Charfty r•olgtrallon number 1112967 IEngl8nd and Walè$) Company regl8tratlon number 03830244 THE CAMDEN PSYCHOTHERAPY UNIT ANNUAL REPORT AND UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 • xeinadin THE CAMDEN PSYCHOTHERAPY UNIT LEGALAND ADMINISTRATIVE INFORMATION rrustses Dr C Dickinson Mr D Rolhschlld Mr J Bloch Dr M Koperski A Gurfinkel Mr G J Hold8n Ms O Dresn8r M Freris (Appolnt8d 11 March 2025} (Appolnted 6 August 20241 (Appolnted 29 Aprll 2025) 80¢rotary A Gurfink81 Charlty number (England and Wales) 1112967 company numbor 03830244 Reglsterod offlca 89 Prlnc8 ofwales Road London United lQngdom NWS 3NT Indgpendgnt oxamlnBr Hazel Day Xeinadln Nlghlingale Hou88 4eA8 Ea$1 Stfeel Epsom Surréy Kf17 1HQ THE CAMDEN PSYCHOTHERAPY UNIT CONTENTS Page Chairfs ievlew Tw51ee$' report 3-14 Independenl examinerf8 report 15 Slaleménl of financial act￿111 16 glancè 8hg01 17 Notes lo the Ilnanaal slalements 18-27 THE CAMDEN PSYCHOTHERAPY UNIT CHAIR'S REVIEW FOR THE YEAR ENDED 31 MARCH 2025 Whatwo Do CPU London provides frea and Iow-fee ¢ourses of weekly psychoanalytic psycholhor8py for up lo Iwo years. Our seNlce supports patients for whom th8 ffeé or affordab18 Short-temi dinlcal responses n¢)W C¢)mmonly offered by thb NHS (usualty CBT) are ineffecltve, 8nd for whom the prNal8 provislon of long-term dlnl&ql eAre Is prohlbltfvely expen81ve (now arouT)d £85 an hour on average, and rising lo as muGh a3 £150 In Lonth)n). IM)Ile a small proporilon of our patl6nls make a contribution to Iheir treatmènt whére thèy can, usually £&10, Ihls conlribijtion amoun1$ to less than 5fh+ of our lolal Incom8 oach year. We run a cllnlc4lly.proven and cosl-effeclN8 dellvery model that r￿mbIneS the pr8Ctice of a 10-strong part-lim& clinlcal team, 4 tsf whom are Senlor P$ycholh8raplsls with many ¢Jecades of experiencé, with the conlributlon of 23 part-time 'Honorary' p5y¢holheraplsl$.In-lolnlng. Mosl of our patients reeklve Ihelr regular Iherapy from our Honorary Psychotheraplsls. who are supervised by our Senlor Psychotheraplsls In weekty supeThlslon sesslons. Thls combinallon of commltted profésgionals and volunteers conllnues lo keep our costs low whllsl we malntaln hlgh standards ofdlnlcal excellence for whlch w8 havè become known at¥oss London. One key beneflt Is that CPU London delivers valuable Iralnlng 8nd coaGhlng lo upand-comlng psy¢holheraplBls. A number ol Honorary P3yoholherapisls ¢onlinue lo offer Iheir seNi¢•$ for free lo CPU London aftèr they havg qualified (alongsld8 privale praclice). whlch speaks to the dedi￿150￿ ol our Iherap181$ lo the service and Ils c8U88. Ouryoar 2024-25 wa$ a year of steady, consolidaled gr0￿h for CPU London. l am particularty proud of a numb8r of key aspec18 of Our ¢llnlcal work over the past 12 months, Includlng;111 the hlgh proportlon of CPU London patlenls wlth Improved overall mentsl health after Irealmenl (88%J,12J Ihe increase in number of ovèrall seNico-us8rs {187, up from 1751,131 the Increased proporlion of patients who were young peoplo aged 18-25 (30%, up from 21Yg1 and141 the substanllal proportion of our p81i6nts who came from Global Ma1￿ ba¢kgr¢vnd$ (40èA). Th18 year w8 deli￿1•d Ihe fir61 year ol a new referral partnership with the Polish Psy¢hologlc41 Assodatlon {PPA> - ganerou$ly supported by The Lady Ryder of Ilèrgaw Memorfal Trust {LRWMT) - lo provid& ff80. long-terrn psycholh8r8py lo dlsadvanlaged membèrs of the Polish diaspora In London. We ￿nInUed lo slrengihbn Our partner8hlp¥ with Hop3GoIth (whlch provtdes support lo Global Maloflty women) and wlth Swts&qre Iwhl¢h supports Scots Ilvlng in London). providing psy¢hother8Py lo Ihelr vulnerable dienls. And finally we ran a second year ol psycholherapeullc supèrvislon lor the hard-worklng staff of local chartty Global Generallon. and conllnued lo offer psychotherapy lo cllenls of Ihe Yellow Heart Tnjst (sufferers ol addiction). The pasi year also marked a truly exdling momént for our 8xpansion plan lo a netwoth of satellite cllnics, as w8 secured 8 3.year grant from Ihe Nalional Lottéry Gommunlly Fund (NLCF) lo launch and run our Ifrst saieiiiie cllnlc from 2025-28 onwards. We understand Ihal our orowth as a smaller volunlary organi5alion is not Ihe norm In Ihe curr8nl cllmate. Many smaller charllles are belng forcAd lo scale back or lo ctose under Ihe dual pressures of the cosl- of-lmng Cflsis and an Increasingly Gompglitive funding envlronmenl. Th1$ Is not lost on us. and we are exlremely grateful to be expandlng al a lim8 wh8n Ihe neèd for our servTc8 is fFslng acutely. London, and the UK more widely. is experienang a growing and now well-documenlgd menlal health ertsis. Slnee Novemb9r 2023 NHS England has reported Ils longèst ever walls for referrals lo community rnenlal health servk*s and mcrfe than a Ihlrd (38°/0) of all govemment 'PIP' benefrts af6 now made in relallon lo a psy¢hlatriG ¢ondtbon. The155ue is parti¢ularly prevalenl amongsl yovng people., 58'A of Iheraplsls working with sludènls (1&25) reported an incr8aS8 in stress amongst thelr ¢llenl$, meanwhlle th8 m8nlal heaFth needs of young people In work are al80 incfeaslng. wÉlh 48•A of wothlng 18-24 year olds r8POrtlng hlgh str888 (Burnout Report, 2025). THE CAMDEN PSYCHOTHERAPY UNIT CHAIR'S REVIEW (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Wé hav8 séen the number of enquirios for ow seNtc8 grow mor8 th8n threefold over the pasl two years, from 90 in 2022-2310 357 In 2024-25. Our sgrvi¢% now svpporls disadvanlaged palÉents from 24 boroughs {85% of all London boroughs) - a déar Indlcalion that there Is deeply insuffiuent allemalive provision across th8 Cty, Each year, we have steadily Inueased the numbèr of people we SUPPOrt al our main ¢llnic In Kentish Town In response to the growlng need. bul there are many more that w8 sllll cannol help and Ihal Is why we are launching our fir81 satellite clinic. Our Tfusl88s work hard 88ch year lo ensure we are not overfy reliant on any one fundSng Sourc8 and through 2024. 25 wè secuffjd fundlng across 8 ran98 01 income streams kncluding: 42% from Twsls & Foundatlons. 32% ffom Donauons & Legaues,. 28*￿ Ihrough Charilabfe Actimliès and 1% from Investment Income. We 8re deeply Indebted lo our lundlng 8UPPOrters. whether private. ITUSI or entity, whether lonTrterm or b8nefaclors, I could nol b8 prouder of the work Ihe CPU London dinical and adminlslfallva team8 have d8llvered over the pasl yéaf. Nol only are w9 conllnuing 10 expand and Improv8 thè seThiees Ih81 w8 offer al our main dinic in Kenti8h Town. bul we have manag8d lo fundralse sufficlenlly lo meet our strict Internal finanelal tests for expanslon lo a second slt6. l am opbmisll¢ that we will report In 2025-26 on dellvery al h¥0 CPU London cllnics, havbng launched our fiisl salellll8 dSni¢ wtth the 8UPPOrt ofThe Nallonal Lot16ry Communlty Fund In the Autumn of 2025. l am extremely gfaleful to ev8ryone al CPU London for 811 thelr hard work Ihi$ year. And lo 811 tha indr¥ldual8 and organisaiions that supported us durlng Ihè year- thank you on behalfofour hardwotking staff arid vuln8r8ble patients. I'd like lo toke this opportunlfy lo welcom8 lo CPU London In￿mIng Iruslee Greg Holdgn,. who brings w51h hlm valuabl8 8enior ffinandal 8eclor èxperlence. I would also like to weleAJm8 Sandford Loudon in h18 offi¢lal role as CPU London Patron., he has been a hugely generous supporter of ours over th8 past Iwo years and w8 8re extremely grateful Ihal he Is now commftllng his Ilme, energy and expertlsè in this naw ¢apaeity. Jonathan Bloch, Chalr of Th1gtee8 Chalnnan Data.. 29 July 2025 THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT) FOR THE YEAR ENDED 31 MARCH 2025 The l(u8tees presènt Ih&lr annual report and financial slatemenls for thè year ended 31 March 2025. The flnancial statements have been prepared In accordanc8 Wtth the accounllng poltcles set OLrt In not8 1 to the financial slalemenls and comply with Ihe charity's governing documenl, the Comp8nie8 20CK8, FRS 102 Thè Flnancial Reporting Standard applicabl8 In the UK and Republic of Ireland" and th8 Charilie$ SORP"Accounllng and Reportlng by Chaiillos: Slalement of Recommended Practlce applicable to ¢haritles preparing iheir accoun1$ In accordance wlth the Flnanclal Reportlng St8nd8rd appllcable Sn the UK and Republlc of Ir8land (FRS 102)°. ObJectlvo8 and actlvltl The oblects for which the Charty Is èstablished are: To provide a tharllable S6rvlce for the benefit of peop￿ ￿sIdIng prfn¢lpally In London by promollno menlal health. the proledlon of mental h8allh and Ihe rollef of monlal heallh slckness and distress. D•llverlng publlc bonofll Our ¢ore actNIty Is to provlde psycholherapy for those wlth personal, psychologi¢al and emollonal dlfflcuttl8$. The Trustees confirm that they have complied wSlh their duty In seclion 4 of thè Charrlies Act 2006 to hava duè regard lo th8 publ1¢ benefit guidance published by Ihe Charity Commisslon In delennlnlno tha adivtlies undertaken by tho charfty. Imen necèssary w& have relerred to the guid8nco offered by the Chatlty C¢)mml$$lon on publlc bonofit in revlewlng and del￿eTIng our obj6elive8. Ba¢kground and olm CPU London (rhe Camden PsyGholherapy Vnil) was eslabllshed in 1969. wilh Ihe alm ol offèring fr88 and acce861ble thoTapy lo Ihos8 in the community who suffer from p5y¢hologlcal and emotional problem$ whlch serlously affect the qualSly of Ihelr Ilves. In particular, to help Ihose on benefits or thé lowest Incomes. a group whose emotional, $oclal and économlc background put8 Ih8m 8mongsl 80rn8 01 thè most deprfv6d In our o)mmunity- We were feglstered as a Charlty In 2008, and - slnce 2010 and Ihe wilhdfawal of local aulhority fundlng - we have continued to dellvei our service vla our ¢wn fundr8islng to P80ple Irom across London. A unlqua 8orrflce Thè fèatures th81 make CPU London unlque. ar8.. O Tho hlgh $land8rd of dinlcal excellence Ihal we are known for Ihroughoul London: 0 That people can self.refer to us wilhoul havlng lo go Ihrough Ihelr GP (a requirement In Ihg NHS)., and, O The pro￿S￿n of weekly, long-lemi lup to years). Individual psychoanalytic psycholherapy (proven lo b8 more èffecllvè Ih8n the short-lemi inleN8ntions offèred through publlc heatth) to pallenls who are mostly on benefits or low Incomes. O Group therapy, wilh pots'ents meeung regularty On￿ a week for one*and-a-half hour8 al a lim6, provlde8 a &af8 Place lo explo￿ onè's problems in relation lo olh8rs. Public b&n&ffl Th8 IIu818è8 hav8 pald due regard to guld8nc• Issued by the Charfty Commlssion kn dèddlng what actlvtlS•$ Iho charity should undertake. THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES, REPORT {INCLUDING DIRECTORS, REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 NHS approach and avallablllty For the pasl decade. Ihe slandard NHS offering in temis ol talkina iheraples for adums has come through 'lAPT (a pro9ramme designed lo'improve acL6ss to p6ychologi¢al Iherapies., Induding lorAI setvkes such as Icope). Allhough the IAPT system wa$ a wel¢ome attempt lo Inlegrale and develop monlal he8￿h Ifeatsnenl In the UK, It suffers from a number of serious shortcomings, th8 most prevalenl of which ar6: the Ilmhod ¢holcè ol Ihorapy offeied,, the usually short lerm nature of Ihe available trealmenl: and ion9 walllng tim93. Through IApfs"slèpped" approach, the standard initial r8$ponse lo d&press￿n. anxiety or obs8S8ional syThplom31$ self-help, computerised CBT (eognilive behavioufal therapy) al homo. or laking exerusa. 11 Is only if Ihis lails that lalklng therapy becomes potentially available and In the m40rity of ca86s this will be a short COUfS8 (slx 8e88lons) of CBT, or short.term ttsunselling. Thefe Is a pauGKy of long61-leim, more in-depth psychodynaml¢ p5ycholherapy avallable through IAPT.. 1888 than 100h of NHS 8ervlces offer il and It is 91mosl nevei available to any but the mo$t ￿rioUslY dislufbed patlenls. ilsl cuts lo fijndlng have compovnded avallabllity Ilmllallons, the reasons for a shortage In wovlslon ara morè complox. Because p3ychodynarnic therapy was slow lo embrace the evldence-based approach lo evaluallon ol Irealmen18, a narrative developed Ihal Ihere Is no or Ilmlled 8￿￿ence as lo ils eRlca¢y. Thls Is not true. Over Ihe past 15 yèars or $0, a considerable amount of emplrical rése8r¢h as to the effe¢liveness ol Ihls klnd ofwork has been bul up. Pallenls who have been through IAPTdes¢ribe vllh femarkable frequency the experfence of short térm18lklng therapy as ellher Inlllalpy helpful bul not providing them with any lasling le￿Very., or 8$ slmply unhelpful from lh8 oulsèl. The r8allty Is th81 people wrfh long slandino. complex emolion81 and psychological dlfficullies need more than a handful of session8, Thorapeutic change lakes lime and requires lived (ralher Ihan InteU8¢luaf) in8ighl, as w811 as containment by A s8n811ivè and skilled cllnldan. We champlon the e4u89 of long-lerm psydK)Iherapy bec4u8è matching long lerm dIff￿11[8& wllh long-lerm tréalmant Is hlghly effeclive. This is shown both by our dinical results and 8180 by exlemal $ludie8 euch as the Tavtslock Adult Depresslon Sludy(lJ and LAC Dèpièsslon Studyi2) Th8s8 extensive Studies r8$￿tt￿81Y Show 44Ph and 45% 1• remlsslon In palienis wllh acute depresslon after recemno long-lemi psycholher8Py. cx)mpaied wllh only 10°A for tho$e receivlng the NHS treatmenls currenlty on offer. Sadlq Khan, Mayor ol London "CPU London has enabled countles$ p8ople on low•rln¢omes to get ihe help th•y need lo re¢ov¢r from menlal and emotlonal dllllcultlès. The seThlce theypmvlde Is Invaluable" 1. Pfagrnattc randomized conlfolled lrial of long-lerm psychoanalyilc psychotherapy for Irèalmenl-resislanl dapression: Ihg Tavislo¢k Adult Depression Study (TADS), World P$ychio1ry 2015-, 14.312-321 2. Th8 OLrtcomes of Long-lem Psycholhèraples of Chronically Depressed Pallenls ILAC), MuNlcenlér Study, Geimany. 2019 3. 450h was Ihe figure 8$ per the patient depresslon self-raling measure. Ihè remisslon rallng by independent cllnici8n8 was ovgn hiqher, at 61Q THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Achlevgments 4nd porfomian¢e Significant 8cIMii8s and ach18￿Men1$ againsl obJeci?ves How w& helped our paUent8 B8hY8&n April 2024 and Mard) 2025 we supported 187 people lo Improve the quality of their Ilvès. W6 took on our palianls Ihrov9h self-referral and wa referrals from GPS, soclal workers, voluntary organlsallons. local hospllals and Increaslngly unlversily eA)unselloTS. On referral. up lo 6 ￿nSUlta110￿ sesslons wer8 offered lo eath patlenl, dependlng on the palienfs Ind￿Idual needs. After ¢onsullallon. pallenls were esther referred lor Irealmenl al CPU London or 818ewhere, a8 approprlal8. Treatrnent the malorlty of patlenls conslsled of weekty psychoanalytlG p8y¢holherapy sessions (So minutes) lor up lo hyo yeais. with a follow-up 8ssesgmenl sessloft 6 months after Irealmenfs end. 95 peuents wer8 In p3y¢holherap8Utlc Iréalm8nt through 2024-25. wlth 52 pallenls complellng thelr Ir88tmenl wkh us durlng the year, A furlher 12 servlce user8 were relerred on lor allemalbV8 speciallst support, as our 80ivlce was not appropriate for them. Finalty, we had 357 Ènquiries for our 8ervsce having reached clinical ¢apadty and after our waNlng list was closed- more Ihan a threefold year-on-yè8r incréasè. We conllnued lo develop relallonshlps wllh loc81 partner organi3allons. Pfovldlng supervi$lon lo Ihelr staff and clients, and worklng with Ihem to raise awarane$s and overcome sli9ma around mental health and Ih8r8py among8t Iheir benafletary groups. For More on our partnership$ 8ee Communlty Oulreach on p.10. THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES, REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Our pallent pft)fllè Th6 kind8 of diffi¢uHies that people bring to CPU-London ar6 invariably long temi In natur8. The vast majority of incomlng palienls scor6 above the 'clinically stgntficanl thr8shobJ'. indicalin9 Ihal Ihey are slruggiing slgnlflcanuy acioss varfous aspects ol thelr Ilv8s. A small but slgnfficanl (and growlngl number pres8nl a (isk DI sulclde or self- harrn. Tiealment-reslslant d8presslon 1$ a very common15sue which people present wtlh: almost all hav8 consulted another professional befofe coming to us and have alieady l(ied allernalive options (such as anlidepressanl medlcallon. 01 a short lerm course of CBT, mindfulness couises. elc.). Many are laklng some klnd of medicallon lo help with their problems. Some clients have difficAJMies with Ihelr 6exuo1 or gender idenllty, other6 com8 with a long hlslory of ttaum8, often going back lo childhood. Many suffer Irom deslrudlve pattgTns of beha￿our $u¢li a5 self- harm. addlcllon or eallng di50rders. All of these are major. Iono lerrn challenges whlch ￿nn01 be ad¢Jres3ed In a 8hort space of lime. whlch Is why our most common treatment is fvio years ol oneA wé8kly paychotherapy. Over the past year 37(At of our patl•nl$ were self-rafe￿al$ (an important Part ol our sèNi¢a & somolhlng not off8red by the NHS). 39Yd came the NHS (￿8 IAPT I CAMHS. hospital or a GP) or an Independent menlal health charity Ipradllioner, and 23% came via our partnerorgani5ations Scol8c4re, Hopscotch. Global GenefalSon and Yellow Heart Tru81. Patlonts cam8 Io us from 24 London boroughs (85% of 811 boroughs). 32% of p8tlent$ came from Camden, 29% from the n8Sghbourlng boroughs of Barnel, Brènl. Haringey and Islington, and 39% from 19 dlff8rent bofough$ b8yond Ihls. 74% of patlenls wer8 on bènafils. Of In part limenow paid work. wère retired or sludènls. 40•A of pallenls wer8 01 elhnlcally dlver8e herltage. broadty reffeclin9 Ihe dlverslty of our capllal. 28•/0 were LGBTQ+ and 30tsh were young P80ple (18-25), 750A of dien18 were female, 24% were mal8 and 1% w8r8 non.binary. We f8POrted last year Ihat tho Govemmenl had called upon Unlver8ilie8 lo slgn up lo a mental heallh charter (Oct 20231, and we have worked dosety and Ilrelessly wilh Univer81ty ¢oun8elloTa Ihis year lo 8UPPQrt dlsadvanlaged young people (18-25), both wllh Irealment at CPU London and with onward referral where c8888 wera not de8mgd approprlale. We have also worked dosely wilh local youth cenlres to onboard young pall8nls, most nolably The Brandon Cenlre, whi¢h supports young people (16-24) and their f8mllles In Camden ond lslinglon. An impa¢l report from Ocl 2024 Into the Unlvar8ity Menlal Health Charter showad Ih8140% of respondents 81111 bg11gve Ihal Ihéré is Insufficlont m8nlaS heallh support for young p&oplg in education, and the mental health needs of young peoplè who are In work are al80 Increa51ng - wjlh 48•A of 1&24 year olds reportlng hlgh slfe5s due lo Issues Buch 88 having lo regularty work unpald overtlme and only 560h willing lo open up lo Ihelf line managers about pressure and slress 18uTnoul Report 2025). Mèanwhilo youlh rAnlres such as The 8r8ndon Centre contlnue lo be Inundated, 80 foi all these r8asons wé fully expect to see continuing high dem8nd amongst young patients in the comlng years. Holena Bonhamlarter, CPU London Ambassador "My reason forsupportlng thls remarkable organlsatlon •ts0 Speak lo you." the bellef that mental wellbelng Is a rlght and not a prlvllege." THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES, REPORT (INCLUDING DIRECTORS. REPORT) {CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Outcome8 of our Work To monilorlhe ￿￿0-year long courses ofpsychoanalyltc psychotherapywe olv8 ourpatlents w8 use the CORE (Cllnlcal Outcomes Routine Evaluation) rn&lhod. wldely employed in ihe NHS and olher Glinlcal sellings. In Ilne wllh Iho length of liealment we have hlslorically made a CORE dala eaplure every Nvo years- how8V8r wo mada an addlllonal data capturè through 202&24 and we hope to continue wtth an annual data capturè movlng foNard, resour￿8 and adeou8t8 Pallenl response permfttlng. Tha CORE method uses 8 34-ilem s811-report que8tionnair8 Ihal is used by Ihg palient to sUb￿cliVe1Y assès$11.e. from Iheir own porspèclivé), where they are agaln81 key indicators. The dala collected allows us to analyse outo)mes lof our pallenls via lour Indicator groupings. i.e.: W-Improvem8nls in thoir sÈns8 of w8llbolng: e.g. In 1681ings of Optimlsm aboul Ihelr lfvo$', F-lmprovemenls In thel( ability lo funetlon: é.g. In Ihelr relationships wllh, and feelings toward$ othgr peopl& In thelr Ilve$,' and l or In theif abllily lo cope, achieve goals and feel happy: P-Reducllons In problems affecting Iheir physiGal heallh: e.g. athe$ and pakns, Ihelr abllitylo 81eep: and l or fgellng8 ol anxlety, depression and trauma Ihal prevent Ihem living well; and, R.Reducllon In Ihe rfsk of hami to themse￿$ and lo others, Induding physlcal vlolence and sulcldal feellngs. The self-report Is cL)mplèled by patients pr&lfealmenl: rnld-trealment: al ènd: and In 8 foll¢)W UP 888slon 6 month8 after, The palianl Is asked lo answer as lo how Ihey have been feeling in the pa$1 week against the 34 Indlcalors. They 8ro 8sked lo plol Ihelr answer on a fwe-polnl Likert scale ranging frorn O (not al all) to 4 (most or 811 of Ihe Ilme). Two praclllloner-compl8led f￿m$ complement the CORE report: one helps to profil8 th8 cllent, thelr presenllno problemslconrkms and Iheli pathway Inlo Iher8py.' thè other helps lo chart the dlènl's palhway through and out ol Iherapy, alongside o ronge of 8ubjccllvo oulcome asses$mcnl8. In each individual ca80, where we find th81 our pallenls arè not scorlng salisfactodly acioss key measufemenl areas. our dinicians make a judgement as lo wh8lh8r lo conllnuelexlend trealménl or rèfer the pallenl on lo another se￿¢8. The CPU Is Ihgr8for8 conllnu811y m8rrylng Ihe data we oblaln from our CORE evaluallons wilh Ihe expert analysls of our cllnlcoans. Thls dynam1¢ approach enable8 us lo continually adapt and Improve the care wo aro giving CORE Rgsults We identified a samp18 coh¢)rt of 25 p8li6nls . "Ih8 èvaluation CORE ¢K>hort' _ who had fecoived weekly, long-lerm psychotherapy ending behveen December 2023 and January 2025. 01 th1$ cohort, a Ihlrd (32%) completed all 8ssessmenl£. hence Ihg re$ull8 can be reliably used ag representativ8 of our ovorall p81ienl cohort. 88V/• of pall8nls had impfovad overall mental heallh afler Irealmenl. The below graph shows the Impact of our woth In terms of the Improvement In percentage terms lor wellbeing. functlon5ng. problems and rlsk acro88 Ihe group as a whole {i.a. ¢alculaled a8 an average), NB: The lalter Iwo ¢ategorie8 work on the bash of 8 fedurjton belng an Improvement. CORE Outcomes Oec 2023-Jan 2025 2e4S 40 THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES, REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 69% improv8menl In their sense of wellboing There are 4 wellbelng measures c4vering whelhef: the patlent is feellng 'OK' about th8msefves: how often they have felt like crying- how oflon they fell oveThvh8lmèd by Ihelr problems-, and, Ihelr feelings of opllmlsm about th85r own future. 67% improvèm8nl In thelr abilty lo functlon The 12 funcllon measures cover whether: lalking lo people has fem loo much.. and whether Ih8y had felt humlllaled, shamed or ¢riliclsed by othèr pèoplè. 11 oxplores areas lik6: their abllity lo ¢opo whèn Ihings go wrong., whether they had fell happywilh Ihe Ihlngs they had don8: whéthèr Ihoywere abl8 lo do m08tthln9$ thèy nè8dèd. 8nd had achlev8d the Ihlngs Ihey wanted lo. 6% reductlon In problpmi affeclln9 Ihelr physlcal he8Nh The 12 problem measures cover areas that leed Into a pallenl's ability lo (un¢llon. These Indude how often they wore Iroubled by aches and pain8, and their abilmy lo sleep. 118xplores whethor lenslon and anxlety had slopped Ihem from doing Importanl Ihlngs: Includlng whèther they felt Ihelf problem$ had been imposslble lo pul lo onè slde. 23% redu¢Uon In the ri8k of harm lo Ihem8elve$ and to olhgrs There arÈ 6 r18k mèasures. covering hami they may present to Ihemselves Qf othor8, Inciuding Ihoughl$, feellngs and Plans relatlng lo sulclde. Many of our clients Ihls year ag81n came to us seeking help at a crilical momenl or lime of ¢ri61s In thel( Ilves. We saw 8 subslÈnknal proporfion {SOQA) of palienls pre$onting wllh 8 risk of hami (lo $¢lf or others) on refarral, with SO¢A* als9 preseniing with sulcid81 thoughts. As last year, th1$ high level of risk on referral explalns Ihe increase in •A reduclion of flsk by Ihe end of liealmenl vs. laiget (23% vs. 9%). As per our Jan 2025 CORE dal8 capture, 811 incomlng palienls (100%) presenled wlth problem$ relatlng to (w) sense of wellbeSng, (FI ablllty to funcllon and IP) physical heallh. By Ihe end of Iherapy 811 oulgolng pallents (100'A) felt Ihey were bglter able lo cope, 63QA fell le$$ ovejwhelmed by their problems and half {SO•/•l fell they now had ¥omeone lo turn lo for 5UPPOrt. The vast majorty {75°A) wèie now able lo feel happy wilh Ihe Ihing$ they had done and 830k f811 hopeless less often. The Irealmgnl w8 hav8 glvgn our paiienls ho$ Improveo our p8llenls' rolg1ion$hlP$ v￿th th8mselveB and wlth thè P80pIè around them, whlch is Cfitlcal to enabling them lo make choiees In thelr best inleresls and to move fO￿ard posllivety wlth thelf lives. The Irealmenl we have dellvered has subslantlally Improved our pallenls, senseofwellbelng, abllity to function. physlcal health and fisk of harm (the Ilrst 3 outcome measures showlng a hyofold year-on-year Increase, Ihg 4th showing a $119hl yoar-on-year drop). We conlinued our referral partnership in 2024-25 wilh Yeltow Hearl Trust- a charfly SLJPPOrting suffer8rs of adillctlon 2nd complex PTSD". and also with Scolcare - who support vulnerable Scols living in London. many who suffer from problems of alcoholism. We 8UPPQrted palignls from both of these organisalions wth psycholherapeutl¢ treatment, supporting them on Ihelf journey lo overcome addiclion 8nd make positive chdcè$ in Iheir lives. THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES, REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Cage 8tudy: 'Loul8e' Loulse was refetred In summer 2022 via th@ NHS Carnd8n & Isllngion Talking Therapi8$ (ICOPE}. Long-tami psycholherapy was not avallabl8 lo her on Ihg NHS, and she could not afford lo acces$ Irealmenl privately (she wa8 working al the timé of feferial, but on low inf¥)m8). Loulse had 4 assessment sessions before starting iwo years ol weekty (50 minule) psycholherapy wllh u$, followèd by g r8vlew 6 months after Irealmenl. The CORE {Clinlcal Routine Outcome Evaluallon) method underplnned Louls8'S Ifealm8nt. Induding $elf-assessmenl cL)mpl6led pre and po$t-Irealment rnonilorfng for W $ens6 of wellbeing. IF) ability lo funclion, (p) problems with physical heallh 8nd (R) risk of harmto self and olhefs. By the and of hertrèatmenl, Louise had &xperion¢ed Improvem8nls across all Iouf outcome areas. W: Having 'only octaslonally, fell ok about h8r8off pra-trealment, Lovise fell ok aboul herself 'rno$l or all of Ihe Ilm8' posl.liealmenl. F: Pre-l￿atment Idklng lo people 18lt loo much lor Loulse 'mo$t or all ol the timo., wherea8 posI-Ireatmenl Ihl$ was 'nol al all,. P: At thé start of her therapy Loulso fell tènse. anxious or nervous 'mosl or all of Iha tlme,, whereas by lh& end sh8 fell Ihls 'nol at all.. R: Imien Loui80 was referred to us 8h8 had 'often' hurf herself physicalty or taken dangerou8 rlsks wllh her hoallh, wher888 by th8 end of our work this was happ6nlng 'nol at all,. After years ol trealmenl al CPU London Loulse was able lo b8oift tsking loy In her lifo once agaln. earing lor hèr chlld whllsl eonlinulng wlh her work. She now feels able to cLJpo. 8nd no longer feels alone or Isolaled. We ar8 woud of thè support we wore abla lo givé Louisè whén 8ha wa$ un8ble to access Ihe lon9-18rm eare She needed elsewhere. Our dynamlc, eo8t-offectlve ¢llnl¢al modèl CPU.Lond¢n'$ servlce is a rafty, well-known wilh slakeholders across London for our h￿b standard of cllnl¢41 excellence. W8 have for ov8r 50 ye8rs prowd8d a robust clinical model, offering long term PSyGholheiapy lo people on the lowest Incomes livlng acros$ London. Our cllnlcsl modgl woths bècau8e It comblnes Ihe skill of Ouf senlor dinlcians wllh Ihe conttlbutlon 0120 Honorary psycholh8raplgls-In-Iraining. Our staff ar8 motivated by a commilmenl lo prO￿dIng acrRss to high quallty psychoanatyllc care lo our patients. Tho cost effectiveness of Our work is pogsiblè due lo Ihg Idea118m and ¢ommilmenl ol our core ¢llnl&81 team, who a(Eepl salailes al In& lower eThJ of the NHS sc819'. some offering lima for frèe. Algo, CPU paliènts who ¢an afford lo make a conlribullon lowaids Ihelr Iher8py do so, usually £5-10 per sesslon (pallenl Incom8 mak8s up a very small proportion of our Incom8 -18ss than 5•A this past year). Around 80•/• of referrals are offer8d a Iherapeulic Inlervenlion.. others that w8 are unable lo help are referfed on for alternative. speciallsl caro. Wailing limas are usualty aboul 18 week$, bul we have In pla¢6 8 'lriag8 system, 60 that cases are rewewed as Ihoy ￿rne In and If an applicallon 1$ felt lo warfant urgtrnt InteNcnlion palienls are Seèn In lèss than 4 weeks. This helps lo prevent a further decllne In a palienl's menlal h8alth thiough dolays to treatment and 811ow qulcker a￿OSsment ol trealmenl ¢)plions and slgnpostlng as appropriate. Appllcallons afe Pr￿￿58ed by our dinical leam. and lor th8 malorlty of appllcanls Ihar8 is a eonsullalion period wtlh one of our Senior Psytholherapisls lasting up lo six sesslons. Dedsions about ttsk, Irealment iype and Ifealmenl length, or any onward roferral, are made al this stage. Most of our pallents are offered iwo years of weekEy psycholherapy fiom one of our Honorary Psycholherapisls. Each Honorary Is dosely guided in weekly supervision sessions with our Senior Psycholhersplsls. All our Honorarses are carefulty s818cl8d by our Cllnlcal Director and 811 are In Irainlng al either The Institute of Psychoanalysls. The BrÉlish Psychoanalytlc Assodallon. The Briush PsycttolheTapy Foundation or The Tavi$lrKk Clinic. Many of our clinical team today began with us as trainees anrl we PTlde ourselves a5 a ￿8c8 of pracllcal leamlng and meniorshlp. Both al our ¢llnic in Kentish Town and across our planned nelwork of salellile clinics we wlll continue lo bulld Ihe next generallon ol hlghly Jkilled PSyGholherapis15 lo help addiess th UK'S gfowlng menlal hèalth c￿s1$. THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Financlal r•vlew Incomlng resources de¢rea88d lo É292.858 <2024: £410.915). and èxp8ndllure Increased lo £289,$61 (2024. £278,714). Tolal N81 Assets Increased lo £458,282 (2023: £454,985). Nel As58ls are made up of Free Reserves anii a De81gnaled Fund a$ de18ilod below. Income 8ource8 Our Income" 80urces vary from year lo year. and Truslees ale careful io ensur8 that wé are not ovef-r8ll8nl on any slngle funding sourcè. Our principal funding sources were: 41'h from Trusts & Foundauons., 32°h from Donauons & Legacies., 26Yo through Chariiabl8Actlviti6s and 1QA from Investrnenl In¢om8. 2024.25 was the final year of a &year core granl Irom The Sybil Shlne M8morlal Trust. the second year of 8 3.year core grant from The Henry Smith Chafity. and Ihe second year of a 5.year proleci granl from City Bridge Foundation supporting psychotherapy for our disadvantaged young pallents (18-25). W8 w8r6 also funded by a number of olher Tiu$l8 Ènd Foundalion$ with generoLF$. $Sng1e-year l one-off grants. We ralsed just over £40k from a Football Dlnner & Auctlon hekl by CPU London Palfon Sandford Loudon, and noaily 60k of additional fundlng was glven one.off, standlng order and JustGlvlng donalEons. W8 saw a sllghl year.on-yoar increase Sn income ffom Charilabla Activities, largely through our p8rtnershlps with s￿¢[31191 volunlary QTganlsallon$ Scnlscai8, Hopscotch and Global Gengrallon, and also with The Brill$h Psychoanalytlc Assocl8llon IBPA). Pallenls that could afford lo make a conlribullon lowards Iholr therapy dld so (usually £5-101. though as usual patient income made up only a small proportron of ovèr811 Income Oass than 50A). We are incr6dlbly grateful lo Ihe individuals and organisallons who donaté mon8y to us, and also lo Ihè individu818 ralsln9 mongy lor us or donatlng their lime 8UPPOrtlng ow patients. Wrthoul Ih8m. we slmply could nol survlve. Acknowl•dgoments We would lika 10 81ncerely thank thos8 pallenls who gtva whal thèy are able lo conlrlbule lowafds th8 cost of Iheii sésslons, Indivldu81 donors and all of our voiunl6ors for Ihelr ganerous support duflng lh8 year. We would particularly Ilke lo thank Ihe donors who conlrfbut8 g8n8fously lo keep our seNteè frèo ol charg8 for Ih088 who cannot afford to pay: NicolaAb81-Hlrs¢h,' Jean Arundale,. C8lhy Baker.. LI1￿ B￿g￿. Davld Black,. Traw Chov8118r; Warran Colman., John Cotterell,. Julia Fabrtctus,. Rivkle Fried,. Phillp & Isabel Gibson: Greg Holden., Susan Kay- Jessloa Klrker., Marc Lulgen.. Eileen McGlnley-, Rosine P&relberg.- Roberta Perren,. Barry & Jan81 P6s￿n.. Margarel & Steward Rowson: Ang818 Royslon; Palsy Ryz; MaTlon Schoenfeld. Naoml Segal; Jane Temperley,. Shawn Towèr, Nlna Wessels. W8 would also Ilke to thank our many anonymous donor8 who h8ve mado don811ong towardB both our coré cos18 and our expanslon project during the year. We are most gra16ful lo all ol our organlsatlonal donors ov8r thè pa81 year. S￿l$Care. The Henry Smllh Charty: Clty Bridge Foundallon,. The Sybil Shlne Memorial Trnsl: Sl James, P18ce Foundalion: Bluslon Charilablo Sottlamenl,. The Peter Slebbings Memorlal Charlly,. The Wlliam Allen Young Charll8ble Trust: M J Samuel Charil8bla Trusl. Imlhout your generosity we couldn't hav8 achieved so much this year. 10- THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Reserves policy Thè Fre& Reseryos balanco of £291k (2024., £274k) Is being held at 11 monlhs of the 2025128 budget {£317k). The Trustees have agreed this Policy, which will b8 revi8wed annualty, lo en8b18 the Board to meèt CPU-London's obllgalions Io SBfeguard Ihe wellbeing of potienls in the 8vent of an unloreseen drop in Income or olher tAtasttophe affecting Ihe organls8110n. CPU.London n8eds lo hold 11 month5 free reserves lor ihe lollowlng reasons.. a. An es8enknal feature of our servlco is the offer of long tefm psychoanalyb'¢ psychotherapy. Our patients - most of whom are on low Incomes - typlcally access se￿l¢e8 from us for up lo two years. For prudènl dinlcal r088ons w8 need to k6ep reasonably sub51anlial resep4es so Ihal we canwlnd down ongolng Iherapy In an approprla16 Way Should thi$ ever prove necessary. Many ofour pallenl8 are exlremely vulnerable. Ending our pallonl6' Ifealmenl will In many cases b8 a pr8malur6 and Iraumatlc In16mipiion lo their Iherapy. Thls CA)ukJ pres6nl rlsks of potenlial sulclda, self- harm and l or brèakdown. We therefore n88d appropriate lim8 to prepare them for premalure inleriupllon l endlng of Iher8py wlh u8 and transition 10 a new sourcè of support. We also need Ilm8 lo Identify sullable alternalfve support and Irealmenl and pul our patients in touch wllh such 8eMces. b. The availability of Suitable seNtces In Iho NHS and Ihe voluntary sector h85 been draslically dlmlnl8h8d In recent yeaf8. ¢. Meanwhlle the demand for psychologlcal help for the most vulnerable patients has bèen growlng al a dramallc iale.. an Sncrease of 50•h since 2016 and has Increased further through and beyond Ihe pandemlc As the charitys Free Resefves have been Increased, In orO8r to b8 ab18 lo meet our safeguardlng obllgallons, Ihe Trustees have decreased the Deslgnaled Fund lo £111k (2024.. E135k). The Deslgnaled Fund Is Intended lo enable CPU London lo r8pIiGqlè Its successful dlnlcal model acros5 a netwoth of 5alelli18 dlnlcs In London. This wlll enable tho CPU London lo reach a gfealer number of Londoner$ on benefi18 and low incomes, to improv8 Iha quality of Ihelr lives. Any Such exp8n8ion will require 8imil8r rosarvè man8gèmènt and Ideally we will find longer-temi maloh-fundlng Irom generou6 partnern. Invèstmant polley In Ilne wllh malnlalnlng reseNe$we have Invested a balance In a hlgh Inlerésl d8p08il account so a810 ensurn Interest 18 maxlml$ed and Ihal Ihe fund$ be withdrawn In a iimoly way. 11 THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED) FOR THE YEAR ENDED 3q MARCH 2025 D8slgnated Fund The Deslgnated Fund as at 31 March 2025 rnpiesenled rèserves sét aside and Intended lo enable the ¢harity to rèallse Ils long-term ambllion of replIca￿n9 ils ¢linic81 model across a nelwork (Jf 5alèllile clinlcs In London, Thi8 satellite ne￿Ork will Increase CPU London's reach and enable il lo support a greater numbér of dlsadvanlaged Londoners wllh Its dlnlcal sèmces. Having incteased fha Free Resarves to £291k, equivalenl lo 11 months of the 251 26 budgel (£317k). the Truslees are decreaslng the Designated Fund lo £111k (2024.. £135kl. Alongsid8 our gr8nl from th8 National Lottery Community Fund, the Deslgnaled Fund will support Ihe launch and njnning of our fir8t salellS18 cllnlc from Aulumn 2025. Re8trfct•d Fund Nallonal Lottery Communlty Fund (Awards forAI4 relalas to funds received in 2023-2410 bulld.in IT InlraslTudure Ihal wlll Support Ihg delivery ol our psycholher8Py servirA f¢X disadv8nlaged people across London. Some of this funding remalnad unsp8nl a12024-25 year-end and wlll be spent before the spendlng deadllno of January 2028, Clty Bridge Foundalion 18lales lo funds recelv8d towards th8 proMsit)n of long-18rm psycholh&rapy for dlsadvanlaged young people aged 18-25. The Yellow Heart Fund r8lale8 to fijnds receiv8d in 8UPPOrt of pallénls suffeAng from addlclion prob19m6, An anonymous IndNldual donallon of 20k was recelved In 2023.24 and Is b8Sng held for the expan$lon of our 8eNlr beyond our main dlnic In Kentish Town, from Autumn 2025 om¥ards. st James, PIBce Foundalion relates to fvndln9 01 one of our cilnldan posts. 12- THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES. REPORT {INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Plans for futurè perlod8 The ¢harfty plans lo ¢onlinue the activities slated above In the fortheAJming years subject Io 8aiisfaclory funding arrangomanls. In addlllon we wlll be focuslng on the lollowing aréas: Satellltfr ExpAn8lon Plan To meet growlng dlnlcal demand In London amldsl scant wider provtslon. we are openlng a new salollile dlnlc In 2025-26 with the support ol a 3-year grant from Ihe National Lollery Community Fund law8rd8d March 2025}. Th6 Becuring of Ihis fundlng1£221k over 3 yea(s) has 8n8bled us lo m8&t the stflcl inlernal financtal 18sls lald oul by oui Expanslon Commllleg. Navlng m81 Ihls te81, we plan to launch th8 sal811il8 cfinlc In the Autumn of 2025. Supporting up lo 70 servlce•useis each year. th8 satellite will allow us lo In¢￿88e our cllnlcal promslon by almost 40%, It will directly replicate the cosl-effecliva. dinic8lly"proven delivery model w6 run at our maln dinic. comblnlng an èxpèrienced core cllnical team with a gfOUP of Ifalnee psycholheraplsls, supported by a hlghly eflklent admlnistr811ve leam. Once we have established and proven our salellile cllnic over the ¢omlng years. w8 hop& lo expand our 8ervtce 8¢10ss a netrNofk o16ate1l￿e slles In London. As with our maln Cllnlc. our $atelllte dlnlcs VAII not only provlde Iree and low le8 (£5-10) long-t8rm psycholherapy lo dlsadvanlaged pallenls, Ih6y wlll also operate as dinieal Placemenl ¢enlres for Irainlng psycholheraplsls, gulded Sn w88kty Supervision sessions by our experièncad clinlclans. In Ihls way. our expanslon wlll bè responding lo growing elinle21 need not only through immediate Se￿Ce provision bul also through the longer-lerm devebprnenl of 8 Pt)ol of cllniclans offéring high levels of dinlcal 8xc&llence lo thos8 who cannot afford to pay. Community Outréaeh 2024-25 was the first year of our new ref6rral partnership wlth th8 Pollsh PsythologSeal A88¢xlallon {PPA), SUPPQrted by The Lady Rydor ol Warsaw Mèmorial Trust (LRWMT>. lo providé fraa. long-lemi psycholhorapy lo diÈadvanlaged mambers of the Pollsh dlaspora In London. Th1$ partnershlp ￿11 Se8 us dellv8r free weekly psychotherapy lo 3 dlsadvanlaged Pollsh pallenls Ilvlng In London eath year. We conllnued our partnershlp wllh Hopscotch and Global Generallon supporting membefs of Ihelr staff wlth workplace supervision. In a numb8r of c888s w6 racklved s81f- referrals from members of staff of bolh Hopscotch and Global Genefallon having recelved workplace supervision, now seeklng longer term Iherapeulic support. We were able lo deepen Ouf partnership with the Yellow Hearl Trust crealing an addillonal grant lo support Brtgf Intervention and are in di$¢u83ion lo cfeale a further grant being able lo offer addillongl Iher8P8ullc support 10 Scotscare dlenls followlng Ih8lr one year therapy supported by Scolscare. structure. oovèrnanee •nd m•nagom•nt The Gharlty Is a company Ilmlled by 9uaranlee and 1$ governed by It$ Memorandum and Artlde8 ofA880datS0n. The Ifuslees, who are also the dire¢lors for the purpose of company law. and who s8￿ed durlng the year and up lo Ihe dale of slgnalure of the financial slalemenl$ were: Dr C Dickinson Mr D Rothschild MrJ Bloch Df M Koporskl Ms S Jameson A Gutfnkel Mr G J Holdèn Ms O Dresner M Froris (Resigned 4 June 2024) (Appointed 11 March 2025) (Appolnled 6 August 2024) pp(Nnled 29 Aprll 2025) 13- THE CAMDEN PSYCHOTHERAPY UNIT TRUSTEES, REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Thet report was appro d by the B rd ofTrust8es. MrD olhs¢hild Tru8te8 Dale.. 14- THE CAMDEN PSYCHOTHERAPY UNIT INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF THE CAMDEN PSYCHOTHERAPY UNIT I report lo Ihe Iruslees on my ex8mlnaUon ofthe financlal slatemenls of Thg Camden Psychotherapy Unil {Ihe charily} for the yèar 8nd&d 31 March 2025. Rèsponslbllltl88 and ba8[8 of Mport As the trusleèg of lh& ch8rily {and also its dliector8 for Ihe purposes of company law), you are r¢$ponsibl8 for Iho preparallon ol lh8 finandal slalemenls In accordance wtth Ihe requir8m8nls of Ihg CompanS8$ Act 2￿. Havlng saIls￿ed myself Ihal Ihe ffinancial slalem8nl$ of ihe charity are not requlr8d to be audited under Part 16 01 Ihg Companles A¢t 2006 and sre dFgible for ind6pendenl exarnination, I report In rèspect of my examinallon of thè charity's flnancial statements carrt8d under se¢lion 145 of lh8 Charitl8s Act 2011. In carrying oul my examlnallon I have followed the Dlrectlons given by the Charity Commlsslon under seclion 14515)(b> of th8 Chadtles Act 2011. Independ•nt oxamlnof• 81at•m•nt Since the th8rtty's gross inrAme exceeded £250.000. Ihe independenl examln8r musi be a member of a body Il$led In secllon 145 of Iho Charities A¢1 2011. 1 confifm thal l am quaI￿led lo undertake Ihg oxamlnatlon becau861 am member of Ihe Inslilule of Chartered A￿A)UntantS in Eng18nd and Walos. whlch is one of Ihg Ilsled bodl8$, I have compleled my 8xamlnalion. I r￿n￿(M Ihal no mallers have coma to my attenllon In Connectlon vllh tha examlnalion givlng me cause to believe that in any malerfal re$pecl-, Junling recordswefe not kepi In respect of the ch8ri1y as requlr8d by Sectlon 386 of the Companlès A¢t2006. thé17nanclal slaterngnts do not a¢Gord with Iht)80 f0¢4fd$,' or th8 finanrial slalemonl$ do not comply vrith th8 a¢counling requlrem8nls of secllon 398 of Ihe Companle8 Act 2006 alher than any requirement that the financigl $latem8nts gfve a true and IAif vi6w, whlch Is nol a rnatt8r consldered as pgn of an Independ8nl 8xamlnallon,' or th8 financlal 51alemenls have not been prepared In accordanc8wllh th8 nielhods and prlndples of the Slalern8nl of Recommended Pracll¢X for accounting and reporting by charilles appl￿ble to thar1116S Pfaparlng Ih8lr financial 8talemen18 in accordance wilh Ihe Flnancial Reporting Standard appllcable In Ihe UK and Republic ol Irèland (FRS 102). I have no eth¢eins and have comg acros8 no other mallers In connection wilh the èxamlnallon lo which attentlon should be drawn In Ihls report in order lo en8bl8 a propèf under$landlng of th8 financial slalem8nl8 lo be reached. Hazel Day Bsc {Hons) FCA DChA Xelnadin Nlghllngale House 4FA8 East Street Ep80m Surrey KT17 1HQ 16- THE CAMDEN PSYCHOTHERAPY UNIT STATEMENT OF FINANCIAL ACTIVITIES INCLUDING INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 MARCH 2025 Unrestrfcted Rostrlcted lunds fund8 2026 2026 Total Unréxtrletod R•$tsi¢t•d funds funds 2024 2024 Total 2025 2024 Note8 Income from: Donallons and legacles Chgrilable arAI￿lIeS Investrnen18 182,165 76,083 32,048 214,211 76.083 274.481 70,492 3,120 82,821 337,302 70,492 3,120 Totsl Income 280.812 292.858 348,093 62,821 410.914 Expondlturè on: Ralslng funds Charllable acllvi118$ 32,105 235.948 32.105 257.456 39,906 219.579 39.906 236,808 21.608 17,229 Total ?xpendltur• 268,OS3 21,508 289,561 259.485 17,229 276,714 Not Incomfrllexpondlturo) and movoment In fund$ (7.241} 10.538 3.297 88,608 45,592 134,200 Reconclll•tlon of fund8: Fund balaneAs al 1 April 2024 409.393 45.592 454.985 320,785 320.785 Fund balances It 31 March 2028 402.152 $6,130 458.282 409,393 45,592 454,985 The slalement of finan¢lal activitK?s Indudes all galns and losse8 recogn188d In the year. Income and expendllure delve Irom continulng activlues. The nolos on pag98 18 to 27 fomi part of Ihese financlal Statements. THE CAMDEN PSYCHOTHERAPY UNIT BALANCE SHEET AS AT31 MARCH 2025 2025 2024 Nol98 Flxed a888t8 Tanglble as3et$ 12 5,246 Current a88•ts Deblofs Cash al bank and In hand 13 12.849 451,814 5,336 473.101 484.463 478,437 Crédltor8: arnount8 falllng duo wlthln one year 14 {9.829> (28.698) Net curf•nl a888ts 454,634 449,739 Total avdèts less eurront Ilablllti 458.282 454,985 Tho funds of the charlty Resliicled income funds Unreslricled funds 17 18 58.130 402.152 45.592 409.393 458,282 454,985 The notes on p8ges 18 10 27 fomi part of thesé financlal slalemenls. The company 18 enllU6d to the exemplion from the audit requirement rA)ntsln8d in secllon 477 of the Companle$Act 2006, for the year ended 31 March 2025, The directors aCkn￿ledge Ihelr ￿SpOnSIbl1111eS lof ￿MplyIn9 wlth the requlrements of the Comp8nles Acl 21)08 wllh respect lo accounllng records and the preparalbn of finanaal slalemenls. The membèrs have not requlred tho comp8ny to oblaln an audtt of119 financlal $talemenl$ for the year In quesllon in 8ccordane6 with seetion 478. Thesè financi81 statements have been prepared In accordancè wilh the provisions 8ppli¢able lo comparlès subjed lo the sm811 companl8s regimg. lalements re appro d by the tru8lees on .. Mr D Rothschild Tw8tee Company fegislralion number 03830244 (Enoland and Wales) 17- THE CAMDEN PSYCHOTHERAPY UNIT NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Accounung poll¢lo8 Charlty Inlomiauon The Camden Psychotherapy Untt is a private cornpany limitèd by gu8ranl8e Inwraled In England and Wales. Tho registered office is 89 Ptlnce ofWal6s Road. London, NW5 3NT. United Kingdom. 1.1 Accountlng ¢onvenllon The financlal slalemenls have been prepared In a(xordanGe with the charivs governlng document, Ihe Companles Act 2IJ08, FRS 102 Financial Reporting Standard applicable in the UK and Republic of Ireland" and Ihe Charllles SQRP "Aecounlin9 and Réporling by Charitie$: Slalernenl of Re¢omm@ndèd Pra¢lic4 appllcable to charities Pfeparlng Ihelr accounts In acrnrdance wilh thè Finsnclal Reporting Standard appllcable In the UK and Republic of Iieland IFRS 102).. The charily Is a Publlc Benèfit Entity as dellned by FRS 102. The charity has taken advanlage of Ihe provislon$ in Ihe SORP for chafiti88 not lo prepare a $latem8nl of cash flows. The flnancl81 sl8lern8nls aro prepared In Stertlng, whl¢h Is thè lundional currency of the charfty. Monelary amounts In these financlal 8lalemenls are rounded to Ihe nearest £. The !Inanclal slalemenls hav8 b88n prepared under th8 hlstorfeal c081 convanllon. Thè prlndpal accounting Poll￿83 adopted are sel out below. 1.2 Golng ¢oncern At Ihg lime of approving Ihe finandal 81alemgnls. Ihe Iruslée$ have a re860nabl8 expetxalion that tha ¢h8rfty h88 adequate resource8 lo eonllnu8 In op8rallonal exlslence for thè forese88b19 fulure. Thus the Injslees conllnue lo adopt the golng concern basis of accounllng In preparlng the flnancial 8tatemenl8. 1.3 Charltable funds Unreslricled funds are available ft)r use al the dlscrellon of Ihe trusleos In furth8ranca of Ih8lr charllabla obleclives. Reslricled funds are sublecl to specific condilions by donors or gfanlors as lo how Ih8y may be used. The purposes and uses of tho rgslficled funds are 8et out in th& rK)le$ lo th& finandal 8lalement8. 1.4 InGome All In¢om8 Is recognlsed in Ihe Slal8menl of Finan¢ialAclivtbes once th8 charity has enlitlemenl to the funds.11 is probable that the Income will be received and tho amount can be measured reliabty. 1.5 Expendlturo Llabi111Ses are recognl8ed a8 expendiluie as soon as Ihere Is a legal or constwclive obllgallon commtttlng the charlly lo that expenditure, rt Is probable Ihal a transfer of e￿noMiC beneflls wlll be required in $eltlemenl and the amount ol the oblio8lion can be measured rellably. Expenditure 1$ accounted for on an accw81s ba$1$ and has beèn ¢lassified under headings Ih81 aggre9ata all c05t Telaled lo the category. Where c¢sl$ cannol be directly attributed to partlcular headlngs they have been alloc8led to actiwtles on a basls conslslenl with the use of resources. 1.8 Tanglblo flxad ass¢t8 Tangibl8 fixed assets are Initially measured at c￿1 and subsequently measured al cost or valuation. net of depreGialion and any impaifmenl10$s8s. 18- THE CAMDEN PSYCHOTHERAPY UNIT NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Accauntlng pollcl•g Iconlinuedl Depreejalion Is rocognised so as to wI￿a off tho cost or valualion of assets less thelr resldual values over Ihelf usefijl lives on the followlng bases.. Flxtures and fiillngs Computers 15% on eosl 33°h on eosl The galn or loss arlslng on th8 disposal ol an assel Is d8lermln8d as the differen¢0 between the $8le proceeds and Ihe carrySng value of th9 assel. and 1$ recognised in the slalemenl ol finandal aclmlles, 1.7 Ca8h and cash oquSvalènts Cash and ¢ash equlvalenls indude cash Fn han¢Y. deposlls held al call wllh banks. other short-tetm Iiquld Investments wllh original m81urilies of throe monlhs or less, and b8nk ov8rdrafts. Bank ov8rdrafts are sFMYn wllhin boriowlngs In currenl liablli1188. 1,8 FlnAnclal Initrument8 Th8 charlty has elècted lo apply Ihe pro￿$10n$ of Sectlon 11 'Basl¢ Finana81 Instfurnenls, and Seelion 12 '0ther Fln8nclal Instruments Issue3, of FRS 10210 all of 11$ finandal In$lfumenl8. Flnanclal Inslmmanls 8rÈ recognised In tho chariV$ balanca sheel when lh8 charity beeA)me$ party lo Ihe nlractual provlsions ol Iha In81rument. Flnandal assets 8nd liabllilies 8r8 offset, with the nel 8mounls prè8èn18d In the Tinancl81 $18lemenl$, when Ih8re Is a legally enlorceable fighl lo sel off the recognlsed amounts and Ihor8 is an inienlion lo sett18 on a nel basls or to realis6 lh& asset and 8ettle tho IlabSllty slmulianeously, 8•sk Ilnanclal 8ssots Bas1¢ financial 888els, whid) Include debtors and cash and bank balances, are Inhlalty measured at lr8ns8cllon price Including Irdnsaclion costs and are subsequently carried al amortised Cosl using Ihe effecliv8 Intere81 mèthod unless lh8 arrangement consts'tules a finanang transa¢tton, where Ihe ITansacllon 18 measured al th8 present v8lue ol Ihe future receipts di8o)unled al a markel rale of Inleresl. Fln8noal assets classifled a8 re¢elvablè wilhln one yoar ore nol amortised. Bas1¢ flnancl•l Ilabllhlès Ba8lc Itnundol Ilabllllies. Includlng creaiiois and bank loans are Inlllally recoonlsed ai Iransacllon price unless th8 arrangement conslilules a financtng Iransaction. where lh& dÈbl insltument Is measured at the presènt valu8 of Iho lulure payments discounled al g markol rale of Inleresl. Flnancial Ilabililies da8sifi8d as payable wllhln on8 yo3r are not amortl$ed. Debt insltuménls ar8 subsequenuy cafried al 8morti$ed cosl. u8lng Ihe effeclive Inlere5t ral8 method. Trade credilois arè obligations to pay for good8 or seTrryces that have been acqulred In Ihe ordinary course of operations from suppliars. Amounts payable are clÈ$srfied 8$ current li8bililies if payment Is duo within one year or les5. If not, they are presented as non-currenl liabiliiies. Trade credilvrs ai8 rerA)gnlsed Inili8lly al transaction price and 8ubsequenlly measured al amortTrsed cost using Ihe effedve inlerost melh¢xl. Derocognltlon of Ilnanclal118bllMI•s Financial liabi1it18s are derecognlsed when the charity's eonlrgctual obllgations expire or are discharged or cance116d. .9 Retlrement benellts Payments lo defined conlribulioD retifement benefil schemes are Charged as an expense as Ihey fall duè. 19- THE CAMDEN PSYCHOTHERAPY UNIT NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Income from don&Uon8 and legacles Unr•$trlcted Rostrlcted lund8 fund8 2025 2025 Totsl UnrestrTCted Rostrlcted fund5 fundg 2024 2024 Total 2026 2024 Donallons and gffts Grant8 93.165 89.000 93.165 121.046 164.481 110,OOD 20,000 42,821 184,481 152,821 32.046 182.165 32.046 214.211 274.481 62,821 337,302 2026 2024 Tha 8lu$lon Charitoble S8ttlemént P81er Slebblng Grant Ctty Bridge Foundalion The Henry Smith Ch8rlty The Sybll Shlne M8morlal FurKI St. James, Place Foundation M J Samuel ChaAlabl& Trust Nallonal Lottery Communty Fund Mrs Smtth & Mount Tfusl Grace Trust Albert Hunt Tw81 The Yellow Heart Twsl William Allen Young Chaittable Trust The Blg Glve The Halen Hamlyn Trust Trèlix Charitoble Tw$1 5,000 7.500 20,228 60.000 15,CK)O 22,046 60.000 10.000 10,000 5,0 18,595 750 4,000 750 12,OJO 2.000 121,046 162 821 Incom• from charftsble activltle8 Unrn¥lrfcted Unre8lfl¢ted funds funds 2025 2024 P8ychothorapy carè Scolsc8r8. Hopscotch & Olhers Renlal Income & costs wecharg8d Pallent Inc￿le 41.162 15,341 19,580 41,457 14.238 14,797 76.083 70.492 -20- THE CAMDEN PSYCHOTHERAPY UNIT NOTES TO THE FINANCIAL STATEMENTS {CONTINUED) FOR THE YEAR ENDED 31 MARCH 2020 In¢om¢ from invostment8 Unro$trietsd Unrè8trl¢ted fund8 funds 2025 2024 Other Income 3,120 Expendlture on rn18lng fund$ Unr88trlcted Unrestrlcted fund• funds 2026 2024 Fundral$lng and publlclty Seeklng donal¢ons, grant$ and le9acJes 32.105 39.9fy9 Expgndltur¢ on ¢harltable actlvlll•8 P8yGhothorapy carn 2026 P8y¢holherapy ¢aro 2024 Dlrect cost8 staff w818 Rent and 8ervice Gharge Insurance Llghl and heal Postagè and $lationgry Cleaning Sundrle3 Olher alaff cojls 128,772 35,470 1.770 2,899 739 S,363 16,658 01,seo 111,343 35,051 710 3.097 1.773 6,753 15.604 67,204 251.231 230,435 Share of 8UPPOrt and govefnan¢0 costs {8ee nots 71 Support 6.225 6,373 257,456 236.808 Analysis by lund Unreslricled lunds Restricted funds 235,948 21.508 219,579 17,229 257.456 236.808 21 THE CAMDEN PSYCHOTHERAPY UNIT NOTES TO THE FINANCIAL STATEMENTS {CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Support ¢08ts allocated to actlvllle8 2026 2024 D&pre￿atIon Bank inl8resl Governance costs 1,598 13 5,398 4,627 6.225 6,373 Analy8•d befvéèon: Psy¢holherapy caro 6,225 8.373 Net movèmènt In fund8 2025 2024 The net movemént in funds b staled after charglngl(cr8ditlng)'. Feas payable for th8 Indep8nd6nl examlndon of Iha eharrvs financial 8lalemenls Oeprecjallon of ownedtonglble flxed assets 2,205 1.598 2,080 982 TN8tee$ None of Ihe trustèes (or any persons Connected valh them) rec8lved any renwnerallon or ben8fils from Ihe ¢h8rily durlng Ihe y80r. Th8f& were rn Iruslees, expense8 pald for the year ended 31 March 2025 nor for tha year ended 31 March 2024. 10 Employe08 Tha average monlhty number ofemployees durin9 the year was- 2026 Number 2024 Number 10 Employmont ¢o$ts 2026 2024 Wages and salarles Other pension ¢0818 125,425 1,347 110,332 1,011 126.772 111,343 There were no employees whose annual remuneralton was more Ihan £60,Ixyo. -22- THE CAMDEN PSYCHOTHERAPY UNIT NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 11 Taxallon The eharity is exempt from lax81ion on ils adivit18s because all Its Incomp is applied lo( charitabk8 purposes. 12 Tanglblo fix8d a*$èts Flxtur•s and flltlng¥ C¢mpul•r• Totsl Cost Al 1 Apdl 2024 2,313 7,877 Al 31 March 2025 2,313 7.B77 Depre¢latlon and Impiirnient At 1 Aprll 2024 08pfeclation charged In tho year 2,504 83S 127 763 2,631 1.598 Al 31 March 2025 3,339 890 4,229 Carylng amount At 31 Maich 2025 2,225 1,423 3,848 Al 31 March 2024 3,060 2.188 5.246 13 Oebtorn 2026 2024 Amounts falllno due wlthln on&￿ar. Trade debtors Prepayments and accrued income 1.701 11,148 582 4.754 12.849 5.336 14 Credltort: amounts falllng due wlthln on? year 2025 2024 Notes Daferred Incomg Tradg ¢rédilor8 Other crediloTS Accruals 16 4,687 257 3,961 7.877 8,928 10,951 9.829 28,698 -23- THE CAMDEN PSYCHOTHERAPY UNIT NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 15 Doforr8d Ineome 2025 2024 Other (leferréd income 944 Deferred Income Is Included In Ihe finandal slalements a6 lollow$.' 2025 2024 Def8rr6d Income Is Included wllhln: Currenl Ilabllllles Movements In Ihe y8ar.' Deferred In¢ome at 1 April 2024 Released from prevlous periods Resources deferred in Ihe year 917 (917) 944 (944) Deferred Income al 31 March 2025 944 944 The above deferred Incom& Is In rdallon to rental Income p8ld In advance. 16 Rotlrement benfrllt 8chemo8 2025 2024 Doflned contrlbutlon s¢h•meg Charge to profit or loss in rospecl of defined contributton scheme8 1,347 1.011 The charrty operates a defined contrlbution pension 8cheme f¢r am qualifylng employees. Th9 888els of Ihe schemé af& hèld $oparatety from Iho8• of lh• chaftty in an Independonlly admlnlslered fund. 17 Re3trlcted funds The r8slrlGled funds of Ihe chaAty ￿1mprISe Iho unoxpended balance$ of donollons and grants held on trust 3ublect lo spe￿riG condilions by donors as lo how Ihey may be used. At 1 Aprll 2024 Incoming rèsources Re90ur¢o8 At 31 Mar¢h expended 2025 National Lotlery Community fund (Awards lorAII> Disadvanlaged young peotAe fund Expansion fund Cllnician salary fund 14.498 11.094 20.000 14,498 21,632 20,OCK) (11,508) 10.OCKI {10,IJ)O) 45,592 32.046 {21.508) 56,130 -24- THE CAMDEN PSYCHOTHERAPY UNIT NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2026 17 Restrlcted fund8 (Contlnued) Pfevlou$ year: At1 Aprfl 2023 Incomlng Resources At 31 March résour¢•s èxpended 2024 Nalional Lottery Comrnunlly fund (Awar(Is forAII) Disadvantaged young poople fvnd Expansion fund 18,595 24,226 20.000 (4.097) (13.132) 14,498 11,094 20,000 62.821 (17,229) 45,592 National Loll8ry Community Fund {Award6 for All) relat65 lo fvnds recelved In 2023-24 to bulld-ln IT Infrastructure that wlll support the delivery ol our psycholhèrapy servic8 for disadvanlaggd people across London. Some of thi3 fundlng remalned unspent al 2024-25 year-8nd and wlll be spent belor8 Ihe S￿nding deAdline of January 2026. CNY Bridg8 Foundauon relalè$ lo fund8 r8c8ived towaft18 th8 provi6ion of lon9-t•fm p#y¢holhorapy for dlsadvanlaged young people aged 18-25. The Yellow Heart Fund relates lo funds recelvèd In 8UPPOrt ol patlenls suffeflng from addlcuon probl8m#. An anonymous Indlvldual donauon of 20k was recelved In 2023.24 and Is b81ng held for tho expanslon of our seNice beyond our main dIn￿ In Kentish Town, fromAulumn 2025 onwards. Sl James, Place Foundation felales to fundlng olone of our clinlcl8n posts. 18 Unre8frfcted fund8 The unreslrl¢led funds of the charity comprlse Ihe unexpended balances of don8llon$ and grants whlch ora not Subject to specific conditions by donors and granlors a8 to how they may be used. The58 Include d8slJnaled funds whfch have been sel a8ida out of unrestricted funds by th8 ttustees for spectfic purposes, Ai 1 Aprll 2024 In¢•rnlng resour¢o8 Ro•our¢•• •xp•nd•d Tr•n•l•r• At 31 March 2026 General lund Designaled fund 273,846 135.547 260.812 (268,053) 24,958 (24,958) 291,563 110,589 409,393 260.812 (268.053) 402.152 Provlous year. At 1 April 2023 Incoming Re$our¢es resource8 oxpfrnded Transfers At 31 M8r¢h 2024 General lund Designated fund 231.926 88.859 348,093 <259.485) (46,688) 46,688 273,846 135,547 320.785 348.093 {259.485) 409.393 -25- THE CAMDEN PSYCHOTHERAPY UNIT NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 18 Unre8trfctsd fund$ Icontlnuèd) Dè81gnatsd Fund The Designated Fund as at 31 March 2025 represented résaNes sol astd8 and Intendad lo enable Ihe charity to fealis8 Its long-lerm ambition of replicatlng Ms clinkal model auoss a neN¥oth of satellNe dinics In London. Thls satallite netsvork will Increase CPU London's reach and enablb It lo support a greater number of dlsadvanlaged Londoners wth Ils dinical servI￿s. Having Incr8asad the Free Re$eNe5 to £291 k, equivalent 10 11 mnlhs of Ihe 25126 budgel {£317k). the TfUSte68 are d8ueaslng th8 Dèslgnaied Fund to £111k (2024- £135k). Alongside our granl from the National Lollery Communlly Fund, the Designated Fund WUI support tho launch and runnlng of our fir$1 salellTt8 ¢linl¢ from Aulurnn 2025. 19 Analy818 of net a$sets bètween funds Unro$trt¢ted fund8 2026 Regtri¢tod fundg 2025 Totsl 2026 At 31 March 2026: TangSblè assels Current a8selsl