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2024-12-31-accounts

Trustees’ Annual Report for the period

From 1/1/2024 Period start date To 31/12/2024 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
the charity as set out in its
governing document
Para 1.17 The purpose of the Charity is, for the
public benefit, the advancement of
health and the saving of lives, in
particular (not not limited to) by
facilitating improvements in surgical
care in Africa and elsewhere.
Summary of the main
activities in relation to those
purposes for the public
benefit, in particular, the
activities, projects or
services identified in the
accounts.
Para 1.17 and
1.19
The main activity of the charity is to
offer training for surgical teams to
improve services and provide better and
safer surgical care. We do this in such a
way as to achieve long-lasting, locally
driven sustainable change.
Statement confirming
whether the trustees have
had regard to the guidance
issued by the Charity
Commission on public
benefit
Para 1.18 The trustees have regard to the
guidance issued by the Charity
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
achievements of the charity,
identifying the difference the
charity’s work has made to
the circumstances of its
beneficiaries and any wider
benefits to society as a
whole.
Para 1.20 The Charity’s flagship project is the
Affordable Mesh Hernia Initiative
(formerly the Tanzania Mesh Hernia
Project). Hernia surgery is the most
common general surgical procedure
performed worldwide. , The burden in
Africa is great, with an estimated
1,000,000 hernias currently requiring
treatment in Tanzania (for example). The
morbidity rate is very high due to a lack
of resources, training and inadequate
procedures. The Project adopts a well-
established procedure using mesh for
hernia repair, rather than a traditional
suture plication technique.
Phase 1 of the Project was undertaken
in March 2020, when 72 surgeons (of all
grades) and 5 centres were involved.
Feedback and results were again very
encouraging. The centres continue to
use the Mesh technique and as of
December 2022, 320 surgical
procedures had been performed with
no recurrences.
Progress slowed during the Covid-19
pandemic, but the relationship with the
Tanzanian surgical community
continued to flourish. Furthermore, the
successes seen in Tanzania led to
significant interest from countries.
In 2024 ongoing expansion included
further centre enrolment in Tanzania
and Sierra Leone.
In total, 3 countries are involved, with
121 surgeons inducted across 16
centres. 1,298 hernia operations have
been carried out in programme.
We have a number of other workstreams
including promoting quality
improvement practices and research
skills. We have worked collaboratively
with other partners including the
University of Winchester.

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

Achievements against
objectives set
Para 1.41
Performance of fundraising
activities against objectives
set
Para 1.41
Investment performance
against objectives
Para 1.41
Other

Financial Review

Financial Review
Review of the charity’s
financial position at the end
of the period
Para 1.21 For this year, the Charity received
income from donations only was
minimal spend due to Covid-19
pandemic.
Statement explaining the
policy for holding reserves
stating why they are held
Para 1.22 Currently, the reserves are -£16,372.99.
Expenditure covered Admin and travel
costs associated with a trips to
Tanzania in June 2024 and September
2024 and Sierra Leone in August 2024
Amount of reserves held Para 1.22 -£16,372.99
Reasons for holding zero
reserves
Para 1.22
Details of fund materially in
deficit
Para 1.24
Explanation of any
uncertainties about the
charity continuing as a going
concern
Para 1.23 The COVID-19 pandemic has hindered
the Charities ability to raise awareness
of the Charity and to raise money,
mainly because the main grant holders
have diverted their funds to address
COVID-19 challenges.

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

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

Structure, Governance and Management

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

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

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

Reference and Administrative details

Charity name Surgical teams Working in Africa Together for Safer
Surgery
Other name the charity uses SWIFTSS
Registered charitynumber 1186564
Charity’s principal address 6 Balniel Gate, London, SW1V 3SD

Names of the charity trustees who manage the charity

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Trustee name Office (if any) Dates acted if not for whole
year
Name of person (or body) entitled
to appoint trustee (if any)
Mark
Szymankiewicz
Katharine
Szymankiewicz
Karen Nugent
Christian Wakefield
Helena Kelly Secretary
Jonathan Linton
Richard Constant Chair
LesleyHunt

– 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
held in this capacity
Not applicable
Name and objects of the
charity on whose behalf the
assets are held and how this
falls within the custodian
charity’s objects
Not applicable
Details of arrangements for
safe custody and
segregation of such assets
from the charity’s own
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
adviser
Name
Address
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 Financial Activities

January - December 2024

Income
Donations and legacies
Other Income (Gift Aid etc)
Total Income
Total
Expenditures
Accounting/Project Management
Computer Costs
Legal & Professional fees
Purchases
Travel and Accommodation
T&S
Total Travel and Accommodation
Total Expenditures
Net Operating Income
Net Income/(Expenditure)
Total
4,171.59
1,320.01
£
5,491.60
£
5,491.60
450.00
374.88
35.00
2,650.69
12,021.98
£
12,021.98
£
15,532.55

10,040.95

10,040.95

SWIFTSS Balance Sheet

As of December 31, 2024

Total

Total
Fixed Asset
Total Fixed Asset
Cash at bank and in hand
Charity Bank account
Foreign Cash
Total Cash at bank and in hand
Debtors
Debtors
Total Debtors
Net current assets
Creditors: amounts falling due within one year
Trade Creditors
Creditors
Total Trade Creditors
Current Liabilities
Mark Shim
Richard C Loan
Total Current Liabilities
Total Creditors: amounts falling due within one year
Net current assets (liabilities)
Total assets less current liabilities
Total net assets (liabilities)
Charity funds
Retained Earnings
Surplus/(Deficit)
Total Charity funds
4,166.89
129.00
£
4,295.89
0.00
£
0.00
£
4,295.89
668.88
£
668.88
0.00
20,000.00
£
20,000.00
£
20,668.88

16,372.99

16,372.99

16,372.99
-6,332.04
-10,040.95

16,372.99