THE BRITAIN-NEPAL OTOLOGY SERVICE TRUSTEES, REPORT AND ACCOUNTS FOR THE PERIOD ENDED 31 DECEMBER 2024 Charlty Reglstratlon No: 800453 Company Reglstration No: 2280073 (England and Wales) THE BRITAIN- NEPAL OTOLOGY SERVICE Company number 2280073/ Charity number 800453 Contents Page: Report of the trustees Report of the independent examiner Statement of financial activities Balance sheet Notes forming part of the financial statements THE BRITAIN- NEPAL OTOLOGY SERVICE Company number 2280073/ Charity number 800453 REPORT OF THE TRUSTEES The Trustees présent their report and accounts for the year ended December 2024 The accounts have been prepared in accordance with the accounting policies set out in note I to the accounts and comply with the memorandum and articles of association, the Companies Act 2006 and the Statement of Recommended Practice, "Accounting and Reporting by Charities" issued in 2015. Structure, governance and management. The Trust is a company limited by guarantee. The Trustees, who are also the directors for the purpose of company law, and who served for the whole year were: Neil Weir OBE MD MA FRCS Robin Youngs MD FRCS Robert Mills MS MPhil FRCS Justin Weir Bsc MD FRCS FRCPath Ruth Capper MD FRCS Angus Waddell FRCS 4J "Ii I Trustees are recruited by invitation to individuals that the existing trustees consider have appropriate qualifications and sympathy with the Trust's objectives. None of the Trustees has any beneficial interest in the company. All Trustees are members of the company and guarantee to contribute £1 in the event of a winding up. The Trust has no organisation outside its Trustees who are responsible for all fundraising and charitable activities. The charity holds sufficient reserves to continue its activities. The registered office is Greensand Cottage, Puttenham Road, Farnham, Surrey, GUIO IHP Objectlves and activltles The Trusys objects are: assisting ENT surgeons in Nepal'to provide expert treatment to those suffering from ear disease who live outside the reach of hospitals in Kathmandu; helping in the training of young Nepali doctors making a career in ENT surgerv. raising funds for medical equipment and to send highly qualified people to take part in ear surgery operating camps until such time as there are sufficient Nepali surgeons to staff the Regional and Zonal hospitals; supporting primary care of ear disease in the Banke Zone, Western Nepal and in future further districts in western Nepal. asslsting wlth fundraising to build and support the BRINOS Ear Care Centre in Nepalgunj, Nepal THE BRITAIN- NEPAL OTOLOGY SERVICE Company number 2280073/ Charity number 800453 Achlevements and performance After three unsuccessful attempts to agree a memorandum of understanding with the BRINOS Ear Health Community Service (BEHCS) the BRINOS trustees reluctantly agreed to break any relationship with BEHCS whilst it was under the present management. There was continued discussion about the relocation of the B.N. Community Ear Care Service (B.N. CECS) as their rented space within the Sidhartha Hospital was being terminated. Considering a surgical base crucial for B.N. CECS'S future financial sustainability, the BRINOS trustees agreed to help develop a new hospital on a floor of a new medical building in central Nepalgunj, following a promising business plan from the B.N. CECS leader. Building commenced in August and was due to be completed within the first quarter of 2025. The plan provides for a two-table operating theatre, a 6- bedded ward, outpatients and audiology. An informal opening ceremony was held on 17 November 2024. B.N. CECS continued throughout the year to conduct free screening camps. A second ear surgery camp, in collaboration with Nepal Netra Jyoti Sang (NNJS), was held in Kalikot District Hospital in April. 56 operations were performed. A severe monsoon delayed the final assessment of these patients until the autumn, but the results were found to be very satisfactory. FINANCIAL OUTCOME FOR THE YEAR A summary of the results for the year and the resources deployed at 31 December 2024 is: 2024 . 11 2023 Income 40,213 23,369 Charitable expenditure 39,788 21,644 Movement in funds 425 1,725 Funds carried forward 66,392 65,967 The charity will continue to raise funds from individual donors and institutions to enable it to pursue its charitable objects. Reserves The charity has sufficient reserves to funds its activities. Public Benefit The Trustees are conscious of the Charity Commission's stance on public benefit and are satisfied that the Charity has carried out its activities during the financial year consistently with its purpose, with due regard to the Charity Commission's public benefit guidance. THE BRITAIN- NEPAL OTOLOGY SERVICE Company number 22800731 Charity number 800453 Risk The Trustees are aware of the risks faced by the Charity and endeavour to deal with those risks appropriately. The main risk is the ability of the Trustees to generate sufficient income to enable the charity to operate in pursuit of its charitable objectives and the Trustees believe that by building up reserves they can mitigate that risk. Trustees, responsibilitles Company law requires the Trustees (who are Directors under Company law) to prepare financial statements for each financial year which give a true and fair view of the state of the affairs of the Charity and of the surplus or deficit for that period. The Trustees have agreed to adopt the Statement of Recommended Practice- Accounting by Charities. In preparing the financial statements, the Trustees are required to: select suitable accounting policies and then apply them consistently, make judgements and estimates that are reasonable and prudent, state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements, and prepare the financial statements on a going concern basis unless it is inappropriate to presume that the charity will continue in business. The Trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financial statements comply with the Companies Act 2006 and the requirements of the Charities Act 2011. They 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. By order of the Board Neil Weir OBE MD MA FRCS Trustee 17 May 2025 THE BRITAIN- NEPAL OTOLOGY SERVICE Company number 22800731 Charity number 800453 Statement of Financial Activitles for the year to 31 December 2024 Incorporating Income and Expenditure account Note 2024 Total 2023 Total Income Donations, grants and other income 2 38,791 22,224 Interest received Total 1,422 40,213 1,045 23,269 Expenditure Charitable expenditure 3 39,788 11,644 Total 39,788 21,644 Net Movement in Funds .425 1,725 Total funds brought forward at I January 2024 65,967 64,242 Total funds carried forward at 31 December 2024 66,392 65,967 All of the above results were derived from continuing activities. The Charity has no recognised gains or losses other than those dealt with in the Statement of Financial Activities. All funds are unrestricted The notes on page 7 form part of these accounts THE BRITAIN- NEPAL OTOLOGY SERVICE Company number 22800731 Charity number 800453 Balance Sheet at 31 December 2024 2024 2023 Note Current Assets Cash at bank 66,392 75,968 Creditors loan from Trustee (10,001) Net Current assets and net assets 66,392 65,967 TOTAL FUNDS 66,392 65,967 st For the year ended 31 December 2024 the charitable company was entitled to exemption from audit under section 477 of the Companies Act 2006. No members have required the charitable company to obtain an audit of its accounts for the year in question in accordance with section 476. The directors acknowledge their responsibility for. i) Ensuring the charitable company keeps accounting records which comply with section 385 of the Act; and ii) Preparing accounts which give a true and fair view of the state of affairs of the charitable company as at the end of its financial year and its profit and loss for the financial year in accordance with section 394 and 395 of the Act, and which comply with the requirements of the Companies Act relating to accounts, so far as applicable to the charitable company. The financial statements were approved by the Board on 17 May 2025 and signed on its behalf by: Neil Weir OBE MD MA FRCS Trustee THE BRITAIN- NEPAL OTOLOGY SERVICE Company number 22800731 Charity number 800453 Notes to the Accounts for the year ended 31 December 2024 l. Accountlng policies A summary of principal accounting policies, all of which have been applied consistently throughout the period, is set out below: Basis of Accounting The financial statements have been prepared under the historical cost convention. The financial statements have been prepared in accordance with the Statement of Recommended Practice Accounting and Reporting by Charities (SORP 2015), applicable accounting standards and the Companies Act 2006. 11. Income Charitable income is recognised on a cash received basis other than where an accruals basis provides a more accurate basis or will give a fairer representation of the underlying nature of the transaction. Income is recognised so far as there is entitlement to the income, there is certainty of its receipt, and the amount is quantifiable. 2. Income Donations /grants from individuals/foundations- £31,391 (2023). £22,324 3. Charitable expenditure All costs relate to direct charitable expenditure. The charity has no employees. No remuneration or expenses is paid to Trustees. 4. Funds All funds are unrestricted 5. Status The Britain-Nepal Otology Service is a registered charity constituted as a Company limited by guarantee It does not have share capital. The liability of each member is limited to £1. 6. Capital Commltments The Trustees are not aware of any capital commitments. 7. Contingent Llabilitles The Trustees are not aware of any contingent liabilities.