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2021-12-31-accounts

Trustees’ Annual Report for the period

From 1st January 2021 to 31[st] December 2021

Charity name: Future Health Africa (FHA)

Charity registration number: 1182182

Objectives and Activities

Objectives and Activities Objectives and Activities
The purposes of the
charity as set out in its
governing document		 The objects of the CIO are, for the public benefit, particularly, but not exclusively, in Africa and
other low/middle income countries (LMICs):
(1) the relief of sickness and the preservation of health, particularly but not exclusively by
promoting the sharing of healthcare knowledge and skills and assisting in the provision of
medical treatment;
(2) the advancement of education in healthcare, in particular by the delivery of quality
improvement and leadership training in a healthcare context and other health- related
education and training to those involved in health and care delivery at all levels and to the
wider public, and by raising awareness of global health issues;
(3) to develop the capacity & skills of members of socially and economically disadvantaged
communities in LMICs in which the CIO is working, in such a way that they are better able to
identify and help meet their needs and to participate more in society.
The main activities in
relation to those
purposes for the public
benefit, in particular, the
activities, projects or
services identified in the
accounts.		 After a thorough risk assessment, trustees decided that no visits in person should take place until
the COVID pandemic was more under control. However, some workstreams were still able to
undertake some significant activity, using our Kenyan leads.
The charity has 6 active workstreams (with a 7thin development) directed at achieving our
objectives. Not all are active every year. Bursaries have not been appropriate during the COVID
restrictions in 2021. Each workstream is described below along with the activities conducted
during the year. The Emergency Medicine workstream, initially supported by FHA, has developed
its own MoU and it was agreed that it was more appropriate that it was managed by the Bristol EM
training Programme under Dr Andy Lockyer. It is therefore no longer an FHA workstream.
All of the work was conducted in Kenya. Further detail can be seen atwww.futurehealthafrica.org
Our work aligns with the Sustainable Development Goals and in particular 1,3,4,5,10,17.

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During 2021, FHA was accepted onto 2 development programmes with

During 2021, FHA was accepted onto 2 development programmes with
1. THET (Tropical Health & Education Trust) Health Partnership Capacity Development
2. SWIDN (South West International Development Network)
These programmes are designed to assist small charities develop their potential.
WORKSTREAM 1: TRAUMA TEAM
Description:This is a clinical & training project in which a joint UK and Kenyan team of skilled
professionals of different cadres undertake orthopaedic trauma activities in Kenyan health
facilities.
Trauma Team activities are categorised into Bronze, Silver and Gold. All services are delivered at
the highest standard, with improving quality as a central aim.
Bronze: immediate & direct patient care through
•
high quality consultations, advice and where appropriate, both operative and non-operative
treatment to alleviate pain, suffering and disability
Silver: learning opportunities/ new skills
•
side-by-side working with exchange of knowledge & skills in relevant disciplines (surgery,
anaesthesia, nursing, operating department practice, radiography, physiotherapy)
•
developing a safer surgical environment
•
exchanging knowledge on safe general and regional anaesthesia and pain management
Gold: sustaining improvement/ development
•
identifying areas to develop a stepwise pathway
•
supporting local need and wishes to change
•
developing non-operative treatment options for local patients
•
providing ongoing support and communication outside of projects
•
inclusion of Kenyan orthopaedic trainees in the team promotes better future practice
•
presentations at national academic meetings to share challenges and bestpractice
Activities undertaken:
The COVID-19 pandemic unfortunately resulted in the postponement of two one-week planned
projects for November 2021 to Nyahururu and Marsabit.
However, the joint UK/Kenyan team communicated regularly, including about complex cases.
Partnership working was strengthened and UK lead UK orthopaedic surgeon, Dr Christoph McAllen,
was invited to become a Visiting Lecturer at the University of Nairobi, at the invitation of Head of
the Department of Orthopaedics, Dr Vincent Mutiso.
WORKSTREAM 2: GRASPIT
Description:GRASPIT (Global Recognition & Assessment of the Sick Patient & Initial Treatment) is a
one-day course which equips clinicians with a structured systematic approach to the management
of the deteriorating acutely ill patient. GRASPIT has been shown to increase a clinician’s confidence
in the management of these challenging patients. The four key principles of GRASPIT are:
1. Early recognition of deteriorating acutely ill patients
2. Systematic approach to the assessment of patients
3. Early initial treatment
4. Team working through effective communication
When introduced to a new health facility, an introductory 3-day course is run which includes a
‘training of trainers’ course. Following this, local trainers are able to continue to deliver the course
to more healthworkers. Initial trainingis conducted byKenyan trainers with oversight and support

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from the UK faculty. The UK lead (Dr Matt Halkes) holds oversight of standards of delivery, strategy and grant applications within his remit. Activities undertaken: The Kenyan GRASPIT team continued to undertake ad hoc training in Kenyatta National Hospital. A Zoom meeting was held with Mr John Wanyungu, Head of Community Services at the Kenya Ministry of Health who is keen to develop a community version of GRAPSIT for community health volunteers (CHVs). He sees great potential for the training and consideration is being given to its development and testing when COVID circumstances allow. A strategy has been developed and grant applications submitted. An FCDO grant was awarded to GRASPIT (under the Health Partnership Scheme) to undertake work in Ethiopia but these grants were withdrawn when the whole scheme was cancelled. WORKSTREAM 3: QUALITY IMPROVEMENT & LEADERSHIP Description: This workstream recognises that ‘sick systems’ prevent better patient outcomes. Our q4a (quality for all) faculty has designed the SPRINGBOARD course to empower frontline healthcare workers to improve quality of care by learning and applying ‘The Science of Improvement’ and the ‘Art of Leadership’. The course normally runs for 10 days and imparts knowledge of improvement methodology, team working, leadership, patient-centred care and an understanding of how to create a positive culture for change. The skills are learned through doing real live quality improvement (QI) projects. Activities undertaken: A 2 year UKAid/DFID grant of £48,781 was awarded to Future Health Africa under the Small Charities Challenge Fund (SCCF) in 2020 and started operations in December 2020. Its purpose is to build on FHA’s QI and Leadership programme (SPRINGBOARD) and test its validity and effectiveness in community settings. Migori and Laikipia counties were chosen to test this. Due to the COVID pandemic, the UK faculty were not able to travel to Kenya to deliver the training and therefore a partnership was agreed with the Kenyan NGO LVCT Health, who were known to deliver similar training. An MoU was signed and activities agreed. In 2021 these were Jan – June QI and leadership training, mentoring and coaching for 3 Community Health Units (CHUs) in Migori County. 3 QI projects were established focussing on pregnancy outcomes for mothers and babies in rural settings. Two Learning events were held at which learning was consolidated and shared with County and sub-county officials responsible for community services. Quality Improvement Teams (QITs) were established to encourage pregnant mothers to attend 4 antenatal clinic (ANC) visits and be tested for HIV, malaria, syphilis and anaemia. This built on previous work by LVCT Health under the SQALE 4byFour program. July A scoping visit was made to Laikipia to establish the program there, engaging with the County Government Ministry of Health, including the Public Health Director and Lead for Community Health who identified 2 CHUs (Powys & Naibor), Maasai communities where maternal and neonatal outcomes are known to be poor. Sep-Dec Phase 1 & 2 QI training was delivered to CHVs and CHAs in the CHUs and Leadership training was delivered to Sub-County and County officials responsible for Community Health in order to equip them to support the QI projects, again focussing on pregnancy outcomes. Early learning was that CHVs were unsure of their roles and responsibilities, did not have the relevant documentation to make ANC referrals and were not collecting data or being adequately supervised. Two QITs were established and 2 QI projects were started to understand and address these issues. Regular monitoring meeting were held on Zoom to ensure that grant objectives were being met. Financial reports were submitted to the grant manager Mannion Daniels at 3-monthly intervals. Impact: The training we have delivered has been very successful in enabling the local teams to identify the factors leading to poor pregnancy outcomes and QITs are co-designing interventions

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with the local community members to try and improve engagement with healthcare services through increasing household visits, increasing ANC referrals and encouraging women to engage with skilled birth attendants. The partnership with LVCT Health has led to many advantages and FHA hopes to continue to partner with them for similar work. Work commenced to look at placing some of the materials online in order to spread knowledge of the QI and leadership skills needed to achieve quality UHC (Universal Health Coverage). Materials were shared on request with the THET Myanmar Support Group which is helping healthworkers as they struggle to deliver services while oppressed by their military coup. WORKSTREAM 4: COMMUNITY Description: This project aims to improve health outcomes in rural areas of Kenya. It includes working with conservation NGOs (such as Northern Rangelands Trust and Lewa Wildlife Conservancy) and the Ministry of Health and providing technical assistance in rural health services and programmes. This involves looking at where to develop a new clinic, what services should be offered in specific areas given the geographical location, tribal culture and disease epidemiology. Activities undertaken: Ad hoc advice was given remotely, relationships maintained and future planning undertaken. No visits in person were possible. WORKSTREAM 5: TEAM TALK Description: Team Talk seeks to directly improve the lives of girls, enabling them to be aspirational and play a fuller role in the family and the wider community. It encourages boys to develop a greater level of respect for the girls. It started at the request of community elders in the Westgate and Ntalabany regions in 2010 who said they would like to get their girls into school and that they wanted to prevent young marriages. Team Talk uses TAG rugby in primary schools alongside classroom sessions to address gender inequality in rural Kenyan schools. Boys and girls to play together, thereby developing teamwork and a mutual understanding of each other. In 2011 the first project ran in these regions and has since expanded into schools in Lakipia, Mweiga and the Mara and works alongside the Mukogodo Girls Empowerment Program run by Josephine Ndirias. Activities undertaken: Again COVID prevented our UK team from travelling and schools were closed for much of the year. However, some work with communities was able to continue, led by our Kenyan team lead Ronnie Okoth. The inability of the UK team to travel has had the advantage of enhancing the role of the Kenyan team. New schools, in Gundua & Maritati have been included. Following on from the tournament in December 2020, there have been monthly mentoring visits (when travel was allowed in Kenya). The Atlas grant has continued to fund the work. Plans continue to build a support structure for mentors and to train local coaches.

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WORKSTREAM 6: MATERNITY
Description:The overarching objective of the 3 midwife members of the Maternity team is to
reduce maternal mortality & morbidity through education of healthworkers, traditional birth
attendants and mothers in safer childbirth practices. They have delivered training in
•
Nyahururu (Laikipia County)
•
Communities around Lewa Conservancy (Laikipia/Meru/Isiolo counties)
•
Marsabit County
•
Pumwani (major maternity centre in Nairobi)
•
Kenyatta National Hospital (KNH)
The focus of the teaching is management of the most common emergencies in maternity/obstetric
care ie haemorrhage, sepsis, pre-eclampsia/eclampsia, complications of labour (eg obstructed
labour).
Activities undertaken:
No project visits were possible in 2021.
A donation was made to the Leperua Community for the purchase of a vehicle to facilitate the
movement of women in labour to a place with a skilled birth attendant.
WORKSTREAM 7: BURSARIES
Description:
When our charity resources allow, we support courses and study visits for
LMIC individuals. These may take place in either Kenya or the UK.
Activities undertaken:
None in 2021.
WORKSTREAM 8 (emergent): STORYTELLING/THEATRE ARTS
Description:A new project is currently under development to promote improved health and
wellbeing in teenagers, building confidence and improving attendance and performance at school.
It will use storytelling and theatre skills as a medium.
Activities undertaken:
A grant application made to the British Council was unsuccessful and further scoping and activities
were notpossible duringthepandemicyear.
Public Benefit We confirm that trustees have regard to the guidance issued by the Charity Commission on public
benefit and have consideredhttps://www.gov.uk/government/publications/public-benefit-the-
public-benefit-requirement-pb1Theyconclude that FHA metpublic benefit requirements in 2000
Additional information
Policy on grant making FHA has not to date awarded any grants. Bursaries are decided upon using
the charity’s agreedpolicy‘Bursaries’.
Policy on social investment including
program related investment		 The charity has not utilised social investment finance.
Contribution made by volunteers All of the activities of the charity, apart from some book-keeping,
accountancy and some administrative tasks are done on a voluntary_pro bono_
basis.
Many project leads’ visits to Kenya are self-funded.
All Trauma Team volunteers and some other volunteers raise money
themselves to be able to take part.
Trustees contribute their time voluntarily.

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Achievements and Performance

Achievements and Performance Achievements and Performance Achievements and Performance
Summary of the main achievements of
the charity, identifying the difference the
charity’s work has made to the
circumstances of its beneficiaries and
wider benefits to society as a whole.		 The charity further consolidated its systems and processes during 2021
although activities were curtailed due to the global pandemic. COVID-19
considerations were adopted at all times.
Two new trustees were appointed and one resigned:
Ms Isabelle Risso-Gill who has expertise in International Development and
has considerable experience working in the Aid sector.
Dr Lydia Okutoyi, Head of the Dept of Quality at Kenyatta National Hospital
in Nairobi. She has also established the Society for Quality healthcare
Kenya.
Mr John Bewick resigned as a trustee.
The charity’s achievements in brief were:
Trauma Team: Further development of partnerships in Kenya and
involvement in the University of Nairobi Orthopaedic Department.
GRASPIT: more healthworkers trained in vital skills and further roll-out
explored with potential partners.
q4a: active UKAid SCCF grant in progress training community health
volunteers in QI and leadership skills enabling Qi projects to be established
aimed at improving pregnancy outcomes.
Community: technical assistance given to Kenyan NGOs and conservancies
TeamTalk: life-chances of rural children, especially girls enhanced through 2
projects – support from the Atlas Foundation. More schools engaged and
mentoring continued
Maternity: rural healthworkers, traditional birth attendants and mothers are
educated in dealing with life-threatening problems during childbirth. A
vehicle was donated to support remote rural Maasia villages.
Public benefit
All projects have complied with the requirement for public benefit.
The TRAUMA clinical projects have sought to alleviate pain, disability and
suffering through direct patient care. Treatment has been open to any
member of the public in Kenya and is particularly directed at those who
cannot otherwise access care because of geography or poverty.
GRASPIT and q4a taught healthworkers the skills they need to enhance care
of the public who they serve.
Community projects enhance medical services available to communities and
individuals.
TeamTalk is directed at improving the life-chances of young rural children
and is available to all.
Maternity projects improve education in these specialties for the benefit of
any patient receiving services from those trained.
The charity trustees believe that the projects deliver the requirement for
public benefit and volunteers also gained personal and professional
development that they will apply for further public benefit in their individual
environments.

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Additional information
Achievements against objectives set All major objectives from the agreed FHA Activity Plan for 2021 were met
although in person visits were not possible. Instead these were met
through delegation to our able Kenyan leads.
A scopingvisit for a new 8th project was notpossible and waspostponed.
Performance of fundraising activities
against objectives set		 All necessary funds were raised from volunteer contributions, donations and
grants. No fund-raising events were held in 2021.
Investment performance against
objectives		 The charity has no investments.
Other n/a
Additional information
The charity’s principal sources of funds
(including any fundraising)		 •
volunteer contributions
•
donations
•
grants
•
fundraising events (none in 2021)
•
significant project leads’ personal contributions
•
major contribution fromproject leads,trustees and volunteers ‘in kind’
Investment policy & objectives including
anysocial investmentpolicyadopted		 The charity has no investments.
A description of the principal risks facing
the charity		 The charity has developed a risk register.
Principal risks identified
•
safeguarding
•
travel associated risks
•
local societal conflict
•
sickness of volunteers
•
non-engagement of participants in LMIC
•
healthworker strikes in LMIC
•
availability of project leads
•
misuse of finances for projects (though minimal amounts are delegated
so risk is verylow)
Structure, Governance and Management Structure, Governance and Management
Description of charity’s trusts: None
Type ofgoverningdocument CIO Constitutionpluspolicies listed below
How is the charityconstituted? CIO
Trustee selection methods There is an agreed Trustee Management Policywhich includes the appointmentprocess
Reference and Administrative details Reference and Administrative details
Charityname Future Health Africa
Other name the charity uses n/a but its predecessor charity was the unincorporated Exploring Global Health
Opportunities(now closed)
Registered charitynumber 1182182
Charity’s principal address 15 Platway Lane, Shaldon, Teignmouth, Devon TQ14 0AR

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Additional information
Policies and procedures adopted for
the induction and training of trustees		 Policies
1. Code of Conduct & Human Rights
2. Complaints & Whistleblowing
3. Conflict of Interest
4. Financial management including Procurement and Gifts & Hospitality
5. Anti-fraud, bribery, corruption & money-laundering
6. Grant Management
7. Human Resources
8. Risk Management (and RAID - risk register)
9. Safeguarding
10. Trustee management
11. Volunteer management
12. Monitoring, Evaluation & Learning
13. Needlestick (Sharps) Injury
14. Bursaries
Organisational structure See attached organogram
Relationship with any related parties FHA has a tri-partite Memorandum of Understanding (MoU)with theLaikipia County
Government and Torbay & South Devon NHS Trust.
MoUs are in place for Trauma projects withMarsabit County Government.
GRASPIT has a partnership registered withTHETwith theNational Resuscitation
Council for Kenya.
Through KJ’s appointment as Advisor to the Board of the newSociety for Quality
Healthcare for Kenya, a close informal relationship is starting to evolve.
University of Nairobihas appointed Dr Christoph McAllen as a Visiting Lecturer
TheKenya Orthopaedic Associationis now liaising with the Trauma Team.
Several FHA key members are also associated with theUniversity of Plymouth
(Faculty of Health Sciences). This relationship involves participation in the Global
Health Collaborative, the Masters’ degrees in Global Health and Healthcare
Management Innovation & Leadership.
FHA secured a formal partnership with the Kenyan NGOLVCT Health
FHA retains close links with theTropical Health & Education Trust (THET).
q4ahas been award agrant by UKAid/FCDO
Financial Review
Review of the charity’s financial position
at the end of the period		 At the end of the financial year on 31.12.21, the charity had assets of £xxxxx,
£yyyy of which was restricted. Funds are held to cover future activity,
including planned trips to Kenya.
The charity reserves £10,000 as contingency in any one year to cover any
unanticipated events or incidents. An insurancepolicyis now inplace.
Statement explaining the policy for
holding reserves stating why they are
held		 Trustees allocate a reserve figure when agreeing the activity plan for the
forthcoming year. It is based on the nature of the projects planned for that
year and is to cover anyunexpected events.
Amount of reserves held As at 31.12.21, the charity held free reserves of £zzzz. This was greater than
expected because of the inability of volunteers to travel to Kenya. It will be
helpin reserve for when activities inperson are able to resume.
Reasons for holdingzero reserves n/a
Details of fund materiallyin deficit n/a
Explanation of any uncertainties about
the charitycontinuingas agoingconcern		 n/a

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Names of the trustees who manage the charity

Names of the trustees who manage the charity Names of the trustees who manage the charity Names of the trustees who manage the charity Names of the trustees who manage the charity Names of the trustees who manage the charity
Trustee name Office (if any) Dates acted if not
for whole year		 Name of person (or body) entitled to
appoint trustee (if any)
1 Kerri Jones Chair Board of Trustees
2 John Bewick 01.01.21 - 26.09.21
3 Michael Wake
4 Nicholas Roberts Vice-Chair
5 Judy Ravenscroft
6 Isabelle Risso-Gill 12.04.21-30.06.22
7 Lydia Okutoyi 12.04.21 – date
8 Carrie Piper 05.04.22 - date

Corporate trustees – names of the directors at the date the report was approved Director name n/a

Name of trustees holding title toproperty belonging to the charity
Trustee name n/a
Funds held as custodian trustees on behalf of others
Description of the assets held in this capacity Nil
Name and objects of the charityon whose behalf the assets are held Nil
Arrangements for safe custody & segregation of such assets from the charity’s
own assets		 Nil
Names and addresses of advisers Names and addresses of advisers Names and addresses of advisers
Type of adviser Name Address
Accounts Anita Harper Devon Square Charity Accounting Ltd
14 Torquay Road
Newton Abbot
Devon TQ12 1AJ
Independent
Examiner		 Ian Barrett Barrett’s Chartered Accountants
22 Union St
Newton Abbot
Devon TQ12 2JS
In-country
(Kenya)		 Dr Samuel Ndanya
Dr Tim Panga
Dr Mary Nduta		 c/o Nanyuki Hospital, Laikipia County, Kenya

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Exemptions from disclosure n/a

Declarations

The trustees declare that they have approved the trustees’ report above.

Signed on behalf of the charity’s trustees

Signature(s)
Full name(s)
Position
Date
Dr Kerri Jones Dr Nicholas Ian Roberts
Chairof Trustees Vice Chairof Trustees
4thJuly 2022
4thJuly 2022

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Organisational Structure (Organogram) & Advisers

----- Start of picture text -----
Future Health Africa (current)
Trustees: Kerri Jones (Chair) Judy Ravenscroft Nick Roberts(VC) Mike Wake Isabelle Risso-Gill Lydia Okutoyi Carrie Piper
Any trustee leading a project must declare an interest and step aside for that element of the trustees’ work
Governance Finance Media & Comms Fundraising
Nick Roberts Judy Ravenscroft Nick Roberts Carrie Piper Mike Wake Mike Wake
Admin Programme operations Comms
_________________
Project leads
LMIC partners & advisors
Trauma Team GRASPIT q4a Community TeamTalk Maternity Bursaries Storytelling
Christoph McAllen, Matt Halkes Kerri Jones Lucy Obolensky James Lyon Taylor Jacq Crow All Trustees Veronica Conboy
Darren Munn, Will Jewell
UKAid/FCDO grant
Kerri Jones
Volunteers from UK and LMIC
011219
----- End of picture text -----*

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Webinars attended in support of charity organisation:

Charity Commission’s International Charities Engagement Team (ICET)

25.01.21 Running your international charity during the COVID-19 outbreak 28.01.21 Working internationally – Due diligence checks and monitoring the end use of funds 12.02.21 Holding, moving and receiving funds safely when working internationally 24.02.21 Working internationally – Managing corruption and bribery risks 10.02.21 Working internationally – How to manage a connection to a non-charity 17.03.21 Charities and safeguarding in an international context

Mannion Daniels grant holder series :

COVID webinars: 4SD briefings from Dr David Nabarro WHO envoy for COVID (weekly) Royal Society of Medicine COVID-19 Series (weekly)

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STATEMENT OF FINANCIAL AcTI￿lIEs forthe YvarEo&d 31 EÈeember2021 2021 Total fund5 2020 Tot21 fill)ds fuDd Notes COIIE AIN]> EryDO1IThI￿4Ts FROTrI Donatsons andleg￿$ 548 24,555 25,103 40,489 EX￿￿7)1T[lIE O Cbnritable actiiitie5 C]Jartstable eX￿￿t.￿re 1,098 40,735 41,833 12,636 NET ThCOIIEI(EXPELNDITURE) (550) {16,180) (16,730) 27,853 RECONCILLITIOF4 OF FUNDS Total Iunds broughl forwxrd 18.755 64,219 82974 55,119 TOTAL CARRIED FOR￿14RD 18,205 48,039 66,244 82,972 The notes fo￿ tArt of these fina￿al statema)ts 13

BALANCE SHEEr 31 Decemkr 2021 2021 2020 Tofai rllrlds CiTRENT ASSETS Debtoys Cash atb9DkHlldjnha￿j 3.170 3,170 37.294 85.334 83,434 Atlloullts fallujg d￿N1th￿ (19.IMS) 119.090) 14621 NET CURRETr4T ASSETS TOTAL ASSET5 LESS CI11RETr4T LLIBILITIES 18.204 4&040 06344 82,972 NET ASSETS ',￿T)8 Unre%lrJ¢ted thd5 Resthcted fi￿d8 18,204 18.753 TOTAL FL)T)S 06.244 82.972 The fitsAll¢iAI stsie11￿ls wtte ¥Y￿ed ty tTr* B£￿ of Tn￿treS 8tsd Athon"sed for o WTTe its lyhalfty 14

NOTES TO THE FtNANCIAL STATEN(ENTS for the Yvar Elw￿d 31 Ixyeml￿r 9021 ACCOLThTll¥G POiJCIES Bds of pttpaikng Ille stattmtnts The fi[￿181 statemellts of tbe charty, ￿ch ￿ 8 EMthJic benefit ethity FRS 102. bave beell prepsred In accordallce with the C]Janties SORP (FRS 102) 'AcCo￿tinE and Rerx)rt by Ch8ntses Statement of ReCO￿￿￿ll￿d TraCt￿e apphaible to djanties ￿E￿I￿p theJT accouDt5 Jn accordallce Re[x)rt￿g Standard a￿liCable ￿ the UK and Repubhc of JTrJ2nd (FRS 102) (effectsve l January 2019y. F￿181 Re[kn￿g Siallthrd 102 Tr Fijjanttsi Re]1)￿ Standard applitable itt the UK and Rq)ubhc of conventsorj. Income All I￿Ome is recogDisedAntr Statell￿t of Flljancial Acts￿￿e5 oll￿ the chanty I￿5 eA)tstlemelltto the it probable that the I￿o￿e will t￿ ￿￿ved3￿d theafflijullt CaD be llkeasured rejiably. Expenthllll LLqbditse5 are tecoBDJsal 85 ex￿￿ltUre a5 5(M)n ss there Js a lepl OT consttuctsve obJi8atioJJ conU￿ttIn8 the c]Janty to that exJEDditure. rt is prd)able that a transfer of econonllc IEnefits will be rewred m rEttlenMtt and tbe atllouDt of tbe obhgation can ￿ med5uredrdJabty. ExFndLtute Js accoullted for (yn all accruajs ba￿5 and ha5 beeu ClaS￿fied w)deT Jkadu)8s that ag8regate all c¢)st Triated to the cate89ry. Where costs cannot iE duectly attributed to partieujar hvdthxy they have IEen al￿ated to activitses on a basis con￿Stent the use of Taxation The chsntyis exeD]pt tgx OJJ its eharitsble actmtie Fund accouDtiDg Unreskncted fi]nds canbevsed in accordance with the chantable atd (h%retsonof the I￿￿ee5. Restricted fillML5 olltybe used for ￿rt￿Ul8rreStrlCtedp￿eS￿￿th1llthe objects of the charty. Rethictioll5 an5e whell specthed by the d£xJororvkn fiu¥]s arernsed for￿T￿cUlarTe5tslCtedp￿P)se$. Furtberq>Asllati￿ of the nsh]re and of egch fi]lld Js ￿All(￿d Jnthe notes to the fiDgncial ststeD]ents. TRUSTEES, RElItThlli4TIO) AI%I) BEL%TFIIS There were no tsustees. remuneratson or other F*nefits the year enthd 31 Decembu 2021 ncff for the year endd 31 Deeember 2020. TIu5tee5' espe115e5 There were no truslees. eA￿SeS for tbe year ￿ded 31 DecemFtr2021 for the year enthd 31 DecetnbEr 2020. 15

for the Yvdr Ellthd31 I￿nth￿-2021 CO)IPAIL4111TS FOR THE STATEME}￿ OF ￿A1￿CL4L ACITIITIES Totsl LNCOItE EIIK>1II￿TSFROII iewie5 40,￿)5 40,489 LITE￿￿[[￿￿4E 01 CharitAblt artiTritit5 Chthtsbie expendittwe 5,012 7,624 12.636 ET LNCOIIEI(LXPENI)TtillE) (4.520 32,379 27,853 Tran5ffr5 bet￿tt￿r￿￿￿5 rt fv￿ls 111,6391 39,492 27,853 RECOliCILLITIO) OF FLQ%I)S Tolal fuThd5 brou8ht fDrward 30,392 24,727 55,119 TOTAL FLTh1>5 CAI¢RtED FORII"ARD 18.753 64.219 82.972 1Tr4TIEPEI%T)LIT E￿11[￿4￿R,S FEE DEBTORS.. A￿101.￿￿5 FALLDG DIE ITrTtHll¥ Ol%l YLIR 1021 2020 Tts& delkng prepa￿entS 2,570 16

for the Ye8r F4￿0 31 2021 CIIEDJTORS.. AIIOITrTS FALUYG DIT IIITHD ITAR 2021 462 462 FLThIIS At 11.21 31 1221 luTestTirtrd fvud5 1&755 (551) 1&204 Resn*ted funds Malenuty Te9xllT2lk 35Jl 20.070 20.822 {3.1183} {%,031) 3974 ii.ou) 24.796 I3.71￿) 797 FCDO 2A24 425 64219 (141Tr) TOTAL FiThI>S 17

NOTES TOTHE FINANCL4L STATEMENfs. co[thn￿d for theyear Ettded31 IknJnber2021 IOIE)IE)T Tr FLThI>S. tODttDUtd NetJj)DV￿￿t1lj ititI￿led1UthÈ abovea￿ as follows". expended UJ fimd5 Inrestsicted fu (knetsl knd 548 11,tw) {551} Re5tTiCted fll￿d5 M8tetllty Tv4mTa (3.083) (3,0831 Iq 031} 3,974 (11,V12} 81 5,696 18,178 (1,722) 129.190) (I.52T) FCDO SwBb(wd 000 $2$ <25) 179 TOTAL FLThI)S (41.&43) (16,730) Compai?tts'es for JMiemÈAt tullos Net At 31.12.20 At 1.120 Ini'estilcttd tllDds GenernifuDd 30.392 (4.526) (7.11 18.753 Rt5trirtsd fund5 Mala Te9mTalk 3.227 189 14.070 10,822 7.298 3.531 20.070 20,822 7.298 2.324 l.B39 2,575 5.760 3,￿)2 FCDO 2.324 1.839 2.575 5.760 24.727 32.379 7.113 64.219 TOTAL FLTr41)S 18

for thpyear En(￿a 31 IkceJnber2021 IOIEIIEi%T 11% FLTr41)S-rDUtin￿fd IDresnictÈd fllDds Oenerdl fiwd 15,012) 14.526) Re5trirtsd funds mat￿ll1ty TeamTalk 209 17.487 11.986 10.321 120) 13.417) li.1￿) 13.0231 189 14.070 10.822 7.298 FCDO TOTAL FLThI>S RELiTED PARTY DISCLOSLIIES 19

fot theyeat Etta￿ 311kn]ts2021 Z021 2020 LYCOIIE DoDatiolls aDdlwfi¢5 261 22.922 7.146 10.321 18,178 600 40.489 To1￿￿(0￿]￿E resources 25.103 40.459 ExPE￿TI]T[RE Chariiabk acli¥itie5 Diretl tosts FJJgbts& traw 9.03D 2,240 1,346 3,066 20,332 1,882 328 324 13 1.528 2.318 1.138 E4￿￿￿ental￿ 5wyJJes Sub4otstratted Ptoieet DelJkEry Pmject bea]th ￿su[ance rr SDftwate &CO￿u[￿a6]ES Web&te Sub5cnptsoll5 180 3.420 435 301 15 8.897 Support ro5ts Fil￿￿re Sunthp5 B8llkeJws GoTr'tiiJall(e cost5 Acc(N]Dtallcy atd IEPI fees 41,833 12.636 ei {¢￿e￿oI￿rt)I1￿r0￿t (16,730) 27.853 Thispa8e doesnol fomip3rt ofthe ststthcrfy fijatttial stataJJeJJts 20