
## **Trustees’ Annual Report for the period** 

## **From 01 April 2020 To 31 March 2021** 

## **Charity name: The Foundation For Palliative Care Education** 

## **Charity registration number: 1174758** 

## **Objectives and Activities** 

||SORP reference||
|---|---|---|
|Summary of the purposes of<br>the charity as set out in its<br>governing document|Para 1.17|**PACED aims to improve the quality of**<br>**palliative care and make it available in the**<br>**countries where it is underdeveloped,**<br>**with a primary focus on Eastern Europe**<br>**and Central Asia.**<br>**Our objectives are:**<br>**(a) the provision of systematic support to**<br>**professionals and enthusiasts in the field**<br>**of end-of-life and palliative care; and**<br>**(b) the facilitation of better access to**<br>**quality education and methods of**<br>**integration for palliative carers. **|
|Summary of the main<br>activities in relation to those<br>purposes for the public<br>benefit, in particular, the<br>activities, projects or services<br>identified in the accounts.|Para 1.17 and<br>1.19|**PACED’s activities reflect its five**<br>**strategic objectives for 2021-2024, which**<br>**are to:**<br>**1 Support the professional development**<br>**of health and care workers to develop**<br>**their knowledge, attitudes and skills in**<br>**providing palliative care**<br>**2 Help raise standards of palliative care**<br>**teaching in undergraduate,**<br>**postgraduate and specialist settings**<br>**3 Support targeted palliative care**<br>**initiatives in focus countries**<br>**4 Encourage and support cooperation**<br>**and joint learning between countries**<br>**in EECA**<br>**5 Build PACED’s organisational**<br>**infrastructure and systems, and**<br>**develop its visibility and reputation on**<br>**national, regional and global stages. **|
|Statement confirming<br>whether the trustees have<br>had regard to the guidance<br>issued by the Charity<br>Commission on public<br>benefit|Para 1.18|**The charity Trustees confirm that:**<br><br>**they are aware of the guidance**<br><br>**they have taken it into account**<br>**when making a decision to which**<br>**the guidance is relevant**<br><br>**if they have decided to depart from**<br>**the guidance, they have a good**<br>**reason for doing so (not**|





**applicable in year under review)** 

## **Additional information (optional)** 

## You may choose to include further statements where relevant about: 

||SORP reference||
|---|---|---|
|Policy on grant making|Para 1.38|**Not Applicable**|
|Policy on social investment<br>including program related<br>investment|Para 1.38|**Not Applicable**|
|Contribution made by<br>volunteers|Para 1.38|**Volunteer time was quantified at about 40**<br>**working days for the year. This would**<br>**amount to a benefit of in excess of £5000**<br>**in total for the year.**|
|Other||**Not Applicable**|



## **Achievements and Performance** 

||SORP reference||
|---|---|---|
|Summary of the main<br>achievements of the charity,<br>identifying the difference the<br>charity’s work has made to<br>the circumstances of its<br>beneficiaries and any wider<br>benefits to society as a<br>whole.|Para 1.20|**During 2020-21 the world was focused on**<br>**COVID-19 and the disruption caused by**<br>**the pandemic. Healthcare organisations**<br>**faced unprecedented challenges in**<br>**treating patients and, at the same time,**<br>**doing their utmost to protect front-line**<br>**staff. Palliative care found a new role,**<br>**with the sector’s knowledge and**<br>**experience becoming a source of advice**<br>**and support to healthcare providers**<br>**struggling to help patients who were**<br>**dying in numbers and ways never before**<br>**experienced in our lifetimes.**<br>**For PACED, the pandemic led to**<br>**unavoidable change as palliative care**<br>**services and practitioners focused on**<br>**clinical priorities; development work that**<br>**looked to the future took a back seat. So**<br>**we put PACED ‘on ice’ for part of this**<br>**reporting year, and were grateful for the**<br>**financial support provided by the British **|





**government to help cover our costs. The pandemic speeded moves towards online learning, and PACED took advantage of this. We sponsored three palliative care clinicians, one from each of Azerbaijan, Armenia and Ukraine, to participate in a course of advanced webinars provided by the Oxford Centre for Education and Research in Palliative Care. Dr Narine Movsisyan, a palliative care and pain management specialist in Armenia, said: “The course was very interesting and covered a broad range of topics. For example, there was an excellent lecture on opioidinduced constipation, focusing on issues such as withdrawal strategies, prognosis and associated breathlessness. I now use the knowledge gained in my daily practice, as well as in teaching palliative care students.” We also ran a programme to build on the successful QELCA training on which we reported last year, when a team of eight professionals from Georgia attended a five day bespoke course at St Christopher’s Hospice in London. This second initiative was a ‘train the trainer’ programme involving five experts who are working at national level in Georgia to deliver training in the primary care faculty of a medical school.  Dr Pati Dzotsenidze said: “This was very interesting and intensive training. As a result, we are now planning to deliver more training sessions to disseminate knowledge amongst medical practitioners in Georgia. We will work with the Department for Family Medicine and its students, as well as young practitioners, and with caregivers in hospices in Tbilisi. All together, we are planning to educate ‘change agents’ among medical care professionals all over the country.”** 

**An online meeting was convened by PACED in September to share experiences of how palliative care services were responding to COVID-19. Ten participants joined from Azerbaijan, Belarus, Kazakhstan, Kyrgyzstan, Moldova, Russia, Ukraine and** 



**Uzbekistan. In some countries services were collapsing, with doctors being infected in large numbers and people dying without care. However, there was also a picture of resilience, adaptation and determination to provide the best possible help. One participant quoted the rule to “never miss the chance that a good crisis provides”, and described how she was lobbying government to highlight that COVID-19 demonstrated the need to integrate palliative care into healthcare policies. As we moved towards the end of the year there were also changes in PACED’s management. Yulia Yudina, who did so much to build PACED into a respected international organisation, moved onto pastures new. We started a search for a new Chief Executive and recruited Mike Mandelbaum, who has managed palliative care services in the UK and also worked for international development charities. Mike joined us for the last two months of this 2020-21 year. During the last months of the reporting year (and into the early months of 202122) PACED developed a new three year strategic plan with objectives to:**  **Support the professional development of health and care workers to develop their attitudes, knowledge and skills in providing palliative care**  **Help raise standards of palliative care teaching in undergraduate, postgraduate and specialist settings**  **Support targeted palliative care initiatives in focus countries**  **Encourage and support cooperation and joint learning between countries in Eastern Europe and Central Asia (EECA)**  **Build PACED’s organisational infrastructure and systems, and develop its visibility and reputation on national, regional and global stages. An Education Advisory Committee was formed, chaired by Dr Fiona Rawlinson, Programme Director for the Palliative Medicine for Healthcare Professionals MSc and short courses at Cardiff University. The Committee includes experienced and respected palliative care professionals from EECA, the UK and USA. Finally, we began work on a new www.paced.org.uk website which went live later in the year.** 



**We believe the foundations of PACED are now well established and we look forward to reporting in future years about a growing programme of work, through which PACED aims to become a key contributor to the advance of palliative care in Eastern Europe and Central Asia.** 

**Up to date information about PACED’s work can be found on its website www.paced.org.uk** 

|**Additional information (optional)**<br>Youmay choose toincludefurtherstatements|**Additional information (optional)**<br>Youmay choose toincludefurtherstatements|whererelevant about:|
|---|---|---|
|Achievements against<br>objectives set|Para 1.41|**Not Applicable**|
|Performance of fundraising<br>activities against objectives<br>set|Para 1.41|**Not Applicable**|
|Investment performance<br>against objectives|Para 1.41|**Not Applicable**|
|Other||**Not Applicable**|





## **Financial Review** 

|Review of the charity’s<br>financial position at the end<br>of the period|Para 1.21|**Income for the year ended 31 March 2021**<br>**totalled £68 988 which represented a**<br>**small decrease over the previous year of**<br>**£8k.**<br>**Most of the expenditure for the financial**<br>**year was on programme activities and**<br>**staff costs for 1 member of staff.**<br>**All donations received for the year were**<br>**unrestricted and have been classified as**<br>**such. The net surplus for the year**<br>**amounted to £30 909 which brought the**<br>**total unrestricted funds held to £56 821**<br>**as at 31 March 2021.**|
|---|---|---|
|Statement explaining the<br>policy for holding reserves<br>stating why they are held|Para 1.22|**Reserves are only held in so far as funds**<br>**not spent during the year are carried**<br>**forward to the next financial year to be**<br>**used towards the goals of the**<br>**organisation and its programmes. **|
|Amount of reserves held|Para 1.22|**The funds carried forward of £56 821 are**<br>**placed in reserves and will be used as**<br>**needed per the previous paragraph.**|
|Reasons for holding zero<br>reserves|Para 1.22|**n/a**|
|Details of fund materially in<br>deficit|Para 1.24|**n/a**|
|Explanation of any<br>uncertainties about the<br>charity continuing as a going<br>concern|Para 1.23|**As with most charities, we are dependant**<br>**on donations and would not be able to**<br>**continue operations should donations**<br>**not be received. We do not think this will**<br>**happen inthe near future. **|



|**Additional information (optional)**<br>You may choose to include further statements|**Additional information (optional)**<br>You may choose to include further statements|where relevant about:|
|---|---|---|
|The charity’s principal<br>sources of funds (including<br>any fundraising)|Para 1.47|**All income was received via donations.**|
|Investment policy and<br>objectives including any<br>social investment policy<br>adopted|Para 1.46|**n/a**|
|A description of the principal<br>risks facing the charity|Para 1.46|**n/a**|
|Other||**n/a**|





## **Structure, Governance and Management** 

|Description of charity’s<br>trusts:|||
|---|---|---|
|Type of governing document<br>(trust deed, royal charter)|Para 1.25|**Constitution of the Foundation for**<br>**Palliative Care Education (PACED) dated**<br>**15 February 2017.**|
|How is the charity<br>constituted?<br>(e.g unincorporated<br>association, CIO)|Para 1.25|**PACED is constituted as a Charitable**<br>**Incorporated Organisation (CIO)**|
|Trustee selection methods<br>including details of any<br>constitutional provisions e.g.<br>election to post or name of<br>any person or body entitled<br>to appoint one or more<br>trustees|Para 1.25|**According to PACED Constitution the**<br>**method is as follows:**<br>**“Apart from the first charity trustees,**<br>**every trustee must be appointed by a**<br>**resolution passed at a properly convened**<br>**meeting of the charity trustees.**<br>**In selecting individuals for appointment**<br>**as charity trustees, the charity trustees**<br>**must have regard to the skills, knowledge**<br>**and experience needed for the effective**<br>**administration of the CIO”.**|
|**Additional information (optional)**<br>You may choose to include further statements|||
|Policies and procedures<br>adopted for the induction and<br>training of trustees|Para 1.51|**No comment**|
|The charity’s organisational<br>structure and any wider<br>network with which the<br>charity works|Para 1.51|**No comment**|
|Relationship with any related<br>parties|Para 1.51|**No comment**|
|Other||**No comment**|





Charity’s principal address **93 Cadogan Gardens, London SW3 2RE** 



## **Names of the charity trustees who manage the charity** 

|1<br>2<br>3<br>4<br>5<br>6<br>7<br>8<br>9<br>10<br>11<br>12<br>13<br>14<br>15<br>16<br>17<br>18<br>19<br>20|**Trustee name**|**Office (if any)**|**Dates acted if not for whole**<br>**year**|**Name of person (or body) entitled**<br>**to appoint trustee(if any)**|
|---|---|---|---|---|
||**Dr Robert**<br>**Twycross**||**Whole year**||
||**Mr Dmitry**<br>**Yampolskiy**||**Whole year**||
||**Ms Anna**<br>**Federmesser**||**Whole year**||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||



– Corporate trustees names of the directors at the date the report was approved 

## **Director name** 

**n/a** 

Name of trustees holding title to property belonging to the charity 

|**Trustee name**|**Dates acted if not for wholeyear**||
|---|---|---|
|**n/a**|||
||||
||||
||||
||||
||||





## **Funds held as custodian trustees on behalf of others** 

Description of the assets **Not applicable** held in this capacity Name and objects of the **Not applicable** charity on whose behalf the assets are held and how this falls within the custodian charity’s objects 

Details of arrangements for **Not applicable** safe custody and segregation of such assets from the charity’s own assets 

## **Additional information (optional)** 

## **Names and addresses of advisers (Optional information)** 

**Type of Name Address adviser** 

## **Name of chief executive or names of senior staff members (Optional information)** 

Mike Mandelbaum, Chief Executive 

## **Exemptions from disclosure** 

Reason for non-disclosure of key personnel details 

**Not applicable** 

## **Other optional information** 

**nil** 



## **The Foundation for Palliative Care Education - Profit & Loss 01 April 2020 - 31 March 2021** 

|**Ordinary Income/Expense**<br>**Income**<br>**Fundraising Income**<br>**Donations Received - Restricted Income**<br>**Donations Received - Unrestricted Income**<br>**Total Donations**<br>**Total Fundraising Income**<br>**Total Income - Unrestricted**<br>**Expense**<br>**Staff Costs**<br>**Employees salaries including NI cont**<br>**Salary Costs**<br>**Less HMRC JRS grant**<br>**Pension costs incl pension admin fees**<br>**Total Staff costs**<br>**Activity Costs**<br>**Conference Expenses**<br>**Programme Costs**<br>**Travel and Subsistence**<br>**Total Activity costs**<br>**Adminstration Costs**<br>**Accounting and Examiners Fees**<br>**Bank Charges**<br>**Computer and Internet**<br>**Postage**<br>**Printing and Stationery**<br>**Total Administration costs**<br>**Total Expense**<br>**Net Income for the period**|01 April '20 to 31 Mar '21|01 Apr '19 - 31 March '20|01 Apr '18 - 31 March '19|
|---|---|---|---|
||-<br>£<br>68,988<br>£|-<br>£<br>77,771<br>£|-<br>£<br>18,486<br>£|
||68,988<br>£<br>**68,988**<br>**£**|77,771<br>£<br>**77,771**<br>**£**|18,486<br>£<br>**18,486**<br>**£**|
||**68,988**<br>**£**|**77,771**<br>**£**|**18,486**<br>**£**|
|||||
||23,085<br>£|37,628<br>£|-<br>£|
||35,745<br>£<br>12,660<br>-£|-<br>£<br>-<br>£|-<br>£<br>-<br>£|
||2,796<br>£<br>**25,881**<br>**£**|3,003<br>£<br>**40,631**<br>**£**|-<br>£<br>**-**<br>**£**|
||-<br>£<br>11,165<br>£<br>-<br>£<br>**11,165**<br>**£**|4,878<br>£<br>22,202<br>£<br>1,426<br>£<br>**28,506**<br>**£**|-<br>£<br>-<br>£<br>-<br>£<br>**-**<br>**£**|
||577<br>£<br>-<br>£<br>457<br>£<br>-<br>£<br>-<br>£<br>**1,034**<br>**£**|500<br>£<br>55<br>£<br>427<br>£<br>67<br>£<br>158<br>£<br>**1,207**<br>**£**|-<br>£<br>-<br>£<br>-<br>£<br>-<br>£<br>-<br>£<br>**-**<br>**£**|
||**38,079**<br>**£**|**70,345**<br>**£**|**-**<br>**£**|
|||||
|||||
||**30,909**<br>**£**|**7,426**<br>**£**|**18,486**<br>**£**|





## **The Foundation for Palliative Care Education - Balance Sheet as at 31 March 2021** 

|**ASSETS**<br>**Current Assets**<br>**Cash at bank and in hand**<br>**Barclays GBP Current**<br>**Total Cash at bank and in hand**<br>**Total Current Assets**<br>**Current Liabilities**<br>**Other Current Liabilities**<br>**Accrued Expenses**<br>**Payroll Costs (NI and Pension)**<br>**Total Other Current Liabilities**<br>**Total Current Liabilities**<br>**NET CURRENT ASSETS**<br>**TOTAL ASSETS LESS CURRENT LIABILITIES**<br>**NET ASSETS**<br>**Capital and Reserves**<br>**Brought Forward Funds**<br>**Surplus for the Year**<br>**Total Funds**|**31 Mar 21**<br>58,847<br>58,847<br>58,847<br>500<br>1,526<br>2,026<br>2,026<br>56,821<br>56,821<br>**56,821**<br>25,912<br>30,909<br>**56,821**<br>**Note 1**|**31 Mar 20**<br>27,633<br>27,633<br>27,633<br>500<br>1,220<br>1,720<br>1,720<br>25,912<br>25,912<br>**25,912**<br>18,486<br>7,426<br>**25,912**|**31 Mar 19**|
|---|---|---|---|
||||18,486|
||||18,486|
||||18,486<br>0<br>0|
||||0|
||||0<br>18,486|
||||18,486|
||||**18,486**|
||||0<br>18,486|
||||**18,486**|
|||||





**NOTE 1** 

## INCOME 

|INCOME||||||||
|---|---|---|---|---|---|---|---|
|||**Without**|**Restrictions**|**With Restrictions**||**Total**||
||Opening Balance|£|25,912<br>|£|-<br>|£|25,912<br>|
||Grants Received during period|£|68,988<br>|£|-<br>|£|68,988<br>|
||**Total**|**£**|**94,900**<br>|**£**|**-**<br>|**£**|**94,900**<br>|
|EXPENSES||||||||
||Salaries incl NI costs|£|23,084<br>|£|-<br>|£|23,084<br>|
||Pensions|£|2,796<br>|£|-<br>|£|2,796<br>|
||Programme costs|£|11,165<br>|£|-<br>|£|11,165<br>|
||Administration costs|£|1,034<br>|£|-<br>|£|1,034<br>|
||**Total**|**£**|**38,079**<br>|**£**|**-**<br>|**£**|**38,079**<br>|
||**Funds Balance**|**£**|**56,821**<br>|**£**|**-**<br>|**£**|**56,821**<br>|





**Independent examiner's report on the accounts** 


## **Section A                        Independent Examiner’s Report** 

|**Report to the trustees/**<br>**members of**<br>**On accounts for the year**<br>**ended**<br>**Set out on pages**<br>**Responsibilities and**<br>**basis of report**<br>**Independent**<br>**examiner's statement**|Charity Name<br>The Foundation For Palliative Care Education|Charity Name<br>The Foundation For Palliative Care Education|Charity Name<br>The Foundation For Palliative Care Education|
|---|---|---|---|
|||||
||31 March 2021|**Charity no**<br>**(if any)**|1174758|
|||||
||1 and 2<br>(remember  to include the page numbers of additional sheets)|||
||I report to the trustees on my examination of the accounts of the above<br>charity (“the Trust”) for the year ended 31/03/2021.<br>As the charity's trustees, you are responsible for the preparation of the<br>accounts in accordance with the requirements of the Charities Act 2011<br>(“the Act”).<br>I report in respect of my examination of  the Trust’s accounts carried out<br>under section 145 of the 2011 Act and in carrying out my examination, I<br>have followed all the applicable Directions given by the Charity Commission<br>under section 145(5)(b) of the Act.<br>I have completed my examination.  I confirm that no material matters have<br>come to my attention in connection with the examination (other than that<br>disclosed below *) which gives me cause to believe that in, any material<br>respect:|||



- the accounting records were not kept in accordance with section 130 of the Charities Act; or 

- the accounts did not accord with the accounting records; or 

- • the accounts did 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. 

|**Signed:**<br>**Name:**<br>**Relevant professional**<br>**qualification(s) or body**<br>**(if any):**<br>**Address:**<br>||25/08/2021|
|---|---|---|
||||
||Samuel Gormley||
||||
||Chartered Institute of Secretaries and Administrators (SA)||
||||
||46 Woodstock Road||
||Oxford||



1 

**IER** 



OX2 6HT 

## **Section B                           Disclosure** 

Only complete if the examiner needs to highlight material matters of concern (see CC32, Independent examination of charity accounts: directions and guidance for examiners). 

**Give here brief details of any items that the examiner wishes to disclose** . 

n/a 

2 

**IER** 

