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2025-04-01-accounts

2025

Burma Skincare Initiative

REPORT AND AUDITED ACCOUNTS

Contents

Trustees’ Report and Financial Statements for the period 1 April 2024 to 31 March 2025 .... 2 Objectives and Activities of the Burma Skincare Initiative ...................................................... 3 Structure Governance and Management .............................................................................. 10 Financial Review .................................................................................................................... 11 Statement of Trustees’ responsibilities ................................................................................. 12 Independent Examiner's Report............................................................................................ 13

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Trustees’ Report and Financial Statements for the period 1 April 2024 to 31 March 2025

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

Independent Examiner

Delta Solutions 3 Wellgreen Close Hale Altrincham WA15 8PT

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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 excellence in dermatological care and equity of access to skincare for the people of Burma (Myanmar). A particular focus is on skincare provision to the disadvantaged and displaced people of Myanmar. It is an active and sustainable collaboration between dermatologists and dermatology nurses based predominantly in the UK with their colleagues in Myanmar. 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

The BSI has the following objectives:

Short-term:

To run an inaugural BSI dermatology meeting in Yangon, 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 in the country. 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 the aid of educational videos and teledermatology and to run in person workshops on the management of skin disease and its complications. To design and run a skin disease survey in Myanmar 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 Myanmar

Achievements and Performance

In the reporting year 1 April 2024 to 31 March 2025 the persistence of the military coup d’état in Myanmar, on 1 February 2021, continued to necessitate important changes to the charity’s strategy to enable it to fulfil its objectives. This was because the military junta prevented travel to Myanmar and the border remained closed to the BSI during the

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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 Myanmar with a consequent disintegration of specialist skincare provision in the country. This shifted the burden of diagnosing and managing skin disease in Myanmar to non-specialist frontline healthcare workers (FHCWs). The BSI has addressed this crisis under the umbrella term of “Essential Emergency Skincare” (EES) by revising delivery of its 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 previous reporting period (see Trustees Report 2023-24). The establishment and delivery of pioneering teledermatology services in the country through a strong pro bono collaboration with the Consultant Connect company and consultant dermatologists at King’s College Hospital and Guy’s and St Thomas’ Hospitals in London has continued. We continue to build on this with further initiatives planned, including in-person workshops for Burmese dermatologists, dermatology nurses and GPs in Yangon in February 2026. 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.

The appointment of a freelance, executive assistant in February to December 2024 was instrumental in allowing the three trustees to concentrate on strategic rather than operational matters. This appointment was crucial in the development of the new BSI website www.burmaskincare.org in collaboration with Burnett Design and in planning for the BSI Spirit of Partnership Garden at the Royal Horticultural Society (RHS) Chelsea Flower Show in May 2024.

The RHS Chelsea Flower Show May 2024

Raising awareness of and promoting the BSI’s work to the public in the UK and overseas is at the forefront of the charity’s mission and is linked to fundraising. The BSI, as part of the drive to raise awareness about its work, applied to the 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 of applicants was shortlisted to three, who were interviewed at Kew Gardens in 2022. A dynamic young garden designer, Helen Olney, was selected, and her design, The Spirit of Partnership Garden, was developed in collaboration with the BSI Trustees and Conquest Creative Spaces (Sussex) and submitted for consideration by the RHS committee. Despite strong competition, the application was successful. Success necessitated sponsorship for the garden design and build at Chelsea, and the subsequent garden rebuild at its legacy site at Dulwich College, London. We also engaged a PR company, Ten Stories, to handle the promotion of the garden to the media. Significant fund-raising was required to cover the costs of the garden build at Chelsea and rebuild at Dulwich College, and to supply tickets and catering for two fund-raising evenings Page | 4

during the Chelsea Show week. Sponsors included: Sanofi; Boots No.7 Company; Almirall; British Dermatological Nursing Group; DEBRA; Skincare Alliance; Devonshire Clinic; and Lahpet Restaurant. Building work for the garden began at Conquest Creative Spaces in East Sussex in the winter of 2024 with the assembly of a traditional Burmese Stilt House and Stupa (Buddhist shrine) for onward transport to Chelsea in May 2024.

Introduction

The Spirit of Partnership Garden , presented by the BSI at the Chelsea Flower Show 2024, marked a landmark moment for global health advocacy and horticultural storytelling. Designed by Helen Olney, the garden translated the mission of BSI—a UK-based dermatology partnership supporting Burmese healthcare workers—into an immersive sanctuary landscape. The garden won both a Gold Medal and the award for Best Sanctuary Garden at the 2024 show.

Background

Myanmar faces profound healthcare challenges:

The garden sought to raise awareness of these realities while celebrating resilience, partnership, and cultural heritage.

Concept and Design Narrative

The Spirit of Partnership Garden was conceived as a sanctuary space that symbolises both the fragility and strength of healthcare delivery in Myanmar. Its design elements were intentionally layered with meaning:

Central Symbol – The Partially Ruined Stupa

A partially ruined stupa, gradually reclaimed by lush vegetation, formed the garden’s focal point. This structure represented:

Planting Scheme

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The planting palette drew inspiration from Burmese horticulture, using species and textures evocative of Myanmar’s tropical landscapes. The sanctuary atmosphere was designed to transport visitors into a space rich with cultural and botanical references, while maintaining ecological sensitivity suitable for a UK show garden.

The Stilt House

A traditional Burmese stilt house, constructed by Conquest Creative Spaces added architectural authenticity and highlighted the lived environments of many Burmese families and healthcare workers.

Pathways and Flow

Visitors were guided through the garden on a journey that mirrored BSI’s ethos of partnership—moving from areas of fragmentation and challenge toward spaces of healing, collaboration, and renewal. Volunteers from the medical and nursing staff at Guy’s and St Thomas Hospitals NHS Foundation Trust and King’s College Hospital NHS Foundation Trust acted as guides and interpreters of the garden for the many RHS Chelsea Show visitors

Purpose and Public Engagement

The garden served as a platform to:

The garden also aligned with the RHS Sanctuary Garden category, which celebrates spaces designed for reflection, wellbeing, and emotional restoration.

Recognition and Impact

The Spirit of Partnership Garden received significant acclaim:

These honours recognised not only the garden’s aesthetic and design excellence but also its powerful narrative and humanitarian purpose.

The garden’s visibility amplified BSI’s mission, strengthening public understanding of global dermatology inequities and fostering new opportunities for collaboration, fundraising, and advocacy.

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Conclusion

The Burma Skincare Initiative’s Spirit of Partnership Garden was a standout feature of the RHS Chelsea Flower Show 2024—an evocative fusion of horticulture, culture, and global health storytelling. Through its symbolic structures, immersive planting, and thoughtful narrative, the garden honoured the resilience of Burmese healthcare workers and the transformative potential of international partnership. Its Gold Medal and Best Sanctuary Garden awards underscore its success in blending artistry with advocacy, leaving a lasting impression on visitors and contributing meaningfully to global dermatology awareness.

Charity Lectures and Events

13 May 2024: Dr Lwin spoke on “Dermatology & Global Health: the Burma Skincare Initiative” at the “Hot Topics in Global Health” conference held at Chelsea and Westminster Hospital London. The meeting was attended by ~100 experts, researchers, clinicians and allied health professionals in global health.

21 and 23 May 2024: at two evening events during the RHS Chelsea Show 2024, Dr Lwin, Prof Griffiths and Garden Designer Helen Olney spoke about the BSI in general, including its aims and objectives and how these were represented in the Spirit of Partnership Garden. Each evening was attended by at least 60 guests from across medicine, industry and the public.

6 June 2024: Prof. Griffiths delivered the Scottish Dermatology Society Anniversary Lecture, entitled “The Future of Dermatology,” at the Centenary meeting of the Society in Edinburgh. During the lecture, attended by 100 dermatologists, he emphasised the importance of global health dermatology using the work of the BSI as an exemplar.

7 September 2024: Dr Lwin delivered an Invited Lecture “The Burma Skincare Initiative: a Global Health Innovation” at the 53[rd] meeting of European Society for Dermatological Research (ESDR), Lisbon, Portugal. Her lecture described the origins of the BSI charity and how its work has been instrumental not just in improving dermatological care in Myanmar but also in providing the impetus for several initiatives, including Essential Emergency Skincare, leadership in global health, the formation of the ESDR Global Health Committee and the Global Health Day for the British Association of Dermatologists. 70 senior dermatologists and scientists attended the lecture.

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16 September 2024: Official Opening of the BSI Spirit of Partnership Garden at its legacy location, Dulwich College, London. This evening event was attended by representatives of Dulwich College teaching staff, pupils and School Governors as well friends of the BSI and colleagues from Conquest Creative Spaces, totalling 40 people. Dr Lwin, Prof Griffiths, the Head of Dulwich College and Helen Olney spoke at the Opening Ceremony

24 October 2024: Prof Griffiths spoke on “Reverse Innovation in Dermatology” at the British Association of Dermatologists’ Global Health Dermatology Day. In this online seminar, Prof Griffiths explained how learnings from working in Myanmar, particularly teledermatology and task shifting, could be repurposed into better care for patients in the NHS. This was attended by 28 consultant dermatologists, trainee dermatologists and medical students.

17 January 2025: Prof Griffiths and Dr Lwin delivered an invited seminar about the Burma Skincare Initiative and the Spirit of Partnership Garden to the pupils of the Dulwich College GeoExplorers and Geography Societies. This interactive session provided the opportunity for College pupils and staff (36 in attendance) to learn about the work of the charity

28 January 2025: Prof. Griffiths gave a seminar on” Global Health Dermatology” to the Dermatology Department of CHUV, Lausanne. The lecture included the work of the BSI and its influence on global health dermatology. 30 dermatologists and scientists attended the seminar.

1 February 2025: Prof Griffiths delivered a lecture entitled “Lessons from the Global Psoriasis Atlas” as part of the STARS Seminar series at St John’s Institute of Dermatology, London. His lecture covered some of the work of the BSI and how that had been influenced by and supported the work of the Global Psoriasis Atlas. The seminar was attended by 26 dermatologists, scientists and medical students.

27 February 2025: Prof Griffiths spoke on “Global health Dermatology” at the 11th Annual A Day @ St John’s meeting, St Thomas' Hospital, London. His lecture used the BSI as an exemplar of several global health initiatives, including Essential Emergency Skincare and Teledermatology. The meeting, organised by Dr Lwin, was attended by 100 junior doctors and medical students.

Charity Publications

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Griffiths C, Moorhead L, Lwin S. The Burma Skincare Initiative Spirit of Partnership Garden. Chelsea Flower Show 2024. British Association of Dermatologists Spring Newsletter. March 2024

Lwin S, Fray K, Moorhead L, Griffiths C. A Chelsea Garden for Burma. Royal College of Physicians Commentary 2024 August 10-13

Lwin SM, Griffiths CEM. The Burma Skincare Initiative Spirit of Partnership Garden: Storytelling through Horticulture. J Invest Dermatol 2025; 145:1264-7

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Structure Governance and Management

Trustees during the year covered by this report

Professor Christopher Griffiths (Chair) and Dr Su Lwin are co-founders and trustees of the charity. Mr Stephen Lue is a trustee 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:

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.

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Financial Review

The Trustees review the financial position of the charity as part of the regular Trustee meetings and are satisfied that the income of the fund is sufficient to meet annual operating expenditure. In this financial year the expenditure was supported by a loan of £70,000 from Professor Christopher Griffiths (chair). £50,000 has been repaid to date.

Results for the year

Incoming resources were £332,414 and expenditure was £417,998 resulting in a deficit for the year of £85,584.

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Statement of Trustees’ responsibilities

In the attached accounts, the Trustees have prepared financial statements for the period up to 31 March 2025. In preparing such statements the Trustees are required to:

The Trustees are responsible for keeping proper accounting records that 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 5 January and signed on its behalf by:

Professor Christopher Griffiths Dr Su Lwin Chair Trustee

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Independent examiner's report on the accounts

Report to the trustees
On accounts for the year
ended
Set out on pages		 Burma Skincare Initiative Burma Skincare Initiative Burma Skincare Initiative
31/03/2025 Charity no
(if any)		 1187197
14 to 19
I report to the trustees on my examination of the accounts of the above
charity (“the Trust”) for the year ended31/03/2025

Responsibilities and As the charity's trustees, you are responsible for the preparation of the basis of report 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 2011 Act and in carrying out my examination, I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act. Independent examiner's The charity’s gross income exceeded £250,000 and I am qualified to statement undertake the examination by being a qualified member of ICAEW .

I report in respect of my examination of the Trust’s accounts carried out under section 145 of the 2011 Act and in carrying out my examination, I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.

I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination (other than that disclosed below *) which gives me cause to believe that in, any material respect:

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.

Signed:
Name:
Relevant professional
qualification(s) or body
(if any):
Address:		 S Weighell (Jan 11, 2026 08:58:28 GMT)
S Weighell		 11/01/2026
Susan Weighell
FCA
3 Wellgreen Close
Hale
Altrincham WA15 8PT

Page | 13

Burma Skincare Initiative: Report and Accounts 2024-2025

2023 2022

Accounts for the year ending 31/03/2025

Statement of Financial Activities for the year ended 31/03/2025

Notes Unrestricted
funds
Restricted
funds
Total funds
Prior Period
Total funds
2025
2024
£
£
£
£
Income and endowments from:
Donations and legacies
2
Income from charitable activities
Total income
Expenditure on:
Raising funds
3
Charitable activities
4
Total expenditure
Net income/(expenditure)
Transfers between funds
Net movement in funds
Total funds brought forward
Total funds carried forward		 322,084
0
322,084
971
10,330
0
10,330
0
332,414
0
332,414
971
407,772
0
407,772
297
10,226
0
10,226
6,813
417,998
0
417,998
7,110
(85,584)
0
(85,584)
(6,139)
0
0
0
(85,584)
0
(85,584)
(6,139)
10,076
10,000
20,076
26,215
(75,508)
10,000
(65,508)
20,076

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Burma Skincare Initiative: Report and Accounts 2024-2025

Accounts for the year ending 31/03/2025

Balance Sheet as at 31/03/2025

Notes 2025
£
£		 2025
£
£		 2024
£
Current Assets
Debtors
5
Cash at bank and in hand
Current Liabilities
Creditors and accruals
6
Net current assets
Net assets
The funds of the charity
Restricted funds
Unrestricted funds
Total charity funds
7		 0
172,040
5,026
134,334
5,026
306,374
70,534
286,298
(65,508)
20,076
(65,508)
20,076
10,000
10,000
(75,508)
10,076
(65,508)
20,076		 172,040
134,334
306,374
(65,508)
20,076
10,000
10,000
(75,508)
10,076
(65,508)
20,076

10/01/2026

Approved by the trustees on ________and signed on its behalf by

_____ ~~___~~ Su Mar Lwin (Jan 11, 2026 08:56:36 GMT) _ Chair Trustee

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Burma Skincare Initiative: Report and Accounts 2024-2025

Notes to the accounts for the year ending 31/03/2025

1) Accounting policies

a) Basis of preparation

The financial statements have been prepared in accordance with 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 2015) - (Charities SORP (FRS 102)), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102).

Children’s Burns Foundation meets the definition of a public benefit entity under FRS 102.

Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy note(s).

b) Donations and grants

Donations, grants other forms of voluntary income are recognised as incoming resources when receivable.

c) Expenditure and irrecoverable VAT

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably.

Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred.

d) Fund Accounting

Funds held by the Foundation can be one of:

i) Unrestricted general funds – which can be used in accordance with the Foundation’s objects at the discretion of the ii) Designated funds- which are funds set aside by the Trustees out of unrestricted general funds for specific future purposes or projects; or

iii) Restricted funds – which are funds that can only be used for particular restricted purposes within the objects of the

10/01/2026 10/01/2026

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Burma Skincare Initiative: Report and Accounts 2024-2025

Notes to the accounts for the year ending 31/03/2025

2) Donations and legacies

Unrestricted
funds
Restricted
funds
Total funds
Prior Period
Total funds
2025
2024
£
£
£
£
Donations
322,084
0
322,084
971
Income from charitable activities
10,330
0
10,330
0
Total
332,414
0
0
332,414
971
3) Expenditure on raising funds		 322,084
0
322,084
971
10,330
0
10,330
0
332,414
0
0
332,414
971
Unrestricted
funds
Restricted
funds
Total funds
Prior Period
Total funds
2025
2024
£
£
£
£
Supporter events
Total		 407,772
0
407,772
297
407,772
0
0
407,772
297

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Burma Skincare Initiative: Report and Accounts 2024-2025

Notes to the accounts for the year ending 31/03/2025

4) Expenditure on charitable activities

Unrestricted
funds
Restricted
funds
Total funds
Prior Period
Total funds
2025
2024
£
£
£
£
Raising awareness
Audit & Accountancy fees
Website
PR costs
IT Software and Consumables
Admin staff costs
Rent
Bank fees
Total		 162
0
162
0
744
0
744
210
66
0
66
2,562
2,400
0
2,400
2,850
192
0
192
44
6,549
0
6,549
1,147
109
0
109
0
4
0
4
0
10,226
0
0
10,226
6,813

5) Debtors

Unrestricted
funds
Restricted
funds
Total funds
Prior Period
Total funds
2025
2024
£
£
£
£
Prepayments
Total		 0
0
0
172,040
0
0
0
0
172,040
Unrestricted
funds
Restricted
funds
Total funds
Prior Period
Total funds
2025
2024
£
£
£
£
Deferred income
Loan from trustee
Accountancy fees
Total		 0
0
0
286,298
70,000
0
70,000
0
534
0
534
0
70,534
0
0
70,534
286,298

Note: A loan of £70,000 was made by Professor Christopher Grifftiths. This has been partly repaid in 2025/2026 leaving £20,000 currently due.

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Burma Skincare Initiative: Report and Accounts 2024-2025

6) Statement of funds

Brought
forward
Incoming
resources
Resources
expended
Transfer
between funds
Carried
forward
£
£
£
£
£
Restricted funds
Restricted funds
Unrestricted funds
Unrestricted funds
Total		 10,000
0
0
0
10,000
10,076
332,414
(417,998)
0
(75,508)
20,076
332,414
(417,998)
0
(65,508)

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BSI Final Report 2025

Final Audit Report

2026-01-11

Created: 2026-01-09 By: Sue Weighell (sue@delta-solutions.org.uk) Status: Signed Transaction ID: CBJCHBCAABAAt4QngNXvqkjredHuAQteVhu9YJoEilw1

"BSI Final Report 2025" History

Document created by Sue Weighell (sue@delta-solutions.org.uk)

2026-01-09 - 3:53:16 PM GMT- IP address: 86.160.175.183

Document emailed to Christopher Griffiths (christopher.griffiths@manchester.ac.uk) for signature 2026-01-09 - 3:53:22 PM GMT

Email viewed by Christopher Griffiths (christopher.griffiths@manchester.ac.uk) 2026-01-09 - 3:55:44 PM GMT- IP address: 81.109.77.193

2026-01-10 - 2:22:14 PM GMT- IP address: 44.217.46.108

Document emailed to su.m.lwin@kcl.ac.uk for signature 2026-01-10 - 8:56:59 PM GMT

Email viewed by su.m.lwin@kcl.ac.uk

2026-01-10 - 10:13:26 PM GMT- IP address: 82.36.41.121

Document e-signed by Su Mar Lwin (su.m.lwin@kcl.ac.uk)

Signature Date: 2026-01-11 - 8:56:36 AM GMT - Time Source: server- IP address: 82.36.41.121

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Signer accounts@delta-solutions.org.uk entered name at signing as S Weighell 2026-01-11 - 8:58:26 AM GMT- IP address: 86.160.175.183

Document e-signed by S Weighell (accounts@delta-solutions.org.uk) Signature Date: 2026-01-11 - 8:58:28 AM GMT - Time Source: server- IP address: 86.160.175.183

Agreement completed.

2026-01-11 - 8:58:28 AM GMT