

Part of our awareness work involves social media and after a strong presence in the first half of the year on Facebook there was a period of stagnation following national awareness month in June which was reflective of a reduction in our team. However, towards the end of 2023 and the beginning of 2024, there was a spike in engagement following the recruitment of a new fundraising and social media officer. Due to issues beyond our control in 2023 we lost access to our Instagram account relaunching a new account on January 22[nd] , 2024. Engagement and reach have been very encouraging, and we have seen this improve month on month since .

As part of the need to increase awareness, in January we recruited an awareness officer specifically to enhance our presence on social media particularly engaging with those planning a pregnancy, pregnant or with small children.

Aim 3: To promote research into the causes, effects, prevention, treatment and management of congenital CMV and to disseminate the useful results thereof

During the reporting period we attended meetings with individual medical professionals and attended the Northern Line group (professionals working in this area). We also attended the All-Parliamentary Group on baby loss.

Our experience supporting families with a baby diagnosed with the CMV virus, suggests that there is no consistent experience in terms of diagnosis and subsequent treatment. During the reporting period, we worked with some professionals to prepare a Freedom of Information request to establish what testing and treatment protocols trusts have in place, and whether they hold data on numbers of CMV diagnoses

This would in turn will assist our support work as we would know what parents could expect. To date 165 individual trusts have been contacted and we are currently in the process of collating their responses.

In November we responded to a Department of Health notifiable disease consultation inviting them to make CMV a notifiable disease. This involved a response from the charity but also assisting our supporters to respond. Whilst there was no decision to make CMV a notifiable disease, there was a recognition of our work and involvement.

We now have a new volunteer who will be looking at research papers on our behalf. Several vaccine trials started in the UK in the last year and whilst we have no direct involvement with any vaccine trials, we have been contacted by those who are recruiting participants. We have provided them with links to our website and allowed them to access our resources as an opportunity to raise awareness and support research.

6

TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 JANUARY 2024 (continued)

What we did in the past year -summary

We would highlight the following actions as reflecting our success in the past year in meeting our objectives.

Objective What we set
out to do		 What we did The impact it
had		 What we learnt
and how we
want to improve
1.To Support
families affected
by
**CMV **		 Support
everyone who
seeks advice and
assistance .		 We responded promptly
to requests for advice
and information by
telephone ,email and
social media.
We regularly sought
advice from our medical
experts in relation to
medical issues raised in
support requests to
ensure consistent
approach in line with
medical practice.
In March 2023 one of
our medical advisors
gave a training session
and answered questions
from our trustees and
support volunteers on
CMV in pregnancy.
Our Private Facebook
Support Groups
continued to grow and
be a useful platform for
members to share
stories, advice and
experiences.		 Responses after
support and
feedback
demonstrated
deeply value this
work.
Over 120 individuals
and families
received personal
support from
experienced
members of the
team for as long as
needed
Medical advisors
refer families to our
website, our support
services and
comment positively
on our role at
conferences
Support volunteers
felt more confident
in responding to
requests for support
in pregnancy
Our Facebook
support group
currently has 486
members		 Importance of
volunteers having
regular contact and
support.
We respond to a
higher level of
enquiry requiring
medical information
as a result of better
education of CMV.
Our medical advisors
are crucial part of
this.
Medical practice and
treatment
possibilities and
guidance is evolving
and we need to keep
up to date
2.To educate
professionals,
parents-to-be and
the general public
about prevention
of
CMV		 Continue the
strategy to
change
professional
behaviour and to
raise awareness		 Participated in meetings
with other professionals
and stakeholders for
example the Northern
Line, APPG on Baby loss
Contributed to training
sessions for professionals
at conferences and in
education settings .
Organised a National
Awareness Month which
included a social media
campaign and articles
form professionals and
those impacted by the		 Raised awareness
through multi-
channel
opportunities,
nationally and
internationally.		 The charity can use
the experience of
the families we
support to help
educate
professionals on the
need for awareness
and change.
Building credibility
with key influencers
and professional
bodies is critical to
changing health
professional
behaviour.

7

virus
Made available a range of
literature to be
downloaded or ordered
from us available in a
number of languages.
Enjoyed a return to face-
to-face exhibiting and
health professional
conference participation
including the Primary
Care conference and
Northern Midwifery
conference.
3.To support the
development and
implementation of
research into
better
testing, treatment
and management
of
CMV		 Supported a
number of
research
priorities.		 Provided PPI assistance to
a number of research
projects and clinical trials.
Recruited a volunteer to
look at all the current
research on CMV.
Sent Freedom of
Information requests to
165 health trusts to
establish what diagnosis
and treatment protocols
were in place.
Introduced ourselves to
companies working on a
CMV vaccine and
supported a number of
those involved in vaccine
trials by providing
information about the
virus.		 These projects will
provide important
evidence in the UK
for further research
and lobbying.
The FOI project will
give us vital
information for …. to
support our
awareness work and
support to families.		 Patient and public
involvement is an
important aspect of
research bids and
CMV Action’s
support can make a
significant
contribution to bids.
4.To build the
capacity of CMV
Action		 Improve our
financial position
and build
capacity to
deliver our
objectives.		 Continued with our
commitment to
professional project
management and
fundraising.
Continued to develop
Trustee skills and
experience.
Contracted an
experienced fundraiser
and social media officer
Contracted an awareness
officer to focus
specifically on this work
Recruited a volunteer
with research experience
Invited another
experienced medical
advisor to join the team		 Enabled CMV Action
to take forward
educational,
research and
fundraising activities
that were not
feasible working
through volunteers
alone.
The impact of the
new contractors is
already being seen
To ensure a
sustainable,
forward-thinking
organisation.		 The organisation
needs a dedicated
team of trustees,
professionals and
volunteers to
achieve our
objectives.

8

TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 JANUARY 2024 (continued)

Fundraising Summary

The total funds raised fundraising events, donations, and grants for the year ended 31 January 2024 was £12,996. This was substantially down from the proceeding years when we were fortunate enough to have better economic conditions and two active fundraisers. Due to difficulties filling all places at events we organise we decided not to commit to places in future and instead sourced places via an agreement with Run for Charity in 2022 giving us access to over 350 fundraising events without committing to places which we cannot fill. We suspended our membership whilst we recruited a new fundraiser who is now focusing on this relationship.

Our Fundraisers

Most of the fundraisers in the reporting period knew someone who was affected by the virus. Some had a child, sibling or other family member who had been diagnosed with cCMV whilst others were doing this for friends who had personal experience. The Charity relies heavily on donations from individual members of the public and on monies raised from fundraising events to finance its activities. During the past year we are indebted to those who have given us money and their time to help organise and participate in events that have raised funds. We therefore thank everyone for their continued support without which we would be unable to pursue our objectives.

Financial Commentary

The Charity saw its net assets decrease by £33,390 from £130,107 to £96,717 and this was due to the reduced level of donations, income from fundraising events, grants and deposit interest amounting in a combined income total to £15,439, whilst our expenses amounted in total to £48,829.

The Trustees are aware that they have a responsibility to apply these reserves to further the objects of the Charity and so have agreed a strategy for this purpose. This will see the Trustees continue to apply some of the reserves to further the Charity’s objects whilst also continuing to retain reserves to mitigate risk and to fund innovation and future developments. The Trustees have considered a formal reserves policy. The aim is to maintain at least six months annual expenditure as the Charities reserves or c£40,000 at current expenditure levels, and to take affirmative action at the current time towards maintaining this when reserves fall below £50,000 in light of the drop in community fundraising which continues.

The Trustees have sought security and liquidity in preference over yield given the low level of reserves currently held by the Charity and the relatively high level of reward offered by short term deposit takers.

The Trustees have identified the main risks the Charity faces, and these are the reliance on donations and fundraising with no regular annuity, and the reputational risk that could arise from giving bad advice to members or issuing medically incorrect educational material on CMV. The Trustees’ have controls in place to manage and mitigate these risks.

The Trustees have considered the going concern status of the charity and have no reason to believe that the charity will be unable to meet its debts and conduct its activities for the foreseeable future beyond the twelve months from the date of signing this annual report.

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Honorary Treasurer 18 November 2024

9

CMV Action Statement of Financial Activities

For the year ended 31 January 2024

Incoming resources
Incoming resources from generated funds
Fundraising events, donations, grants
Bank interest
Total incoming resources
Resources expended
Costs of generating funds
Fundraising events & Donations
Total costs of generating funds
Charitable activities
Project management costs
Community fundraiser costs
Awareness officer costs
Other direct costs
Total charitable activities costs
Governance costs
Trustees’ expenses
Depreciation of fixed assets
Total governance costs
Total resources expended
Net movement in funds
Total funds brought forward
Total funds carried forward		 Note 2024
£
£
£
Restricted
Unrestricted
Total		 2023
£
£
£
Restricted
Unrestricted
Total
1
2
3		 -
12,966
12,966
-
2,473
2,473		 14,390
27,531
41,921
-
511
511
-
15,439
15,439		 14,390
28,043
42,433
-
(486)
(486)		 -
(1,420)
(1,420)
-
(486)
(486)		 -
(1,420)
(1,420)
-
(30,902)
(30,902)
-
(8,004)
(8,004)
-
(250)
(250)
-
(6,072)
(6,072)		 (5,000)
(23,779)
(28,779)
(2,500)
(10,044)
(12,544)
-
-
-
(6,890)
(4,350)
(11,240)
-
(45,228)
(45,228)		 (14,390)
(38,173)
(52,563)
-
(1,003)
(1,003)
-
(2,112)
(2,112)		 -
(564)
(564)
-
(1,968)
(1,968)
-
(3,115)
(3,115)		 -
(2,532)
(2,532)
-
(48,829)
(48,829)		 (14,390)
(42,125)
(56,515)
-
(33,390)
(33,390)
-
130,107
130,107		 -
(14,082)
(14,082)
-
144,189
144,189
-
96,717
96,717		 -
130,107
130,107

All of the above results are derived from continuing activities.

There were no other recognised gains or losses other than those stated above.

The notes on page 13 to 14 form part of these financial statements.

10

CMV Action Statement of Financial Position

As at 31 January 2024

CMV Action
Statement of Financial Position
As at 31 January 2024
Notes
Fixed Assets
4
Tangible Fixed Assets
Intangible Fixed Assets
Total Fixed Assets
Current assets:
Debtors
5
Cash at bank and in hand
Total current assets
Liabilities:
Creditors: Amounts falling due within one year - accruals
6
Net Current Assets
Net assets
The funds of the charity:
Total unrestricted funds
Total restricted funds
Total unrestricted funds
Statement of Cash Flows
For the year ended 31 January 2024
Reconciliation of changes in resources to net cash inflow from
operating activities
Net incoming/(outgoing) resources
Purchase of Tangible and Intangible Fixed Assets
Depreciation of Fixed Assets
Decrease / (Increase) in debtors
(Decrease) / Increase in creditors
Net cash (outflow)/inflow from operating activities
Net cash funds at 1 February
Net cash funds at 31 January		 2024
£
2023
£
543
1,119
1,336
2,872
1,879
3,991
2,666
-
94,290
128,219
96,956
128,219
(2,118)
(2,103)
94,838
126,116
96,717
130,107
96,717
130,107
96,717
130,107
2024
£
2023
£
(33,390)
(14,082)
-
(3,226)
2,112
1,967
(2,666)
709
15
1,263
(33,929)
(13,369)
128,219
141,588
94,290
128,219

The notes on page 13 to 14 form part of these financial statements. The financial statements were approved and authorised for issue by the Trustees and signed on their behalf by:

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Honorary Treasurer 18 November 2024

11

CMV Action

Notes to the financial statements

1. Statement of accounting compliance Convention

The financial statements are prepared in accordance with applicable accounting standards in the United Kingdom and under the historical cost convention and comply with the current 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 the Republic of Ireland (FRS 102) and the Charities SORP (FRS 102) and the Charities Act 2011.

2. Statement of accounting policies

Going concern

There are no material uncertainties about the charity’s ability to continue undertaking its activities in the coming twelve months from the date on which the financial statements were approved by the Trustees.

Recognition of income

Income attributable to the financial year is recognised as follows:

Resources expended

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. A further analysis of the expenditure on Trustees’ expenses is given in note 3. below.

Tangible and Intangible fixed assets and depreciation and amortisation

Tangible and Intangible fixed assets with a cost more than £500 are capitalised at cost. Depreciation and amortisation of fixed assets is charged at rates estimated to write off their costs or valuation (less any residual value) over their estimated useful lives commencing in the month of acquisition and over three years using straight-line rates of depreciation and amortisation.

3. Trustees’ expenses

The Trustees expenses relate to travel & subsistence costs to and from face to face meetings and amounted to £1,003 (2013 - £564).

12

CMV Action

Notes to the financial statements (continued)

4. Fixed Assets – Tangible and Intangible

Cost
At 1 February 2023
Additions
At 31 January 2024
Depreciation
At 1 February 2023
Charge in year
At 31 January 2024
Net book value as at 31 January 2024
Net book value as at 31 January 2023		 Tangible
Intangible
Total
£
£
£
1,728
4,607
6,335
-
-
-
1,728
4,607
6,335
609
1,735
2,344
576
1,536
2,112
1,185
3,271
4,456
543
1,336
1,879
1,119
2,872
3,991

5. Debtors – prepayments and accrued interest


Interest earned in year received post year end
Prepaid fundraising Run for Charity license
Prepaid exhibition fees

Total prepayments and accrued income
. Creditors: Amounts falling due within one year – accruals

Project Manager’s fees and expenses
Community Fundraiser fees
Awareness Officers fees

Total accruals		 2024
2023
£
£
1,533
687
-
446
-
2,666
-

2024
2023
£
£
1,218
888
650
1,215
250
-
2,118
2,103

6. Creditors: Amounts falling due within one year – accruals

13

Independent Examiner’s report to the Trustees’ of CMV Action Charity No.1171773

I report to the trustees on my examination of the financial statements of the above charity for the year ended 31 January 2024.

Responsibilities and basis of report

As the trustees of the company (and also its directors for company law) you are responsible for the preparation of the financial statements 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 the charity’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:

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

  2. the financial statements do not accord with those records; or

  3. the financial statements 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 financial statements 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 in order to enable a proper understanding of the accounts to be reached.

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20/11/2024

Mohammed Afzaal Bhatti FCCA Independent Examiner

K B M UK Limited 1 Concord Business Centre Concord Road London UK W3 0TJ

14