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2020-12-31-accounts

THE SOCIETY OF FRIENDS OF MVUMI HOSPITAL, DODOMA

ANNUAL REPORT & FINANCIAL STATEMENTS

31 DECEMBER 2020

Charity Number 289820

The Society of Friends of Mvumi Hospital, Dodoma Trustees Annual Report 2020

CONTENTS PAGE
Officers and Professional Advisors 3
Trustees Annual Report 4 – 8
Independent Examiner’s Report to the Trustees 9
Receipts and Payments Accounts 10
Statement of Assets and Liabilities 10
Notes 11 – 13

page 2

The Society of Friends of Mvumi Hospital, Dodoma Trustees Annual Report 2020

Officers and Professional Advisors

Trustees (Officers):

Dr A Barclay (Chairperson) (until AGM 2023) Mrs G Barclay (until AGM 2022) Ms S Bird (until AGM 2021) Mr J Charlton (retired AGM 2020) Mr A Foster (until AGM 2023) Mr D Martin (until AGM 2021) Mr D McEwan (Treasurer) (until AGM 2021) Dr C Wheeler (Secretary) (until AGM 2022)

Principal Address:

5 Finham Green Road Finham Coventry CV3 6EN

Bankers:

CAF Bank 25 Kings Hill Avenue Kings Hill West Malling Kent ME19 4JQ NatWest Bank Oxford Central (D) Branch 43 Cornmarket Street Oxford OX1 3HA

Independent Examiner:

Mr David Blackmore 89 Cromwell Lane Coventry CV4 8AQ

Charity Number: 289820

All three Officers are elected annually at the Annual General Meeting (AGM) by members of the Society. Each Officer is, de facto , a Trustee. All Trustees serve as members of the Executive Committee, for a maximum of 3 years. One third of the Trustees will retire annually at which time they may seek re-election for a further 3-year term at the AGM.

page 3

The Society of Friends of Mvumi Hospital, Dodoma Trustees Annual Report 2020

Governing Document

The Society is governed by its Constitution adopted on 29 May 1984, as amended in 2003 and further revised on 24 September 2016. It is registered with the Charity Commission, registration number 289820.

Membership

Membership of the Society is open to any person over 18 years:

Those interested in the work of the Society but who do not wish to be involved in its administration can become associate members. Associate members pay no subscription but are entitled to receive information such as newsletters and attend meetings of the Society. They are not entitled to vote at such meetings.

Objectives and Activities of the Society

The objects of the Society, as set out in the Constitution, are the advancement of religion, the promotion of health and the relief of poverty and sickness in Tanzania, particularly by supporting the charitable work of Mvumi Hospital.

The Society delivers its charitable aims by supporting the aims and objectives of Mvumi Hospital, which are identified by Mvumi Hospital Management Committee. The hospital Overseas Link Committee (OLC) is made up of the heads of the hospital departments and training schools. It supports the Management Committee by liaising with donors on projects and programmes that the hospital wishes to pursue. The Secretary of the Society works closely with the Chairperson of the OLC to identify ways that the Society can support the hospital. The Executive Committee of the Society uses this information to determine how the Society’s funds are allocated.

The nature and type of support that the Society gives Mvumi Hospital changed in 2008 when Mvumi Hospital was awarded the status of Council Designated Hospital for the newly formed Chamwino Ikulu District. This means that the Tanzanian Government provided extra support for the hospital, and that patients have government subsidised treatment. This came into effect in 2009 when the Government started paying staff salaries and medicine costs.

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The Society of Friends of Mvumi Hospital, Dodoma Trustees Annual Report 2020

Following the construction of a new hospital at nearby Mlowa, it was officially opened at the end of June. At present, it is providing outpatient services only, with no inpatient or maternity delivery services. Thus Mvumi remains the only health facility in the district able to do Caesarean sections, for example, the next nearest hospital is in Dodoma. Several experienced nursing staff (paid by local government) were moved from Mvumi to the new hospital where there is no staff accommodation. The government said that Mvumi Hospital will no longer be a District Designated Hospital receiving substantial government grants and money to buy medicines and supplies. However, there is an existing contract with the government that does not expire till the end of 2021, so the Diocese appealed the decision to withdraw funding. There has not as yet been a response to the appeal. Pending the appeal the hospital is charging all patients the full cost of all medicines and investigations but has not increased other patient fees. The financial constraints have meant the hospital has struggled to pay salaries of locally employed staff. These are now two months behind but that is better than earlier in the year.

Mvumi Institute of Health Sciences (MIHS) was established in 2012. It comprises several departments training:

i. Clinical Officers; ii. Nurses and Midwives; iii. Laboratory Technicians; iv. Pharmaceutical Technicians; v. Technicians in Information Technology; vi. Opticians with the ability to make spectacles; vii. Computing; and viii. Hospital Technicians able to repair and maintain hospital equipment. It is training around 780 students, with a plan to increase to 1000.

There are websites for: DCT Mvumi DDH & IHS www.mvumi-hospital-ihs-wixsite.com MIHS mihs.ac.tz

Despite the change in the status of the hospital, the Society still expect support to be needed for capital projects and staff training. The Society has previously provided sponsorship of students who are training as nurses, midwives, laboratory technicians and clinical officers, but this has now ceased. The Society also supports the further training of staff on the recommendation of the OLC, such as the upgrading of nurses and midwives, training of tutors for the schools, training of technical staff on computer maintenance, and doctors in public health.

This on-going support is regarded as a key element of the long-term aid that the Society provides to Mvumi Hospital. New buildings and equipment are extremely important, but without the resources of staff, the ability to diagnose and treat patients, and the training of staff, the hospital could not function.

A wide variety of capital projects have been financed over the thirty years since 1990. Equipment bought includes beds, generators, ultrasound scanners and a digital X-ray machine. Building projects include a unit for the production of intravenous fluids, the Burkitt hostel for students and the Almond hall for student dining. Renovation work has been carried out on staff houses, rainwater tanks, and hospital wards.

Donations are received from a variety of individuals, churches and other groups. Some provide one-off gifts for specific projects whilst others provide regular, on-going financial support. A newsletter is sent to supporters to inform them of the Society’s activities at least one a year.

page 5

The Society of Friends of Mvumi Hospital, Dodoma Trustees Annual Report 2020

Spending is mainly by grant to Mvumi Hospital or paid directly to third party suppliers for equipment delivered to Mvumi Hospital.

Trustees pay due regard to the guidance issued by the Charity Commission in relation to public benefit in deciding that all activities undertaken by the Society are in line with its charitable objectives and aims.

At the Society’s AGM on 26 September 2020: Mr Charlton retired as Trustee and Chairperson; Mr Foster was appointed Trustee; and Dr Barclay was re-appointed Trustee and appointed Chairperson.

Several Trustees have worked in Mvumi, and have first-hand experience of Mvumi Hospital and Mvumi Mission, in which Mvumi Hospital is located. The Society does not employ any staff. Because of restrictions in international travel, it has not been possible for any visits to be made to Tanzania since April 2020.

The effect of outbreak of Coronavirus (Covid-19) on the Society is currently small. Donations and nongrant expenditure haven’t been affected. The impact on the value of the funds was initially limited to a significant reduction in the value of the fixed assets, which are a long-term investment; however, almost all of this reduction has now been reversed.

As expected, there were requests for financial support from, and for, Mvumi Hospital. A grant of TZS 2 million was made in April 2020 to prepare a Hospital Ward for patients, and a further grant of TZS 1 million was made towards the cost of an Oxygen Concentrator in May 2020.

Financial review

The financial statements have been prepared using the Receipts and Payments basis.

During the year, the Society received £35,651 (2019: £23,795) and spent £15,625 (£27,766).

Receipts

The Society received regular and ad-hoc unrestricted donations of £ 4,797 (2019: £4,497) and £7,188 (£3,658) respectively, on which £2,260 (£1,305) Gift Aid was reclaimed, and one legacy of £5,000 (nil) totalling £19,245 (£9,460). Ad-hoc donations include a grant of £308 from St Martin’s PCC (£400).

Grants of £5,000 and £10,000 were received from The James Knott Family Trust towards the cost of Vehicle Maintenance & Repair and Caesarean Section Operations respectively. Lastly, £825 (plus £206 Gift Aid reclaimed) was received in donations to support students via the Mvumi School of Nursing Revolving Fund. Thus, restricted donations for specific projects totalled £16,031 (2019: £13,650).

Investment income was £375 (2019: £685), comprising £365 (£671) reinvested dividends and £10 (£14) interest. This has been allocated across the relevant funds in relation to the average amount held over the year.

Payments

Payments are mainly in response to requests from the Overseas Link Committee.

page 6

The Society of Friends of Mvumi Hospital, Dodoma Trustees Annual Report 2020

During the year, the Society made grants of £8,194 (2019: £12,239) and £7,087 (£15,161) from the unrestricted and restricted funds respectively. Other expenditure was £344 (£366), all from the unrestricted fund. Total outgo was £15,625 (£27,766). All payments are shown in note 3 to the Financial Statements; significant grants included:

Of the total amount spent in furtherance of the aims of the Society, £11,457 (£15,086) was paid direct to Mvumi Hospital, the Mvumi School of Nursing Revolving Fund, or third party suppliers in Tanzania, £3,824 (£12,314) to third party suppliers in the UK and £344 (£366) for administration in the UK.

Funds

Total funds increased over the year by £18,842 from £32,043 to £50,885 (2019: reduced by £1,239 from £33,282 to £32,043). These comprise:

unrestricted funds of £37,155 (£27,370) restricted funds of £13,617 (£4,673)

Investment of Funds

The NatWest current account is with National Westminster Bank Plc (NWB), registered in England under number 929027.

The CAFCash Account is with CAF Bank Ltd (CBL), registered in England under number 1837656.

It is the Society’s policy to invest funds not immediately required in an interest-bearing CAF Gold Account (with CAF Bank Ltd (CBL)), or in an OEIC.

The Society has an investment in the “FP CAF UK Equity Fund” (B Accumulation) of an Open Ended Investment Company (OEIC) provided by CAF Financial Solutions Limited (CFSL) registered in England under number 2771873. The Authorised Corporate Director at the start of the year was FundRock Partners Limited (FRP) registered in England under number 4162989. On 23 May 2020, however, FRP was replaced by Investment Fund Services Limited (IFSL) registered in England under number 6110770. In consequence, the fund name then changed from “FP CAF UK Equity” to “IFSL CAF UK Equity”.

Each provider is authorised and regulated by the Financial Conduct Authority (FCA) under the Financial Services and Markets Act 2000 (FSMA), and is entered in the Financial Services Register with the following Reference Number: NWB: 121878; CBL: 204451; CFSL: 189450; FRP: 469278; IFSL: 464193.

Around a quarter of the units held in the OEIC were realised towards the end of 2019, to bolster the limited liquid funds held in the bank account. No further realisation has been made.

page 7

The Society of Friends of Mvumi Hospital, Dodoma Trustees Annual Report 2020

Reserves Policy

The Executive Committee believe that it is prudent to hold a reserve of funds to enable it to continue supporting Mvumi Hospital in the event of a significant drop in the Society’s income. Funds which are not committed to specific projects, or invested in fixed assets, are held for existing commitments and at a level of 12 months’ average of other recurrent expenditure; currently, however, there are no such commitments (2019: nil). An additional £500 (2019: £500) is held in respect of other recurrent expenditure. The total reserve needed is therefore £500 (2019: £500).

The unrestricted general fund, excluding fixed assets, at the end of 2020 comprised £18,808 (2019: £8,091).

Whilst the Society’s free reserves target is currently being met, continuing support through regular donations is still vital to sustain the Society’s on-going support of Mvumi Hospital.

Responsibilities of the Trustees

Law applicable to Charities in England and Wales requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the Charity’s financial activities during the year and of its financial position at the end of the year. In preparing financial statements, giving a true and fair view, the Trustees are required to:

The Trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the Charity and which enable them to ensure that the financial statements comply with the Charities Act 2011. The Trustees are also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Signed by order of the Trustees

Dr Andrew Barclay (Chairperson)

Approved by the Trustees on 13 March 2021

page 8

Independent examiner's report on the accounts Report to ¢be trusteesl members of The So¢iety of Friends of Mvumi Hospital. Dodoma On accounts for the year ended 31 December 2020 Charity 289820 Set out on pages IOto13 Respective responsibilities The charitv's trustees are responsible for the prepardtion of the accounts. The of trustees and examiner charity's tn￿¢¢5 consider that an audit is not required for this year under section 144 of the Charities Aci ?01 l (the Charities A¢t) and that an independent examination is needed. It is my responsibility to: examine the accounts under section 145 of the Charities ACL to follow the procedure5 laid down in the general Directions giiwen by the Chants. Commission (under S￿tiOn 145(5)(b) of the Charities ACL alld to state ￿,hether particular matters have come to Tn), attention. Basis of independent Mv examination was ¢arried out in accordance with general Directions given by the examiner's 5taÉetDent Charity Commission. An examination includes a review of lh¢ a￿oUntIng r¢¢ords kept by the charity, and a Comparison of the accounts Prcsented with those rewrds. It also in¢lud¢s ¢onsideration of any unusual items or disclosures in the accounts, and seeking explanaiions from the tn￿leeS con¢eming an￿. such matters. The pro¢edures undertaken do not provide all the ei'idence that would be required in an audiL and consequentl}' no opinion is given as to whether the accounts present a 'true and fair, Vic￿ and the r¢wrt is limited to those matters set out in the statement below. Independent examiner's ]n wnn¢¢tion with my examinatio[4 no matter h&$ come to my attention statement l. which gives me reasonable cause to believe that in. any material respect, the Tequiremenls: to keep accounting records in accordance with section I30 of the Charities Act; and to prepare accounts ￿hleh acci)rd with the accouniing records and comply iih the a¢¢ounting requirements of th¢ Charitie5 Act have not been mec or 2. to which, in my opinion. attention should be draivn in order to ¢nable a proper understanding of the accounts to be reached. Signed: Date: Name: Dai'id Blac Relevant professional qualification(s} or body {rf any): ACIB. FCISI 89 Cromwell tane Coventry CV4 SAQ Address:

RECEIPTS AND PAYMENTS ACCOUNTS THE SOCIETY OF FRIENDS OF MVUMI HOSPITAL, DODOMA FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2020

Receipts and Payments Accounts
RECEIPTS
Voluntary receipts
Planned giving
Other donations
Gift aid recoverable
Legacies
Investment income
Total Receipts
PAYMENTS
Charitable activities
Governance costs
Total Payments
Excess of Receipts over Payments
Transfers Between Funds
Unrealised Gains on Investments
Net movement in funds
Total funds brought forward
Total funds carried forward
Statement of Assets and Liabilities
Cash Funds
CAF Gold Account
CAF Cash Account
NatWest Current Account
Other Monetary Assets
Gift Aid reclaimed but not received
Liabilities
Creditors
NET CURRENT ASSETS
Fixed Asset
OEIC at market value
NET ASSETS		 Notes Unrestricted
Restricted
Total
Total
Fund
Funds
2020
2019
£
£
£
£
4,797
825
5,622
5,397
7,188
15,000
22,188
15,558
2,260
206
2,466
2,155
5,000
-
5,000
-
2
3
4
5
4
4
6
19,245
16,031
35,276
23,110
375
-
375
685
19,620
16,031
35,651
23,795
8,538
7,087
15,625
27,766
-
-
-
-
8,538
7,087
15,625
27,766
11,082
8,944
20,026
(3,971)
-
-
-
-
11,082
8,944
20,026
(3,971)
(1,184)
-
(1,184)
2,732
9,898
8,944
18,842
(1,239)
27,370
4,673
32,043
33,282
37,268
13,617
50,885
32,043
18,733
13,617
32,350
12,700
46
-
46
30
19
-
19
13
18,798
13,617
32,415
12,743
10
10
21
-
-
-
-
18,808
13,617
32,425
12,764
18,460
18,460
19,279
37,268
13,617
50,885
32,043

page 10

RECEIPTS AND PAYMENTS ACCOUNTS THE SOCIETY OF FRIENDS OF MVUMI HOSPITAL, DODOMA FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2020

NOTES

1 Statement of Accounting Policies

Basis of Accounting

The financial statements of the Society have been prepared using the Receipts and Payments basis.

Investments

Investments are stated at mid-market value.

Realised and unrealised gains or losses are disclosed in the Statement of Assets and Liabilities.

Investment Income (ie Dividends) received on Fixed Assets is reinvested.

Investment Income (ie Interest) received on bank accounts is apportioned to individual funds on an average balance basis.

Unrestricted and Restricted Funds

Unrestricted funds are those received or generated that can be used for the general purposes of the charity in furtherance of the general objectives of the charity. Restricted funds represent income contributions which are restricted to a particular purpose, in accordance with the donor's wishes or by the type of appeal the charity has mounted. The Unrestricted Fund is held in Fixed Assets (currently solely an OEIC) and bank accounts. Restricted Funds are held in bank accounts.

Further Analysis of Receipts and Payments Accounts

Notes
2 Investment income
CAF Bank interest
Reinvested dividends on OEIC
3 Charitable activities
Student / Nurse Sponsorship / Support
Staff Upgrading Courses
Generator
Nutrition for Children living with HIV/AIDS
Washing Machine parts
Dedicated Baby Unit / Baby Warmer
Medical Equipment
Guest House renovation
Ultrasound Course
X-Ray Machine Repairs and Preventative Maintenance
Repairs to Labour, Surgical & Children's Wards
Solar lighting for OPD; plumbing parts Medical ward
Hospital Ward Renovation and Oxygen Concentrator
Chaplain
Sewerage Lagoon Cleaning
Hospital Laboratory Renovation
Vehicle Maintenance & Repair
Cleanliness & Infection Control
Caesarean section operations
Stationery and Postage
Trustee insurance
Bank Fees		 Notes Unrestricted
Restricted
Total
Total
Fund
Funds
2020
2019
£
£
£
£
10
-
10
14
365
-
365
671		 Unrestricted
Restricted
Total
Total
Fund
Funds
2020
2019
£
£
£
£
10
-
10
14
365
-
365
671		 Unrestricted
Restricted
Total
Total
Fund
Funds
2020
2019
£
£
£
£
10
-
10
14
365
-
365
671		 Unrestricted
Restricted
Total
Total
Fund
Funds
2020
2019
£
£
£
£
10
-
10
14
365
-
365
671		 Unrestricted
Restricted
Total
Total
Fund
Funds
2020
2019
£
£
£
£
10
-
10
14
365
-
365
671
375 - 375 685
654
59
2,538
346
189
1,128
2,052
708
520
-
284
60		 1,219
1,219
4,488
-
937
-
1,825
-
2,000
654
-
-
3,827
400
459
1,349
2,067
2,067
-
592
592
-
2,538
-
346
-
189
-
1,128
-
2,052
2,193
708
-
136
136
1,411
2,673
3,193
6,020
-
3,350
-
-
-
22
284
284
60
60
8,538 7,087
15,625
27,766

page 11

RECEIPTS AND PAYMENTS ACCOUNTS THE SOCIETY OF FRIENDS OF MVUMI HOSPITAL, DODOMA FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2020

4 Fixed Asset
OEIC with CAF Financial Solutions Limited
Valuation at 1 January
Additions
Realisations
Dividend income retained
Unrealised gain / (loss) on valuation at 31 December
Valuation at 31 December
Historical cost
Towards the end of 2019, part of the OEIC holding
was sold, resulting in a gain of £2,562.		 Notes Unrestricted
Restricted
Fund
Funds
£
£
19,279
-
-
365
(1,184)
18,460
10,001		 Unrestricted
Restricted
Fund
Funds
£
£
19,279
-
-
365
(1,184)
18,460
10,001
Total
Total

2020
2019

£
£
19,279
21,646
-
-
-
(5,770)
365
671
(1,184)
2,732
£
18,460
19,279
10,001
10,001

5 Debtors

Gift Aid reclaimed but not received for 2020 was claimed in December 2020 and received in January 2021. Gift Aid reclaimed but not received for 2019 was claimed in December 2019 and received in January 2020.

page 12

RECEIPTS AND PAYMENTS ACCOUNTS THE SOCIETY OF FRIENDS OF MVUMI HOSPITAL, DODOMA FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2020

6 Summary of Funds

Brought Voluntary Investment
forward
receipts
Income
£
£
£
Unrestricted Funds
General Fund
27,370
19,245
375
Total Unrestricted
27,370
19,245
375
Restricted Funds
188
1,031
-
Generator
671
-
St Martin's PCC
• Medical Equipment
400
-
New Restricted Fund
3,125
-
The James Knott Family Trust
• Hospital Laboratory Renovation
289
-
-
5,000
-
-
10,000
-
Total Restricted
4,673
16,031
-
TOTAL FUNDS
32,043
35,276
375
Assets and liabilities representing each fund
Unrestricted Funds
General Fund
MSNRF (Student / Nurse Sponsorship / Support)
Generator
St Martin's PCC
• Medical Equipment
New Restricted Fund
• Guest House renovation and Ultrasound Course
The James Knott Family Trust
• Hospital Laboratory Renovation
• Caesarean section operations
Total Restricted
TOTAL FUNDS
• Caesarean section operations
MSNRF (Student / Nurse Sponsorship /
Support)
• Guest House renovation and
Ultrasound Course
• Ongoing Vehicle Maintenance		 Brought Voluntary Investment
forward
receipts
Income
£
£
£
27,370
19,245
375		 Brought Voluntary Investment
forward
receipts
Income
£
£
£
27,370
19,245
375		 Brought Voluntary Investment
forward
receipts
Income
£
£
£
27,370
19,245
375		 Brought Voluntary Investment
forward
receipts
Income
£
£
£
27,370
19,245
375		 Payments
£
(8,538)		 Transfers
£		 Transfers
£		 Unrealised
Gain/(Loss)		 Net
movement
£
+9,898		 Carried
forward		 Carried
forward
£
375		 £
(1,184)		 £
37,268
27,370 19,245 375 (8,538) - (1,184) +9,898 37,268
188
671
400
3,125
289
-
-		 1,031
5,000
10,000		 -
-
-
-
-
-
-		 (1,219)
-
(400)
(2,659)
(136)
(2,673)
-		 (188)
-
(400)
(2,659)
(136)
+2,327
+10,000		 -
671
-
466
153
2,327
10,000
4,673 16,031 - (7,087) - - +8,944 13,617
32,043 35,276 375 (15,625) - (1,184) +18,842 50,885
Fixed
Assets
£
18,460
-
18,460		 Cash Funds and
Other Monetary
Assets
£
18,808
-
671
-
466
153
10,000
11,290
30,098		 Current
Liabilities
£
-		 Total
£
37,268
-
671
-
466
153
10,000		 Total
11,290 - 11,290
30,098 - 48,558

page 13