2021-04-30-accounts - Arian Teleheal

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Registered Charity Number: 1177942

ARIAN TELEHEAL

Annual Report and Financial Statements For the Year Ended 30 April 2021

ARIAN TELEHEAL

Report and Accounts Contents

	Page
Reference and Administrative Details	3
Trustees' Report	4-8
Independent examiner's report	9
Statement of Financial Activities
(incorporating an income and expenditure account)	10
Balance Sheet	11
Notes to the Financial Statements	12-13

ARIAN TELEHEAL

REFERENCE AND ADMINISTRATIVE DETAILS

For the year ended 30 April 2021

Status

The organisation is a CIO -Foundation Registered 12 April 2018. It commenced its charitable activities on 19 July 2018. (Charity registration 1177942).

Governing Document

Arian Teleheal is constituted as a charitable trust with the Charity Comission. The constitution was adopted on the 12[th] of April 2018.

Trustees

The Trustees who served during the year and since the year end were as follows:

Mr Masood Soorie

Mr Sami Ullah Khan

Mr Fazale Hadi Wardag

Charity Number 1177942

Registered and Principal Office

Suite 163 2 Lansdowne Row London W1J 6HL

Bankers

CAF Bank Ltd.

ARIAN TELEHEAL

Trustees Report

For the year ended 30 April 2021

This report has been prepared in accordance with the Statement of Recommended Practice (SORP) "Accounting and Reporting by Charities" issued in February 2005 and the Charities Act 2011.

Arian Teleheal is a UK registered charity which enables doctors working in warzones and low resource countries to consult with expert clinicians from across the world by using everyday technology such as smart phones, instant messaging, and video chat. We provide advice in all major specialties, and, in addition to continuing all our emergency care, we have responded to the COVID19 pandemic by providing advice on management of patients, and mental health support.

We have around 100 volunteer doctors, in a wide range of specialties, based in countries including the UK, the USA, Canada, Australia and Western Europe. They support local doctors in countries including Afghanistan (where we began our work) and Syria. We initially focused on all aspects of emergency care, including major trauma, but have expanded our approach to cover assisting local doctors with COVID-19 patients and providing advice on mental health.

How Do We Work?

Local doctors who want advice from specialists contact our case management team 24/7 by instant messaging or video chat. Their patient’s case is then allocated to an appropriate specialist, who will review it and then discuss it or reply by instant messaging or video chat. The local doctor then considers the advice to help them treat their patient. Unlike many other telemedicine projects, Arian Teleheal provides advice for emergency cases in a four-hour window, helping save hundreds of lives each year in warzones and low resource countries. We advise in both emergency situations, and on complex cases of any kind, where specialist advice could help a local doctor. Our doctors use everyday technology such as their smartphones rather than expensive telemedicine equipment because of the areas in which the local doctors are based, and to maximise the availability of our volunteer doctors.

What Impact Have We Made?

The volunteer doctors of Arian Teleheal have already saved the lives of many war-stricken men, women, and children, and continue to do so on a daily basis. A pilot of our work across five hospitals with Emergency Departments and Intensive Care Units in Kabul, Afghanistan, was surveyed in 20152016, and concluded that “dozens of lives were saved” and that local medics found our work “hugely supportive and educational”. The success of this pilot saw our service rolled out to all major Emergency and Intensive Care Departments in Afghanistan between 2016-2019, serving a country of 35 million people. Arian Teleheal began supporting the Independent Doctors’ Association (IDA) in Syria in 2017, providing help to Syrian medics who care for 1.3 million people in Aleppo.

Since the beginning of pandemic, we have responded to COVID-19 by expanding our advice to include up-to-date management advice for patients, as well as providing mental health advice as detailed below:

Covid-19 support:

Arian Teleheal charity has provided humanitarian Covid-19 support from the beginning of pandemic. Arian Teleheal volunteer teams consist of fully qualified and experienced specialists from intensive and critical care, acute medicine, emergency medicine, radiology and other specialties. These specialists work in the UK and across the world on the frontline of Covid-19. They have experience of managing Covid-19 patients, including their ventilation. Our specialists have contributed to supporting medics in low resource countries on voluntary basis through the following 4 support systems:

Providing WHO and other scientific guidelines on continuous basis
Providing specialist advice on 24/7 basis for any questions from doctors, including, case management of severe cases in emergency and intensive care units
Providing regular training for all Covid-19 related topics
Providing mental health support to frontline workers

Research presentation and publication

Our work has been published by UK Radiological Congress (UKRC), The Royal College of Radiologists Annual Scientific Meeting (RCR-ASM) and the British Medical Journal (BMJ). It has also been presented at numerous international conferences, mainly as keynote speeches by our founder, Dr Arian, or as poster presentations.

Telemedicine Pioneers

Arian Teleheal has achieved several world firsts in telemedicine: 2015, Arian Teleheal became the first organisation in the world to offer live 24/7 international clinical telemedicine support using secure social media channels on smartphones, with advice based on WHO guidelines. In 2017, Arian Teleheal performed the world’s first international telemedicine consultation using augmented reality on Microsoft HoloLens. In 2020, Arian Teleheal started supporting international medical colleagues with specialist Covid-19 advice using simple technology and provided regular expert-led virtual educational webinars on all COVID-19 topics.

Collaboration

We collaborate with a range of carefully chosen partners in multi-agency projects, using our expertise and learning to help improve healthcare across the world, especially through innovative use of readily available technology. This includes acting as an advisory consultancy to governments and international organisations in digital health, providing advice on how to establish, launch and scale-up systems. We are currently working with partners in areas including:

West Nile Consortium – Teleheal is a member of this consortium which includes Health Education England, Uganda Red Cross, THET and other international organisations. The consortium provides support to people of Uganda and refugees from South Sudan residing in the West Nile region, totalling around 1.4 million people. Teleheal has been providing Uganda Red Cross with COVID-19 guidelines and protocols.

South Africa – Teleheal has developed COVID-19 guidelines and protocols for the five South African hospitals which have been in partnership with Teleheal and Health Education England.

Yemen – Teleheal is currently advising a group of healthcare professionals who are supporting medical colleagues in Yemen in response to COVID-19. Teleheal’s consultancy role means that we can take the lessons from developing our system and use them to help millions of other people across the world’s conflict zones and low resource countries and regions.

India – we work in partnership with the UK-based British Association of Physicians of Indian Origin (BAPIO) charity, which has around 60,000 doctors as members. Together we are entering a partnership with the All-India Institute of Medical Sciences (AIIMS) Rishikesh, which was established by the Government of India. Teleheal is advising AIIMS on the creation of the global Teleheal Connect Platform in India, through which Indian overseas doctors (and other volunteers) can serve millions of people in India.

Sub-Saharan Africa – Wales for Africa is a global health charitable arm of the Welsh government which is helping sub-Saharan African countries. Teleheal is working in partnership with Wales for Africa to support establishing and scaling up digital health solutions in these countries.

Tropical Health Education Trust (THET) – Teleheal has become a member of the steering group for digital health for the Trust, which has supported 100,000 healthcare workers in 31 countries over the last decade.

Objectives

We have always, and will continue to, take our responsibilities of ensuring that our charitable activities contribute significantly to the lives of those we work with.

Work to improve human health in the UK and the developing world.

Engage in the development of medical and surgical healthcare centres and hospitals including building new hospitals or clinics in areas of need.

Work with other charitable organisations to improve existing healthcare systems and providing specialist care to patients with complicated conditions.

Promote healthcare education and disease prevention programmes with a view to relieving health inequality.

STRUCTURE, GOVERNANCE AND MANAGEMENT

The charity is controlled by its governing document, a deed of trust and constitutes a Charitable Incorporated Organisation.

The Charity is registered as a charity and is governed by its constitution. The board of trustees administer the charity. The trustees meet three times a year, and there are committees covering finance and Personnel.

The trustees are responsible for setting general policy, finalising and approving the annual plan and budget, monitoring the charity and taking major decisions about the strategic direction of the charity and any capital expenditure.

A Chief Executive is appointed by the trustees to manage the day to day operations of the charity. To facilitate effective operations, the Chief Executive has delegated authority, within terms of delegation approved by the trustees, for operational matters including finance, employment and performance related activity.

Risk Management

The Board of trustees have assessed the major risks to which the charity is exposed, in the particular those related to the operations and finances of the charity. These risks are formally documented and regularly reviewed, and the trustees are satisfied that systems are in place to mitigate the charity’s exposure to significant risk. The charity is also seeking to recruit additional trustees so that our beneficiaries can benefit from further perspectives.

Statement of Trustees Responsibilities

The Trustees are aware that Company law requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the Charity and of its incoming resources and application of resources, including its income and expenditure for that period. In preparing those financial statements, the directors are required to

Select suitable accounting policies and then apply them consistently;
Observe the methods and principles of the charities SORP;
Make judgments and estimates that are reasonable and prudent;
State whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in the financial statements;
Prepare the financial statements on a going concern basis unless it is inappropriate to presume that the company will continue in business.

The Trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the Charity and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Approved by order of the board of trustees on 28th February 2022 and signed on its behalf of by:

.........................................

Mr Fazale Hadi Wardag

Trustee

ARIAN TELEHEAL

Independent Examiner's Report for the year ended 30 April 2021

We report on the accounts for the year ended 30 April 2021 set out on pages eight to eleven.

Respective responsibilities of trustees and examiner

The charity's trustees are responsible for the preparation of the financial statements. The charity’s trustees consider that an audit is not required for this year (under Section 144(2) of the Charities Act 2011 (the 2011Act)) and that an independent examination is required.

It is our responsibility to:

examine the financial statements under Section 145 of the 2011 Act
to follow the procedures laid down In the General Directions given by the Charity Commission (under Section 149(5)(b) of the 2011Act); and
to state whether particular matters have come to our attention.

Basis on the independent examiner's report

Our examination was carried out in accordance with the General Directions given by the Charity Commission. An examination includes a review of the accounting records kept by the charity and a comparison of the financial statements presented with those records, It also includes consideration of any unusual Items or disclosures in the financial statements, and seeking explanations from you as trustees concerning any such matters, The procedures undertaken do not provide all the evidence that would be required in an audit, and consequently no opinion is given as to whether the financial statements present a 'true and fair view' and the report is limited to those matters set out In the statements below.

Independent examiner's statement

In connection with our examination, no matter has come to our attention:

1) Which gives us reasonable cause to believe that, in any material respect, the requirement
to keep accounting records in accordance with Section 130 of the 2011 Act; and
to prepare financial statement which accord with the accounting records and comply with the accounting requirements of the 2011 Act.

have not been met; or

2) To which, in our opinion, attention should be drawn in order to enable a proper understanding of the financial statements to be reached.

AQ Accountants

133 West Hendon Broadway,

London,

NW9 7DY.

Date: .............................................

ARIAN TELEHEAL

Statement of Financial Activities

for the year ended 30 April 2021

Incoming Resources Notes Activities in furtherance of the charity’s objects: Donations 2 Total Incoming Resources Resources Expended Fundraising 3 Administration expenditure 5 Governance costs 6 Total Resources Expended Net Income Total funds brought forward Total funds carried forward	Unrestricted Funds Restricted Funds £ £ 3,561 - 3,561 - 1,255 - 694 - 480 - 2,429 - 1,132 - 1,046 - 2,178 -	2021 £ 3,561 3,561 1,255 694 480 2,429 1,132 1,046 2,178	2020 £ 10,070
			10,070
			5,588 3,390 480
			9,458

			612
			434
			1,046

All of the above results are derived from continuing activities. There were no other recognised gains or losses other than those stated above.

ARIAN TELEHEAL Balance Sheet As at 30 April 2021 Notes Current Assets: Cash at bank and in hand Creditors: amounts falling due within one year Net Current Assets Total Assets less Current Liabilities: Unrestricted funds Total Charity Funds	£ 5,838 (3,180)	2021 £ 2,658 2,658 2,658 2,658	2020 £ 7,033 (5,987)
			1,046
			1,046
			1,046 1,046

The financial statements were approved by the Board of Trustees on 28[th] February 2022, and were signed on its behalf by:

.........................................

Mr Fazale Hadi Wardag

Trustee

The notes on pages 12 to 13 form part of the part of these financial statements

ARIAN TELEHEAL

Notes to the Financial Statements

for the year ended 30 April 2021

Note 1: Accounting Policies

Accounting convention

The financial statements of the charity, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) '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 Republic of Ireland (FRS 102) (effective 1 January 2015)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Charities Act 2011, The financial statements have been prepared under the historical cost convention.

Incoming Resources

Incoming resources represents grants and donations from Local Authorities and other charitable bodies (on an accruals basis), together with donations and contributions to costs from participants and other interested parties.

Deferral of incoming Resources

Grants received during the year which relate to future periods are deferred to those future periods but are shown on the face of the statement of financial activities in accordance with the SORP.

Resources Expended

Resources expended are allocated to the particular activity where the cost relates directly to that activity. However, the cost of the overall direction and administration on each activity, comprising the salary and overhead cost of the central function, is apportioned equally across the board .

Note 2: Donations and similar incoming resources Unrestricted 2021 2020 Donations 3,561.00 3,561 10,070 Note 3-5: Resources Expended 2021 2020 Fundraising 1,255 5,588 Administration expenditure 694 3,390 Note 6: Governance Costs

ARIAN TELEHEAL

Notes to the Financial Statements

For the year ended 30 April 2021

7. Trustees remuneration and benefits

There were no trustees' remuneration or other benefits for the year ended 30 April 2021.

Trustees' expenses

There were no trustees' expenses paid for the year ended 30 April 2021.

8. Financial commitments

At 30 April 2021 the charity had no annual commitments: Nil

9. Related Parties

There were no transactions with related patties during the period.

AQ Accountants Limited

Signed By

FAZALE HADI WARDAG

Date Signed Mon, 28 Feb 2022 16:18:40 +0000 Name FAZALE HADI WARDAG Email info@arianteleheal.com Printed Name FAZALE HADI WARDAG IP Address 78.32.142.30 Browser User Agent Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/97.0.4692.71 Safari/537.36 Edg/97.0.1072.55