A nnual Review 2017 - .NET Framework

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Annual Review 2017

Msunduzi Hospice Association

Accredited by the Council of Health Services in South Africa

PBO No. 007-935 NPO

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Strategic Objectives

1. To provide quality palliative care to

patients and their families.

2. To promote awareness of palliative care

and influence policies that would advance

palliative care.

3. To provide education, training and

mentorship in palliative care

bereavement, grief and related topics.

4. To maintain and strengthen management

systems and encourage a supportive and

caring ethos throughout the organization.

5. To develop strategic partnerships and

networks with other organizations who

could promote and / or provide quality

palliative care.

6. To seek innovative ways of generating and

accessing funds to support and sustain the

mission of the organization.

7. To be an information and knowledge driven

organization through effective monitoring,

evaluation, research and reporting

systems.

For more information, you can visit us:

Our Website: www.hospicekzn.co.za

On Facebook: Msunduzi Hospice Association

On Twitter: @Hospice Msunduzi

Bank Details: Bank: Nedbank Branch: Hayfields Branch Code: 134025 Account Name: Msunduzi Hospice Association Account No.: 134 028 5053

PBO Section 18A Tax Exempt No. 930000244

Board of Directors / ExCo Members

Chairperson– Praveen Jugmohan

Vice Chairperson – Thokozile Mtshali

John Wray (Treasurer)

Margaret McCullough (Secretary)

Garth Reich (ExCo)

Richard Lawrence (ExCo)

Warren Oxford-Huggett (CEO)

Other Board Members Faeez Ganie, Dr. Tim Kerry, Jenny Budree,

Nomusa Msimang, Dr. Lulama Nkonza-

Mtembu, Dilip Dhunlal, Dr. Wanda Mthembu

Elected by AGM on 24 May 2018

Vision Msunduzi Hospice Association seeks to

provide and promote holistic quality care for

all people living with a life-threatening illness

within the Msunduzi Health District.

Mission Statement To create a centre of excellence which

provides and promotes quality of life, dignity

in death, and bereavement support for patients

and families faced with a life-threatening

illness through: direct patient care, education,

management systems, advocacy, training and

empowerment of networking partners.

ABOUT US

Msunduzi Hospice Association

Postal: PO Box 22023

Mayors Walk

3208

Physical: 200 Zwartkop Road

Prestbury

3201

Tel: 033 344 1560

Fax: 033 344 2892

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Chairman’s report to AGM 24 May 2018 Mr. Praveen Jugmohan Good afternoon, ladies and gentlemen. I extend to all present today, a warm welcome to the Annual General Meeting of the Msunduzi Hospice Association, during Hospice month. Your presence and involvement does add value and contributes to the smooth functioning of Msunduzi Hospice. For that we thank you sincerely. Msunduzi Hospice as an organization, like most NGO’s, is continually challenged in respect of staying fully operational. We are still being dictated to by a host of financial challenges. But, I must make known that we have recently received some encouraging donations which could not have come at a better time. Further to this, some promises of financial assistance are in the offing and hopefully these will be concluded shortly. The funds generated from our proposals, our shops and various fund-raising events, all help to see to the day to day running of Hospice. The bookshop and the two other shops all enjoy a good level of profitable trading. The ultimate wish is that we at Hospice, will reach the position of becoming self-sustaining through our fund-raising initiatives and our shops, and be less reliant on donor funding. We are delighted that the Department of Health (Provincially), has chosen Msunduzi Hospice, as one of the seven service providers in KZN, to provide training of nurses, related to Palliative nursing care. Sister Heidi Collyer, the head of Nursing Care at Msunduzi Hospice, and her team are making their mark in many parts of KwaZulu-Natal. This is not only providing excellent exposure of the Palliative nursing care expertise available at Msunduzi Hospice, but this training does add to our coffers. The Department of Social Development cessation of funding for our social workers and no assistance from LOTTO for the past four years have had their impact on the functioning of Hospice. I am pleased to report that despite our challenges we have not compromised on the quality of our patient care and support to the affected families. Added to this, our Day care sessions on a Wednesday are proving fruitful and beneficial to all involved. I thank all those entrusted with the responsibility of taking care of our patients. To the

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nursing care team, our social workers, and of course the volunteers, Msunduzi Hospice is sincerely grateful for all that you do in this regard. Besides these challenges we have cause to celebrate our numerous accomplishments at Msunduzi Hospice. Msunduzi Hospice underwent a COHSASA Survey on the 23 January 2018. It is with a sense of pride that I share with all of you that we scored 99 % overall and, in some categories, we achieved 100%. Congratulations to Warren and the entire team for the well-deserved recognition. You and the team really do make us proud and I believe I echo the sentiments of the Board and the community at large. Our annual Night of the Stars combined with a Jazz Evening was held on the 12 May 2018 at the Golden Horse Casino Conference Room. We had decided to host just one Black Tie function this year so as to maximize our efforts and raise as much funds as possible. This did not prove to be very profitable as envisaged. We raised in the region of R73 000, for which we are grateful. All the Charity Fairs that we hosted are also proving to be profitable. We are in the process of organizing a special function to celebrate Msunduzi Hospice’s 35th Birthday bash on the 12 July. Board members and all supporters of Hospice, your presence at this celebration will be valued. Our highlight this year, thus far, has been the recognition of Msunduzi Hospice by the Pietermaritzburg Chamber of Business. At their function we were awarded the Social Enterprise of the year award in the medium category. I thank all managers and their teams, the volunteers, all under the able stewardship of our CEO, Warren, for all the effort that each one of you puts in. To this end, Msunduzi Hospice enjoys the status of being the premier Hospice in KwaZulu-Natal and among the top 5 Hospices in the country. Finally, to all the members of the Board, thank you for your input, and your willingness to serve this august organization. I am deeply honoured to be part of the Board and wish you well. The things you do for yourself are gone when you are gone, but the things you do for others remain as your legacy. - Kalu NdukweKalu

Pete Jugmohan (Chairman)

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CEO’s report to AGM

24 May 2018

Mr. Warren Oxford-Huggett

Good afternoon everyone As has become customary, I would like to begin this report with a quote. Happy 35th birthday. Not sure where the quote comes from, but it does seem appropriate. Reflecting on 2017 The key achievement of 2017 is our relationship with the Department of Health in KZN. Early in 2017, the government adopted the new National Policy Framework for Palliative Care. This policy has among its goals the following key points which are relevant to us and, indeed, to all Hospices: - To strengthen palliative care services across all levels of the health system; - To ensure adequate numbers of appropriately qualified health care providers to deliver palliative care at all levels; - To establish and maintain systems for monitoring & evaluation of SA's palliative care programme; - To ensure appropriate allocation of financial resources to strengthen and sustain the Palliative Care programme; Your Hospice here in Msunduzi has been key in helping the provincial DoH achieve some of these goals. In the 12 months ending 31 March 2018, we have co-ordinated the training of over 300 DoH employees and we have, ourselves, trained over 80 of these. A strategic decision, following the awarding of these funds, has seen Msunduzi Hospice take the leading role in ensuring that the expectations of the DoH are met. The impact of this funding is clearly seen in our financials. It is also having a direct impact on our staff with more of our team involved in training and thus exposing them to different and wider experiences. This, I believe has had a positive impact on staff well-being. Our own training has, for obvious reasons, taken a back seat in all this.

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Patient care: I am very happy to report, that under the sterling guidance of Heidi Collyer, the care team have continued to deliver good quality hospice and palliative care to 490 patients and 1680 family members. This was done through a dedicated team of nurses, social workers, memory workers and care givers, capably supported by administrative assistants. Although the numbers are down from previous years this still reflects the immense load of work carried by the team. There were 288 admissions during the year and 180 deaths (along with 74 discharges). It is these numbers that more accurately depict the work of Msunduzi Hospice. Each new patient takes approximately a day to process from first contact through to being included on the visiting schedule. This time is taken up with phone calls, initial assessments, evaluations and discussions within the Inter-Disciplinary Team, so as to plan and subsequently provide the best quality care that meets the needs of the patient and supports the family. On top of this, as the patient approaches death the work load increases once again as the team helps prepare the patient and the family for death. The paediatric team have enjoyed a good year looking after a few children patients and large numbers of children of patients. Successful holiday groups were held here at Hospice and well supported by members of the community by way of donations. It must be well acknowledged that our care team; nurses, social workers, care givers, memory workers do a sterling job providing good quality care to our patients. The support from the MER team enables timely access to patient information that enables the provision of quality care. Retail and Income Generation: The income for the organisation for the 2017 financial year is impressive. Despite being a difficult environment in which to raise funds, the income from various sources has helped sustain us along the way, together with reserves which we continue to tap into in order to ensure continued service delivery. Our grant writer has done incredibly well and the income from trusts and corporates has been significant. The main achievement has been the funding from DoH. 34% of our income was raised through specific proposals. One must also remember that the funds from Department of Social Development as well as the DRTB programme have fallen away at the beginning of the 2017 year (a combined value of over R700,000.00 pa). The events for 2017 continued to show small increases on previous years, with the exception of the Jazz and Comedy shows which showed significant

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increase in income. These two black tie events contribute significantly to our income generation and the support from individuals within the community helps make their contribution so impressive. What does stand out in the 2017 year is the income from our retail division. Items donated to Msunduzi Hospice are sorted, prepared, priced and placed into our three shops the income from which is almost sufficient to sustain our non-salary related expenses. Our thanks and appreciation to Vijaya Chetty and her team. Over 48% of our income in 2017 was raised through our retail, and events. In most cases this money was raised through the sale of items donated to us. A very big thank you for your support in helping us achieve this incredible value. When we begin to unpack these numbers the question must be asked as to the value of our events and activities. Of the approximately R7 mil raise in 2017, R2.3 million was raised by our retail activities. I think it is time to seriously begin to ask questions about expanding our shops either in terms of size or number. In the past we have closed shops and brought the retail activities to our premises here in Prestbury. This has undoubtedly paid handsome dividends. The inability to obtain rent free space in more focused areas of Pietermaritzburg limits our ability to expand. Ideas and assistance in this regard would be deeply appreciated. The only avenue of income that failed to show some growth was telemarketing and this has actually decreased in terms of income. A new endeavour again this year will help to evaluate the continued use of this programme. Achievements: Nedbank/PCB award for social enterprise of they year 2017. I decided to enter this competition on the spur of the moment and was pleasantly surprised by the outcome. A team of business leaders conducted various interviews and reviewed documents and have awarded us this wonderful award. Once again, due the diligent effort of the team we have been awarded Cohsasa accreditation. This is great achievement and our fourth such consecutive award. Well done to the team who made this possible. Looking forward: New in 2018 is the development and implementation of a bereavement support group. This support group is still working through the initial teething stages, but I hope and anticipate that it will add value to the bereavement needs of our patients as well as to the wider community of Pietermaritzburg.

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I am very excited about a community food garden started on the initiative of one of our caregivers in consultation with the daughter of a patient who died not so long ago. Seedlings were obtained and some garden implements to speed this project on. I am looking forward to the first harvest of vegetables that will be used to benefit patients who live in the area of the food garden. We hope this will become a sustainable project in the future with minimal input from Hospice. Training is really going well this year. Primarily our training is provided as arranged, to DoH staff. However, other training is made available on request. Our website has details of training available and for some of these courses and workshops we also have been able to obtain CPD points from SACSSP. In addition, as part of our Hospice week involvement we have provided 1 hour workshops to a number of doctors on Palliative care ethics. We were able to obtain 1 CPD point from HPCSA for this. Challenges: Funding For a number of years now we have not been contributing to our long term sustainability. We have, rather, been living off the surplus of our forbears. This can go on for a number of years (approximately 4 or 5) but that is not a good thing and we need to move back to a situation where we are putting money aside for the future. Your support and ideas in making this possible are called for. Any growth in the services provided by Msunduzi Hospice will be dependant on additional funding, funding that is not needed to simply keep the lights on. The inability to access funds from medical aids is slowly driving me to drink. This has been one frustration after another with, essentially, no success. Medical aids, at least most plans, have a palliative and/or hospice care component built in which has its own funding (sometimes limited, sometimes not) that we should be able to access. I am simply unable to open this door. Volunteers: Our volunteers remain a pivotal aspect of the work of Hospice, indeed, many of the activities that we offer are dependent on our volunteers. Attracting suitable new volunteers is difficult and most often very unsuccessful. We have had a few success stories in 2017, but by and large our committed volunteers are forming a smaller and smaller group of people. Most often volunteers are now children who need to complete community hours for schools. This is a wonderful opportunity to provide

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input in the development of a spirit of altruism, but seldom results in long term commitment. In some cases we have had volunteers who are refusing to do what we ask of them, because it is not sufficiently high profile. These volunteers are gladly let go of. Looking at the bigger picture: At a national level our umbrella body the Hospice Palliative Care Association of South Africa (HPCA) is in a serious funding crises. This has resulted in the retrenchment of a number of staff and as a consequence the ability to support the individual hospices is seriously compromised. We endeavour to assist where we can by offering our services in mentorship roles to other hospices to try and fill the gaps left by HPCA. We continue to be members of both a national as well as provincial body. Membership at a provincial level has some rewards and I am part of teams that over see both training and accreditation development. As I bring this report to an end, a reminder about our Cheese and wine celebration of our 35th anniversary. Details have been circulated and we look forward to welcoming you to that celebration. In conclusion: I would like to express my thank to my wonderful team of managers and team leaders and those who report to them. Hospice care is characterised by approaching the patient and the family holistically. The team here at Msunduzi Hospice works holistically together. Thank you for everything that you do. To your families who so generously give up their time with you while you are here. To our volunteers, who give me so many grey hairs, without your contribution so much less would be achieved. To the board and the executive. Your support creates an enabling environment that allows me and all of us to do so well. We have a motto that we use as much as possible, ‘We care because you matter.’ Albert Camus has put it slightly differently by way of conclusion, ‘Don't walk behind me; I may not lead. Don't walk in front of me; I may not follow. Just walk beside me and be my friend.’ This is the work we do. To journey alongside and help you walk home.

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Our ‘hotspice’ – Admin / Retail Team

Clever Christmas tree

made out of books

Always looking for your

pre-loved goods … drop

off at our Depot

Amazing couple Steve & Elenore Pienaar shared their

inspiring talk – 1st SA couple to achieve 7 marathons in 7

continents

Frank &

Maureen

Moore –

20-year

volunteer

certificate Sonya from Varsity College got

her students to decorate empty

pot plant holders for Hospice

Grace College entertaining us at the Easter Fair

Thank you Pick n Pay Victoria &

Vinimark for another successful Wine

Tasting in support of Hospice

Retail Team in Support of Breast

Cancer month

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Christmas Party for our precious children

Our ‘memory

work

program’

Children

enjoying fun,

games &

activities

Daycare volunteers, staff and patients enjoy a

lovely day out at Butterflies for Africa

Tree of lights 2017

Staff Party – had great fun dress up ‘miss-match’

theme – enjoyed loads of laughs, exchanging gifts

and tasty treats

Training

Chairman of the Board, Pete addressing the staff

for 2017

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Treasurer’s report to AGM 24th May 2018 Mr. John L Wray

FINANCIAL COMMENT ON 2017 AFS

Ladies and Gentlemen it is my pleasure to comment briefly on the 2017 Annual Financial Statements. Alan H English and Co have once again completed the audit and subject to the qualification which reads “in common with similar organisations, it is not feasible for the association to institute accounting controls over donations and cash collections from fund raising prior to initial entry of the donations and collections in the accounting records. Accordingly, it was impractical for us to extend our examination beyond the receipts actually recorded.” Our thanks go to Phil Harvey and Helena Pisula for their efficient conduct of the audit and preparation of the audited accounts. Thanks also to Alan English & Co who have had a long association with Msunduzi Hospice. They have however advised that due to a decision taken to close their office they will not be available for election as our auditors for the ensuing year. The income statement on page 5 reflects a deficit of R149,041 for the year, marginally bigger than the 2016 deficit of R128,789. Income as shown on page 5 after transfer to designated funds and transfers between capital and revenue reserves if R4,200,803 (2016 : R4,634,157). In both 2016 and 2017 transfers have been made from previously designated capital reserves to revenue reserves to correctly reflect that there are no longer specific conditions attaching to the use of those funds. The net value of Reserves however remains unaffected. Prior to the accounting transfers actual income received is R7,055,166 compared with R7,045,343 received in 2016. Donations and bequests totalling R3,117,355 are R188,873 more than in 2016whilst the income from the shops and other fund raising activities have all been very satisfactory. An analysis of specific items can be found on pages 9-10 of the booklet. Disappointingly we again were not favoured with a much hoped for grant from the National Lottery. Total expenditure inclusive of depreciation is R7,156,819 which reflects a 3.1% increase over 2016. With staff employment costs accounting for 70% of the overall expenditure it is indeed an

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ongoing challenge to provide the exceptional service delivery which Msunduzi Hospice is recognized for. At year end the value of funds and reserves stands at R11,065,049 as reflected on page 4 of the financial statements. As usual it is necessary to point out that Property, Vehicles and Equipment being relatively illiquid assets, account for R5,877,528 of these reserves. As per the Cash Flow Statement on page 6 of the booklet, it will be seen that liquid funds presently available to finance the Association amount to R5,652,277. Also, at year end the market value of the original R2,350,000 investment in the Marriott Income Solution Trust is R3,001,444, up by 4.3% from 2016. The unrealised profit on this investment of R651,444 is not brought to account in these financial statements. The 2018 budget reflects a deficit of R80,277 which satisfies the objective to at least break even. Although an assumption is made that a Lotto grant will be received, an undertaking is also given that until such time as a grant is confirmed no commitment will be given to additional envisaged expenditure. I wish to extend my thanks to management and staff and all others for their commitment and participation in managing the affairs of the Association. Ladies and Gentlemen, may I request your approval of the financial statements for the year ending 31 December 2017. John Wray (Treasurer)

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YOU ARE PRECIOUS On behalf of Msunduzi Hospice Association, we wish to thank the Public of Pietermaritzburg (and greater PMB area); various Charitable and Non-Charitable Trusts; Commissions; Funds and Foundations; as well as the Media; Individuals; Families; Companies; Government; Educational Institutions; Junior and High Schools and Event Sponsors – all who have supported our work. We also wish to extend our deepest appreciation to our Volunteers and Board Members who sacrifice their time and offer their expertise in aim to further the objectives of Msunduzi Hospice Association. To all who have donated either patient care equipment, clothes, books, plants, cakes, jams (and other items). Thank You! Finally, we thank all who support our Fundraising Events, our Charity Shops, Conference Centre and various campaigns. You are very precious!

Greendale Trust; Joan St Leger Lindbergh Charitable Trust;

Ken Collins Trust; The Concord Trust; The Fulton Trust; The

Nemit Trust; The RWJ Hetherington Trust

Friends of Hospice;

Aluminium Foil Converters (Pty Ltd;

Department Health;

Department of Social Development

In closing: We wish to express our deepest appreciation to

all our staff and management for their hard work and commitment