Report

2017

ANNUAL

Report

Contents When it comes to healthcare, children have completely different needs. Children need healthcare which focuses on their unique requirements: they need healthcare that involves parents, guardians and caregivers. Children need extra time, they need specialist care, along with medical interventions and healthcare professionals who not only provide medical care but who are compassionate to and understanding of all children – irrespective of their age, gender or race. Children need a hospital that can consistently deliver outstanding healthcare and facilities that continually strive to improve paediatric healthcare – while making it accessible, affordable and accountable. An institution like the Red Cross War Memorial Children’s Hospital – dedicated entirely to children, all children, is critically important. So important that it needs a champion to make sure that it’s able to keep doing the phenomenal work it does. The Children’s Hospital Trust is an independent non-profit organisation established to raise funds to support the Red Cross Children’s Hospital – the first stand-alone tertiary hospital, exclusively for children, in sub-Saharan Africa. The Trust upgrades and expands the Hospital’s buildings, purchases state-of-the art medical equipment, supports critical service areas, and funds the training of medical professionals from across Africa. This is to ensure that the Hospital not only retains its world-class stature, but more importantly, is able to continue saving the lives of children from across the country and continent. Funds generated by the Trust also support ground-breaking child healthcare initiatives outside of the Hospital which aim at improving the capacity to prevent, diagnose and manage childhood diseases and therefore reduce the burden on the Hospital. When you donate to the Trust, every cent goes towards funding projects that change children’s lives (and the lives of the people who love them.) The operational costs of the Trust are funded from an endowment, so your generous contributions are never used to cover administration costs.

A selection of photographs courtesy of Karin Schermbrucker

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Chairperson’s Report CEO’s Report The Difference You Have Made - Building and Equipment Projects - New Projects in the Pipeline - Programmes

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Carly’s Story The Red Cross War Memorial Children’s Hospital - Activities - Major Surgical Achievements to Date

14 16 18

An Inspirational Fellow on the Rise Update from the UK Office Financial Review - Treasurer’s Report - Statement of Responsibility and Approval

29 30 36 38

Message from a Father Thank you to our Donors Thank you to our Supporters Boards / Trustees / Committees

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Chairperson’s Report Despite challenging circumstances, 2017 was a very strong year for the Children’s Hospital Trust.

maintain its world-class standards and is committed to doing so in a practical, sustainable manner.

Donors continued to show their passion for the Red Cross War Memorial Children’s Hospital and their confidence in the Children’s Hospital Trust, reflected in a record amount of donations received. Continuing the Trust’s remarkable 23 year track record, 100% of funds received were once again allocated to the project of each donor’s choice.

In the face of (hopefully) short-term budget cuts the Trustees must ensure the long-term financial health and sustainability of the Trust. Accordingly, much attention continues to be paid to investment management and other governance structures, while various initiatives are underway to ensure that the Trust continues to evolve as a responsible South African corporate citizen.

The pace of Trust projects continued unabated. A highlight was the delivery of the new Red Cross Paediatric ICU, opened with much excitement from staff and patients at an emotional launch event. Meanwhile work continued on the Trust’s largest ever external project at Groote Schuur’s neonatal unit, and preparations began for what is expected to be our largest and most complex project yet, a new Emergency Centre at Red Cross. Not all projects are that big, but all demand focus, precision and rigorous management. Despite numerous constraints, Louise Driver and her team continue to impress the Trustees with their ability to deliver more each year, always on time, always within budget and always to specification. Most notable among the constraints that they face is the effect of ever-growing government budget cuts on Hospital infrastructure and service capacity. The Trust is increasingly being called upon to find innovative ways in which to assist the Hospital to

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In closing, now that my term in the chair has reached its mandatory six year limit, I would like to take this opportunity to thank everybody involved with the Trust, the Hospital and PGWC: Health for helping to make my term as chairperson such an enjoyable and fulfilling one. Randall Titus, deputy chairperson for the past 6 years, has been elected as the new chair of the Trust from April 2018 and will be ably assisted by Llewellyn Smith as the new deputy chair. I am confident that under Randall and Llewellyn’s leadership the Trust will continue to grow and prosper.

Spencer McNally Chairperson

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CEO’s Report At a time of so much positive progress in the country, we are thrilled to share with you the Children’s Hospital Trust’s contribution over the past year to a better life for our country’s children. The Trust has continued to help ensure that seriously ill and injured children get access to world class, life-sustaining healthcare through the Red Cross War Memorial Children’s Hospital. Much has been achieved, despite the substantial provincial health budget cut which has adversely impacted the services of the Hospital. Our biggest achievement last year was the opening of our new paediatric ICU, after 7 years of planning, fundraising and building. The unit now offers even better service to the 1400 children treated in the Hospital’s ICU each year. Another building success was the completion of the first phase of the upgrade and expansion of the Groote Schuur Hospital Neonatal Unit which works closely with the Red Cross Children’s Hospital. The treatment, support and training programmes the Trust has funded this past year have also shown incredible results. The Emergency Centre Surge Season programme helped the Hospital deal with the almost 19 000 children treated at the Emergency Centre in the first half of last year. The Hospital’s Social Work Department Child Protection programme reached over 1500 abused children. The RX Radio, the first childled hospital radio station in the world was launched and has already trained 52 young patients as radio reporters, broadcasting shows daily at the Hospital. 293 children were supported through the Breatheasy Tracheostomy programme allowing children to return home instead of long term hospitalization through the supply of home ventilation equipment. The Weekend Waiting List project operated on 146 patients on 20 consecutive Saturdays in the last 6 months of last year, successfully reducing surgical waiting lists at the Hospital. 40 trainees from 12 countries in

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Africa enrolled in the African Paediatric Fellowship programme in 2017 and 245 child nurses have now been trained since the inception of the Child Nurses Development Practice Initiative in 2008. Outside the Hospital, the Trust raised funds for the Milk Matters Donor Expressed Milkbank allowed 1200 premature babies to be provided with life-saving donor breast milk in 2017. The PACK Child guideline, which began its pilot last year, is estimated through its rollout to reach 1.9 million children via the 444 primary healthcare clinics in the Western Cape in future. These figures clearly demonstrate the positive impact of the Trust’s work on child healthcare provision. In 2018, we are preparing for one of our biggest building projects to date: the upgrade and expansion of the Hospital’s Emergency Centre, as well as an upgrade to the Hospital’s Oncology Unit. Thank you to our trusted donors whose generous donations ensure that the Red Cross Children’s Hospital continues to deliver world class treatment, allowing us to continue making sure that the patients we serve are given the best chance to get better and return home. Thank you to our dedicated trustees and sub-committee members for their valuable advice and support as well as the Trust’s dynamic, dedicated staff who are at the heart of our success. Thank you for the incredible difference you have helped us make to so many children, parents, nurses and doctors through your support.

Louise Driver CEO

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THE DIFFERENCE YOU HAVE MADE New Projects in the Pipeline

Building and Equipment Projects PICU Upgrade and Expansion

The Breatheasy Programme

Groote Schuur Neonatal Unit

Equipment for the Cathlab

Upgrade of the Oncology Unit

Upgrade of the Emergency Centre

The PICU increased to 29 bed spaces with a 10 bed neonatal high care unit. The extension will ensure that critically ill and injured children can receive complex medical care in an environment which is safe and specifically developed to minimize the potential risks of infection for patients. The full unit opened in October 2017.

Children dependent on essential tracheostomy and home ventilation equipment are provided with critical life-saving equipment whilst their families are trained to care for them at home, significantly improving their quality of life.

The Neonatal Unit has 75 neonatal beds and there are severe space limitations. The Trust is currently expanding the unit which will provide additional space; improve efficiencies in the utilisation of the space; and provide an environment that is conducive to the physical and emotional health of patients, parents and staff.

Leading the field in paediatric cardiology for Africa, the cardiologists at the Red Cross Children’s Hospital have developed, refined and used CATHCHAT: a unique and innovative system whereby interventional cardiac catheterisation procedures can be transmitted live online. Equipment will be purchased for training purposes to support this.

Despite its respected reputation for service to children with cancer, the team face many challenges that limit their ability to provide optimally safe, up-to-date and effective care. The purpose of the upgrade is to improve the space to enable the staff to provide the care and support the children and their families need.

It is imperative that the physical space supports and does not contribute to the delay or disruption of care or makes it difficult for healthcare professionals to provide sensitive care to children. The current unit is in dire need of an upgrade which includes the upgrade of the medical and trauma resuscitation areas and an increase in number of consultation and procedure rooms.

293

3200

300 - 400

70%

43 000

1400

An average of children are cared for every year in the ICU.

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children have received support through the Breatheasy Programme.

babies are cared for by the Groote Schuur Neonatal Unit every year- over 500 of these babies have a birth weight of less than 1500g.

cardiac and cardiothoracic surgeries delivered each year.

of the patients who visit the oncology ward are younger than six years old and come from impoverished communities.

children visit the Emergency Centre each year.

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Programmes African Paediatric Fellowship Programme (APFP)

Child Nurse Practice Weekend Waiting Development Lists Initiative

Social Work Child Protection Programme

Doctors and allied health workers from across Africa are trained in paediatric specialities at Red Cross and affiliated institutions and return home to lead improvements to child health systems, services and training in their countries.

Nurses from across the country and continent are trained in specialist child nursing at this, the primary child nursing training site in Africa, as a critical step towards building child nursing capacity in Africa.

Children needing protection from further violence or abuse are provided with comprehensive support from this focused initiative to strengthen the child abuse service provided at Red

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trainees from

countries in Africa enrolled in 2017.

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2017

In , the Kamuzu College of Nursing in Malawi delivered its new Child Nursing training programme entirely incountry.

The Initiative was established in 2011 to address the protracted waiting list by adding an additional day of surgeries (Saturday) to the hospital’s operating schedule resulting in reducing the surgical waiting list.

RX Radio

Milk Matters

Children attending Red Cross Children’s Hospital produce and present shows to provide daily entertainment and support to patients and their families, and – by obtaining the ear of health workers – influence the development of child-centred healthcare.

7 days a week, 365 days a year, community-based breastmilk bank Milk Matters distributes donor breast milk to nourish premature babies born at hospitals in the Western Cape.

Cross Hospital.

805

children have received Saturday surgeries since 2011.

1500

Over abused children supported since January 2016.

FIRST

The childled hospital radio station in the world went on air for the first time in May 2017.

1200

Over premature babies were provided with lifesaving donor breast milk in 2017.

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“I had never been to an ICU before, but all I can say is thank you”

A visit to a neighbourhood friend turned tragic when eightyear-old Carly was the victim of an accident – her friend’s older sister was attempting to make a fire with paraffin when the substance spilt onto Carly, resulting in her being engulfed in flames. Once Landal, Carly’s mom, discovered the news she immediately called the ambulance and they rushed straight to the Red Cross War Memorial Children’s Hospital. Carly’s case was clearly one for the paediatric Intensive Care Unit (ICU) as she suffered from 60% burn injuries all over her body. Her mother was devastated, holding on to every glimpse of hope that Carly would survive. Carly was burnt on her arms, hands, legs and abdomen – specifically on the left-hand side of her body. “She was burnt everywhere, but miraculously her face remained unharmed,” states Landal. Landal and Carly spent a week in ICU where the medical team did everything in their power to keep Carly in a stable condition. “I had never been to an ICU before, but all I can say is thank you – to each one who walked in those unit’s doors. I do not know that if she had gone anywhere else, whether she would still be alive today.” At the time of Carly’s accident, the ICU was yet to be upgraded – “I remember when Carly was in ICU it was extremely hard, because we were told that we could not stay by her side throughout the night. That was devastating. How could I leave her?” Landal expressed her great relief to know that parents now have space to be at their children’s side – in a bigger and better ICU. One month later, Carly was transferred to the Burns Unit at the Hospital where she underwent various skin grafts – a procedure where skin is removed from another part of her body to then be placed on affected burnt areas. “For approximately one month Carly was

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helpless, permanently lying on her back covered in bandages, but as the skin graft healed the bandages slowly came off,” Landal explains. Carly started the burns rehabilitation process, which required daily work – Carly was required to move various parts of her body which eventually progressed to a stage where she was able walk by herself again. For Landal, the doctors and nurses in the Burns Unit played a key role in the rehabilitation process, because they were not only assisting Carly with important daily exercises, but also educating Landal at the same time to ensure that she and the rest of the family were prepared in order to help her daughter going forward. “I did not once question them, they always kept me well informed – they are not just doctors and nurses, they are saints.” Because of the traumatic experience that Carly endured, it was required for her to have a few sessions with the Hospital psychologist – who assists in the rehabilitation process. Fortunately, Carly has not been experiencing any form of depression. The doctors in the Burns Unit were all pleasantly surprised at how well and fast Carly healed and recovered. As a result, Carly was discharged from the Hospital after an astonishingly short seven weeks. “I was prepared to stay for months, but we could leave after seven weeks,” Landal explains. Brave Carly was overjoyed to be back home – her confidence returned and in no time she was able to participate in her favourite activities: rollerblading, running and cycling.

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The Red Cross War Memorial Children’s Hospital

ACTIVITIES 2017

Major Surgical Achievements to Date

NUMBER OF BEDS

SINCE 1964

ADMISSIONS

sets of conjoined twins assessed

272

20 384 DAY PATIENTS

4 268 INPATIENTS

76 590 OPERATIONS

6 475

OUTPATIENT VISITS

127 179

TRAUMA & EMERGENCY

39 178

52

SINCE 1987

116

liver transplants

SINCE 1968

208

kidney transplants

9

combined liver & kidney transplants

ALLIED HEALTH VISITS

54 958

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Inspirational Fellow on the Rise In 2011, Dr Rachel Mlotha-Mitole became one of the first fellows to complete her training with the African Paediatric Fellowship Programme (APFP), and she was the first specialist paediatrician to join the team at Kamuzu Central Hospital, in Lilongwe Malawi. After spending time as the Head of the Paediatrics and Child Health Unit at Kamuzu Hospital, Dr MlothaMitole is back and has re-joined APFP so that she could further specialise in Paediatric Gastroenterology. The children in Malawi have a high burden of gastrointestinal disease and nutrition-related illnesses. In fact, the country does not have a single specialist – paediatric or otherwise. Due to graduate in October 2018, she will be the first specialist of this type when she returns to Malawi.

“There are various stakeholders I will be engaging with when I get back to Malawi. One of the priorities in the Ministry of Health is reducing the neonatal mortality, which contributes significantly towards our under five mortality rates.” She enthusiastically explains.

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Besides treating infection, good nutrition for newborn babies is very important for survival. Dr Rachel Mlotha-Mitole works together with the Neonatologist, (also an APFP alumnus) building on existing health networks and programs that are already focused and committed to improving the quality of care of new-born babies. As more surgeons, child health nurses and dieticians are now available, the prospect of building a multidisciplinary team for establishing comprehensive management approaches for patients with Gastroenterology problems is becoming a reality. “My heart beats for the gastroenterology course I am doing. There is so much to learn about our population and so much to teach when I get back. The passion to share knowledge remains, and the harvest is plentiful!” The Gastroenterology unit at Red Cross War Memorial Children’s Hospital is a very busy unit that could become overwhelming at times, with extremely ill inpatients and a high number of outpatients. Dr Rachel Mlotha-Mitole’s position is a privileged one and there is no doubt that she will make her mark as a leading specialist in gastro-intestinal disease. It is because of the continued funding and support that she can persevere, achieve her dream by ensuring that children and their families in Malawi gain a specialist like her.

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Update from the UK Office Message from the Chairperson In my tenth year as Chairman of the UK Trust, I am once again proud to say that 2017 has been one of our best. I am forever amazed by the enthusiasm, drive, and commitment of our supporters, and of what we – as small team of Trustees, staff and volunteers – are able to achieve. As we close the books for the year, I am pleased to welcome a number of new trusts, corporates and individuals to our family, and to see long-term partnerships grow and develop. Together we are an international voice for an amazing cause, and your support really does make a world of difference.

Royal Parks 2017

Benedict Hall UK Chairman

A Round-up of 2017 2017 has been a year of growth for the UK office – one that has seen donation income rise from £182,386 to £353,446. This wouldn’t have been possible without the ongoing commitment of The Vitol Foundation, whose commitment and belief in our work is transformational. Together with the support of The N Smith Charitable Settlement, we have helped give 70 doctors and nurses from across Africa the chance to learn specialist paediatric skills. Each returning home as leaders in their field, they are the future of child health. In addition, we would like to recognise the Zoe-Lee Foundation for their kind contribution to the Hospital’s new Paediatric ICU, and The Pat Newman Memorial Trust for their support of our Child Protection Programme. One in three South African children are victims of violence, and the job of a social worker is not easy. With additional funding from The Grace and Rest Harrow Trusts, we are proud to give the

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Hospital’s Social Work Department the resources they need to better support the children under its care. Looking beyond Hospital grounds, it is thanks to the team at Ethical Currency, The Thomas Cook Children’s Charity and The Lord and Lady Lurgan Charitable Trust, that we are supporting Western Cape’s community NPO, Milk Matters. Launched in 2016, this unique partnership has brought life-saving donor breastmilk to 1,200 premature babies in its first year of operations – giving hope to some of South Africa’s youngest lives. Then of course there are our Royal Parks runners. This year backed by corporate sponsors, Apax Partners LLP and Redefine International (RDI REIT), our team of 70 athletes really did go the extra mile. Together we raised more than £30,000 and made 2017 one of our best races yet! Finally, we would like to take this chance to thank each and every one of our individual supporters. From the Saami Ski Race to Cape Argus, your commitment and endurance has touched the lives of many. Thank you as well, to the staff and students of Cheam School, to our Patron Cynthia Cormack (MBE), and to those of you that have made a personal gift or donation to the Trust. Every pound we raise is one that can give some of Africa’s sickest children a second chance at childhood.

More than £350,000 raised! 17

Fiancial ReviewREVIEW FINANCIAL

Treasurer’s Report The financial year, which ended on 31st December 2017, was an excellent year for the Children’s Hospital Trust. Donations received amounted to R88,7m (2016 R46,6m). The performance of the fundraising team during the year has been outstanding in raising money for the various projects and programmes supported by the Trust in a difficult fundraising environment.

and no donated money unless specified is used to cover any office or administrative expenses. These expenses are funded out of the efficient management of funds, interest received on those funds arising from investments, as well as funding received from the Children’s Hospital Foundation. This has all been achieved by the efficiently run finance department of the Children’s Hospital Trust.

The Trust works closely with the Western Cape Government Health Department who have assisted at making contributions to the cost of certain of the completed projects during the year.

As far as Corporate Governance is concerned, the Trust has an Executive Committee which meets regularly and reviews each month’s financial reports, as well as the fundraising progress and the progress on the building projects . The Trust has an Audit and Risk Committee comprising of four independent members including a number of chartered accountants who meet at least four times a year to review the financial standing of the Trust, the risks faced by the Trust, as well as reviewing the Annual Financial Statements. The systems within the Trust are constantly reviewed and controls are carefully monitored. The Trust has a system of controls which are designed to provide cost effective assurance that its assets are safeguarded and that the liabilities and working capital of the Trust are efficiently managed.

Interest income for the year amounted R4,4m (2016 R5,3m) which together with a grant that the Trust received from the Children’s Hospital Foundation covers its operating costs. The net result for the year was a surplus of R3,6m (2016 R26,8m) deficit arising from the payments for building completion and equipment and which in turn was financed arising from donations raised. Administrative and other costs have been controlled within budget and a cost to income ratio of 11,24% (2016 18,6%) was achieved. The change in this percentage is as a result of the high donations received. The Children’s Hospital Trust has one of the most efficient cost to income ratios compared to various other South African fundraising organisations. In terms of the Trust’s financial statements the financial position for the year shows that the Trust continues to have a sound financial position which allows for its continued existence in order to fulfil its objective to raise funds to advance child healthcare through the Red Cross War Memorial Children’s Hospital. The Trust operates on the basis that all donations received are used for projects and programmes

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The Audit Committee has discharged its functions in terms of its charter. Thanks to all members of the team in the Trust office who run the efficient operation and who contribute to the success of the Trust.

John Bester Treasurer

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Statement of Responsibility and Approval

Statement of financial position as at 31 December 2017 2017

2016

R

R

122 858

89 959

122 858

89 959

223 239 42 648 152 46 191 986

539 937 31 535 349 56 403 178

89 063 377

88 478 464

89 186 235

88 568 423

79 447 536 1 639 648

75 967 590 1 508 260

81 087 184

77 475 850

Current liabilities Accounts payable Sundry payables Bridging finance

923 065 5 425 986 1 750 000

1 343 671 7 998 902 1 750 000

Total liabilities

8 099 051

11 092 573

89 186 235

88 568 423

The Trustees are responsible for the maintenance of adequate accounting records, the preparation and integrity of the annual financial statements and related information. Ernst & Young Inc., the auditors, are responsible to report on the fair presentation of the annual financial statements, which are prepared in accordance with the International Financial Reporting Standard for Small and Medium-sized Entities. The annual financial statements were

Assets Non-Current assets Property, plant and equipment

prepared on the going concern basis, since the Trustees have every reason to believe that the Trust has adequate resources in place to continue in operation for the foreseeable future. The Trustees are also responsible for the Trust’s system of internal financial control. These are designed to provide reasonable, but not absolute, assurance as to the reliability of the annual financial statements and to adequately safeguard, verify and maintain accountability of assets,

Current assets Accounts receivable Investments Cash and cash equivalents

and to prevent and detect misstatement and loss. Nothing has come to the attention of the Trustees to indicate that any material breakdown in the functioning of these controls, procedures and systems has occurred during the period under review. The annual financial statements set out on pages 23 to 29, which have been prepared on the going concern basis, were approved by the Board of Trustees and were signed on its behalf by:

Spencer McNally Chairman

Louise Driver Chief Executive Officer

John Bester Treasurer

The information in this report has been based on the annual financial statements of the Children’s Hospital Trust. The annual financial statements have been prepared in compliance with International Financial Reporting Standards for Small and Medium-sized Entities. The annual financial statements of the Children’s Hospital Trust have been audited by the external auditors, Ernst & Young Inc. and their unqualified audit opinion on such annual financial statements is available for inspection at the Trust’s registered office.

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Total Assets

Funds Capital donations Accumulated funds

Liabilities

Total funds and liabilities

21

Statement of comprehensive income for the year ended 31 December 2017

Statement of changes in Trust funds for the year ended 31 December 2017

2017 Beneficiary

2017 Operating

2017 Total

2016 Total

Capital donations

Accumulated funds

Total funds

R

R

R

R

R

R

R

Donations received Interest income Other

83 915 950 1 712 927

4 810 000 4 418 224 1 768 476

88 725 950 4 418 224 3 481 403

46 558 825 5 287 792 1 430 235

Balance at 31 December 2015

102 558 851

1 712 112

104 270 963

Total comprehensive loss

(26 591 261)

(203 852)

(26 795 113)

Total income

85 628 877

10 996 700

96 625 577

53 276 852

75 967 590

1 508 260

77 475 850

3 479 946

131 388

3 611 334

79 447 536

1 639 648

81 087 184

Income

Balance at 31 December 2016 Total comprehensive income Balance at 31 December 2017

Beneficiaries expenses Operating expenses Other

80 860 171 1 288 760

10 865 312 -

80 860 171 10 865 312 1 288 760

69 190 123 9 921 879 959 963

Total expenses

82 148 931

10 865 312

93 014 243

80 071 965

3 479 946

131 388

3 611 334

(26 795 113)

Other comprehensive income

-

-

-

-

Total comprehensive income/ (loss)

3 479 946

131 388

3 611 334

(26 795 113)

Surplus/(deficit) for the year

22

23

Statement of cash flows for the year ended 31 December 2017 Cash flows from operating activities Gross receipts Payments to suppliers and employees Cash utilised in operations Interest income Dividends received Net cash outflow from operating activities

Statement of cash flows for the year ended 31 December 2017

2017

2016

R

R

91 127 315 (97 225 934)

47 323 305 (79 595 229)

(6 098 619) 4 418 224 1 396 736

(32 271 924) 5 287 792 924 560

(283 659)

(26 059 572)

Cash flows from investing activities Purchase of property, plant and equipment Purchase of investments Proceeds on disposal of investments Net cash outflow from investing activities

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of donations received benefit the Red Cross War Memorial Children’s Hospital and since 2011, donations also benefit paediatric healthcare in the Western Cape. Not a single cent is spent on administration costs. The Trust’s operating expenses are funded from: investment income generated from an endowment fund (held by the Children’s Hospital Foundation, of which the Children’s Hospital Trust is the sole beneficiary); and interest earned on capital raised before project implementation. This fund was established from an early donation specified for this very purpose. The Trust’s total funds on hand, held in various bank accounts, equate to R 46,192 million at 31 December 2016 and are allocated as follows: R 0,727 million - Working Capital Reserve

(97 595) (21 611 439) 11 781 501

(64 299) (7 841 970) 5 541 535

(9 927 533)

(2 364 734)

Cash flows from financing activities

R40,039 million - Funds donated for specific programmes implemented and projects already

underway, such as the upgrade and expansion of the Paediatric Intensive Care Unit.

R 5,426 million - Held on behalf of various Hospital departments and clinics of the Red Cross War Memorial Children’s Hospital. An investments amounting to R41,514 million at 31 December 2017 originate from a bequest

Bridging finance received

-

1 750 000

Net cash inflow from financing activities

-

1 750 000

(10 211 192)

(26 674 306)

Cash and cash equivalents at the beginning of the year

56 403 178

83 077 484

Total cash and cash equivalents at end of the year

46 191 986

56 403 178

Total cash movement for the year

Since its inception in 1994, the Children’s Hospital Trust has maintained its ethos that 100%

made to the Trust which will be allocated to future Hospital projects.

25

Detailed Statement of Comprehensive Income - Operating for the year ended 31 December 2017

Detailed Statement of Comprehensive Income - Operating for the year ended 31 December 2017 2017

2016

R

R

Beneficiary distribution – operating

4 810 000

3 000 000

Dividends received

1 396 736

924 560

360 445

443 875

4 418 224

5 287 792

11 295

61 800

10 996 700

9 718 027

Revenue

External contribution to operating costs Interest income Other income

Expenses 196 220

183 696

Bank charges

175 374

188 596

8 155

5 100

64 558

54 525

915 536

493 531

6 977

14 568

Depreciation Donations paid (Children’s Hospital Trust, SA in the UK) Donor recognition Employmee Engagement Events

196 864

17 631

32 279

138

-

39 897

41 362

IT expenses

341 946

341 044

- Infrastructure maintenance

244 157

227 621

97 789

113 423

Impairment of intanglible asset Insurance

- Maintenance and enhancement of donor database

26

27 040 267 936

General expenses

2016

R

R

Marketing and promotions

650 702

597 944

- Above the line marketing

371 520

138 860

- Below the line marketing

119 317

295 154

- Online marketing

112 348

121 467

- Communication

47 517

42 463

Office maintenance

89 592

38 694

Postage

16 397

25 467

282 475

232 721

7 377 046

7 041 975

122 355

126 201

Staff development and training

49 434

50 133

Staff Welfare

25 360

32 081

Telephone

86 583

87 412

Travel and entertainment

70 768

112 734

Workmen’s compensation

33 192

24 952

10 865 312

9 921 879

131 388

(203 852)

Expenses

Portfolio management fee

Audit fees Books and subscriptions

2017

Salaries Stationery

Operating (deficit)/surplus for the year

27

Patient Story

Message from a Father Message for the ICU Staff On Monday 04 December 2017 our family suffered a terrible tragedy. Our beautiful son, Connor, fell into a bin we were using to capture water due to the drought in Cape Town and he drowned. Connor was a strong boy and although he had been in the water for a prolonged period, we managed to resuscitate him before he was taken to the Red Cross Children’s Hospital. The next 5 days were a horrible rollercoaster of emotions but one thing remained constant and that was the amazing medical treatment Connor received and the compassion and care we as a family received from the ICU staff. Connor sadly passed away on Saturday 09 December 2017. We still cannot believe how amazing the staff were throughout our short time at the hospital. Let me put it into perspective. The staff often work 30 hour shifts and yet they never once blew us off when we asked the same question twenty times. They cried with us, prayed with us and treated Connor as if he was the only child in the ward. This was not only applicable to him though, they treated every child as if they were the only child – and this is how they treated every child… as if they were the only child being cared for. On the Friday night before Connor passed away, I watched in amazement as one of the nurses sang to a small baby the entire night. When I finally went to get some sleep at 03h00 she was still softly singing to the baby. The ICU has a 92% survival rate which is unbelievable but in December 2017 they lost 17 children. This would have a profound effect on anyone. It takes really special people to work under these conditions and to still do it with the passion and dedication they do, is beyond my understanding. I just want to say thank you to all the staff in the ICU and I cannot think of a better way than in the way Connor would have said it….”ten two” Love the Weber Family Daniel, Debbie, Grace and our angel Connor

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THANK YOU to our Donors R 1m+

• Mordechai Charitable Trust • Western Cape Government: Health (WCGH) • The Harry Crossley Foundation • Estate Late Sonja & Helmert van Elst • Dowell, Margaret Kate • Willowton Oil Foundation • The Children’s Hospital Foundation

R 500k+

• Estate Late Maureen Eunice Hoets • The Chaim & Jessie Cantor Charitable and Educational Trust • Estate Late Robert John Marin • Anglo American Chairman’s Fund • The Rolf-Stephan Nussbaum Foundation • Estate Late Valerie Grace Walton

R 250k+

• Royal Parks Runners 2017 (UK) • The JB Findlay Will Trust • The Mauerberger Foundation Fund • Estate Late Margaret Lilian Skewes • LJC Fund • The AVI Community Trust • Sea Harvest Corporation (Pty) Ltd • The Philip Schock Charitable & Educational Foundation • Smith, Llewellyn • The Solomon Family Foundation

R 100k+

• Aspen Pharmacare Holdings Limited • Col’Cacchio Holdings (Pty) Ltd • Irvin & Johnson Limited • The Little Tew Charitable Trust

30

• I Sheng Plastic CC

• Estate Late Joy Goldman

• Hall, Caroline

• Lugano Family Foundation

• Mazor Steel (Pty) Ltd

• Baillie, Sonya and Stuart

• The Phatisa Foundation

• The Bed King

• Investec Securities

• The David Graaff Foundation

• McGee, Gavin

• ABSA Bank Ltd

• The E R Tonnesen Will Trust

• Topfast CC

• Van der Westhuizen, Warren

• Rebstein, Steve & Carolyn

• The 476 Charitable Trust

• Saami Ski Race Group (UK)

• Estate Late Jacomina Elizabeth

• Van Der Merwe, Philip Rudolph

• Be Safe Paramedical CC

• The Adriaan Carter Louw Trust

• MEDpages

• Triumph Sports Car Club

• David and Lorna Robson

• RE/MAX Foundation

• Dontwaste (Pty) Ltd

• Versma Bestuurdienste (Pty) Ltd

• Sheila Dakin Will Trust

• The Elsie & Allan Chamberlin

• ITweb

• Yeats, Craig

• Walker, Jim

Charitable Trust

Nothling • Cape Peninsula University of Technology

• Bester, John Andrew

• Hainebach, Michael & Rose

• Botha, Ann

• Chester, Neville

• The Yates Charitable Trust

• Investec Bank Limited (Cape Town)

• Estate Late Johann Van Heerde

• Rialto Foods cc

• MacLeod, Guy Roderick

• Trencor Services (Pty) Ltd

• Van der Spuy Cape Town

• Penguin Random House

• Terespolsky, Michael

• Bean, Sandy

• The BW Maskew Miller Will Trust

• Matasis Foundation (OBO: Jacobs

• Engelbrecht, Neels

• Econorisk

• Regout, James & Anneke

• Nexus Network

• Schultz, Brett

• Creal, Stuart

• Kevin Bates Flooring & Carpeting (Pty)

• Stephan Welz & Co.

• Cloete, Emmie

• Fourie, J M

• Sperling, Maria

• MySchool MyVillage MyPlanet • The Brendalyn and Ernest E Stempel Foundation

Matasis (Pty) Ltd) • Oculus Operational Innovations (Pty) Ltd • Pat Newman Memorial Trust

Ltd t/a Albert Carpets

• The Zoe-Lee Foundation

• Fagan, Anton Gabriel (Professor)

• Andrag Beleggings (Pty) Ltd

• Kendrick (Tickle), Deborah

• Pillay, Darren

• Comair

• Ethical Currency

• Natural Health Ladies Workshop

• Old Mutual Foundation

• Splinter, Edwin & Eleanor

• Pres Les (Pty) Ltd

• Chahwahwa, Godwill

• Pick n Pay Retailers (Pty) Ltd

• The Wrighton Family Trust

• Estate Late Rachel Finkelstein

• Chapman’s Seafood Company (Pty) Ltd

• Jibson, Paul

• Le Roux, Jeanie

• Jensen, Gill

• The Strebel Foundation Trust

• Estate Late Jawayar Slamdien

• Adidas SA (Pty) Ltd

• The Sheila Dakin Charitable Trust

• The Fred J Robertson Foundation

• South African Local Government

• The Rawbone Trust

• Stanford Asset Management T/A PSG

• Distell (Place in the Sun wine)

• Lord and Lady Lurgan Trust

• Vowles, Richard and Suzanne Dorey

• Vassen, Umesh

• Carstens, Karin

• Rotary Club of Claremont

Wealth Pretoria East

Association

• The Foschini Group

• Weiner, Ronnie

• Cawood, Janette

• GBC Construction

• Russell, William

• The HT Gormley Testamentary Trust

• The Fynbos Trust

• The Kurt & Joey Strauss Foundation

• Lin, Christina

• Amirian, Amin

• The St Ola’s Trust

• Owen, Catherine Frances

• China Construction Bank Corporation –

• Frater, Sheila Angela

• Primaresearch (Pty) Ltd

• The Ann Kreitzer Will Trust

• Daniel and Friends Trust

• Low and Co Chartered Accountants (SA)

• Bissolati, Kelvin

• The Heather’s Trust

• African Mining & Trust Company Limited

• Pack Pro

• Chorlton, Ann

• Portlands Meat Hyper

• The Francis Duncan Family Trust

• Ivan, Quinton

• RB6 Soccer School

• Good Samaritan Charity

• Raphaely, Jane

• The Forrester Family

• Good Hope Meat Hyper

• Barrie Cline Clothing

• Prime Art & Graphics

• Zoeller, Justin

• Cape Union Mart Group (Pty) Ltd

• Wright, Andrew Sturley

• Tourvest Destination Management

• Grapevine Interactive (Pty) Ltd

• Bosman, Gideon Earl

• Ingenuity Property Investments Limited

• Ferguson, Nick and Sally

• Crawford, Martin & Marilyn

• Diesel, Jane

• Vanzaghi, Ivano

• Stone-Stamcor (Pty) Ltd

• Technovaa Packaging Industries

• Parmalat SA (Pty) Ltd

• Peninsula Beverage Co (Pty) Ltd

• Naidu Consulting

• Robert and M Paule Hoey Trust

R 50k+

• Giabardo, Paolo • Cheam School, UK • ABSA Rewards Programme • Redfern Print Services SA (Pty) Ltd

• The Susman Charitable Foundation • Inyathelo - The South African Institute for Advancement

R 20k+

Cape Town Branch

(Pty) Ltd • Viviers, Paul • George, Hywell & Mary • Stassen, Jobre • Nu Health Food Cafe

• The Willmott Charitable Trust

• Ehlers, Jinnie (Dr)

• TNS Global

• Leftshift (Pty) Ltd

• The Noakes Family Charitable Trust

• Estate Late Colin Wells Eglin

• The Strong Trust

• OWA Ceiling Systems Cape

• Thomas Cook Children’s Charity

• FC Carter Charitable Trust

• Twelve Apostles Hotel

• Burger, Jean

R 10k+

• The A & M Pevsner Charitable Trust • Rudden, Pauline • J E T Lee Will Trust • Purple Ant Management Company • Van Dijk, Monique • The N Smith Charitable Settlement

• Tobin, James (Dr) • Scott, Helen (Dr) • Ravjee, Pooja • Venter, Kirsten • The Hyman Goldberg Foundation • Reynolds, Peter & Elizabeth • Rupert, Caroline • Laing, Lian

31

• Randle, Gareth

• Solid Systems

• Nel, Sandra

• Bux, Abdool Raouf

• Levitt, Gail

• Khalfe, Mohamed

• Hibbert, Mark

• Hendricks, Asma

• Tuks Children’s Hospital Trust

• Visulink IT Solutions CC

• Papier (Moodaley), Genine

• Ellis, Inge

• P Rudden Financial Services Pty Ltd

• Pettit, David

• Lattimer, Ashley and Loma

• Garach, Sujata (Dr)

• Sizwe Paints (Pty) Ltd

• Berk Enterprises

• PNN Ship Suppliers & Logistics

• Khan, Shahnaz (Dr)

• Chambers, Craig

• van Kalleveen, Birgit & Marco

• Environ Skin Care (Pty) Ltd

• Le Roux, Tracy

• Ollis, Emily

• Dollman, Peter

• Kruger & Company

• Kitshoff, Elmarie

• Pillay, Sarosha

• Jacobs, Paul

• Coetzee, Debbie

• Papilsky Solomon Ruben & Ann Winer

• Giralt, Nuria

• Campbell, Colin

• R & L Architects (Pty) Ltd

• Ramsay, James

• Dorrington, Sheila

• BFBA Consultants

• Burgess, Tony

• Global Business Solutions

• The Eric & Ethel Fuller Trust

• Gotlieb, Abigail

• Masthead

• Wright, Raymond & Jean

• Bester, Ria (Dr)

• Hurwitz, Allan

• Boshoff, Brian (Dr)

• Meyer (nee Hendricks), Fatghia

• Tarkey, Sulaiman

• Weil, Julian & Lauraine

• Hume, Andrew

• Von Ludwig, Gustav Hermann

• Five Star Media

• Loubser, Hina Narendrakumar

• Crossberth Cold Stores (Pty) Ltd

• Sensitech Southern Africa (Pty) Ltd

• Sterne, Philip

• Karsan, Manoj

• Abrahams, Cindy

• Bredell, Lauryn

• Damen Shipyards Cape Town

• Kader, Rehana (Dr)

• Impact RX • Forsyth, Aurelia Therese • Kirton, Stuart • Paul, Howard

• State of Guernsey Community Fundraisers

Educational & Benefit Trust

• Thistlewood, Nicola

• Guernsey Scottish Dancing

• Britz, Werner

• Kibel, Leonora

• Khan, G

• Leith, Amina

• Ferreira, Salomon

• Loots, Mariette

• The Diane Kaplan Charitable Trust

• Beatty, David William (Prof)

• Osrin, Bernard

• Govender, Rajen (Prof)

• Kerzner, Brandon

• Jacobs, Quintin

• Cilliers, Glen

• Matthews, Louise (Dr)

• Larry’s Air Conditioning CC

• Morris, Ian

• Navigare Securities

• Corbett, Margaret Peggy

• Roche Products (Pty) Ltd

• Meyer, Candice

• CTP Limited

• Totally Terrific Trovato

• Bortz, Gregory Mark

• Kohls, Anna and Chris

• InfoBuild (Pty) Ltd

• Bourne, Susan

• Naidoo, Ravi

• Hersov, Basil

• The Carl & Emily Fuchs Foundation

• Van Rensburg, Marike

• Sujean Property Investments

• Harnekar, Sharifa Ismail

• Georgiou, K

• Le Roux, Mosa

• Prescient Investment Management

• Duffy, Melissa

• IPSOS South Africa

• Jappie, Luqmaan

• Maynier, Darcy & Heather

• Swart, Nicolene

• Levi Strauss SA (Pty) Ltd

• Price, Craig

• Longe, Gregory & Jess

• Vineyard Deli

• Merrifield, Andrew

• Delheim Wines (Pty) Ltd

• Fabian, Jeffrey Dieter

• Morris, Brenda

• Kibera, James

• Cloete, Johannes & Bernadette

• Amadhila, Salomo N (Dr)

• The Eliot and Myra Osrin Trust

• Boss Medical Solutions

• Henry Van Embden Family

• Rawson, Bill

• Louw, Henk

• Wheel-Tech Auto Centre

• Ian Dickie & Co (Pty) Ltd

• PPC Cement Company

• Badenhorst, Riaan

• Holland, Jean-Charles

• Rizq Assist 786 International

32

R 5k+

Student Organisation

Charitable Foundation

• Joubert, Henk

• Schreuder, Rudi Hein

• Riedemann, Pieter

• Whittaker, Simon

• University of the 3rd Age

• Adams, MP

• Amidani, L

• Vogel, Wendy (Dr)

• Hurford, Alan

• Kayos

• Pilot Software

• The Reid Family

• Richardson, Danielle

• Hops, Christopher

• Parker, Mohamed Asif

• Morrison, Malcolm & Sheila

• Greenfield Girls’ Primary School

• Parker, Allie

• Stein, Nicholas

• de la Hunt, Virginia

• The Leo & Patricia Fine Foundation

• Khan, Ayesha

• de Kock, Michael

• Luswazi, Zukisa

• Cohen, Aidan

• Lucas, Igshaan

• Raphaely, Carolyn

• Grandi Manufacturing CC

• de Goede, Anton

• Osman, Ismail

• Friedman, Barry

• Farlam, Paul (Adv)

• George, Mary

• Padoa, Neil

• Dormac Marine & Engineering

• Laurentis, Vincent

• Chiappini, Laurie & Henrietta

• Human Sett Sport Com

• Young, Neill

• Jeewa, Mohummed

• Gierdien, Najwa

• Bisset, WM

• Scott, Mark

• Getty, Tara

• Horn, Ronald

• Cool Dandy CC

• Slingerland, Annabelle

• Le Sar, May Martha

• Cable, Duane

• Karjiker, Fatima (Dr)

• Sylvester, Rob

• Broadcast Operations

• Essack, Zuleiga

• Baigrie, Andrew

• Milpark Education

• The Jack & Ethel Goldin Foundation

• Hy-Up Hydraulics CC

• Adendorff Attorneys

• Warner, Shaheemah

• Estate Late Joyce Wynne Kohler

• Mohamed, Tajodien

• Altmann, Thomas

• Paul, Reagan Herschel

• Watson, Megan

• Koep, Peter

• Turner, Roger & Joyce

• McNally, Spencer Leonard

• McLean, Mark

• Weight, Cath

• Nganje, Fritz (Dr)

• Rueggeberg, Claus & Dorle

• Harper, Mike

• Dittrich, Corneli (Dr)

• Kornmuller, Heidi Elizabeth

• Hose Manufacturers

• Ryan, Norma

• The BradProp Trust

• Needham, Zoe & Mike

• Stone, Lou-Ann

• Bosch, Riyaad

• Stellenbosch Motor Spares

• Martin, Barry Keith

• Schoeman, Tian

• Retief, Francois

• Success Black (Pty) Ltd - Northcliff

• Werksmans Attorneys

• Dove, S

• Ritchie, Mandy

• Oakley, Graham

• Afrique Interlink

33

34

35

THANK YOU to our Supporters A

Abelanani Abriella Bredell Adsend (PTY) Ltd African News Agency (Pty) Ltd AfrodizzyActs Andrew Collins (Bodytec) Annabelle Slingerland Apax Partners Aquelle (aQuellé) Asweza Advertising T/A Go Ads

B

Bake it Fabulous Bedouin Tent Masterz Bio-Oil Bristows LLP Builders Warehouse

C

Cape Field Artillery Pipes and Drums Cape Kingdom Cape Town Rifles (Dukes) Cape Western MOTH Banner Party Cape Western Provincial Dugout Christen Stevens & Mary George Coca Cola Peninsula Beverages Criticare Bandana Challenge CTP

D

Deep Heat | Mentholatum Dulux

E

Emily Moon River Lodge

F

Flare Beverages FUNCFIT

36

G

Gideon Bosman and Friends Greens Catering & Events Grootbos

H

Hammer Nutrition Himalaya Herbals Howard Paul

I

Impact RX

J

June Red

K

Kelvin Grove

L

Leigh Waterhouse Lindt

M

Marcel Duvenage - Photography Media24 Cynthia Cormack Mike Oldham and the Izivunguvungu Youth Band Montagu Dried Fruit & Nuts MOTH Bomb Alley Shellhole Bellville MOTH Red Barn Shellhole Southfields

N

N2icecreamlab Newsclip

Pledge-a-kay Ultra Trail Marathon Primedia Broadcasting

Q

Quality Beverages

R

Radio 786 RB6 Soccer Tour to Iber Cup 2017 Redefine International (RDI REIT) Ridha Ryan RockaRolla Claremont RUSH Bars

S

SG Convenience (Warehousing & Distribution) Sportsman’s Warehouse Steven Hall

T

Tandym Print The Primal Pantry Timour Hall Car Show Totally Terrific Trovato Trunell Morom

U

Ultra Events

V

Vineyard Hotel

W

Witzenberg Herald

O

Y

P

Z

Old Mutual Finance & staff

Pat Greyling

Yo Yoga

Zumba & Zone Fitness

37

Boards Trustees Committees Board of Trustees

UK Trustees

Mr Spencer McNally, Chairperson* Mr Randall Titus, Deputy Chairperson* Mr John Bester, Treasurer* Mrs Isabelle Franzen* Mr Tim Willard* Professor Alan Davidson* Emeritus Professor David Beatty Emeritus Professor Heinz Rode Mr Llewellyn Smith Professor Mignon McCulloch Mr Andrew Rudolph Mr Lwazi Mankahla

Mr Benedict Hall, Chairperson Mr John Bester Mrs Georgina Cadbury Dr Caroline Cormack Professor George du Toit Dr Fiona Groenewald Professor Michael Levin Mr Ben Morton Mr Stephen Oakenfull (appointed September 2017) Mrs Iliane Thompson Dr Lauri-Ann Van der Poel Mr Jaimie Waddell Lady Veena Williams of Mostyn

*Executive Committee members

Patrons Mrs Cynthia Cormack MBE Emeritus Professor Sid Cywes Dr Christo Wiese Mr Ted Parlabean Mr Don Macey

38

Project Advisory Committee Professor Alan Davidson, Chairperson Emeritus Professor David Beatty Professor Tony Westwood Professor Maylene Shung King Professor Jo Wilmshurst Professor Louis George Reynolds Mr Lwazi Mankahla Professor Michael Hendricks Dr Elmarie Malek

Investment Committee

Capital Works Committee

Mr Bernard Osrin, Chairperson Mr John Bester Mr Spencer McNally Ms Kaeleen Brown

Mr Andrew Rudolph, Chairperson Mr Craig Summersgill Mr Justin Runyowa Professor Sharon Cox Mr Jan Bergman Mr Kimesh Chauhan Mrs Isabelle Franzen Ms Toni Whithair

Audit & Risk Committee

Governance Committee

Mr John Bester, Chairperson Ms Deborah Tickle Ms Fatima Jakoet Mr Llewellyn Smith

Mr Spencer McNally, Chairperson Mr Randall Titus Mr John Bester Mrs Isabelle Franzen Mr Tim Willard

39

TO DONATE SOUTH AFRICA

UNITED KINGDOM

INTERNATIONAL

Bank: CAF Bank

Bank: Standard Bank

Bank: Standard Bank

Sort Code: 40-52-40

Branch: Rondebosch

Branch: Rondebosch

Branch code: 02500911

Branch code: 025009

Account No: 00030976 IBAN: GB48 CAFB

Account No: 071 443 090

Account No: 071 443 126 Reference: Name & Surname

Swift Code: SBZAZAJJ Bank Tel No: +27 21 680 4729

South Africa:

United Kingdom:

The Children’s Hospital Trust

The Children’s Hospital Trust South Africa

Suite 259 Postnet X18

C/O Berry Court Farm

Rondebosch 7701

Church Hill

Cape Town

Nether Wallop

South Africa

Hampshire SO20 8EY

40524000030976 Reference: Name & Surname

Reference: Name & Surname

Tel: +27 21 686 7860 Fax: +27 21 686 7861

Tel: +44 (0)20 8144 9833

E-mail: [email protected]

Email: [email protected]

www.childrenshospitaltrust.org.za

www.childrenshospitaltrust.co.uk

Please email a copy of your proof of payment for our records and to receive an 18A Tax Certificate.

Fax: +27 21 686 7861

NPO Number: 127-685 NPO PBO Number: 930 004 493

Registered UK Charity: 1121573

Trust Number: T297/94

Guernsey Registered Charity: CH360

E-mail: [email protected]

facebook.com/childrenshospitaltrust

40

@chtrust1

@childrenshospitaltrust

41

CTP is delighted to assist The Children’s Hospital Trust Holding children in our heart telephone: (021) 929 6200

fax: (021) 939 1559

e-mail: [email protected]

web: www.ctp.co.za

CTPprinters

CAPE TOWN