2023
## Burma Skincare Initiative
## REPORT AND AUDITED ACCOUNTS
## Contents
|Trustees’ Report and Financial Statements for the period 1 April 2022 to 31 March 2023|2|
|---|---|
|Objectives and Activities of the Burma Skincare Initiative|3|
|Financial Review|6|
|Structure Governance and Management|7|
|Statement of Trustees’ responsibilities|8|
1
Trustees’ Report and Financial Statements for the period 1 April 2022 to 31 March 2023
Registered Charity Number 1187197
Principal Office: 4 Fitzroy Square London W1T 5HQ
Trustees at the date this report was approved. Professor Christopher Griffiths (Chair) Mr Stephen Lue Dr Su Lwin
Bankers NatWest plc
2
## Objectives and Activities of the Burma Skincare Initiative
## Overview
The Burma Skincare Initiative (BSI) is a small charity, founded in 2020, that has as its overarching mission the promotion of skincare excellence for the people of Burma (Myanmar). A particular focus is on skincare provision to the disadvantaged and displaced people of Burma. It is an active and sustainable collaboration between dermatologists and dermatology nurses based predominantly in the UK with their colleagues in Burma. The BSI’s strategy is founded on the three pillars of: education, research and clinical care articulated via a 10-year strategic plan focused on short, medium, and long-term goals.
## Objectives and Activities of the BSI
The BSI has the following objectives:
## Short-term:
To run an inaugural BSI dermatology meeting in Yangon, Burma (Myanmar). Establish travel and exchange fellowships for doctors and nurses and virtual case conferences. To set up research studies on diagnosis and management of mycetoma. To establish a fully functional website for the charity.
## Medium-term:
To provide regular BSI meetings and training in diagnosis and management of skin disease by community nurses and healthcare workers in township hospitals with aid of educational videos and teledermatology. To design and run a skin disease survey in Burma and to establish a diagnostics service for immunobullous diseases. To work with colleagues to establish rural skincare clinics.
## Long-term:
To establish a regional dermatology training and research centre in Burma
## Achievements and Performance
In the reporting year 1 April 2022 to 31 March 2023 the persitence of the military coup d’état in Burma, on 1 February 2021, continued to necessitate important changes to the charity’s strategy to enable it continue to fulfil its objectives. This was because this event prevented any travel to Burma and the border remained closed to the BSI during the reporting period. Targeting of healthcare facilities and healthcare personnel by the military led to closure of specialist services and medical training and a rapid dispersal of the dermatology workforce in Burma with a consequent disintegration of specialist skincare provision in the country. This shifted the burden of diagnosing and managing skin disease in Burma to non-specialist frontline healthcare workers (FHCWs). The BSI has addressed this crisis situation under the umbrella term of “Essential Emergency Skincare” (EES) by revising delivery of its
3
objectives so as to task-share skincare provision away from dermatologically-trained experts to Myanmar FHCWs such as community nurses and medical students This was achieved in the reporting period through: development and implementation of one-page diagnostic/management flowcharts on 10 skin diseases; delivery of UK multi-disciplinaryled webinars on the management of common skin diseases in adults and children for nurses, dermatologists, medical students and GPs in Burma; and inclusion of dermatology in the revised undergraduate medical curriculum. We are continuing to build on this with further initiatives in 2022-23. The EES framework ensures sustainability of skincare in Burma during a national crisis which has been achieved through task-sharing – delegation of healthcare provision to FHCWs. The BSI has bridged gaps in, and sustained delivery of, education, training, and skincare services initially during the COVID-19 pandemic and latterly the coup d’état.
Charity Lectures and Events April 2022 – March 2023
6 May 2022 – Dr Lwin spoke on Migrant Health and the Burma Skincare Initiative at the International Foundation of Dermatology Migrant Health Dermatology Summit. Valetta, Malta. This hybrid meeting was attended by 50 dermatologists and physicians.
26 May 2022 – Prof Griffiths lectured to 60 clinicians on The Importance of Global Health Dermatology at the Royal College of Physicians, Liverpool. The lecture included a section about the formation and strategic intent of the BSI.
6 July 2022 – Prof Griffiths included the BSI’s formation and strategy in a lecture to 60 dermatologists on International Health Agencies at the annual meeting of the British Association of Dermatologists, Glasgow.
9 September 2022 – Prof Griffiths included mention of the BSI’s work in his lecture on Psoriasis and Global Health to 80 international dermatologists at the annual congress of the European Academy of Dermatology and Venereology
24 September2022 online seminar for 100 dermatologists, GPs and medical students in Burma – Dr Edmund Wilkin Cutaneous manifestations of STDs and HIV
6 October 2022 - Dr Lwin lectured on the Burma Skincare Initiative to 30 dermatologists in Yerevan, Armenia
4
20 December 2022 - Prof Griffiths provided a seminar on Global Health Dermatology that included the work of the BSI to 18 consultant and trainee dermatologists at King’s College Hospital, London.
17 March 2023 – Dr Lwin lectured on the topic “Putting Burma on the Map” that provided an overview of the BSI to 21 consultant and trainee dermatologists at a Janssen-sponsored evening during the annual meeting of the American Academy of Dermatology, New Orleans, USA
18 March 2023 A Reunion for “Friends of the BSI” was held in person at annual meeting of the American Academy of Dermatology, New Orleans, USA. The event was well attended with approximately 65 attendees form the international dermatology community that included the presidents of the main dermatology societies worldwide. Dr Lwin and Prof Griffiths provided verbal updates to the gathering about the achievements of the Charity in the previous year.
The BSI was the key driver of a series of 5, 2-hour online Masterclasses on Psoriasis in partnership with the International Psoriasis Council. The BSI introduced two innovations: (i) involvement of non-dermatologists in these events; and (ii) involvement of Nepal, Laos and Cambodia in addition to Burma.
Prof Griffiths and Dr Lwin participated in two overseas humanitarian trips. (i) May 2022, Tasiilaq, Greenland as part of the Global Psoriasis Atlas field skin disease survey. An important experience in assisting planning for a future field survey in Burma. (ii) October 2022 as guests of Prof Alain Hovnanian (Paris). The BSI’s Essential Emergency Skincare principles are attractive to those providing skincare in Armenia and discussions are ongoing.
The BSI as part of the drive to raise awareness of its work considered applying to the Royal Horticultural Society (RHS) to have a Sanctuary Garden at the Chelsea RHS Flower Show in May 2024. Working closely with Andrew Fisher-Tomlin, Founder of the London College of Garden Design, a competition was run for graduates of the College to design a garden for the BSI. A strong field was short-listed to three applicants who were interviewed at Kew Gardens on 23 September 2022. A dynamic young garden designer, Helen Olney, was selected and her design _The Spirit of Partnership Garden_ will be developed for application to the RHS.
5
## Financial Review
The spread of Covid-19 into Burma in late February 2020 curtailed any on the ground activities by the BSI team during the reporting period and the impact has been felt into the current financial year.
Income totalling £110 is from donations.
Expenditure at this early stage in the life of the charity is carefully controlled. The annual expenditure was £10,046 broken down as:
|was £10,046 broken down as:||
|---|---|
|Charitable activity: Raising awareness|£6,781|
|Governance costs|£480|
|Accountancy fees|£534|
|Admin staff costs|£1,210|
|Trustee expenses|£146|
|Other|£895|
Restricted reserves of £10,000 were brought forward from 2022 and this was to be spent on educational materials. To date _£6,493 of t this income has been spent.
6
## Structure Governance and Management
## Trustees during the year covered by this report
Professor Christopher Griffiths (Chair), Stephen Lue and Dr Su Lwin all are founder trustees of the charity
The current Trustees and their areas of responsibility are given below:
Professor Christopher Griffiths (Chair) Mr Stephen Lue (Trustee) Dr Su Lwin (Trustee)
Governance
The Trustees have developed:
- a vision and mission statement for the BSI;
- a robust policy framework including policies on:
- Risk Management
- Investment
- Safeguarding vulnerable beneficiaries
- Conflicting Interests
- Complaint Handling
- a five-year business plan;
- a strategic plan for the next 10 years; and
- a Trustee register of skills and interests.
The Trustees receive regular formal training on their responsibilities.
The Trustees have overall responsibility for the day-to-day management of the BSI and meet regularly to discuss matters and to make decisions affecting the charity.
A risk assessment has been prepared and reviewed by the Trustees. Policies and procedures have been formalised so that any risks can be identified, actively managed and where possible, mitigated.
7
## Statement of Trustees’ responsibilities
In the attached accounts set out on pages 9 to 10, the Trustees have prepared financial statements for the period up to 31 March 2023. In preparing such statements the Trustees are required to:
- select suitable accounting policies and apply them consistently.
- make judgements and estimates that are reasonable and prudent;
- state whether applicable accounting standards and statements of recommended practice have been followed, subject to any departures disclosed and explained in the financial statements; and
- prepare the financial statements on the going concern basis unless it is inappropriate to presume the Foundation will continue in its operational existence.
The Trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at the time the financial position of the Foundation and to enable them to ensure that the financial statements comply with the Charities Act 2011. They are also responsible for safeguarding the assets of the Foundation and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
The report was approved by the trustees on 15/01/2024 and signed on its behalf by:
Chris Griffiths Chris Griffiths (Jan 15, 2024 09:03 GMT) Su Lwin (Jan 16, 2024 21:34 GMT)
Professor Christopher Griffiths Dr Su Lwin Chair Trustee
8
**1187197**
## **Burma Skincare Initiative**
## **Receipts and payments accounts**
**For the**
## **period from**
**To 01/04/2022 31/03/2023**
rm
## **Section A Receipts and payments**
|**A1 Receipts**|**Unrestricted**
**funds**
**to the nearest £**
**110**
**-**
**-**
**-**
**-**
**-**
**-**
**-**|**Unrestricted**
**funds**
**to the nearest £**
**110**
**-**
**-**
**-**
**-**
**-**
**-**
**-**|**Restricted**
**funds**
**to the nearest £**
**-**
**-**
**-**
**-**
**-**
**-**
**-**|**Restricted**
**funds**
**to the nearest £**
**-**
**-**
**-**
**-**
**-**
**-**
**-**|**Endowment**
**funds**
**to the nearest £**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**|**Endowment**
**funds**
**to the nearest £**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**|**Total funds**
**to the nearest £**
**110**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**110**
**-**
**-**|**Total funds**
**to the nearest £**
**110**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**110**
**-**
**-**|**Last year**
**to the nearest £**|
|---|---|---|---|---|---|---|---|---|---|
|Donations|**110**||||**-**||**110**||**10,620**|
||**-**||**-**||**-**||**-**||**-**|
||**-**||**-**||**-**||**-**||**-**|
||**-**||**-**||**-**||**-**||**-**|
||**-**||**-**||**-**||**-**||**-**|
||**-**||**-**||**-**||**-**||**-**|
||**-**||**-**||**-**||**-**||**-**|
||**-**||**-**||**-**||**-**||**-**|
|**_Sub total_**_(Gross income for_
_AR)_|**110**||**-**||**-**||**110**||**10,620**|
||**-**
**-**
**-**
**110**
**-**
**534**
**288**
**1,210**
**480**
**132**
**763**
**146**
**-**
**3,553**
**-**
**-**
**-**
**3,553**
**-**
**3,443**
**-**
**36,151**
**32,708**||**-**
**-**
**-**
**-**
**-**
**-**
**6,493**
**-**
**-**
**-**
**-**
**-**
**-**
**6,493**
**-**
**-**
**-**
**6,493**
**-**
**6,493**
**-**
**-**
**-**
**6,493**||**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**|||||
|**A2 Asset and investment sales,**
**(see table).**||||||||||
||**-**||||||**-**|||
||**-**||||||**-**||**-**|
|**_Sub total_**|**-**||||||**-**||**-**|
|**_Total receipts_**
**A3 Payments**|||||||**110**
**-**
**534**
**6,781**
**1,210**
**480**
**132**
**763**
**146**
**-**
**10,046**
**-**
**-**
**-**
**10,046**
**- 9,936**|||
||||||||||**10,620**|
|||||||||||
|
Fundraisingcosts|**-**||||||||**616**|
|Accountancyfees|**534**||||||||**324**|
|CA: Raisingawareness|**288**||||||||**1,581**|
|Admin staff costs|**1,210**||||||||**2,722**|
|Governance|**480**||||||||**-**|
|Printing& stationery|**132**||||||||**-**|
|Telephone|**763**||||||||**-**|
|Trustee expenses|**146**||||||||**-**|
||**-**||||||||**-**|
|**_Sub total_**|**3,553**||||||||**5,243**|
|||||||||||
|**A4 Asset and investment**
**purchases, (see table)**||||||||||
||**-**|||||||||
||**-**|||||||||
|**_Sub total_**|**-**||||||||**-**|
|**_Total payments_**
**_Net of receipts/(payments)_**
**A5 Transfers between funds**
**A6 Cash funds last year end**
**_Cash funds this year end_**||||||||||
||||||||||**5,243**|
|||||||||||
||**-**
**3,443**||**-**
**6,493**||**-**||**- 9,936**||**5,377**|
||**-**||**-**||**-**||**-**||**-**|
||**36,151**||**-**||**-**||**36,151**||**30,774**|
||**32,708**||**-**
**6,493**||**-**||**26,215**||**36,151**|
9
|**Section B Statement of assets and liabilities at the end of the period**|**Section B Statement of assets and liabilities at the end of the period**|**Section B Statement of assets and liabilities at the end of the period**|**Section B Statement of assets and liabilities at the end of the period**|**Section B Statement of assets and liabilities at the end of the period**||
|---|---|---|---|---|---|
|**Categories**
Signed on behalf of all the trustees
**B2 Other monetary assets**
**B4 Assets retained for the**
**charity’s own use**
**B1 Cash funds**
**B5 Liabilities**
**B3 Investment assets**|Signature
**Details**
**Details**
**Details**
**_Total cash funds_**
(agree balances with receipts and payments
account(s))
Bank account
**Details**
**Details**
Chris Griffiths (Jan 15, 2024 09:03 GMT)
Chris Griffiths
~~Su Lwin (Jan 16, 2024 21:34 GMT)~~|**Unrestricted**
**funds**
**Restricted**
**funds**
**to nearest £**
**to nearest £**
**22,708**
**3,507**
**-**
**-**
**-**
**-**
**22,708**
**3,507**
**Unrestricted**
**funds**
**Restricted**
**funds**
**to nearest £**
**to nearest £**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**Fund to which**
**asset belongs**
**Cost (optional)**
**-**
**-**
**-**
**-**
**-**
**Fund to which**
**asset belongs**
**Cost (optional)**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**Fund to which**
**liability relates**
**Amount due**
**(optional)**
**-**
**-**
**-**
**-**
**-**
Print Name
Professor Christopher Griffiths
Dr Su Lwin|**Restricted**
**funds**
**to nearest £**
**3,507**
**-**
**-**||**Endowment**
**funds**
**to nearest £**|
||||**3,507**|||
||||**-**||**-**|
||||**-**||**-**|
||||**3,507**||**-**|
||||||**Endowment**
**funds**
**to nearest £**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**Current value**
**(optional)**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**Current value**
**(optional)**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**-**|
||||||**When due**
**(optional)**|
|||||||
|||||||
|||||||
|||||||
|||||||
|||||||
||||||Date of
approval|
||||||15/01/2024|
||||||15/01/2024|
|||||||
10
2024-01-16
Final Audit Report
## BSI Final Report 2023
Created: 2024-01-15 By: Sue Weighell (sue@delta-solutions.org.uk) Status: Signed Transaction ID: CBJCHBCAABAAvl_9GLGHB-DPWUOkq3XOYiIeKS3ui9a-
## "BSI Final Report 2023" History
Document created by Sue Weighell (sue@delta-solutions.org.uk)
2024-01-15 - 8:29:50 AM GMT- IP address: 86.130.219.143
## Document emailed to christopher.griffiths@manchester.ac.uk for signature
2024-01-15 - 8:29:55 AM GMT
## Email viewed by christopher.griffiths@manchester.ac.uk
2024-01-15 - 8:44:09 AM GMT- IP address: 85.255.237.182
- Signer christopher.griffiths@manchester.ac.uk entered name at signing as Chris Griffiths
2024-01-15 - 9:03:16 AM GMT- IP address: 18.168.47.91
- Document e-signed by Chris Griffiths (christopher.griffiths@manchester.ac.uk)
Signature Date: 2024-01-15 - 9:03:18 AM GMT - Time Source: server- IP address: 18.168.47.91
- Document emailed to su.m.lwin@kcl.ac.uk for signature 2024-01-15 - 9:03:20 AM GMT
Email viewed by su.m.lwin@kcl.ac.uk
2024-01-16 - 5:42:35 PM GMT- IP address: 104.28.89.69
- Signer su.m.lwin@kcl.ac.uk entered name at signing as Su Lwin 2024-01-16 - 9:33:59 PM GMT- IP address: 77.98.196.173
Document e-signed by Su Lwin (su.m.lwin@kcl.ac.uk)
Signature Date: 2024-01-16 - 9:34:01 PM GMT - Time Source: server- IP address: 77.98.196.173
Agreement completed.
2024-01-16 - 9:34:01 PM GMT