Global Anaesthesia Development Partnerships (Registered charity, number 1175791) Financial statements for the year ended 31 March 2025
| Page | Contents |
|---|---|
| 2 - 6 | Trustees’ annual report |
| 7 | Independent examiner’sreport |
| 8 | Receipts & payments account |
| 9 | Statement of assets & liabilities |
| 10 - 11 | Notes to the accounts |
Global Anaesthesia Development Partnerships Trustees’ annual report for the year ended 31 March 2025
Full name Global Anaesthesia Development Partnerships
Registered charity number 1175791
Principal address
Office 2774, 182-184 High Street North, East Ham, London, E6 2JA
Trustees
Lesley Crichton Craig Oranmore-Brown, from 01/06/25 Evelyn Marshall Notulu Mwenda Jayne Sutherland Atakiltie Baraki Thomas Gray Nathan Oates Abel Mwale Hazel Mumphansha Naomi Shamambo Dylan Bould, until 01/06/25 Emma Coley, until 01/06/25 Emma Lillie, until 01/06/25
Independent examiner
Eva Stevens, employee of Community Accounting Plus, Units 1 & 2 North West, 41 Talbot Street, Nottingham, NG1 5GL
Governance and management
The charity is operated under the rules of its constitution adopted 17/11/17 and most recently amended 13/11/20.
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
The advancement of health and saving of lives for people undergoing surgery in low and middle income countries by training providers in anaesthesia practice.
The activities of the GADP during the reporting period were through its two country partnerships:
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Zambia Anaesthesia Development Program (ZADP);
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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. Following the COVID pandemic volunteers continue to deliver remote learning from abroad using teleconference facilities reducing classroom teaching pressures on our incountry volunteers.
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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.
Summary of the main activities undertaken for the 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 non-physician 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.
Public benefit statement
The Trustees confirm that they have complied with the duty in section 17 of the Charities Act 2011 to have due regard to the Charity Commission's general guidance on public benefit, 'Charities and Public Benefit'.
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Global Anaesthesia Development Partnerships
Summary of the main achievements during the period
Our activities are delivered locally by our 2 partner programs ZADP and EADP.
ZADP
Over the past year, the program has balanced remote and in-country support, completed a national capacity assessment, and expanded quality improvement training, all while broadening its scope to support multidisciplinary working across the perioperative pathway.
The Global Health Partnership has funded ZADP to undertake a national capacity assessment of anaesthetic provision in Zambia. The assessment mapped workforce numbers, geographic distribution, and training needs, while highlighting systemic challenges such as equipment shortages and rural-urban disparities in access to care. These findings now inform advocacy and hope to assist with workforce planning in collaboration with the Ministry of Health. This funding has also enabled the rollout of quality improvement (QI) training with Zambian physician and nonphysician anaesthetists leading local projects, such as improving surgical safety checklists and strengthening perioperative monitoring. This is working to embed a culture of continuous improvement across practice in a challenging setting.
The Obstetric Anaesthetist Association grant was used to help address critical gaps in maternal care and anaesthesia training. This funding allowed our in country volunteers alongside local faculty to deliver in person simulation sessions as well as remote teaching sessions on the management of life-threatening obstetric emergencies. They have launched the Maternal Life Support Project - a collaboration between resident anaesthesia and midwifery teams building vital emergency response skills. So far 18 midwives have been trained to recognise the early signs of sick obstetric patients and how to manage them as part of a skilled team of experts. Confidence in ability to perform CPR for this cohort of patients has risen from 12% to 94%. This will safeguard outcomes of not just mothers, but their babies too. Other quality improvement work associated with this was undertaken by a Zambian resident who introduced a structured daily review checklist for the obstetric high dependency unit which has seen patients' length of stay reduced as well as a reduction in morbidity and has been presented internationally.
Other funding has allowed us to continue to place fellows on the ground in the University Teaching Hospital. These fellows provide daily bedside and in theatre teaching and mentoring, simulation practice, exam preparations and support the professional development of Zambian faculty. ZADP fellows have supported residents from their formal induction into the training programme, through to those residents preparing their dissertation projects and final examinations. Regional anaesthesia training has been one area of focus in the past year and through providing training using ultrasound guided blocks there has been greater use of regional anaesthesia improving patient comfort and outcomes postoperatively, including on the labour ward.
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Global Anaesthesia Development Partnerships
This year there are three newly graduated non-physician anaesthetists who have benefited from training supported by ZADP and who will continue to make significant contributions to the practice of anaesthesia in Zambia as well as the care of countless patients. Sustainability has been central to the work of our in-country fellows as they operate hand in hand with Zambian faculty who are responsible for the development of the speciality in the country.
An 8-week consultant visit contributed to increased critical care capacity building. Dr Thomas’ time focused on bedside teaching, daily clinical teaching and mentorship for anaesthesia registrars and quality improvement work focussing on improved communication as well as linking with and supporting ongoing programmes of work.
ZADP supported the Society of Anaesthetists of Zambia and Paediatric Anaesthesia Training in Africa (PATA) to deliver the internationally recognised SAFE paediatrics course to 26 anaesthetists and 5 physicians.
Seven remote fellows continue to support the educational sessions adapting to fit the needs on the ground, offering teaching, project advice and mentoring as needed. Over the last year they have given over 200 hours of time! Over the coming year this will adapt again as more educational work is undertaken by the Zambian faculty.
Another significant success was the Quality Improvement Webinars followed by faceto-face training at the Society of Anaesthetists conference, reached over 200 anaesthesia providers across the country.
The Global Scholar campaign funded three Zambian residents to attend and present at the World Congress of Anaesthesiologists in Singapore and a further three to attend virtually. This widened access to global learning and strengthened Zambia's presence on the international stage. Funding for this was through a JustGiving campaign as well as a donation from AfriCorp Healthcare Systems and flights donated from the Emirates Foundation.
EADP
EADP have delivered the following activities. While their volunteers do not receive any stipend funding from us at present, our administrators and trustees support the advertising, interviewing and appointment of these volunteers. Their fellows are then funded through their Canadian partners CASIEF (Canadian Anaesthesiologist Society International Education Foundation).
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Global Anaesthesia Development Partnerships
Five in-country fellows supported the knowledge and skills development of 63 local resident anaesthetists through theatre based and bedside teaching, improving the perioperative surgical care of countless patients. They were responsible for the delivery of 68 in-person anaesthetic simulation training sessions and 21 skills-based sessions to further expand the independent skill set of resident anaesthetists in Ethiopia. Educational work was further supported by six remote fellows who provided 26 remote teaching sessions as well as a 2-day research methodology workshop to support trainees in preparation for submission of their university degree thesis. The role of the local education fellow has also been developed over the last year and this has given responsibility for teaching to the in-country Ethiopian team which is not only a more sustainable model for the future but also bridges the initial cultural gap between our international fellows and the residents.
Financial review
GADP had grants and donations in the year of £75,397 and expenditure of £38,757 giving a net surplus £36,640.
The charity’s policy on re serves
The reserves policy aims to maintain £5,000 in the unrestricted funds where possible. However, this year the reserves have fallen to £3,914 - this is due to timing.
Financial risk
The risk the charity faces is in continuing to secure funding in times of economic pressures from both unrestricted sources and grant donations.
Signed on behalf of the charity’s trustees:
SIGN
Signed ______ Date _ 15/12/25 Craig Oranmore-Brown, Trustee
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Independent e xaminer’s report to the trustees of Global Anaesthesia Development Partnerships for the year ended 31 March 2025
I report to the trustees on my examination of the accounts of Global Anaesthesia Development Partnerships (the charity) for the year ended 31 March 2025.
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 _______ 19/12/2025 Eva Stevens BSc, CPFA Employee of Community Accounting Plus
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Global Anaesthesia Development Partnerships Receipts & payments account for the year ended 31 March 2025
| 2024 Total Unrestricted Funds Funds £ Note £ Receipts 49927 Grants & Donations 2 4670 49927 Total receipts 4670 Payments 12583 Administrative 2880 792 Bank Charges 140 5681 Conference & Meetings - 112 Consultant Expenditure - 2073 Insurance 373 511 IT and Computing Costs 306 1122 Legal & Professional Fees 1160 - Office/General Administrative Expenditures 19 4623 Project Activities 406 17423 Trainee Expenditure - 203 Training Courses - 45123 Total payments 5284 4804 Net receipts/(payments) (614) 25251 Cash funds at start of this period 4528 30055 Cash funds at end of this period 3914 |
2025 Restricted Total Funds Funds £ £ 70727 75397 70727 75397 12371 15251 340 480 - - - - 1973 2346 540 846 250 1410 875 894 4546 4952 12578 12578 - - 33473 38757 37254 36640 25527 30055 62781 66695 |
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Global Anaesthesia Development Partnerships Statement of assets and liabilities at 31 March 2025
| 2024 | 2025 | ||
|---|---|---|---|
| £ | Cash assets | Note | £ |
| 30055 | Bank accounts | 66695 | |
| 30055 | 66695 | ||
| Other monetary assets | |||
| 704 | Prepayment- Insurance | 658 | |
| 704 | 658 | ||
| Liabilities | |||
| (1002) | Creditors- Independent examination fee | (1044) | |
| (1002) | (1044) |
These financial statements are accepted on behalf of the charity by:
Signed _____ Date _____ Evelyn Marshall, Trustee
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Global Anaesthesia Development Partnerships Notes to the accounts for the year ended 31 March 2025
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
| Association of Anaesthetists Global Health Partnership Obstetric Anaesthetists Association General donations |
Unrestricted £ - - - 4670 4670 |
Restricted Total £ £ 25000 25000 30937 30937 14790 14790 - 4670 70727 75397 |
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3. Funds analysis
| Funds analysis | ||||
|---|---|---|---|---|
| Restricted funds Critical care Obstetrics Paediatric Simulation Regional Anaesthesia ZADP Anaesthesia & training Zambia Anaesthesia Capacity Assessment EADP Development Perioperative Multidisciplinary Training Unrestricted funds General Fund |
Opening balance £ 2500 5671 5837 2500 (9422) 18336 105 - |
Receipts (Payments) £ £ - (916) 14790 (10024) - - - (462) 10000 (578) 30937 (21388) - (105) 15000 - |
Closing balance £ 1584 10437 5837 2038 - 27885 - 15000 |
|
| **25527 ** | **70727 ** | **(33473) ** | 62781 | |
| 4528 4528 |
4670 4670 |
(5284) (5284) |
3914 | |
| 3914 |
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Critical care- Critical care in Anaesthesia in Zambia.
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Obstetrics- Improving obstetric anaesthetic care in Zambia through multidisciplinary simulation training, mentoring, and increased professional support for anaesthesia providers.
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Paediatric Simulation- Sequential Simulation in Zambia to develop paediatric perioperative patient safety.
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Regional Anaesthesia- Regional training in Anaesthesia in Zambia.
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Global Anaesthesia Development Partnerships
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ZADP Anaesthesia & training- Training Anaesthetists in Zambia.
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Zambia Anaesthesia Capacity Assessment - To assess the current landscape of anaesthesia provision across Zambia and to grow links between physician and non-physician cadres.
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EADP Development- Training Anaesthetists in Ethiopia.
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Perioperative Multidisciplinary Training- Beyond the operating theatre: anaesthetist-led perioperative multidisciplinary team training in Zambia.
4. Trustees’ remuneration
Trustees received no expenses, remuneration or benefits in this period.
5. Related party transactions
There were no related party transactions in this period.
6. Glossary of terms
Creditors: These are amounts owed by the charity, but not paid during the accounting period.
Prepayments: These are services that the charity has paid for in advance, but not used 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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