Global Anaesthesia Development Partnerships
Report and Financial statements for year ended 31[st] March 2022
A Charitable Incorporated Organisation Registered as a charity in England and Wales: 1175791
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Global Anaesthesia Development Partnerships for the year ended 31 March 2022
| Page | Contents |
|---|---|
| 3 - 6 | Trustees’ annual report |
| 7 | Independent examiner’s report |
| 8 | Receipts & payments account |
| 9 | Statement of assets & liabilities |
| 10-11 | Notes to the accounts |
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Global Anaesthesia Development Partnerships Trustees’ annual report for the year ended 31 March 2022
Global Anaesthesia Development Partnerships
Charity registered number: 1175791
Business address and postcode:
Michael Salmon Building Bishop Hall Lane Chelmsford Campus Anglia Ruskin University Essex, CM1 1SQ
Business email address:
infogadp@gmail.com
Trustees
| Trustees | |
|---|---|
| Dylan Bould | Chair |
| Lesley Crichton | Vice Chair |
| Emma Coley | Secretary |
| David Snell | Treasurer |
| Sonia Akrimi | Fundraising |
| Lowri Bowen | Trustee |
| Emma Lillie | Trustee |
| ChristineMsadabwe | Trustee |
| Hazel Mumphansha | Trustee |
| Abel Mwale | Trustee |
| Nathan Oates | Trustee |
| Naomi Shamambo | Trustee |
| Jayne Sutherland | Trustee |
| MasuzyoZyambo | Trustee |
Bankers: HSBC Business – Community account
Methods adopted for the recruitment and appointment of new trustees:
Trustees are appointed for a term of three years by a resolution passed at a meeting of the board of trustees. Nominees are proposed by any sitting trustee, with support required by two further trustees. Trustees are eligible for re-election and may serve for three consecutive terms of office. Some foundation trustees were appointed for a term of 2 years to ensure that the entire board are not due for re-election at the same time.
Decisions are made jointly by the Trust Board and need to be agreed by a simple majority of all the trustees, with the Chair having the casting vote in the event of no clear majority.
If the current board of trustees identifies a vacancy or an area of need, a brief “job description” and person specification is agreed, after which the position is advertised. Interviews are conducted by a small group of trustees, the successful candidate(s) are vetted and welcomed. All new trustees receive a formal letter of welcome, and the core charity documents, as well as an informal induction.
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Global Anaesthesia Development Partnerships
Objectives and activities
Introduction
Global Anaesthesia Development Partnerships (GADP) is pleased to provide its annual and financial report for 2021/2022. From its conception in July 2017 and registration in November 2017, it has rapidly achieved its business aim of supporting the development of anaesthesia provision in low-and middle-income countries. Notably, to date all its activity have been conducted through voluntary activity by its operational staff, with none of its budget required for salary or wage support. Income generation (from donations and grant applications) and mentoring and support for in-country programmes will continue to form the core of its business. The GADP trustees took the decision to change the last word of its name from “Project” to “Partnerships” in December 2020; this was felt to better represent the work of the charity, which is to support local country partnerships.
Charity purposes
The formal purpose of Global Anaesthesia Development Partnerships (hereafter referred to as GADP) is:
“The advancement of health and saving of lives for people undergoing surgery in underdeveloped countries by training providers in anaesthesia practice”.
Main activities
The activities of the GADP during the reporting period were through its two country partnerships:
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Zambia Anaesthesia Development Program (ZADP) and
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Ethiopia Anaesthesia Development Program (EADP)
The specific methods by which these partnerships deliver GADP’s objectives are by:
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Supporting local training, quality improvement, research and other capacity building priorities working towards safer anaesthetic and critical care in Zambia and Ethiopia
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Travel and subsistence costs of individual volunteers to undertake visits to LMICs to provide anaesthesia training. During the COVID pandemic volunteers were delivering remote learning from abroad using teleconference facilities
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In-country short-course education programmes
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Travelling fellowships of the LMIC anaesthesia providers
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Other educational activities aimed at improving the training of anaesthesia providers
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Advocacy for safer surgical and critical care.
Public benefit
This work benefits the public of Zambia and Ethiopia by contributing to health systems strengthening by increasing the capacity for physician-led anaesthetic care. This means a greater number of patients benefit from being directly cared for by a physician, and in addition nonphysician anaesthesia providers receive greater support in their practice and professional development. Available resources, drugs and equipment needed for safe practice also increase by having staff confident in advocating to policymakers, and improved governance practice that also benefits safe patient care.
GADP has considered the Charity Commission’s guidance on “public benefit”.
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Global Anaesthesia Development Partnerships
Main achievements
COVID-19 has continued to affect the operations of both GADP partnerships due to significant limitations on international travel and the clinical workload of practicing physician anaesthetists in all partner countries remaining high. We have continued to reassess the needs of our partnerships ensuring we both address newly emerging pandemic needs whilst also not losing focus on the priorities that existed prior to the pandemic. We have achieved this using a remote approach to our work whilst international travel within our organisation remained suspended.
The highlight achievements of each partnership over the reporting year were:
ZADP
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Our #TakeADeepBreath campaign, launched in response to the third wave of COVID-19 cases in Zambia, aimed to support healthcare workers with improved oxygen capacity and resources needed for care for critically unwell patients. In collaboration with Medical Aid International and Lifebox, this campaign provided the support of:
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52 oxygen concentrators, 200 pulse oximeters and over 850 oxygen delivery and airway devices;
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200 sets of personal protective equipment;
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Training of two biomedical engineers in the maintenance of oxygen concentrators and other essential skills for the operating theatre and critical care environment.
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Three open-access respiratory failure training videos which have been viewed more than 870 times on our youtube channel;
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Initiation of a long-term regional anaesthesia service development project, which in this first year has achieved:
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Procurement of two hand-held ultrasound devices;
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Initiation of a remote regional anaesthesia lecture series and live ultrasound scanning workshops;
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Five Zambian Physician Anaesthetists remotely attending the Regional AnaesthesiaUK (RA-UK) 2021 conference;
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Development of a regional anaesthesia safety checklist;
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Audit and governance activity to support safe implementation and quality evaluation of this work.
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International advocacy campaigning for increased pandemic support for healthcare workers in Zambia, international support for COVID-19 vaccine procurement for Zambia and reversal of the abrupt loss of UK Aid funding. We shared these messages through the following:
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A letter to the UK government co-signed by 13 UK anaesthetic organisations;
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Working with Channel 4 news to report the situation in Zambia and the urgent need for vaccination support;
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An international podcast developed with the Royal College of Anaesthetists;
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Multiple campaign videos;
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Presentations and collaborations with many organisations including a speech at the House of Commons in an event organised by ONE campaign.
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Initiation of ZADP remote fellow roles. These volunteers have facilitated and taught in a remote programme of physician anaesthetist trainee teaching and provided mentorship in project work, exam preparation and professional wellbeing. In total, 6 remote fellows, 7 additional UK volunteers and 8 Zambian volunteers have supported the training programme through remote teaching during this period;
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Global Anaesthesia Development Partnerships
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Refurbishment of the training room at Ndola Teaching Hospital (following completion of a similar refurbishment at University Teaching Hospital the year prior) making this a comfortable place for learning;
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A wellbeing campaign providing hot meals to frontline critical care staff as well as remote support of all partners through friendships, mentorship and mindfulness events.
EADP
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Delivery of fortnightly remote teaching sessions for the Addis Ababa University and Haramaya University residents;
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Introduction of mentorship program for 1st year residents;
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One fellow was based in Addis Ababa February - May 2022: they provided clinical teaching; simulation teaching program, led two quality improvement projects focused on patient safety and supported local residents with submission of conference abstracts and publications;
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Recruitment of fellows, who will start in February and August 2023.
Other
- We held our annual GADP conference in February 2022 again hosted remotely, improving the opportunity for all partners and international delegates and speakers to join. This conference, entitled “Navigating Challenges and Advocating for Change” focused on both pandemic management and advocating for the health system strengthening needed for safer surgical and critical care. This event had contributions from both our EADP and ZADP partnerships who presented current priorities and ongoing work, as well as presentations from many leaders in the field. The event included a panel discussion of national strategic plans and pandemic management. The event concluded with an update session from many collaborators and other organisations in the field. The event was very well attended including by our partners, regular and new collaborators and multiple other charities and groups working within international global health development.
Governance and Risk Management
Governance
The organisation is proactive in developing its governance structures. During previous years, new trustees attended a two-day charity governance training event led by the National Council for Voluntary Organisations (NCVO).
Risk Management
The Trustees have developed a Risk Management Policy which follows Charity Commission guidance and has adopted a Risk Register. Major risks are reviewed at each Trustee meeting. All risks, regardless of risk rating, are presented to the Trustee committee and reviewed annually.
During this period, risk assessments have been conducted more frequently due to rapidly changing risks associated with the COVID-19 pandemic. Where appropriate, systems or procedures have been established to mitigate the risks the charity faces.
Signed on behalf of the charity’s trustees:
Signed ______ Date _ 18/1/23 Dylan Bould, Trustee
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Independent examiner’s report to the trustees of Global Anaesthesia Development Partnerships for the year ended 31 March 2022
I report to the trustees on my examination of the accounts of Group (the charity) for the year ended 31 March 2022.
Responsibilities and basis of report
As the trustees of the charity 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 charity’s accounts carried out under section 145 of the 2011 Act and in carrying out my examination I have followed all the 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 matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:
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accounting records were not kept in respect of the charity as required by section 130 of the Act; or
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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.
Signed ____ Date _______ 19/1/23 John O’Brien MSc, FCCA, FCIE Employee of Community Accounting Plus
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Global Anaesthesia Development Partnerships Receipts & payments account for the year ended 31 March 2022
| 2021 Total Unrestricted Funds Funds £ Note £ Receipts 86506 Grants & donations 2 24721 86506 Total receipts 24721 Payments 3567 Training and conference 8025 20354 Project activities 2568 1084 IT and computing 264 3259 Administration 10320 1300 Legal and professional 297 570 Bank charges 183 - Advertising & promotional 1133 - Grant reimbursement - 30134 Total payments 22790 56372 Net receipts/(payments) 1931 10518 Cash funds at start of this period 25 66890 Cash funds at end of this period 1956 |
2022 Restricted Total Funds Funds £ £ 66570 91291 66570 91291 25065 33090 53896 56464 - 264 1754 12074 - 297 170 353 170 1303 5768 5768 86823 109613 (20253) (18322) 66865 66890 46612 48568 |
|---|---|
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Global Anaesthesia Development Partnerships Statement of assets and liabilities at 31 March 2022
2021 2022 £ Cash assets Note £ 66890 Bank accounts 48568 66890 48568
Assets retained for the charity’s own use General equipment. Liabilities (840) Creditors:Independent examination 4 (1680) (840) (1680)
These financial statements are accepted on behalf of the charity by:
Signed David Snell, Trustee
Dated 18.1.2023
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Global Anaesthesia Development Partnerships Notes to the accounts for the year ended 31 March 2022
1. Receipts & payments accounts
Receipts and payments accounts contain a summary of money received and money spent during the period and a list of assets and liabilities at the end of the period. Usually, cash received and cash spent will include transactions through bank accounts and cash in hand.
2. Grants & donations
| Covid response fund World federation Safe anaesthesia Tropical health & AGP Mannion Daniels Sundry grants & donations |
Unrestricted £ - 339 12580 - - 11802 24721 |
Restricted Total £ £ 10000 10000 - 339 - 12580 36060 36060 2889 2889 17621 29423 66570 91291 |
|---|---|---|
3. Funds analysis
| Restricted funds EADP development Regional anaesthesia Copperbelt training Paediatric simulation COVID-19 Unrestricted funds General |
Opening balance £ 33124 - 11327 22414 - 66865 25 25 |
Receipts (Payments) £ £ - (5768) 36060 (33881) 2889 (6487) - (16447) 27621 (24240) 66570 (86823) 24721 (22790) 24721 (22790) |
Closing balance £ 27356 2179 7729 5967 3381 |
|---|---|---|---|
| 46612 | |||
| 1956 | |||
| 1956 |
Due to the nature of the Charity’s activities & services both the restricted and unrestricted funds complement each other so there is often a crossover of income and expenditure between funds to ensure the quality of the activities and services delivered by Global Anaesthesia Development Partnerships.
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Global Anaesthesia Development Partnerships
4. Creditors
£ Independent examination 2021 840 Independent examination 2022 840 1680
5. Trustees’ remuneration
Trustees received no expenses, remuneration or benefits in this period.
6. Related party transactions
- There were no related party transactions.
7. Glossary of terms
Creditors: These are amounts owed by the charity, but not paid during the accounting period.
Restricted funds: These are funds given to the charity, subject to specific restrictions set by the donor, but still within the general objects of the charity.
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