

**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** 

- The purposes of the The objects of the CIO are, for the public benefit, particularly, but not exclusively, in Africa and charity as set out in its other low/middle income countries (LMICs): governing document (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; 

|**Objectives and Activities**|**Objectives and Activities**|
|---|---|
|The purposes of the<br>charity as set out in its<br>governing document|The objects of the CIO are, for the public benefit, particularly, but not exclusively, in Africa and<br>other low/middle income countries (LMICs):<br>(1) the relief of sickness and the preservation of health, particularly but not exclusively by<br>promoting the sharing of healthcare knowledge and skills and assisting in the provision of<br>medical treatment;|
||(2) the advancement of education in healthcare, in particular by the delivery of quality<br>improvement and leadership training in a healthcare context and other health- related<br>education and training to those involved in health and care delivery at all levels and to the<br>wider public, and by raising awareness of global health issues;<br>(3) to develop the capacity & skills of members of socially and economically disadvantaged<br>communities in LMICs in which the CIO is working, in such a way that they are better able to<br>identify and help meet their needs and to participate more in society.|
|The main activities in<br>relation to those<br>purposes for the public<br>benefit, in particular, the<br>activities, projects or<br>services identified in the<br>accounts.|After a thorough risk assessment, trustees decided that no visits in person should take place until<br>the COVID pandemic was more under control.   However, some workstreams were still able to<br>undertake some significant activity, using our Kenyan leads.<br>The charity has 6 active workstreams (with a 7thin development) directed at achieving our<br>objectives. Not all are active every year. Bursaries have not been appropriate during the COVID<br>restrictions in 2021.  Each workstream is described below along with the activities conducted<br>during the year. The Emergency Medicine workstream, initially supported by FHA, has developed<br>its own MoU and it was agreed that it was more appropriate that it was managed by the Bristol EM<br>training Programme under Dr Andy Lockyer.  It is therefore no longer an FHA workstream.<br>All of the work was conducted in Kenya. Further detail can be seen atwww.futurehealthafrica.org <br>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<br>2. SWIDN (South West International Development Network)<br>These programmes are designed to assist small charities develop their potential.|
||**WORKSTREAM 1: TRAUMA TEAM**<br>**Description:**This is a clinical & training project in which a joint UK and Kenyan team of skilled<br>professionals of different cadres undertake orthopaedic trauma activities in Kenyan health<br>facilities.<br>Trauma Team activities are categorised into Bronze, Silver and Gold.  All services are delivered at<br>the highest standard, with improving quality as a central aim.<br>**Bronze**: immediate & direct patient care through<br>•<br>high quality consultations, advice and where appropriate, both operative and non-operative<br>treatment to alleviate pain, suffering and disability<br>**Silver**: learning opportunities/ new skills<br>•<br>side-by-side working with exchange of knowledge & skills in relevant disciplines (surgery,<br>anaesthesia, nursing, operating department practice, radiography, physiotherapy)<br>•<br>developing a safer surgical environment<br>•<br>exchanging knowledge on safe general and regional anaesthesia and pain management<br>**Gold**: sustaining improvement/ development<br>•<br>identifying areas to develop a stepwise pathway<br>•<br>supporting local need and wishes to change<br>•<br>developing non-operative treatment options for local patients<br>•<br>providing ongoing support and communication outside of projects<br>•<br>inclusion of Kenyan orthopaedic trainees in the team promotes better future practice<br>•<br>presentations at national academic meetings to share challenges and bestpractice|
||**Activities undertaken:**<br>The COVID-19 pandemic unfortunately resulted in the postponement of two one-week planned<br>projects for November 2021 to Nyahururu and Marsabit.<br>However, the joint UK/Kenyan team communicated regularly, including about complex cases.<br>Partnership working was strengthened and UK lead UK orthopaedic surgeon, Dr Christoph McAllen,<br>was invited to become a Visiting Lecturer at the University of Nairobi, at the invitation of Head of<br>the Department of Orthopaedics, Dr Vincent Mutiso.|
||**WORKSTREAM 2: GRASPIT**<br>**Description:**GRASPIT (Global Recognition & Assessment of the Sick Patient & Initial Treatment) is a<br>one-day course which equips clinicians with a structured systematic approach to the management<br>of the deteriorating acutely ill patient. GRASPIT has been shown to increase a clinician’s confidence<br>in the management of these challenging patients.  The four key principles of GRASPIT are:<br>1. Early recognition of deteriorating acutely ill patients<br>2. Systematic approach to the assessment of patients<br>3. Early initial treatment<br>4. Team working through effective communication<br>When introduced to a new health facility, an introductory 3-day course is run which includes a<br>‘training of trainers’ course. Following this, local trainers are able to continue to deliver the course<br>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**<br>**Description:**The overarching objective of the 3 midwife members of the Maternity team is to<br>reduce maternal mortality & morbidity through education of healthworkers, traditional birth<br>attendants and mothers in safer childbirth practices.  They have delivered training in<br>•<br>Nyahururu  (Laikipia County)<br>•<br>Communities around Lewa Conservancy (Laikipia/Meru/Isiolo counties)<br>•<br>Marsabit County<br>•<br>Pumwani (major maternity centre in Nairobi)<br>•<br>Kenyatta National Hospital (KNH)<br>The focus of the teaching is management of the most common emergencies in maternity/obstetric<br>care ie haemorrhage, sepsis, pre-eclampsia/eclampsia, complications of labour (eg obstructed<br>labour).|
||**Activities undertaken:**<br>No project visits were possible in 2021.<br>A donation was made to the Leperua Community for the purchase of a vehicle to facilitate the<br>movement of women in labour to a place with a skilled birth attendant.|
||**WORKSTREAM 7: BURSARIES**<br>**Description:**<br>When our charity resources allow, we support courses and study visits for<br>LMIC individuals.  These may take place in either Kenya or the UK.|
||**Activities undertaken:**<br>None in 2021.|
||**WORKSTREAM 8 (emergent):  STORYTELLING/THEATRE ARTS**<br>**Description:**A new project is currently under development to promote improved health and<br>wellbeing in teenagers, building confidence and improving attendance and performance at school.<br>It will use storytelling and theatre skills as a medium.|
||**Activities undertaken:**<br>A grant application made to the British Council was unsuccessful and further scoping and activities<br>were notpossible duringthepandemicyear.|
|Public Benefit|We confirm that trustees have regard to the guidance issued by the Charity Commission on public<br>benefit and have consideredhttps://www.gov.uk/government/publications/public-benefit-the-<br>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<br>the charity’s agreedpolicy‘Bursaries’.|
|Policy on social investment including<br>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,<br>accountancy and some administrative tasks are done on a voluntary_pro bono_<br>basis.<br>Many project leads’ visits to Kenya are self-funded.<br>All Trauma Team volunteers and some other volunteers raise money<br>themselves to be able to take part.<br>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<br>the charity, identifying the difference the<br>charity’s work has made to the<br>circumstances of its beneficiaries and<br>wider benefits to society as a whole.|The charity further consolidated its systems and processes during 2021<br>although activities were curtailed due to the global pandemic.  COVID-19<br>considerations were adopted at all times.<br>Two new trustees were appointed and one resigned:<br>Ms Isabelle Risso-Gill who has expertise in International Development and<br>has considerable experience working in the Aid sector.<br>Dr Lydia Okutoyi, Head of the Dept of Quality at Kenyatta National Hospital<br>in Nairobi.  She has also established the Society for Quality healthcare<br>Kenya.<br>Mr John Bewick resigned as a trustee.<br>The charity’s achievements in brief were:<br>Trauma Team: Further development of partnerships in Kenya and<br>involvement in the University of Nairobi Orthopaedic Department.<br>GRASPIT: more healthworkers trained in vital skills and further roll-out<br>explored with potential partners.<br>q4a: active UKAid SCCF grant in progress training community health<br>volunteers in QI and leadership skills enabling Qi projects to be established<br>aimed at improving pregnancy outcomes.<br>Community: technical assistance given to Kenyan NGOs and conservancies<br>TeamTalk: life-chances of rural children, especially girls enhanced through 2<br>projects – support from the Atlas Foundation.  More schools engaged and<br>mentoring continued<br>Maternity: rural healthworkers, traditional birth attendants and mothers are<br>educated in dealing with life-threatening problems during childbirth. A<br>vehicle was donated to support remote rural Maasia villages.<br>**Public benefit**<br>All projects have complied with the requirement for public benefit.<br>The TRAUMA clinical projects have sought to alleviate pain, disability and<br>suffering through direct patient care.  Treatment has been open to any<br>member of the public in Kenya and is particularly directed at those who<br>cannot otherwise access care because of geography or poverty.<br>GRASPIT and q4a taught healthworkers the skills they need to enhance care<br>of the public who they serve.<br>Community projects enhance medical services available to communities and<br>individuals.<br>TeamTalk is directed at improving the life-chances of young rural children<br>and is available to all.<br>Maternity projects improve education in these specialties for the benefit of<br>any patient receiving services from those trained.<br>The charity trustees believe that the projects deliver the requirement for<br>public benefit and volunteers also gained personal and professional<br>development that they will apply for further public benefit in their individual<br>environments.|



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|**Additional information**||
|---|---|
|Achievements against objectives set|All major objectives from the agreed FHA Activity Plan for 2021 were met<br>although in person visits were not possible.  Instead these were  met<br>through delegation to our able Kenyan leads.<br>A scopingvisit for a new 8th project was notpossible and waspostponed.|
|Performance of fundraising activities<br>against objectives set|All necessary funds were raised from volunteer contributions, donations and<br>grants. No fund-raising events were held in 2021.|
|Investment performance against<br>objectives|The charity has no investments.|
|Other|n/a|



|**Additional information**||
|---|---|
|The charity’s principal sources of funds<br>(including any fundraising)|•<br>volunteer contributions<br>•<br>donations<br>•<br>grants<br>•<br>fundraising events (none in 2021)<br>•<br>significant project leads’ personal contributions<br>•<br>major contribution fromproject leads,trustees and volunteers ‘in kind’|
|Investment policy & objectives including<br>anysocial investmentpolicyadopted|The charity has no investments.|
|A description of the principal risks facing<br>the charity|The charity has developed a risk register.<br>Principal risks identified<br>•<br>safeguarding<br>•<br>travel associated risks<br>•<br>local societal conflict<br>•<br>sickness of volunteers<br>•<br>non-engagement of participants in LMIC<br>•<br>healthworker strikes in LMIC<br>•<br>availability of project leads<br>•<br>misuse of finances for projects (though minimal amounts are delegated<br>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<br>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<br>the induction and training of trustees|Policies<br>1. Code of Conduct & Human Rights<br>2. Complaints & Whistleblowing<br>3. Conflict of Interest<br>4. Financial management including Procurement and Gifts & Hospitality<br>5. Anti-fraud, bribery, corruption & money-laundering<br>6. Grant Management<br>7. Human Resources<br>8. Risk Management (and RAID - risk register)<br>9. Safeguarding<br>10. Trustee management<br>11. Volunteer management<br>12. Monitoring, Evaluation & Learning<br>13. Needlestick (Sharps) Injury<br>14. Bursaries|
|Organisational structure|**See attached organogram**|
|Relationship with any related parties|FHA has a tri-partite Memorandum of Understanding (MoU)with the**Laikipia County**<br>**Governmen**t and T**orbay & South Devon NHS Trust**.<br>MoUs are in place for Trauma projects with**Marsabit County Government**.<br>GRASPIT has a partnership registered with**THET**with the**National Resuscitation**<br>**Council for Kenya.**<br>Through KJ’s appointment as Advisor to the Board of the new**Society for Quality**<br>**Healthcare for Kenya**, a close informal relationship is starting to evolve.<br>**University of Nairobi**has appointed Dr Christoph McAllen as a Visiting Lecturer<br>The**Kenya Orthopaedic Association**is now liaising with the Trauma Team.<br>Several FHA key members are also associated with the**University of Plymouth**<br>**(Faculty of Health Sciences)**.  This relationship involves participation in the Global<br>Health Collaborative, the Masters’ degrees in Global Health and Healthcare<br>Management Innovation & Leadership.<br>FHA secured a formal partnership with the Kenyan NGO**LVCT Health**<br>FHA retains close links with the**Tropical Health & Education Trust (THET).**<br>**q4a**has been award agrant by **UKAid/FCDO**|



|**Financial Review**||
|---|---|
|Review of the charity’s financial position<br>at the end of the period|At the end of the financial year on 31.12.21, the charity had assets of £xxxxx,<br>£yyyy of which was restricted. Funds are held to cover future activity,<br>including planned trips to Kenya.<br>The charity reserves £10,000 as contingency in any one year to cover any<br>unanticipated events or incidents.  An insurancepolicyis now inplace.|
|Statement explaining the policy for<br>holding reserves stating why they are<br>held|Trustees allocate a reserve figure when agreeing the activity plan for the<br>forthcoming year.  It is based on the nature of the projects planned for that<br>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<br>expected because of the inability of volunteers to travel to Kenya.  It will be<br>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<br>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**<br>**for whole year**|**Name of person (or body) entitled to**<br>**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<br>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<br>14 Torquay Road<br>Newton Abbot<br>Devon    TQ12 1AJ|
|**Independent**<br>**Examiner**|Ian Barrett|Barrett’s Chartered Accountants<br>22 Union St<br>Newton Abbot<br>Devon  TQ12 2JS|
|**In-country**<br>**(Kenya)**|Dr Samuel Ndanya<br>Dr Tim Panga<br>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)**<br>**Full name(s) **<br>**Position**<br>**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 -----**<br>
Future Health Africa (current)<br>Trustees*:  Kerri Jones (Chair) Judy Ravenscroft  Nick Roberts(VC) Mike Wake Isabelle Risso-Gill Lydia Okutoyi Carrie Piper<br>*Any trustee leading a project must declare an interest and step aside for that element of the trustees’ work<br>Governance Finance Media & Comms Fundraising<br>Nick Roberts  Judy Ravenscroft Nick Roberts Carrie Piper Mike Wake Mike Wake<br>Admin Programme operations Comms<br>___________________________________________________________________________________<br>Project leads**<br>LMIC  partners & advisors***<br>Trauma Team GRASPIT q4a Community TeamTalk Maternity Bursaries Storytelling<br>**Christoph McAllen,  **Matt Halkes *Kerri Jones **Lucy Obolensky **James Lyon Taylor **Jacq Crow All Trustees **Veronica Conboy<br>Darren Munn, Will Jewell<br>UKAid/FCDO grant<br>*Kerri Jones<br>Volunteers from UK and LMIC<br>011219<br>**----- End of picture text -----**<br>



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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** : 

- Building climate change resilient and adaptive projects: 8[th] April 2021 

- Safeguarding in practice – grant holder examples: 6[th] May 2021 

- Effective sustainability strategies and exit plans: 10[th] June 2021 

- Mental health in international development programming: 9[th] July 2021 

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

12 



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
B*ds 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