
## **Trustees’ Annual Report for the period** 

**From  1/1/2023 Period start date   To  31/12/2023                  Period end date Charity name: Surgical teams Working in Africa Together for Safer Surgery** 

## **Charity registration number: 1186564** 

## **Objectives and Activities** 

||SORP reference||
|---|---|---|
|Summary of the purposes of<br>the charity as set out in its<br>governing document|Para 1.17|**The purpose of the Charity is, for the**<br>**public benefit, the advancement of**<br>**health and the saving of lives, in**<br>**particular (not not limited to) by**<br>**facilitating improvements in surgical**<br>**care in Africa and elsewhere.**|
|Summary of the main<br>activities in relation to those<br>purposes for the public<br>benefit, in particular, the<br>activities, projects or<br>services identified in the<br>accounts.|Para 1.17 and<br>1.19|**The main activity of the charity is to**<br>**offer training for surgical teams to**<br>**improve services and provide better and**<br>**safer surgical care. We do this in such a**<br>**way as to  achieve longlasting, locally**<br>**driven sustainable change.**|
|Statement confirming<br>whether the trustees have<br>had regard to the guidance<br>issued by the Charity<br>Commission on public<br>benefit|Para 1.18|**The trustees have regard to the**<br>**guidance issued by the Charity**<br>**Commission on public benefit.**|



## **Additional information (optional)** You may choose to include further statements where relevant about: 

SORP reference Para 1.38 Policy on grant making Para 1.38 Policy on social investment including program related investment Para 1.38 Contribution made by volunteers 



Other 

## **Achievements and Performance** 

||SORP reference||
|---|---|---|
|Summary of the main<br>achievements of the charity,<br>identifying the difference the<br>charity’s work has made to<br>the circumstances of its<br>beneficiaries and any wider<br>benefits to society as a<br>whole.|Para 1.20|**The Charity’s flagship project is the**<br>**Affordable Mesh Hernia Initiative**<br>**(formerly theTanzania Mesh Hernia**<br>**Project). Hernia surgery is the most**<br>**common general surgical procedure**<br>**performed worldwide. , The burden in**<br>**Africa is great, with an estimated**<br>**800,000 hernias currently requiring**<br>**treatment in Tanzania (for example).** **The**<br>**morbidity rate is very high due to a lack**<br>**of resources, training and inadequate**<br>**procedures. The Project adopts a well-**<br>**established procedure using mesh for**<br>**hernia repair, rather than a traditional**<br>**suture plication technique.**<br>**Phase 1 of the Project was undertaken**<br>**in March 2020, when 72 surgeons (of all**<br>**grades) and 5 centres were involved.**<br>**Feedback and results were again very**<br>**encouraging. The centres continue to**<br>**use the Mesh technique and as of**<br>**December 2022, 320 surgical**<br>**procedures had been performed with**<br>**no recurrences.**<br>**Progress slowed during the Covid-19**<br>**pandemic, but the relationship with the**<br>**Tanzanian surgical community**<br>**continued to flourish. Furthermore, the**<br>**successes seen in Tanzania led to**<br>**significant interest from countries.**<br>**In2023 ongoing expansion included**<br>**inductions in Tanzania, Sierra Leone**<br>**and Ghana.**<br>**In total, 3 countries are involved, with 95**<br>**surgeons inducted across 12 centres.**<br>**790 hernia operations have been carried**<br>**out in programme.**<br>**We have a number of other workstreams**<br>**including improving quality**<br>**improvement practices and research**<br>**skills. We have worked collaboratively**|






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with other partners including the<br>University of Winchester.<br>**----- End of picture text -----**<br>


**Additional information (optional)** You may choose to include further statements where relevant about: 

||||
|---|---|---|
|Achievements against<br>objectives set|Para 1.41||
|Performance of fundraising<br>activities against objectives<br>set|Para 1.41||
|Investment performance<br>against objectives|Para 1.41||
|Other|||



## **Financial Review** 

|**Financial Review**|||
|---|---|---|
|Review of the charity’s<br>financial position at the end<br>of the period|Para 1.21|**For this year, the Charity received**<br>**income from donations only was**<br>**minimal spend due to Covid-19**<br>**pandemic.**|
|Statement explaining the<br>policy for holding reserves<br>stating why they are held|Para 1.22|**Currently, the reserves are -£6332.04.**<br>**Expenditure covered Admin and travel**<br>**costs associated with a trips to**<br>**Tanzania in May 2023 and November**|





|||**2023, Sierra Leone in May/June 2023**<br>**and Ghana in December 2023**|
|---|---|---|
|Amount of reserves held|Para 1.22|**-£6332.04**|
|Reasons for holding zero<br>reserves|Para 1.22||
|Details of fund materially in<br>deficit|Para 1.24||
|Explanation of any<br>uncertainties about the<br>charity continuing as a going<br>concern|Para 1.23|**The COVID-19 pandemic has hindered**<br>**the Charities ability to raise awareness**<br>**of the Charity and to raise money,**<br>**mainly because the main grant holders**<br>**have diverted their funds to address**<br>**COVID-19 challenges.**|



## **Additional information (optional)** You may choose to include further statements where relevant about: 

||||
|---|---|---|
|The charity’s principal<br>sources of funds (including<br>any fundraising)|Para 1.47||
|Investment policy and<br>objectives including any<br>social investment policy<br>adopted|Para 1.46||
|A description of the principal<br>risks facing the charity|Para 1.46||
|Other|||





## **Structure, Governance and Management** 

|Description of charity’s<br>trusts:|||
|---|---|---|
|Type of governing document<br>(trust deed, royal charter)|Para 1.25|**Our governing document is a trust deed.**|
|How is the charity<br>constituted?<br>(e.g unincorporated<br>association, CIO)|Para 1.25|**CIO.**|
|Trustee selection methods<br>including details of any<br>constitutional provisions e.g.<br>election to post or name of<br>any person or body entitled<br>to appoint one or more<br>trustees|Para 1.25|**Any person who is willing to act as a**<br>**Trustee, and who would not be**<br>**disqualified from acting under the**<br>**provisions of Clause 10 in the CIO**<br>**constitution, may be appointed to be a**<br>**Trustee by a decision of the Trustees.**|



**Additional information (optional)** You may choose to include further statements where relevant about: 

|Policies and procedures<br>adopted for the induction<br>and training of trustees|Para 1.51||
|---|---|---|
|The charity’s organisational<br>structure and any wider<br>network with which the<br>charity works|Para 1.51||
|Relationship with any related<br>parties|Para 1.51||
|Other|||



## **Reference and Administrative details** 

|Charity name|Surgical teams Working in Africa Together for Safer<br>Surgery|
|---|---|
|Other name the charity uses|SWIFTSS|
|Registered charitynumber|1186564|
|Charity’s principal address|6 Balniel Gate, London, SW1V 3SD|
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## **Names of the charity trustees who manage the charity** 

|1<br>2<br>3<br>4<br>5<br>6<br>7<br>8<br>9<br>10<br>11<br>12<br>13<br>14<br>15<br>16<br>17<br>18<br>19<br>20|**Trustee name**|**Office (if any)**|**Dates acted if not for whole**<br>**year**|**Name of person (or body) entitled**<br>**to appoint trustee (if any)**|
|---|---|---|---|---|
||Mark<br>Szymankiewicz||||
||Katharine<br>Szymankiewicz||||
||Karen Nugent||||
||Christian Wakefield||||
||Helena Kelly|Secretary|||
||Jonathan Linton||||
||Richard Constant|Chair|||
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– Corporate trustees names of the directors at the date the report was approved 

**Director name** 

Name of trustees holding title to property belonging to the charity 

**Trustee name Dates acted if not for whole year** 



## **Funds held as custodian trustees on behalf of others** 

|Description of the assets<br>held in this capacity|Not applicable|
|---|---|
|Name and objects of the<br>charity on whose behalf the<br>assets are held and how this<br>falls within the custodian<br>charity’s objects|Not applicable|
|Details of arrangements for<br>safe custody and<br>segregation of such assets<br>from the charity’s own<br>assets|Not applicable|



## **Additional information (optional)** 

## **Names and addresses of advisers (Optional information)** 

|**Names and addresses of advisers (Optional information)**|**Names and addresses of advisers (Optional information)**|**Names and addresses of advisers (Optional information)**|
|---|---|---|
|**Type of**<br>**adviser**<br>**Name**<br>**Address**|||
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|**Name of chief executive or names of senior staff members (Optional information)**|||



## **Exemptions from disclosure** 

Reason for non-disclosure of key personnel details 

## **Other optional information** 



## **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)** Helena Kelly **Position (eg Secretary,** Secretary **Chair, etc)** 

**Date** 



## SWIFTSS 

## Balance Sheet 

As of December 31, 2023 

||TOTAL|
|---|---|
|Fixed Asset||
|**Total Fixed Asset**||
|Cash at bank and in hand||
|Charity Bank account|9,715.86|
|Foreign Cash|129.00|
|**Total Cash at bank and in hand**|**£9,844.86**|
|Debtors||
|Debtors|0.00|
|**Total Debtors**|**£0.00**|
|NET CURRENT ASSETS|**£9,844.86**|
|Creditors: amounts falling due within one year||
|Trade Creditors||
|Creditors|1,176.90|
|**Total Trade Creditors**|**£1,176.90**|
|Current Liabilities||
|Mark Shim|0.00|
|Richard C Loan|15,000.00|
|**Total Current Liabilities**|**£15,000.00**|
|**Total Creditors: amounts falling due within one year**|**£16,176.90**|
|NET CURRENT ASSETS (LIABILITIES)|**£ -6,332.04**|
|TOTAL ASSETS LESS CURRENT LIABILITIES|**£ -6,332.04**|
|TOTAL NET ASSETS (LIABILITIES)|**£ -6,332.04**|
|Charity funds||
|Retained Earnings|15,542.43|
|Surplus/(Deficit)|-21,874.47|
|**Total Charity funds**|**£ -6,332.04**|



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**Accrual Basis  Sunday, 7 April 2024 12:26 pm GMT+01:00** 

