## **WORLDWIDE RADIOLOGY** # **ANNUAL REPORT AND UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023** Charity Registration Number: 1178885 Company registration number (England and Wales):11042080 ## **WORLDWIDE RADIOLOGY: LEGAL AND ADMINISTRATIVE INFORMATION** **_________________________________________________________________________________** |Trustees|Mr DT Hayes| |---|---| ||Ms P Alionyte (resigned 31stMay 2024)| ||Dr J Connolly| ||Mr PDB Cornell| ||Dr GS Dodge| ||Dr R Dwivedi| |Charity Number|1178885| |Company Number|11042080| |Registered Ofce|6 Hope Place| ||Liverpool| ||Merseyside| ||L1 9BG| |Independent Examiner|Mitchell Charlesworth (Audit) limited| ||3rdFloor| ||5 Temple Square| ||Liverpool| ||L2 5RH| |Bankers|HSBC| ||99-101 Lord Street| ||Liverpool| ||Merseyside| ||L2 6PG| Charity Registration Number: 1178885 Company registration number (England and Wales):11042080 ## **WORLDWIDE RADIOLOGY: CONTENTS** **_________________________________________________________________________________** |Trustees’ report|1 – 6| |---|---| |Independent examiner’s report|7| |Statement of fnancial actvites|8| |Balance sheet|9| |Notes to the fnancial statements|10 - 21| Charity Registration Number: 1178885 Company registration number (England and Wales):11042080 ## **WORLDWIDE RADIOLOGY: TRUSTEE’S REPORT** **_________________________________________________________________________________** The trustees present their report and financial statements for the year ended 30 November 2023. The trustees have adopted the provisions of the Statement of Recommended Practice (SORP 2019) “Accounting and Reporting by Charities” (FRS 102) in preparing the annual report and accounts of the charity. The financial statements have been prepared in accordance with the accounting policies set out in note 1 to the financial statements and comply with the charity's governing document, the Companies Act 2006 and "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 2019)". This report has been prepared in accordance with the provisions applicable to companies entitled to the small companies exemption. ## **Objectives and activities** The objects of the charity are to: - - Relieve sickness, to protect and preserve health, and to save lives by improving access to quality diagnostic imaging, particularly in under-served areas of low- and middle-income countries. - Advance education in all areas relevant to diagnostic imaging, particularly for limited resource settings, in particular, but not exclusively by commissioning or undertaking research into disease epidemiology and management in the context of diagnostic imaging, particularly for limited resource settings, and to publish the useful results of such research. The trustees have paid due regard to guidance issued by the Charity Commission in deciding what activities the charity should undertake. ## **Strategic Report** The description under the headings "Achievements and performance" and "Financial review" meets the company law requirements for the trustees to present a strategic report. ## **Achievements and Performance** ## **Review of Activities and Future Developments** ## **Introduction** Demand for the WWR range of services continued to grow as we progressed through the financial year 2023. This year we further consolidated our point of care ultrasound (POCUS) training course in Ghana, and were delighted to receive a second corporate grant in relation to delivery of this important work, as well as funding from a successful Christmas Big Give campaign. As we grow our Ultrasound and Radiology programs in Ghana, Malawi and The Gambia, our volunteer base has continued to increase from around 35 in the previous year to over 50 in the current year, delivering huge impact at low marginal cost. We continue to be thankful for the commitment and passion of all our volunteers, as they collaborate with our partners and make a major and long lasting contribution to improved access to imaging tests. Below we highlight some of the key project achievements during the financial year 2023. ## Page | 1 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 ## **WORLDWIDE RADIOLOGY: TRUSTEE’S REPORT (Continued)** **_________________________________________________________________________________** ## **Programme delivery** ## _**Point of care Ultrasound Training**_ We expanded the Ghanaian cohort of trainers from 3 to 6, allowing future courses to be entirely delivered by in-country trainers. We also trained up a further 10 doctors, bringing the total to 28 since inception of the course. Enabling access to POCUS enhanced diagnosis for approximately 5000 additional patients in Ghana each year. Conversations with a range of stakeholders in Ghana have been ongoing, aiming to build sustainability at national level to continue training, integrated into national postgraduate and medical curricula. A mid-programme Formative evaluation report, developed in collaboration with our expert MEAL consultant, highlighted achievements and challenges and informs delivery of the second half of the programme. A suite of impact evaluation tools was developed to be deployed in 2024. Presentations on POCUS practice in were again delivered at relevant national and international conferences. This continues to increase awareness of the benefits of POCUS in Ghana and is raising the profile of Worldwide Radiology. ## _**The Malawi Radiology Collaboration Programme**_ Building on our newly configured Collaboration in 2022, we have consolidated and expanded our joint activities: - Two new Radiologist Trainees entered the Malawi MMed Radiology programme, bringing the total to six future radiologists. Our remote education team grew from 1 remote trainer to 10 volunteers, following a new education partnership with the UK Severn Deanery. Feedback on teaching was extremely positive, both from our Malawian partners and our volunteers - A Radiology Review Meeting was organised, bringing together senior stakeholders from across Malawi, to inform clinical and research activities for the programme. - The newly implemented pro-bono CT reporting service grew from strength to strength, with a total of approx. 400 scans receiving expert reports by international volunteers. - A research study to evaluate this pro-bono service obtained ethical approval at the close of this year and will commence in 2024. ## _**The Gambia Radiology Quality Improvement Initiative**_ Existing links with the MRC Unit The Gambia (at London School of Health and Tropical Medicine) were consolidated, as we expanded our support for the clinical team with a remote Radiology Multidisciplinary meeting. Approximately 15 cases every month were shared for educational and clinical diagnostic second opinion. Feedback has been positive and impact will be formally audited in 2024. This programme was made possible by leveraging our existing teleradiology infra-structure for our work in Malawi. Expanding impact at same cost and fostering valuable South-South collaborations. We continued to expand our network through further smaller academic collaborations and invited presentations related to our work at national and international conferences. Page | 2 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 ## **WORLDWIDE RADIOLOGY: TRUSTEE’S REPORT (Continued)** **_________________________________________________________________________________** ## _**Funding**_ We continue to rely heavily on the generous donations from our increasing network of friends, volunteers and supporters. However, in FY23 we were extremely pleased to receive a second corporate grant from Bayer Ltd, conveying their ongoing trust in our programme and it’s impact. Community fundraising remains an important part of our income stream, and we would like to sincerely thank all of those throughout the year who have organised sponsored runs, walks and events across the country. The Big Give was again a huge event, raising key funds to support our ongoing POCUS training in Ghana. ## **Financial review** WWR funding for both operational and field programs is highly dependent on both donations and grant giving organisations. The latter is aligned very closely to specific projects that WWR engage with and will result in restricted sources of funds. Total income for the year was £95K (2022: £72K). This is broken down as follows: - ➢ unrestricted income of £44K (2022: £51K) - ➢ restricted income of £51K (2022: £21K) There are ongoing costs associated with the operations that must be maintained from unrestricted sources of funds. These costs relate to legal oversight, accounting services, insurance premiums, communications, and IT support. Total expenditure for the year amounted to £82K (2022: £76K). The largest expenses were related to project activities £58K (2022: £52K). Other costs included: - ➢ consultancy £14K (2022: £14K) - ➢ admin & support £8K (2022: £7K) - ➢ governance costs £2K (2022: £3K) There was an overall surplus of £8K on unrestricted funds and £5K on restricted funds. There were transfers between funds to reconcile the fund balances and this resulted in a net movement of £5K out of unrestricted funds into the restricted funds. In summary the unrestricted funds increased £4K from £31K to £35K, and the restricted funds increased by £10K from £3K to £13K. ## **Investment policy** Aside from the reserves held, the restricted funds are to be spent in the short term in accordance with the funders’ requirements, so there are few funds available for long term investment. As the bank balance grows there may be scope in the future for short term investment in a deposit bank account, provided cash flow requirements aren’t compromised. Page | 3 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 ## **WORLDWIDE RADIOLOGY: TRUSTEE’S REPORT (Continued)** **_________________________________________________________________________________** ## **Reserves policy** The WWR Financial policy states that the level of unrestricted reserves should be maintained at £3,000. With unrestricted reserves at £35K (2022: £31K) this more than meets the requirements of the policy. As operations increase then the reserves policy will be reviewed on an on-going basis. ## **Risk policy** The trustees have assessed the major risks to which the charity is exposed and are satisfied that systems are in place to mitigate exposure to the major risks. ## **Plans for future periods** In line with our strategic objectives for the coming year, we plan to capture more of our POCUS output data, using the tools developed in the current year. This will feed into our planned review of communications and website, raising the profile of WWR and supporting a planned increase in Trust and Foundation Applications. Year 3 of the POCUS program will be vitally important, as we hand over training to Ghanaian trainers and start to consider plans for the next three year programme cycle. Capturing output data and key informant interviews will guide this process. The pilot remote reporting service we have implemented in Malawi will be formally evaluated to capture impact and to understand better how our Teleradiology service can be made locally sustainable. Meetings with stakeholders in Malawi will inform future development and potential scalability of this novel charitable service, as local demand grows with implementation of increasing numbers of CT scanners in the country. Training and capacity building initiatives will go hand in hand with this initiative to allow hand over once national capacity is available to cover the service. We will continue our work with the Clinical Research Support Unit at Malawi Liverpool Welcome Trust to develop a proposal for Diagnostic Imaging support & Research, as part of the upcoming Wellcome Trust core funding renewal programme in 2025. We are extremely proud to have been selected to support a major Tuberculosis research project with the Start4All Research group at Liverpool School of Tropical Medicine. This programme is funded by UNITAID and will offer Worldwide Radiology visibility and networks at high level TB meetings. We will continue to expand our network of partners and collaborators, driving a growing pipeline of highly qualified volunteers (from 35 to 50), programs and potential funders. ## **Structure, governance and management** The charitable company was incorporated on 1st November 2017 in England and Wales and is limited by guarantee. It is governed in accordance with its Memorandum and Articles dated 21st June 2018 which sets out the objects, powers, board appointment processes and membership. The organisation is both a registered company (number 11042080) and charity (number 1178885). ## **Trustees** The trustees who have served during the year and since the year end are set out below. The Chair shall be elected annually by the trustees at their first meeting following the AGM. ## Page | 4 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 ## **WORLDWIDE RADIOLOGY: TRUSTEE’S REPORT (Continued)** ## **_________________________________________________________________________________** Trustees can be elected at AGM or by any other method considered to be effective and democratic. At every AGM one-third of the elected trustees shall retire from office. A retiring trustee is eligible for re-election. Mr DT Hayes (Chair) Ms P Alionyte (resigned 31[st] May 2024) Dr J Connolly Mr PDB Cornell Dr GS Dodge Dr R Dwivedi ## **Recruitment and appointment of trustees** The company’s directors are also the charity trustees for charity law purposes, and under the company’s articles are known as the Board of Trustees. The Articles determine that the Board is made up of a minimum of 3 trustees with up to 9 elected trustees in total. There can be an additional 3 co-opted trustees, selected because of the particular skills or experience they may bring to the management of the charity. ## **Induction and training of trustees** As part of the recruitment of new trustees, there is an induction process, incorporating understanding of the work of the charity, the role and responsibilities as a trustee and good governance. An information pack is provided including trustee role description, copies of the Articles of Association, latest financial statements, policies and other guidance. ## **Senior management** The senior management team consisted of the non-salaried CEO Ms Elizabeth Joekes remunerated on a parttime contract basis. Total remuneration amounted to £6,919 including some project management. (2022: £1,896). ## **Concluding remarks** We are again pleased with our progress this year on several fronts. We have continued to grow our programmes and volunteer base and are about to expand our offering through new collaborations. We see grant funding continue to grow as a proportion of our overall income stream, and partners continue to look for ways to engage with us across a broad range of unmet needs in education, research and clinical services. We continue to see evidence that the field of Imaging diagnostics is being increasingly understood to be a vital element of care in low resource settings. Although we continue to make year on year progress, we remain vigilant to the need to invest more in elements of our organization that ultimately will drive our sustainability. We have made the planned strides in developing monitoring and evaluation tools and strengthening our funding platform during this year and will continue with this work as a priority, to align with our long-term goals of sustainability. In addition, we now require strengthening of our operational human resource capacity, to allow our successful programmes to grow and for fundraising and communications to flourish. Page | 5 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 ## **WORLDWIDE RADIOLOGY: TRUSTEE’S REPORT (Continued)** **_________________________________________________________________________________** As I noted both last year and before: “The funding environment in Global Health remains challenging. However, the vision for universal health coverage and the high-level international recognition of the important role of imaging diagnostics in delivering on that vision gives us cause for optimism”. We have reasons to continue to be optimistic as an organisation, but we cannot be complacent as there is so much more that needs to be done. ## **Public Benefit Statement** The trustees confirmed that they have complied with the duty in section 4 of the Charities Act 2011 to have due regard to the Charity Commission’s general guidance on public benefit “Charities and Public Benefit”. The Trustees’ report, including the strategic report, was approved by the Board of Trustees. ## **DT Hayes** Chair Dated: 16[th] August 2024 ## Page | 6 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: INDEPENDENT EXAMINER’S REPORT TO THE TRUSTEES** **_________________________________________________________________________________** I report to the trustees on my examination of the financial statements of Worldwide Radiology (the charity) for the year ended 30 November 2023. ## **Responsibilities and basis of report** Having satisfied myself that the financial statements of the charity 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 financial statements carried out under section 145 of the Charities Act 2011 (the 2011 Act). In carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act. As the trustees of the charity (and also its directors for the purpose of the 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). ## **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: 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 financial statements to be reached. P L Griffiths FCA DChA Mitchell Charlesworth (Audit) Limited 3[rd] Floor 5 Temple Square Temple Street Liverpool L2 5RH Dated: 19 August 2024 Page | 7 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: STATEMENT OF FINANCIAL ACTIVITIES including the INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 30 NOVEMBER 2023** **_________________________________________________________________________________** |**Income and**
**endowments from**
**Note**
Donatons and
legacies
**3**
Charitable actvites
**4**
Other income
**5**
**Total income**
**Expenditure on**
Charitable actvites
**6**
**Net**
**income/(expenditure)**
**Transfers between**
**funds**
**Net movement in**
**funds**
**16**
**Opening fund balance**
**Closing fund balance**
**16**|**Unrestricted**
**funds**
**Restricted**
**funds**
**Total funds**
**2023**
**2023**
**2023**
**£**
**£**
**£**
43,262
9,885
53,147
-
23,600
23,600
300
17,776
18,076||**Unrestricted**
**funds**
**Restricted**
**funds**
**Total funds**
**2022**
**2022**
**2022**
**£**
**£**
**£**
40,889
-
40,889
-
21,684
21,684
9,863
-
9,863| |---|---|---|---| ||43,562
51,262
94,824||50,752
21,684
72,436| ||35,140
46,642
81,782||51,737
24,304
76,041| ||8,422
4,620
13,042
(5,509)
5,509
-
2,913
10,129
13,042
31,409
3,043
34,452||(985)
(2,620)
(3,605)
-
-
-
(985)
(2,620)
(3,605)
32,394
5,663
38,057| ||34,322
13,172
47,494||31,409
3,043
34,452| The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities. The statement of financial activities also complies with the requirements for an income and expenditure account under the Companies Act 2006. Page | 8 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 ## **WORLDWIDE RADIOLOGY: BALANCE SHEET AS AT 30 NOVEMBER 2023** **_________________________________________________________________________________** |**Fixed assets**
**Note**
Tangible assets
**12**
**Current assets**
Debtors
**13**
Cash at bank and in hand
**Creditors: amounts falling due**
**within one year**
**14**
Net current assets
**Total assets less current**
**liabilites**
**Funds**
Restricted funds
**16**
Unrestricted funds
**16**|**2023**
**£**
12,476
38,209|**2023**
**£**
4,154
43,340||**2022**
**£**
5,048
26,483|**2022**
**£**
4,882
29,570| |---|---|---|---|---|---| ||50,685
7,345|||31,531
1,961|| ||||||| |||47,494|||34,452| |||13,172
34,332|||3,043
31,409| |||47,494|||34,452| The company is entitled to the exemption from the audit requirement contained in section 477 of the Companies Act 2006, for the year ended 30 November 2023. The directors acknowledge their responsibilities for complying with the requirements of the Companies Act 2006 with respect to accounting records and the preparation of financial statements. The members have not required the company to obtain an audit of its financial statements for the year in question in accordance with section 476. These financial statements have been prepared in accordance with the provisions applicable to companies subject to the small companies regime. The financial statements were approved by the Trustees on 16 August 2024 **DT Hayes Chair** Page | 9 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023** **1. Accounting policies** ## **Charity Information** Worldwide Radiology is a private company limited by guarantee incorporated in England and Wales. The registered office is 6 Hope Place, Liverpool, Merseyside, L1 9BG. ## **Accounting convention** The financial statements have been prepared in accordance with the charity's Memorandum and Articles of Association, the Companies Act 2006 and "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 2019)". The charity is a Public Benefit Entity as defined by FRS 102. The charity has taken advantage of the provisions in the SORP for charities applying FRS 102 Update Bulletin 1 not to prepare a Statement of Cash Flows. The financial statements are prepared in sterling, which is the functional currency of the charity. Monetary amounts in these financial statements are rounded to the nearest £. The financial statements have been prepared under the historical cost convention. The principal accounting policies adopted are set out below. ## **Going concern** At the time of approving the financial statements and having due regard to the lingering impact of Covid-19, the trustees have a reasonable expectation that the charity has adequate resources to continue in operational existence for the foreseeable future. Thus, the trustees continue to adopt the going concern basis of accounting in preparing the financial statements. ## **Income** Income is recognised when the charity is legally entitled to it after any performance conditions have been met, the amounts can be measured reliably, and it is probable that income will be received. Cash donations are recognised on receipt. Other donations are recognised once the charity has been notified of the donation unless performance conditions require deferral of the amount. Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation. Legacies are recognised on receipt or otherwise if the charity has been notified of an impending distribution, the amount is known, and receipt is expected. If the amount is not known, the legacy is treated as a contingent asset. No amount is included in the accounts for volunteer time in line with the SORP (FRS 102). Page | 10 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** **Accounting policies (continued)** ## **Expenditure** All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Expenditure is recognised where there is a legal or constructive obligation to make payments to third parties, it is probable that the settlement will be required, and the amount of the obligation can be measured reliably. It is categorised under the following headings: - Costs of raising funds includes investment management fees. - Expenditure on charitable activities includes cost of providing financial support to those in need. - • Other expenditure represents those items not falling into the categories above. Irrecoverable VAT is charged as an expense against the activity for which expenditure arose. Support costs are those that assist the work of the charity but do not directly represent charitable activities and include governance costs and other administrative costs. They are incurred directly in support of expenditure on the objects of the charity. The analysis of these costs is included in note 5. ## **Tangible fixed assets** Tangible fixed assets are initially measured at cost and subsequently measured at cost or valuation, net of depreciation and any impairment losses. Depreciation is recognised to write off the cost or valuation of assets less their residual values over their useful lives on the following bases: Medical equipment 20% per annum IT equipment 20% per annum ## **Impairment of fixed assets** At each reporting end date, the charity reviews the carrying amounts of its tangible assets to determine whether there is any indication that those assets have suffered an impairment loss. If any such indication exists, the recoverable amount of the asset is estimated in order to determine the extent of the impairment loss (if any). ## **Cash and cash equivalents** Cash and cash equivalents include cash in hand, deposits held at call with banks, other short-term liquid investments with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown within borrowings in current liabilities. ## **Financial instruments** The charity has elected to apply the provisions of Section 11 ‘Basic Financial Instruments’ and Section 12 ‘Other Financial Instruments Issues’ of FRS 102 to all of its financial instruments. Financial instruments are recognised in the charity's balance sheet when the charity becomes party to the contractual provisions of the instrument. ## Page | 11 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** ## **Accounting policies (continued)** ## **Financial instruments (continued)** Financial assets and liabilities are offset, with the net amounts presented in the financial statements, when there is a legally enforceable right to set off the recognised amounts and there is an intention to settle on a net basis or to realise the asset and settle the liability simultaneously. ## **Basic financial assets** Basic financial assets, which include debtors and cash and bank balances, are initially measured at transaction price including transaction costs and are subsequently carried at amortised cost using the effective interest method unless the arrangement constitutes a financing transaction, where the transaction is measured at the present value of the future receipts discounted at a market rate of interest. Financial assets classified as receivable within one year are not amortised. ## **Impairment of financial assets** Financial assets, other than those held at fair value through income and expenditure, are assessed for indicators of impairment at each reporting date. Financial assets are impaired where there is objective evidence that, as a result of one or more events that occurred after the initial recognition of the financial asset, the estimated future cash flows have been affected. If an asset is impaired, the impairment loss is the difference between the carrying amount and the present value of the estimated cash flows discounted at the asset’s original effective interest rate. The impairment loss is recognised in net income/(expenditure) for the year. If there is a decrease in the impairment loss arising from an event occurring after the impairment was recognised, the impairment is reversed. The reversal is such that the current carrying amount does not exceed what the carrying amount would have been, had the impairment not previously been recognised. The impairment reversal is recognised in net income/(expenditure) for the year. ## **Derecognition of financial assets** Financial assets are derecognised only when the contractual rights to the cash flows from the asset expire or are settled, or when the charity transfers the financial asset and substantially all the risks and rewards of ownership to another entity, or if some significant risks and rewards of ownership are retained but control of the asset has transferred to another party that is able to sell the asset in its entirety to an unrelated third party. ## **Basic financial liabilities** Basic financial liabilities, including creditors and bank loans are initially recognised at transaction price unless the arrangement constitutes a financing transaction, where the debt instrument is measured at the present value of the future payments discounted at a market rate of interest. Financial liabilities classified as payable within one year are not amortised. Debt instruments are subsequently carried at amortised cost, using the effective interest rate method. Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of operations from suppliers. Amounts payable are classified as current liabilities if payment is due within one year or less. If not, they are presented as non-current liabilities. Trade creditors are recognised initially at transaction price and subsequently measured at amortised cost using the effective interest method. Page | 12 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** ## **Accounting policies (continued)** ## **Derecognition of financial liabilities** Financial liabilities are derecognised when the charity’s contractual obligations expire or are discharged or cancelled. ## **Taxation** The charity is an exempt charity within the meaning of schedule 3 of the Charities Act 2011 and is considered to pass the tests set out in Paragraph 1 Schedule 6 Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes. ## **Employee benefits** The cost of any unused holiday entitlement is recognised in the period in which the employee’s services are received. Termination benefits are recognised immediately as an expense when the charity is demonstrably committed to terminate the employment of an employee or to provide termination benefits. ## **Retirement benefits** Payments to defined contribution retirement benefit schemes are charged as an expense as they fall due. ## **Fund accounting** Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees. Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes. Further explanation of the nature and purpose of each fund is included in the notes to the financial statements. ## 2. **Comparative Figures** The comparative figures have been restated to better reflect the appropriate analysis of certain items of income and expenditure in accordance with the SORP, resulting in no changes to income, expenditure, net movement in funds or fund balances. Further explanations of the nature and purpose of each fund are included in the notes to the accounts. Page | 13 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** 3. **Donations and legacies** |Total|**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2023**
**2023**
**2023**
**£**
**£**
**£**
43,262
9,885
53,147||**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2022**
**2022**
**2022**
**£**
**£**
**£**
40,889
-
40,889| |---|---|---|---| **4. Charitable activities** |Grants receivable|**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2023**
**2023**
**2023**
**£**
**£**
**£**
-
23,600
23,600||**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2022**
**2022**
**2022**
**£**
**£**
**£**
-
21,684
21,684| |---|---|---|---| |**Grants receivable**
**(detailed)**
ARCS ultrasound
reviews
POCUS Ghana 2023
POCUS Ghana 2022
Total|**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2023**
**2023**
**2023**
**£**
**£**
**£**
-
3,600
3,600
-
20,000
20,000
-
-
-||**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2022**
**2022**
**2022**
**£**
**£**
**£**
-
-
-
-
-
-
-
21,684
21,684| |---|---|---|---| ||-
23,600
23,600||-
21,684
21,684| ## **5. Other income** |Other income|**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2023**
**2023**
**2023**
**£**
**£**
**£**
300
17,776
18,076||**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2022**
**2022**
**2022**
**£**
**£**
**£**
9,863
-
9,863| |---|---|---|---| ## Page | 14 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** ## 6. **Charitable activities** |Staf costs
Consultancy fees
Travel and
subsistence
IT Teleradiology
Tuiton
support/Training
Registraton
documentaton
Other expenses
Support costs
Governance costs|**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2023**
**2023**
**2023**
**£**
**£**
**£**
16,287
930
17,217
-
18,264
18,264
67
9,080
9,147
-
6,114
6,114
-
6,000
6,000
186
-
186
-
865
865
16,518
5,389
21,907
2,082
-
2,082||**Unrestrict**
**ed funds**
**Restricted**
**funds**
**Total**
**funds**
**2022**
**2022**
**2022**
**£**
**£**
**£**
17,745
-
17,745
-
10,358
10,358
-
10,492
10,492
1,311
1,337
2,648
-
7,816
7,816
156
-
156
561
2,682
3,243
29,414
(8,381)
21,033
2,550
-
2,550| |---|---|---|---| ||35,140
46,642
81,782||51,737
24,304
76,041| ## **7. Support costs** |**Support costs**|||| |---|---|---|---| |Fundraising, marketng and comms consultancy
Admin consultancy
Accountancy and payroll
Communicatons sofware
Professional development
Subscriptons
Travel & subsistence
Bank fees
Depreciaton
Surplus on disposal|**Total**
**funds**
**2023**
**£**
7,966
5,800
2,639
2,181
750
779
307
200
1,343
(58)
21,907||**Total**
**funds**
**2022**
**£**
7,253
7,215
3,128
225
-
498
1,464
149
1,101
-| ||||21,033| Page | 15 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** ## **8. Governance costs** |Independent examinaton fee
Insurance
Regulator fees|**Unrestricted**
**funds**
**Total**
**funds**
**2023**
**2023**
**£**
**£**
1,380
1,380
639
639
63
63||**Unrestricted**
**funds**
**2022**
**£**
1,800
750
-|**Total**
**funds**
**2022**
**£**
1,800
750
-| |---|---|---|---|---| ||2,082
2,082||2,550|2,550| ## **9. Trustees** During the year no trustees received any remuneration or travel expenses. (2022: Nil). Trustee Paula Alionyte is also a director of Flow Strategies Limited that provides operational and marketing support. Flow Strategies received payments for professional services provided to the organisation to the value of £3,000. (2022: Nil). The transaction with Flow Strategies Limited was done at arm’s length and was approved by the Board. The Board were aware of the potential conflicts of interest, and it was agreed that the trustee would withdraw from any discussion of the trustees which had any bearing on the terms of the agreement or the acceptability of the standard of services provided. Ms Alionyte completed this valued piece of work in early May 2024 and for the continued benefit of the organisation it was decided to retain Ms Alionyte as a regular contractor from June 2024. As a consequence, Ms Alionyte resigned as a trustee on 31[st] May 2024. ## **10. Employees** ## **Number of employees** The average monthly head count was 0.5 (2022: 1) and the average monthly number of full-time equivalent employees during the year was 0.5 (2022: 1). Key management personnel were contracted and received £4,637 for professional services. ## Page | 16 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** ## **Employment costs** |Gross salaries
Pension costs|**2023**
**£**
15,781
506||**2022**
**£**
17,388
357
17,745| |---|---|---|---| ||16,287||| No employees received remuneration in excess of £60,000 (2022: None) ## **11. Taxation** The charity is exempt from tax on income and gains falling within section 505 of the Taxes Act 1988 or section 252 of the Taxation of Chargeable Gains Act 1992 to the extent that these are applied to its charitable objects. ## **12. Tangible fixed assets** |**Cost**
At 1 December 2022
Additons
Disposal
At 30 November 2023
**Depreciaton and impairment**
At 1 December 2022
Disposal
Charge for the year
At 30 November 2023
**Net book value**
At 30 November 2023
At 30 November 2022|**Medical**
**equipment**
**IT equipment**
**£**
**£**
3,829
2,427
-
1,139
-
(582)
3,829
2,984
987
387
-
(58)
766
577
1,753
906
2,076
2,078
2,842
2,040|**Total**
**£**
6,256
1,139
(582)| |---|---|---| |||6,813| |||1,374
(58)
1,343| |||2,659| |||4,154| |||4,882| Page | 17 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** ## **13. Debtors** |**3. Debtors**|| |---|---| |Trade debtors
Other debtors
Prepayments
**4. Creditors: amounts falling due within one year**
Trade creditors
Other creditors
Accruals|**2023**
**£**
11,351
773
351| ||12,476| ||7,345| ## **14. Creditors: amounts falling due within one year** ## **15. Retirement benefit scheme** ## **Defined contribution scheme** The charity operates a defined contribution pension scheme for all qualifying employees. The assets of the scheme are held separately from those of the charity in an independently administered fund. Contributions payable to the pension scheme are charged to the Statement of Financial Activities in the period to which they relate. The charge for the year was £506 (2022 - £357). Page | 18 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** |**16. Total funds: current year**
Unrestricted funds
Restricted funds:
Ultrasound & IT fund
ARCS ultrasound reviews
Madagascar Bubo study
POCUS Ghana 2022
POCUS Ghana 2023
Project Malawi
Total|| |---|---| ||**Balance at**
**1 Dec 2022**
**Incoming**
**resources**
**Expended**
**resources**
**Transfers**
**Balance at**
**30 Nov**
**2023**
**£**
**£**
**£**
**£**
31,409
43,562
(35,140)
(5,509)
34,322| ||3,043
-
(394)
-
2,649
-
3,600
(360)
(3,240)
-
-
1,308
(1,308)
-
-
-
1,005
(9,817)
8,812
-
-
28,881
(17,830)
-
11,051
-
16,468
(16,933)
(63)
(528)| ||3,043
51,262
(46,642)
5,509
13,172| Ultrasound and IT fund - a trustee has provided funds for the purchase of ultrasound equipment and IT tablets for training purposes. African Research Consortium on Sepsis (ARCS) - The National Institute of Health Research (NIHR) Global Fund supported programme is hosted by the Liverpool School of Tropical Medicine and delivers training and research support at three sites in Gabon, Malawi and Uganda. Madagascar Bubo study – a prospective cohort study, sponsored by University of Oxford, to describe the morphology of buboes in patients with bubonic plage using ultrasound imaging. POCUS Ghana – Point of Care Ultrasound training to doctors in Ghana, with occasional participants from the wider African Region. Running for 3 years from 1 March 2022 to 28 Feb 2025. Project Malawi – Malawi Radiology Collaboration Project brings together WWR with three organisations based in Blantyre, Malawi with a shared interest in improving access to Diagnostic Imaging tests for patients in Malawi. Page | 19 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE** ## **YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** ## **16. Total funds: previous year** |Unrestricted funds
Ultrasound & IT fund
ARCS ultrasound reviews
POCUS Ghana 2022
Total|**Balance at**
**1 Dec 2021**
**Incoming**
**resources**
**Expended**
**resources**
**Transfers**
**Balance at**
**30 Nov**
**2022**
**£**
**£**
**£**
**£**
32,394
50,752
(51,737)
-
31,409| |---|---| ||4,017
-
(974)
-
3,043
1,646
-
(1,646)
-
-
-
21,684
(21,684)
-
-| ||5,663
21,684
(24,304)
-
3,043| Ultrasound and IT fund - a trustee has provided funds for the purchase of ultrasound equipment and IT tablets for training purposes. African Research Consortium on Sepsis (ARCS) - The National Institute of Health Research (NIHR) Global Fund supported programme is hosted by the Liverpool School of Tropical Medicine and delivers training and research support at three sites in Gabon, Malawi and Uganda. POCUS Ghana – Point of Care Ultrasound training to doctors in Ghana, with occasional participants from the wider African Region. Running for 3 years from 1 March 2022 to 28 Feb 2025. Grants received: Bayer AG £18,000 Bursaries for Health Partnerships £3,684 ## **17. Analysis of net assets between funds** |**Fund balances**
**at 30 Nov**
**represented by:**
Fixed assets
Current assets
Current
liabilites
Total|**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2023**
**2023**
**2023**
**£**
**£**
**£**
1,505
2,649
4,154
38,036
12,649
50,685
(5,219)
(2,126)
(7,345)||**Unrestricted**
**funds**
**Restricted**
**funds**
**Total**
**funds**
**2022**
**2022**
**2022**
**£**
**£**
**£**
1,839
3,043
4,882
31,531
-
31,531
(1,961)
-
(1,961)| |---|---|---|---| ||34,322
13,172
47,494||31,409
3,043
34,452| Page | 20 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080 **WORLDWIDE RADIOLOGY: NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2023 (Continued)** **_________________________________________________________________________________** ## **18. Related party transactions** Donations of £1,015 were received from trustees during the year (2022: £100). There were no other related party transactions during the year (2022: Nil) Page | 21 Charity Registration Number: 1178885 Company Registration Number (England & Wales): 11042080