2022-12-31-accounts

APPENDIX 1 oscr Period start dale Mr￿1h Y8ar Period end dale Month 03 Y881 From 01 To 31 2022 offi￿ of the Scottish Charity Regulator Reference and administration details Charity name other names charity is known by Registered eharity number Charity's principal address Children's Medical Care Malawi SC040448 11 Whytehtyjse Avenue Kirkcahjy Postcode KYI 1UW Names of the charity trustees on date of approval of Trustees. Annual Report Trustee name Office Irf any) not for whole lor body) entitled to app￿nt trustee {rf any) Chair Trustee Seeretsry Equal oPp￿tUni￿es Officer Treasurer 10 11 12 13 14 15 16 17 18 19 20

APPENDIX 1 Reference and administration details Name5 of all other charity trustee5 during the period. if any. (for example. those who resigned part way through the financial period) Structure, governance and management Type of governing document The thartty began as an uninC(K￿raIed asswation govemed by a ¢c￿StrtUkn.0n adopted on 1211112008. The asSociat￿n became a registered Scottish chartty on 2810412009. The charty became a Scotb'sh Charitable lnccfj￿ted AsS￿lat￿n in March 2014. The aS￿lab"On consists of members elect the management CC￿Mrttee [￿ also become the trustees) at the annual general meeting. The chartty is not affiliated to any olher bcmjy. Trustee recruitment and appointment The tsijstees are aFpointed by members ofthe association at the annual general meeting. The trustees also fom the management committee of the association. Roles within the management committee are agreed by vote at the annual general meeting. Objectives and activities Charitable purposes The charrtable purtM)ses of the aSS￿labon are: The advancement of health of the children of Malawi The advancement of educatM)n and clinical skills of Malawian healthcare workers The SaV￿g ￿ lives of Malawian children endangered by illness or injury Summary of the main activities in relation to these objects

APPENDIX 1 Achievements and performance Summary of the main achievements of the charity during the financial period This focused on the completion of the 3wd and final year of the Corra Foundation (Scottish Government) Small Grants Program, which ended in April 2022. The 'ETAT- Changu Pamakn. Malawi project was lo SUPFM)rt the up-skilling of tsjt￿ in c￿der for them to provide essential paediatn"c emergency care IETAT- Emergency Triage Assessment and Treatment) to nursing students. in addition to the ongoing training for clinical officer and medical a55￿tant students. Training the trainers: Following disruption due to the pandemic, we ran further TOTlrefresher training in July 2021 training 45 tutors. including 22 new tutor5 from Malamulo, Blantyre and Lilongwe114 new tutors from Malamulo, 5 from antyre and 3 from LilongNe) In total. 53 new tutors were trained auoss 3 years of projec( building AT teaching eapacty at all four campuses. An end of proiect target was to improve kye-service ￿AT training. And so an AST ￿Urse was estsblished which improved clinical skills and simulation training in all instructors as assessed by exlemal monitors and in post-course sknlls assessment. This AST course was designed and ready for delivery in March 2020 when the pandemic hit. 2 AST courses were run at MCHS Lik)ngNe and Malamulo College in July 2021. These ¢￿TSeS aL80 served as modffied Iraining of trainers" courses new ttrtors. In totsl, 45 tutors from 3 campuses parb'cipated in the AST courses, including 22 new tuIc￿.

Training future nurses: We were able to complete 5 nursing courses between May 2021 and the completion of the proiect. This included one course in Malamulo151 students), ￿ I￿nI nurSIn￿cCm courses in Blantyre136 nursing students), one community nursing course in LilorKJwe {16 students) and nalty one cwrse in Zomba174 students). Despite delays and d￿llenge$ due to industrial action, the pandemic and severe flooding, we were able to deliver 7 nursing ETAT courses, training 295 nursing stthlents, over Ihree years. Training Medical sthdents: Theie was an identtfied local need to urgenljy train a group of clinical medicine students (Diplcrfna of Clinical Medicine IDCMI, and Certificate of Clinical Medicine, CCMI, pnmanty a larger than usual clinical year group at Malamulo College. These s￿dentS were due to graduate in late 20201earty 2021 having missed key clinical attachments due to the pandemic. In the absence of this din￿al experience. simulatson prc*Jrammes such as our ETAT prc#Jramme assume even greater importance. As we adapted to thi5 cOmp￿X situatiC￿ and considered local priorities we delwered 15 ETAT courses for these dinical medicine students, training 703 students in 2021. In total. in three years we have provided 998 healthwe sludents with the skills to save lives. Additional fundraising: Donation to Kamuzu Central Hospital IKCHkAnaesthesia Department of £3000 to pay f(x training for 2 sludents to train as anaesthetic clinical officers as part of a programme to improve Ihe anaesthetic care of children at KCH. Financial review Brief statement of the charity's policy on reserves &'nce our njnning costs are bw the current reserve of £100 appears to be adequate. If our running costs increase this reserve amount wll be reviewed by a special meeting of the management committee, called by the treasurer. to consider other contingerw costs

Details of any deficit None We were overspent in Year 3 of our CoTra Foundation Iscotbsh Govemmentl Intematicnal funded by £10.858. This was primarily due to catch up actWit￿5 in Year 3. following curtailment of actlvrties and subsequent underspend of £8630 in Year 2. However. a number of costs in Malaw did signifioanty increase in wrth the impact of the pandemic and other factors_ Donated facilities and services Irf any) Cost5 of 'AEbsile hosting are rnet as a personal donation in kind by Dr (Trusteel. complete5 the accounts at no acts as Ir￿ependent examiner of our accounts cost. at no cost. APPENDIX 1 other optional information Declaration The trustees declare that they have approved the trustees. report above. Signed on behalf of the charity's Irustees Signaturels)

Full name(

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Position (e.g. Chair) Date	Chairperson
	30/12/22

4

osc SC040448 Receipts and payments accounts Fortho sxrlo(J from to oi ApTII 2021 31 March 2022 Section A Statement of receipts and payments Unrestricted lunds Expendable Portnanent vDdowment funds fund6 Total funds turi&At p8ilod funds perlod A1 R•cFi 266 4,558 Grants 21,10D 21,100 20,700 Receipts from fundHigng ad1vil￿S Gro$$tr8ding receipts Incone frcth Inves￿ents otherlhan land buildings RenLS from13nd & buildin95 G￿5S re￿Ipts from othèr¢￿1tAfr attivrtios tot8 21,100 2S.258 A2 Receipts from asst & investrnent Sale Proceed5 frotn sale ol 8sseis Pr£￿￿5 from sa5& of Inveslmenis ub tota Totalrecwpts 266 21.100 21,366 25.258 A3 Payment8 Expenses for lundreL51ng activts85 Monthly bank ¥￿ThI fetr Scotland Malaw Partnership mèmb8r Foreign exchange pa￿￿tS Investment management costs PaymeTrls rdthng direGlly lo ch¥nt8We 8ttivities Grants and don3lN?nS 216 216 360 69 75 7S 75 100 l(M) 3.000 31.600 34,6D) 15,750 Governance wdi$' ALYIII I Independeni ex8minaii( Preparation of annual a(thufjls Ley&l wsls Cxhor A3 Sub total 3.487 31,fOO 3S,067 16,294 A4 Ptymènts r&laUng to asset and invè6tment movornon Purchases ol fixed assets Purc*aseof Invesimènls A4 Sub t0181 Totsip8yments 3.487 31,600 35,087 16,294 266 21,100 21,366 8,964 AS Tran8for8 to I Ifroml fuThds sU￿U31(defititJ foryear 3,221 13,721

SC040448 Section B Ststement of balan¢es untesthd¢d fvnds tidèwmprt nd TO1￿ 1411 P•rto pwlo B1 ¢•sh furnds ¢th bank astatofy•ar nurest£ 21.096 21,09D Swplusl Ideficitl rec•ipi¥ Inenls4ccounl 113.7x1 CA$h and balin￿5 at•nd of yur 7.375 7.375 21.09$ nllill B2 Inve5tm•rrt8 ltswr•s¢£ TDt41 lon•aKilE 63 Other assets Tth Fun¢tvwNChl￿￿Uty￿lI •ty••t Tthl ltqlityrn Amrunt￿e i >• B5 Contlngert118¢MlIt￿s Total Slgmd byc￿¢Tt￿¢>trUl1YV¥ be￿IlOt￿lI thbtruste Prin N•Ell• OAteof 4ppro¥41 PrIc￿Alrn Ivalk ¢41,,1i CmCUAcLYxffl￿ar1-*￿St￿1￿r￿l ol D•cthr2m7

APPENDLK 2 SC040448 Section C Notes to the Accounts Cl Nature and purpose ol funds (may b8 stated on analysis of funds worksh88Is) 111 Scollish Govefflment International Developtnenl Stnall Grants Progratnme I￿naMed Corra Foundalionl 9rant awarded for'ETAT- Changu Pamalo, Malawi project 10 support the upskilling to luiors In order for them lo provide essential p8ediairic emergeftcy cate IETAT- Emergency Triage Assessment and Treaimenll to nursing sluden15. in addilian to the ongoing training for dinical officer and medical assissiant students. Three year project siarhNJ 2019.121 Donation 10 K8muzu Centr81 H05pilal IKCHI-Afjaeslhe513 Departrnenl lo pay for training for 2 students lo train 8s anaeslhelic dinKal off￿er5 as part of 8 programme lo irnprove the anaesiheiic Care of children al KCH. Numbqr of granti C2 Grants ETAT. Chan u Pamab, ro'ect Iresthcied fund KCHAnaeslheya Department lunrestncled fund 31.600 3.000 Totsl 3<800 C33 Trustee ￿mUneratIOn If no remuneration was paid during the tEriod lo any charitytru$tee or person conn8Cted lo Iruslee cross this box lolherwi5e com￿ete section 3bl C3b Trustee remuneratlon . detslls C4a Trnstee expenses If no expense5 We￿ paiil tg any charity Iruslee duriNJ the period then cross this box IDihenMse complet& section 4bl IW6tO06 C4b Trugtee expen8e8 - details Trnn8i¢lon amountlEI outslanding at C6 Transactioit5 Wlth trustees and connected persons ¢6 Other Infom)8Uon CMCM A¢¢(MJnts2021- 22 1 Notes Decemw 2D07

SC040448 2.7¢1 174 DDr4bcfjviJ 21.tth) ,IL¥J .1 CHSET*7(Ch￿vu￿m￿U)2(vwtsl PKH8eTAT lChbwuP4￿￿)l11lKl

IPPEN￿X2 SC040448 Addltlonal analysls121 5 BreakdowTrof ￿Trr•str￿d fund¥ Totsl Ttsw fvnd• noi latt wrLod R¢¢•PIS DortaliDft& 4.SS8 Legacies Giants Gross ITadingr8coitKs 1noxyllètr￿fft iftvÉsim&Triso1nerthan land￿￿ building¥ GfOS$faC41w¥fvtynoth¢rth&irtÉblai¥LlIQS Sub tot¥1 266 Pri)ceed5from xÈof11xe4 a￿1￿ PIDceedstroTh spÈ0fbThv$￿￿rn1Y Sub lOt&l TOraIr•¢￿$s 66 4,558 Expw5esf0fT￿￿TSHv18u￿ltses Monlhlynk accountfo8 Sno11iWM?I$wi P&rynersAip rrwowstsp FprÉ19rt￿yM￿￿I￿￿lQ9& K¢￿.Ana￿￿rI5EIa Dép3rtmpTht 89 75 75 100 75 J,000 2,220 Gr￿orTh￿nce co￿$ Audill In¢èwd8Thtèxaminalion Pr¥ar8lionof4nn￿l aECOun15 Léoal cost Sorb roi J.487 Purcha5ea!ifive51l11￿ts Sub tor J.487 4294 1221 3,221 1,726 TraThsfvrn tol 1frrynllu￿dA Stsrplus/ld¢ncW forfv 221 11,72el •nd purpDS• offund$ ontralHg5 KCH nhBnl ID fortrai far23tth8ntstDtr¥ma5ana￿tsW￿￿In1c￿OffItof&s the£na￿t￿le ¢R￿At¢0￿nLI2ts2l.2?AtyJ￿ rth•5121

APPENE4X2 SC040448 Addttional analy5is131 6 Broakdown of rg¥trictqdhb TDtil mthLclnd Tr1alr•st￿rt¥d fiNittslast Re￿￿P ¢DItA Foufhyth 1nl•MalioMIShwi fy#￿$ C￿? COVID gr4nl 91.10 fyo&s Ir•n9 lÈ¢èifly Incomfrom InvéYAM￿1sC￿￿rthaR ￿l￿n9 Rwsfr¢m larf& bwlthrtjs 21.1ty) 20,T(W) Pr¢e£¢¢$frtyn 501¢ ￿ In¥WWts 21.1 21.11P) 20,700 MCH5 ETAT Ictr￿gU PamakJ12m1 MCHS ÈTAT le￿QU Pamakll 19m7121 MCHS ETAT Ictrwgu Parna￿) 11110121 10.500 10,QQO i￿000 10,000 1%.10 Pwrthonoiawl￿¢￿w￿5 Logal ca Su¢J lotsl Jl.600 Ji,600 10.000 P4yM•nts to andlnv•Blrnint Purc￿&￿e￿ Dffixedis&•iJ Puichasèo1 inv9Stm5 31.600 31.600 10.Cts) iios001 11D,5001 10.7C TranBlvro to Ilfrornl rplus/{d•fieit)IoYTrr 119,5001 10.7trJ N4turo and AT-Ckn ￿ Pamala, Mala 011￿r￿S In oid•rfoitrn ir¢ èm¢ ETAT-E nrknKI31

APPENDIX 3 oscr Off¢e of the Scolltsh Charity Regulator Independent examiner's report on the accounts Report to the Charrty nan trusteeslmembers of Children's Medical Care Malawi Registered charity SC040448 number On the accounts of the charlty for the perlod Peri￿ start date Month April Period end date Month March Day Year Day Year 01 2020 to 31 2021 Sot out on pages lleM￿oerio i￿l￿de the page numt*rs ofaddiiion315heeisl Respective The charity'¥ trustees are responsible for the preparation of the accounts in accordance responsibilities of with the terms of the Charits'es and Trustee Investment (Scollandl 2005 Act and the trustees and examiner Charities Accounts (Scollandl Regulations 2006. The charity Iruslees consider that the audit ￿qUirement of Regulation 10111 Idl of the Accounts Regulations does not apply. 11 is my responsibility lo examine the accounts as required under section 4411} Icl of the Act and to stale whether particuL4r matters have come to my attention. Basis of independent My examination is carried out in accordance with Regulation 11 of the Charities examiner's statement Accounts (Scotlandl Regulations 2006. An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with those records. It also includes ¢onsideration of any unusual items or disclosures in the accounts and seeks explanations from the trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit and, consequently, I do not express an audit opinion on the accounts. Indgpendent oxamlner's In the course of my ex3tTTrinalion, no matter has come lo my attention lolher than that statement disclosed on the attached page"I which gives me reasonable cause lo believe that in any material respect the requirements.. to keep accounting Teeords in accordance with section 44111 lal of the 2005 Act and Regulation 4 of the 2006 Accounts Regulations. and lo prepare accounts which accord with the accounting records and comply with Regulation 9 of the 2006 Accounts Regulats"ons have not been met, or -.l.-I be drawn in order to enable a proper Signed: Name: Relevant professional qualificationlsl or body lif any>: ate.. ,/ii I'lli￿lL. k)i- C40￿￿￿-￿J. Addre￿. ?￿aSe delete the words in the brackels ifTney noT 8PPy. ITTne worog 00 oppry. w ourinose m8rters which have ci)mè to your arttsnt￿n on thè following page.

APPENDIX 3 Disclosure section Only complete if the examiner needs to highlight matsrial Pfoblems. Give hgre brief detai15 of any items that thé oxaminer wishes to disclose Children's Medical Care Malawi - Audit 2022. During the fiscal year, the trustees were made aware of allegations against the Principal of the Malawi College of Health Sciences, in his role as the Project Manager of ETAT. As a consequence. a full audit of the operation of the ETAT bank account was made by The Controller of The Internal Audit SeNI￿S, Office of the President and Cabinet. As part of my audit, I have reviewed the Audttors report. This dismisses all the allegations made and concludes that the activities of ETAT (including the operations on Ihe ETAT bank account) were being run in accordance with the syllabus. l understand a copy of the full Audit Report will be provided to The Corra Foundalion, the principal funder of The Children's Medical Care Malawi ' October 2022.