Annual
report
2023
Sightsavers

## **Contents** 

6   About Sightsavers 

## 10 Our performance 

**On the cover:** Six-year-old Happy, from Uganda, had an operation supported by Sightsavers to treat advanced trachoma. **Below:** Happy with her aunt, Akello. 


- **11** Eye health 

- **12** Neglected tropical diseases 

- **13** Education 

- **13** Social inclusion and economic empowerment 

- **13** Human resource development 

- **14** Our work in numbers 

- **18** Progress towards our objectives 

- **34** Risks and challenges 

## 38 Our organisation 

- 39 Governance 

- 42 Accountability 

- 44 Remuneration 

- 44 Environment 

- 46 Equity, diversity and inclusion 

- **47** Fundraising 

48 Financial statements 



www.sightsavers.org | 3

## **Message from our chair** 

In 2023, Sightsavers continued to work in a difficult and, at times, turbulent political and economic environment. Despite this and the continued challenging fundraising conditions, the organisation delivered impressive results that saw a considerable improvement on 2022. 

Over the year, Sightsavers carried out almost 10 million eye examinations in 16 countries. We supported ministries of health in 12 countries to deliver more than 60 million treatments for five neglected tropical diseases. We worked closely with the governments of Benin and Mali as they celebrated the incredible milestone of eliminating trachoma as a public health problem. We also pledged US$60 million of new funding to tackle neglected tropical diseases in Africa. 

Our optimism remains undimmed because of the **unwavering support** we receive from every donor and partner who is helping us achieve our goals 

We continued to advocate for disability rights, working closely with the UN Committee on the Rights of Persons with Disabilities and disability organisations across many of our programme countries. We also continued our influencing efforts with the World Health Organization, the World Bank and the United Nations, and our campaigning work saw more than 48,000 people sign our petition calling for urgent action to get the Sustainable Development Goals back on track. 

We worked with local partners and national governments to implement Sightsavers’ programme and thematic strategies. We also strengthened our inclusive education approach: through policy change, developing better resources for teachers and providing inclusive education training, our work will have a longer-lasting impact and benefit the entire education system, supporting more students with disabilities to access education. 

With the development of Sightsavers’ climate action strategy throughout the year, the organisation also remains committed to tackling the effects of climate change in its programmes and reducing its environmental impact globally. 

I’m incredibly proud of what Sightsavers achieved in 2023, and congratulate our country offices that have held celebrations to mark several decades of work: 50 years in Bangladesh, and 70 years in Kenya and Nigeria. 



**4** | Sightsavers annual report 2023 





As we look to the year ahead, where the challenges we faced last year are likely to continue, our optimism remains undimmed because of the unwavering support we receive from every donor and partner who is helping us achieve our goals, changing lives around the world. 


I’d like to thank the organisation’s staff, trustees, partners, and supporters, who have been so loyal in supporting us. It is because of their dedication and commitment that Sightsavers has had such a successful year. 

Happy (centre) plays with her friends after recovering from her sight-saving trachoma operation. 

## **Sir Clive Jones Chair, Sightsavers** 





www.sightsavers.org | **5** 



A participant of Sightsavers’ cataract screening programme in Kogi State, Nigeria. 

## About Sightsavers 

## **Strategy, aims and objects** 

## **Our vision** 

We want a world where no one is blind from avoidable causes, and where people with visual impairments and other disabilities participate equally in society. 

## **Our mission** 

We are an international organisation working with partners in low and middle income countries to eliminate avoidable blindness and promote equal opportunities for people with disabilities. 

## **Our objects** 

To advance health, with particular emphasis on preventing and/or curing blindness 


To advance the education of people with disabilities, with particular emphasis on blind people 

To prevent or relieve poverty among people with disabilities, with particular emphasis on blind people 




www.sightsavers.org | **7** 



## **Where we work** 



30+ **countries** 



Headmaster Francis at his school in Salima, Malawi. The Sightsavers trachoma elimination project taught his students about the importance of hygiene to prevent disease. 

## Our performance in 2023 

Our overall performance during the year saw a considerable improvement on 2022 in eye health and social inclusion. Although our numbers for neglected tropical diseases (NTDs) are lower than in recent years, there was a rise in the estimated population no longer needing treatment for at least one NTD thanks to our interventions. 



Ophthalmic clinical officer Alinafe examines a patient’s eyes at his clinic in Nsanje district hospital, Malawi. 

## **Eye health** 

We carried out almost 10 million eye examinations, a 13% increase from 2022. We exceeded our annual target by 5%, working in 16 countries and on 51 projects. More than half of examinations were at primary level, with project teams implementing programmes in schools, eye camps and other primary care settings, and the remainder at secondary/tertiary level. We maintained a balanced gender ratio among those examined. 

number of cataract surgeries reported in a single year by Sightsavers’ projects. We reached 16 countries through 42 projects, with India contributing to more than three-quarters of global cataract surgeries. More women than men received cataract operations. 

We carried out almost 10 million eye examinations, a 13% increase from 2022 

We delivered eye health solutions to almost out almost 920,000 people in 12 countries, exceeding our 2022 performance by 18%. More than 80% of the spectacles we distributed were in India, where we distributed more than ever before. Although our ambitious projects targets were not achieved overall, strong partnerships with other providers and partners supported this element of our work. Nearly half of our programme participants were female and just over 6% were children. 

We performed more than half a million eye operations, over 90% 

of which were for cataracts. Although 7% below our ambitious annual target, with delivery impacted by climate, supply chain, resource and data reporting issues, there was a 3% increase in cataract operations compared with 2022. This is the highest 

www.sightsavers.org | **11** 



## **Neglected tropical diseases** 

In 2023, we made significant progress in providing NTD operations for people affected by trichiasis and hydrocele in 15 countries. Trichiasis, often known as advanced trachoma, is a condition caused by eyelashes turning inward and scratching the eye, leading to permanent blindness. Hydrocele is a swelling in the scrotum caused by lymphatic filariasis, a parasitic infection that impairs the lymphatic system and can lead to the abnormal enlargement of body parts, resulting in pain, disability and social stigma. 

filariasis, reaching an estimated 47 million people and achieving 90% of our 2023 annual target. 

These figures reflect the fact that a number of districts no longer require treatment or have reached the end of treatment cycles. Another reason for the lower treatment figures since 2022 was the end of our ARISE I funding, which resulted in a large treatment gap to fund. Despite Sightsavers providing significant funding through the year, and supporting Chad and Nigeria with 30 million treatments, this gap was too large for us to meet our target. 


We helped to deliver more than 60 million treatments 

The number of people no longer requiring treatment for at least one NTD now stands at 65 million, an increase of more than 4.8 million from 2022 in the countries where we work. In 2023, two countries we support – Benin and Mali – successfully eliminated trachoma as a public health problem. 


Note that outputs include all those supported by consortium partners. 

for neglected tropical diseases, reaching 47 million people 


**----- Start of picture text -----**<br>
Surgeon Benjamin operates on a trachoma<br>patient at Nyapea Hospital in Uganda.<br>© Sightsavers/Jason Mulikita<br>**----- End of picture text -----**<br>


We supported 1,565 hydrocele operations in 2023 and helped thousands more patients to manage the symptoms of lymphatic filariasis. We also facilitated 16,974 trichiasis operations. 

We supported ministries of health in 12 countries to deliver preventive medication for five NTDs. We helped to deliver more than 60 million treatments, mainly onchocerciasis – a parasitic infection spread by black flies, which can lead to permanent blindness – and lymphatic 

**12** | Sightsavers annual report 2023 



## **Education** 

In 2023, we supported children with disabilities in 11 countries through schoolsbased support, providing education materials, assessments and referrals for specialist support, equipping schools to support learning for children with disabilities, providing support and training for parents, and training teachers on inclusive education. 

We provided formal schools-based support to 5,467 children with disabilities in three countries. This represented 84% of the annual target and was 60% lower than the previous year (13,675). These figures reflect a shift in our strategic approach away from supporting individual students directly, and towards strengthening the education system itself through policy change, developing better resources for teachers and training teachers on inclusive education. This shift will ensure our work has a longerlasting impact and will benefit the entire education system, helping more students with disabilities to access education. 

## **Social inclusion and economic empowerment** 

We provided training to almost 30,000 people with disabilities – 120% of our yearly target and a 16% increase from training conducted in 2022. India contributed 96% of the global activity. 

Our economic empowerment projects continued to grow, with training and support in 12 countries for people with disabilities, farmers, small businesses and employers. More than 1,000 people completed training programmes and more than 400 secured new employment. 

We also continued to support and engage with organisations of people with disabilities (OPDs) across our portfolio. For example, 36 OPDs in four countries were trained to advocate for inclusive employment, and 45 OPDs in Nigeria delivered training to employers on the Inclusive Futures disability confident toolkit. 

We provided training to almost 30,000 people with disabilities 


## **Human resource development** 

We progressed significantly in developing HR for our health, inclusion and education programmes. 

We trained almost 65,000 professionals on health, education and inclusion short courses – 92% of our annual target. Almost 50,000 were education professionals. This includes almost 400 professionals trained to support disability inclusion in our economic empowerment programmes, and 129 surgeons trained in hydrocele surgery. In addition, we supported three ophthalmic nurses to receive a professional qualification. 

Across our programmes, 120,532 community-level volunteers were trained – 140% of the target of 86,373, although 49% of our 2022 achievement. Of the total number trained, 100,691 were community drug distributors (CDDs). The reduction in training for CDDs from 2022 to 2023 reflects treatment delivery patterns in our NTD programmes. Fewer mass drug administration (MDA) treatments in Nigeria in 2023, for example, meant fewer CDDs needed to be trained. 

www.sightsavers.org | **13** 






465,000 people had their sight restored through vital cataract surgery 

60.8 million 29,000 treatments were people with disabilities distributed to protect received vocational people from disease training 

## 2023: **our work in numbers** 


**----- Start of picture text -----**<br>
2020 2021 2022 2023<br>Eye health<br>People examined 6,309,510 6,444,117 8,816,597 9,985,681<br>Operations performed<br>(including cataracts,<br>glaucoma, diabetic  286,724 413,747 503,169 502,689<br>retinopathy, hydrocele<br>and trichiasis)<br>Cataract operations<br>256,657 370,402 451,895 465,658<br>carried out<br>Spectacles dispensed  259,654 585,927 782,037 919,647<br>Neglected tropical<br>diseases<br>Treatments for trachoma 11,124,713 8,308,302 14,449,069 6,241,621<br>Treatments for river<br>8,841,252 52,402,304 44,915,247 20,938,627<br>blindness<br>Treatments for lymphatic<br>2,016,150 74,465,405 53,669,105 16,043,423<br>filariasis<br>Treatments for soil-<br>4,378,966 11,407,199 14,430,770 5,584,249<br>transmitted helminths<br>Treatments for<br>15,768,671 26,218,535 7,817,504 12,012,422<br>schistosomiasis<br>Total NTD treatments 42,129,752 172,801,745 135,281,695 60,820,342<br>**----- End of picture text -----**<br>


**14** | Sightsavers annual report 2023 





199,765 people globally were making a regular donation by the end of the year 

## 15 million 

times our social media posts were seen in people’s feeds 

## 23 

articles were published by us in peerreviewed journals 


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2020 2021 2022 2023<br>Education and inclusion<br>Children with disabilities<br>9,032 19,788 13,675 5,467<br>being supported in school<br>People with disabilities<br>16,921 4,413 24,366 29,288<br>who received training<br>Human resources<br>Health workers<br>trained to gain initial  12 5 5 3<br>professional qualification<br>Professionals supported on<br>51,670 125,086 59,581 56,178<br>eye health short courses<br>Professionals supported<br>on education or inclusion  5,732 49,783 18,901 8,443<br>short courses<br>Volunteers<br>Total number of community<br>137,361 458,188 244,118 120,532<br>volunteers trained<br>**----- End of picture text -----**<br>


**Notes:** Statistics from previous years may have changed from prior reporting due to updated information. 

www.sightsavers.org | **15** 



## **Strategy, implementation and monitoring results** 

For more details, see our strategy map on P7. For full performance notes for each indicator, see our online dashboard at **dashboard-public.sightsavers.org** 


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Trend vs<br>Objective Indicator Target Result Status<br>2022<br>Demonstrate  Outcome: % of countries<br>scalable   where Sightsavers<br>cost-effective  supports eye health<br>approaches   which demonstrate  60.00 71.43 On target<br>to eye health improved coverage<br>of eye health services<br>in project districts<br>Process: % of countries<br>where Sightsavers<br>supports eye health<br>which demonstrate an<br>70.00 93.33 On target<br>increased contribution<br>to eye health system<br>strengthening<br>Outcome: % of health<br>projects with clearly<br>defined strategies   60.00 73.33 On target<br>which improve equitable<br>access to services<br>Strengthen  Outcome: % of Sightsavers<br>the capacity  country offices whose<br>of education  projects have met the<br>Below<br>systems  education transition   80.00 50.00<br>to deliver  target for children   target<br>inclusive  with disabilities<br>education (girls and boys)<br>Process: % of Sightsavers<br>country offices whose<br>projects are on track<br>to achieve their  80.00 100.00 On target<br>education system<br>strengthening outcomes<br>**----- End of picture text -----**<br>


**16** | Sightsavers annual report 2023 



* A significant number of education projects have not been required to report on this indicator, including those in startup phase and those that focus on strengthening the education system instead of school provision. The majority of countries that had transition targets, and did not achieve this target, were in one country. This is being addressed to improve future performance. 


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Trend vs<br>Objective Indicator Target Result Status<br>2022<br>Show positive  Outcome: % of social<br>impact on  inclusion projects<br>inclusion and  demonstrating progress  60.00 61.54 On target<br>empowerment  in delivering on the social<br>of people with  inclusion strategy<br>disabilities<br>Process: % of countries<br>that can demonstrate<br>effective inclusion of<br>50.00 100.00 On target<br>people with disabilities,<br>particularly women and<br>girls, within projects<br>Deliver  Outcome: % of countries<br>integrated  where Sightsavers<br>NTD  supports NTD elimination<br>90.00 90.48 On target<br>programmes  which are meeting national<br>in support of  milestones to eliminate or<br>agreed global  control specific NTDs<br>targets<br>Process: % of projects in<br>Sightsavers-supported<br>areas which meet or<br>exceed their mass drug<br>95.00 97.37 On target<br>administration (MDA)<br>targets for therapeutic<br>coverage (programme) or<br>epidemiologic coverage<br>Process: % of NTD<br>projects where Sightsavers<br>is supporting countries<br>on MDA or morbidity<br>management and disability  90.00 96.30 On target<br>prevention (MMDP) with<br>clearly defined strategies<br>to improve access for<br>people with disabilities<br>**----- End of picture text -----**<br>


www.sightsavers.org | **17** 



## **Progress towards our objectives** 

## **Impact** 

What we achieved in 2023 

**Objective: Continue to deliver safeguarding training for the network of designated safeguarding leads (DSLs), support training in our seven priority countries for 2023 and explore the need for safeguarding training for communities where we work.** 

**Image:** Nadapal village in Kenya, one of the many remote locations where we helped distribute medication in 2023. 

**What we achieved:** Our global head of safeguarding trained a further eight DSLs, bringing the total number of trained staff to 40 across the territories in which we operate. The safeguarding team also provided tailored support to priority countries, whose staff went on to deliver successful training to partners and project participants. 



- In Nigeria, safeguarding leads ran training with an emphasis on bullying for **100 teachers** in the eight SMILE pilot schools 

- The team also trained **50 inclusive champions** on safeguarding 

- We worked with partners in Sierra Leone to ensure all eye health facilities display safeguarding posters 

- We trained officers from **22 different organisations** on safeguarding in Ghana during a co-creation workshop 

- We trained **672 schoolteachers** on safeguarding in Burkina Faso 

- We trained **130 teachers** from 30 schools in Mozambique on safeguarding as part of our eye health programme 

- We shared a printed safeguarding brief with approximately **10,800 school directors** and 1,050 chiefs of centres in Cameroon 

- In Kenya, safeguarding leads and programme teams supported **four disability organisations** and **two potential employers** to develop safeguarding policies 




## **Objective: Support successful startup and inception of new restricted and unrestricted projects approved for 2023 to ensure we deliver on our programme commitments.** 

**What we achieved:** We supported the startup of more than 40 new projects across all thematic areas and regions, including ten within our unrestricted funded economic empowerment programme and nine within our new Irish Aid-funded ‘A Better World’ programme. Going forward, performance will be reviewed quarterly to ensure projects are meeting their objectives and targets within agreed budgets. 

## **Objective: Continue to improve the quality and understanding of strategic performance.** 

**What we achieved:** We completed a refresh of programme management and thematic quality standards that underpin high-quality projects. We also further developed our organisation-wide framework for Learning, Accountability and Monitoring Progress (LAMP) towards reaching our strategic goals. 

## **Objective: Ensure that our programme portfolio delivers strategic and high-quality projects and programmes.** 

**What we achieved: We reviewed our quality assurance (QA) process** and underlying Quality Standards Assessment Tools (QSATs) to further improve the quality and impact of our programme activities. This enabled us to undertake a greater number of QAs across a wider portfolio, providing a more comprehensive view of the effectiveness of our project cycle management, the evidence needed to identify gaps and any actions needed to bring about improvements. 

## **Objective: Review our approach to gender and strengthen our technical approaches to meaningful participation of OPDs and disabilityinclusive development.** 

**What we achieved:** We reviewed our gender approach and discussed at a programme meeting with a broadbased gender mainstreaming group, which was set up to operationalise the agreed approach. We also developed our OPD engagement principles and conducted mapping. 

## **Objective: Refresh our thematic quality standards across health, education and economic empowerment.** 

**What we achieved:** We reviewed our thematic standards and developed an additional playbook for economic empowerment to guide quality improvement. 

## **Objective: Test a longer-term approach to portfolio planning.** 

**What we achieved:** We discussed how we would pilot this approach, which led directly to a restructure of Pakistan’s eye health portfolio and the incorporation of a strategy review process and thematic decision-making groups. 

Our head of safeguarding **trained a further eight safeguarding leads** , bringing the total number of trained staff to 40 across the territories in which we operate 

**20** | Sightsavers annual report 2023 



## **Our objectives for 2024** 


## **Maintain ‘on track’** 

**status on all programmes** (subject to force majeure). Ensure all programme activity is included in the review and quality control processes and systems. 


Continue to ensure programme data and oversight systems and processes **work effectively** and are **fully embedded** in our operations. Ensure the organisation is using the data and knowledge created through these oversight activities to **improve** both the **implementation** of existing projects and the **design** of new ones. 

**Standardise NTD delivery packages** and **monitor their implementation** . Start a programme of implementation unit checklists for districts that do not meet targets (for example, coverage) and **develop action plans** to bring them back on target. Develop an integrated disease approach to monitoring and evaluation across all NTD programmes. 


Work with donors and coordinating partners on the **Reaching the Last Mile** initiative to develop a scope of work for 2024 and 2025. **Ensure that, when contracted, we can start programmatic activities quickly and effectively** , including the Systems Strengthening Committee which we chair. 

Ensure 

we **provide appropriate support,** at both country office and global team level, to 


**guarantee the successful delivery of significant new programme opportunities** . 

This includes an expansion of our onchocerciasis/ lymphatic filariasis work and the potential expansion of economic empowerment work across Africa and Asia. 



Ensure our programme portfolio focuses on **delivering the goals and objectives** in the thematic strategies, and that decision-making on portfolio investment is **informed by evidence and learning** . 

Strengthen our focus on the cross-cutting priorities of **inclusion, gender, mainstreaming** and **inclusive data** . 

**Images:** (Top left) A volunteer gives medication to students at a primary school in Kenya. (Bottom right) A patient takes part in a counselling session in Nigeria. 

www.sightsavers.org | **21** 



## **Capacities** 

## What we achieved in 2023 

**Image:** Gotlau village in Uganda, where Sightsavers held surgical camps to diagnose and treat trachoma. 

**Objective: Remain focused on ensuring the highest level of information security across the organisation and develop and roll out cyber security training for our staff globally.** 

**What we achieved:** We launched a new comprehensive cyber security staff training package, which complemented existing staff awareness campaigns around cyber threats. In addition, further technical controls have been deployed to protect emails against external threats. 

**Objective: Develop and roll out additional training on modern slavery compliance in support of our commitment to acting ethically and with integrity in all our business dealings and relationships.** 

**What we achieved:** We developed a new training framework which was delivered to all programmatic and supply chain staff. We also further enhanced our support for partners in this area and designed a tool to determine modern slavery risk ratings within higher-risk project areas. 



## **Objective: Continue to improve our programme supply chain management processes in response to a challenging global procurement environment.** 

**What we achieved:** Challenging global events demanded a more strategic, proactive and agile approach to procurement management. Collaboration, resilience and continuous improvement were essential, requiring alternative suppliers, introduction of new IT systems, scrutinising partner inventory levels and mitigating risks through more integrated planning. This risk management approach has delivered a resilient supply chain capable of responding to external challenges and ensuring programmes are enabled. 

## We launched 

a **new cyber security staff training package** , which complemented existing staff awareness campaigns around cyber threats 

**Objective: Continue to build a robust evidence base that supports strategic and operational decisionmaking through rollout and analysis of the learning, accountability and monitoring progress (LAMP) measurement framework.** 

**What we achieved:** We completed and analysed the first data collection and midyear report, and developed the dashboard before sharing at trustee level. Decisions taken by the advisory group on phase two indicators are to be included in collection in 2024. 

## **Objective: Operationalise thematic learning questions into programmes and research aligned to strategic priorities.** 

**What we achieved:** We developed the learning question tracker and identified learning questions linked to the LAMP framework. Discussions have begun on incorporating learning questions and evidence produced into the project design process, and this will continue in 2024. 



Farida and Dorine, members of the village health team in Ayuda, Uganda. 

## **Objective: Set and oversee a refreshed action plan for our inclusive data work.** 

**What we achieved:** An action plan was widely consulted on and agreed, which included review and agreement on new project governance structure. We shared this widely, both internally and externally. 

## **Objective: Continue to influence key external development actors, initiatives and resources.** 

**What we achieved:** Our influencing work remains strong, with particular engagement in WHO policy and activity in eye health, NTDs and disability, close involvement with the UN Committee on the Rights of Persons with Disabilities and indirect influencing through key international networks. 

## **Objective: Further rollout of our longer-term approach to advocacy at national levels.** 

**What we achieved:** We developed long-term advocacy plans in Malawi, Mali, Pakistan and Nigeria, with four other countries being close to completion by the end of 2023. 

## **Objective: Refresh our policy campaigning vision and strategy.** 

**What we achieved:** We developed a draft outline of the new vision and strategy with further consultation and finalisation planned in 2024. 

## **Objective: Ensure that our technical strategies on resource mobilisation, influencing and research are updated.** 

**What we achieved:** We completed a resource mobilisation strategy refresh. Work began on both the influencing and research strategy refresh and will be completed in 2024. 

**Objective: Strengthen resourcing and portfolio development mechanisms to ensure strategic alignment and accountability.** 

**What we achieved:** We completed a thematic group refresh and portfolio prioritisation exercise to improve our strategic decision-making processes. An interactive session on these processes was held at Sightsavers’ organisational programme meeting. 

**24** | Sightsavers annual report 2023 



## **Our objectives for 2024** 


Develop an influencing strategy and policy campaign vision that **embeds national campaigning** as part of the organisation’s influencing approach. 


**Finalise the updated partnership policy and localisation statement** . Complete the review and updating of the wider partnership framework and associated tools. This will underpin our drive to ensure our work is firmly aligned with the needs of both our partners and the local environment. 

**Publish new data** to support fundraising activities and understanding of detailed cost drivers. 

**Continue the successful roll-out of the Partner Security Risk Management toolkit** . Ensure that security due diligence requirements in the programme funding agreements are properly embedded at programme partner level. 


Continue to **build the capacity of country offices** and partners on technical issues and ensure they receive highquality technical guidance. **Support supply chain management processes** at country level through **effective planning** and the **optimisation** of local procurement. 

Launch our refreshed Inclusive Data Charter Action Plan externally. Continue to **contribute to the knowledge and evidence base within the wider sector** through peer exchange and the development of knowledge products. 


Action the climate action strategy team objectives. This will demonstrate the progress we are making organisationally to consider and **address climate-related challenges** across all our operations. 


**Images:** (Top left) Bright Chiwaula, Sightsavers’ country director in Malawi, takes part in a media interview. (Bottom right) Trachoma patient Esinyen returns to his village in Kenya after being given medication to treat the disease. 

www.sightsavers.org | **25** 



## **Learning and growth** 

What we achieved in 2023 

**Image:** Ethel, Grace and their fellow classmates celebrate the news that trachoma has been eliminated in Malawi. 

**Objective: Continue to develop and strengthen our carbon footprint reporting processes and systems to support our commitment to reducing our carbon footprint and achieving net zero emissions by 2050, in line with the UK government’s net zero target.** 

**What we achieved:** Our robust data collection process enables us to report effectively on our carbon emissions and climate change-related activities. We achieved the ISO 14001 benchmark, a significant milestone in relation to our environmental management system. 

We are now rolling out targeted activities across the organisation to improve carbon literacy. To support process improvement in the complex area of carbon reporting, we are exploring opportunities offered by our new data platform to develop a carbon data solution which streamlines data collection, transformation and consolidation. This makes the process less prone to error. 



**Objective: Continue to improve reporting processes through the effective use of our new data platform, additional training in data management and the rollout of our updated data management framework.** 

**What we achieved** : Improvement of our management information reporting processes continued to be a key focus. Following thorough review and analysis in 2022, a new reporting solution was implemented. This data platform offers a more cost-effective and versatile alternative to our previous management information system, providing us with greater ownership through decreased reliance on third-party vendors. 

## We achieved the ISO 14001 benchmark, 

a significant milestone in relation to our environmental management system 

The migration of key operational data and reports started in late 2023 and will be completed by mid-2024. A third-party consultancy has been contracted to support and develop the platform, and to train key data analysis staff. Good progress was also made in the development of a data governance framework, which will be rolled out in 2024 and supported by the creation of a data governance cross-organisational working group. 



**Objective: Improve our thirdparty due diligence and contract management processes through the rollout of a new platform and a review of our partnerships framework and underlying processes, strengthening risk management and compliance oversight in this key operational area.** 

**What we achieved:** We reviewed and updated our partnerships framework and updated our partnerships policy, adding an organisational statement on locally owned development. We also updated the tools associated with the framework to ensure more effective assessment and onboarding of programme partners by country programme teams going forward. 


Student Abison washes his hands at school in Malawi. Handwashing helps prevent the spread of trachoma. 


**----- Start of picture text -----**<br>
Students from a school involved in the trachoma elimination programme in Malawi.<br>**----- End of picture text -----**<br>


**28** | Sightsavers annual report 2023 



**Our objectives for 2024** 


Continue to **strengthen our programme oversight process** by embedding the changes implemented in 2023. Work to ensure the challenges relating to projects rated ‘on watch’ or ‘off track’ at the end of 2023 are addressed and that the projects are **set up for success** . 

Roll out and **communicate the new research and evidence uptake strategy** , including development of new research pathways in digitalisation and partnerships. 


Continue to **increase the capacity of country office teams and partners to manage complex funding** and comply with associated donor requirements, rules and regulations (for example, USAID). 


**Invest further in data analysis** and review the potential for the use of AI in our operations. 


**Progress significantly** towards implementing a replacement for our current programme reporting system. **Improve** underlying programme data capture, aggregation and reporting processes. 

**Launch and implement** the dissemination strategy and revised Inclusive Futures communication plan. **Deliver programmatic learning products** across our thematic areas of inclusive education, health, livelihoods, and negative stereotyping and discrimination. 


**Images:** (Top left) Members of the Equal World disability rights campaign team at a workshop in Dhaka, Bangladesh. (Bottom right) Lucas, a participant in a Sightsavers-led disability inclusion programme in Kenya, outside his shop. 

www.sightsavers.org | **29** 



## **Resources** 

## What we achieved in 2023 

**Image:** Community volunteers James and Elizabeth, pictured outside a home in Kajiado, Kenya, play a vital role in delivering medication to treat trachoma. 

**Objective: Continue to pursue opportunities to showcase the variety of our work and appropriately reflect the evolving programme portfolio.** 

**What we achieved:** We continued to research various thematic areas and projects to understand how best to talk about them in a fundraising context. We shared stories about our inclusive education projects and selected key supporters to join us on a virtual visit to meet the local team and community at a trachoma outreach camp in Tanzania. 

**Objective: Review our range of fundraising offers and asks to ensure we have the best mix to reach and engage potential donors.** 

**What we achieved:** We continued to carefully consider our fundraising methods. We reviewed our use of increasingly expensive magazine and newspaper inserts in the UK as audience reach through this method declined. In Norway, we trialled a mail pack to prospective supporters and expanded using phone calls as a means of engaging with existing and previous donors. 



**Objective: Increase collaboration and sharing across fundraising disciplines and geographies to support global efficiency and optimisation.** 

**What we achieved:** We held a global fundraising away day in March, which allowed colleagues from different teams and countries to share learnings and discuss opportunities. Many colleagues reported a greater knowledge of what works across different disciplines and geographies. We increased collaboration between the major donor, individual giving and analysis teams, which has helped to create a more holistic approach to looking after some of our most dedicated supporters. 

**Objective: Review and improve fundraising systems and processes to support efficiency and growth.** 

**What we achieved:** We completed a project to review and improve our fundraising systems and processes in Norway, with new systems going live in the first half of 2024. These aim to improve efficiency through better analysis and optimisation, ensuring we can look after our supporters to a high standard. We worked to continually improve our online donation systems, including the launch of the payment platform Satispay in Italy. 



**Objective: Continue to closely monitor our financial position through ongoing reforecasting and scenario planning to optimise the use of available funding and manage reserves levels carefully in a challenging global financial environment.** 

**What we achieved:** We further strengthened our financial oversight processes by implementing a full range of initiatives, including a redesigned threeyear financial and HR planning process, monthly financial reforecasting of income and expenditure and the upgrade of our organisational budgetary system. 

**Objective: Continue to develop our treasury management systems and update our treasury policy, given ongoing exposure to foreign exchange volatility and credit market risk.** 

**What we achieved:** We updated our treasury policy. This included refining our approach to foreign currency expenditures and retaining a correlated strategy, with a focus on near-term operational liquidity requirements. We introduced a section covering the short-term deployment of available cash to earn interest income and continued to enhance our treasury systems and processes. Several rolling initiatives are still ongoing. 

Local volunteers carry out door-to-door visits to find people with trachoma in Kajiado, Kenya, and distribute medication to treat the disease. 

We held a global fundraising away day, enhancing collaboration and knowledge sharing among teams from different countries and disciplines 

**32** | Sightsavers annual report 2023 



## **Our objectives for 2024** 


Finalise the implementation of our new **organisational budgetary system** . Ensure it is properly embedded and that it supports effective financial planning, forecasting and fund management processes. 


**Improve our financial, monitoring, planning and reporting processes** . This includes rolling out a new financial monitoring system, a new intranet and improving metadata consistency across all systems. 

**Optimise** fundraising activity in mature markets. **Develop** our fundraising content strategy and our approach to increasing availability of strong stories and images. **Ensure effective prioritisation** and balance between core fundraising activity, innovation and growth opportunities. 


**Embed the M365 environment operation model** for a more effective and joined-up operation of the platform, driving effective use of the sharing and collaboration opportunities it provides for the whole organisation. 


Continue to **increase case-handling capacity of the legacies administration** team through systems and related process improvements. This will support **efficient management** of this significant income stream. 

Deliver against the **US fundraising strategy** , ensuring a cross-departmental approach. 

**Image:** A billboard in Times Square, New York, raising awareness of Sightsavers’ work. 

www.sightsavers.org | **33** 



## **Risks and challenges** 

## **Safety and security** 

In 2023, some of our operations continued to be affected by security concerns, including the deteriorating situation across the Sahel region of Africa, political instability and rising rates of violent crime, banditry and inter-communal violence. Environmental impacts affecting food and fuel availability also created risks around the stability of the territories in which we work. We are seeing increasing levels of violent crime and direct attacks on aid sector employees. 

We continue to embed security risk management best practice at all levels across all activities. Travel risk management processes, including staff and vehicle tracking, are now used in high-risk programmes to ensure we meet our duty-of-care responsibilities. Emergency alerts support a rapid response to potential risks, ensuring the safety and security of all staff working on our behalf. 

Letea, from Nadapal village in Kenya, was treated for trachoma. 

In 2023, increased security concerns led us to **enhance risk management** and **implement travel safety processes** to protect staff 

**34** | Sightsavers annual report 2023 



In 2023, the Helmsley Charitable Trust, UNICEF, and the Aurum Foundation began to fund us, and **we continued our efforts to increase our institutional donors** . 

## **Poor programme implementation** 

To mitigate the risk of failure in services or programme outcomes, in 2023 we mobilised many new programmes in line with standardised project design and inception methodologies. We invested in supply chain development across our programme portfolio through the introduction of new IT systems and improved integrated planning processes. Our partnerships framework has been reviewed and updated, and monitoring frameworks continue to evolve, supported by rigorous programme reporting. 

## **Inability to raise adequate voluntary income** 

Challenging fundraising conditions continued in 2023, with cost of living pressures and humanitarian and conflictrelated appeals drawing donor attention. High inflation saw fundraising costs increase, affecting our ability to reach new supporters and communicate with existing donors. We focused on optimising who we communicated with and how, to ensure the most efficient fundraising spend possible. 

## **Inability to replace or grow institutional income** 

In 2023, the Helmsley Charitable Trust, UNICEF and the Aurum Foundation began to fund us, and we continued our efforts to increase our institutional donors. We are growing partnerships with existing donors, such as the Bill and Melinda Gates Foundation, USAID and the Jesus Christ Church of the Latter-Day Saints. The expansion of the Reaching the Last Mile programme is also a big opportunity for us to secure funding for river blindness and lymphatic filariasis elimination. 


Achapan from Kenya, who has trachoma, gestures to explain that she can’t see far because of her poor eyesight. 

www.sightsavers.org | **35** 



## **Financial loss or operational constraints as a result of treasury activities** 

Our cross-organisational liquidity group continues to focus on liquidity management. Real-time cash information across our accounts is available via the treasury management system, and we continue to develop our financial and cash-related reporting and monitoring capability. Forex risk management remains covered by our treasury policy, which includes a simple hard currency sourcing and risk management mechanism to fund correlated expenditure currencies. We continue to monitor our potential credit exposures arising from cash holdings and aim to enhance our capability for international funds transfers with our relationship financial institutions, to mitigate against cross-border payment issues. 

## **Regulatory changes at government/organisational level** 

New and supplemental legislation continues to increase pressure in the UK and across our countries of operation. In data protection, there is a growing requirement to report to nationally-appointed regulators, which can require performance to be independently audited each year. We also face challenges when navigating the balance between conflicting legislation: for example, antihomosexual legislation across several African territories that is not consistent with equalities legislation in the UK or our main donor territories in Europe and the USA. 

Sightsavers’ data protection provisions meet UK and European Union law. Our compliance team supports staff across all operations in matters of data protection, and in managing the response to new data protection legislation. We monitor local legislation and risk-assess its impact on staff working or travelling to a region. Where necessary, we will deploy additional awareness training for staff that are potentially affected in order to minimise their risk. 

## **Cyber security** 

One growing challenge is maintaining a proportionate response to the risks posed by cyber attacks that increasingly may involve the use of AI. Conversely, the position is made worse because of a vacuum of consistent and cohesive national and international legislation, and the actions of certain state actors. We have prioritised cyber risk management capabilities, such as funding for crisis simulations to support incident response effectiveness. The focus is on embedding and enforcing governance and policy implementation on cyber security, and combating disinformation in areas that are particularly vulnerable to targeting. 

We prioritise cyber risk management by **funding crisis simulations, enhancing governance,** and **addressing the risk of AI-driven cyber attacks** 


**36** | Sightsavers annual report 2023 



## **Recruiting and retaining key employees and contractors** 

We have successfully attracted **diverse talent** and increased applicant numbers in hardto-recruit locations by offering **flexible, blended and remote** work opportunities, maintaining a positive attrition rate of **6.8%** 

Increasingly, candidates seek a positive work/life balance. We have responded by highlighting our flexibility and many blended/remote opportunities. We are therefore well positioned to continue to attract the best, most diverse talent, with applicant numbers significantly up in some of our harder-to-recruit locations. Our unmanaged attrition rate has remained positive at 6.8%, reflecting the success of our family-friendly policies, support for staff wellbeing and competitive salary offers. 


## **Media crisis in core markets** 

Non-government organisation (NGO) safeguarding policy has remained a key media theme, while debate around UK aid cuts and funding allocation has also been important to monitor. We have been mindful of ongoing debates, commenting when necessary and appropriate. The media continues to focus on diversity, decolonisation and how programme participants are depicted, and there is growing expectation that we are transparent about how these themes relate to our work. 

The establishment of our Racial Diversity Working Group, including a survey of all staff, is a key organisational process to mitigate this risk. We continue to monitor security concerns and incidents such as road traffic accidents involving Sightsavers staff and partners, providing appropriate support to media queries when needed. 

Trachoma surgeon Benjamin in Asina village, Uganda. 

www.sightsavers.org | **37** 



A graduate from the Sightsavers-supported IT Bridge Academy, a training scheme in Kenya for young people with disabilities. 

## Our organisation 

Sightsavers is the working name of the Royal Commonwealth Society for the Blind. Originally founded in 1950, it is now incorporated by Royal Charter dated 28 February 1990, as amended on 8 July 2009 (company number RC000706) and is a charity registered in England and Wales (207544) and Scotland (SC038110). It is regulated by the Charity Commission. 




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Sightsavers CEO Caroline Harper<br>congratulates an academy graduate.<br>© Sightsavers/Ninth wonder productions<br>**----- End of picture text -----**<br>


## **Governance** 

## **Board of trustees** 


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Members of the academy’s second<br>cohort watch the graduation ceremony.<br>**----- End of picture text -----**<br>


Our international global board of nonexecutive trustees maintains a high standard of corporate governance. There are currently 14 trustees, drawn from diverse backgrounds and bringing a broad range of experience and skills. The global board has three officers – chair, vice-chair and honorary treasurer – all of whom are appointed annually. 

countries. Depending on the gap to be filled, this may be achieved via existing networks or by advertisement. 

All trustees have a tailored induction programme to familiarise them with their statutory responsibilities, their role within the global board, the governance framework and Sightsavers’ mission and objectives. They also have full and skillsskills access to the staff e-learning induction programme, as well as key programme database and performance measurement systems. It is mandatory for all trustees to undertake an e-learning module on safeguarding. Performance of the board – both collectively and as individual trustees – is reviewed annually, with a periodic external review. 

Our trustees are drawn from diverse backgrounds and bring a range of experience and skillsskills 

Trustees are elected to the global board by other trustees for up to two terms of four years, which may be extended in exceptional circumstances (such as where a particular skill cannot easily be replaced). 

Recruitment of new trustees is based upon consideration of skills, always mindful of the need to reflect diversity and maintain a balance of individuals from different 

www.sightsavers.org | **39** 



## **Committees** 

The global board has appointed four standing committees: 

- **Audit** , which monitors and reviews audit activities, the risk and control framework, the effectiveness of our processes and the statutory accounts/annual report 

- **Investment** , which monitors investment performance and treasury activities, including oversight of the UK-defined benefit pension scheme 

- **Remuneration** , which monitors remuneration policy and key salary decisions 

- **Governance** , which monitors legal and registration issues in the countries where we work and advises on the appointment of trustees and honorary officers 

Committees may include non-trustee specialist members, who voluntarily offer their expertise to assist the committees. As well as the formal governance committees, a programme expert group typically meets twice a year to provide advice and insight on more detailed programme matters to the global board and senior management. 

There are clear distinctions between the roles of the global board and of senior management, to whom day-to-day operational management is delegated. Matters such as policy and strategic plans are prepared by senior management for consideration and approval by the global board and its committees. 

The key leadership team is the management team, set up to facilitate decision-making at management level and made up of senior staff drawn from across the organisation. This includes the regional directors, the CEOs of India and Ireland, and senior staff across the directorates. There is also a people team, which meets to discuss strategic HR matters when required. 


Daizy from Uganda, who received eye surgery for advanced trachoma. 

**40** | Sightsavers annual report 2023 



## **Directorates** 

The CEO of India is responsible and accountable to the Sightsavers India board. The CEO of Ireland reports to the chair of Sightsavers Ireland and the Irish board, with a link to the international CEO. The director of the Uniting to Combat NTDs secretariat, which Sightsavers hosts, also reports to the CEO. 

The organisation is structured with four main directorates, whose leaders report to the chief executive officer (CEO). These are: 

- **Policy and programme strategy** , which includes research, evidence, technical leadership, institutional funding and relations (including trusts, foundations and corporates), policy and advocacy, and communications and media. Large disability consortia programmes are also managed through this directorate 

As of 31 December 2023, there were eight subsidiary undertakings consolidated within the group: Sightsavers (Trading) Limited; Sightsavers Ireland; Sightsavers International (Italia); Sightsavers International Inc (USA); Sightsavers Inc (USA); Insamlingsstiftelsen Sightsavers International Sverige (based in Sweden); Stiftelsen Sightsavers International Norge (based in Norway); and Sightsavers Nigeria Foundation. Our presence in the UAE is consolidated under our licensed branch located in Dubai. 

- **Operations, planning and finance** , which includes all programme implementation, monitoring, operations, planning, finance, assurance and reporting. All country offices report to this directorate through regional offices 

- **NTDs** , which includes the management of large NTD consortia grants and contracts, and technical support to NTD programmes 

Sightsavers is a charity registered in Scotland with the Office of the Scottish Charity Regulator, registration number SC038110. In 2023, Sightsavers raised £5.5 million (2022: £5.2 million) from donors based in Scotland (donations coming from a Scottish address). 

- **Fundraising and marketing** , which is responsible for individual supporters across all our markets, including major donors (although, in the case of India and Ireland, this is an advisory role), and our website 


Find out more about how we’re run at **www.sightsavers.org/how-we-are-run** 


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CEO<br>**----- End of picture text -----**<br>





www.sightsavers.org | **41** 



## **Accountability** 

## **Governance code** 

The principles of the Charity Governance Code are central to Sightsavers’ core values. The board remains committed to maintaining our compliance with the code, which is reviewed annually and overseen by the audit committee. 

## **Modern slavery** 

We maintain a zero-tolerance stance to modern slavery and human trafficking, and we are committed to ensuring we have practices in place to combat this. We further developed our controls throughout 2023, setting new KPIs and strengthening our training provisions and supplier and partner management. 


Our slavery and human trafficking statement for 2023 is available at **www.sightsavers.org/slavery-statement** 

To view our global anti-slavery policy, visit **www.sightsavers.org/policies** 

## **Safeguarding** 

All Sightsavers representatives and partners must abide by a code of conduct, and all staff must complete a compulsory online safeguarding module. Our global head of safeguarding supports staff and partners to minimise risks and respond to concerns. More than 40 Sightsavers safeguarding leads also spearhead training, risk management and incident response in the countries they represent. 

Sightsavers is an active member of the Misconduct Disclosure Scheme, which facilitates the sharing of misconduct data between participating organisations, reducing the risk of unsafe individuals entering our organisation. 


To view our safeguarding policy, visit **www.sightsavers.org/policies** 


Our latest accountability report can be read at **www.accountablenow. org/members/sightsavers** 




## **Safeguarding concerns and incidents** 

## **Charity Commission serious incidents** 

No concerns were raised regarding Sightsavers employees in 2023. However, 19 concerns were escalated to the global safeguarding team, including: 

In 2023, one serious incident report was made to the Charity Commission involving a road traffic incident in Malawi. 

- Five incidences of sexual exploitation or abuse of project participants by community members or partner representatives 

## **Complaints and whistleblowing** 

In 2023, we continued to deliver an awareness-raising campaign about our Speak Up platform for reporting misconduct. 

- Four general concerns about project participant wellbeing, such as psychosocial or medical support needs 

- Three breaches of Sightsavers policies, other than safeguarding 

All new employees are required to attend a Speak Up induction session. We also identified additional means of communicating the system to our programme participants and partners, making use of existing practices such as programmatic kick-off meetings and feedback working groups. 

## **Other concerns reported to Sightsavers in 2023** 

- Bullying between children in Sightsavers-supported schools 

- Community discrimination of project participants with disabilities 

The system complements our existing whistleblowing channels and our safeguarding and fraud reporting mechanisms. 

- Four people linked to Sightsavers projects died. None of these deaths were a direct result of the action or inaction of Sightsavers representatives 

Sightsavers has produced awareness-raising materials on safeguarding for staff, partners and project participants, including a YouTube video and posters. Sightsavers continues to deliver safeguarding training for our partners and will soon roll out a new safeguarding and education package for schools. 

**No concerns were raised** regarding Sightsavers employees in 2023 




## **Remuneration** 

Sightsavers’ remuneration policy is to ensure the reward package offered to staff is competitive with other organisations in the areas where we work, both in terms of geography and role. This ensures we can recruit and retain staff. 

We have a remuneration committee of trustees, and the policy (approved in 2016) is based around benchmarks at median level, with flexibility as required – particularly for roles that are difficult to benchmark. 

The salaries of all individuals who report to the CEO, and that of the CEO herself, are individually approved by the committee, as is the overall policy. In recognition of the commitment of our staff to delivering on our key thematic goals and programmes against a challenging global economic backdrop, we took the strategic decision to invest in our workforce by aligning pay with local inflation rates wherever possible. 

In 2023, Sightsavers’ CEO was paid £167,671 (gross, excluding pension). This was the highest salary of the organisation. There is no bonus scheme or car allowance for any members of staff, and the CEO has the same pension rights as other UK staff. All UK staff are paid at least the real living wage, including interns. Sightsavers continues to be an accredited Living Wage employer with a commitment to paying a living wage to all UK employees. 

In December 2023, Sightsavers’ mean and median gender pay gaps in the UK were 3.13% and 3.06% in favour of men. This compares well with other organisations, both within and outside the sector. 

## **Environment** 

Sightsavers remained committed to tackling the effects of climate change in its programmes and reducing its environmental impact. 

- Ten three-year climate action goals were developed, spanning different activities including programmatic work, strategic and funding partnerships and research 

- Irish Aid-funded climate change adaptation activities in West Africa have progressed. In Cameroon, we are advocating to support children who have been displaced due to climate-related disasters 

- We continue to promote environmentally sustainable practices in green vision centres in Sierra Leone, and are developing a toolkit for environmental sustainability for eye care facilities 

- In Sierra Leone and Senegal, we are advocating for OPDs and youths with disabilities to be included in climate change policy development 

- Our offices calculated their carbon footprints for 2022. In the UK, the implementation of an environment management system successfully achieved international standard ISO 14001 certification 

To see our global environmental policy and carbon reduction plan, visit **www.sightsavers.org/policies** 

**44** | Sightsavers annual report 2023 



## **UK Streamlined Energy and Carbon Reporting (SECR)** 

A reduction in electricity usage and carbon emissions was due to energy efficiency measures put in place in 2022 and by reducing the size of the office. 

Business travel increased with more UK meetings and airport journeys. 


**----- Start of picture text -----**<br>
Energy consumption (kWh) 2023 2022<br>Electricity 128,327 157,393<br>Business travel in rental cars or employee-owned vehicles 24,307 4,609<br>Total energy consumption 152,634 162,002<br>Emissions (tCO2e) 2023 2022<br>Scope 1<br>Gas consumption 0 0<br>Combustion of fuel for transport purposes 0 0<br>Scope 2<br>Purchased electricity 28.87 36.20<br>Total scope 1 and 2 emissions 28.87 36.20<br>Scope 3<br>Business travel in rental cars or employee-owned vehicles 5.76 1.14<br>Total emissions 34.63 37.34<br>Office area (m [2] ) 1,216.54 1,332.32<br>Intensity ratio (tCO2e/m2) 0.03 0.03<br>**----- End of picture text -----**<br>


## **Methodology** 

We have followed the 2019 HM Government Environmental Reporting Guidelines, including SECR requirements. We have used the GHG Reporting Protocol Corporate Accounting and Reporting Standard and the 2023 UK government conversion factors for company reporting of greenhouse gas emissions. 

## **Intensity measurement** 

The chosen intensity measurement ratio is total gross emissions in metric tonnes CO²e per m². This has been chosen in preference 

to per person as the office is not able to accommodate all staff based in the UK full time. 

Office space was reduced to 935.35m² in mid-September and has been adjusted to reflect different office footprints during the year. 

## **Energy efficiency measures** 

The office opens three days a week and staff attend video-conferencing meetings. Just one section is used when we open for large meetings, with manually operated air conditioning used only when rooms are in use. 

www.sightsavers.org | **45** 



## **Equity, diversity and inclusion** 

## **Disability inclusion in the workplace** 

In 2023, it was recognised that the Disability Inclusion Working Group had served its function of spearheading this area of work through cross-departmental collaboration. While acknowledging that much more remains to be done, each member of staff – and the organisation as a whole – will continue taking responsibility for creating a more inclusive workplace for people with disabilities. 

Our Disabled Employee Network will lead the necessary discussions. Through other internal initiatives, including our disability awareness training (attended by more than 330 colleagues from 24 programme countries in 2023), we will continue to move this important agenda forwards. 

## **Racial diversity** 

In 2023, a decision was made to merge the Racial Diversity Focus Group into the Racial Diversity Working Group, implementing a number of activities based on the results of the 2022 staff survey. 2023 highlights included a religious and cultural celebrations series, unconscious bias webinars and the creation of a public holidays calendar. An e-learning module on diversity and inclusion is being built, with the aim of launching to staff in 2024. 

The 2023 staff survey included a question on how Black, Asian and minority ethnic staff should be addressed in the organisation (the question was asked only of staff who identified as an ethnicity other than white), with the aforementioned term being agreed upon. 

John Chiti, president of the Albinism Foundation of Zambia and ambassador for Sightsavers’ Equal World disability rights campaign. 



## **Fundraising** 

The relationships we have with our supporters, and the donations they give, are vital to the work we do. We aim to be transparent, ethical and efficient with our budgets. We are always conscious of the responsibility we hold towards our supporters and programme participants, and we do our best to make those relationships as meaningful and positive as possible. 

With efficiency in mind, we regularly update our return-on-investment analysis to enable us to see which fundraising channels are performing best. This helps us to be flexible with our investment and make quick decisions so that we can maximise the return on our spend. This, in turn, enables us to raise more money and deliver more support for our programme participants. 

While most work is done in-house, there are occasions where it is cheaper and more effective to work alongside professional fundraisers and commercial organisations. All contracts and partnerships are subject to due diligence and close management, and we meet with external partners, who are expected to deliver against closely monitored service-level agreements. Any third-party fundraising organisations are required to adhere to our supplier code of conduct. 

## **Fundraising complaints** 

In 2023, Sightsavers received 39 fundraising complaints from members of the public and 10 complaints on related issues, such as administration. This represents a decrease from 2022, when a total of 60 complaints were received. One complaint was received through the Telephone Preference Service (TPS). We have received no further feedback or requests following our initial response to these complaints. We continue to take all feedback seriously and aim to respond to questions and complaints promptly. In 2023, 

we responded to most complaints received via email or telephone within 24 hours, and those received by letter within a week. 

We also take our responsibility to protect vulnerable people seriously. We follow guidance issued by the Chartered Institute of Fundraising and make sure all agency partners are fully aware of this. We also have a safeguarding policy (including our code of conduct) and a supporter promise, both of which set out our approach to protecting our programme participants and supporters. 


## In 2023 we had a 

## 35% decrease in complaints in comparison to 2022 

Sightsavers is a member of the Fundraising Regulator and the Direct Marketing Association and abides by the direct marketing code of practice and the fundraising code of practice. For our international offices, Sightsavers is registered with the fundraising regulators in their respective countries, where there is one. 


Our safeguarding policy and supporter promise are available at **www.sightsavers.org/policies** 

www.sightsavers.org | **47** 



A participant of the Sightsavers-led School Health Integrated Programming initiative in Pakistan, which provides eye screening for students aged 5-18. 

## Review of financial outcome 2023 

Detailed financial information is reviewed by the council in each of their meetings during the year. The financial outcome for 2023 is set out in the consolidated statement of financial activities. 

**48** | Sightsavers annual report 2023 




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Medication administered for river blindness in Kaduna state, central Nigeria.<br>**----- End of picture text -----**<br>


## **Income** 

The total income in 2023 rose to £338.2 million, an increase of 8% on £313.4 million in 2022. This was primarily due to an increased volume of donated pharmaceutical gifts in kind, to meet programme requirements: total gift in kind income was £226.9 million in 2023 compared with £190.4 million in 2022. Income not including gifts in kind totalled £111.3 million – a decrease of 9% on £122.8 million in 2022. 

Donations from individuals remained stable at £33.7 million (2022: £34.7 million) while legacies increased to £15.9 million (2022: £11.8 million). Income from Trusts stood at £19.8 million in 2023, a significant decrease 

Total income in 2023 rose to **£338.2 million** , an **increase of 8%** on the £313.4 million received in 2022 

from £28.9 million in 2022, which had reflected the very generous donation from the Silicon Valley Community Foundation. 

Income from charitable activities decreased from £31.1 million in 2022 to £24.0 million in 2023, largely due to decreased funding from Accelerate partners funding, which resulted from the completion of certain programmes of work (2023: £14.6 million; 2022: £19.9 million). 

Sightsavers continues to recognise pharmaceutical income for donations shipped to and received by us as a longstanding participant in the Mectizan[®] Donation Programme (MDP). While 2023 saw an increase in our income from donated Mectizan[®] , over time, as the programmes are successfully concluded and the objectives of elimination set by them are met, the volume and value of donated Mectizan[®] is expected to decline. While this might significantly reduce our headline levels of income and expenditure, our underlying financial resources would remain unchanged, all other factors being equal. Notes 2 and 4 to the financial statements provide more detail. 

www.sightsavers.org | **49** 



## **Expenditure** 

Total expenditure rose 10% year on year, from £309.2 million in 2022 to £340.5 million in 2023. This was related to the additional pharmaceutical gifts in kind. Expenditure excluding gifts in kind fell to £114.0 million in 2023, a decrease of £5.3 million from £119.3 million in 2022, primarily due to a small reduction in neglected tropical disease activities being carried out in our programme countries. 

The split of charitable expenditure across our thematic areas is shown in the consolidated statement of financial activities, and further by region and country within the notes. In terms of underlying costs, staff costs rose to £36.4 million in 2023, from £32.8 million in 2022. 

Average total global staff numbers were broadly flat across 2023, following an increase through 2022 which principally related to growth in staffing capacity for the implementation of international programmes and for related policy and programme strategies functions. High inflation levels continued to impact on staff costs in 2023. More detail is given in Note 10 to the accounts. 

Expenditure excluding gifts in kind fell to £114.0 million in 2023, a decrease of £5.3 million from £119.3 million in 2022 

## **Grant-making policy** 

Sightsavers works in partnership with numerous implementing organisations. Grants payable are made in line with strategic objectives, and we monitor all grants to partner organisations in accordance with the relevant partnership agreement. There is an annual process to review the project and partner budgets for the following year and to determine what funds will be paid. 

## **Financial position and reserves** 

The results for 2023 producing a net deficit of £2.4 million contrasted with a higher planned deficit, which had been based on a greater application of restricted reserves, alongside utilisation of unrestricted funds carried in excess of policy range levels. After transfers between funds, which includes the benefit of indirect cost recovery on restricted grants and contracts, and the transfer of any final balance on closed projects, the resulting overall unrestricted funds net deficit was £10.9 million, with a surplus of £8.5 million for restricted funds. 

As at 31 December 2023, total fund balances were £66.3 million, comprising £37.1 million of total unrestricted funds, £0.2 million of endowment funds and £29 million of restricted funds. The component items of the restricted funds balance are shown in note 21: Statement of Funds. 

Unrestricted funds comprised general reserves of £30.4 million and £6.7 million of designated funds. Of the designated funds, cash held overseas of £1.4 million is available for use. 

Reserves policy is decided by the Council, taking into consideration, inter alia, relevant Charity Commission guidance. The policy 

**50** | Sightsavers annual report 2023 



seeks to balance the objective of promptly spending income with the need to maintain a level of reserves to ensure uninterrupted operations and to provide time to adjust to any change in financial circumstances and the financial impact of any risk events that may materialise. 

utilisation of general reserves, with a view to achieving alignment within the reserves policy range by the end of that period. We will maintain careful ongoing scrutiny of discretionary costs to ensure that our core cost base level remains appropriate throughout this period. 

A scheduled periodic review of reserves policy was performed during 2022. The review included an updated assessment of the potential financial impact from a number of identified financial risk factors, and the Council decided to include operating liquidity requirements within general reserves. 

The Trustees believe the current level of reserves is appropriate and prudent. 

As at 31 December 2023, total fund balances were £66.3 million, comprising £37.1 million of total unrestricted funds, £0.2 million of endowment funds, and £29 million of restricted funds 

A prudent case estimate of the aggregate financial impact of potential risk events on reserves and the requirement for working capital liquidity was assessed as £14 million, and this figure was accordingly set as the minimum level of reserves. 

To cater for a highly uncertain environment and to retain financial flexibility the policy provides for a range of 50% above the planned minimum level of reserves, giving an upper end for the reserves range of £21 million, equivalent to around 7 months of 2023 general unrestricted expenditure. 

Unrestricted Endowment Restricted funds: funds: funds: £37.1 million £0.2 million £29 million 

Unrestricted general reserves of £30.4 million as at 31 December 2023 are above the top end of the target range, a position approved by Trustees. 


Trustees are mindful that Sightsavers continues to operate in very uncertain conditions, including continuing adverse changes in the funding environment and persistent levels of inflation. Current reserves now cover approximately 10 months of normal unrestricted expenditures. Our high reserve levels are due to historical factors from the COVID-19 period and we are currently in the process of spending down carefully against a plan. 

Our financial plan, approved by Trustees, for the period 2024 to 2026 contains a 

www.sightsavers.org | **51** 



## **Investments** 

Our investment activities are supported by UBS Wealth Management. 

In accordance with guidance from the Charity Commission, the trustees have determined an investment strategy considered to be in the best interests of Sightsavers, and to further its charitable purpose, by: 

Creating sufficient financial return to enable the charity, together with its non-investment resources, to carry out its purposes effectively, and without interruption 


Maintaining and enhancing the value of the invested funds while they are retained 

## Managing risk 

Investments are held on a long-term basis as a core element of assets to support the lower end of the target reserves range. The investment portfolio seeks to maintain reasonable levels of liquidity and maximise returns at acceptable levels of risk. 

The Trustees adopt ethical investment standards consistent with our objects and values and are aware of their fund managers’ attitude to social, environmental and ethical factors with respect to their selection of investments and are satisfied that they are taking a responsible approach. With respect to direct holdings in equities, we do not invest in arms or tobacco. 

The Trustees’ strategy aims to generate financial returns, maintain fund value, manage risk, and follow ethical standards 

The portfolio is managed on a discretionary basis and is invested in diversified asset classes with the aim of real growth in income and capital over the long-term, with a strategic asset allocation of 2.5% Cash, 22.5% Fixed Income, 52.5% Equity and 22.5% Alternatives (7.5% property and 15% Hedge Funds), with an allowable tactical trading range for the Investment Manager. 


The investment committee meets regularly with UBS to assess investment strategy and performance, and to receive professional investment advice. 

The value of assets held with our fund manager at 31 December 2023 was £7.1 million. Our overall portfolio return was 8.8% for the year ending 31 December 2023. 

**52** | Sightsavers annual report 2023 



## **Pensions** 

Sightsavers operates a defined contribution pension scheme, which was established in 2002, with membership made available to all UK contracted employees. 

Sightsavers also operates a defined benefit pension scheme for UK contracted employees. This scheme was closed to new entrants in 2002 and closed to future accruals for existing employees in August 2010. 

## **Financial outlook** 

Financial planning and forecasting activity takes place within the context of the overall strategic plan and objectives. Programme effectiveness is continually assessed, and the portfolio mix of projects is expected to continue to evolve. 

The 2024 core financial plan contains overall net expenditure of £13 million. Net expenditure is funded by and to be applied against a combination of our NTD designated funds, which are expected to be fully utilised by the end of 2025, and our general unrestricted funds and restricted funds. 

Overall fundraising expenditure is planned to be maintained and held broadly stable in 2024. We retain the ability to suspend, defer or cancel discretionary and variable fundraising expenditures if we so wish or need. Under our core scenario for the planning period 2024 to 2026, general reserves are back within the reserves target range by the end of the period. 

A nurse prepares the anaesthetic for a trachoma operation at a community health centre in Guinea-Bissau. 

The investment committee provides oversight on the management of this UKdefined benefit scheme, as a standing agenda item in meetings. Sightsavers’ finance director attends and participates in scheme trustee board meetings, receiving all meeting materials. Sightsavers also engages its own professional advice in relation to the scheme. See note 11. 

We have modelled forward-looking financial scenarios to test our resilience to the possibility of serious and long-lasting potential financial stress, which include assumptions regarding reduced income. We consider that our financial position would remain robust, as under our downside scenario Sightsavers would still retain reserves at the end of 2024 above the top end of the target range. 

There are ongoing funding awards, and further potential funding opportunities, that are not included fully in our base forecast figures. We will adapt and modify our forecasts in line with the best forward financial information as it becomes available. We expect that this will lead to changes in the rolling financial forecast for 2024, and in following years. 

As noted, we will exercise careful ongoing oversight over our core cost base. 

www.sightsavers.org | **53** 




## **Going concern** 

There is a reasonable expectation that Sightsavers has adequate resources to continue in operational existence for the foreseeable future. Taking into account the outcomes of our financial forecasts and scenario planning, we believe any adverse impacts are manageable. 

Taking account of the level of reserves held, current and projected, the Trustees believe that there are no material uncertainties that call into doubt the charity’s ability to continue. The financial statements have, therefore, been prepared on the basis that the charity is a going concern, as described in note 2 (see page 70). 


In Idiroko, Nigeria, nurse Adesugba checks her ‘dose pole’, used to measure a patient’s height and confirm the correct dose of medication. 


## **Key people and suppliers** 

## **Patron** 

**His Majesty King Charles III** 

## **President** 

**Her Royal Highness Princess Alexandra** 

**The Hon. Lady Ogilvy GCVO** 

## **Vice-presidents** 

**Lady Wilson OBE** 

**Lord Nigel Crisp KCB Martin Dinham CBE** 

**Dr Uche Amazigo** 

**Christopher Kinder** (appointed July 2023) 

## **Honorary officers** 

**Sir Clive Jones KCMG CBE,** Chair 

**Christopher Kinder** Vice-chair (retired July 2023) 

**Prof Margaret Gyapong** Vice-chair (appointed July 2023) 

**Bill Kendall** Treasurer 



**54** | Sightsavers annual report 2023 






## **Members of the global board (trustees)** 

**Dr Henry Nkumbe** (appointed January 2023 **)** 

**Abia Akram** 

**Mavis Owusu-Gyamfi** 

**Joan Burton TD** 


**Dr Manoj Parulekar (** retired July 2023) 

**Maryanne Diamond** (retired July 2023) 

**Pratik Vijaykumar Patel** (appointed September 2023) 

## **Prof Margaret Gyapong** 

**Barry Hoffman** (retired July 2023) 


**Prof Tuwani Rasengane** 

**Joy Hutcheon** 

**Dr Garimella Subramaniam** (appointed May 2023) 

**Sir Clive Jones KCMG CBE** 

**Bill Kendall** 

**David Louis Taylor** 

**Christopher Kinder** (retired July 2023) 

**Prof Sir Chris Whitty** 

**Elaine Lee** 

## **The committees** 

**Audit committee** 

## **Investment committee** 

**David Louis Taylor,** Chair 

**Barry Hoffman** (Co-opted member) 

**Bill Kendall** 

**Prof Tuwani Rasengane** 

**Richard Ufland** (Co-opted member) 

## **Governance committee** 

**Sir Clive Jones,** Chair 

**Prof Margaret Gyapong,** Vice-chair 

**Barry Hoffman** 

**Bill Kendall** 

**David Louis Taylor** 

**Bill Kendall,** Chair 

**Sir Clive Jones** 

**Gayane Gyurjyan** (Co-opted member) 

## **Remuneration committee** 

**Sir Clive Jones,** Chair 

**Prof Margaret Gyapong** 

**Barry Hoffman** 

**Bill Kendall** 



www.sightsavers.org | **55** 




## **Strategy refresh steering group** 

**Dr Caroline Harper CBE,** Chair Chief Executive Officer 

## **Simon Bush** 

Director of Neglected Tropical Diseases 

## **Alicia Cummins** 

Deputy Director of Policy and Programme Strategy 

**Dominic Haslam OBE** Deputy Chief Executive Officer 

## **Imran Khan** 

Director of Programme Strategy and Development 

## **Kenneth Moon** 

Chief Operating Officer 

## **Ella Pierce** 

Director of Fundraising and Marketing 

## **Gareth Roberts** 

Director of Planning, Monitoring and Reporting 

## **Management leadership team** 

**Kenneth Moon,** Chair Chief Operating Officer 

**Anna Becker** Director of Institutional Funding 

**Andy Boetius** Director of Finance 

## **Alicia Cummins** 

Deputy Director of Policy and Programme Strategy 

**Fatoumata Diouf** Regional Director, West Africa 

## **Dr Caroline Harper CBE** 

Chief Executive Officer 

**Dominic Haslam OBE** Deputy Chief Executive Officer 

**Natasha Kennedy** Director of Campaigns and Communications 

## **Imran Khan** 

Director of Programme Strategy and Development 

## **Juilet Milgate** 

Director of Policy and Global Advocacy 


## **Thomas Millar** 

Director of Neglected Tropical Diseases Operations 

## **RN Mohanty** 

Chief Executive Officer, India 

## **John Muriuki** 

Regional Director, East Central and Southern Africa 

## **Feargal O’Connell** 

Chief Executive Officer, Ireland (resigned March 2023) 

## **Ciara Smullen** 

Chief Executive Officer, Ireland (appointed April 2023) 

## **Ella Pierce** 

Director of Fundraising and Marketing 

**Mark Ramsden** General Counsel 

## **Gareth Roberts** 

Director of Planning, Monitoring and Reporting 

## **Elena Schmidt** 

Director of Evidence, Research and Innovations 


**56** | Sightsavers annual report 2023 




## **Country leadership** 

**RN Mohanty** Chief Executive Officer, India 

**Godwin Kabalika** Country Director, Tanzania 

## **Fatoumata Diouf** 

**Izidine Hassane** Country Director, Mozambique 

Regional Director, West Africa 

## **John Muriuki** 

**Cheikh Ibrahima Seck** Country Director, Senegal 

Regional Director, East Central and Southern Africa 



**Marguerite Belibi** Country Director, Cameroon 

## **Archana Bhambal** 

Area Director, North India 

**Moses Chege** Country Director, Kenya 

**Sudipta Mohanty** Area Director, North East India 


**Munazza Gillani** Country Director, Pakistan 

## **Amirta Rejina Rozario** 

Country Director, Bangladesh 

## **Nancy Smart** 

## **Anthony Wani** 

Country Director, Sierra Leone (stepped down September 2023) 

Country Director, South Sudan, the Republic of Sudan and Uganda interim 

## **Tiangay Gondoe** 

## **Balla Musa Joof** 

Senior Programme Manager, Sierra Leone (appointed September 2023) 

Country Director, Guinea Bissau and Liberia 

## **Peter Bare** 

## **Boubacar Dicko** 

Country Director, Mali, Benin, Guinea Conakry and Togo 

**Bright Chiwaula** Country Director, Malawi 

## **Glenda Mulenga** 

Country Director, Zambia 

Country Director, Zimbabwe 

**Sunday Isiyaku** Country Director, Nigeria and Ghana 

## **Astou Sarr** 

Country Director, Burkina Faso and Cote D’Ivoire 



Daizy (right), who was treated for trachoma, helps her friends with chores in Uganda. 



www.sightsavers.org | **57** 



## **Principal addresses** 

## **Registered address** 

35 Perrymount Road Haywards Heath West Sussex RH16 3BW 

## **Solicitors** 

Bates, Wells & Braithwaite Cheapside House 138 Cheapside London EC2V 6BB 

## **Principal bankers** 

HSBC Bank plc Sussex and Surrey Corporate Centre First Point, Buckingham Gate London Gatwick Airport West Sussex RH6 0NT 

Standard Chartered Bank 1 Basinghall Avenue London EC2V 5DD 

## **Correspondence address** 

Bumpers Way Bumpers Farm Chippenham SN14 6NG 

## **Investment managers** 

UBS AG 5 Broadgate London EC2M 2QS 

Allied Irish Bank 7/12 Dame Street Dublin 2  D02 KX20 

## **Independent auditors** 

Crowe U.K. LLP 55 Ludgate Hill London EC4M 7JW 

## **Independent auditors** 

A resolution that Crowe U.K. LLP be appointed as the independent auditor to Sightsavers will be proposed at the forthcoming annual general meeting. **Approved by the trustees and signed on their behalf on:** 


**----- Start of picture text -----**<br>
Sir Clive Jones  Chair<br>**----- End of picture text -----**<br>



**----- Start of picture text -----**<br>
Date:<br>**----- End of picture text -----**<br>



**58** | Sightsavers annual report 2023 



Zainabu, from Malawi, whose grandmother received successful treatment for trachoma. 




## **Independent auditor’s report to the trustees of the Royal Commonwealth Society for the Blind** 

## **Opinion** 

We have audited the financial statements of the Royal Commonwealth Society for the Blind (‘the charity’) and its subsidiaries (‘the group’) for the year ended 31 December 2023, which comprise the Consolidated Statement of Financial Activities, the Group and Charity Balance Sheets, the Consolidated Cash Flow Statement and notes to the financial statements, including significant accounting policies. 

The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102, the Financial Reporting Standard applicable in the UK and Republic of Ireland (UK Generally Accepted Accounting Practice). 

## **In our opinion, the financial statements:** 



Give a true and fair view of the state of the group’s and the parent charity’s affairs as at 31 December 2023 and of the group’s income and expenditure, for the year then ended 

Have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice 



Have been prepared in accordance with the requirements of the Charities Act 2011, the Charities and Trustee Investment (Scotland) Act 2005, and Regulations 6 and 8 of the Charities Accounts (Scotland) Regulations 2006 (amended) 



**60** | Sightsavers annual report 2023 




## **Basis for opinion** 

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the group in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. 

## **Conclusions relating to going concern** 

In auditing the financial statements, we have concluded that the trustee’s use of the going concern basis of accounting in the preparation of the financial statements is appropriate. 

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charity’s or the group’s ability to continue as a going concern for a period of at least 12 months from when the financial statements are authorised for issue. 

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report. 

## **Other information** 

The trustees are responsible for the other information contained within the annual report. The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. 




Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. 

Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. 

We have nothing to report in this regard. 

## **Matters on which we are required to report by exception** 

We have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 and the Charities Accounts (Scotland) Regulations 2006 requires us to report to you if, in our opinion: 

- The information given in the financial statements is inconsistent in any material respect with the trustees’ report 

- Sufficient and proper accounting records have not been kept by the parent charity or returns adequate for our audit have not been received from branches not visited by us 

- The financial statements are not in agreement with the accounting records and returns 

- We have not received all the information and explanations we require for our audit 


www.sightsavers.org | **61** 




## **Responsibilities of trustees** 

As explained more fully in the trustees’ responsibilities statement, the trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. 

In preparing the financial statements, the trustees are responsible for assessing the group and the parent charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so. 

## **Auditor’s responsibilities for the audit of the financial statements** 

We have been appointed as auditor under section 151 of the Charities Act 2011, and section 44(1)(c) of the Charities and Trustee Investment (Scotland) Act 2005 and report in accordance with the Acts and relevant regulations made or having effect thereunder. 

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. 

Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. 

Details of the extent to which the audit was considered capable of detecting irregularities, including fraud and noncompliance with laws and regulations are set out below. 

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at **www.frc.org.uk/ auditorsresponsibilities** . This description forms part of our auditor’s report. 

## **Extent to which the audit was considered capable of detecting irregularities, including fraud** 

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We identified and assessed the risks of material misstatement of the financial statements from irregularities, whether due to fraud or error, and discussed these between our audit team members including significant component audit teams. We then designed and performed audit procedures responsive to those risks, including obtaining audit evidence sufficient and appropriate to provide a basis for our opinion. 

We obtained an understanding of the legal and regulatory frameworks within which the charity and group operates, focusing on those laws and regulations that have a direct effect on the determination of material amounts and disclosures in the financial statements. The laws and regulations we considered in this context were the Charities Act 2011 and The Charities and Trustee Investment (Scotland) Act 2005, together with the Charities SORP (FRS 102). We assessed the required compliance with these laws and regulations as part of our audit procedures on the related financial statement items. 

In addition, we considered provisions of other laws and regulations that do not have a direct effect on the financial statements but compliance with which might be fundamental to the charity’s and 


**62** | Sightsavers annual report 2023 




the group’s ability to operate or to avoid a material penalty. We also considered the opportunities and incentives that may exist within the charity and the group for fraud. The laws and regulations we considered in this context for the UK operations were General Data Protection Regulation (GDPR), anti-fraud, bribery and corruption legislation, taxation legislation and employment legislation. We also considered compliance with local legislation for the group’s overseas operating segments. 

Auditing standards limit the required audit procedures to identify non-compliance with these laws and regulations to enquiry of the Trustees and other management and inspection of regulatory and legal correspondence, if any. 

We identified the greatest risk of material impact on the financial statements from irregularities, including fraud, to be within the timing of recognition of grant and contract income and major donations, end use of funds including funds granted to partner organisations and the override of controls by management. Our audit procedures to respond to these risks included enquiries of management, internal audit and the Audit Committee about their own identification and assessment of the risks of irregularities, testing of a sample of grant, contract and major donation income against the terms of the funding agreements and the requirement of the Charities SORP (FRS102), sample testing on the posting of journals, reviewing accounting estimates for biases, reviewing regulatory correspondence with the Charity Commission and reading minutes of meetings of those charged with governance. 

Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstatements in the financial statements, even though we have properly planned and performed our audit in accordance with auditing standards. For example, the further removed non-compliance with laws and regulations (irregularities) is from the events and transactions reflected in the financial 




statements, the less likely the inherently limited procedures required by auditing standards would identify it. In addition, as with any audit, there remained a higher risk of non-detection of irregularities, as these may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal controls. We are not responsible for preventing non-compliance and cannot be expected to detect noncompliance with all laws and regulations. 

## **Use of our report** 

This report is made solely to the charity’s trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008 and Regulation 10 of the Charities Accounts (Scotland) Regulations 2006. Our audit work has been undertaken so that we might state to the charity’s trustees those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charity and the charity’s trustees as a body, for our audit work, for this report, or for the opinions we have formed. 

## **Signature:** 

**Date:** 31 July 2024 


**For and on behalf of** Crowe U.K. LLP Statutory Auditor London 

Crowe U.K. LLP is eligible for appointment as auditor of the charity by virtue of its eligibility for appointment as auditor of a company under section 1212 of the Companies Act 2006. 

Crowe U.K. LLP is eligible for appointment as auditor of the charity under regulation 10(2) of the Charities Accounts (Scotland) Regulations by virtue of its eligibility under section 1212 of the Companies Act 2006. 

www.sightsavers.org | **63** 



## **Consolidated statement of financial activities year ended 31 December 2023** 


**----- Start of picture text -----**<br>
Restricted  Unrestricted  Restricted<br>Unrestricted  funds  Total  funds  funds  Total<br>funds 2023  2023  2023  2022  2022  2022<br>Note £’000 £’000 £’000 £’000 £’000 £’000<br>Income and<br>endowments from:<br>Donations and legacies 3 42,215 43,243 85,458 53,497 37,723 91,220<br>Gifts in kind - total 4 387 226,492 226,879 513 189,861 190,374<br>Charitable activities 5 - 24,024 24,024 - 31,114 31,114<br>Investments 6 1,003 531 1,534 368 - 368<br>Other trading 226 - 226 218 - 218<br>Other 38 - 38 52 6 58<br>Total income and<br>endowments 43,869 294,290 338,159 54,648 258,704 313,352<br>Expenditure on:<br>Raising funds 4,8 22,809 376 23,185 20,885 1,408 22,293<br>Charitable activities<br>Health: eye care 7,8 8,704 11,250 19,954 6,697 13,830 20,527<br>Neglected tropical<br>diseases 7,8 12,043 31,965 44,008 13,737 37,289 51,026<br>Gifts in kind - drug<br>donations 4,7,8 - 226,492 226,492 - 189,861 189,861<br>Education 7,8 3,303 1,804 5,107 3,231 2,580 5,811<br>Social inclusion 7,8 6,516 10,203 16,719 6,151 11,318 17,469<br>Policy and research 7,8 5,496 97 5,593 4,437 216 4,653<br>Total charitable<br>activities 7,8 36,062 281,811 317,873 34,253 255,094 289,347<br>Other – foreign<br>exchange  8 (557) - (557) (2,466) - (2,466)<br>Total expenditure 58,314 282,187 340,501 52,672 256,502 309,174<br>(Losses) / Gains<br>on investments 15 365 - 365 (463) - (463)<br>Net income (14,080) 12,103 (1,977) 1,513 2,202 3,715<br>Transfer between funds 21 3,649 (3,649) - 3,126 (3,126) -<br>Actuarial gains /<br>(losses) on defined<br>benefit pension scheme 11 (454) - (454) (434) - (434)<br>Net movement in funds (10,885) 8,454 (2,431) 4,205 (924) 3,281<br>**----- End of picture text -----**<br>


**64** | Sightsavers annual report 2023 



|||**Restricted**||**Unrestricted**|**Restricted**||
|---|---|---|---|---|---|---|
||**Unrestricted**|<br>**funds**|<br>**Total**|<br>**funds**|**funds**|<br>**Total**|
||**funds 2023**|<br>**2023**|<br>**2023**|<br>**2022**|**2022**|<br>**2022**|
|**Note**|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|
|**Reconciliation of funds:**<br>Total funds brought<br>forward<br>**Total funds carried**<br>**forward**<br>**21**|47,953<br>20,745<br>68,698<br>43,748<br>**37,068**<br>**29,199**<br>**66,267**<br>**47,953**||||21,669<br>65,417<br>**20,745**<br>**68,698**||



Restricted funds include endowment funds, which had a balance as at 31 December 2023 of £214,000 (2022: £214,000). See note 21 on page 100-101 for further information. All incoming and outgoing resources arise from continuing activities. All gains and losses recognised in the year are included above. 


Dorcas, from Kajiado county in Kenya, received medication to protect her from trachoma. 

www.sightsavers.org | **65** 



## **Consolidated and charity balance sheet 31 December 2023** 


**----- Start of picture text -----**<br>
 Group Charity<br>2023  2022  2023  2022<br>Note £’000 £’000 £’000 £’000<br>Fixed assets<br>Tangible assets             14  670 538 664 527<br>Investments               15 7,095 6,763 7,095 6,763<br>Total fixed assets 7,765 7,301 7,759 7,290<br>Current assets<br>Debtors             16 5,802 6,986 4,662 6,616<br>Cash at bank and in hand –<br>operating funds            17 59,625 60,762 56,932 59,077<br>Cash at bank representing<br>deferred income 17,18 10,195 18,671 9,770 16,290<br>Total current assets 75,622 86,419 71,364 81,983<br>Liabilities<br>Creditors: amounts falling due within<br>one year 18 15,466 23,771 13,837 21,000<br>Net current assets 60,156 62,648 57,527 60,983<br>Total assets less current liabilities 67,921 69,949 65,286 68,273<br>Provision for other liabilities  19 1,654 1,251 1,638 1,242<br>Net assets excluding pension (liability) 66,267 68,698 63,648 67,031<br>Defined benefit pension scheme (liability) 11 - - - -<br>Total net assets 66,267 68,698 63,648 67,031<br>**----- End of picture text -----**<br>


**66** | Sightsavers annual report 2023 



|**Group**|||||
|---|---|---|---|---|
||**Group**||**Charity**||
||**2023**|**2022**|**2023**|**2022**|
|**Note**|**£’000**|**£’000**|**£’000**|**£’000**|
|**The funds of the charity:**<br>**Unrestricted funds**<br>Free reserve<br>21,22<br>30,362<br>Pension reserve<br>11,21,22<br>-<br>General<br>21,22<br>30,362<br>Designated<br>21,22<br>6,706<br>**Total unrestricted funds**<br>**37,068**<br>Restricted funds<br>21,22<br>28,985<br>Endowment funds<br>21,22<br>214||33,026<br>-<br>33,026<br>14,927<br>**47,953**<br>20,531<br>214|28,041<br>-<br>28,041<br>6,706<br>**34,747**<br>28,687<br>214|32,828<br>-<br>32,828<br>14,927<br>**47,755**<br>19,062<br>214|
|**Total funds**|**66,267**|**68,698**|**63,648**|**67,031**|



The net movement in funds for the financial year dealt with in the financial statements of the parent charity was £(3,391,000) (2022: £3,091,000). The trustees have prepared group accounts in accordance with section 138 of the Charities Act 2011. The notes on pages 70-108 form part of these financial statements. These financial statements were approved by the Global Board on 11 July 2023 and signed on their behalf by: 

## Chair 

Hon. Treasurer 




www.sightsavers.org | **67** 



## **Consolidated statement of cash flows Year ended 31 December 2023** 


**----- Start of picture text -----**<br>
2023  2022<br>Note £’000 £’000<br>Net income/(expenditure) for the reporting period<br>(as per the statement of financial activities) (2,431) 3,281<br>Adjustments for:<br>Depreciation charges 4 322 350<br>(Gains) / losses on investments 5 (400) 388<br>Investment income 6 (1,534) (368)<br>Exchange rate (gain)  8 (557) (2,466)<br>Gain on sale of fixed assets (38) (58)<br>Increase in provisions  19 403 329<br>Decrease / (increase) in debtors 16 1,184 (2,502)<br>(Decrease) / increase in creditors 18 (8,305) 2,868<br>Net cash provided by (used in) operating activities (11,356) 1,822<br>Cash flows from investing activities:<br>Payments to acquire tangible fixed assets 14 (454) (232)<br>Payments to acquire investments 15 (1,946) (1,742)<br>Receipts from sale of fixed assets 38 58<br>Receipts from sale of investments 15 2,050 1,511<br>(Increase) / decrease in cash held for investment 15 (36) 317<br>Investment income 6 1,534 368<br>Net cash provided by (used in) investing activities 1,186 280<br>Change in Cash and Cash equivalents (10,170) 2,102<br>Cash and cash equivalents at the beginning of the year 79,433 74,865<br>Exchange gains on cash equivalents 557 2,466<br>Cash and cash equivalents at the end of the year 69,820 79,433<br>Cash and cash equivalents consist of:<br>Cash in hand 69,820 79,433<br>Total cash and cash equivalents 69,820 79,433<br>**----- End of picture text -----**<br>


**68** | Sightsavers annual report 2023 



## **Analysis of changes in net cash/(debt)** 


**----- Start of picture text -----**<br>
At start  Cash-flows  Foreign  At end of year<br>of year  £’000 exchange  £’000<br>£’000 movements<br>£’000<br>Cash and Total Net Cash 79,433 (10,170) 557 69,820<br>**----- End of picture text -----**<br>



In Kenya, 16-year-old Lopeta was given medication to protect him from trachoma. 

www.sightsavers.org | **69** 



## **Notes to the financial statements Year ended 31 December 2023** 

## **1 Charity information** 

The Royal Commonwealth Society for the Blind, trading as Sightsavers, is a registered charity (No. 207544 and SCO38110) which is incorporated and domiciled in the UK. The address of the registered office is 35 Perrymount Road, Haywards Heath, West Sussex, RH16 3BW, UK. 

## **2 Accounting policies** 

## **Basis of accounting** 

The financial statements have been prepared under the historical cost convention, modified by the inclusion of investments at market value, and in accordance with applicable United Kingdom accounting standards. The financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) effective 1 January 2019 and the Charities Act 2011 and UK Generally Accepted Accounting Practice. The accounting policies have been applied consistently throughout the current and previous year. 

The trustees report includes a review of financial performance and the Charity’s reserves position (page 50). Sightsavers has adequate financial resources and is well placed to manage the business risks. The planning process, including financial projections, has taken into consideration the current economic climate and its potential impact on the various sources of income and planned expenditure. There is a reasonable expectation that Sightsavers has adequate resources to continue in operational existence for the foreseeable future. The trustees believe that there are no material uncertainties that call into doubt the Charity’s ability to continue. The financial statements have therefore been prepared on the basis that the Charity is a going concern. 

Sightsavers meets the definition of a public benefit entity under FRS 102. 

Sardar, from the Punjab region of Pakistan, plays with his grandson after recovering from surgery to treat his cataracts. 

**70** | Sightsavers annual report 2023 



## **Basis of consolidation** 

The financial statements consolidate the results of the Charity and its subsidiary undertakings on a line-by-line basis. A separate Statement of Financial Activities (SOFA) has not been presented for the Charity alone which is consistent with previous years. The net result for the Charity (which includes all its branches) is a surplus of £3,391,000, which comprises income of £81,584,000, expenditure of £85,340,000 and a gain on investment of £365,000 (2022 loss of £463,000). Sightsavers has the following subsidiary undertakings for which group accounts have been prepared. These all undertake fundraising activity in their local jurisdictions. 

**Sightsavers (Trading) Limited** is a UK registered company (No: 2464229). Control is established by virtue of the Charity owning 100 per cent of the issued share capital of the organisation. 

**Sightsavers International Inc.** is registered in the USA, incorporated under the laws of the State of Delaware (federal ID: 311740776). The Charity has the right to appoint all directors of the organisation. 

**Sightsavers Inc.** is registered in the USA, incorporated under the laws of the State of Missouri (federal ID: 47-4657747). There is a collaboration agreement between the organisations. 

**Sightsavers (Ireland)** is registered in Ireland (company number: 377692, charity number: CHY15437). The Charity appoints two directors to the Board of the organisation and there is a management contract in place between the organisations. 

**Sightsavers International Italia** (Onlus No: 97653640017) is registered in Italy as an Onlus non-profit, non-stock corporation. The majority of the Board of the entity are trustees or senior management of the Charity. The Charity and subsidiary are managed on a unified basis. 

## **Insamlingsstiftelsen Sightsavers** 

**International (Sverige)** is registered in Sweden (company number: 802477-8188, charity number: 90 03 63-3). The Charity, as founder, has the right to appoint the Board in the governing document. 

**Stiftelsen Sightsavers International Norge** is registered in Norway (No: 912 388 573). The Charity, as founder, has the right to appoint the Board in the governing document. 

## **Sightsavers Nigeria Foundation** 

is registered in Nigeria (No: 159037) as Incorporated Trustees, a Non-Profit foundation, with the right to appoint their own Board. There is a collaboration agreement between the organisations. 

## **Fund accounting** 

General funds are unrestricted funds available for use at the discretion of the trustees to further the general objectives of Sightsavers that have not been designated for other purposes. 

Designated funds comprise unrestricted funds that have been set aside by the trustees for particular purposes. The use of each designated fund is set out in note 21 (page 100). 

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the Charity for particular purposes. Details of restricted funds are set out in note 23 (page 108). 

Endowment funds comprise monies that must be held indefinitely as capital. Related income is credited to general funds and applied for general purposes, unless under the terms of the endowment such income must be used for specific purposes in which case it is credited to restricted funds. 

www.sightsavers.org | **71** 



## **Income** 

Income is recognised when Sightsavers is entitled to the income, any performance conditions attached to the income have been met, it is probable that the income will be received, and the amount can be measured reliably. 

Charitable activities performance-related conditions: Some funding agreements specify the services to be performed by Sightsavers for receiving the funds. Where this is the case, Sightsavers becomes entitled to the funds as it earns the right to consideration by its performance. When cash is received in advance of entitlement, income is deferred and included in creditors. Where entitlement occurs before cash being received, the income is accrued. 

The following specific policies apply to categories of income: 

- **Legacies:** these are recognised at the earlier of estate accounts being finalised and Sightsavers being notified that a payment will be made 

- **Gifts in kind in the form of Mectizan® tablets:** these are included in the SOFA at the established market rate at the date the tablets are recorded as being received overseas for use. These amounts will vary each year based on the donor’s distribution plans 

- **Other gifts in kind:** these are included at the value to the Charity and are recognised as income when utilised 

## **Expenditure** 

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. All expenditure is inclusive of irrecoverable VAT where applicable. Expenditure is classified into the following categories: 

- Costs of raising funds are those incurred in seeking voluntary and grant income, trading activities and investment management. They do not include the costs of disseminating information in support of charitable activities 

- Expenditure on charitable activities is reported as an analysis between the different thematic aims of the organisation, being health, neglected tropical diseases, education and social inclusion. The amount spent on policy and research activities is also reported 

Amounts payable to partners for overseas projects are charged when an obligation exists and are described as grants payable in note 7. These payments are made under standard partner agreements, which include an agreed project budget, in response to payment requests made by the partner. 

These requests are reviewed and approved on an individual basis and the obligation to pay exists and is generally recognised as a partner payable, as opposed to an accrual, once the payment request has been approved. 

Employee benefits include all costs incurred by the Charity in exchange for the services of its employees. Expenditure is recognised for all employee benefits resulting from their service to Sightsavers during the reporting period. A liability is recognised for the cost of all benefits to which employees are entitled at the reporting date that have yet to be paid. 

**72** | Sightsavers annual report 2023 



Redundancy costs (termination benefits) are recognised as an immediate cost and charged to the SOFA on a demonstrable commitment to termination, with provision for future redundancy costs measured at a best estimate of the expenditure that would be required to settle the obligation at the reporting date. 

Expenditure includes gifts in kind, which are valued and recognised on the same basis as the equivalent income. 

## **Allocation of support costs** 

Support costs include the central and regional office functions such as general management, payroll administration, budgeting, forecasting and accounting, information technology, human resources and facilities management. These are allocated across the categories of expenditure outlined above. The basis of the cost allocation is explained in note 8. 

## **Operating leases** 

Rentals payable under operating leases are charged to the SOFA on a straight-line basis over the most likely term of the lease. 

## **Finance leases** 

Leases are accounted for as finance leases when substantially all the risk and rewards relating to the leased property transfer to Sightsavers. The asset is recognised as a tangible fixed asset. Rentals payable are apportioned between: 

- A charge for the acquisition of the interest in the property (recognised as a liability in the balance sheet at the start of the lease, matched with a tangible fixed asset). The liability is written down as the rent becomes payable 

## **Tangible fixed assets** 

Individual tangible fixed assets costing £5,000 or more are capitalised at cost. Depreciation is provided on all tangible fixed assets, excluding freehold land, at rates calculated to write off the cost or valuation of each asset on a straight-line basis over their expected useful economic lives as set out below: 

**Tangible fixed asset Depreciation** Freehold buildings 2% to 4% Computer equipment 33% Motor vehicles held overseas 100% Fittings and office equipment 25% To the date of the Leasehold next lease break improvements point 

## **Investments** 

Investments are initially measured at cost and subsequently at market value at the balance sheet date. The SOFA includes the net gains and losses arising from disposals and revaluations throughout the year. 

## **Debtors** 

Debtors are measured in the accounts at their recoverable amount. 

## **Creditors** 

Creditors are measured in the accounts at their settlement amount. 

- A finance charge (charged to the SOFA as the rent becomes payable) 

Fixed assets recognised under finance leases are accounted for using the policies applied generally to tangible fixed assets. 

www.sightsavers.org | **73** 



## **Financial instruments** 

Sightsavers also has financial assets and liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value. 

Investments held as part of an investment portfolio are held at fair value at the balance sheet date, with gains and losses being recognised in the SOFA. Investments in subsidiary undertakings are held at cost less impairment. 

## **Provisions** 

Provisions are recognised when the Charity has a present legal or constructive obligation as a result of past events; it is probable that an outflow of resources will be required to settle the obligation and the amount can be estimated reliably. 

Provisions are measured at the present value of the expenditure expected to be required to settle the obligation. The increase in the provision due to passage of time is recognised as a finance cost. 

## **Pension** 

Sightsavers operates a defined benefit pension scheme for its eligible UK contracted employees. This scheme was closed to new members in September 2002 and to future accruals in August 2010. The pension costs and the pension provision for the defined benefit scheme are calculated on the basis of actuarial advice and are charged to the SOFA in accordance with the requirements of FRS 102. 

Sightsavers also operates a defined contribution scheme for eligible UK contracted employees. Pension costs for the defined contribution scheme are charged to the accounts as they are accrued. 

A pensions reserve has been created within unrestricted funds in compliance with paragraph 10.93 of the Charities SORP (FRS 102). Details of the pension schemes are disclosed in note 11. 

For staff based overseas, Sightsavers contributes to locally managed provident fund schemes and a centrally managed end-of-service benefit scheme based on the number of years’ service completed, in line with local employment laws. Any benefit accrued but not paid at the year-end is recorded as a liability. 

All pension costs are allocated between activities and between restricted and unrestricted funds on the basis of the time spent. 

## **Foreign exchange** 

Assets and liabilities denominated in foreign currencies have been translated at the rate of exchange ruling at the balance sheet date. Exchange differences are recognised within net income / expenditure. 

Income and expenditure transactions incurred in a foreign currency have been translated during the course of the year at the rate of exchange ruling at the date of the transaction and are disclosed in the SOFA. 

## **Functional / presentation currency** 

The functional currency of the Charity and its subsidiaries is considered to be pound sterling because that is the currency of the primary economic environment in which Sightsavers operates. The consolidated financial statements are also presented in pound sterling and rounded to the nearest thousand. 

**74** | Sightsavers annual report 2023 



## **Critical accounting judgements and key sources of estimation uncertainty** 

In the application of the Charity’s accounting policies, trustees are required to make judgements, estimates, and assumptions about the carrying value of assets and liabilities that are not readily apparent from other sources. The estimates and underlying assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates. 

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised if the revision affects only that period or in the period of the revision and future periods if the revision affects the current and future periods. 

Estimation uncertainly is where asset and liability values could change in the future as a consequence. 

The principal judgements that the Charity makes which do not carry estimation uncertainty are: 

**Grant and contract income recognition:** we judge that total expenditure incurred to deliver any performance conditions at the end of each reporting period is an appropriate basis for determining entitlement and for recognition. 

**Pharmaceutical gifts in kind:** as mentioned in note 1 and in note 4, we make judgements on the basis of the recognition for income and expenditure related to the receipt of pharmaceutical gifts in kind and on the valuation of those donations 

The judgements with accompanying key sources of estimation uncertainty which could have an effect on the amounts recognised in the financial statements are described in the accounting policies and are summarised on this page. 

**Pension liabilities:** the Charity recognises its liability to its defined benefit pension scheme which involves a number of estimates as disclosed in note 11. 

**Provisions for liabilities:** the Charity has provided for its possible liabilities in relation to its leasehold property and employees which have been estimated as disclosed in note 19. 

**Legacies:** the Charity has estimated the legacy pipeline on a basis which is consistent with experience of more than 10 years. The amount at the year end is disclosed in note 3. 

## **Going concern** 

To mitigate risks faced, Sightsavers has undertaken a range of activities and measures to maximise its resilience, including in the following areas: risk monitoring and management; business continuity planning; programme monitoring; institutional and major donor engagement; liquidity management; and scenario planning and financial forecasting. 

The Trustees of Sightsavers receive forecasts and financial projections, which detail variations in the level and timing of future income and funding, and have considered the short- and longer-term financial projections and other risks that may affect Sightsavers. 

They have considered the key risks that could negatively impact the going concern of Sightsavers and have considered budgets and forecasts, cashflow projections and contingency, and recovery plans. 

After considering these factors, the trustees have concluded that Sightsavers has a reasonable expectation that there are adequate resources to continue in operational existence for the foreseeable future and have continued to prepare the financial statements on the going concern basis. 

www.sightsavers.org | **75** 



## **3 Donations and legacies** 


**----- Start of picture text -----**<br>
2023  2022<br>£’000 £’000<br>Individuals<br>UK 21,682 21,628<br>Ireland 3,543 3,832<br>Italy 5,795 5,693<br>India 1,562 2,452<br>Other 1,088 1,125<br>Total from individuals 33,670 34,730<br>Legacies 15,877 11,829<br>Government, NGO and institutional donors 8,282 8,775<br>Companies 7,598 6,347<br>Trusts 19,846 29,387<br>Community service and other organisations 185 152<br>Total 85,458 91,220<br>Donations received including grants and excluding legacies, above £100,000 included in the above:<br>Government, NGO and institutional donors:<br>   FCDO UK Aid Connect Inclusion Works - 833<br>   FCDO UK Aid Match 637 1,439<br>   FCDO IDP 438 1,457<br>   FCDO DAI PLANE 72 104<br>   FCDO SSEIP2 155 -<br>   Irish Aid 1,944 1,690<br>   The END Fund 1,978 -<br>   Conrad N. Hilton Foundation - 2,033<br>   Crown Prince Court 467 -<br>   UNOPS 201 -<br>   Task Force for Global Health 1,260 -<br>   UNICEF 66 302<br>   GIZ 30 167<br>   MSI Reproductive Choices 157 -<br>**----- End of picture text -----**<br>


**76** | Sightsavers annual report 2023 




**----- Start of picture text -----**<br>
2023  2022<br>£’000 £’000<br>Companies<br>   People’s Postcode Lottery 2,600 2,500<br>   Standard Chartered Seeing is Believing 1,542 1,210<br>   Dubai Cares - 123<br>   Cholamandalam Business Services 612 387<br>   Options Consulting 89 263<br>   Baxter International - 30<br>   Azimpremji Philanthropic 161 115<br>   Dubai Duty Free 123 123<br>   L’Occitane Foundation 197 171<br>   HCL Technologies40 - 99<br>   Oracle - 116<br>   Fondazione Giovanni Arvedi e Luciana Buschini 256 217<br>   Bajaj 338 -<br>Trusts:<br>-<br>   Silicon Valley Community Foundation 15,152<br>   GiveWell recommended funds  11,031 7,057<br>   An Anonymous Foundation 3,510 3,314<br>-<br>   Helmsley Charitable Trust 1,727<br>   Lund Trust 832 737<br>   Latter Day Saints 361 354<br>   DAK Foundation 134 241<br>   An Anonymous Jersey Foundation 420 -<br>   Global Institute for Disease Education 1,102 1,642<br>   Pears Foundation - 100<br>   Give What We Can 158 -<br>   Children’s Investment Fund Foundation - 165<br>   IZUMI Foundation - 172<br>**----- End of picture text -----**<br>


As at 31 December 2023, in addition to legacy income that has been included in the accounts, Sightsavers is expected to benefit from a number of legacies from estates for which the administration has yet to be finalised or Sightsavers notified that a payment will be made. Sightsavers’ future income from these legacies is estimated at £18,422,000 (2022: estimated at £18,575,000). In addition, Sightsavers is the future beneficiary of legacy assets transferred to and held in trust, with an estimated value of £1,561,000 (2022: £1,797,000). 

www.sightsavers.org | **77** 



## **4 Gifts in kind** 

In 2023, Sightsavers International Inc. secured gift-in-kind donations valued at £226,492,000 (2022: £189,861,000) from Merck Inc., in the form of Mectizan[®] tablets, which have been shipped to Benin, Cameroon, Côte D’Ivoire, Democratic Republic of the Congo, Ghana, Liberia, Malawi, Nigeria and Togo. Increased quantities have been received over the previous few years since programmes that were delayed due to the COVID-19 pandemic were being restarted. 

In 2023, Sightsavers secured £226,492,000 in gift-in-kind donations of Mectizan[®] tablets from Merck Inc, which were distributed to several countries to combat river blindness 

Sightsavers is responsible for the coordination of Mectizan[®] tablet distribution principally to those people at risk of developing river blindness. The gift-in-kind donations received reflects the approximate value of tablets distributed through the Sightsavers coordination work. Sightsavers works in collaboration with a small number of other agencies to ensure the responsibilities for coordination are most effectively undertaken. 

There will not always be a direct or immediate correlation between shipments donated to Sightsavers and treatments performed and reported under our 

funded programmes, due to collaborative distribution practices with other programmes under the overall MDP and also the long timescales from planning to final distribution. Depending on certain funding arrangements some of our shipments may be on-gifted for distribution to non-Sightsavers funded programmes and conversely some of our partners may deploy their own Mectizan[®] donations to Sightsavers funded programmes. 

Google Ad Grants is a unique gift-in-kind donation programme that awards free AdWords advertising to selected charitable organisations. It supports organisations that share Google’s philosophy of community service to help the world in areas such as science and technology, education, global public health, the environment, youth advocacy and the arts. During the year, Sightsavers secured donations valued at £387,000 (2022: £493,000). 

In 2023, Sightsavers benefited from the contribution of unpaid volunteers. The activities carried out by these volunteers, predominantly interactions with schools and community groups, have not been included in the accounts in accordance with the SORP, due to the absence of any reliable measurement basis. 


**----- Start of picture text -----**<br>
Gifts   2023  2022<br>in kind £’000 £’000<br>Mectizan [®] 226,492 189,861<br>Drug donation<br>sub-total 226,492 189,861<br>Computer<br>-<br>equipment 20<br>Google<br>AdWords 387 493<br>Total gifts<br>in kind 226,879 190,374<br>**----- End of picture text -----**<br>


**78** | Sightsavers annual report 2023 



## 5 **Income from charitable activities** 

|5**Income from charitable activities**|||
|---|---|---|
||**2023**|**2022**|
||**£’000**|**£’000**|
|Accelerate Partners|14,589|19,857|
|FCDO DID<br>European Commission<br>The Gates Foundation<br>USAID<br>Helen Keller International|5,749<br>438<br>1,826<br>1,436<br>(14)|7,587<br>318<br>2,214<br>931<br>208|
|RTI International|-|(1)|
|**Total**|**24,024**|**31,114**|



Further information on each of these income sources is provided in note 21. 

## 6 **Investment income** 

|6**Investment income**|||
|---|---|---|
||**2023**|**2022**|
||**£’000**|**£’000**|
|Dividends from investments|137|200|
|Bank and money market deposit interest|1,397|168|
|**Total**|**1,534**|**368**|




Students at a disability-inclusive school in Kaduna State, Nigeria. 

www.sightsavers.org | **79** 



## 7 **Charitable activities** 


**----- Start of picture text -----**<br>
Neglected<br>Health  tropical  Gift-in-  Social  Policy and<br>eye care  diseases  kind drugs  Education  inclusion  research  2023  2022<br>£’000 £’000 £’000 £’000 £’000 £’000 £’000 £’000<br>Benin 124 16 - - - - 140 306<br>Burkina Faso 119 1,619 - - - - 1,738 382<br>Cameroon - 1,399 - 208 213 - 1,820 2,617<br>Cote D’Ivoire - 435 - - 137 - 572 711<br>Ghana (1) 296 - - 300 - 595 895<br>Guinea 60 596 - - - - 656 1,323<br>Guinea Bissau - 781 - - - - 781 722<br>Kenya - 884 - 184 2,028 - 3,096 2,822<br>Liberia 896 603 - - - - 1,499 2,254<br>Malawi 615 231 - 247 203 - 1,296 1,446<br>Mali 730 77 - 145 - - 952 1,410<br>Mozambique 834 1,038 - - 30 - 1,902 1,095<br>Nigeria 824 6,861 - - 529 - 8,214 11,650<br>Senegal 221 1,349 - 152 267 - 1,989 2,446<br>Sierra Leone 662 100 - 158 214 - 1,134 1,245<br>Sudan - 23 - - - - 23 53<br>South Sudan - 46 - - - - 46 59<br>Tanzania 511 731 - - 163 - 1,405 1,439<br>Togo - 62 - - - - 62 152<br>Uganda 291 856 - 187 257 - 1,591 1,880<br>Zambia 411 254 - 280 91 - 1,036 786<br>Zimbabwe 283 1,419 - - 128 - 1,830 1,560<br>East Central Southern<br>Africa (ECSA)<br>Regional Office 63 63 - 8 25 - 159 200<br>West Africa Regional<br>Office 46 301 - 8 26 - 381 215<br>Africa Finance Office 151 438 - 46 33 - 668 527<br>Sub-total Africa 6,840 20,478 - 1,623 4,644 - 33,585 38,195<br>India 4,509 - - 684 676 - 5,869 4,988<br>India Regional Office 559 - - 54 68 - 681 562<br>Sub-total India 5,068 - - 738 744 - 6,550 5,550<br>**----- End of picture text -----**<br>


**80** | Sightsavers annual report 2023 



|||**Neglected**|||||||
|---|---|---|---|---|---|---|---|---|
||**Health**|**tropical**|**Gift-in-**||**Social**|**Policy and**|||
||**eye care**|**diseases**|**kind drugs**|**Education**|**inclusion**|**research**|**2023**|<br>**2022**|
||**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|
|Bangladesh|1,119|-|-|-|605|-|1,724|1,475|
|Pakistan|779|16|-|19|275|-|1,089|1,101|
|**Sub-total South Asia**|**1,898**|**16**|**-**|**19**|**880**|**-**|**2,813**|**2,576**|
|Global programmes|-|8,199|-|-|5,207|-|13,406|17,170|
|Gifts in kind<br>Central<br>support functions<br>Programme<br>technical support<br>Advocacy and policy<br>support<br>**Direct charitable**<br>**expenditure**|-<br>2,225<br>2,255<br>1,668<br>**19,954**|-<br>2,816<br>10,273<br>2,226<br>**44,008**|226,492<br>-<br>-<br>-<br>**226,492**|-<br>1,046<br>1,528<br>153<br>**5,107**|-<br>1,727<br>2,268<br>1,249<br>**16,719**|- <br>1,076<br>573<br>3,944<br>**5,593 **|226,492<br>8,890<br>16,897<br>9,240<br> **317,873**|189,861<br>8,307<br>18,439<br>9,249<br>**289,347**|



Disability rights campaigner Florence joined other members of disability organisations to take part in an Equal Zimbabwe campaign workshop run by Sightsavers in Harare. 

www.sightsavers.org | **81** 





Our income for and from our charitable activities arises from work across our programme portfolio, described on page 7. These pages detail the main programme categories and types of activities we undertake. 

## **Images:** 


**1:** In Uganda, 10-yearold Christine has her eyes checked for trachoma. 

**2:** John is a volunteer who distributes river blindness medication to villagers in Nigeria. 

**3:** Teacher Isah helps student Hafizu during a lesson at their school in Nigeria. 

**4:** Disability advocate Mohammad Mohasin is captain of the Bangladesh wheelchair cricket team. 

**5:** In Nigeria, a worker collects black flies to check if they are carrying river blindness. 



**----- Start of picture text -----**<br>
1. Eye health<br>© Sightsavers/Jason Mulikita<br>**----- End of picture text -----**<br>


## 

We undertake eye health programmes to promote sustainable, good-quality eye health services and systems that contribute to universal health coverage, and to strengthen global, national and sub-national policy and accountability frameworks that facilitate the integration of eye health into universal health coverage. Our work covers support to inclusive and quality service delivery, scale-up of effective coverage by influencing policy and financing systems for eye health, and support for equitable and inclusive refractive services. 


**----- Start of picture text -----**<br>
2. Neglected tropical<br>diseases (NTDs):<br>© Sightsavers/JAdesegun Adeokun<br>**----- End of picture text -----**<br>


Our programmes are focused on eliminating five NTDs: intestinal worms (soil-transmitted helminths), lymphatic filariasis, river blindness (onchocerciasis), schistosomiasis and trachoma. This is being achieved through support for large-scale treatment and monitoring activities, work with partners and governments to ensure NTD interventions are sustainable and integrated into health systems, and research and evidence generation to increase the effectiveness of elimination programmes. 




**----- Start of picture text -----**<br>
3. Education<br>**----- End of picture text -----**<br>


We work at all three levels of education systems (institutional, organisational and local) to strengthen policy frameworks, education sector plans and donor commitments that promote disability inclusive education, increased capacity of ministries of education and other agencies to support schools and communities to deliver disability-inclusive education, and increased capacity of schools and communities to provide inclusive education for children with disabilities. Promoting gender-equitable education that meets the specific needs of children with disabilities is a key cross-cutting objective of our work. 

## **4. Social inclusion** 

**5. Policy and research** 

Our social inclusion programmes work across four key areas: citizenship and political participation to ensure people with disabilities are included in key decisionmaking processes, economic empowerment focused on individuals and deeper systemic change, inclusive health to ensure people with disabilities have equitable access to health services, and the promotion of the rights of women and girls with disabilities to tackle the disproportionate discrimination and exclusion they face. 

We strive to be an evidence-driven organisation investing in research activities that generate deeper understanding of the issues we address in our work, and provide evidence that feeds into the design and implementation of successful programme activity. 

www.sightsavers.org | **83** 



## 8 **Total expenditure** 

|8**Total expenditure**|||||||
|---|---|---|---|---|---|---|
|||||**Allocation**|||
||**Grants**|**Direct**|**Gifts**|**of support**|**Total**|**Total**|
||**payable**|**costs**|**in kind**|**costs**|**2023**|**2022**|
||**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|
|Raising funds|-|20,170|387|2,628|23,185|22,293|
|Charitable activities<br>Health: eye care<br>Neglected tropical disease<br>Gift in kind drugs<br>Education<br>Social inclusion<br>Policy and research<br>Other – foreign exchange<br>**Total resources expended 2023**|5,134<br>18,317<br>-<br>208<br>7,270<br>4<br>-<br>**30,933**|11,497<br>21,884<br>-<br>3,576<br>7,462<br>4,518<br>(557)<br>**68,550**|-<br>-<br>226,492<br>-<br>-<br>-<br>-<br>**226,879**|3,323<br>3,807<br>-<br>1,323<br>1,987<br>1,071<br>-<br>**14,139**|19,954<br>44,008<br>226,492<br>5,107<br>16,719<br>5,593<br>(557)<br>**340,501**|20,527<br>51,026<br>189,861<br>5,811<br>17,469<br>4,653<br>(2,466)<br>**n/a**|
|**Total resources expended 2022**|**39,250**|**66,547**|**190,360**|**13,017**|**n/a**|**309,174**|





**----- Start of picture text -----**<br>
Gifts in<br>kind drugs<br>Education<br>Social<br>inclusion<br>Policy and<br>2023<br>research<br>expenditure:<br>Raising  £340,501,000<br>funds<br>Health:<br>eye care<br>Neglected<br>tropical disease<br>**----- End of picture text -----**<br>


**84** | Sightsavers annual report 2023 



A list of principal grants is available on our website: **www.sightsavers.org/annual-reports** 

In 2023, Sightsavers made grants to partner organisations carrying out work in support of the mission. These are considered to be part of the costs of activities that further Sightsavers’ aims. Much of the activity is carried out through grants to local organisations that support long-term, sustainable benefits for people affected by visual impairment and disability. This includes capacity-building and partnership development. The work of local organisations is closely monitored by Sightsavers. 


Staff costs included in direct costs is £29,715,000 (2022: £26,745,000). 

## **The support costs and the basis of their allocation were as follows:** 

||**2023**|**2022**|
|---|---|---|
||**£’000**|**£’000**|
|Directorate|366|434|
|Governance<br>Financial management<br>Information communication technology<br>Human resources<br>Planning, performance and reporting<br>Programme support<br>**Total**|2,468<br>1,350<br>3,423<br>1,172<br>507<br>4,853<br>**14,139**|2,349<br>1,344<br>2,364<br>1,174<br>566<br>4,786<br>**13,017**|



Support costs are defined as costs which cannot be directly identified with a single activity of the organisation, such as head office finance, human resources and facilities, and are primarily identified by cost centre. All costs associated with Sightsavers’ overseas offices, such as finance or rent, are included as direct costs, as these are directly related to the implementation of Sightsavers’ programmes.   Support costs have been subject to the same inflationary pressures as direct costs. ICT costs include costs for systems, infrastructure, hosting and cyber-security initiatives. 

The support costs were allocated across the expenditure categories based on an estimate of the time spent. This estimate is updated periodically, most recently for 2022 allocations, including latest best estimates for the proportion of time spent on governance related activities by support functions. 

Other costs include foreign exchange gains and losses. Foreign exchange gains or losses arise on the settlement of foreign currency transactions and on the translation of foreign currency denominated monetary net assets. In 2023 the foreign exchange gain was principally transaction related, whereas in 2022 the gain was principally translation related. 

www.sightsavers.org | **85** 



## 9 **Net income/expenditure** 


**----- Start of picture text -----**<br>
2023  2023  2022  2022<br>£’000 £’000 £’000 £’000<br>Stated after charging:<br>Depreciation 322 350<br>Fees paid to Crowe:<br>UK charity audit 100 95<br>International audits 128 98<br>USAID audit 17 16<br>Tax advisory 5 6<br>250 215<br>Fees paid to other audit firms:<br>International audits 93 147<br>Pension scheme audit 8 7<br>101 154<br>Investment managers’ fees 52 44<br>Operating lease charges 1,157 1,014<br>**----- End of picture text -----**<br>


## 10 **Staff costs** 

|10**Staff costs**|||
|---|---|---|
||**2023**|**2022**|
||**£’000**|**£’000**|
|Wages and salaries|27,451|25,123|
|Employee benefits and employment allowances<br>Social security costs<br>Employer’s contribution to defined contribution pension scheme|2,115<br>2,620<br>2,543|1,638<br>2,370<br>2,370|
|Employer’s contribution to UK defined pension scheme|443|430|
|End of service benefit<br>**Total**|1,200<br>**36,372**|843<br>**32,774**|



2023 followed a period of increases in charitable activities and expansion to the portfolio of programmes, which had seen a commensurate increase in human resource costs. In 2023 global headcount levels remained broadly flat, with growth in the second half of 2022 meaning closing 2022 headcount was comparable to the average for 2023. As part of continuing global economic pressures, global inflation has continued to be extremely high, impacting staff costs. Sightsavers has maintained full local inflation indexing of staff salaries under its remuneration policy. The average number of employees during the year was as follows: 

|<br>policy. The average number of employees during the year|<br>was as follows:||
|---|---|---|
||**2023**|**2022**|
||**No.**|**No.**|
|Directorate|8|8|
|Operations, Planning and Finance<br>Global Fundraising<br>NTDs<br>Policy and Programme Strategy<br>International programmes<br>**Total**|107<br>94<br>52<br>147<br>432<br>**840**|112<br>83<br>46<br>141<br>400<br>**790**|



**86** | Sightsavers annual report 2023 



On an annual averaging basis there was small growth in average headcount from 2022 to 2023. This average growth was spread across most parts of the organisation and has been the result of both general and team-specific factors, concentrated on and driven by programme implementation and support activities. 

From 2022, with the constraints of the COVID-19 period largely removed and new projects coming on stream, we have continued to fill vacant posts and bring teams up to full capacity, driven by growth in our programme portfolio, funded by both restricted funds and our strong unrestricted reserves. 

The total employee remuneration of the Chief Executive and direct reports was £1,197,686 (2022: £1,116,520), inclusive of employer pension and national insurance contributions. 

For staff paid £60,000 or greater per annum, the number of employees with emoluments in the following ranges were: 


**----- Start of picture text -----**<br>
No. employees<br>Range 2023 2022<br>£60,000   - £69,999 38 18<br>£70,000   - £79,999 17 9<br>£80,000   - £89,999 16 15<br>£90,000   - £99,999 7 2<br>£100,000 - £109,999 3 2<br>£110,000 - £119,999 2 1<br>£120,000 - £129,999 1 1<br>£130,000 - £139,999 1 2<br>-<br>£140,000 - £149,999 1<br>£150,000 - £159,999 1 2<br>-<br>£160,000 - £169,999 1<br>-<br>£170,000 - £179,999 1<br>**----- End of picture text -----**<br>


A number of staff have entered this emoluments table for the first time, consistent with the starting threshold not being subject to inflation indexation. 

The cost of health insurance for two senior employees with places of work outside of the United Kingdom, with no available state health provision, are included both within their remuneration as direct reports to the Chief Executive and in their emoluments classification above £60,000 per annum. 

The Chief Executive received the highest base salary in 2023. She was paid £167,671 in 2023 (on a gross basis excluding pension). 

End-of-service benefit scheme liabilities/ payments are deemed as employer’s contributions to an individual employee pension scheme and, as such, are not classed as employee emoluments. 

Sightsavers operates a flexible holidays scheme where employees can increase or decrease their annual holiday entitlement by buying or selling up to five days of holiday. The value of flexible holiday transactions, which increase and decrease remuneration, have not been included in the calculations of emoluments in the above table so as to allow comparability around base salary plus other emoluments. 

Redundancy and termination payments made and provided for during the year to employees for compensation for loss of employment totalled £28,156 (2022: £109,178). 

www.sightsavers.org | **87** 



## 11 **Pension costs** 

Sightsavers operates a defined contribution pension scheme for UK staff. The assets of the scheme are held separately from those of the Charity in an independently administered fund. 

Sightsavers contributes twice the level of an employee’s contribution, up to a maximum of 10 per cent of pensionable pay. Contributions payable by Sightsavers were £1,974,825 in 2023 (2022: £1,768,005), of which £163,403 was outstanding at the balance sheet date (2022: £161,959). The disclosure in note 10 also includes the costs of contributions to overseas pension schemes. 

Sightsavers operates a defined benefit pension scheme in the UK. This is a separate trustee-administered fund holding the pension scheme assets to meet long-term pension liabilities. The scheme was closed to new members on 30 September 2002 and closed to future accrual on 31 August 2010, although active members at that date continue to have their benefits linked to future salary increases. A full actuarial valuation is carried out every three years by a qualified actuary, independent of the scheme’s sponsoring employer, the latest at 31 December 2021. The major assumptions used by the actuary for financial reporting are shown on page 90. 

Through and at the end of 2023, gilt and bond yields remained at elevated levels, but without the large changes seen in the previous year. As a result the liabilities of the scheme remain of comparable value at 31 December 2023 to the previous year. One of the Diversified Growth Funds held by the scheme has performed poorly over an extended period, and has been exited in 2024, as part of an overall switch in investments to reduce holdings of growth assets and increase matching assets designed to follow the movement in scheme liabilities. 

On the FRS 102 basis, the Scheme has a surplus as at 31 December 2023 of £1,040,000 (2022: surplus £793,000). In accordance with FRS 102, the surplus is not recognised, as future economic benefits are not deemed available to Sightsavers in the form of a reduction in future contributions or a cash refund. 

Sightsavers contributes twice the level of an employee’s contribution, up to a maximum of 10% of pensionable pay. Contributions payable by Sightsavers in 2023 were £1,974,825 

Sightsavers has been operating an indexed deficit recovery contribution plan agreed with the trustees of the pension scheme, paying funding contributions of £360,000 per annum in real terms to the scheme, from 2016, originally for a 10 year term. In 2023 this was indexed to £443,000; inflation indexation being pre-set at 3% per annum. Payments are made monthly. 

Under the most recent actuarial valuation as at 31 December 2021 the actuarial technical funding shortfall was expected to be eliminated much earlier, by end 2023. At that valuation point Sightsavers committed to continue contributions to the end of 2024. During 2024 Sightsavers and Scheme Trustees will meet to discuss future contributions, having met the statutory funding objective. 

**88** | Sightsavers annual report 2023 



## **Present values of defined benefit obligation, fair value of assets and defined benefit asset (liability)** 

||**2023**|**2022**|**2021**|
|---|---|---|---|
||**£’000**|**£’000**|**£’000**|
|Fair value of plan assets|12,217|11,900|17,665|
|Present value of defined benefit obligation<br>**Surplus (deficit) in plan**<br>Unrecognised surplus|(11,177)<br>**1,040**<br>(1,040)|(11,107)<br>**793**<br>(793)|(17,158)<br>**507**<br>(507)|
|**Defined benefit asset (liability) to be recognised**|**-**|**-**|**-**|



## **Reconciliation of opening and closing balances of the defined benefit obligation** 

|<br>**of the defined benefit obligation**|||
|---|---|---|
||**2023**|**2022**|
||**£’000**|**£’000**|
|Defined benefit obligation at start of period|11,107|17,158|
|Expenses<br>Interest expense<br>Actuarial losses (gains)<br>Benefits paid and expenses<br>Losses (gains) due to benefit changes<br>**Defined benefit obligation at end of period**|-<br>542<br>46<br>(518)<br>-<br>**11,177**|-<br>304<br>(5,829)<br>(526)<br>-<br>**11,107**|



## **Reconciliation of opening and closing balances of the fair value of plan assets** 

|<br>**of plan assets**|||
|---|---|---|
||**2023**|**2022**|
||**£’000**|**£’000**|
|Fair value of plan assets at start of period|11,900|17,665|
|Interest income<br>Actuarial gains (losses)<br>Contributions by the employer<br>Benefits paid and expenses<br>**Fair value of plan assets at end of period**|593<br>(201)<br>443<br>(518)<br>**12,217**|317<br>(5,986)<br>430<br>(526)<br>**11,900**|



The actuarial return on the plan assets over the period ending 31 December 2023 was £392,000 (2022: (£5,669,000)). 

www.sightsavers.org | **89** 



## **Defined benefit costs recognised in net income / (expenditure)** 

||**2023**|**2022**|
|---|---|---|
||**£’000**|**£’000**|
|Net interest cost|(11)|(4)|
|Losses (gains) due to benefit changes|-|-|
|**Defined benefit cost recognised in resources expended**|**(11)**|**(4)**|



## **Defined benefit costs recognised in other recognised gains (losses)** 

||**2023**|**2022**|
|---|---|---|
||**£’000**|**£’000**|
|Return on plan assets (excluding amounts included in net interest cost) –gain|<br>(201)|(5,986)|
|Gains (losses) arising on the plan liabilities<br>Effects of changes in the demographic and financial assumptions underlying<br>the present value of the plan liabilities – (loss)<br>Unrecognised surplus scheme assets|(24)<br>(22)<br>(207)|(624)<br>6,453<br>(277)|
|**Total**|**(454)**|**(434)**|



The assets of the scheme are held via an investment platform in funds managed by Columbia Threadneedle and Baillie Gifford. The managed funds are invested in a diversified portfolio of investments with values comprising 73.7% growth assets, 26.0% Liability Driven Investments (LDI) assets and 0.3% cash. 

The fair value of assets of the scheme at 31 December 2023, along with the expected percentage rates of return (Asset RoR) on the scheme assets, are as follows: 

|**Asset**|<br>**2023**|**Asset**|<br>**2022**|<br>**Asset**|<br>**2021**|
|---|---|---|---|---|---|
|**RoR%**|**£’000**|**RoR%**|**£’000**|**RoR%**|**£’000**|
|Growth assets|9,008||8,751||12,928|
|Gilts<br>Corporate bonds<br>Liability-driven investments (LDI)<br>Cash<br>**Total assets**<br>**4.8%**|-<br>-<br>3,180<br>29<br>**12,217**|**5.0%**|-<br>-<br>3,121<br>28<br>**11,900**<br>**1.8%**||-<br>-<br>4,647<br>90<br>**17,665**|



None of the fair values of the assets shown above includes any direct investments in the employer’s own financial instruments or any property occupied by, or other assets used by, the employer. 

**90** | Sightsavers annual report 2023 



As required for the preparation of statutory accounts, and in accordance with the requirements of FRS 102, the actuarial valuation was updated by Mercer Limited as at 31 December 2023. The major assumptions used for this purpose were: 

||**2023**|**2022**|**2021**|
|---|---|---|---|
|Discount rate|4.80%|5.00%|1.80%|
|Inflation (RPI)<br>Inflation (CPI)<br>Salary increases<br>Allowance for revaluation of deferred pensions of CPI or 5% p.a. if less<br>Allowance for pension in payment increases of RPI or 8.5% p.a. if less<br>Allowance for pension in payment increases of RPI or 5% p.a. if less<br>Allowance for pension in payment increases of CPI or 3% p.a. if less|3.20%<br>2.80%<br>3.10%<br>2.80%<br>3.20%<br>3.00%<br>2.20%|3.30%<br>2.80%<br>3.10%<br>2.80%<br>3.30%<br>3.10%<br>2.20%|3.50%<br>3.00%<br>3.30%<br>3.00%<br>3.50%<br>3.30%<br>2.30%|
||75%|75%|75%|
||of post|of post|of post|
|Allowance for commutation of pension for cash at retirement|A day|A day|A day|



The mortality assumptions adopted as at 31 December 2023 imply the following life expectancies at age 65: 

||**2023**|**2022**|
|---|---|---|
||**Years**|**Years**|
|Member<br>Member<br>Member<br>Member|aged 65 (current life expectancy) - male<br>22.1<br>aged 45 (life expectancy at 65) - male<br>23.4<br>aged 65 (current life expectancy) - female<br>23.9<br>aged 45 (life expectancy at 65) - female<br>25.3|22.1<br>23.4<br>23.9<br>25.3|



The best estimate of contributions to be paid by Sightsavers to the scheme for the period commencing 1 January 2024 is £456,000, being the last year of Sightsavers current commitment to contributions. 

## 12 **Trustees’ expenses** 

|12**Trustees’ expenses**|||||
|---|---|---|---|---|
|||**2023**||**2022**|
||**No. of trustees**|**£’000**|**No. of trustees**|**£’000**|
|Reimbursed to trustees:|||||
|UK-related|14|71|13|46|
|Programme visits|2|4|2|7|



No emoluments or any other benefits have been received by the trustees (2022: £nil). Trustees can be reimbursed for their travel and subsistence expenses in attending meetings. Additionally, trustees may occasionally visit Sightsavers’ partners and programmes overseas, with costs of such trips being met by the Charity. Trustees are encouraged to visit at least one international programme in every four-year term served. 

www.sightsavers.org | **91** 



## 13 **Related party transactions** 

Dr Caroline Harper (Chief Executive of Sightsavers) is a trustee of The International Agency for the Prevention of Blindness (IAPB). IAPB was paid £192,238 in 2023 (2022: £107,253), in respect of Sightsavers’ membership fee to IAPB, and contributions to support Vision Atlas and a market analysis of the global refractive error market; a balance of £nil was outstanding at the end of the year (2022: £nil). Sightsavers received grant funding of £1,244,073 in 2023 (2022: £808,695) from Standard Chartered Bank’s ‘Seeing Is Believing’ programme which is co-managed by the IAPB. 

Dr Harper is also on the Board of trustees of the International Civil Society Centre; the Centre was paid £36,622 in 2023 (2022: £37,342) for support payments and contributions to an accessibility budget. A balance of £23,544 was outstanding at the end of the year (2022: £23,544). 

Dominic Haslam (Deputy Chief Executive of Sightsavers) is on the Board of trustees of the International Disability and Development Consortium (IDDC). IDDC was paid £16,770 in 2023 (2022: £11,780) in respect of Sightsavers’ membership fee and GA attendance fees. 

The related party transactions and intercompany balances of the Charity with subsidiary and related undertakings are: 

|<br>related undertakings are:||||
|---|---|---|---|
||**2022**||**2021**|
|**Grants from**|<br>**Intercompany**|**Grants from**|**Intercompany**|
|**Sightsavers**|<br>**balances at 31**|**Sightsavers**|**balances at 31**|
|**UK**|<br>**December**|**UK**|**December**|
|**£’000**|**£’000**|**£’000**|**£’000**|
|Sightsavers Ireland<br>-<br>Sightsavers Italia<br>-<br>Sightsavers International Inc.<br>9<br>Sightsavers Inc.<br>-<br>Insamlingsstiftelsen Sightsavers<br>International (Sverige)<br>-<br>Stiftelsen Sightsavers<br>International Norge<br>254|400<br>11<br>(103)<br>(895)<br>51<br>(150)|-<br>-<br>9<br>-<br>-<br>101|55<br>490<br>(107)<br>(612)<br>12<br>38|
|Sightsavers Nigeria Foundation<br>18|1|-|-|
|Sightsavers (Trading)<br>-|20|-|7|



**92** | Sightsavers annual report 2023 



## 14 **Tangible fixed assets** 

|||||**Office**|||
|---|---|---|---|---|---|---|
||**Freehold**|**Leasehold**|**Computer**|**fixtures and**|**Motor**||
||**property**|**property**|**equipment**|**fittings**|**vehicles**|**Total**|
||**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|
|**Cost or valuation**|||||||
|At 1 January 2023<br>Additions<br>Disposals<br>**At 31 December 2023**|59<br>-<br>-<br>**59**|1,388<br>261<br>-<br>**1,649**|41<br>-<br>-<br>**41**|42<br>-<br>-<br>**42**|1,888<br>193<br>(60)<br>**2,021**|3,418<br>454<br>(60)<br>**3,812**|
|**Depreciation**<br>At 1 January 2023<br>Charge for the year<br>Revaluation<br>Disposals<br>**At 31 December 2023**|59<br>-<br>-<br>-<br>**59**|880<br>114<br>-<br>-<br>**994**|31<br>5<br>-<br>-<br>**36**|22<br>10<br>-<br>-<br>**32**|1,888<br>193<br>-<br>(60)<br>**2,021**|2,880<br>322<br>-<br>(60)<br>**3,142**|
|**Net book value**<br>**At 31 December 2023**|**-**|**655**|**5**|**10**|**-**|**670**|
|**At 1 January 2023**|**-**|**508**|**10**|**20**|**-**|**538**|



Sightsavers’ head office relocated in 2014 to 35 Perrymount Road, Haywards Heath, a leasehold property. The balance held in leasehold property above includes the capitalised finance lease cost associated with leasehold improvements and associated fixtures and fittings and a provision for future dilapidations costs to remove leasehold improvements at the end of the lease, in line with the conditions of the lease agreement. 

www.sightsavers.org | **93** 



## 15 **Investments** 

|15**Investments**|||
|---|---|---|
||**Group and charity**||
||**2023**|<br>**2022**|
||**£’000**|**£’000**|
|Market value at 1 January|6,681|6,827|
|Disposals at opening market value<br>Acquisitions at cost<br>Net unrealised gains / (losses) on revaluation at 31 December *<br>Cash held in portfolio at 31 December<br>**Market value at 31 December**<br>**Historical cost at 31 December**<br>Fund managed investments at market value<br>Non-fund managed investments at trustees valuation|(2,050)<br>1,946<br>400<br>**6,977**<br>118<br>**7,095**<br>**6,264**<br>6,966<br>11|(1,511)<br>1,753<br>(388)<br>**6,681**<br>82<br>**6,763**<br>**6,220**<br>6,670<br>11|
||**6,977**|**6,681**|



* In addition to the 2023 unrealised gains shown above, there were realised losses of £35,235 in the year (2022: realised losses of £75,129), which combine to provide the total net gain / (loss) on investments as shown in the statement of financial activities on page 64. 

Of the UK amounts, the holdings with a market value greater than 5 per cent of the total portfolio value were: 

|<br>portfolio value were:||||
|---|---|---|---|
|||**2023**|**2022**|
||**%**|**£’000**|**£’000**|
|Key Multi Manager Hedge Fund Diversified|7.33|519|512|
|Key Multi Manager Hedge Fund Focused<br>Charity Property Fund<br>Pimco|7.87<br>6.98<br>-|557<br>495<br>-|524<br>444<br>413|
|iShares CRE GBP Corporate Bond Fund|6.17|437|-|
|UBS Inv Funds ICVC S&P 500 Index Fund GBP Dist|6.12|433|311|



**94** | Sightsavers annual report 2023 



## **Subsidiary undertakings** 

These group accounts include the activities, assets and liabilities of its subsidiaries. Sightsavers has the following subsidiaries: 


**----- Start of picture text -----**<br>
Net  Surplus/<br>Assets  Liabilities  assets  Capital  Income  Expenditure  (deficit)<br>£’000s £’000s £’000s £’000s £’000s £’000s £’000s<br>2023 Sightsavers Ireland 1,635 524 1,111 - 6,817 6,570 247<br>Sightsavers Italia 2,148 1,024 1,124 - 7,048 6,315 733<br>Sightsavers International Inc. 120 8 112 - 226,501 226,507 (6)<br>Sightsavers Inc. 1,557 1,385 172 - 15,051 15,043 8<br>Insamlingsstiftelsen<br>Sightsavers International<br>(Sverige) 97 67 30 - 241 238 3<br>Stiftelsen Sightsavers<br>International Norge 325 197 128 - 910 877 33<br>Sightsavers Nigeria<br>Foundation 2 2 - - 18 18 -<br>Sightsavers Trading 8 23 (15) - (12) 12 (24)<br>2022 Sightsavers Ireland 1,002 138 864 - 6,405 6,324 81<br>Sightsavers Italia 1,836 1,446 390 - 6,061 6,018 43<br>Sightsavers International Inc. 125 8 117 - 189,870 189,857 13<br>Sightsavers Inc. 2,552 2,389 163 - 29,368 29,331 37<br>Insamlingsstiftelsen<br>Sightsavers International<br>(Sverige) 54 27 27 - 312 302 10<br>Stiftelsen Sightsavers<br>International Norge 175 80 95 - 689 688 1<br>Sightsavers Trading 19 10 9 - 13 8 5<br>**----- End of picture text -----**<br>


www.sightsavers.org | **95** 



## 16 **Debtors** 

|16**Debtors**|||||
|---|---|---|---|---|
||**Group**||**Charity**||
||**2023**|**2022**|**2023**|**2022**|
||**£’000**|**£’000**|**£’000**|**£’000**|
|Amounts owed by group and associated undertakings|-|-|482|602|
|Prepayments and accrued income<br>Other debtors|5,304<br>498<br>**5,802**|6,242<br>744<br>**6,986**|3,698<br>482<br>**4,662**|5,285<br>729<br>**6,616**|



## 17 **Cash at bank and in hand** 


**----- Start of picture text -----**<br>
Group Charity<br>2023  2022  2023  2022<br>£’000 £’000 £’000 £’000<br>Cash at bank<br>UK 64,603 73,012 64,592 73,005<br>Ireland 927 467 - -<br>- -<br>Italy 1,265 1,455<br>USA 665 1,932 - -<br>Sweden 97 53 - -<br>Norway 153 152 - -<br>Middle East 128 172 128 172<br>India 1,119 1,499 1,119 1,499<br>Africa 692 468 691 468<br>South Asia 140 213 141 213<br>69,789 79,423 66,671 75,357<br>Cash in hand<br>India 2 2 2 2<br>South Asia 28 7 28 7<br>Africa 1 1 1 1<br>69,820 79,433 66,702 75,367<br>**----- End of picture text -----**<br>


Cash at bank includes money received at the year-end that is to be expended in the first quarter of 2024. In addition, further funds were received in advance to facilitate shortterm cash commitments later than three months. In general, these funds are held in shortterm, highly liquid, interest-earning deposit or money market accounts with our existing relationship bank partners until required. 

Our restricted reserves and deferred income are largely backed by holding restricted cash. 

UK balances includes aggregate Money Market deposit holdings of £39,525,000 placed through two principal relationship banks; interest earned on Money Market deposits is reported through investment income (Note 6). 

**96** | Sightsavers annual report 2023 



## 18 **Creditors** 

## **Amounts falling due within one year** 

|**Amounts falling due within one year**|||||
|---|---|---|---|---|
||**Group**||**Charity**||
||**2023**|**2022**|**2023**|**2022**|
||**£’000**|**£’000**|**£’000**|**£’000**|
|Bank loans and overdrafts|-|3|-|3|
|Amounts owed to group and associated undertakings<br>Payments received on account for contracts<br>or performance related grants<br>Accruals and deferred income<br>Taxation and social security<br>Other creditors|-<br>10,195<br>1,928<br>708<br>2,635|-<br>18,549<br>1,995<br>752<br>2,472|1,147<br>8,794<br>1,488<br>650<br>1,758|718<br>16,168<br>1,665<br>691<br>1,755|
||**15,466**|**23,771**|**13,837**|**21,000**|



The Charity has a high level of restricted cash balances and may also have associated liabilities due to a number of grants with performance-related conditions. When restricted funds are received in advance on such grants, income is deferred until the performance conditions have been met. 

Sightsavers has agreed a one-year renewable, rolling £5 million standard general purpose overdraft facility with HSBC, which can also be utilised to provide working capital funding for specific contracts with payment in arrears terms, where required. The facility operates via a designated bank account, which held a balance at 31 December 2023 of £598 (2022: £619). The facility is unsecured but repayable on demand. 

## **Movement on deferred income during the year** 

||**Group**||**Charity**||
|---|---|---|---|---|
||**2023**|**2022**|**2023**|**2022**|
||**£’000**|**£’000**|**£’000**|**£’000**|
|Balance brought forward|18,671|15,933|16,290|13,440|
|Received in year<br>Released to income<br>**Balance carried forward**|11,882<br>(20,358)<br>**10,195**|25,965<br>(23,227)<br>**18,671**|9,557<br>(17,053)<br>**8,794**|19,399<br>(16,549)<br>**16,290**|



The balance carried forward on deferred income is split between payments received on account for contracts or performance-related grants and an element from accruals and deferred income. This element comprises funding received in advance for 2024 projects. 

www.sightsavers.org | **97** 



## 19 **Provision for other liabilities** 

The Charity had the following provisions during the year: 

||**Dilapidations**<br>**provisions**<br>**£’000**<br>**End of**<br>**contract/**<br>**service**<br>**benefit**<br>**£’000**<br>**Employee**<br>**benefit**<br>**accrual**<br>**£’000**<br>**Total**<br>**2023**<br>**£’000**<br>**Total**<br>**2022**<br>**£’000**|
|---|---|
|**Group**|At 1 January 2023<br>61<br>922<br>268<br>1,251<br>922<br>Additions<br>261<br>1,221<br>344<br>1,826<br>1,285<br>Utilised<br>-<br>(1,046)<br>(268)<br>(1,314)<br>(929)<br>Reversals<br>-<br>-<br>-<br>-<br>-<br>Foreign exchange<br>translation adjustment<br>-<br>(109)<br>-<br>(109)<br>(27)<br>**At 31 December 2023**<br>**322**<br>**988**<br>**344**<br>**1,654**<br>**n/a**|
||**At 31 December 2022**<br>**61**<br>**922**<br>**268**<br>**n/a**<br>**1,251**|
|**Charity** At 1 January 2023<br>57<br>922<br>263<br>1,242<br>914<br>Additions<br>261<br>1,221<br>332<br>1,814<br>1,280<br>Utilised<br>-<br>(1,046)<br>(263)<br>(1,309)<br>(925)<br>Reversals<br>-<br>-<br>-<br>-<br>-<br>Foreign exchange<br>translation adjustment<br>-<br>(109)<br>-<br>(109)<br>(27)<br>**At 31 December 2023**<br>**318**<br>**988**<br>**332**<br>**1,638**<br>**n/a**<br>**At 31 December 2022**<br>**57**<br>**922**<br>**263**<br>**n/a**<br>**1,242**||
||**At 31 December 2022**<br>**57**<br>**922**<br>**263**<br>**n/a**<br>**1,242**|



## **Dilapidations provision** 

As part of the Charity’s property leasing arrangements, there is an obligation to repair damages during the life of the lease, such as wear and tear. The cost is charged to the SOFA as the obligation arises. The provision is expected to be utilised before 2028, the year the leases terminate. 

## **End of contract/service benefit** 

The Charity provides certain international employees with an end of contract / service benefit. The Charity does not set aside assets to fund the payments and pays the benefits out of cash resources. The amounts provided are paid out as and when required and are ongoing while the employee remains in employment. 

## **Employee benefit accrual** 

The Charity recognises a provision for annual leave accrued by employees as a result of services rendered in the current period, and which employees are entitled to carry forward and use within the next 12 months. The provision is measured at the salary cost payable for the period of absence. 

**98** | Sightsavers annual report 2023 



## 20 **Financial instruments** 

The Charity has certain financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at amortised cost. Certain other financial instruments are held at fair value, with gains and losses being recognised within income and expenditure. 

The Charity has the following financial instruments measured at fair value through the profit and loss: 

|<br>and loss:||||||
|---|---|---|---|---|---|
|||**Group**||**Charity**||
|||**2023**|**2022**|**2023**|**2022**|
|||**£’000**|**£’000**|**£’000**|**£’000**|
|**Financial assets measured at fair**||||||
|**value, through profit and loss**||||||
|Investments||**7,095**|**6,763**|**7,095**|**6,763**|
||**Group 2023**|||**Group**|**2022**|
|||**Gain/**|||**Gain/**|
|**Income**|**Expense**|<br>**(loss)**|**Income**|**Expense**|**(loss)**|
|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|
|**Financial assets measured at fair**||||||
|**value, through profit and loss**||||||
|Investments<br>**137**|**(364)**|**(227)**|**200**|**(463)**|**(263)**|




Aisha, from Nigeria, takes part in an inclusive family planning workshop for people with disabilities. 

www.sightsavers.org | **99** 



## 21 **Statement of funds** 


**----- Start of picture text -----**<br>
2023 Balance  Unrealised  Balance at<br>at 1 Jan  gains/  31 Dec<br>2023  Income  Expenditure  (losses)  Transfers  2023<br>£’000 £’000 £’000 £’000 £’000 £’000<br>General reserve:<br>Free reserve 33,026 43,869 (50,424) 365 3,526 30,362<br>Pension reserve - - 454 (454) - -<br>Designated funds:<br>- - -<br>Future overseas expenditure 1,389 (9) 1,380<br>Fixed assets fund 538 - - - 132 670<br>NTD activities 13,000 - (8,344) - - 4,656<br>Total unrestricted funds 47,953 43,869 (58,314) (89) 3,649 37,068<br>Restricted funds:<br>Donations and legacies:<br>FCDO UK Aid Match - 637 (517) - (120) -<br>People’s Postcode Lottery 292 2,600 (2,714) - (178) -<br>Standard Chartered Bank<br>255 413 (389) - 2 281<br>Seeing is Believing<br>Standard Chartered<br>445 1,129 (1,393) (56) 125<br>Foundation<br>Irish Aid - 1,944 (1,565) - (112) 267<br>Conrad N. Hilton Foundation 1,768 20 (731) - (49) 1,008<br>Dubai Duty Free - 123 (123) - - -<br>UNICEF 82 66 (52) - (30) 66<br>Izumi Foundation - 61 (49) - (12) -<br>GiveWell Recommended<br>-<br>13,778 11,461 (4,135) (594) 20,510<br>Funds<br>Global Institute for Disease<br>-<br>1,224 1,111 (917) (195) 1,223<br>Elimination<br>DAK Foundation 188 134 (173) - (18) 131<br>Cholamandalam<br>Business Services - 612 (486) - 54 180<br>L’Occitane Foundation 36 197 (180) - (10) 43<br>ELMA Foundation 478 - (478) - - -<br>The END Fund - 1,978 (1,501) - (30) 447<br>Task Force for Global Health - 1,260 (1,084) - (28) 148<br>- -<br>Helmsley Charitable Trust 1,740 (133) (14) 1,593<br>Other 1,985 18,230 (16,417) - (893) 2,905<br>Subtotal 20,531 43,716 (33,037) - (2,283) 28,927<br>**----- End of picture text -----**<br>


**100** | Sightsavers annual report 2023 



|**2023**|**Balance**|||**Unrealised**||**Balance at**|
|---|---|---|---|---|---|---|
||**at 1 Jan**|||**gains/**||**31 Dec**|
||**2023**|**Income**|**Expenditure**|**(losses)**|**Transfers**|**2023**|
||**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|
|**Gifts in kind**|-|226,492|(226,492)|-|-|-|
|**Income from**<br>**charitable activities:**<br>FCDO Disability Inclusive<br>Development<br>USAID<br>The Gates Foundation<br>Accelerate partners - Other<br>Helen Keller International<br>RTI International<br>European Commission<br>**Subtotal**<br>**Total restricted funds**|-<br>-<br>-<br>-<br>-<br>-<br>-<br>**-**<br>**20,531 **|5,749<br>1,436<br>1,884<br>14,589<br>(14)<br>-<br>438<br>**24,082**<br> **294,290**|(5,739)<br>(1,259)<br>(1,511)<br>(13,746)<br>-<br>(2)<br>(401)<br>**(22,658)**<br>**(282,187)**|-<br>-<br>-<br>-<br>-<br>-<br>-<br>**-**<br>**-**|(10)<br>(177)<br>(315)<br>(843)<br>14<br>2<br>(37)<br>**(1,366)**<br>**(3,649)**|-<br>-<br>58<br>-<br>-<br>-<br>-<br>**58**<br>**28,985**|
|**Endowment funds:**<br>Mountjoy Trust<br>**Total endowment funds**|214<br>**214**|-<br>-|-<br>-|-<br>-|-<br>-|214<br>**214**|
|**Total funds**|**68,698 **|**338,159**|**(340,501)**|**(89)**||**66,267**|



Saphira (left), her sister Taona and nephew took part in a trachoma prevention and treatment programme in Lilongwe, Malawi. 

www.sightsavers.org | **101** 




**----- Start of picture text -----**<br>
2022 Unrealised  Balance at<br>Balance at 1  gains/ 31 Dec<br>Jan 2022  Income  Expenditure  (losses)  Transfers  2022<br>£’000 £’000 £’000 £’000 £’000 £’000<br>General reserve:<br>Free reserve 32,185 54,648 (47,537) (463) (5,807) 33,026<br>Pension reserve - - 434 (434) - -<br>Designated funds:<br>Future overseas<br>- - -<br>expenditure 1,407 (18) 1,389<br>Fixed assets fund 656 - - - (118) 538<br>- - - -<br>Liquidity reserve 3,000 (3,000)<br>NTD activities 6,500 - (5,569) - 12,069 13,000<br>Total unrestricted funds 43,748 54,648 (52,672) (897) 3,126 47,953<br>Restricted funds:<br>Donations and legacies:<br>FCDO Inclusion Works - 833 (803) - (30) -<br>FCDO UK Aid Match 65 1,439 (1,240) - (264) -<br>People’s Postcode Lottery 3,208 2,500 (4,948) - (468) 292<br>Standard Chartered Bank<br>385 1,210 (834) - (61) 700<br>Seeing is Believing<br>Irish Aid - 1,690 (1,669) - (21) -<br>Fred Hollows Foundation - 15 - - (15) -<br>Conrad N. Hilton<br>80 2,033 (331) - (14) 1,768<br>Foundation<br>Dubai Duty Free - 123 (123) - - -<br>Dubai Cares 184 123 (303) - (4) -<br>UNICEF - 302 (213) - (7) 82<br>Izumi Foundation - 172 (172) - - -<br>GiveWell recommended<br>-<br>10,348 7,057 (3,189) (438) 13,778<br>funds<br>Global Institute for<br>- 1,642 (496) - 78 1,224<br>Disease Elimination<br>DAK Foundation 139 241 (175) - (17) 188<br>Cholamandalam Business<br>66 387 (493) - 40 -<br>Services<br>L’Occitane Foundation 50 171 (186) - 1 36<br>ELMA Foundation 3,494 - (3,016) - - 478<br>Other 3,436 17,791 (18,845) - (397) 1,985<br>Subtotal 21,455 37,729 (37,036) - (1,617) 20,531<br>Gifts in kind - 189,861 (189,861) - - -<br>**----- End of picture text -----**<br>


**102** | Sightsavers annual report 2023 




**----- Start of picture text -----**<br>
2022 Unrealised  Balance at<br>Balance at 1  gains/ 31 Dec<br>Jan 2022  Income  Expenditure  (losses)  Transfers  2022<br>£’000 £’000 £’000 £’000 £’000 £’000<br>Income from<br>charitable activities:<br>FCDO Disability Inclusive  - - -<br>7,587 (7,576) (11)<br>Development<br>FCDO ASCEND - - 1 - (1) -<br>USAID - 931 (885) - (46) -<br>The Gates Foundation - 2,214 (1,925) - (289) -<br>Accelerate Partners –<br>- - -<br>19,857 (18,743) (1,114)<br>other<br>Helen Keller International - 208 (179) - (29) -<br>RTI International - (1) - - 1 -<br>European Commission - 318 (298) - (20) -<br>Subtotal - 31,114 (29,605) - (1,509) -<br>Total restricted funds 21,455 258,704 (256,502) - (3,126) 20,531<br>Endowment funds:<br>Mountjoy Trust 214 - - - - 214<br>Total endowment funds 214 - - - - 214<br>Total funds 65,417 313,352 (309,174) (897) - 68,698<br>**----- End of picture text -----**<br>



**----- Start of picture text -----**<br>
Community volunteer Julius gives trachoma medication to George in Kenya.<br>**----- End of picture text -----**<br>


www.sightsavers.org | **103** 



## **Designated funds** 

The balance on future overseas expenditure represents cash held in overseas programme countries bank accounts at the balance sheet date. These balances will be drawn down within one to two months of the year-end. 

The balance on the fixed-asset fund represents the net book value of tangible fixed assets at the balance sheet date. These are operational assets required for the day-to-day operations of the Charity. 

At the end of 2023, a balance is carried forward under a designation to fulfil certain commitments to financially support ongoing NTD activities, funding expenditures through to 31 December 2025. 

## **Restricted funds** 

The transfer to unrestricted funds of £3,649,000 relates mainly to funds received as part of restricted funding agreements that are provided for Sightsavers indirect costs, principally under our large grants and contracts, including with FCDO. 

## **Endowment funds** 

The Mountjoy Trust is invested and the interest earned is expended specifically for the benefit of the visually deprived, either blind or near blind, in accordance with the terms of the bequest. 

Rose, from Malawi, grows and sells tomatoes to support her daughter to attend a disabilityinclusive learning centre. 


**104** | Sightsavers annual report 2023 



**The principal grant contracts Sightsavers has classified as restricted fund projects in 2023, the majority of which are recognised under charitable activities, are set out here:** 


**----- Start of picture text -----**<br>
Donor name Countries affected Formal contract name<br>Accelerate Partners:<br>The Bill and Melinda  Benin, Botswana,  Accelerate: Trachoma<br>Gates foundation  Burkina Faso, Cameroon,  Elimination Programme<br>Côte d’Ivoire, Ethiopia,<br>Virgin Unite<br>Guinea, Guinea Bissau,<br>Children’s Investment<br>Kenya, Namibia, Nigeria,<br>Fund Foundation<br>Senegal and Zimbabwe<br>ELMA Foundation<br>Anonymous Donor<br>Conrad  N. Hilton  Tanzania Support the national<br>Foundation through  trachoma elimination<br>the International  programme in Tanzania<br>Trachoma Initiative.<br>The Task Force for<br>Global Health, Inc.<br>Development  Cameroon, Liberia,  A Better World (2023-2027)<br>Cooperation and  Senegal and Sierra Leone<br>Africa Division of the<br>Department of Foreign<br>Affairs (“DFA”) Ireland<br>European Commission Zambia Tusambilile Chapamo – Lets<br>Learn Together, developing<br>a Zambian model of low-cost<br>inclusive education that spans<br>early childhood to secondary<br>and vocational education<br>European Commission Uganda Anyin Maber (bright and<br>better future): Enhanced<br>opportunities for employment<br>and employability for youth<br>with disabilities.<br>Foreign,  Bangladesh, Kenya,  Disability Inclusive Development<br>Commonwealth and  Nigeria, Tanzania   – Inclusive Futures<br>Development Office and Nepal<br>Foreign,  Malawi and Uganda Improved access to affordable,<br>Commonwealth and  quality eye care services for<br>Development Office people, with and without<br>disabilities, in Southwest region,<br>Malawi and Karamoja, Uganda<br>**----- End of picture text -----**<br>


www.sightsavers.org | **105** 




**----- Start of picture text -----**<br>
Donor name Countries affected Formal contract name<br>Foreign,  Sightsavers and International<br>Commonwealth and  Disability Alliance: Disability<br>Development Office Capacity Building Programme<br>Component 2<br>Foreign,  Sierra Leone Sierra Leone Secondary Education<br>Commonwealth and  Improvement Programme (SSEIP2)<br>Development Office<br>GiveWell  Cameroon, Nigeria,  Delivering schistosomiasis and soil<br>Recommended Funds Guinea Bissau, Guinea  transmitted helminths MDA in:<br>Conakry and Democratic  DRC, Nigeria, Cameroon, Guinea<br>Republic of Congo Bissau and Guinea Conakry<br>Global Institute for  Cote D’Ivoire, Malawi,  DISSECT – Developing<br>Disease Elimination Mozambique, Ghana innovative scalable solutions to<br>entomology gaps and cross border<br>transmission of onchocerciasis<br>The Leona M.   Zambia  Trachoma Elimination in Zambia<br>& Harry B. Helmsley<br>Charitable Trust<br>USAID through  Tanzania Reaching Children with Quality<br>Integrative Sciences  Eye Care Services in Singida<br>Region, Tanzania<br>FCDO through MSI  Mali, Senegal,  Women’s Integrated Sexual<br>Reproductive Choices Sierra Leone, Niger,  Health (WISH)<br>Democratic Republic of<br>Congo, Chad, Mauritania<br>and Nigeria<br>FCDO through   Ghana Leave No One Behind:<br>Options Consultancy  Mental Health & Disability<br>(MH&D) Ghana<br>Standard Chartered  Pakistan Futuremakers Pakistan<br>Foundation<br>Standard Chartered  Kenya Futuremakers Kenya<br>Foundation<br>Standard Chartered  Bangladesh, Nepal   Futuremakers Bangladesh<br>Foundation and Indonesia<br>The Bill and Melinda  Global 1.  Enhancing the advocacy<br>Gates Foundation capacity of the Uniting to<br>Combat NTDs support centre.<br>2.  Setting and resourcing a new<br>NTD agenda for a decade<br>**----- End of picture text -----**<br>


**106** | Sightsavers annual report 2023 




**----- Start of picture text -----**<br>
Donor name Countries affected Formal contract name<br>The Bill and Melinda  Nigeria Greenlit: Nigeria Oncho/<br>Gates Foundation LF Assessments<br>The ELMA Foundation Nigeria, Liberia, Chad ARISE – To fund mass drug<br>administrations for onchocerciasis<br>and lymphatic filariasis<br>The End Fund Burkina Faso Accelerating Resilient, Innovative<br>and Sustainable Elimination of<br>NTDs, ARISE Phase 2<br>The End Fund Mali Supporting the Mali National<br>Onchocerciasis Program to<br>Conduct Onchocerciasis Mass<br>Drug Administration in Koulikoro<br>and Sikasso, Mali.<br>The End Fund Benin Supporting the Benin National<br>Onchocerciasis Program to<br>process entomological samples<br>The Task Force   Benin Comprehensive Multi-Country<br>for Global Health Field Evaluation of Feasibility<br>and Ease-of-Use Novel<br>Onchocerciasis Diagnostics<br>The Task Force   Mozambique Assessment of the sensitivity,<br>for Global Health specificity, and feasibility<br>of two novel onchocerciasis<br>diagnostics during an<br>onchocerciasis seroprevalence<br>survey in Mozambique<br>University of  Nigeria and Benin Improved Simulium<br>Greenwich – Natural  capture for onchocerciasis<br>Resources Institute elimination surveillance.<br>UNICEF Mali Inclusive education on disability<br>and gender in Primary schools<br>in Mali second phase of the<br>“Education for All Project”<br>UNOPS Zambia Expanding Access to<br>Low-Cost Eyeglasses<br>and Assistive Technology<br>USAID Kenya Global Labour Programme –<br>Inclusive Futures<br>**----- End of picture text -----**<br>


www.sightsavers.org | **107** 



## 22 **Analysis of net assets between funds** 

||||**Net**|**Provision**|||
|---|---|---|---|---|---|---|
||**Tangible**||**current**|**for other**|**Pension**|**Net**|
||**fixed assets**|<br>**Investments**|<br>**assets**|**liability**|**liability**|**assets**|
||**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|**£’000**|
|**2023**|**Unrestricted funds:**||||||
||General<br>-<br>6,881<br>Designated<br>670<br>-<br>Restricted funds<br>-<br>-<br>Endowment funds<br>-<br>214<br>**670**<br>**7,095**||25,135<br>6,036<br>28,985<br>-<br>**60,156**|(1,654)<br>-<br>-<br>-<br>**(1,654)**|-<br>-<br>-<br>-<br>**-**|30,362<br>6,706<br>28,985<br>214<br>**66,267**|
|**2022**|**Unrestricted funds:**<br>General<br>-<br>6,549<br>Designated<br>538<br>-<br>Restricted funds<br>-<br>-<br>Endowment funds<br>-<br>214<br>**538**<br>**6,763**||27,728<br>14,389<br>20,531<br>-<br>**62,648**|(1,251)<br>-<br>-<br>-<br>**(1,251)**|-<br>-<br>-<br>-<br>**-**|33,026<br>14,927<br>20,531<br>214<br>**68,698**|



Total funds / net assets of the Charity for 2023 are £63,648,000, of which £34,747,000 are unrestricted and £28,901,000 restricted funds, and in 2022 £67,031,000, of which £47,755,000 are unrestricted and £19,276,000 restricted funds. 

## 23 **Leasing commitments** 

## **Operating lease obligations** 

Sightsavers is committed to make future minimum lease payments under non-cancellable operating leases of £1,388,000 (2022: £1,305,000). The obligation to make these payments fall due as follows: 

|<br>fall due as follows:||
|---|---|
|**2023**|**2022**|
|**£’000**|**£’000**|
|**Land and buildings**||
|Within 1 year<br>594<br>Within 2-5 years<br>718<br>After 5 years<br>-<br>**Subtotal**<br>**1,312**<br>**Other**<br>Within 1 year<br>20<br>Within 2-5 years<br>56<br>After 5 years<br>-<br>**Subtotal**<br>**76**|751<br>458<br>-<br>**1,209**<br>20<br>76<br>-<br>**96**|
|**Total**<br>**1,388**|**1,305**|



**108** | Sightsavers annual report 2023 



We work with partners in low and middle income countries to eliminate avoidable blindness and promote equal opportunities for people with disabilities www.sightsavers.org 

## **@Sightsavers** 

**Bumpers Way Bumpers Farm Chippenham SN14 6NG UK +44 (0)1444 446 600 info@sightsavers.org** 


Registered charity numbers 207544 and SC038110 

