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2025-03-31-accounts

INTERNATIONAL DISASTER AND EMERGENCY AID WITH LONG TERM SUPPORT CHARITABLE INCORPORATED ORGANISATION (CIO)

Registered Charity No 1181968

TRUSTEES ANNUAL REPORT AND ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2025

Barnes Roffe Advisory Limited Chartered Accountants Charles Lake House Claire Causeway Crossways Business Park Dartford Kent DA2 6QA

International Disaster and Emergency Aid with Long term Support

Accounts for the Year Ended 31 March 2025

Contents

Page
Trustees' Annual Report 1 - 9
Independent Examiner's Report 10
Statement of Finacial Activities 11
Balance sheet 12
Notes to the accounts 13 - 17

International Disaster and Emergency Aid with Long-term Support

Accounts for the Year Ended 31[st] March 2025

Governing Document

IDEALS is a charitable incorporated organization (CIO) and is governed by a constitution. The CIO registered with the Charity Commission on 11th February 2019, and the previous IDEALS charity (Registered charity no. 1080144) transferred its funds and activities to the IDEALS CIO on 1st April 2024 to convert from an unincorporated association to a CIO.

REFERENCE AND ADMINISTRATION DETAILS

Other Names Charity IDEALS or I.D.E.A.L.S is known by Registered Charity No. 1181968 17 Carsick View Road Address Sheffield S10 3LZ Trustees Dr Andrew Ferguson MRCGP MFPHM MPH (Co-Chair) Mr Graeme Groom MA FRCS (Co-Chair) Dr Eamon McCoy MD FRCA Mr Oliver McTernan Ms Sarah Phillips BSc MB FRCS Prof Nigel Silman BSc FIBMS PhD Mr Timothy Goodacre BSc MBBS FRCS Mr Basil Budair MBBS MSc FRCS Finance Controller Mr Leon Date Bankers The Co-Operative Bank; online business account Accountants Barnes Roffe Advisory Limited Chartered Accountants Charles Lake House, Claire Causeway, Crossways Business Park, Dartford, Kent, DA2 6QA

International Disaster and Emergency Aid with Long-term Support

Accounts for the Year Ended 31[st] March 2025

STRUCTURE GOVERNANCE AND MANAGEMENT

Trustee Selection

The Trust requires a minimum of three trustees and every trustee shall be appointed for an open-ended term by a resolution at a special meeting. Trustees are selected for their ability to make an effective contribution to the charity in terms of skill and experience. The target number of trustees is not fixed and additional trustees may be appointed after identifying attributes that complement those of the existing board. During the past year there were no resignations. The fact that Mr Basil Budair was appointed as a new trustee on 18[th] January 2024

Management

IDEALS CIO has no paid full time employees and is run by the trustees. For technical activities, such as taking of minutes, oversee of accounts and fundraising, fees are allowed. The charity is reliant upon the time, skill and resources donated by its trustees and other supporters, for which it is extremely grateful. The trustees receive no remuneration or other benefits.

Relationship with Other Parties and Organisations

We continue to benefit, partly through trustees, from close working relationships with specialist volunteer elsewhere in the United Kingdom. We have also been accredited by the World Health Organisation (WHO) as an Emergency Medical Team (EMT) specialising in trauma and limb reconstruction.

OBJECTS AND ACTIVITIES

Objects: To relieve poverty, distress and suffering in any part of the world (including starvation, sickness or any physical disability or affliction) primarily arising from public calamity (including famine, earthquake, pestilence, war and civil disturbance) in particular by the provision of, or assistance in the provision of humanitarian long term rehabilitation and recovery programmes.

Summary of Main Activities in Relation to these Objects

IDEALS CIO was established in 2019 with the aim of continuing the work of IDEALS (Registered Charity No. 1080144); to help relieve poverty, distress and suffering in any part of the world affected by conflict and/or natural disaster. Since 2000 IDEALS had worked extensively in Bosnia-Herzegovina, Sri Lanka, Pakistan, Chile, the occupied Palestinian territory and Lebanon, providing humanitarian aid on a sustainable basis, forging links between emergency relief and long-term development.

International Disaster and Emergency Aid with Long-term Support

Accounts for the Year Ended 31[st] March 2025

Led by highly experienced and committed health professionals, and in partnership with local colleagues, we:

We are committed to the strengthening of technical and administrative capacity within local organisations, with the aim of achieving meaningful and sustainable improvements in the delivery of health care for those most in need. We do this as volunteers, with no salaried staff, no office costs and minimal administrative costs in the UK. Thus over 90% of all private donations or grants received are used to deliver, monitor and evaluate projects alongside our local partners.

Charitable Expenditure and Risk Management

International Disaster and Emergency Aid with Long-term Support

Accounts for the Year Ended 31[st] March 2025

Charitable Income

Overall Financial Management

International Disaster and Emergency Aid with Long-term Support

Accounts for the Year Ended 31[st] March 2025

An audit of accounts has not been required to date, as section 43(1/2) of the Charities Act 1993 states that such an audit is only required if the annual turnover of the charity exceeds £1 million.

IDEALS CIO s Project Activity in the Past Year

IDEALS CIO assumed responsibility for all operational activity and financial transactions (income and expenditure) from IDEALS (Registered Charity No. 1080144) on 1[st] April 2024.

Trauma And Limb Reconstruction Surgery In Gaza Responding To The Current Crisis And Building For The

Future

Background

We have been active in Gaza since 2009; intensively since the 51 Day War in 2014. Our aim is to improve the management of major trauma, including complex limb injuries, through a combination of treatment, training, capacity building and the procurement of essential equipment/consumables.

Current Crisis

The war in Gaza began on 7[th] October 2023. As of the 31[st] March 2025:

International Disaster and Emergency Aid with Long-term Support

Accounts for the Year Ended 31[st] March 2025

Maternal death, miscarriage and preterm birth rates have risen significantly, particularly in the north of Gaza.

Our Work During The War

Our immediate objective was to get surgical teams and life-saving equipment/supplies into Gaza quickly and on a regular basis. Our first team worked at the European hospital for two weeks from 27th December 2023, and we have deployed another seven teams of between one and four specialist surgeons and anaesthetists since then to the European and Nasser hospitals, both in Khan Younis. However, in this past year multiple missions have also been cancelled because of the closure of Rafah crossing in May 2024 and the volatile security situation, and in February 2025 we had a team of four specialists denied access by the Israeli authorities.

We have been able to support local colleagues, exhausted and fearful for their families, with the emergency surgical management of survivors of major trauma (predominantly blast and crush injuries), and the subsequent management of patients with complex limb injuries. So many of these patients have lost family members and have devastating, disabling wounds, requiring multiple operations and lifelong rehabilitation.

International Disaster and Emergency Aid with Long-term Support

Accounts for the Year Ended 31[st] March 2025

A Summary of Our Clinical Activity to Date

Intervention Total
Surgical Procedure 683
Consultation 816
Total 1,499

Even if there is a ceasefire and ultimately a more permanent peace, however, we are only at the beginning of a recovery process that will take decades. As of the end of March 2025 there are 35,000 patients in Gaza with acute and ongoing rehabilitation needs as a result of their injuries (25% of all those injured); 24,000 of whom have major limb injuries, including amputations.

Lebanon Emergency Response

Background

By October 2024, 2,083 people had been killed in Lebanon since fighting broke out between Hezbollah and the Israeli military on October 8[th] 2023; over half of these deaths occurring in the preceding three weeks. A total of 9,869 people had been injured, with burn and hand injuries a significant issue amongst the survivors. These figures continued to rise as many people were buried beneath the rubble, or simply missing, and the Israeli military continued its attacks on Lebanon beyond the subsequent ceasefire. Hospitals in southern Lebanon had shut down due to damage sustained in attacks and supply shortages, with three suspending operations entirely.

d severely limited access to essential goods and services. Inflation, currency devaluation and widespread shortages of basic needs had deepened the country's reliance on humanitarian assistance. Agricultural land had been damaged by fires from attacks, and rental prices had surged in areas with high concentrations of an estimated 600,000 displaced persons, exacerbating the population's vulnerability.

Our Response

In the aftermath of this fighting between Hezbollah and the Israeli military, and at the request of the Lebanese Ministry of Public Health (MoPH), IDEALS CIO initiated an emergency response early in 2025; focused on improving surgical and rehabilitation services for patients with significant hand injuries requiring some form of reconstruction.

We first sent a team of two hand surgeons and one hand physiotherapist to Lebanon in March 2025. They conducted joint outpatient and theatre sessions with local clinicians, reviewing 60 patients and subsequently

International Disaster and Emergency Aid with Long-term Support

Accounts for the Year Ended 31[st] March 2025

operating on 12 of them. They also delivered a two-day training workshop for 19 local physiotherapists, providing an introduction to hand therapy and the management of complex blast injuries. All these activities took place at the Bahman hospital, Beirut.

Follow-up missions and educational/training activities have been planned for 2025/26 and we are also considering supporting trauma capacity building interventions at the Turkish hospital, Saida.

RESERVES POLICY

The policy of the Charity is to keep reserves to a minimum and to ensure that all donations are assigned to beneficiaries as soon as possible.

FINANCIAL PERFORMANCE

The financial performance of the Charity is set out on pages 13-14, with the total funds of the charity at the yearend being £598,779 (£120,278 being unrestricted and £478,501 being restricted). Included within the restricted funds is stock held at the year-end of £200,241 relating to surgical equipment which has been purchased for donation to aid projects within the Gaza Limb Reconstruction mission, however due to security and travel restrictions to the area, they have remained in storage in the UK until such a time as they can be safely delivered to the relevant project partners.

The trustees continued with a specialist insurance policy during the year to cover those volunteering in an active war zone in Gaza.

TRIBUTES AND THANKS

As in previous years the trustees are very grateful to Barnes Roffe, Chartered Accountants, who have loyally followed our activities for several years and advised us on appropriate accountancy procedures and undertake this work without a fee. This has been vital in helping us to continue and has contributed greatly to our success.

Our website continues to benefit from the wonderful technical support and guidance of Mr Freddie Groom; we are hugely grateful to him for this vital work, again undertaken without a fee.

The continued support of our colleagues and friends at KCH has been inspirational; such commitment over such a long period of time is rare and hugely valued.

International Disaster and Emergency Aid with Long-term Support

Accounts for the Year Ended 31[st] March 2025

Grateful thanks are again recorded for the loyal and excellent work by IDEALS CIO s financial controller, Mr Leon Date.

I declare, in my capacity as a charity trustee, that

Signature: Dr Andrew Ferguson, Co-Chair Date:

International Disaster and Emergency Aid with Long term Support

Accounts for the Year Ended 31 March 2025

Independent Examiner's Report

I report to the charity trustees on my examination of the accounts of the charity for the year ended 31 March 2025 which are set out on pages 13 to 19.

Responsibilities and basis of report

As the trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities

I report in respect of my examination of the accounts carried out under section 145 of the 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.

An independent examination does not involve gathering all the evidence that would be required in an audit and consequently does not cover all the matters that an auditor considers in giving their opinion on the accounts. The planning and conduct of an audit goes beyond the limited assurance that an independent examination can provide. Consequently I express no opinion as to whether the

Independent examiner's statement

confirm that I am qualified to undertake the examination because I am a member of Institute of Chartered Accountants in England and Wales, which is one of the listed bodies.

I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:

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.

Ben Bradley FCA Barnes Roffe Advisory Limited Chartered Accountants Charles Lake House Claire Causeway Crossways Business Park Dartford Kent DA2 6QA

Date:

10

International Disaster and Emergency Aid with Long term Support

Accounts for the Year Ended 31st March 2025

Statement of Financial Activities

Note
Income and endowments from:
Donations and legacies
3
Investment income
3
Total income and endowments
Expenditure on:
Costs of activities in furtherance of the
objects of the charity
Fund Raising & Publicity
4
Charitable activities
4
Total expenditure
Net income / (expenditure)
Transfer between funds
Net movement in funds
9
Total funds brought forward at 1 April 2024
9
9
Total funds carrried forward at 31 March 2025
9
Funds Transfer from previous charity under
merger accounting
Unrestricted
Funds
2025
£
143,434
1,792
145,226
13,112
23,110
36,221
109,004
-
109,004
150
11,124
120,278
Restricted
Fund
2025
£
477,324
-
477,324
-
166,908
166,908
310,416
-
310,416
-
168,085
478,501
Total
2025
£
620,758
1,792
622,550
13,112
190,018
203,130
419,420
-
419,420
150
179,209
598,779
Total
2024
£
411,657
506
412,163
4,360
242,473
246,833
165,330
-
165,330
14,029
-
179,359

11

International Disaster and Emergency Aid with Long term Support

Accounts for the Year Ended 31 March 2025

Balance sheet at 31 March 2025

Note
Current Assets
Stock
6
Cash at bank and hand
7
Total Current Assets
Creditors: amounts falling due within one year
8
Net current assets
Total Net Assets
Funds of the charity
Restricted funds
10(ii)
Unrestricted funds
10(i)
Total Funds
£
-
125,578
125,578
(5,300)
120,278
120,278
-
120,278
120,278
General
Fund
£
200,241
278,260
478,501
-
478,501
478,501
478,501
-
478,501
Restricted
Fund
Total
31.03.25
£
200,241
403,838
604,079
(5,300)
598,779
598,779
478,501
120,278
598,779
Total
31.03.24
£
-
-
-
(18,558)
(18,558)
(18,558)
168,085
11,274
179,359

The charity's trustees acknoweldge their resposibilities for the preparation of the accounts.

The charity's trustees consider that the charity is entitled to exemption from the requirement to have an audit under section 43(2) of the Charities Act 1993.

The accounts were approved by the trustees on and signed on its behalf.

Dr Andrew Ferguson - Chairman

12

International Disaster and Emergency Aid with Long Term Support

Accounts for the Year Ended 31 March 2025

Notes to the Accounts

1. General Information

International Disaster and Emergency Aid with Long Term Support (IDEALS) is a Charitable Incorporated Organisation (CIO) and registered charity incorporated in England and Wales. The registered office is 17 Carsick View Road, Sheffield, SS10

The charity constitutes a public benefit entity as defined by FRS 102. The financial statements have been prepared in accordance with 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 issued in October 2019, the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102), the Charities Act 2011, the Companies Act 2006* and UK Generally Accepted Accounting Practice.

2. Accounting policies

The significant accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all years presented unless otherwise stated.

2.2 Merger Accounting

The previous charity, IDEALS (Register charity no. 1080144), converted, and transferred its funds and activities to IDEALS CIO (Registered charity no.1181968) on 1 April 2024. In accordance with the Charity SORP this has been accounted for using merger accounting. As such assets, liabilities and funds of the previous IDEALS charity have been presented as though they had always been part of IDEALS CIO, including the comparative financials for 2024.

2.3 Income

Funds

Unrestricted funds are available for use at the discretion of the trustees in furtherance of the general objectives of the charity and which have not been designated for other purposes

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the charity for particular purposes. The cost of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements.

Recognition of income

Income is included in the Statement of Financial Activities (SoFA) when:

the charity becomes entitled to the resources;

it is more likely than not that the trustees will receive the resources; and

the monetary value can be measured with sufficient reliability.

All incoming resources are included in the Statement of Financial Activities (SoFA) when the charity is legally entitled to the income after any performance conditions have been met, the amount can be measured reliably and it is probable that the income will be received.

For donations to be recognised the charity will have been notified of the amounts and the settlement date in writing. If there are conditions attached to the donation and this requires a level of performance before entitlement can be obtained then income is deferred until those conditions are fully met or the fulfilment of those conditions is within the control of the charity and it is probable that they will be fulfilled.

No amount is included in the financial statements for volunteer time in line with the SORP. Further detail is given in the

Income from trading activities includes income earned from fundraising events and trading activities to raise funds for the charity. Income is received in exchange for supplying goods and services in order to raise funds and is recognised when entitlement has occurred.

Offsetting

There has been no offsetting of assets and liabilities, or income and expenses, unless required or permitted by the FRS 102 SORP or FRS 102.

13

International Disaster and Emergency Aid with Long Term Support

Accounts for the Year Ended 31 March 2025

Notes to the Accounts

2.3 Recognition of income (continued)

Grants and donations

Grants and donations are only included in the SoFA when the general income recognition criteria are met.

Volunteer help

annual report.

2.4 Expenditure and liabilities

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.

Irrecoverable VAT is charged as an expense against the activity for which expenditure arose.

Liability recognition

Liabilities are recognised where it is more likely than not that there is a legal or constructive obligation committing the charity to pay out resources and the amount of the obligation can be measured with reasonable certainty.

Governance and support costs

Support costs are those that assist the work of the charity but do not directly represent charitable activities and include office costs, governance costs, administrative payroll costs. They are incurred directly in support of expenditure on the objects of the charity and include project management carried out at Headquarters. Where support costs cannot be directly attributed to particular headings they have been allocated to cost of raising funds and expenditure on charitable activities on a basis consistent with use of the resources.

Creditors

The charity has creditors which are measured at settlement amounts less any discounts.

2.5 Assets Stocks

Stocks are measured at the lower of cost or net realisable value.

2.6 Going concern

The financial statements have been prepared on a going concern basis as the trustees believe that no material uncertainties exist. The trustees have considered the level of funds held and the expected level of income and expenditure for 12 months from authorising these financial statements. The budgeted income and expenditure is sufficient with the level of reserves for the charity to be able to continue as a going concern.

3. Analysis of income

Donations:
General donations
Just Giving and The Big Give Trust
Gift Aid Tax Refunds
CAF Donations
Other trading activities:
Investment income reciept
Total Income
Unrestricted
funds
2025
£
40,207
86,836
15,341
1,050
143,434
1,792
145,226
Restricted
funds
2025
£
430,444
43,180
3,701
-
477,324
-
477,324
Total
2025
£
470,651
130,016
19,041
1,050
620,758
1,792
622,550
Total
2024
£
318,132
82,462
11,063
-
411,657
506
412,163

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International Disaster and Emergency Aid with Long Term Support

Accounts for the Year Ended 31 March 2025

Notes to the Accounts

4.
Analysis of expenditure
Unrestricted
Note
funds
2025
£
Fund Raising and Publicity
13,112
Charitable activities:
Operational Costs
5
2,410
Management and Administration
20,700
23,110
Total Expenditure
36,221
5.
Analysis of operational costs
Unrestricted
funds
2025
£
Project monitoring/ development
-
Travel & Accomodation
-
Equipment
-
Equipment storage
-
Currency
-
IDEALS Local Partner grants and project funding
-
General Expenses
2,410
Insurance
-
Total operational costs
2,410
6.
Stocks
Unrestricted
funds
2025
£
Equipment Stock
-
Total Stock
-
7.
Cash at bank and in hand
Unrestricted
funds
2025
£
Cash at bank and in hand
125,578
Total cash at bank and in hand
125,578
8.
Creditors and accruals
Unrestricted
funds
2025
£
Accruals
5,300
Total creditors and accruals
5,300
Restricted
funds
2025
£
-
166,908
-
166,908
166,908
Restricted
funds
2025
£
-
19,943
112,865
5,183
11,793
-
6,943
10,180
166,908
Restricted
funds
2025
£
200,241
200,241
Restricted
funds
2025
£
278,260
278,260
Restricted
funds
2025
£
-
-
Total
2025
£
13,112
169,318
20,700
190,018
203,130
Total
2025
£
-
19,943
112,865
5,183
11,793
-
9,353
10,180
169,318
Total
2025
£
200,241
200,241
Total
2025
£
403,838
403,838
Total
2025
£
5,300
5,300
Total
2024
£
4,360
234,573
7,900
242,473
246,833
Total
2024
£
125
34,234
21,098
-
-
136,557
22,208
20,351
234,573
Total
2024
£
-
-
Total
2024
£
197,917
197,917
Total
2024
£
18,558
18,558

9. Independent examiner's fee

The independent examiner's fee amounts to £2,800 (2024 - £2,800). However, the fee relates to donated services and therefore corresponding income of £2,800 (2024 - £2,800) has also been recognised.

15

International Disaster and Emergency Aid with Long Term Support

Accounts for the Year Ended 31 March 2025

Fund Receipts and Payments Account - General

10. Fund reconciliation
(i)
Unrestricted funds
Total
2025
£
Incoming resources from general donations
40,207
Incoming resources from Just Giving and The Big Give Trus
86,836
Gift Aid Tax Refunds
15,341
CAF Donations
1,050
Investment income
1,792
Total income
145,226
Costs of activities in furtherance of the
objects of the charity;
Fundraising & Publicity
13,112
Operational Costs
2,410
Management and Adminisitration
20,700
Total expenditure
36,221
Net income / (expenditure)
109,004
Transfer to restricted funds
-
Total funds b/fwd at 1 April 2024
150
11,124
Total funds carried forward at 31st March 2025
120,278
Analysis of net assets
Cash at bank and hand
125,578
Creditors: amounts falling due within one year
(5,300)
Total
120,278
Funds Transfer from previous charity under merger
accounting (see note 2.2)
Total
2024
£
53,194
64,813
11,063
-
506
129,576
4,360
-
7,900
12,260
117,316
(109,215)
3,173
-
11,274
-
-
-

16

International Disaster and Emergency Aid with Long term Support

Accounts for the Year Ended 31 March 2025

Receipts and Payments Account - Restricted Funds

10. Fund reconciliation
(i)
Restricted funds
Incoming resources from general donations
Incoming resources from Just Giving and The Big Give Trust
Gft Aid Tax Refunds
Total income
Costs of activities in furtherance of the
objects of the charity;
Project monitoring/development
Travel & Accomodation
Equipment
Equipment Storage
Currency
IDEALS local partner grants and project funding
General Expenses
Insurance
Total expenditure
Net income / (expenditure)
Transfer from unrestricted Funds
Total funds brought forward at 1 April 2024
Bank balances at 31st March 2025
Analysis of net assets
Stocks
Cash at bank and hand
Creditors: amounts falling due within one year
Total
Funds Transfer from previous charity under merger
accounting (see note 2.2)
Gaza Limb
Lebanon
2025
2024
Reconstruction
Syrian
£
£
Training
Refugees
422,871
7,573
430,444
264,939
41,971
1,209
43,180
16,626
3,441
260
3,701
1,023
468,282
9,042
477,324
282,588
-
-
-
125
16,556
3,387
19,943
34,234
112,865
-
112,865
21,098
5,183
-
5,183
-
11,793
11,793
-
-
-
-
136,557
6,943
-
6,943
22,208
7,140
3,040
10,180
20,351
160,481
6,427
166,908
234,573
307,801
2,614
310,416
48,015
-
-
-
109,215
10,855
168,085
-
168,085
-
475,886
2,614
478,501
168,085
200,241
-
200,241
-
275,646
2,614
278,260
186,643
-
-
-
(18,558)
475,886
2,614
478,501
168,085

17