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2025-04-05-accounts

World Orthopaedic Concern UK

Chairman’s Report: June 2025 – June 2026

As we advance further into the post-pandemic era, World Orthopaedic Concern UK (WOCUK) has transitioned from merely consolidating our return to in-person activities to actively driving strategic global health partnerships and fostering the next generation of orthopaedic leaders. This past year has been defined by a renewed vigor in global collaboration, marked by competitive educational accolades, thriving trainee involvement, and a deepening relationship with our national specialist societies.

Advancing Trainee Leadership and Educational Exchange

A core pillar of WOCUK’s mission remains our commitment to supporting upcoming orthopaedic surgeons through targeted bursaries and travel grants. Our collaboration with the British Orthopaedic Trainees Association (BOTA), coordinated seamlessly via our joint trainee sub-committee, continues to expose exceptional trainees to the realities and structural challenges of Orthopaedics and Trauma in low- and middleincome countries (LMICs).

This year, our joint selection process underscored the incredible global appetite for research and clinical exchange. I am delighted to highlight the 2025 WOC-UK Trainee BOA Travelling Fellowship , which attracted an exceptionally competitive pool of international applicants. The award was presented to Dr. Elodie Gloria Ewolo Sike from Cameroon for her outstanding prospective comparative study:

“Modified Masquelet Technique for Infected Segmental Long Bone Defects in a LowResource Setting of Sub-Saharan Africa: A Prospective Comparative Study from Cameroon.”

This fellowship funds Dr. Sike's travel, visa, and accommodation to attend and present her vital research at the British Orthopaedic Association (BOA) Annual Congress in Liverpool. To maximize the clinical value of this fellowship, WOCUK has facilitated a clinical observership for Dr. Sike at the Leicester Royal Infirmary. This initiative bridges the gap between scientific presentation and practical, cross-border clinical exchange, enriching both our host institutions in the UK and our partner sites in Sub-Saharan Africa.

National Congresses and Strategic Partnerships

WOCUK has maintained a formidable presence across major national orthopaedic milestones over the preceding months. Our engagement at the BOA Annual Congress in Liverpool provided a vital forum for global health advocacy, drawing excellent attendance to our dedicated WOC sessions and driving recruitment for our global health ambassador cohorts.

WOC-UK has consolidated partnerships with other subspecialty organisations in an attempt to coordinate the governance of global outreach programmes. Our partners

in this venture are the BSSH, BOFAS, BOOS, BSCOS, BHS, BOTA and BOMFA. We are proud to be organising the first Principles of Orthopaedic care in Low and Middle income environments in June, ahead of our annual conference on the theme: Stronger Together .

Concurrently, our efforts to formalize a unified Global Health Orthopaedic Strategy in tandem with the BOA are progressing. While navigating the bureaucratic complexities inherent to large-scale institutional frameworks takes time, we remain resolute in establishing a cohesive national strategy to align specialist societies, streamline clinical educational delivery, and eliminate the fragmentation or duplication of UK-led overseas aid efforts.

Looking Ahead

As we reflect on the challenges of the past year—ranging from strict international visa and administrative bottlenecks faced by our overseas fellows to global financial and geopolitical uncertainties—the resilience of our network remains our greatest asset. The appetite for specialized programs in LMICs, specifically in sub-specialties like Musculoskeletal Oncology, Hand Surgery, and Arthroplasty, is growing exponentially.

WOCUK is uniquely positioned to act as the conduit for this knowledge exchange. Through the continued stewardship of our committee, our robust partnerships with BOTA and the BOA, and the inspiring dedication of our global fellows, we look forward to expanding our impact, refining our remote educational frameworks, and championing equitable orthopaedic care worldwide.

Ashtin Doorgakant Chairman, World Orthopaedic Concern UK

World orthopaedicc0D￿rD Charity Registratton Number291881 Income and Expenditu￿ Accovnt For the year endedos April 2025

World Orthopaedlcconoin Legal and Administrati￿ Infowmation Forthe year ended05 April 2025 charity name World Orthopaethc Concem Charity registration number 291881 Trustees and Olfice Chairpers(YL Ashty"n Doorgakant Pas1 Chairpers￿. Deepa 805e VI￿ Chair:AlwynAbraham Secretary. Ros Tucker Treasurer. Arnershoaib Researth Rep:Simcffj Graham BOTA-WC£ Rep￿senta￿ve. Alio Campi Prlncipal oflltr address IS Chapd L3ne Leicesler LE2 3WF Web5il www.wocuk.c¥g Independert Exarniner Streets Halifax House 30 George Street Hull East Yorkshire HUI a4J

World Orthopaedlcconoin Chairman's Report Forthe year ended05 April 2025 World orthopaedicconcein UK {WOC.iM)Annual Report 2025 Introd￿ti0Th Chalrman's Report: June 2025 A5 we advan￿ further intothe post-panderr•c era. Woddorthopaethconcem UK IWOCUKI ha5 transitior￿d from merety cons011dats￿ our return to In-pe￿A￿ activitie5 to actively driving strategic globa health partnerships and f05terirE the next generati￿ of orthopae(Sc leadeTr This past year has been defi￿1 by a renewed vigor in globa collaborati￿, marked by competikn.ve educationa accolades thrivirgtrainee Involve￿￿ and a deepenir£ relationth"p with our nationa specialist societie& Advanclng Tralnee Leader5hlp and Educatlonal Exchange A core pill¥of WOCUK'S mission remains our commitmentto supportirg Upcomi￿ orthopaedic surgeons through targeted bursaries and travd grants. Our collaboralicn with the 8riilsh Orthopaed¢ Tralnees Associati(n180TAI, coordinated seamles via our joint trainee sub-committee, continues to exp￿￿ excepticrfla trainees to the realiles and Siructural challery of Orthopaedtts and Traurna in low- and middle-IrKLYTE countnes ILMIC51. Thi5 year. our joint selerti￿ Pro￿5$ undersc0￿d the increditrAe Eloba appetite for researth and clinlca exchange. l am delighted to highlitytthe 2025 WOC-UK Trainee BOA Travelllng Fellowsl), whith attrarted an exceptionalty competibve pod of internati(ma applicants. The award was presentedto Dr. Elodie Gloria Ewolo 5ike from Camerocn forher outstandirE prospectNe comparative study.. "Modiffftl Mosquelet Techniqueforlnferted SegmentolLong BoneDefects in o Low-Res0u￿e Setting of Sub-sohomn Arr￿0.. A prospecti￿ ComporothStutyfrom Ct7meroon." This fellowslw"p lunds Dr. Sike¥ travel. vis4 and accommodatic¢) to atterKI and present hervita re5earth al the British Orthopaeic Assoclaticn180AI Annua Congress In Llverpoc4. To maximlie ihe clinlca value of this fellowship. WOCUK has facilitated a clinica observershp for Dr. Sike al the Leicester Royal Infirmary. This Initia￿ bridges the gap belween scientific presenlatron and pracllcal. cr055-border clinica exchange, enrithirE both our host in5litutl(￿ in ihe UK and our partner 51te5 in Sub-sahar￿Afnc& National Congressesand Strategic Partnetshlps WOCUK has maintained a formidaAe preserKe across major nationa orthopaed'c milestones overthe preceding month& Ourengagement at the BOAAnnual Congress in Liverpo(4 provided a vita forum forgloba health advocaLry,drawirE eXcel1entattendan￿ to ourdedicated WOC sessiL￿and driving recruitment lor otsr globa health ambassad￿ Cohorts. WOC-UK has consolidaed partnershipswlth othersubspeuaty organisaticns in an attemptto coordinate the governan￿ of globa outreach programmes. Our partners In this venture are the BSSH. BOFAS 800S, 85COS. 8HS. BOTA and BOMFA.We are proudto be Organisi￿1hefirsl Princlples of orthopaedic eare In Low and Middle Incoffe environments In June, ahead of our annua confererKe on ihe iheme.. 5tTonger Together. Concurrentty, our effortsto formall￿ a unified Globa Health Orthopaedicstrategy In tandem with the BOA are progressirg while navigalirg the bureaucratic complexitses Inherent to large-scae Ir15titutiond frarnewoths take5time. we remain resolute In e5tab115FNrga cohe5Ne nationa strategy to align specialist societies Streamli￿ clinica educatio￿4 delivery. and elimine the fragmentatic or duplication of UK-led oversea5 aid effort&

LookSTrg Ahead As we reflecton the challerys of the past year-rangingfrom strict internati￿￿ visa and administrative bottlenecks f aced by our overseas fello￿5 to globa financia and geopolitica uncertaint"es-the resilien￿ of our network remains our greatest asset The appetrte for specialized programs In LMICS, specificaly In stsb-specialt.es like Musculoskeleta Oncology. Hand Surgery, and Arthroplasty. is growing exponentiaty. WOCUK Is uniquely positicwl to act as the conduit forthis knowle(e exchange. Through the continued stewardshp of our commitlee. our robust partnerships with BOTA and the 80A. and ihe Inspiri￿ dedicatic￿ of our globa fello•￿ we Iot forward to eypaDdir£ our impacl refiningour remote educationa framework% and charnpionir¥ eqult*e orthopaeclc care worldwide. Ashtin Doofgakant Chairm(￿ Wortd Orthopoedr Concem UK 03 ju￿ 2026

World OrthopaedlcConoTn Independert Examlners Report For Ihe year ended05 April 2025 Independert examinerfs report to the t￿￿tee$ ofworld orthop*dicConcem I reportto the trustee5 on my eXaminats"¢￿ of the account5 of Wodd Orthopae(k Concem for the year to 05 April 2025. Re5pon55bllllles and basls of report A5 the charitytru5tees you are responsit4e forthe Preparati￿ of the accounls In accordance wlth the requlrements of the Charltles Art 2011 1.the ACYI. I report in re5ped of my examinati(n of the Tru5Ys accounts carried out under secticn 145 of the 2011 Acl and in carryingoul my exarninaticfj I have fo11Th￿ all the applicaiAe Directi(rs given by the Charity CoMmissiL￿ under secticn 14515llbl of the Act. Independert examinerfs statement I have completed my examinaticn. I confimi that no materia matters have come to my attention In connertI￿ with the examinat￿&1¥1￿ me cause to believethat In any materia respert. Accountlryd records were not kept In resped of the Tnlsl as required by Secti￿ 130 ot the Act: or The account5 do not accord with those record5. I have no concerns and have come across no matters in connertI￿ with the examinati￿ to whith attenticn should be drawn in the report in order to enatle a proper understandirE of the accounts to be reached. Appro￿d- 03 ju￿ 2026 Andrewmanderfleld FCA STREETS Halifay House 30 George Street HULL

HUI 3AJ World Orthopaedlcconcern Income and Expendilure Account Foi the year ended05 Aprll 2025 2025 2024 Intome Subsuipticfis 2Q416 10.3E6 Interest L757 2.032 Donation5 and Gift Aid Transfer from Previcus Flyspe Account 10.625 43.737 Total Income 73.310 23.023 Proied Costs Flyspec Medica Equipment 61.9)3 8,869 Travel 8ursary &036 10,6Y) Donation5 Out Accountancy- previ￿5 periods Accountancy- current pericxl Bank charges i(x) 10) L152 27 Futu￿ Leadevs Program Advert151Thd 3.720 737 Total Expendlture 75.878 27.332 Galn/lL05s1 on Investments 16 2.020 Net 5urplusl{Deflck) 12.552) 12.2891

World Orthopaedic Concern Income and Expenditu￿ Account For ihe year ended 05 Aprll 2025 2025 2024 Open1￿ Assets 14L432 143.721 Net Surplusl(Defldtl -2.552 -2.289 clos5￿ Assels 138.880 141,432 Asset Positi( Balances 05 Current Account 21559 2&655 Treasury Accounts 17, io, COIF 16 62,962 Bristd Bahir Dar FIy5pec Account Less- Accrua15 14,403 24,&M I2,￿3 26,540 -1,080 L736 Total Balan￿5 141.432 -2,552 £ 138.880 I herety approbE the accounts A Abraham Treasurer

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Signed by Alwyn Abraham using authentication code WVlibEE+eVpRQ0s5 at IP address 217.42.83.118, on 2026/06/08 12:49:04 Z.

Alwyn Abraham's e-mail address is: wocukoffice@gmail.com.

J Streets. Mr AAbrah8m Worldorthopaedic Concem UK 77 Ecton Aver Macclesf ield cheshire SKIO IRA 07 Jur 2026 Dear Mr Abrahaffl Thi5 representatsc￿ letter 15 Pfovickd in Connecti￿ with your indepernJ2nt examination of the financi statements of the charityfor the penc<l ended 05 Apnl 2025. We conf im that the followrE representaticrs are made to the best of our knowle(Èe and belief. havir made appropriate enquines of other trustee% management and staff with relevJrt knowlece and experieme and, where appropriate. Inspecticn of documentaticn sufficient to sat15fy oursel4Es that we tan properly make each of the followrg representatiL¥ts to you- That as a condiii(m of exerc191B the opllCYI to exenv the charity from audit for the perlcyj we are reqUI￿d to make certain statements In the accounts. We recognise that ivhilst we have recei￿ your advio beforp Mak1￿ such statements this Is ultimately the responsibilityof the trustee& AccordinOy we confirm that: o. all membev5 are aware that th￿ may reque5tan audiL but norp have made such a request forthe currentyear; and we are satisfied that the charity isentitled to exempt"(Y) from audltfor the year. and c. we are aware of our obligaticn to keep properaccountirE records and to ensure that accounts are prepared whith Bive a true and fair view of the charity's results and its State of aff air& We acknowle our responsibilibes as for preparitythe financia statements in accordance with the applica1￿e reportire framewort that gi￿ a true and fair view and for makirg accurate representaticnsto you as indepermknt examiner, as set out in the terms of the engagement We confinn thal all accountlrya records have been made availat4e to you for the purpose of your ndepenrknt examinaknon and all the transartiors undertaken by the tharity have been properly reflerted and recorded in the èccountir% records. All other records and ￿lated Informaticn, Including minute5 of all managemert trustee and member rneetir￿. have been made availat4e to you. We have given you unrestricted access to persons with"n the chanty and have provided any addition information that you have requested for the purposes of your Indepe￿Ient examination. Thefinancial statements are free from matena misstatements indud1￿ omissicn& We confim that all knovm actual or possiLle litigatbc¢) and daiff6 whose effeds should be considered when prepariry the financial stalements have been disclosed to you and accounted for and disclosed in accordance with the applicaLle financia reportire framework We further confim) that the charity had no otherliabilibes or conlin8ent Iiabililiesotherthan those disclosed In the financia statement& -.i 01489 2953•9 /conllnLd overleaf..,..,...........

Page 2 We confim that there have been no events Sin￿ the balan￿ sheet date whith require disclosing or whith would materialty aff ed the amounts In the accounts, other than th0￿ alreaity disclosed or Included In the financ￿ statementk We confimi that the charity has had, at no tlff durlr the year, any arrangemert transactlon or agreement to provi( credit faalits.es linclut"rE advances and credits granted by the charltyl for directors/trustee% nor to provith guarantees of any kintl indudirg providirE security for such matters exce0 as disdosed in the financia statement& We confinn that we have disclosed to you the identty of the charity's related parties and all related party relationships and transactions of whith we are aware and they have been appropriately accounted for and disc105ed in the f inancia statements in accordance with the applicable financi reporting framework We confimi that we are not aware of any further related party matlers that require disclosure. We confim that we are aware that a related party of the charity Is a perso) or organlsaticn whith either Idlrecty or Indirectyl control% ha5 a joint conlrol of. or significan￿Y InfluerKe5 the charity or vlo versa and as a resuh will Incluth: trustees other key managemenL dose family and other busine55 interests of these. We confirm that we are aware that c105e farnity are ih05e family rnernber5 who may be experted to InfluerKP, or be influerKpd by, that PersC￿ and include.. that person's children and spouse or domestic partner; children of that person's Spouse or domestic partner: and dependants of that person or that person's spouse or domestic partner. We eonfim that the charity has not contracted fof any capital expendtbJE other than as disclosed in the financia statement We confimi that we are not aware of possiue or actual Instances of non-compl1￿ wlth those laws OT Tegulaticns whith provide a leea framewo￿ wiihn whith the charity conducts It5 business and whith are central to the charitys abiltty to conduct Its busines5 and the charity has complied with all aspect5 of contraclual agreements thal could have a materia effett on the financia Statements In the eventof non-c0mp1ia￿e. 10. We acknowledge our responsibilty for the desi￿. implement-c) and maintenatKe of intern controls to prevent and detett fraud. We confirm that we have disc105ed to you the results of our own risk assessmentthat the financh4 statements may be Material￿ misstated as a resultof fraud. 11. We confimi that there have been no actual or suspected instances of fraud. or other irregularits"e nvolving trustees management or emplo￿ who have a Signific￿ role In interna control. or Othe￿ where the fraud, or other Irregularty, Could have a materia effed on the financia Siaternents, other than as has alrea(ty been disc105ed to you. We further confitm ihal we have disclosed lo you our knowle of any allegaticv)s of fraud, or suspected fraud. or other Irregularibes affectire the entity¥ financia statements communicated by former trustees employw fomier employees. analyst% regulato￿ or other 12. We confirm that in our opinic￿. havirE considered our expectati￿6 and intention5 for the next twe￿ months and the availabilty of vnrestricted reserves the charity's financia Statements should be prepared on the going concern basi& We confirm that the disclosures in the financia statemer are an accurate reflects¢J) of our plans and the reasons for our confirmatic#) of the charity's ability to continue tradin& 13. We confirm Ihal s18nific assumpt1￿6 used by us In makir8 accouniir8 e5tlmales. Indudlr8 ihose measured al fair value. are reasonable.

Page 3 14. We confimi that all grants, donations and other incorne. indudire those subject to specia terms or tondiiions or reCei￿d for restricted purposs have been notified to you and distlosed In the finanti statemen1% There have been no breaches of iernis or condit1¢>￿ durlr8 the perlod regardirg the applicati￿ of such Income. 15. We confirm that we are not aware of any matters of materia significaKE that should be reported to the charity Commissic 16. We confinn that there have been no changes in the accountire policies other than those disclosed in the financia statement& In our Opinic￿ the accountirvd policies are appropriate to the charity and conform with generalty accepied accountirE principle> We confirm that all transactior6 and balances have been accounted for in accordance with these accountire policies. 17. Weconlim that all assets have been indU￿1n the balan￿ sheet 18. We conflrn thal all assets indu(kd In the balano sheet exist 19. We confirn that the charity OWDS all ihe assets indu(kd In the balaDo 5heeL unle55 oiherwi5e Stated in the account5. 20. We confim that the cost. (or value). of all the assets in the balan￿ sheetare faidy stated. 21. We confinn that depreciat"c*) has been provithd on all fixed assets with a limited economic lffe In accordance with the stated accountirg poliry. In our opinicn the rates of depreciats.on are reasonable. 22. We conflrn that all liabilitles have been fulty recorded In the balano sheet 23. We confim that all Iiabilitles recorded in the balano sheet are property those of the charlty. 24. We confirm that 911 liabilits"e5 have been recorded at a fairvalue. 25. We confirm that the￿ ha5 been no nettiry off of assets and liabilitie5. 26. We confirm that all incorro has been fulty recorded and correctW classified. Yoursfaithfdty Andrewmanderfield Partner forstreets ARW0709921ic/afvi Signed by:" Mr AAbraham On behaf of the Board ofTrnstees ofworld Orthopaeth"c Concem UK

Date..

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Signature 1

Signed by Alwyn Abraham using authentication code WVlibEE+eVpRQ0s5 at IP address 217.42.83.118, on 2026/06/08 12:49:19 Z.

Alwyn Abraham's e-mail address is: wocukoffice@gmail.com.