Restor ing the heart of healthcare

Annual Report and Financial Statements, 2013/14 Year ended 30th June 2014

E D U C AT E E M P O W E R E N G A G E E N T H U S E E Q U I P E M B E D

�1

Highlights 2013/2014

Where we work

The PRIME Network now has over 700 members in 56 countries all committed to practising and teaching whole person care. Network Members receive regular emails and information, relevant research and encouragement and we hope to ‘go live’ with our teaching resource library soon.

Values Added materials have now been distributed to more than 68 individuals for teaching programmes in Australia, Egypt, Ethiopia, Czech Republic, Kenya, Lithuania, Portugal, Russia, Sri Lanka, Sweden, the UK and the USA. 

We now have trained teams of tutors in Australia, Kenya, Nigeria, Scandinavia and the UK… and over the next year we will also be training PRIME tutors in the USA and Ghana. Plans are also developing for tutor training in China, India, Malaysia and several other countries.

Chair’s IntroductionOur annual Report in words and figures could never truly reflect the depth and breadth of the vibrancy and fruitfulness which continue to be the mark of the blessings that PRIME has continued to experience this year. Yet we present it as a token, a glimpse of the richness of compassionate life that we have been seeing bubbling up within medical

education in so many countries. The initial seeds of our vision were sown in informal conversations about 20 years ago, the charity established a few years later. Only a few years on and we find that doors have opened for creative contact or activity in over 40 countries, and the event spreadsheet continues to grow!

The generosity of our tutors in giving their time and fares completely free is a most significant core factor in our community. Tutors were abroad for 1,087 days in all, teaching for 546 days. The accounts now demonstrate the enormity of their commitment and we pray that they are finding that they themselves are being truly blessed through this radical generosity.

Such fruitfulness is supported by a remarkably small actual budget which continues to balance, and we all give huge thanks for this.

The vision of PRIME however extends far beyond the teaching events. It extends to the mutual encouragement and support for personal radical compassion in the everyday ordinariness of professional responsibility. We seek to encourage local groups, and to keep the vision alive through communications via the established international network. The resources to support the work is growing all the time.

The blessings flow through the medium of very hard work by an amazingly small number of key people of extraordinary talent - they know who they are and we all pray the Lord's blessing on them for ongoing wisdom and perseverance.  A huge "Thank you" to these friends.

John Caroe

PRIME Chair

�2

3Chair’s Introduction

5Trustees’ Report

8Review of the year’s activities

16A snapshot of our finances

17Financial Review

19Independent Auditors’ Report

21Statement of Financial Activities

22Balance Sheet

23Notes to the Financial Statements

Trustees Dr John Caroe (Chair)

Mr John Caladine (Treasurer)

Dr David Butler

Mrs Gillian Caroe

Mr Steve Fouch

Dr John Geater

Dr Michael Sheldon

Chief Executive Prof Richard Vincent

Secretary Mrs Joanna Clark

Charity number 1111521

Company number 5492101

Principal address Innovation Centre, Highfield DriveSt Leonards on Sea. East SussexTN38 9UH

Registered office Innovation Centre, Highfield DriveSt Leonards on Sea. East SussexTN38 9UH

Auditor D A Hargreaves FCASellens French, 91-97 Bohemia RoadSt Leonards on Sea. East SussexTN37 6RJ

Bankers CAF Bank Limited 25 Kings Hill AvenueKings Hill, West MallingKentME19 4JQ

�3E D U C AT E E M P O W E R E N G A G E E N T H U S E E Q U I P E M B E D

Trustees’ ReportThe trustees present their report and accounts for the year ended 30 June 2014.

The accounts have been prepared in accordance with the accounting policies set out in note 1 to the accounts and comply with the charity's Memorandum and Articles of Association, the Companies Act 2006 and the Statement of Recommended Practice, "Accounting and Reporting by Charities", issued in March 2005.

Structure, governance and managementThe charity is a company limited by guarantee, incorporated on 27 June 2005 and registered as a charity on 30 September 2005. The company was established under a Memorandum of Association, which established the objects and powers of the charitable company and is governed under its Articles of Association. In the event of the company being wound up members are required to contribute an amount not exceeding £10. After incorporation the charitable company was gifted the reserves of the unincorporated charity Partnership in International Medical Education registered charity number 1088777, in accordance with its charitable objectives.

The trustees, who are also the directors for the purpose of company law, and who served during the year were:

The directors of the company are also charity trustees for the purpose of charity law and, under the company's Articles, are known as the Trustee Board. Under the requirements of the Memorandum and Articles of Association the Trustee Board is elected to serve for a period of three years after which they must be re-elected at the next Annual General Meeting. One third of the trustees retire by rotation each year and are available for re-election.

New trustees are encouraged to familiarise themselves with the charity and the context within which it operates including the following areas:• Obligations of the Trustee Board.• Foundation documents that set out the operational framework for the charity including the

Memorandum and Articles.• Resourcing and the current financial position set out in the latest published accounts.• Future plans and objectives.

The Trustee Board of seven members meets at least three times a year and is responsible for the strategic direction and policy of the charity. In planning and overseeing the activities for the year the Trustee Board keep in mind the Charity Commission guidance on public benefit. At

Dr John Caroe Mr Steve FouchMr John Caladine Dr John GeaterDr David Butler Mr Alan Ritchie (Retired 6 September 2013)

Mrs Gillian Caroe Dr Michael Sheldon

�4

present the Committee has members from professional backgrounds relevant to the work of the charity. A scheme of delegation is in place for the day-to-day operational management of the charity, individual supervision of new volunteers and also ensuring that the volunteers continue to develop their skills and working practices in line with good practice.

Related partiesPRIME has close relationships with the Christian Medical Fellowship which nominates a member of the Trustee Board, currently Mr Steve Fouch, who has provided considerable wisdom and support.

As well as informal links with national and regional organisations and groups for delivering particular programmes, PRIME has formed a number of more formal relationships with certain other secular and professional organisations by way of a series of Memoranda of Understanding.

Risk managementThe greatest identified risk is that of PRIME tutors travelling to work in potentially unstable countries. All tutors are required to sign a legal document prior to representing PRIME where they declare their own responsibility for their safety and any risks involved and agree that no claim will be made against PRIME. They also declare that they will only offer clinical advice or treatment to patients in their own capacity; they will not claim any remuneration; they will endeavour to reflect the Christian ethos of PRIME at all times and do nothing to bring the Christian faith or PRIME into disrepute.

The Trustee Board has conducted a review of the internal and travel-related risks to which the charity is exposed. Where appropriate, systems or procedures have been established to mitigate the risk the charity faces. Internal control risks are minimised by the implementation of procedures for authorisation of all transactions and projects. Procedures are being developed to ensure compliance with health and safety of staff, volunteers and clients, and these will be periodically reviewed to ensure that they continue to meet the needs of the charity.

Objectives and activitiesThe charity’s objects are the relief of sickness for the benefit of all people through health and medical education in partnership with appropriate organisations throughout the world.

We remain passionate to see excellence in healthcare available to people everywhere. We do this through educational activities that, as well as increasing evidence-based knowledge and improving clinical skills also seek to:

• Restore the heart of healthcare - medicine that is based on a heart-felt and active care for patients not just an intellectual understanding of the illness and healing process.

• Restore the humanity to healthcare – “Medicine is more than the sum of our knowledge about disease. Medicine concerns the experiences, feelings, and interpretations of human beings in often extraordinary moments of fear, anxiety, and doubt... The values that doctors embrace set a standard for what patients expect from their medical practitioners.” 1 Around the world patients are crying out for healthcare provision that

�5

recognises the whole person and reflects the best of humanity: integrity, compassion and altruism.

• Change the emphasis of medical mission – from the practical provision of medical treatment to sustainable education that empowers and equips national healthcare workers to provide the highest standards of healthcare long after PRIME has left.

The activities currently carried out for public benefit by the charity can be broadly categorised as for the advancement of health and medical education and the relief of those in need.1 Royal College of Physicians. Doctors in Society: medical professionalism in a changing world. Report of a Working Party of the Royal College of Physicians of London. London: RCP, 2005.

How we workPRIME works in partnership with local organisations and groups to provide training and consultancy programmes that build on local knowledge and experience and are tailored to reflect local needs and contexts.

PRIME services are provided regardless of age, creed, disability, gender, race, religion or sexual orientation.

All PRIME programmes seek not only to teach whole person care, but wherever possible to impart teaching methods to achieve a sustainable effect. Conferences are designed to be equally fruitful, in networking and developing new contacts for future development.

We continue to seek qualified volunteer tutors. All PRIME tutors are volunteers and for the most part cover their own locum and international travel costs. The Trustees are very grateful to all our tutors without whom PRIME would be unable to deliver our ever expanding teaching programmes.

Achievements and performance Over the financial year PRIME tutors delivered 51 separate programmes in 24 different countries across Africa, Asia, North America, Australia and Europe. This involved over 90 different tutors serving overseas for a total of over 546 days and providing teaching and training to well over 3,000 individuals. Indirectly, we believe that this training will improve the care provided to the thousands of patients each of those individuals will treat, as well as the hundreds of healthcare students they will teach in the course of their careers. Numerous tutors have worked extremely hard and have travelled with great courage into demanding situations.

The organisation is evolving into a horizontally-connected international group of like-minded people taking their own initiatives within their culture and calling. The original core group seek to maintain a central facilitating hub whilst moving to become a resourcing and encouraging group rather than a dominant leading team.

PRIME remains totally committed to its foundational Christian calling, and we are very aware and grateful for the ongoing blessings that we have all witnessed.

�6

Review of the year’s activityAlbaniaPRIME teams returned to Albania to participate once again in the national Transformation Conference contributing workshops on diabetic feet, cardiology, ophthalmoscopy and advanced skills in consultations. PRIME teams have continued to work in a major psychiatric hospital including a major national conference for mental health professionals. Themes have included mood disorders, therapeutic relationships and introducing role-play as a powerful teaching method. One of our resident PRIME tutors is exploring opportunities for further mental health teaching and one of our Albanian partners is currently pursuing a PhD in Medical Education. We were also delighted that the Palliative Care and Education Centre team, trained by PRIME, has become a regular part of a leading palliative care conference programme held annually.

ArmeniaAfter many years of regular and sustained activity in Armenia working with the Armenian Christian Medical Association, including a comprehensive introduction to palliative care which has naturally come to a close, changes in that organisation’s management have meant that our programmes have been put on hold for the moment.

AustraliaPRIME Australia held their fifth Annual Tutor Training in Brisbane. Tutors from Australia are taking the lead on PRIME activities in India, Papua New Guinea and more.

BosniaPRIME returned again to Bosnia to provide additional input to a GP training programme. General practice is still a relatively new specialty in Bosnia. On this occasion teaching was focused on values-based healthcare practice and palliative care.

ChinaWe are in the process of setting up an international collaboration between PRIME UK, PRIME Australia, In His Image in USA and the group in Singapore to explore how collaboration could make each of our works there more effective - a work in progress. PRIME materials have been taught in several Family Medicine conferences and an Australian tutor successfully used our materials in a major

�7

51 programmes

24 countries

90 tutors

546 days of training

over 3,000 individual delegates

provincial annual family medicine conference. Among the several leads that are building toward possible collaborations for work in China is one individual who plays a significant role in introducing family medicine, founded on the NHS, into the Chinese health-care system and arranging short term educational visits to the UK for potential managers of the new Chinese system of family medicine. On-going discussions with these individuals indicate that PRIME may have a role in contributing to this programme as well as family medicine training at a regional tutor-training course.

Czech RepublicA course on ‘Going the Second Mile’ was enthusiastically received. The leaders of each of the five medical school student groups were given the Values Added programme to look at and two of the team have made themselves available to give further on-site help in how to use it. A visit to Motol Hospital, the largest hospital in Europe, revealed that following on from PRIME’s introduction of the concepts of spiritual health care seven years ago, this hospital now has a chapel ‘Room of Silence’ and seven part-time chaplains, most with health-related second jobs. In recent years, through this development, 21,000 spiritual care consultations had been given to over 9,000 patients. We were delighted that our principal partner was able to attend our annual conference for a time of refreshment and training.

EthiopiaA PRIME team has visited a government medical school with an attached nursing school to continue training for 35 faculty members and over 80 other medical professionals. They had received a course in basic teaching when the school started but nothing more recently; they continue to ask for further training. All our delegates were given a copy of the PRIME publication The Good Teacher, written by two of PRIME’s highly experienced medical educators, that includes detailed explanations of various modern methods of teaching and a DVD resource of modifiable PowerPoint presentations that can be used in their teaching sessions.

Clinical skills training has also been provided including Cardiovascular, Respiratory, Gastrointestinal and Neurological systems. Each topic included training in both communication and consultation skills and provided an opportunity for faculty members to observe and participate. A senior PRIME tutor continues to supply resources for the monthly faculty meetings. As well as our ongoing programmes we are exploring possibilities for a training of trainers course aimed at nursing teachers.

GhanaThe Ghana team leaders made a three-day visit to meet the organisers and review plans for a proposed 1,000 delegate multi-disciplinary conference at the end of July 2014. PRIME was one of four international organisations to be involved.

�8

“The most precious feeling I gained on a personal level is that more and more doctors

are showing interest in spiritual issues of their patients.” Spiritual care

chaplain, Czech Republic

“Physical examination: have had some teaching by

others but yours was interesting and unique in the way you presented.”Medical student, Ethiopia

IndiaPRIME continues to support the Family Medicine training programme run by the CMC Vellore. PRIME tutors teach on the 10-day face-to-face teaching sessions that occur three times a year. Until such time as Indian Family Medicine doctors are able to lead all of these sessions, CMC asked PRIME to provide international tutors - from the UK and Australia - to undertake teaching in some of the centres. The course is now an MMed course accredited by the University of Tamil Nadu. Two tutors have been working on the development of the curriculum and the updating of the written modules that form the basis of the programme. In a collaboration with GP Update and the University of Edinburgh, these modules will also be used as the basis for a University of Edinburgh Masters in Family Medicine, based on the Vellore teaching, that is due to beintroduced into three African countries in 2014.

PRIME tutors have also been assisting staff at Vellore in developing the curriculum and teaching materials, assisting both with the e-learning platform that CMC wish to create and with accreditation of Family Medicine Training. They will be helping local staff run a three-day Tutors Workshop in September. This is a fantastic opportunity for PRIME to work with local educators to develop Family Medicine in a context that has national implications for the development of the specialty in India.

KenyaA PRIME team ran a two-day whole person care course in a major medical school with a number of senior faculty from there and other institutions. This was followed by shorter seminars in two large mission hospitals with a significant training role for undergraduate and post-graduate medical education. The visit concluded with a two-day course on ‘Teaching to Change Hearts’ for a small core group of Kenyan faculty who are forming a group of indigenous PRIME tutors able to continue to spread the vision. One of these new tutors has already joined a small team to represent PRIME and deliver some teaching at a regional medical education conference in Uganda.

Follow-up action items from this first conference include repeating the whole person care course for a major mission hospital's new class of interns starting in 2014, all staff at one of the major district hospitals, and one of the family medicine residency programmes. The whole person care course content was also included in the curriculum of another new family medicine residency program scheduled to launch in 2015.

KosovoA PRIME team including both Albanian and UK tutors taught in Kosova at a major palliative care conference organised by SMILE International and this link will continue.

MalaysiaFollowing a great initial visit, we have been trying to arrange a further conference to promote PRIME locally and establish a group of tutors able to help develop and deliver PRIME

�9

programmes both in Malaysia and China. Dates for two potential tutor-training courses have had to be postponed, but we are hoping that such a course will be possible.

Middle EastA PRIME team delivered a six-day conference on the long term Management of Chronic Diseases, including eye diseases, in May. Delegates were from a number of countries in the area. PRIME tutors have been teaching palliative care and whole person medicine in several locations and are supporting one of the major medical universities to help improve their research facility. Plans are well in hand for another training programme.

MongoliaSadly those involved with looking at a teaching trip to Mongolia felt that it was not right to proceed with plans. There appears to be a well-established teaching programme in palliative care and although there were signs that our input was required it did not seem that a PRIME trip would meet what was needed at this time.

MozambiqueThe exploration of a potential new programme in Mozambique has been put on hold until the current situation has settled.

NigeriaPRIME delivered three days of tutor training to doctors chosen by the Nigerian CMDA as representatives of their Chapters. The course and the training materials we supplied were very positively received. PRIME’s existing Nigerian tutors were pivotal in this success. The CMDA Executive tasked those present to deliver course information to the few Chapters not represented, so the whole of the country was covered.

Papua New GuineaPRIME Australia colleagues have visited Papua New Guinea several times over the course of the year. The teaching provided has included pastoral care, mental health and palliative care. A UK-based PRIME tutor will be living and working in Papua New Guinea for two months undertaking mental health research and training.

PolandTwo Polish PRIME tutors continue to offer PRIME-based courses for medical students and other health professionals. Our CEO, Professor Richard Vincent, continues as Visiting Professor at Posnan Medical University and visited Poland to work with our main partner and senior faculty educators in

�10

“This conference has convinced me that we need

to introduce this whole person medicine training into the undergraduate

curriculum.”University Lecturer, Middle

East

“Having resource materials is wonderful.”

Trainee tutor, Nigeria

the Medical School to develop schemes for teaching and assessment in ethics and communication skills based on PRIME’s approach. His visit included running a two-day workshop on communication skills as an elective course for English speaking students. This is a great step forward and reflects many years’ faithful work of our partners in Posnan as well as the supportive interest in PRIME shown by the School’s senior administrators.

PortugalSeveral potential programmes are being considered including a further global health conference for healthcare professionals and the possibility of rolling out the Values Added programme. The number of personnel on the ground in Portugal remains low but our partners hope to recruit more potential PRIME tutors from Portugal at the ICMDA World Conference in Rotterdam in July.

RomaniaA PRIME team involving family doctors and palliative care specialists taught a mixture of students and teachers at Timisoara Medical School on how to break bad news. This was followed by a GP course entitled ‘Treating the disease or treating the patient?’ that included whole person care, the doctor-patient relationship, and becoming and staying a good doctor. The team also provided mentoring for a doctor at Emanuel Hospice and provided education for the wider hospice team.

In Satu Mare PRIME teaching has been continuing for family doctors on autism, learning disabilities, coping with illness and palliative care. We have also taught pastors and church workers on varied themes including marriage, domestic violence, child abuse, the last days of life and bereavement.

PRIME teams have developed two separate programmes in Cluj-Napoca; a two-day course for about a hundred students and residents and the second at the invitation of the medical school, to teach about thirty primary care doctors. The first programme was organised by the strong local Christian group. The topics were ‘the patient's journey with cancer’, ‘the doctor as a teacher of patients’ and ‘teaching small groups of students’. It turned into a bit of a regional event; the organisers were disappointed by the small number of local students, but surprised by almost fifty students coming from Oradea and quite a few from Sibiu. The teaching was enthusiastically received and feedback has been excellent.

A proposed national programme working in conjunction with Cluj University has been deferred as the application for EU funding for this exciting proposal has been turned down. We hope very much that this programme, focused on practise-based learning can be delivered, albeit on a smaller scale.

RussiaA PRIME team has visited Kazan to talk about ministry to sick and dying patients and relatives. They taught up to 100 individuals on spiritual care and counselling. We are developing links with the Medical Christian Association of Russia, a small, disparate group with a big vision to

�11

“A new vision in palliative treatments. I never told my cancer patients the bad news, but to their

families.”Palliative Care Delegate,

Romania

develop with us a three-year programme to support the small regional CMF groups. Due to the crisis in Crimea planned activity with Crimea State Medical University in July to deliver a course for medical educators of overseas medical students is currently on hold. An Associate Professor in a prestigious postgraduate department of family medicine has expressed interest in PRIME delivering a five-day training course in the spring of 2015 and this is under discussion.

SerbiaPRIME contributed to the first Balkans ICMDA Regional Conference in Nis. The event was heralded as a landmark meeting of Christian health professionals and students in the Balkans with delegates from Serbia, Bulgaria, Croatia, Romania, Albania, and Greece and allowed us to present a PRIME view of whole person care though lectures and workshops.

Sierra LeoneA family physician from Freetown attended the annual conference in Manchester in March 2014. To our immense sadness she contracted Ebola from her continued work caring for patients and passed away in September 2014. Plans for PRIME work in the country are now dependent on the on-going Ebola outbreak.

South AsiaPRIME continues to work with several other partners to support a far-reaching development programme that includes such diverse topics as capacity building workshops for local NGOs, teacher training, mental health training and the development of a special centre for children with learning disabilities and autism. PRIME’s main contribution is to provide continuing professional development for doctors on clinical subjects and holistic, values-based medical practice. This has now received 97% “excellent” feedback and all 112 doctors have requested, and signed up for, future CPD training of this form and standard.

SwedenPRIME held a conference to launch our work in Scandinavia. The conference was hosted by CMDA Sweden and HCF Sweden with delegates from the CMDA, HCF and NCF groups of Norway, Finland and Denmark, as well as other interested parties. Many of these individuals have joined PRIME as Network Members or tutors and some have already been involved in teaching programmes in other countries.

UgandaPRIME continues to deliver two-day whole person care courses to the Government’s clinical officer school and this year we delivered a similar programme to a private school - about 150 students in all. Input to the voluntary health workers is continuing to develop with teaching about chronic diseases, such as diabetes and hypertension that are increasing problems locally. PRIME has also been invited to share the vision of church-based whole person care with a group of pastors and we are developing plans for this.

�12

UkraineA third team of doctors and other healthcare professionals from Ukraine have visited the UK to see palliative care in action here. It has been gratifying to hear that these visits have resulted in changes in palliative care provision in different parts of Ukraine. A further UK visit and the conference for healthcare professionals in Kiev have both been postponed due to ongoing political and security developments. A separate team is hoping to attend an international conference for medical students in Ukraine in Autumn 2014.

United KingdomThe UK continues to be home to our PRIME International office and much of our work there continues to be focused on tutor development. During the year we ran a series of one-day conferences centred on palliative care and mental health as well as our regular annual conference and advanced tutor training conference.

We have also had opportunities to present PRIME seminars on compassion in practice and avoiding burnout in a number of GP VTS schemes and at Birmingham University Medical School for GP undergraduate tutors. The BMA annual general meeting included a PRIME-based poster and various tutors have given PRIME presentations to local groups.

In the UK there are Values Added groups running in Devon, Glasgow and Hull / York. There are groups in five additional locations hoping to start Values Added soon - and interest shown in a further 11 locations.

United States of AmericaPRIME re-visited the Global Missions Health Conference in Kentucky, where we hosted a pre-conference seminar Exploring Whole Person Medicine. Interest was very high at all levels – from students and residents (equivalent to our junior doctors / trainees) to internationally-known doctors and educators. Requests for PRIME educational material were high, as was interest in the Values Added programme, two copies of which were taken with the express purpose of starting the course with residents. The team also had the opportunity to share PRIME’s vision and activity with residents and Faculty at a residency programme in Wichita and at In His Image in Tulsa (another residency programme built on a very similar outlook to PRIME). PRIME has again been asked to contribute to the main workshop programme of the Global Missions Health Conference in November 2014 and the team will be running pre- and post-conference workshops at both introductory and tutor training level. We are also pleased to have gained the considerable interest of the Director of Medical Education, International Christian Medical & Dental Associations in the US who is writing her PhD dissertation on PRIME’s teaching methodology and influence.

�13

“Thank you for inspiring us to take time with our patients to go

below the surface of their complaints.”

New network member, USA

New opportunities being exploredIndiaWe are working with EMFI to develop a palliative care training programme in several locations.

LiberiaDiscussions were developing regarding PRIME involvement in a healthcare ethics course being run by the Liberian government. The onset of Ebola in this nation has meant that these discussions have been put on hold.

NepalWe will be working with an indigenous NGO to develop mental health projects in two more centres.

Sierra LeoneWorking with another NGO and the local Christian Hospitals to develop a training programme for clinical and management personnel.

SwazilandWe are exploring PRIME involvement in the development of the first university medical school in Swaziland. PRIME has agreed to supply senior tutors for faculty development workshops and to offer general guidance on curriculum development.

UKPRIME is delighted to have been invited to work in partnership with the Templeton Foundation on a major research programme on religious literacy, which if funding is forthcoming will see evidence-based spiritual care training introduced across the UK.

ZambiaA visit to Lusaka to train faculty at the Medical School is under discussion. There may be a possibility of palliative care teaching in Zambia - watch this space!

NursingWe would love to increase our work with nurses and nurse education programmes and are really pleased to have been invited to contribute to the NCFI World Congress taking place in the Philippines in 2016. We hope to working closely with NCFI and our nursing colleagues over the coming years.

Regional Tutor TrainingPlans are developing to expand our tutor training in Ghana, Kenya, Malaysia, Nigeria, South America and the USA. We are also working with HCFI to develop a regional training programme for their leaders which will enable them to cascade the training through their networks.

�14

Coming soon - Developing Mental Health - a new global publication focused on and written by mental health professionals working in the developing world.

A snapshot of our financesThe principal funding source for the charity continues to be voluntary donations from individuals and organisations. During the year we were also grateful to have been awarded grants from the Albanian Medical Trust, CMDA Nigeria, ECHO, GEM, Highways Trust, MSM and Wallington Missionary Mart to support various initiatives.

Income - £613,220

Expenditure - £611,001

All financial figures taken from the PRIME annual accounts for the financial year ended 30th June 2014.

We are entirely reliant on our volunteer tutors and financial support from individuals, groups and charitable trusts. If you are one of our wonderful supporters, thank you. Donations are used to maintain and improve our high levels of education and to allow PRIME to fulfil the many varied opportunities and invitations we receive from our partners around the world.

�15

Title

Donated Income - £464,997Individual Donations - £77,967Organisations - £24,026Restricted Income - £32,460Conferences - £10,368Book & DVD Sales - £2,656Misc Income - £426Investment Income - £320

Charitable Activities - £520,586Support Costs - £86,260Governance - £3,012

www.prime-international.org

admin@prime-international.org

PRIMEhealthcareeducation

prime_network

PrimeNetworkInt

prime-partnerships-in-international-medical-education

primenetwork.wordpress.com

E D U C AT E E M P O W E R E N G A G E E N T H U S E E Q U I P E M B E D

PRIME PARTNERSHIPS IN INTERNATIONAL MEDICAL EDUCATION Innovation Centre, Highfield Drive. St Leonards on Sea, East Sussex TN38 9UH United Kingdom

Telephone: 0044 (0) 1424 858258 Email: admin@prime-international.org Website: www.prime-international.org

UK Registered Charity Number: 1111521 UK Company Registration Number: 05492101