## **Starlight Oasis of Hope Hospice (SOHH) Annual Report and Accounts October 2022- March 2024**
## **1 Objects**
The objects of SOHH are the advancement of health in the kingdom of Lesotho for the public benefit and the relief of those in need, by reason of youth, age, ill-health, disability, financial hardship or other disadvantage at the discretion of the charity trustees and in particular but not exclusively:
Advancing the understanding in the general population of the need for and benefits provided by palliative care
Advancing the training of those providing care for individuals with life limiting illness
Relieving the physical, mental and social distress of those with life limiting illness and those who care for them
## **2. Trustees**
Chair: Dr Paul Myres
Founder: Me’ Tebello Lepheane
Andrew Wardrop
Veronica German
Harriet Vera
## **3. Activities**
OCT 1.Officially launched SOHH website https://sohhospice.org.ls/ 202 2 2.Wales Africa Health Conference 2022“Empathy; From Interpersonal to Global” SOHH represented and delivered Key note speech
3.Continued having meetings with Ministry of Health regarding availability and access to Morphine for cancer
||patients experiencing moderate to
severe pains.
4.Joined the global palliative care
fraternity to advocate for improved care
services during annual commemoration
for World Hospice and Palliative Care
Day-(WHPCA)||
|---|---|---|
|NOV
202
2|1.SOHH trustees visited Lesotho and the
hospice land and handed over the
electrifed water system gifted to the
community as they have donated some
of the land to initiative. The trustees met
the local Chief and Councillor
2.
Our Chairman Dr Paul Myres and
CEO & Founder Mrs**Tebello**
**Malichaba Lepheane**
had series of
meetings with diferent stakeholders -
Nursing colleges and National
University of Lesotho-faculty of health
regarding palliative integration into
their curricula. Met Ministry of Health
Lesotho regarding palliative care
development nationally in the district
hospitals.
3.Met British High Commissioner in
Lesotho and shared our vision with his
ofce.||
**----- Start of picture text -----**
4. Advocacy and awareness raising
meeting the new Hon Prime Minister of
the Kingdom of Lesotho -Hon Minister of
Health -Mr Selibe Mochoboroane
5.Fundraising campaign held at Pioneer
Mall in Maseru Lesotho, raising
awareness about palliative care and
hospice care for patients with cancer and
other life limiting conditions.
6.SOHH worked in collaboration with
Royal College of GPs Wales - Dr Ian
Happs, LEBOHA (Lesotho Boston Health
Alliance) Dr Gill Saunders to deliver
palliative care training for
Family Medicine Specialist Trainee
Doctors at Leribe hospital, Lesotho
Febr Awareness raising on various radio
uary stations and newspapers in Lesotho -
202 World Cancer Day-
3
June 1.Continued advocacy; articles by
202 Informative Newspaper -National Cancer
3 Survivor Month
https://informativenews.co.ls/
2023/06/07/starlight-oasis-of-hope-
marks-national-cancer-survivor-month/?
fbclid=IwY2xjawFs20JleHRuA2FlbQIxMAA
-
BHQ8fUnRNrK6eWXLeTMFPAjgVSWx
2ScDB05RD1MDETWtDXxMlMc6ka82Aw_
aem_3GrHcMR2Y4N_8eHlY6RfUQ
2. Virtual training for the
multiprofessional palliative care for
health professional in Lesotho was
delivered as two courses
1st Batch: July 11th to Aug 29th- ( 8
weeks)
**----- End of picture text -----**
2nd Batch: Sept 5th to Oct 24th-(8 weeks) The training was delivered in collaboration with various organizations and colleagues from 12 countries. Batch 1 had 100registrations and Batch 120r egistrations The training took place every Tuesday evening till October 24th 2023. Zoom recordings were shared on Starlight YouTube Channelhttps://www.youtube.com/ @starlightoasisofhopehospic620
How a group in Lesotho enacted palliative care training despite lack of funds.
IAHPC Newsletter special report: **https://hospicecare.com/.../2023/08 - - /special advocacy report/**
|Oct|1.At Wales and Africa Health Links|
|---|---|
|202|Network Conference Starlight raised|
|3|awareness about the palliative care|
||needs of cancer patients in Lesotho and|
||also highlighted the general distress and|
||economic burden of patients and their|
||families. At the same event Baroness|
||Ilora Finlay of Llandaf (House of|
||Commons) became Starlight’s UK based|
||Patron.|
||2.In collaboration with global|
||organizations, Starlight joined in to raise|
||awareness about palliative care needs of|
||children worldwide|
2.In collaboration with global organizations, Starlight joined in to raise awareness about palliative care needs of children worldwide
||3.Starlight presented a talk at the
Palliative Care Works conference themed
“The changing landscape of Worldwide
Palliative Care Education “. Starlight
highlighted how palliative care provision
can leverage on technology as evidenced
by Lesotho Project ECHO program-16
weeks virtual training which was
successfully delivered despite lack of
funds.||
|---|---|---|
|Nov
202
3|1.Commemorating the frst World
Hospice and Palliative Care Day in
Kingdom of Lesotho-Venue-Ministry of
Health. Health and social care
professionals as well as the academia,
student nurses and members of the
public and the army attended the event.
The poem by Nursing students
https://youtu.be/DT9NfrH5QyY?
si=w18E6nVPgp13Scs3
2.Starlight raised awareness in the
Lesotho National Assembly about the
need to improve cancer care by ensuring
palliative and hospice care is accessible
to children and adults with palliative care
needs, ensure morphine regulations are
reviewed.||
3.British High Commissioner in Lesotho in support of improving healthcare services in Lesotho and visited Starlight hospice plot and held a reception for corporate organisations at the high Commission to enable Starlight to share our vision and plans for hospice development
4.We met the volunteer Lead Engineer - Mrs Lineo Lerotholi Mosoeunyane who designed the Starlight building plan. She is also leading the WhatsApp group of Friends of Starlight-volunteering arm of Starlight. 5.We met South African healthcare professionals who usually attend to cancer patients from Lesotho as they expressed the challenges, they experience in taking care of patients, difficulties in referring them back to Lesotho due to lack of established palliative care services in Lesotho. Starlight was gifted palliative care textbooks by Sunflower Children’ Hospice -Bloemfontein 6.Raising awareness on Lesotho Television about World Hospice and Palliative Care Day 7. Ministry of Water Affairs in Lesotho
||pledged to support the Starlight initiative
by proving and electrifed underground
water system and have surveyed the
hospice land and discovered 2 areas of
possible water sources.
8. We met Consultant ntate Nelson
Monyamane and his colleagues from USA
Professor Richard Yoder and Mr Ken Heise
as Starlight highlighted the need for
palliative care positions in the public
service establishment. These consultants
are supporting ministry of health to
restructure their services which will meet
the 21stcentury health challenges of the
nation.||
|---|---|---|
|Dec
202
3|1.Fundraising event by Standard Lesotho
Bank to sponsor our building project for
the Day Care Centre The Bank match
funded. Overall LSL1.2million was raised.
2. Together with other organizations,
Starlight signed the morphine manifesto
which was organised by Pallium India in
collaboration with International
Association of Hospice and Palliative Care
(IAHPC), various civil societies across the
globe are concerned that many children
and adults are “Left in Pain” due to
insufcient access to adequate pain
relief.||
|Febr
uar
y
202
4|1.At the British High Commission in the
Kingdom of Lesotho, we met H.E Harry
MacDonald and his team.
Dr Annette Edwards volunteered her time
to support the establishment of our
services on the ground. She was
sponsored by Welsh Government through
its International Learning Opportnity
programme; the process was supported
by Dolen Cymru Wales Lesotho link to
have made all thingspossible.|National Health Training College|
**----- Start of picture text -----**
2. Starlight met nursing colleges in
Lesotho in pursue to integrate Palliative
care into the existing healthcare
curricula.
Scott College of Nursing
3. Met Christian Healthcare Association
of Lesotho(CHAL) to propose the
collaborative approach towards closing
care gaps in the care of patients with
chronic and life limiting conditions.
**----- End of picture text -----**
We have been disappointed not to have provided face to face training as planned. This was as a result of organisational issues outwith the control of ourselves or our training partner. We have had pledges of support for some groundwork at our site for the day centre but there have been issues with machinery not functioning due to government budgetary problems. Our partnership with Palliative Care Works remains strong and they are still committed to provision of training to health and Social care staff.
## **Finance**
We have bank accounts in UK with Charity Aid Foundation Bank and in Lesotho with Lesotho Standard Bank. Money is transferred from UK to Lesotho by international bank transfers
We had an income of **£ 26,005** in the UK from public donations, including fundraising activity and on line donations. We had an income of **LSL 900** in Lesotho from personal donations.
Our expenditure was **£1,453** in the UK, largely spent on travel costs to Lesotho by our founder for meetings and planning. Costs also include fundraising and publicity. In Lesotho our expenditure was **LSL30,522** (equivalent to £1,319). Our main expenses were associated with land acquisition and registration, awareness raising and travel in country.
All payments require receipts and dual authorisation.
The average exchange rate during the year was £1 = LSL23.14.
The balance at year end showed a deficit of £448 in the UK (following transfer of money to our Lesotho account) and a surplus of LSL548,978 in Lesotho
LSL1,800,000 is due to us from fundraising in Lesotho and is being held by the Lesotho Standard Bank. This is specified by the bank to be used for capital expenditure.
## **Plans for next year**
We aim to train 40 front line staff face to face. We will continue to facilitate access to on line training and remote mentoring and case discussions.
We will commence the preparation of the land for construction of a Day Centre and seek tenders for the construction to commence in the last quarter of the financial year.
We will advise the colleges of nurse education on how to include palliative care in the curriculum.
We will continue to raise awareness of the value and need for palliative care.
## **. Starlight Oasis of Hope Hospice Annual Financial Report October 2022 – March 2024**
**The Trustees decided to change SOHH’s accounting year to fit in with the Lesotho Govt financial year for ease of financial planning in Lesotho. This period of accounts covering 18 months for one time only was approved by the England & Wales Charity Commission**
## **UK Accounts**
## **Income**
Personal Donations £22,745.00 Corporate Donations. £200.00 Fundraising. £225.00 On line fundraising. £1,307.39 Grants from other bodies. £0.00 Bank Interest £39.57 Gift Aid Reclaimed £1,488.27
## TOTAL
## **£26,005.23**
## **Expenditure**
Bank charges £140.00 Publicity £58.82 Travel £1205.68 Meeting costs £48.39
Transfer to Lesotho Standard Bank £25,000.00
TOTAL
## **£26,452.89**
**Balance (deficit)**
**- £447.66**
Opening balance at 1 October 2022 £12,394.27 Closing balance at 31 March 2024 £11,946.67
## **Lesotho Accounts**
## **Income**
Donations LSL 900.00 Transfers LSL 578,500.00 (Average exchange rate £1 = LSL23.14) Interest LSL 100.00 TOTAL **LSL 579,500.00**
## **Expenditure**
Bank Fees. LSL 2,979.07 Site Costs LSL 4,550.00 Land Fees LSL 6,103.00 Training LSL 1,000.00 Travel LSL 834.15
Meetings LSL 412.00 Admin LSL 2,000.00 Expenses LSL 4,220.00 Website LSL 1,140.00
Publicity / Event LSL 6,550.00 TOTAL **LSL 30,522.08**
**Balance (Surplus) LSL 548,977.92**
Opening bank balance 1.10.22 LSL 20,306.80
Closing bank balance 31.3.24 LSL 569,053.72 (1Maluti = £0.042). (Equiv to £23,900.26) **ASSETS**
Site at Maqhaka. Est value. LSL 275,000
Cash in Lesotho Bank Restricted Building Costs. LSL 500,000
Unrestricted LSL 69,053.72
Total Assets in Lesotho. LSL 844,053.72 (Equiv to £35,450.26)
Cash in CAF Bank £12,394.27
Restricted Building £5,000.00
Unrestricted £7,394.27
Total Assets of charity at 31 March 2024 equivalent to £47,844.53
Paul Myres, Hon Treasurer 24 4 24
Approved by Board of Trustees on 4[th] September 2024
Independently reviewed by accredited Accountant
## **. Starlight Oasis of Hope Hospice Annual Financial Report October 2021 – September 2022**
## **UK Accounts**
**Income** Personal Donations £13,205.00 Fundraising. £3665.00 On line fundraising. £243.05 Grants from other bodies. £6000.00 Bank Interest £6.47 Gift Aid Reclaimed £1125.00 TOTAL **£24,244.52 Expenditure** Bank charges £50.00 Bank charges (international transfers) £50.00 Land Acquisition. £2593.75 Publicity £376.83 Air Travel £3,639.16 (including £1195.5 paid for travel in November 22) Launch £640.51 Transfer to Lesotho Standard Bank. £4500.00[1] TOTAL **£11,850.25 Balance (surplus) £12,394.27**
Bank balance at 30 September 2022 £12,394.27
## **Lesotho Accounts**
## **Income**
Donations LSL 1,700.00 Transfers LSL 87,097.45 TOTAL **LSL88,797.45**
## **Expenditure**
Monthly Bank Fee 720.00 Credit Card Fee 60.00 ATM Fees 475.38 On line transaction fees 87.40 International transfer fees. 296.00 Total Banking Fees 1638.78 Launch Costs – food, drink, 30,629.50 Decorations, tables Land Acquisition 25,000.00 Website 1,195.37 Publicity 9470.00 Telecom 957.00 TOTAL **LSL68,890.65 Balance (Surplus) LSL19,906.80** Opening bank balance (from last year) LSL400.00 Closing bank balance 30 9 22 LSL20,306.80 Exchange rate on 30.9.22. ZAR 20.21 to £1. £1004.79
Paul Myres, Hon Treasurer 30 01 23
Approved by Board of Trustees 22 03 23