Reg No:1182182 ## **REPORT OF THE TRUSTEES AND UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31[ST] DECEMBER 2023** **FOR FUTURE HEALTH AFRICA** **(CC REG: 1182182)** ## **Barretts** **Chartered Accountants and Chartered Tax Advisers** **22, Union Street Newton Abbot** **Devon TQ12 2JS** 1 Reg No:1182182 ## **CONTENTS** ||**Pages**| |---|---| |**Report of the Trustees**|**3-14**| |**Independent Examiner’s report**|**15**| |**Statement of Financial Activities**|**16**| |**Balance Sheet**|**17**| |**Notes to Financial Statement**|**18-21**| |**Detailed Statement of Financial Activities**|**22**| 2 Reg No:1182182 **Trustees’ Annual Report: 1st January 2023 to 31[st] December 2023** **Charity name: Future Health Africa (FHA)** **Charity type: Charitable Incorporated Organisation (CIO) est February 2019** ## **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.| |**Alignments**|All of our work aligns with the Sustainable Development Goals and in particular goals
1,**3**,4,5,10,17
**Future Health Africa**is an active member of the**Kenya-UK Health Alliance** **(KUKHA),**a
government to government agreement made between the two countries in 2021. The
purpose of the Alliance is to improve alignment of the efforts of the many UK health sector
actors and health workers (NGOs, Universities, NHS Institutions, Academia, health-care
companies) involved in working towards better healthcare for Kenyans.| |**The main**
**activities in**
**relation to**
**public benefit**|Trustees confirm adherence 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-pb1 .They conclude that FHA met public benefit requirements in 2023.
In 2023, the charity had**5 workstreams**directed at achieving our objectives. Each is described
below along with the activities conducted during the period of this report. All of the work was
conducted in Kenya. Further detail can be seen at www.futurehealthafrica.org| 3 Reg No:1182182 **WORKSTREAM 1: TRAUMA TEAM** **Leads: Mr Christoph McAllen (Consultant Orthopaedic Surgeon, Plymouth, UK) Dr Samuel Ndanya (Consultant Orthopaedic Surgeon, Nanyuki, Kenya) Mr Darren Munn (Surgical Practitioner, Torbay Hospital, UK) Dr Will Jewell (Consultant in Anaesthetics, Truro, UK) Dr Mary Nduta (Medical Doctor, Nairobi, Kenya)** **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 best practice **Activities undertaken:** January 27[th] – Feb 10[th] 2023. The **Trauma Team** was invited to participate in an Orthopaedic camp in Nanyuki at the Nanyuki Teaching & Referal Hospital in Laikipia County. The camp was supported by County Government of Laikipia and was opened by the County Governor. Our team of 23 UK volunteer health workers joined Nanyuki Teaching & Referral Hospital colleagues to collaboratively review, advise, and operate on orthopaedic trauma patients, sharing knowledge and skills through side by side working, transforming lives. Trauma Team continued its Bronze, Silver and Gold program of engagement working and learning together with the Nanyuki team and participants from around the county. |**Bronze**|| |---|---| |-|Over 1,600 patients received an opinion from the UK and Nanyuki clinical teams following| ||screening of over 3,100 patients| |-|Over 1,400 patients participated in back pain education classes| |-|61 patients have undergone complex surgery or minor procedures| |**Silver**|| |-|Joint side by side working & learning between the multi-disciplinary teams in outpatient| ||clinics,ward rounds, physiotherapy,radiologyand theatre sessions| 4 Reg No:1182182 ||-
Daily multi-disciplinary team ward rounds, sharing knowledge and skills as part of the
decision making process
-
Introduction to back pain management for patients by the physiotherapy team
-
Theatre practice safe care development including pre and post-op theatre team briefings,
and improved theatre paperwork
-
Teaching sessions held on upper and lower limb local anaesthetic nerve blocks, emergency
airway management, and perioperative diabetic control
-
Demonstrations of assessment and decision-making skills in the operating theatre, with
focus on team dynamics to ensure patient safety
-
Increasing awareness of good pain management in improving outcomes
-
Whole hospital continuing medical education sessions delivered in Radiation Protection,
Hand Trauma, Traction Management, Pain Management, Pelvic Fracture Management,
Fracture Management, Club Foot Management, Limping Child, and Regional vs General
Anaesthesia
**Gold**
-
Design, development and implementation of a back pain pathway, underpinned by
latest research
-
Joint planning for the future, including development which was continued by the
local team after the FHA team had departed.
Planning for orthopaedic projects is extremely complex and is a time-consuming but crucial element
of the team’s work. Project planning for 2024 camps was conducted to include
-
a repeat project in Nanyuki (January 2024)
-
the firstproject at St Joseph’s in February2024| |---|---| ||**WORKSTREAM 2: GRASPIT**
**Leads: Dr Matt Halkes (Consultant in Anaesthetics/Critical Care, Torbay Hospital, UK)**
**Kiruja Gitonga Jason (Senior Nurse, Kenyatta National Hospital, Kenya)**
**Christine Musee (Director of Nursing for Surgery, Kenyatta National Hospital**
**Dr Mike Swart (Consultant in Anaesthetics/Critical Care, Torbay Hospital, UK)**
**Dr Matt Halkes**holds oversight of standards of delivery, strategy and grant applications.
**Description**: GRASPIT is a one day training course aimed at improving healthcare workers
confidence and ability to recognise and manage sick patients (both adults and children). Its
key tenets are
- recognition of abnormal vital signs
- systematic approach to assessment
- prompt treatment of identified issues using simple and context-appropriate resources
- promotion of teamwork through effective communication
The course format is a combination of lectures and scenario based sessions. It is supported
by learning materials and website. Faculty development is supported by a Train the Trainers
course plus associated Course Organisers Handbook and ToT (Training of Trainers) Manual.
The course is accredited by the National Resuscitation Council of Kenya.
Through a combination of support from Future Health Africa and THET grants, it has been
disseminated to 10 institutions in 6 Counties in Kenya with over 2000 health care workers
and 120 trainers trained.
When introduced to a new health facility, an introductory 3-day course is run which includes
a ‘trainingof trainers’ course. Followingthis,local trainers are able to continue to deliver the| 5 Reg No:1182182 ||course independently to more healthworkers. Initial training is conducted by Kenyan
trainers with support from the UK faculty.| |---|---| ||**Activities undertaken:**
**1) New GRASPIT Induction and Faculty Development**: June 2023
Following a request for the course, the GRASPIT team (Kiruja Gitonga, Christine Musee,
Dr Damaris Adebambo, Dr Jonathan Murphy) ran introductory programmes over 5 days in
-
Kisii University & Teaching and Referral Hospital, Kisii County
-
St Josephs Hospital & Trauma Center, Nyabondo
In Kisii, 60 frontline healthworkers were trained and 18 local trainers were trained to carry
on training of further staff.
In Nyabondo, 60 frontline healthworkers from several institutions were trained and 10 local
trainers were trained to carry on training of further staff.
Feedback was very positive and the GRASPIT team will continue to support the local trainers
to carry on the training.
**2) Scoping of GRASPIT Faculty Development Programme Nairobi County**Govt Hospitals
(Mama Lucy / Pumwani / Mbagathi / KNH) was carried out with Dr Rachael Kimani,
Consultant in Anaesthesia and Critical Care at Mbgathi Hospital in Nairobi.
At her suggestion, a proposal for support and partnership was submitted to Gradian
Healthcare.
**3)**Discussions were held with**Johnson and Johnson Global Strategic Partnership Lead,**Iain
Walker. It was agreed that there was good alignment between FHA capabilities and
networks and J+J objectives. Discussions are ongoing.
**4) A grant submission**was made to**THET**(December 23) jointly with Trauma Team and
Springboard Leads to spread GRASPIT training across Kenya| ||**WORKSTREAM 3: QUALITY IMPROVEMENT (QI) & LEADERSHIP (q4a)**
**Lead: Dr Kerri Jones**
**Description:**This workstream recognises that ‘sick systems’ prevent better patient
outcomes. Our q4a (quality for all) faculty 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 doingreal livequalityimprovement(QI) projects.| ||**Activities undertaken:**
1. Attendance and presentation at the 2ndAnnual KUKHA Summit in Nairobi
2. Scoping visits were made in June 2023 to
•
St Joseph’s Hospital & Trauma Center, Nyabondo
•
Kisii University
•
Kisii Teaching & Referral Hospital| 6 - Reg No:1182182 - 3. The final report on our SCCF funded grant was submitted in March 2023 and a follow-up visit to the project site in Laikipia North was made in person by Kerri Jones & Jonathan Murphy in June 2023. Really positive ongoing improvements were observed 4. Follow-up visit to Nanyuki Teaching & Referral Hospital (June 2023). It was notable that Quality Improvement has been formally embedded in a very impressive way into the normal business of the hospital and County Government Ministry of Health. Many of the personnel pursuing QI are graduates of the SPRINGBOARD programme. 5. Ongoing communication with the Society for Quality Healthcare Kenya (SQHK) and ACQUIRE (African Consortium for Quality Improvement Research). 6. A workshop on QI and leadership for Global Health for the MSc programme at the University of Plymouth was delivered. 7. Further development of online QI materials which are now available on the University if Plymouth website at https://open.plymouth.ac.uk/course/view.php?id=210 **WORKSTREAM 4: MATERNITY Lead: Jacq Crow Description:** The overarching objective of the 3 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:** January and February 2023 - a series of online presentations and Q+A sessions were held in SW England in order to try and build faculty. A needs assessment in Nyabondo highlighted a stark need for basic neonatal resuscitation training. No single professional in any of the seven clinics or hospitals visited could correctly demonstrate how to hold and position a bag and mask to undertake resuscitation. Many staff lamented the fact that they were never successful in neonatal resuscitation. Planning took place to design a course to potentially deliver in 2024. 7 Reg No:1182182 |**Additional information**|| |---|---| |Policy on grant making|FHA has not to date awarded any grants. Bursaries may be given in
accordance with 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 book-keeping,
accountancy, web support 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.| |**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.|**Achievements:**The charity’s achievements in brief were:
Trauma Team: Successful projects at an established and a new
location took place delivering care through 1600 consultations and 63
surgeries. Skills and learning were shared with many healthcare staff.
A whole new service in Back Pain was established in Nanyuki and
1600 patients attended.
GRASPIT: GRASPIT was successfully introduced to two new sites with
many frontline healthworkers trained (120) and trainers established
(28).
q4a: successfully completed FCDO grant delivery and opened
discussions with Kisii/Nyabondo re potential work. Developed on-line
training materials now hosted on the University of Plymouth website.
These will enable remote teaching of QI & Leadership skills.
Maternity: scoping work in SW Kenya.
**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.
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 in both the UK and Kenya.| 8 Reg No:1182182 |**Additional information**|| |---|---| |Achievements against objectives set|All major objectives from the agreed FHA Activity Plan for 2023 were
met.| |Performance of fundraising activities
against objectives set|All necessary funds were raised from volunteer contributions,
donations andgrants.| |Investment performance against
objectives|The charity has no investments.| |Other|**Trustees:**
Carrie Piper was appointed with expertise in finance.
Dr Caroline Dimond was appointed with expertise in Public Health.
**Volunteers:**
FHA continued to be led and run by volunteers.
Paid work was for bookkeeping, accounting, web support and
insurancepurposes only. The charityhas no employees.| |**Financial Review**|| |---|---| |Review of the charity’s financial
position at the end of the period|At the end of the financial year on 31.12.2023, the charity had assets
of**£50,089**, £37,830 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
anyunanticipated events or incidents.| |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 thatyear and is to cover anyunexpected events.| |Amount of reserves held|As at 31.12.2023,the charityheld unrestricted funds of £12,259| |Reasons for holdingzero reserves|n/a| |Details of fund materiallyin deficit|n/a| |Explanation of any uncertainties
about the charity continuing as a
goingconcern|n/a| 9 ||| |---|---| |**Additional information**|~~Re No:1182182~~| |The charity’s principal sources of
funds (including any fundraising)|~~g~~
•
volunteer contributions
•
donations
•
grants
•
fundraising events
•
significant project leads’ personal contributions
•
major contribution from project leads, trustees and volunteers ‘in
kind’| |Investment policy & objectives
including any social investment
policyadopted|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 very low)
None of these was realised in 2023.| |Research,Monitoring& Evaluation|Allprojects undertake evaluations of theirprojects.| |**Structure, Governance and Management**|**Structure, Governance and Management**| |---|---| |Description of charity’s trusts:|None| |Type ofgoverningdocument|CIO Constitutionpluspolicies listed below| |How is the charity
constituted?|CIO| |Trustee selection methods|There is an agreed Trustee Management Policy which includes the appointment
process| 10 Reg No:1182182 |**Additional information**|**Additional information**| |---|---| |Policies and
procedures adopted
for the induction and
training of trustees|1. Bursaries
2. Code of Conduct & Human Rights
3. Complaints & Whistleblowing
4. Conflict of Interest
5. Financial management including Procurement and Gifts & Hospitality
6. Anti-fraud, bribery, corruption & money-laundering
7. Grant Management
8. Human Resources
9. Needlestick (Sharps) Injury
10. Risk Management (and RAID - risk register)
11. Safeguarding
12. Trustee management
13. Volunteer management
14. Monitoring, Evaluation & Learning
15. Malaria(Guidelines)| |Organisational
structure|**See attached organogram**| |Relationship with any
related parties|**Partnerships/Associations:**FHA believes in working with and through local organisations and in
building relationships with academics in both countries. These relationships continue to help us
to maintain alignment with Kenyan needs, strategy & policy and therefore maximise our efforts.
These include:
Society for Quality Healthcare Kenya (SQHK)
National Resuscitation Council for Kenya (NRCK)
LVCT Health (Kenya)
Kenya Orthopaedic Association (KOA)
St Joseph’s Mission Hospital (Nyabondo, Kisumu County, Kenya)
Laikipia Health Services
University of Nairobi (Kenya)
University of Plymouth (UK) through its Global Health Collaborative (co-chaired by FHA’s Chair of
Trustees, Dr Kerri Jones)
Tropical Health & Education Trust (THET)
South West International Development Network (SWIDN)
Kenya-UK Health Alliance:
The charity has been a member of the Kenya -UK Health Alliance (KUKHA) since 2022.
Dr Kerri Jones(Chair of Trustees)and Dr Will Jewell(Project Lead)are activelyinvolved.| |**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 charity Exploring Global
Health Opportunities(now closed)| |Registered charitynumber|1182182| |Charity’s principal address|15 Platway Lane
Shaldon
Teignmouth
Devon
TQ14 0AR| 11 Reg No:1182182 ## **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 (ifany)**| |1|Kerri Jones|Chair||Board of Trustees| |2|Nicholas Roberts|Vice-Chair||| |3|Michael Wake|||| |4|Lydia Okutoyi|||| |5|Carrie Piper|||| |6|Caroline Dimond||01.03 23 – 31.12.23|| ## **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** |**Funds held as custodian trustees on behalf of others**|**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**|**Names and addresses of advisers**| |---|---|---| |**Type of adviser**|**Name**|**Address**| |**Bookkeeping**|Reuben Evans
Maceva Bookkeeping|4 Orchard Court
Station Road
Norton Fitzwarren
Taunton TA2 6BF| |**Independent**
**Examiner**|Barrett’s Accountants
(CheckBook)|22 Union St
Newton Abbot
Devon TQ12 2JS| |**In-country**
**(Kenya)**|Dr Samuel Ndanya
Dr Tim Panga
Dr MaryNduta|c/o Nanyuki Hospital, Laikipia County, Kenya| ## **Exemptions from disclosure** n/a 12 Reg No:1182182 ## **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|Carrie Piper| ||Chair of Trustees|Finance Trustee| ||21stOctober 2024|| ||21stOctober 2024|| 13 Reg No:1182182 ## **Organisational Structure (Organogram) & Advisers** ## **From 01.01.2023** 14 INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF FUTURE HEALTH AFRICA ## **Independent examiner's report to the trustees of Future Health Africa** I report to the charity trustees on my examination of the accounts of Future Health Africa (the Trust) for the year ended 31 December 2023. ## **Responsibilities and basis of report** As the charity trustees of the Trust you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ('the Act'). I report in respect of my examination of the Trust's accounts carried out under Section 145 of the Act and in carrying out my examination I have followed all applicable Directions given by the Charity Commission under Section 145(5)(b) of the Act. ## **Independent examiner's statement** 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: 1. accounting records were not kept in respect of the Trust as required by Section 130 of the Act; or 2. the accounts do not accord with those records; or 3. the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination. 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. Ian Barrett Barretts Chartered Accountants & Chartered Tax Advisers 22 Union Street Newton Abbot Devon TQ12 2JS 22 October 2024 Page 15 FUTURE HEALTH AFRICA ## STATEMENT OF FINANCIAL ACTIVITIES ## for the Year Ended 31 December 2023 |Unrestricted
Restricted
fund
funds
Notes
**INCOME AND ENDOWMENTS FROM**
Donations and legacies
**2,290**
**53,753**
**EXPENDITURE ON**
**Charitable activities**
Chartitable expenditure
**4,056**
**57,024**
**NET INCOME/(EXPENDITURE)**
**(1,766)**
**(3,271)**
**Transfers between funds**
7
**(5,635)**
**5,635**
**Net movement in funds**
**(7,401)**
**2,364**
**RECONCILIATION OF FUNDS**
Total funds brought forward
**19,660**
**35,466**
**TOTAL FUNDS CARRIED FORWARD**
**12,259**
**37,830**|**2023**
**Total**
**funds**
**56,043**
**61,080**
**(5,037)**
**-**
**(5,037)**
**55,126**
**50,089**|2022
Total
funds
42,865| |---|---|---| |||| |||53,983| |||(11,118)| |||-| |||(11,118)| |||66,244| |||| |||55,126| The notes form part of these financial statements Page 16 FUTURE HEALTH AFRICA ## BALANCE SHEET ## 31 December 2023 |Unrestricted
Restricted
fund
funds
Notes
**CURRENT ASSETS**
Debtors
5
**-**
**4,672**
Cash at bank and in hand
**13,159**
**54,251**
**13,159**
**58,923**
**CREDITORS**
Amounts falling due within one year
6
**(900)**
**(21,093)**
**NET CURRENT ASSETS**
**12,259**
**37,830**
**TOTAL ASSETS LESS CURRENT**
**LIABILITIES**
**12,259**
**37,830**
**NET ASSETS**
**12,259**
**37,830**
**FUNDS**
7
Unrestricted funds
Restricted funds
**TOTAL FUNDS**|**2023**
**Total**
**funds**
**4,672**
**67,410**
**72,082**
**(21,993)**
**50,089**
**50,089**
**50,089**
**12,259**
**37,830**
**50,089**|2022
Total
funds
3,636
57,475| |---|---|---| |||61,111| |||(5,985)
55,126
55,126| |||55,126| |||19,660
35,466
55,126| The financial statements were approved by the Board of Trustees and authorised for issue on 21 October 2024 and were signed on its behalf by: K Jones - Trustee The notes form part of these financial statements Page 17 FUTURE HEALTH AFRICA NOTES TO THE FINANCIAL STATEMENTS for the Year Ended 31 December 2023 ## **1. ACCOUNTING POLICIES** ## **Basis of preparing the financial statements** The financial statements of the charity, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) 'Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Charities Act 2011. The financial statements have been prepared under the historical cost convention. ## **Income** All income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds, it is probable that the income will be received and the amount can be measured reliably. ## **Expenditure** Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources. ## **Taxation** The charity is exempt from tax on its charitable activities. ## **Fund accounting** Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees. Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes. Further explanation of the nature and purpose of each fund is included in the notes to the financial statements. ## **2. TRUSTEES' REMUNERATION AND BENEFITS** There were no trustees' remuneration or other benefits for the year ended 31 December 2023 nor for the year ended 31 December 2022. ## **Trustees' expenses** There were no trustees' expenses paid for the year ended 31 December 2023 nor for the year ended 31 December 2022. ## **3. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES** |Unrestricted
Restricted
fund
funds
**INCOME AND ENDOWMENTS FROM**
Donations and legacies
194
42,671
**EXPENDITURE ON**
**Charitable activities**
Chartitable expenditure
1,313
52,670
**NET INCOME/(EXPENDITURE)**
(1,119)
(9,999)
**Transfers between funds**
2,575
(2,575)|Total
funds
42,865
53,983
(11,118)
-| |---|---| continued... Page 18 FUTURE HEALTH AFRICA ## NOTES TO THE FINANCIAL STATEMENTS - continued ## for the Year Ended 31 December 2023 |**3.**
**COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES - continued**
Unrestricted
Restricted
Total
fund
funds
funds
**Net movement in funds**
1,456
(12,574)
(11,118)
**RECONCILIATION OF FUNDS**
Total funds brought forward
18,204
48,040
66,244
**TOTAL FUNDS CARRIED FORWARD**
19,660
35,466
55,126
**4.**
**INDEPENDENT EXAMINER'S FEE**
**5.**
**DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR**
**2023**
2022
Trade debtors
**4,672**
600
Prepayments and accrued income
**-**
1,110
Prepayments
**-**
1,926
**4,672**
3,636
**6.**
**CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR**
**2023**
2022
Trade creditors
**21,093**
1,043
Other creditors
**900**
4,942
**21,993**
5,985
**7.**
**MOVEMENT IN FUNDS**
Net
Transfers
movement
between
At
At 1.1.23
in funds
funds
31.12.23
**Unrestricted funds**
General fund
**19,660**
**(1,766)**
**(5,635)**
**12,259**
**Restricted funds**
Maternity
**448**
**197**
**1,000**
**1,645**
Team Talk
**-**
**128**
**(128)**
**-**
Trauma Team
**30,338**
**1,714**
**1,678**
**33,730**
F C D O
**-**
**(470)**
**470**
**-**
Springboard
**2,364**
**91**
**-**
**2,455**
Graspit
**2,316**
**(4,741)**
**2,425**
**-**
St Joseph's
**-**
**(190)**
**190**
**-**
**35,466**
**(3,271)**
**5,635**
**37,830**
**TOTAL FUNDS**
**55,126**
**(5,037)**
**-**
**50,089**||Total
funds
(11,118)
66,244
55,126| |---|---|---| |||2022| |||600| |||1,110
1,926| |||3,636| |||| |||2022| |||1,043| |||4,942
5,985| |||| |||| continued... Page 19 FUTURE HEALTH AFRICA ## NOTES TO THE FINANCIAL STATEMENTS - continued for the Year Ended 31 December 2023 ## **7. MOVEMENT IN FUNDS - continued** Net movement in funds, included in the above are as follows: ||Incoming|Resources|Movement| |---|---|---|---| ||resources|expended|in funds| |**Unrestricted funds**|||| |General fund|**2,290**|**(4,056)**|**(1,766)**| |**Restricted funds**|||| |Maternity|**197**|**-**|**197**| |Team Talk|**128**|**-**|**128**| |Trauma Team|**53,824**|**(52,110)**|**1,714**| |F C D O|**(470)**|**-**|**(470)**| |Springboard|**93**|**(2)**|**91**| |Graspit|**235**|**(4,976)**|**(4,741)**| |St Joseph's|**(254)**|**64**|**(190)**| ||**53,753**|**(57,024)**|**(3,271)**| |**TOTAL FUNDS**|**56,043**|**(61,080)**|**(5,037)**| ## **Comparatives for movement in funds** |||Net|Transfers|| |---|---|---|---|---| |||movement|between|At| ||At 1.1.22|in funds|funds|31.12.22| |**Unrestricted funds**||||| |General fund|18,204|(1,119)|2,575|19,660| |**Restricted funds**||||| |Maternity|448|-|-|448| |Team Talk|15,039|(15,385)|346|-| |Trauma Team|24,796|5,542|-|30,338| |F C D O|(3,714)|3,714|-|-| |Community|797|(451)|(346)|-| |Springboard|2,364|-|-|2,364| |Emergency Medicine|2,575|-|(2,575)|-| |Graspit|5,735|(3,419)|-|2,316| ||48,040|(9,999)|(2,575)|35,466| |**TOTAL FUNDS**|66,244|(11,118)|-|55,126| continued... Page 20 FUTURE HEALTH AFRICA ## NOTES TO THE FINANCIAL STATEMENTS - continued for the Year Ended 31 December 2023 ## **7. MOVEMENT IN FUNDS - continued** Comparative net movement in funds, included in the above are as follows: ||Incoming|Resources|Movement| |---|---|---|---| ||resources|expended|in funds| |**Unrestricted funds**|||| |General fund|194|(1,313)|(1,119)| |**Restricted funds**|||| |Team Talk|9,660|(25,045)|(15,385)| |Trauma Team|7,729|(2,187)|5,542| |F C D O|20,282|(16,568)|3,714| |Community|-|(451)|(451)| |Graspit|-|(3,419)|(3,419)| |St Joseph's|5,000|(5,000)|-| ||42,671|(52,670)|(9,999)| |**TOTAL FUNDS**|42,865|(53,983)|(11,118)| ## **8. RELATED PARTY DISCLOSURES** There were no related party transactions for the year ended 31 December 2023. Page 21 FUTURE HEALTH AFRICA ## DETAILED STATEMENT OF FINANCIAL ACTIVITIES for the Year Ended 31 December 2023 |DETAILED STATEMENT OF FINANCIAL ACTIVITIES
for the Year Ended 31 December 2023||| |---|---|---| ||2023|2022| |**INCOME AND ENDOWMENTS**||| |**Donations and legacies**||| |Donations|**44,476**|6,483| |Gift aid|**6,571**|-| |Grants|**4,996**|36,282| |Other revenue|**-**|100| ||**56,043**|42,865| |**Total incoming resources**|**56,043**|42,865| |**EXPENDITURE**||| |**Charitable activities**||| |Direct costs|**838**|13,832| |Flights & transport|**42,734**|14,352| |Accommodation & subsistence|**4,678**|5,125| |Equipment and supplies|**7,545**|2,006| |Sub-contracted Project Delivery|**-**|10,302| |Project health insurance|**1,765**|2,372| |IT software & consumables|**382**|548| |Website|**264**|302| |Administration fees|**63**|-| |Subscriptions|**210**|320| |Printing and stationery|**61**|-| |General expenses|**-**|20| |Charitable donations|**-**|2,270| |Honorarium|**1,160**|-| ||**59,700**|51,449| |**Support costs**||| |**Finance**||| |Bank charges|**56**|84| |**Governance costs**||| |Accountancy and legal fees|**1,324**|2,450| |Total resources expended|**61,080**|53,983| |**Net expenditure**|**(5,037)**|(11,118)| |||| This page does not form part of the statutory financial statements Page 22