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World Federation of Societies of Anaesthesiologists (UK)Annual Report and Financial StatementsYear ended 31 December 2019Trustees’ Report and Strategic Review (continued)What we do (continued)Liberian DoctorsThree doctors from Liberia have been funded through the WFSA UK to complete a PostgraduateDiploma in Anaesthesia (DA) at the Aminu Kano Teaching Hospital in Kano, Nigeria. They have gainedexperience of practicals, academic lectures and tutorials guided by resident doctors and in line withthe approved DA curriculum. This project will increase the workforce in Liberia, a country with apopulation of 4.6 million, to employ the first ever physician anaesthetists of Liberian origin.Inaugural Annual Congress ‐ GambiaDr Eric Vreede carried out a needs assessment visit to the Gambia in June 2019 and held a series ofmeetings with local stakeholders including the local anaesthesia society Anaesthetists Society ofGambia (ASOGAM) and the Ministry of Health. As a result of these inception meetings, plans weremade for the WFSA in partnership with THET to provide support to ASOGAM in its inaugural AnnualCongress meeting and also run a short training course for its membership. A one ‐ day Essential PainManagement (EPM) training was deemed the most appropriate course given the time constraints.The Congress was attended by 38 people including ASOGAM members and non‐members of theanaesthesia workforce. The EPM course session was held on the 17th November. The participants werelimited to 24 ASOGAM members in order to maximise the learning experience.Financial reviewThe WFSA (UK) generated income of 142,345 (2018: 170,812) over the course of the year. Totalexpenditure was 159,607 (2018: 177,076). The total reserves at the end of the year were 41,840(2018: 55,776) of which 38,119 (2018: 58,551) was restricted.The Charity supported these projects by making grants to its partner organisation World Federationof Societies of Anaesthesia (WFSA), a charity registered in the US (registration number EIN 13‐3211128) with the same objects. Although there are no written agreements in place, WFSA staff andTrustees are aware of their liabilities and responsibilities in delivering the projects as specified byWFSA (UK) Trustees and grant funders.Reserves policyThe WFSA (UK) being a new charitable company has yet to establish a reserves policy. In order toensure the sustainability of the company and its future success the Trustees have ensured that thecompany has almost zero running costs and is supported entirely by volunteers.Going concernThe Trustees have ensured that the WFSA (UK) is a going concern to at least the end of May 2021.Both Safe Anaesthesia – Telangana and the Innovation Awards projects are funded through 2020,efforts are underway to increase fundraising for Fund A Fellow. WFSA (UK) has also submitted furtherfunding proposals to the Headley Trust for Strengthening Obstetric Care for Mothers and Newbornsin South Africa and UK Aid Small Charities Challenge Fund for Anaesthesia Capacity DevelopmentProject for Mothers and Newborns in the Gambia.Page 7 of 22

World Federation of Societies of Anaesthesiologists (UK)Annual Report and Financial StatementsYear ended 31 December 2019Trustees’ Report and Strategic Review (continued)Coronavirus (COVID‐19)On the 11 March 2020 the World Health Organisation (WHO) characterised the spread of Coronavirusas a pandemicAs Trustees and anaesthesiologists, ourselves we would firstly like to thank the Board, Council, staffand volunteers of the WFSA (UK) and WFSA. Your tireless hard work on the front line during thisoutbreak in difficult conditions is commendable. Thank you.The Board is continually reviewing the fast‐moving global situation and are in regular contact withdonors, staff, volunteers and beneficiaries to ensure they are kept up to date with developments inthe UK and around the world. In managing risk, the Trustees have considered first and foremost thesafety of individuals and made sure that mitigating measures such as remote working and suspensionof programme activity have been put in place.The WFSA (UK) is an independent charity allied to the WFSA, and some resources are shared betweenthe two organisations, most notably staff and office premises. Though manageable, the outbreak willhave a negative impact on the WFSA (UK) and we can expect reduced income and expenditure overthe course of the financial year. The running costs of the WFSA (UK) have however been kept to aminimum and therefore the financial risk to the organisation is low.The safety of our staff and volunteers is paramount and therefore for as long as is deemed necessary: Delivery of some programmes will be suspended or curtailed. Programmes impacted are SafeAnaesthesia – Telangana, the Innovation Awards and most Fellowships. It is anticipated theseprogrammes will restart in the final quarter of 2020 / early 2021.Staff of the WFSA will be working reduced hours and/or furloughed and will be workingremotely.Whilst we continue to receive regular online donations for our Fellowship programme, decisions onfunding applications made prior to the outbreak have been delayed. We will continue to source newopportunities for funding with the aim to submit proposals when applications re‐open.Page 8 of 22

World Federation of Societies of Anaesthesiologists (UK)Annual Report and Financial StatementsYear ended 31 December 2019Trustees’ Report and Strategic Review (continued)Statement of Trustees’ responsibilitiesThe Trustees (who are also Directors of WFSA (UK)) for the purpose of company law) are responsiblefor preparing the Trustees’ Annual Report and the financial statements in accordance with applicablelaw and United Kingdom accounting standards (UK Generally Accepted Accounting Practice).Company law required Trustees to prepare financial statements for each financial year, which give atrue and fair view of the state of affairs of the charitable company and of the incoming resources andapplication of resources, including the income and expenditure of the charitable company for thatperiod. In preparing these financial statements, the Trustees are required to: Select suitable accounting policies and apply them consistentlyObserve the methods and principles in the Charity Statement of Recommend Practice (SORP)Make judgments and accounting estimates that are reasonable and prudentState whether applicable UK Accounting Standards have been followed subject to any materialdepartures disclosed and explained in the financial statements andPrepare the financial statement on the going concern basis unless it is inappropriate topresume that the charitable company will continue in businessThe Trustees are responsible for keeping adequate accounting records that disclose with reasonableaccuracy at any time the financial position of the charitable company and enable them to ensure thatthe financial statements comply with the Companies Act 2006. They are also responsible forsafeguarding the assets of the charitable company and hence for taking reasonable steps for theprevention and direction of fraud and other irregularities.Small Company ProvisionsThis report has been prepared in accordance with the special provisions for small companies underPart 15 of the Companies Act 2006.Independent examinerShruti Soni Ltd was appointed as WFSA (UK) independent examiner during the year.The Trustees’ report was approved by the Trustees on 30 April 2020 and signed on their behalf byDr Andrew HartleTreasurer5 May 2020Page 9 of 22

World Federation of Societies of Anaesthesiologists (UK)Annual Report and Financial StatementsYear ended 31 December 2019Independent Examiner’s Report to the Trustees of The WorldFederation of Societies of Anaesthesiologists (UK)I report on the accounts of the company for the year ended 31 December 2019 which are set out onpages 11 to 22.Responsibilities and basis of reportAs the charity trustees of the company (and also its directors for the purposes of company law) youare responsible for the preparation of the accounts in accordance with the requirements of theCompanies Act 2006 (‘the 2006 Act’).Having satisfied myself that the accounts of the company are not required to be audited under Part16 of the 2006 Act and are eligible for independent examination, I report in respect of my examinationof your company’s accounts as carried out under section 145 of the Charities Act 2011 (‘the 2011 Act’).In carrying out my examination I have followed the Directions given by the Charity Commission undersection 145(5)(b) of the 2011 Act.Independent examiner's statementI have completed my examination. I confirm that no matters have come to my attention in connectionwith the examination giving me cause to believe that in any material respect:1. accounting records were not kept in respect of the company as required by section 386 of the2006 Act; or2. the accounts do not accord with those records; or3. the accounts do not comply with the accounting requirements of section 396 of the 2006 Actother than any requirement that the accounts give a ‘true and fair view’ which is not a matterconsidered as part of an independent examination; or4. The accounts have not been prepared in accordance with the methods and principles of theStatement of Recommended Practice for accounting and reporting by charities applicable tocharities preparing their accounts in accordance with the Financial Reporting Standardapplicable in the UK and Republic of Ireland (FRS 102).I have no concerns and have come across no other matters in connection with the examination towhich attention should be drawn in this report in order to enable a proper understanding of theaccounts to be reached.Shruti Soni FCCA FCIEShruti Soni Ltd117A St Johns HillSevenoaks TN13 3PEDate:Page 10 of 22

World Federation of Societies of Anaesthesiologists (UK)Annual Report and Financial StatementsYear ended 31 December 2019Financial StatementsStatement of Financial ActivitiesYear ended 31 December 20192019Unrestricted RestrictedNote2018Total Unrestricted Restrictedanddesignated Total ,076Net 5,842(6,264)Foreign exchange gain/(loss)Transfers between funds3,329436‐(436)3,329‐926‐‐‐926‐Net movement in 0958,55161,11455,776Income from:DonationsIncome from Charitable ActivitiesTotalExpenditure on:Expenditure on Raising FundsCharitable ActivitiesTotalReconciliation of fundsTotal funds bought forwardTotal funds carried forward223All of the above results are derived from continuing activities. There were no other recognised gainsor losses other than those stated above.The Notes on pages 13 to 22 form part of these financial statementsPage 11 of 22

World Federation of Societies of Anaesthesiologists (UK)Annual Report and Financial StatementsYear ended 31 December 2019Balance SheetCompany Registration: 09312177As at 31 December 2019Total Funds2019 Total Funds2018 Net current assets or liabilities41,84055,776Total net assets41,84055,776The funds of the charityRestrictedDesignatedUnrestrictedTotal charity oteCurrent assets:DebtorsCash at BankTotal current assetsCreditors: amounts falling due within one year4The Notes on pages 13 to 22 form part of these financial statementsIn approving the accounts as Directors of the charitable company we confirm that:For the year ending 31 December 2019 the company was entitled to exemption from audit undersection 477 of the Companies Act 2006 relating to small companies.The members have not required the company to obtain an audit of its accounts for the year in questionin accordance with section 476.The Trustees acknowledge their responsibilities for complying with the requirements of the Act withrespect to accounting records and the preparation of accounts.These accounts have been prepared in accordance with the provisions in Part 15 of Companies Act2006 applicable to companies subject to the small companies' regime.Approved by the Trustees on 5 May 2020 and signed on their behalf by:Dr Andrew HartleTreasurerPage 12 of 22

World Federation of Societies of Anaesthesiologists (UK)Annual Report and Financial StatementsYear ended 31 December 2019Notes to Financial Statements1. Accounting policiesBasis of preparationThe financial statements have been prepared on a going concern basis and in accordance withapplicable Accounting Standards in the United Kingdom, including the Statement of RecommendedPractice – Accounting and Reporting by Charities (SORP), Financial Reporting Standard 102 (FRS 102)and in accordance with the Companies Act 2006 and Charities Act 2011, using applied accountingpolicies.Assets and liabilities are initially recognised at historical cost or transaction value unless otherwisestated in the relevant accounting policy or note.Public benefit entityThe charitable company meets the definition of a public benefit entity under FRS 102.Going concernThe Trustees consider that there are no material uncertainties about the charitable company's abilityto continue as a going concern and to continue acquiring new contracts.The Trustees do not consider that there are any sources of estimation uncertainty at the reportingdate that have a significant risk of causing a material adjustment to the carrying amounts of assetsand liabilities within the next reporting period.IncomeRecognition of income takes place in accordance with applicable accounting policies and results arepresented in accordance with SORP & FRS 102. All incoming resources are included in the Statementof Financial Activities (SoFA) when it is probable that the income will be received and that the amountcan be measured reliably.Grants and donations are recorded in the period in which they are received or the Charity is entitledto the income. Any donations tied to a particular purpose are credited to restricted reserve.Income from revenue grants and other grants are credited to the Statement of Financial Activitieswhen received or receivable. Where unconditional entitlement to grants receivable is dependent onfulfilment of conditions within the Charity's control, the incoming resources are recognised whenthere is sufficient evidence that conditions will be met. It is probable that the income will be receivedand the amount can be measured reliably and is not deferred.Contractual income is recognised when the charity has entitlement to the funds, any performanceconditions attached to the income have been met, it is probable that the income will be received andthat the amount can be measured reliably.Income received in advance of the provision of a specified service is deferred until the criteria forincome recognition are met.Page 13 of 22

World Federation of Societies of Anaesthesiologists (UK)Annual Report and Financial StatementsYear ended 31 December 2019Notes to Financial Statements (continued)Gifts and services in kindDonated professional services and donated facilities are recognised as income when the charity hascontrol over the item or received the service, any conditions associated with the donation have beenmet, the receipt of economic benefit from the use by the charity of the item is probable and thateconomic benefit can be measured reliably. In the case of donated fixed assets, a designated fund iscreated reflecting the book value of the asset, which is then reduced over the useful economic life ofthe asset in line with its depreciation.On receipt, donated gifts, professional services and donated facilities are recognised on the basis ofthe value of the gift to the charity which is the amount the charity would have been willing to pay toobtain services or facilities of equivalent economic benefit on the open market; a correspondingamount is then recognised in expenditure in the period of receipt.The value of services provided by volunteers has not been included in the Statement of FinancialActivities.Interest receivableInterest on funds held on deposit is included when receivable and the amount can be measuredreliably by the charity; this is normally upon notification of the interest paid or payable by the bank.Fund accountingRestricted funds are to be used for specific purposes as laid down by the donor. Expenditure whichmeets these criteria is charged to the fund.Unrestricted general funds are donations and other incoming resources received or generated for thecharitable purposes. The General Fund has to provide for the net deficit of any activities that haveinadequate income of their own and for the general administration of the Charity.Designated funds are unrestricted funds earmarked by the trustees for particular purposes.Expenditure and irrecoverable VATExpenditure is recognised once there is a legal or constructive obligation to make a payment to a thirdparty, it is probable that settlement will be required and that the amount of the obligation can bemeasured reliably. Resources expended include attributable VAT which cannot be recovered.Expenditure is classified under the following activity headings: Costs of raising funds relate to the costs incurred by the charitable company in inducing thirdparties to make voluntary contributions to it, as well as the cost of any activities with afundraising purpose to obtain funds Expenditure on charitable activities includes the costs associated with main the objects of thecharity and include both the direct cost and support cost relating to these activities. Project management (grant making) undertaken to further the purposes of the charity andtheir associated support costs. Grants payable are recognised in the SoFA when they areapproved by the Trustees and the recipient has been informed. Support costs are those costs incurred which are not directly an output of the charitableactivity. Governance costs are the costs associated with the governance arrangements of the charity.These costs are associated with constitutional and statutory requirements and include anycosts associated with the strategic management of the charity’s activities.Page 14 of 22

World Federation of Societies of Anaesthesiologists (UK)Annual Report and Financial StatementsYear ended 31 December 2019Notes to Financial Statements (continued)Allocation of support costsResources expended are allocated to the particular activity where the cost relates directly to thatactivity. However, the cost of overall direction and administration of each activity, comprising thesalary and overhead costs of the central function, is apportioned on the basis of project expenditure.DebtorsTrade and other debtors are recognised at the settlement amount due after any trade discountoffered. Prepayments are valued at the amount prepaid net of any trade discounts due.Cash at bank and in handCash at bank and cash in hand includes cash and short term highly liquid investments with a shortmaturity of three months or less from the date of acquisition or opening of the deposit or similaraccount. Cash balances exclude any funds held on behalf of service users.Creditors and provisionsCreditors and provisions are recognised where the charity has a present obligation resulting from apast event that will probably result in the transfer of funds to a third party and the amount due tosettle the obligation can be measured or estimated reliably. Creditors and provisions are normallyrecognised at their settlement amount after allowing for any trade discounts due.The charity only has financial assets and financial liabilities of a kind that qualify as basic financialinstruments. Basic financial instruments are initially recognised at transaction value and subsequentlymeasured at their settlement value with the exception of bank loans which are subsequentlymeasured at amortised cost using the effective interest method.Foreign currency transactionsMonetary assets and liabilities in foreign currencies are translated into sterling at the rates ofexchange ruling at the balance sheet date. Transactions in foreign currencies are translated intosterling at the rates of exchange ruling at the date of the transaction. Exchange differences are takeninto account in arriving at the operating profit.Page 15 of 22

World Federation of Societies of Anaesthesiologists (UK)Annual Report and Financial StatementsYear ended 31 December 2019Notes to Financial Statements (continued)2. Income fromDonations General Fellowships Palestine Ana

global population of just over seven billion) do not have access to safe, affordable anaesthesia and . and competencies as well as their leadership skills. Currently the Fellowship programme supports 50 fellows in 14 countries across eight specialties including paediatrics, obstetrics, pain and cardiac anaesthesia. World Federation of .