Based in Bihar in India on the border with Nepal, The Duncan Hospital is the only medical facility in the region. It provides medical care for five million Nepalese and six million Indians but receives no funds from central government. Originally founded in 1930 by Cecil Duncan, an Edinburgh GP, the Duncan came to Professor Mackay’s attention through Drs Matt and Joanna Peacock, who spent 10 years working at this medical outpost. The Peacocks were great friends of Professor Mackay’s mother and over the years shared their stories from the Duncan, becoming increasingly concerned as the hospital's infrastructure was falling  into a state of disrepair. Professor Mackay and his wife Jackie were so moved by the desperate situation at the hospital that they decided to commit to completing the unfinished Mother and Child Block before moving on to focus on other areas of need within the hospital. Following a visit to The Duncan for the opening of the new Mother and Child Block the Mackays joined forces with Graham Watson and his wife Karen to form The Duncan Hospital Charitable Trust. Since 2010 the Mackay and Watson families have visited regularly forming lasting friendships with the committed and inspiring staff.