Report - Children's Hospital Trust
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3 Chairperson’s Report 5 CEO’s Report 6 Building & Equipment Projects Achieved in 2018 8 Michial’s Story 9 New Building Projects & Equipment in the Pipeline 9 Completed Programmes 10 Current Programmes 12 New Programmes 13 APFP Case Study 15 The UK Trust’s Report 16 Red Cross War Memorial Children’s Hospital - Hospital Activities in 2018 - Global Impact It is known throughout the world as a centre of excellence 19 Esona’s Story for pioneering research and treatment of childhood diseases 20 Financial Review - Treasurer’s Report and as the premier centre of - Statement of Responsibility and Approval specialist paediatric training in Africa. Though located in Cape 31 A Donor’s Story 32 Town, it has become a national Thank you to our Donors and international resource. 36 Thank you to our Supporters 37 Former president and international icon, the late Mr Nelson Mandela Boards, Trustees and Committees 39 A Mother’s Story A selection of photographs courtesy of Karin Schermbrucker 40 Donation and Contact Details 1
Chairperson’s I am pleased to report that the Children’s Hospital Trust continues its positive trajectory. Coming off the strong momentum imparted by my predecessor in the chair, the year-to-date proved another remarkable year of achievements for the Trust. Two of the Trust’s more significant building project achievements are, undoubtedly, the recent completion and official opening of the new Neonatal High Care Unit at the Red Cross War Memorial Children’s Hospital (‘Red Cross Children’s Hospital’) and the new Neonatal Unit at Groote Schuur Hospital. The first phase of the Oncology upgrade at Red Cross Children’s Hospital is also now complete. On the horizon for the Red Cross Children’s Hospital is its new Emergency Centre. The planning for this large and complex project is advancing on schedule. The Trust’s management and professional teams continue to impress, despite the challenging economic climate in which this important project is being tackled. Together with these building projects, the Trust also completed the multi-year funding cycles of a number of programmes. These programmes have been fundamental to child healthcare and it keeps, particularly the Red Cross Children’s Hospital, at the vanguard of child healthcare. Of central importance to the successes of the Trust has been its very able and professional management team guided by Louise Driver. After almost a decade at the helm, Louise unfortunately leaves the Trust this year to take up another challenge in the non-profit sector. With a very capable management team in place, she leaves us in good hands. I take this opportunity to record our sincere appreciation to Louise for her boundless energy, professionalism and dedication to the Trust. In conclusion, I also express my sincere gratitude to my fellow trustees and the members of our specialist sub- committees for their sacrifice and dedicated service to the Trust. I recognise that each trustee and each sub-committee member is an important cog in the Trust. I am confident that with such a dedicated board of trustees and members, the Trust will continue to grow, prosper and enhance child healthcare. Randall Titus Chairperson 2 3
Report Amidst the doom and gloom of South Africa’s current have raised almost R1 billion which has been invested economic woes, I am very pleased to be able to report in the children of this country. positive progress at the Children’s Hospital Trust. Despite the financial challenges faced both by the During my 9 years at the Trust I have been privileged to Government and the Red Cross Children’s Hospital, experience the incredible generosity of our supporters. over the past year the Children’s Hospital Trust has Irrespective of the scale of any challenge taken on by the continued to help grow and improve the services and Trust, we are always confident that this community of facilities of the Hospital and its ancillary services in donors, supporters, advisors and ambassadors will help order to provide better healthcare for thousands of us to raise the funds that are needed. Your generosity seriously ill and injured children. in the past allows us to go into the next year with the same confidence that we will meet our most ambitious Our key building achievements over the past year were fundraising target in the history of the Trust - to upgrade the completion and opening of the Red Cross Children’s and extend the Hospital’s Emergency Centre. Hospital Neonatal High Care Unit and the Groote Schuur Hospital Neonatal Unit. These new units will ensure that I have recently made the difficult decision to embark the vulnerable neonates that are treated here receive on a different career path in the non-profit sector, and the best medical care possible during their treatment it is with considerable sadness that I will be leaving the and recovery. Trust. I would like to take this opportunity to extend my heartfelt thanks to all those who have provided me The Trust has also helped to ensure that the Hospital’s with unstinting support in my role heading up the Trust young patients are cared for holistically through its over the past 9 years. Thank you to my supportive, wise ongoing support and funding of the Hospital’s Social and committed board of trustees; my inspiring and Work Child Protection programme, the RX Radio dedicated staff at the Trust; and to all of you loyal Trust child-led hospital radio station, and the Breatheasy supporters who have consistently helped to make the Tracheostomy and Home Ventilation programmes. Trust thrive during my time at the helm. We continue to invest in paediatric medical training programmes including the African Paediatric Fellowship, As I consider the successes of this past year, I am the Child Nurses Development Practice Initiative, the confident that with your continued support the Trust will District Allergy programme and more recently the continue to grow under new leadership, strengthening Child Public Health Education programme. These the child healthcare sector in the years ahead. Thank interventions all have a substantial impact both on the you for your invaluable role in our ongoing success. quality and the number of paediatric medical staff in our country and continent. The Trust recently celebrated its 25th birthday and this occasion afforded us the opportunity to look back and reflect on all that has been achieved since the Trust’s Louise Driver inception. Together with you our loyal supporters, we Chief Executive Officer 4 5
Building & Equipment Projects Achieved in CATHCHAT The new CATHCHAT system was permanently installed into the Cardiac Catheterisation Laboratory (Cathlab) allowing catheterisation procedures to be transmitted live online. Through CATHCHAT it is possible to watch surgeries undertaken in the Cathlab, interact with the local staff and the participants throughout the globe, ONCOLOGY UPGRADE & EXPANSION virtually in real-time, assisting surgeons with a choice The building upgrade and expansion provides of materials, different ideas and case discussions. At additional isolation cubicles, ablution areas, enlarged least 150 children with cardiac disease benefit from procedure rooms and improved staff areas, storage cardiac catheterisation interventions per year. and administration facilities. In addition, a small research facility will be added. Building will be completed in July 2019. This novel live online platform is aimed at GROOTE SCHUUR NEONATAL UNIT developing capacity for interventional paediatric THE BREATHEASY AND HOME cardiac catheterization in Africa: The power of The upgraded unit can now provide different levels of CATHCHAT is that renowned interventional experts VENTILATION PROGRAMME care for up to 80 babies: the Neonatal Intensive Care The upgrade provides a safer environment and adds are simultaneously invited to log in to watch the Unit (NICU) (20 babies); High Care (30 babies); pre- This unique specialist nurse-led initiative at the comfort and privacy for the 2,000 children admitted procedures and advise the operators live. The logged- Kangaroo Mother Care (KMC) (20 babies); and KMC Hospital continues to empower parents of children and 5,000 outpatient visitors who rely on this service in audience witnesses this interaction. This system (10 mothers with babies). Other significant features reliant on a tracheostomy or artificial ventilation annually. Already, the scope of service has expanded, is therefore a simultaneous teaching and learning include breastfeeding spaces, sterile milk kitchens, and for breathing, providing safe care for their children with increased access for paediatric brain tumours, tool to the on-site interventional team as well as parent support facilities. New equipment, including 21 at home. Mothers and other family members are better after care of patients undergoing stem cell the logged-in audiences: an observed master class. multifunction incubators, will be purchased in 2019 to trained while the child is recovering in hospital, and transplantation, integrated palliative care services facilitate this state-of-the-art new Neonatal Unit. their progress is monitored through regular follow- and new capacity to do research. ups. The programme also supplies the equipment essential for children’s tracheostomy care at home: this includes suction machines, humidifiers, ventilators, as well as a range of associated items The building upgrade has enabled improved required for safe care. 30 new children entered the service efficiencies, through better workflow and an programme in 2018, bringing the total number environment that is conducive to the physical and of children supported, and empowered, to 500. emotional health of patients, parents and staff. The likelihood of neonatal infections has been reduced through larger spacing between incubators and more hand washing facilities. Increased space Home-based family care is the most effective for has made it possible to accommodate more life technology-dependent children as it reduces the support equipment and larger high-tech incubators, need for long term hospitalisation, the amount of time particularly in the NICU. In addition, there is space children are separated from their mothers/caregivers, for mothers to spend time at the bedsides of their and also lowers the incidence of complications (such children and be involved in their care. as infections and blocked tubes). 6 7
New Building and Equipment Projects in the 6-year journey of fear, trust and hope EMERGENCY CENTRE BUILDING UPGRADE & EXPANSION (2019 - 2021) The primary function of this area is to provide 24- corner, a calm room, a burns treatment room, a new hour medical, surgical, nursing and paramedical child protection unit and family friendly waiting areas. When I was only 3 years old, I had services to children requiring emergency and acute excruciating knee pain and my concerned services. The Emergency Centre at the Hospital is father took me to various doctors, but we the only dedicated children’s emergency unit in were told that I was suffering from normal South Africa and the upgraded unit will include Improvement in the personalised care and flow of new medical and trauma resuscitation areas, and growing pains. My parents were not convinced patients and healthcare professionals through this an increase in the number of consultation and and decided to take me to Melomed Hospital extremely busy area of the Hospital, which receives procedure rooms. The project will also add new areas over 45 000 patients per year. in Gatesville for tests and an overnight stay. to the centre, including: quarantine, a rehydration The following morning, I was diagnosed with Leukemia (Leukemia is a cancer of the blood or bone marrow). My family was devastated, Programmes and I was very, very scared. PACK Child (2014 - 2018) MILK MATTERS (2016 - 2018) The Practical Approach to Care Kit (PACK Child), The focus of the Growing Milk Matters – Saving Babies Michial was then referred to the The family was challenged with this developed by the University of Cape Town Lung Programme is to increase the number of babies with Oncology service at Red Cross War new journey that scattered their Institute’s Knowledge Translation Unit in conjunction access to life-saving donor breastmilk and to increase Memorial Children’s Hospital, where daily routine. They had to adapt very with the Western Cape Department of Health, is a breastfeeding rates in neonatal units in certain state he received his medical treatment quickly to a new routine that became comprehensive, integrated clinical resource to provide hospitals in Cape Town. In 2018, 1 545 premature and chemotherapy, including radi- a rollercoaster ride. They explained a ‘one-stop’ guide for primary care of the child and babies were fed with donor milk, 41 nurses were ology at Groote Schuur Hospital. This the difficulty of working during the young adult (0-13 years). 99 staff were trained at 10 upskilled in breastfeeding practice, and 1 078 mothers process was one of the bravest battles day, being at the hospital after hours facilities in the first-year as part of the pilot phase of were provided with breastfeeding support. Michial had to fight and at such a and taking care of a household all the programme. young age. together for an entire year. Breastmilk is essential for babies to survive and “The needles were his biggest fear, for the child to lay “I feel much better and can’t believe that athletics is thrive, and the incidence of complications amongst there and see all those needles...Yoh! He was strong and my new hobby – I like running and being active. I visit The use of the guide has resulted in improvements premature infants is significantly reduced simply by eventually gave up crying. This was very hard to witness.” Red Cross Children’s Hospital as an outpatient every in chronic condition management, attention to ensuring that they are exclusively breastmilk fed. said his father. Michial had to have a lumbar puncture, 3-months for my chemotherapy treatment and checkup. psychosocial issues, patient flow, nurse knowledge Donor breastmilk is therefore a lifesaving resource for which is the insertion of a needle into the spinal canal to I have to do this for 5 more years and after that, I hope and practice, multidisciplinary working and even those babies who are unable to get breastmilk from collect and examine the fluid that surrounds the brain the doctors discharge me completely.” says Michial. reported caregiver experience. their own mothers. and spinal cord. 8 9
Programmes DISTRICT ALLERGY SERVICES RX RADIO (2016-2021) CHILD PROTECTION SOCIAL (2017-2020) This unique radio station run by and for children WORK PROGRAMME (2016-2020) The Hospital’s Division of Allergy has developed a operating from the Hospital is a world first. The station training model to integrate allergy provision into provides a valuable platform for dialogue between The Social Work Department at Red Cross Children’s all levels of the health service – including clinics, the children attending the Hospital, their families Hospital processes outstanding child abuse cases community health centres, district and regional and the health workers, as well as other children in since 2011; deals with all new cases immediately hospitals. In 2018, 4 facilities (Vanguard CHC, Michael the community. With 59 active young reporters, the upon referral; and develops a comprehensive, up-to- Mapongwana, Dunoon CHC and Mitchells Plain station now broadcasts shows 24 hours a day, 7 days a date set of clinical protocols and skills to ensure the CHC) successfully completed training and all have week, providing entertainment and health education provision of efficient, ethical care to abused children established designated Allergy Services. to all patients, their families and healthcare workers and their families going forward. Since the start of in the Hospital. the programme in January 2016, the social work department has provided care and support to over 2,000 victimised children and their families. The establishment of new skilled allergy services outside of the Hospital means children with allergic conditions RX Radio provides the platform for children to have APFP (2008 - ongoing) are now able to access basic services for all aspects a voice: to tell their stories about their illnesses and The University of Cape Town (UCT)’s African Paediatric of allergy care quickly, easily and regularly in their issues that are important to them, and to learn from Fellowship Programme (APFP) provides specialist own neighbourhoods, thereby improving their health the experiences of their peers. This empowers and The programme has resulted in the improved quality paediatric training to doctors and rehabilitation outcomes and reducing the burden on tertiary hospitals. improves the well-being of each child, their family and continuity of care of past and present victims of specialists from across sub-Saharan Africa through the and caregivers at the Hospital, reducing the risk of child abuse: both within the social work department, and in trauma and medical departments in the Hospital. It gives health professionals the opportunity CNPDI (2008 – ongoing) secondary trauma that can be experienced because to learn, develop and contribute to improving child of hospitalisation. Hospital. The impact of the program also reaches The UCT Child Nurse Practice Development Initiative beyond that of the Hospital through improved health care at both the Hospital and in their home (CNPDI) ensures that nurses from across the country involvement and response of law enforcement, social country. 2018 saw 23 fellows continue their training and continent are trained in specialist child nursing as WEEKEND WAITING LIST (2011- ongoing) development and education departments in all child with the APFP, and 21 new enrolments. This year has a critical step towards building child nursing capacity This initiative focuses on reducing the backlog protection cases. also seen the continued development of relationships in Africa. This year has seen 29 nurses graduate as of elective surgery cases by creating 6 months of with key partner institutions in Kenya, Ghana, children’s nurses, 25 with PG Diplomas and 4 with additional days of surgeries (Saturdays) to the Hospital’s Zimbabwe, Uganda, Zambia, Malawi and Tanzania. a Masters qualification that equips registered nurses operating schedule. The 2018 Weekend Waiting List with the skills to become Advanced Paediatric Nurse assisted 138 patients whose appointment dates for Practitioners. CNPDI was also the proud recipient of surgery was initially scheduled for later dates due to the first Annual Burdett Nurse Global Health Impact emergency and more life-threatening surgeries taking With the increasing number of paediatric Award and won Best Presentation at the THET Annual preference. Dental Surgery was included in 2018 as a specialists graduating from the APFP every year, the Conference (UK). new addition to the other disciplines addressed. programme continues to work towards addressing the deficit in the specialist paediatric workforce needed to improve child health services across the The CNPDI has grown to become the primary child continent. Additionally, APFP fellows constitute a nursing training site in Africa. In addition to building By reducing the large volumes of relatively minor large proportion of the registrars and senior registrar and capacitating the local child nurse workforce cases, more scope and flexibility is provided for more posts at the Hospital, thereby contributing directly to needed to improve child health services, the complex cases to be attended to during the week, improved service delivery. programme has established 6 new in-house nurses thereby improving the efficiency of the service, training programmes in Malawi, Kenya and Zambia. patient outcomes and quality of care. 10 11
Programmes ONCOLOGY NURSE TRAINING Case Study PROGRAMME IN PARTNERSHIP WITH WORLD CHILD CANCER Fellows are trained from (WCC) (2019-2020) 14 countries across Africa. This collaboration aims at building an appropriate This is Dr Njiram’madzi’s Story… specialised paediatric oncology nursing workforce in sub-Saharan Africa by supporting 4 pairs of oncology nurses from across Africa (Malawi, Nigeria, I first came here from Malawi in 2014 to the Tanzania and Zimbabwe) to spend 6 weeks of in- service training in the Oncology Ward at the Hospital. Red Cross War Memorial Children’s Hospital in Cape Town, Facilitating the development of multi-disciplinary Countries that have been impacted with South Africa and was first introduced to African Paediatric teams for paediatric-oncology, our nurse graduates projects and programmes funded by CHT Fellowship Programme (APFP). While here, doing my general work in partnership with trained APFP fellows, and the programme includes a training period with the APFP paediatric training, I had an opportunity to rotate in the team at CNPDI. CathCHAT paediatric ICU at the Hospital. That is when I realised that CNPDI critical care was the “guy” I was looking for my whole life and CHILD PUBLIC HEALTH AND I knew that I would be back for “him”. EDUCATION (CPHE) PROGRAMME (2019-2021) So, I applied to the APFP for What I will take back to In order to ensure that children in the public sector a Critical Care Fellowship Malawi, to the Queen receive the best possible health services, professionals because when a child comes Elizabeth Central Hospital, working across the health system need to be skilled into a hospital in Malawi, is ongoing care. How do and competent not only in clinical care, but also have the first hour or two of we look after the patient a robust understanding of child public health. This is Ethiopia Ghana being assessed and helped when they are out of critical the discipline in the health sciences that deals with by medical staff, including care? I believe we need Kenya population-level aspects of children’s health and Malawi resuscitation is performed to fill this crucial gap in well-being. Led by child public health experts at the Mozambique very well – Malawi are our healthcare. The most Department of Paediatrics at the University of Cape Namibia pioneers in triage process – critical and most ill children Nigeria Town, the aim of the programme is to re-establish but the one thing that we have not really been good at can still walk out of the hospital after being cared for and South Africa a vibrant academic child health hub that will that Sudan is continued care. So more often than not, despite the educated in ICU. Isn’t that the purpose of medicine?” offer a strong, sustainable and adaptable suite of eSwathini amount of effort, children continue to die unnecessarily CPHE programmes and courses that ensure optimal Tanzania because the ongoing care is simply not there. That’s why provision of child health services for Cape Town, the Uganda Dr Jenala Njiram’madzi – Paediatric Critical Care I decided to do specialised training in critical care at the province, the country and the continent. Zambia Specialist, Malawi Zimbabwe Red Cross Children’s Hospital. 12 13
Update from the Office Chairman’s note… Now in my 11th year, I am honoured to lead the Trust’s family here in the UK. This year, in particular, has given me a new chance to meet more of our supporters as they came together for ‘An Evening with South Africa’s First Specialist Children’s Hospital’ at the Royal College of Paediatrics and Child Health. Coming from all walks of life, we all have the Red Cross War Memorial Children’s Hospital in our hearts and are committed to seeing the Trust succeed. I look forward to working with friends – new and old – again in 2019. Together we can make a world of difference. Benedict Hall UK Chairman 2018 Highlights UK. Supporting paediatric oncologists working in Malawi, Charitable Trust, the Henhurst Charitable Trust, the Lord 2018 has seen the UK office perform well against Nigeria, Tanzania and Zimbabwe, this new initiative will & Lady Lurgan Charitable Trust and the Rest Harrow Trust its financial targets, raising R2,323,028 (£166,756) in see pairs of nurses travel to South Africa to learn critical for supporting our work. Of course, we would also like to donation income. As part of this, we are proud to skills to care for children with cancer: thank all those who have made a personal donation to have seen Clare Davis and the Child Nurse Practice the Trust, cycled Cape Argus or fundraised on our behalf. ‘Most childhood cancers, if detected early enough, Development Initiative Critical Care education team It is because of you that we can help bring specialist care can be cured - and we are delighted to be working win the ‘Global Health Impact Award’ at the inaugural to some of Africa’s most chronically ill children. in partnership with The Children’s Hospital Trust Burdett Nursing Awards. Presented to a team led by a (South Africa) to help give more children a faster UK nursing professional, this award recognises those who raise money for the Trust. We excelled ourselves - raising route to better treatment.’ have made an outstanding contribution to patient care more than £40,000 to help upgrade the Oncology- World Child Cancer Chief Executive, Jon Rosser. outside the UK. A fitting definition, it is the first award of Haematology Unit at the Hospital. Particular thanks go • More than R2,323,000 raised! its kind for the CNPDI, and is important testament to the Finally, 2018 has seen the Trust receive continued to RDI REIT for sponsoring the event, as well as to our passion, skill and determination of their team and all its support from the Vitol Foundation, whose generosity • A record-breaking year for our Royal Parks runners. corporate teams at Opinium and Vitol. We couldn’t nursing graduates. is helping our partners at the APFP and CNPDI train have done it without you. • A new partnership with World Child Cancer. specialist doctors and nurses from South Africa and This year also saw 70 runners brave the rain and run In addition to the above, we are also pleased to announce across the continent. We would also like to thank • Centre-stage at the Burdett Trust Nursing Awards! London’s Royal Parks Foundation Half Marathon to a new partnership with the team at World Child Cancer Ethical Currency, and the Trustees of the Bryan Guinness 14 15
Impact War Memorial Children’s Hospital ACTIVITIES NUMBER OF BEDS NUMBER OF BEDS 272 272 ADMISSIONS ADMISSIONS 20 384 20 787 DAY PATIENTS DAY PATIENTS 4 268 3 975 INPATIENTS INPATIENTS 76 590 76 985 OPERATIONS OPERATIONS 6 475 7 376 OUTPATIENT VISITS OUTPATIENT VISITS Trauma and 127 179 121 518 Emergency Centre visits TRAUMA & EMERGENCY TRAUMA & EMERGENCY have increased 39 178 43 375 by over 4,000 – Patients come from afar to be treated patients in the ALLIED HEALTH VISITS ALLIED HEALTH VISITS last year – Specialist training programmes at the 54 958 53 680 Hospital impact 14 countries in Africa 16 17
Story I was so hot; I was so scared and sore! I didn’t realise what was happening. These are the words of 11-year-old Esona who lives in Worcester with his grandmother and cousins. Esona was rushed to the Emergency Centre of the Red Cross War Memorial Children’s Hospital from the local hospital in Worcester after his pyjamas caught alight from the flames of a candle. “It was a Saturday and I was at home playing outside with my small cousins. At around 6 o’clock we washed and changed into pyjamas to watch TV. My cousins then went to play outside again but suddenly, the electricity went off and I lit a candle and walked to the door to call my cousins to come inside because it was cold and getting dark. As I closed the door, I felt hot and looked down to see my shirt was burning in the front. The flames moved quickly around my back and bottom and then it caught onto my arms. I was so scared, and sore! I ran outside to roll myself on the sand shouting – our teacher told us to do this, if we ever caught on fire. We were all shouting.” Esona was taken to the local hospital, sedated and then rushed to the Emergency Centre at the Red Cross Children’s Hospital in Cape Town. “I don’t remember much as I was asleep most of the time, but I do remember waking up in ICU and seeing my grandmother and family standing here and praying - that made me so happy.” It’s painful when they change the dressings but the nurses talk to me so that I do not cry. I have been at the Hospital for 3 weeks and the doctors and nurses love me, they take care of me, so that I can play soccer again.” 18 19
Review Treasurer’s The financial year, which ended on 31st December out of the efficient management of funds, interest 2018, was another good year for the Children’s Hospital received on those funds arising from investments, as Trust. Donations received amounted to R57,8m (2017 well as funding received from the Children’s Hospital R89,1m). The performance of the fundraising team Foundation. This has all been achieved by an efficiently during the year has been very good in raising money run finance department of the Children’s Hospital Trust. for the various projects and programmes supported by the Trust in a difficult fundraising environment. As far as Corporate Governance is concerned, the Trust has an Executive Committee which meets regularly and The Trust works closely with the Western Cape reviews each month’s financial reports, as well as the Government Health Department in the completion of a fundraising progress and the progress on the building number of projects during the year. projects. The Trust has an Audit and Risk Committee comprising of four independent members including a Interest and other income for the year amounted R5,0m number of chartered accountants who meet at least (2017 R7,9m) which together with a grant of R5,3m four times a year to review the financial standing of the that the Trust received from the Children’s Hospital Trust, the risks faced by the Trust, as well as reviewing the Foundation covers its operating costs. The net result for Annual Financial Statements. The systems within the the year was a deficit of R10,4m (2017 R3,6m surplus), Trust are constantly reviewed and controls are carefully the deficit arising from the payments for building monitored. The Trust has a system of controls which completion and equipment and which in turn was are designed to provide cost effective assurance that financed arising from donations raised. Administrative its assets are safeguarded and that the liabilities and and other costs have been controlled within budget and working capital of the Trust are efficiently managed. the cost to income ratio of 15,2% (2017 11,24%) was achieved. The change in this percentage is as a result The Audit Committee has discharged its functions in of the lower value of donations received. The Children’s terms of its charter. Hospital Trust has one of the most efficient cost to income ratios compared to various other South African Thanks to all members of the team in the Trust office fundraising organisations. who run the efficient operation and who contribute to the success of the Trust. 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. This 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 John Bester and no donated money is used to cover any office or Treasurer administrative expenses. These expenses are funded Children’s Hospital Trust 20 21
Statement of Responsibility and Approval Statement of financial position as at 31 December 2018 The Trustees are responsible for the maintenance of adequate accounting records, the 2018 2017 preparation and integrity of the annual financial statements and related information. Ernst R Assets R & 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 Non-Current assets Reporting Standard for Small and Medium-sized Entities. The annual financial statements were Property, plant and equipment 171 736 122 858 prepared on the going concern basis, since the Trustees have every reason to believe that the 171 736 122 858 Trust has adequate resources in place to continue in operation for the foreseeable future. Current assets The Trustees are also responsible for the Trust’s system of internal financial control. These are Accounts receivable 6 789 653 223 239 Investments 26 107 169 42 648 152 designed to provide reasonable, but not absolute, assurance as to the reliability of the annual Cash and cash equivalents 43 851 453 46 191 986 financial statements and to adequately safeguard, verify and maintain accountability of assets, and to prevent and detect misstatement and loss. 76 748 275 89 063 377 Total Assets 76 920 011 89 186 235 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 financial information set out on pages 23 to 29, which have been prepared Funds on the going concern basis, were approved by the Board of Trustees and were signed on its Capital donations 69 452 056 79 447 536 behalf by: Accumulated funds 1 264 325 1 639 648 70 716 381 81 087 184 Liabilities Randall Titus Louise Driver John Bester Chairman Chief Executive Officer Treasurer Current liabilities Certain information in this report has been extracted from the annual financial statements Accounts payable 1 244 814 923 065 of the Children’s Hospital Trust. The annual financial statements have been prepared in Sundry payables 4 958 816 5 425 986 Bridging Finance - 1 750 000 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 Total liabilities 6 203 630 8 099 051 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. Total funds and liabilities 76 920 011 89 186 235 22 23
Statement of comprehensive income for the year ended 31 December 2018 Statement of changes in Trust funds for the year ended 31 December 2018 2018 2018 2018 2017 Capital Accumulated Total Beneficiary Operating Total Total donations funds funds R R R R R R R Income Balance at 31 December 2016 75 967 590 1 508 260 77 475 850 Donations received 57 763 898 5 934 708 63 698 606 89 086 395 Interest income - 2 888 310 2 888 310 4 418 224 Total comprehensive income 3 479 946 131 388 3 611 334 Other 3 100 1 535 310 1 538 410 3 120 958 Balance at 31 December 2017 79 447 536 1 639 648 81 087 184 Total income 57 766 998 10 358 328 68 125 326 96 625 577 Total comprehensive deficit (9 995 480) (375 323) (10 370 803) Balance at 31 December 2018 69 452 056 1 264 325 70 716 381 Beneficiaries expenses 63 656 796 - 63 656 796 80 860 171 Operating expenses - 10 733 651 10 733 651 10 865 312 Other 4 105 682 - 4 105 682 1 288 760 Total expenses 67 762 478 10 733 651 78 496 129 93 014 243 (Deficit)/Surplus for the year (9 995 480) (375 323) (10 370 803) 3 611 334 Other comprehensive income - - - - Total comprehensive (loss)/ income (9 995 480) (375 323) (10 370 803) 3 611 334 24 25
Statement of cash flows for the year ended 31 December 2018 Statement of cash flows for the year ended 31 December 2018 2018 2017 Since its inception in 1994, the Children’s Hospital Trust has maintained its ethos that 100% Cash flows from operating activities R R 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 Gross receipts 55 396 859 91 127 315 spent on administration costs. The Trust’s operating expenses are funded from: investment Payments to suppliers and employees (72 745 257) (97 225 934) 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 Cash utilised in operations (17 348 398) (6 098 619) Interest income 2 888 310 4 418 224 raised before project implementation. This fund was established from an early donation Dividends received 1 523 744 1 396 736 specified for this very purpose. Net cash outflow from operating activities (12 936 344) (283 659) The Trust’s total funds on hand, held in various bank accounts, equate to R43,852 million at 31 December 2018 and are allocated as follows: Cash flows from investing activities R 0,4 million - Working Capital Reserve Purchase of property, plant and equipment (136 830) (97 595) R 37,75 million - Funds donated for specific programmes implemented and projects already Purchase of investments (8 118 350) (21 611 439) underway, such as the upgrade and expansion of the Paediatric Intensive Proceeds on disposal of investments 20 600 991 11 781 501 Care Unit. R 5,7 million - Held on behalf of various Hospital departments and clinics of the Red Cross Net cash inflow/(outflow) from investing activities 12 345 811 (9 927 533) War Memorial Children’s Hospital. Cash flows from financing activities An investments amounting to R26,1 million at 31 December 2018 originate from a bequest made to the Trust which will be allocated to future Hospital projects. Bridging finance repaid (1 750 000) - Net cash outflow from financing activities (1 750 000) - Total cash movement for the year (2 340 533) (10 211 192) Cash and cash equivalents at the beginning of the year 46 191 986 56 403 178 Total cash and cash equivalents at end of the year 43 851 453 46 191 986 26 27
Detailed Statement of Comprehensive Income Detailed Statement of Comprehensive Income - Operating for the year ended 31 December 2018 - Operating for the year ended 31 December 2018 2018 2017 2018 2017 Revenue R R Expenses R R Beneficiary distribution – operating 5 310 000 4 810 000 Marketing and promotions 485 098 650 702 Dividends received 1 523 744 1 396 736 - Above the line marketing 128 180 371 520 External contribution to operating costs 624 708 360 445 - Below the line marketing 212 169 119 317 Interest income 2 888 310 4 418 224 - Online marketing 91 441 112 348 Other income 11 566 11 295 - Communication 53 308 47 517 10 358 328 10 996 700 Office maintenance 99 187 89 592 Postage 5 658 16 397 Expenses Portfolio management fee 262 450 282 475 Audit fees 235 970 196 220 Salaries 7 695 925 7 377 046 Bank charges 165 024 175 374 Stationery 142 124 122 355 Broad-Based Black Economic Empowerment verification 22 310 - Staff development and training 63 345 49 434 Books and subscriptions 2 951 8 155 Staff Welfare 29 177 25 360 Depreciation 87 046 64 558 Telephone 77 499 86 583 Donations paid (Children’s Hospital Trust, SA in the UK) 526 508 915 536 Travel and entertainment 54 985 70 768 Donor recognition 1 833 6 977 Workmen’s compensation 26 999 33 192 Employmee Engagement 45 133 27 040 Events 176 024 267 936 10 733 651 10 865 312 General expenses 58 698 17 631 Impairment of intanglible asset 903 138 Insurance 42 830 39 897 Operating (deficit)/surplus for the year (375 323) 131 388 IT expenses 425 973 341 946 - Infrastructure maintenance 321 639 244 157 - Maintenance and enhancement of donor database 104 335 97 789 28 29
A Story After a failed operation in Johannesburg to remove a tumour, Chad’s family was desperate for help. Chad struggled with headaches at the age of 11 and after having a CAT scan, a brain tumour was found near his optic nerves. An operation was performed in Sandton to remove the tumour but unfortunately this was a failure. Thankfully, the tumour was benign. We were then referred to Professor Fieggen at the Red Cross War Memorial Children’s Hospital – we believe this was the first blessing we received! Although the tumour could not was a slight growth in the tumour be removed, Chad’s headaches in his most recent MRI scan but disappeared. A year later we did when he had his recent annual a second, less invasive operation appointment, it was decided to just at Red Cross Children’s Hospital – keep monitoring the tumour for although this operation did not go now. as planned, it managed to burst the tumour and shrink it in size – We are always humbled when we this was a massive relief and our visit the Hospital and are amazed at second blessing. In our view, a miracle. the sincere care provided by all the doctors and staff.” Chad is now 16 years old and developing well which is a great achievement given where his tumour is. There Mr & Mrs Martin, Johannesburg, South Africa. 30 31
Weiner, Ronnie China Construction Bank Corporation – R 10k+ Owen, Kate Cape Town Branch Ebrox Entertainment Chapman’s Seafood Company (Pty) Ltd MOTH Crusader Commander Duffy, Gavin Francis to our Donors African Mining & Trust Company Limited Shellhole Sea Point P Rudden Financial Services Pty Ltd Andrag Beleggings (Pty) Ltd The John and Elsie Barrow Berk Enterprises Stone-Stamcor (Pty) Ltd Foundation Trust Rebstein, Steve & Carolyn R 1m+ ABSA Bank Ltd Boulton, Michael and Pauline The Fynbos Trust The Lord and Lady Lurgan Trust GlaxoSmithKline SA (Pty) Ltd Mordechai Charitable Trust The 476 Charitable Trust (Mr and Mrs) Matasis Foundation Terespolsky, Michael Curro Holdings Ltd t/a Curro Century City The Harry Crossley Foundation Lottostar (Pty) Ltd Mulilo Prieska PV (Pty) Ltd The Susman Charitable Foundation Cawood, Janette Naicker, Pablo & Cecilia Rotary Club of Knysna The Adriaan Carter Louw Trust MIA Films Forrester, Mark OWA Ceiling Systems Cape The Grace Trust Irvin & Johnson Limited (Pty) Ltd Lucke, Brendon Rich Wholesale Jewellers Nu Health Food Cafe Bissolati, Kelvin R 500k+ The Mauerberger Foundation Rennie, Sarah Jane Morrison, Jennifer Crawford, Martin & Marilyn Amschwand, Nigel Estate Late Marshall John Bubole The Elsie & Allan Chamberlin Estate Late Nikola June Kirby The Noakes Family Charitable Trust McNally, Spencer Leonard Estate Late Brian Rudolf Ashton Charitable Trust R 50k+ Allport Cargo Services (Pty) Ltd Giralt, Nuria Liebl, Lewis Bradley Anglo American Chairman’s Fund Mane SA (Pty) Ltd ABSA Rewards Programme Hansen, Aage Davis, Amanda Royal Parks Team 2018 Papa’s Trust Chambers, Craig Michael R 20k+ Russell, William The Kurt & Joey Strauss Foundation L’Arbre Vert Charitable Trust NZ c/o The Yates Charitable Trust Khan, Razia The Willmott Charitable Trust Kendrick, Deborah Ehlers, Jinnie Wintrust New Zealand Limited Trencor Services (Pty) Ltd The HT Gormley Testamentary Trust I Sheng Plastic CC van der Westhuizen, Warren Pettit, David Willowton Oil Foundation The Little Tew Charitable Trust Cape Peninsula University of Technology - Van der Spuy, Gordon Killackey, Brendan Sanlam (Pty) Ltd Estate Late Howard E Ranford Giabardo, Paolo Faculty of Business and Topfast CC Humphreys-Davies, Tim The Strebel Foundation Trust Estate Late Lorna Ann Clemency The Rawbone Trust Management Sciences Turner, Roger & Joyce Sicilian Association c/o Italian Club Engineering Data Systems CC Hannay-Robertson Ryan, Norma Cape Town Cycle Tour UK Cyclists PSG Wealth Financial Planning Bosman, Gideon Earl Regout, James & Anneke UCT Scrub Run - Gareth Obery The E R Tonnesen Will Trust Natural Health Ladies Workshop Yeats, Craig Pillay, Darren R 250k+ Chemetrix (Pty) Ltd Cooper, Noela IPSOS South Africa Pogrund, Barry Van der Westhuyzen, Petrus Johannes Comair The Phatisa Foundation The Chaim & Jessie Cantor Charitable Estate Late Jane Juer Vassen, Umesh Carstens, Karin The Simunye Trust MySchool MyVillage MyPlanet and Educational Trust Estate Late Johann Van Heerde Jacobs, Paul Khan, Shahnaz Estate Late Thelma Harriet Whitaker The Ann Kreitzer Will Trust The Pamela Barlow Charitable Trust Engelbrecht, Neels Rallan, Rajesh & Rajni Andre Daniels & Craig February Estate Late Cynthia Winifred Apperley World Child Cancer UK Bester, John Andrew Moultrie, Tom KBAC Flooring (Pty) Ltd Coronation Asset Management (Pty) Ltd Burdett Trust for Nursing Desai, Rajnikant Navin Chandra Burger, Jean The Walter (Bryan) Guinness The Leo & Patricia Fine Foundation Vanzaghi, Ivano The AVI Community Trust / AVI Limited Parton, Timothy Pres Les (Pty) Ltd Charitable Trust Jensen, Gill Parker, Sharief Sea Harvest Corporation (Pty) Ltd Africa X-ray Industrial and The Madswimmer Foundation Le Roux, Jeanie Timm, Heidi & Don Twilight Breeze t/a Le Fournil The Suzan Stehlik Charitable Trust Medical (Pty) Ltd Bloomberg LP Mavian, Alex Lala, Anil Bakery & Cafe The Philip Schock Charitable & Booth, Clement and Deborah Diesel, Jane George, Hywel & Mary Ackerman Family Foundation Investec Bank Limited (Cape Town) Educational Foundation The Francis Duncan Family Trust Payne, Gavin J E T Lee Will Trust Lin, Christina Meyer Communications (Africa) CC The Bed King Technovaa Packaging Van der Spuy Cape Town The A & M Pevsner Charitable Trust Chorlton, Ann t/a MeyCom The Intaba Foundation Industries (Pty) Ltd Weber, Daniel Wright, Andrew Sturley Copty, Anthony Hops, Nicholas Mediclinic Southern Africa Investec Securities (Pty) Ltd Dekra Industrial RSA The David Graaff Foundation Malan, Wium Alphen Boutique Hotel Cape Union Mart International (Pty) Ltd Ethical Currency Ravenscroft Charitable Trust Kruger, Barend Purple Ant Management Company R 100k+ The St Ola’s Trust Fagan, Anton Gabriel Viviers, Paul Blue Line Express The Hyman Goldberg Foundation Aspen Pharmacare Holdings Limited Medpages Charles Harding Charitable Trust Splinter, Edwin & Eleanor McCulloch, Mignon Coots ‘The Golfers’ Ingenuity Property Investments Limited Jibson, Paul Pack Pro Ravjee, Pooja 32 33
Randle, Gareth Duffy, Melissa New Apostolic Church Muizenberg Ferreira, Yolande Warner, Shaheemah The BradProp Trust Goldmann Engineering CC Cloete, Emmie St Mary’s Charity Kaplan Kushlick Educational Foundation Alves, Ferdi Kazi, Ahmed Laing, Lian Global Events SA Britz, Werner Kruger & Company Hops, Christopher Estate Late Natale Antonio Diodato Villagers Rugby Club Liddle, Ian Papilsky Solomon Ruben & Ann Winer Horn, Ronald Retief, Francois Mussolini Labia Hibbert, Mark Gotlieb, Abigail Educational & Benefit Trust Schoeman, Tian Papier, Genine Leith, Amina Morris, Brenda Joubert, Henk Chiappini, Henrietta Maynier, Darcy & Heather Levitt, Gail Ivan, Quinton Venter, Kirsten Stuart-Ahmed, Freda Norsworthy, Pat Sensitech Southern Africa (Pty) Ltd Scott, Helen Estate Late Leonora Dorothea Gray Jones, Mary Hendricks, Helena and Austin Farlam, Paul Riedemann, Pieter Cape Bag Depot (Pty) Ltd Beatty, James Daniels, Andre Active Bodies Sports Development Parker, Mohamed Asif Ritchie, Mandy The Eliot and Myra Osrin Trust Beavitt, Chris Reynolds, EA Chefs Warehouse Wyngaard, Laurentius Adendorff Attorneys Ian Dickie & Co (Pty) Ltd Kamah, Jolanda & Johnson Schreuder, Rudi Hein Freelink Tobin, James Paul, Reagan Herschel Vincent Palloti Hospital KV ART (Pty) Ltd Lategan, Helena Ruth Gounden, Logandree De Kock, Servaas Von Ludwig, Gustav Hermann Hodes, Peter Cre, Florina The Eric & Ethel Fuller Trust Estate Late Pamela Dorothy Prodehl Vineyard Deli Essack, Kader Molenaar, Margie Titley, Keith David Sungay, Arifah Begum Estate Late Gwenda Mary Freemantle Curtis, Donald Meyer, Fatghia Naidoo, Ravi Soldin, Ryan and Jo-Ann Manor, Ronen Blackbird Group Kessow, Aneet Lattimer, Ashley and Loma Parlabean, Ted Asset Matrix Pointer SA (Pty) Ltd Cronwright, Rina Edelstein, Nicholas Martin, Barry Keith Weil, Julian & Lauraine Macdonald, M Century Blue Trust Thomas, Natasha Angelheart Jewellery Bux, Abdool Raouf Flax, Mike Fourways Airconditioning St Cyprian’s High and Preparatory School Pureau Fresh Water Company (Pty) Ltd Harper, Mike Visulink IT Solutions CC Robinson, Evan Said-Hartley, Qonita Mariam Dickinson, Terence Omnico Pty Ltd The JB Findlay Will Trust Nganje, Fritz African Tusk Clothing Zaman, Flora Forsyth, Aurelia Therese Neilson, Ian The Diane Kaplan Charitable Trust Platt, Durell & Raelynn Tarkey, Sulaiman Rontgen, Melanie Loots, Mariette Jeff, Sarah, Jason Van Rensburg, Marike Mohamed, Tajodien Jonas, Mu Arfia Beck, Lhackdon Crutchley, Doug Mills, Martyn The Leonard and Dorothy Charitable Trust Equity Pharmaceuticals CTP Limited Cape Crossfit (Pty) Ltd Bosch, Riyaad Van der Schyff, Shahieda Moun, Charles Hester, Margara Merrifield, Andrew Lansdowne Moravian Church Goodes, Beverley & Michael Thompson, Linda Matthews, Louise Bruderlin, Michael & Nicole Papworth, Charles First Garment Rental Gutsche, Janice Clovelly Seniors Golf Club Jacobs, John Star of the Sea Convent Primary School Burgess, Anthony De Klerk, Hennie Harkha, Yasheen Lawrence, Joanne U3A Falsebay Dawson, Tamara Obery, Roy The Jack & Ethel Goldin Foundation R 5k+ Parker, Fawzia Maleka, Rasebolelo Werksmans Attorneys Buchanan, Alan Brown, Niall Old Mutual Finance Tucker, Patience Tropical Health and Education Sizwe Paints (Pty) Ltd Martin, Janine Creal, Stuart Bean, Sandy Cornell, Carol Trust (THET) Dormac - ADO Southey Holdings Loubser, L Robertson, Frederick (Fred) Henry Van Embden Family Parker, Abida de Kock, Michael (Pty) Ltd Pnematicatos, Violetta Currie, Peter Charitable Foundation Westcor SA (Pty) Ltd Davids, Deline Roseline Jeeva, Nipun Wharton-Hood, Sarah The Carl & Emily Fuchs Foundation Portrait, Judith Springfield Convent of the Holy Rosary Nel, Sandra Stacey, Trevor Estate Late James William Simcock Crossberth Cold Stores (Pty) Ltd Schwarzer, Kirsten Bloch, Beverley Desiree Bourne, Susan Karjikar, Ishtiaq & Irshaad Patel, Sumayyah Frater, Sheila Angela Lyne, Henry and Laura Sutton, Lisa Hugo, Emeli Cochran, Donald Ainslie Oman, Chris Suiderland Fishing Division - Pioneer Quinan, Rowena Altmann, Thomas Louw, Henk Karsan, Manoj Fishing (Pty) Ltd Lakhani, Chirag Morris, Ian Tithe, Tong Faure, Nicolaas Nexus Fulfilment (Pty) Ltd Henhurst Charitable Trust Parkes, Hillary Rest Harrow Trust de la Hunt, Virginia Leinberger, Karl & Gina Van Der Nest, Elsa Dorothy Damen Shipyards Cape Town Wild, Lauren Graphic Solutions Digital Botha, Ann Rutherford, Brennan Arjoon, Hemani Moulang, Chio Jeewa, Mohummed PNN Ship Suppliers & Logistics The Reid Family Holland, Jeff & Zuzzette Draper, Errol John Omar, Selma Oculus Operational Innovations (Pty) Ltd Peel, Robert Fredericks, Melshir Watson, Megan Maclons, Whitney 34 35
Boards Committees to our Supporters UK Trustees Children’s Hospital Capital Works A Foundation Board & Equipment G N Members Acrobranch Constantia Nek Mr Benedict Hall, Chairperson Committee Galileo OAC New Media Ms. Tamsin Ashmore, Finance Africa Map Infographic: Newsclip Mr John Bester Mr John Bester, Chairperson Mr Andrew Rudolph, Chairperson Green Planet Lighting Oxford University Press Nu Mrs Georgina Cadbury Mr Thabo Seopa Mr Craig Summersgill African Pride 15 On Orange Dr Caroline Cormack Mr Bernard Osrin Mr Justin Runyowa Aquila Safaris Professor George du Toit Mr Chris Niland Professor Sharon Cox H P Professor Michael Levin Professor Jo Wilmshurst Mr Jan Bergman Hammer Nutrition Mr Benjamin Morton Ms Kaeleen Brown Mr Kimesh Chauhan Panorama Media FP B Helicopters Cape Town Patricai Ottaviano Mr Stephen Oakenfull Mr Tim Willard Mrs Isabelle Franzen Himalaya Herbals Mrs Iliane Thompson Ms Toni Whithair Baxter Theatre Pick n Pay Fresh Living & Kook n Kuier Hollywood Mansion & Spa Dr Fiona Groenewald Mr Andre Spies Dr Lauri-Ann Van der Poel CHT Sub- Mr John Matthews C I R Mr Jaimie Waddell Committees Cape Kingdom Risk Africa Magazine Lady Veena Williams of Mostyn Governance and Carlton Hair Independent Media Robben Island Boat Tours Project Advisory Nominations Child Magazine Rush SA Committee Committee Ciovita J Board of Trustees Professor Alan Davidson, Chairperson Mr Randall Titus, Chairperson City Press The Late Emeritus Professor David Mr Spencer McNally CTP John Brown Media S Mr Randall Titus, Chairperson* Beatty (1941 – 2018) Mr John Bester Johnson & Johnson Mr Llewellyn Smith, Deputy Chairperson* SG Convenience Professor Tony Westwood Mrs Isabelle Franzen Mr John Bester, Treasurer* Professor Maylene Shung King Mr Tim Willard Sportsman’s Warehouse D The Late Emeritus Professor Professor Jo Wilmshurst Mrs Naefa Khan Daily Sun K David Beatty (1941 -2018) Professor Louis George Reynolds Dance Func Kaskazi Kayak Adventures T Mr Spencer McNally* Mrs Isabelle Franzen Mr Lwazi Mankahla Investment Kayak Cape Town Professor Michael Hendricks Delaire Graaff Estate Stellenbosch Die Burger K-Beauty Spa Table Mountain Cableway Mr Tim Willard* Dr Elmarie Malek Committee Taj Hotel Cape Town Emeritus Professor Heinz Rode DSTV Magazine Kulula.com - Khuluma Magazine Mrs Isabelle Franzen Mr Bernard Osrin, Chairperson Tiso Blackstar Group Professor Alan Davidson* Professor Andrew Argent Mr John Bester Professor Mignon McCulloch Professor Heinz Rode Mr Spencer McNally E L V Mr Andrew Rudolph Mr Lwazi Mankahla Professor Alp Numanoglu Ms Kaeleen Brown Eddy Cassar PR Lindt Stores Vineyard Hotel Mrs Deborah Kendrick *Executive Committee members Audit & Risk Remuneration & F M W Committee Human Resources Fitness Magazine Media24 Waterfront Charters Mr John Bester, Chairperson Committee Mini Mag Who’s Who Magazine Mrs Deborah Kendrick Mr Randall Titus, Chairperson Montigue Snacks Ms Fatima Jakoet Mr John Bester Mother & Child Magazine Mr Llewellyn Smith Mr Spencer McNally Mr Mcebisi Mavuya Ms Pam Richardson 36 37
A Story Trinisha struggled to breathe for 10 years before finding true life After struggling to breathe since birth, 10-year old Trinisha’s mother was desperate for specialist advice Trinisha from Durban, KwaZulu-Natal, was rushed to Red to change her daughter’s restricted breathing, and Cross War Memorial Children’s Hospital in Cape Town in her restricted development as she faced her unknown search of urgent life-changing specialist medical care. future. My daughter was a full-term baby, “Trinisha had an extremely hard 10-year journey with her and at birth we were shocked when condition as the doctors in Durban could not manage to remove her trachy. Each time the process was so the doctors diagnosed Trinisha with stressful, and we waited patiently each year, hopeful that congenital stridor - which is the narrowing she would have her trachy removed. It was devastating of the airway which causes an obstruction each time the doctors told us that they couldn’t remove resulting in difficulty in breathing. it yet. Having a baby with a trachy takes much effort and I remember everything as if it was attention, my husband and I had to wake up at night to yesterday. At 2-weeks-old, my baby girl clean the trachy and to make sure she is still breathing. We were so exhausted, and I was desperate to have my was transferred from R.K Khan Hospital to daughter’s trachy removed.” Inkosi Albert Luthuli Hospital in KwaZulu- Natal for an emergency tracheostomy “I then started doing research to find a specialist for her to help her breathe. This process was condition and I was led to Dr Shazia Peer who is an Ear, daunting and new to me, I didn’t know Nose & Throat (ENT) Specialist Surgeon at the Red Cross what to expect. The doctors told me that War Memorial Children’s Hospital in Cape Town. she would outgrow her condition and that her trachae would be removed when she When we arrived at the Hospital, Dr Shazia Peer consulted with us, and has now observed my daughter turned 1 years old. for 6 months, planning her life-changing surgery. Unfortunately, 1 “My experience at the Red Cross Children’s year turned out to be 10 Hospital is always wonderful, the nurses years. The family never and doctors give my daughter excellent imagined their daughter healthcare. They have not only showed love and care to Trinisha and all the would suffer and live other patients but to myself as a mother, uncomfortably for especially in times of desperation.” so long. Trinisha’s mother.. 38 39
TO SOUTH AFRICA INTERNATIONAL UNITED KINGDOM Bank: Standard Bank Bank: Standard Bank Bank: CAF Bank Branch: Rondebosch Branch: Rondebosch Sort Code: 40-52-40 Branch code: 025009 Branch code: 02500911 Account No: 00030976 Account No: 071 443 126 Account No: 071 433 090 IBAN: GB48 CAFB Reference: Name & Surname Swift Code: SBZAZAJJ 40524000030976 Bank Tel No: +27 21 680 4729 Reference: Name & Surname Reference: Name & Surname Please email a copy of your proof of payment for our records and to receive an 18A Tax Certificate. Email: cht@chtrust.org.za 6-year old Camilla was rushed to South Africa: United Kingdom: the Emergency Centre at Red Cross The Children’s Hospital Trust South Africa War Memorial Children’s Hospital Physical Address: Ground Floor, Nurses Residence, 1 Milner Service Road, Rondebosch, 7700, Cape Town, South Africa C/O Berry Court Farm and underwent immediate brain Postal Address: The Children’s Hospital Trust, Suite 259, Church Hill surgery to save her life. Postnet X18, Rondebosch, Cape Town, 7701, South Africa Nether Wallop Hampshire Camilla was supposed to be at a dance audition, but instead, she was diagnosed with Tel: +27 21 686 7860 SO20 8EY Hydrocephalus, a condition in which fluid accumulated in the ventricles of her brain Email: cht@chtrust.org.za www.childrenshospitaltrust.org.za Tel: +44 (0)20 8144 9833 and increased pressure within her head. After undergoing life-saving surgery, the Email: info@childrenshospitaltrust.co.uk doctors gently explained to Camilla’s family the severity of her diagnosis and that there NPO Number: 127-685 NPO www.childrenshospitaltrust.co.uk was a 50% chance that she might not be able to talk, walk or ever dance again. PBO Number: 930 004 493 Trust Number: T297/94 Registered UK Charity: 1121573 Despite this shocking news, her parents trust and believe that with Guernsey Registered Charity: CH360 continued physiotherapy at the Hospital, there is a chance that their little girl will grow up to achieve her dreams. facebook.com/childrenshospitaltrust @chtrust1 @childrenshospitaltrust 40
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