## **BETHEL HEALTH AND HEALING NETWORK** # IMPACT REPORT AND FINANCES 2022/23 ## Contents EXECUTIVE SUMMARY- Page 2 - DOULA SERVICE- Page 3 - RAPHA SERVICE- Page 9 - VOLUNTEERING AT BETHEL - Page 15 - FINANCIAL REVIEW & STATEMENTS - Page 18 ABOUT BETHEL HEALTH AND HEALING NETWORK- Page 24 REFERENCES - Page 25 1 ## Executive Summary Bethel Health and Healing Network is an impactful well-being organisation that supports improved outcomes for vulnerable women and others in need within some of our most deprived and challenged communities. This includes responsive care and support for vulnerable pregnant women, 31% of whom are asylum seekers or refugees in the desperate circumstances they find themselves in. Both men and women use our Rapha Listening Service to help improve their mental health and wellbeing, with tangible results showing positive mental health developments. The fantastic staff and volunteers of Bethel Health and Healing Network are the foundation of the organisation, and without them, the fantastic outcomes in this impact report would not have been possible. I extend a prodigious thank you to them all. Over 300 vulnerable women were supported through the Bethel Doula Service, with many more receiving telephone support and support packages for them and their babies. With over 250 home visits for those who needed it most, signposting, breastfeeding support and, where possible, birth attendance, the Doula team has significantly impacted those women and their families. This time last year, we saw a marked increase of over 8% in complex needs referrals, including women with safeguarding, mental health challenges, housing and broader socio-economic issues or combinations of all the above. Many of these women are from BAME/Global majority communities. Our Rapha Listening Team of staff and volunteers provided over 480 support sessions to over 130 individuals to improve their well-being. A first for Bethel, and with funding through Sport England, Rapha and our community partners launched a project to support BAME men aged 40 plus in the community through its Walk Talk Move Heal project. So far, this project has supported 25 men to access physical activity and wellbeing ‘talk and support’ leading to improved health and mental wellbeing. At Bethel, we believe in building social value in everything we do; this is done by upskilling and investing in local men and women who are passionate about their communities. We see them as local community assets who want to give back as volunteers who are the backbone and foundation of the organisation. Using this approach, Bethel secured Core 20 funding to train 10 new local Doula Champion Volunteer Connectors. We have created opportunities for the programme to be accredited, to provide an opportunity for scalability, and for the women to learn how to set up their own business, this being done In partnership with a local education provider in Birmingham. _The current England rate of infant mortality is 3.9 deaths per 1,000 live births. The West Midlands has a much higher rate as a region at 5.6 deaths per 1,000 births, the highest in the country. England’s top four local authorities with the highest infant mortality rates are all in the West Midlands. Stoke on Trent has the highest rate, then Sandwell and Birmingham are third highest nationally, at seven deaths per 1,000 live births. Infant Mortality Scrutiny Report Final, 2021_ This impact document shows the stories behind the numbers, and also gives a dashboard of the organisation’s impact throughout 2022 and 2023. We have taken a case study approach, which demonstrates the value and impact of the services we provide. It concludes with a clear call to action about how you can get involved by becoming and ongoing supporter of Bethel Health and Healing Network by making regular donations, making Bethel Health and Healing Network your charity of choice when looking at fundraising team building activities for your organisation, becoming a volunteer for one of our services or partnering with increase access to our services for those who need it most. We hope you get an essence of the amazing impact Bethel had over 2022 and 2023, improving the health and wellbeing across Birmingham Solihull and the Black Country. **Jennifer Jones-Rigby MBA, PGCE, CMgr, MCMI, FRSA CEO Bethel Health and Healing Network** 2 ## Impact Report Bethel Doula provides emotional, practical and birth partner support to vulnerable and isolated pregnant women and new mothers. We work with statutory and community partners across the health and social care sectors to ensure that vulnerable women and their children do not fall between the gaps in services. We supplement our face-toface support with on-line activities, mother and baby group support, parenting skills courses and connect mothers and families to other support services. **321 254** SUPPORT SESSIONS REFERRALS RECEIVED HOME VISITS **[1116]** DELIVERED **282 84%** WOMEN SUPPORTED WOULD RECOMMEND THE SERVICE **89% 31%** OVERALL LEVEL OF SATISFACTION ASYLUM SEEKERS OR REFUGEES 2 3 ## **DOULA SERVICE** This year has been a rewarding, albeit challenging year for the Doula Service. The team supported more vulnerable women with more complex needs than ever, pushing the service beyond its normal capacity. Increased referrals were received from specialist midwives for women with mental health concerns. Over a fifth of women were referred with known safeguarding concerns and 18 women were supported at child protection/ multi-disciplinary meetings. While fewer volunteers supported service delivery, we maintained a high-quality service with an 89% satisfaction rate. Perinatal mood and anxiety disorders are among the most common pregnancy and childbirth complications and are associated with adverse outcomes. The Better Births maternity review recommended a continuity of carer throughout pregnancy, birth, and postnatally as it built trust and a better understanding of the patient’s medical and pregnancy history, leading to better outcomes. However, according to the 2022 NHS Maternity Survey, only 37% of respondents saw or spoke to the same midwife at their antenatal check-ups, falling to 27% during postnatal appointments. This represents a decline in midwifery continuity of care since 2021 although comparable with the findings from the 2019 survey. The Doula Service provided continuity of care for pregnant women and new mothers during the antenatal, birth and postnatal period, building trust in a supportive environment and promoting better outcomes for mother and baby. We visited women at home, sourced and provided essential items for mother and baby, and made those all-important calls to encourage, check-ups, supporting our service users with all aspects of their pregnancy and post-birth. We also provided access to our mother and baby group and parent education course, increasing opportunities for women to connect with others and their families to develop new skills. The Doula Service provides a cost-effective approach to supporting the most vulnerable pregnant women and new mothers. In 2022/23 we spent on average £1,336 (without birth support) supporting service users with complex safeguarding and mental health needs. Critically, the team contributed to vulnerable women having better mental health during the perinatal period and reducing the need for specialist interventions and additional support from health professionals as demonstrated in the two case studies below. 4 ## **DOULA CASE STUDY 1** F was referred to Bethel Doula Service by her midwife after she noticed that F had no support network in Birmingham, having recently moved from London. F had undergone a traumatic birth with her first child three years earlier, followed by a miscarriage. Not long after the miscarriage, she discovered she was pregnant with her second child. F was matched with a senior doula, who attended hospital appointments with her and helped her to arrange a debrief at the hospital regarding the birth of her first child, and the subsequent advice and management of the miscarriage. F felt she needed a debrief to move on and prepare for the birth of her second child. The senior doula provided F with emotional support throughout the pregnancy and helped her make informed decisions regarding the birth plan and prepare for her election to have a scheduled C-section. F stated, “ _Following my first child, I led a very isolated life, leading me to suffer from postnatal depression. I am certain that had I been referred to the Bethel during this time I would have had a better pre-and post-birth experience which I got after the birth of my second child_ .” F again suffered from post-natal depression, and the senior doula attended several post-birth hospital appointments. She helped her understand that what she was experiencing was common and that she need not suffer in silence as she had the first time. With the help of the senior doula, medication and therapy, F fully recovered and was able to be the best mother to her children. F stated that the Doula Service enabled her to engage with an experienced person who helped her understand her issues, choices available, and better plan for the pending birth, thereby reducing anxiety. She was also better able to manage her mental health and therefore her toddler and new baby with less fear and anxiety. F commented, “I did not require the attendance of other health professionals such as the mental health team, or a longer stay in hospital - maternity or mental health. I was not separated from my toddler or baby to have my mental health managed.” F is now volunteering and preparing to start her career as a midwife in 2024. ## **Economic Impact of Support** F previously had a nervous breakdown following her first pregnancy, and once again there were signs that due to her escalating anxiety and deteriorating mental health she might need more intensive mental health support, possibly an in-patient stay at a perinatal mental health unit. Perinatal mental illness affects up to 27% of new and expectant mums. The average stay in a mother and baby unit is 8 weeks. Admittance at a perinatal mental health unit cost £947 per bed day. Research indicates that the average cost to society of one case of perinatal depression is around £74,000, of which £23,000 relates to the mother and £51,000 relates to impacts on the child. With the senior doula’s help, F addressed her anxieties and embraced her pregnancy, thereby avoiding intensive mental health interventions pre and post-birth. The doula support also meant that F needed fewer specialist midwife visits and GP appointments to discuss her mental health and a longer stay in the maternity unit following the caesarean was avoided. 5 ## **Summary of Potential Costs Avoided** |**Costs Avoided**|**Costs**|**Total cost**|**Assumptions**| |---|---|---|---| |In-patient stay in
perinatal mental health
unit|£947 x
28 days|£26,516|4-week stay at £947 per day| |Outpatient perinatal
mental
health services|£357 x 6
contacts|£2,142|Care contact unit cost
£357 – 6 contacts| |In-hospital care during
pregnancy|£53 x 6
hours|£318|Hospital-based nurses/
midwife support £53 per
hr – 6 hours assumed| |Additional post-birth
visits by a
specialist midwife|£55 x 12
hours|£660|6 visits @ £55 per hour –
2 hrs assumed per visit
including travel| |GP consultation|£42 x 6
appoint
ments|£252|6 appointments at £42
per consultation| |**TOTAL £32,636**|||| _**Source: Unit Costs of Health and Social Care 2022. Personal Social Services Research Unit (University of Kent) & Centre for Health Economics (University of York)**_ 6 ## **DOULA CASE STUDY 2** T came to the UK as a postgraduate student with her husband and son, and soon after found that she was pregnant with triplets. T was referred to the Doula Service post-birth. Following heavy bleeding and the premature birth of the triplets one of the babies died soon after delivery. T stated that she did not have time to grieve. “That period was a difficult moment for us in my family, as we were settling in the country, and did not understand the system.” The bereavement team supported her with the funeral arrangements as she did not have recourse to public funds. T stated her mental health and that of her husband had been affected and there were times when she felt “emotionally numbed, suicidal, and generally tired.” One weekend when at her lowest, she contemplated suicide as she’d had a tough week – the newborns had attended different hospitals on more than one occasion that week – treated for chest infections, including short inpatient stays. T’s husband had sourced, organised, and paid the first month’s rent for a flat they were promised. They had saved money from limited funds for the removal van and packed up their belongings including baby clothes and food and transferred them to what was to be their new accommodation. They were pleased to be moving away from the cold house and the dark creeping mould which repeatedly returned even after they cleaned it with bleach. Whilst preparing to finally leave the old accommodation, T and husband were informed that the property was no longer available. They were distraught as all their property had been removed from the flat and left outside in heavy rain. Most of their belongings including the food, could not be salvaged. Following the referral to the Doula Service, T and her family received emotional support, resources for the babies, food parcels, and a referral to Early Help services. She was signposted to an organisation where she received a debriefing for baby loss. The suicidal thoughts became less invasive, and her self-esteem and ability to cope with everyday challenges improved. T stated that she appreciated the Doula Service for being an ‘amicable organisation when they needed help.’ ## **Economic Impact of Support** Due to her mental state, T was prescribed a mild anti-depressant by her GP. However, receiving emotional support at a critical time meant that she did not have to be medicated further or need specialist perinatal mental health support. T and her husband had attempted to treat the mould on the wall with strong bleach. Unfortunately, the fumes impacted the babies’ respiratory health, adding to their already compromised health. T had not been aware of the fumes generated by the bleach, but upon learning this the babies’ hospital appointments soon reduced and further inpatient stays were avoided. T’s husband was supported in getting a permanent post so he could support the family. They had relied on borrowing from friends, and this was causing tension and more emotional trauma. 7 ## **Summary of Potential Costs Avoided** |**Costs Avoided**|**Costs**|**Total cost**|**Assumptions**| |---|---|---|---| |Neo-natal in-patient care|£952 x 14 days|£13,328|7 days stay in a critical care
ward (Normal care) for 2
babies| |GP consultation|£42 x 6
appointments|£252|6 appointments at £42 per
consultation| |Community perinatal
mental health support|£246 x 6 contacts|£1476|Care contact unit cost £246 –
6 contacts| |**TOTAL £15,056**|||| ## MOTHER & BABY GROUP **53** GROUP SESSIONS **76** WOMEN ENGAGED IN OPPORTUNITIES TO SOCIALISE, LEARN NEW SKILLS, AND TAKE PART IN PHYSICAL **2** ACTIVITY LIKE SWIMMING FOR MOTHER AND BABY AND DANCE ## PARENT EDUCATION **37** WOMEN PARTICIPATED **14** SESSIONS DELIVERED 8 ## Impact Report Bethel Rapha provides a safe, non-judgmental listening service to adults experiencing anxiety, stress, isolation and depression often caused by the wider determinants of health such as social and economic conditions, difficult family and personal relationships, racism and sexism and other discrimination. In addition to telephone support, we work in partnership with statutory and community organisations to deliver face to face listening sessions in community settings across Birmingham and Solihull. People accessing the service receive up to 9 hors of listening support and signposting to additional mental health and wellbeing services. PEOPLE SUPPORTED **131[484] 383** SUPPORT SESSION HOURS OF SUPPORT DELIVERED PROVIDED **94% 64% 92%** OVERALL LEVEL OF MENTAL HEALTH SATISFACTION IMPROVED WOULD RECOMMEND THE SERVICE "I really appreciate the listening services and my listener, as I felt these sessions improved my selfconfidence and motivation"White British male, 75, history of historical relationships issues 9 ## **RAPHA SERVICE** The Rapha Listening Service supported 131 people with mental health needs and delivered 484 support sessions. This was down from the previous year due to a significant reduction in the active volunteer team as a result of the challenging economic environment. However, as referrals to the service remained steady, we continued to maintain a waiting list. We allocated staff time to direct listening and ensured service users were kept informed throughout as they waited to be matched to a trained listener. 1 in 4 people will experience a mental health problem of some kind each year in England. 1 in 6 people report experiencing a common mental health problem (like anxiety and depression) in any given week. In Birmingham and Solihull 7.3% of the population is in contact with mental health services compared to 6% nationally. The Rapha Listening Service delivered a value for money service through its team of volunteer and staff listeners. It typically costs £297 to deliver 9 listening sessions with the support of a trained volunteer listener, and £390 when support is delivered exclusively by employed staff. As demonstrated by the case studies in this report, the service reduced the need for more costly mental health support such as IAPT services or a stay in an in-patient unit and avoided other social and economic impacts resulting from poor mental health. Using the WEMWBs well-being scale, Rapha service users were typically in the bottom 15% of the population with a low-wellbeing category. Following the support of a trained listener, nearly two-thirds of service users said their overall mental health had improved. We achieved a 94% satisfaction rate with 89% of service users stating they would recommend the service to others. 10 **----- Start of picture text -----**
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## **RAPHA LISTENER CASE STUDY 1** S, a middle-aged Pakistani female, self-referred to the Rapha Listening Service with a long history of anxiety and depression. At the initial assessment, she spoke of her ongoing challenges with her mental health, which was now being exacerbated by her concerns about finances and her ability to provide for her dependents. S attended nine listening sessions with her trained listener and used the time to discuss her fears of having ‘another nervous breakdown’, panic attacks, the needs of her family, and the rising cost of living. She was also supported to contact her Community Mental Health Team and her pending appointment was brought forward, resulting in an increase in her medication which helped stabilise her mental health, preventing further deterioration. She also accepted a referral for an assessment of her social needs and was offered and accepted help from family support services. While S was often tearful during her listening sessions, she always expressed gratitude that someone had listened to her whilst she tried to deal with the complexities of her personal issues. At the final evaluation, S was positive about the support she had received and commented that her listener had really helped with appropriate signposting. S was also able to ‘get things off her chest’ and was now more hopeful that ‘things might change’. ## **Economic Impact of Support** 86% of respondents to a Money and Mental Health survey of nearly 5,500 people with experience of mental health problems said that their financial situation had worsened their mental health problems. Acute episodes of mental health problems can also disrupt incomes. People can struggle to attend work, maintain their benefit claims, or keep on top of managing their money. 11 S felt she was heading towards a mental health crisis due primarily due to financial pressures. This would almost certainly have required more acute mental health interventions from the community mental health team, possibly in-patient support, and additional appointments with her GP. The average length of stay in an adult acute inpatient unit is 35 days.12 However, the opportunity to talk through her concerns and fears with her listener and being supported to access other services more promptly meant a mental health crisis was avoided. ## **Summary of Potential Costs Avoided** |**Costs Avoided**|**Costs**|**Total cost**|**Assumptions**| |---|---|---|---| |In-patient mental
health|£341
per bed
day x 28
days|£9,548|Mean cost of mental health care clusters per bed day
- 28 days stay assumed| |Mental health initial
assessment|£294|£294|Mean cost of mental health care clusters – Initial
assessment| 11 |Additional GP appointments|£42 x 3
appointments|£126|3 appointments assumed| |---|---|---|---| |Additional IAPT contact|£140 x 6 sessions|£840|6 sessions assumed| |**TOTAL £10,808**|||| _**SOURCE: UNIT COSTS OF HEALTH AND SOCIAL CARE 2022. PERSONAL SOCIAL SERVICES RESEARCH UNIT (UNIVERSITY OF KENT) & CENTRE FOR HEALTH ECONOMICS (UNIVERSITY OF YORK)**_ 12 ## **RAPHA LISTENER CASE STUDY 2** **----- Start of picture text -----**
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A, an Indian female in her mid-30s, was referred to the Listening Service by her GP with a history of anxiety, depression, and insomnia due to poor physical health. On initial assessment, she spoke of a history of suicidal ideation and what triggered these thoughts. A was matched with a listener, and she used the 9 weekly sessions to discuss relationship issues, negotiation skills, adopting a positive mindset and managing anxiety and worries. During the sessions, a new work issue arose whereby A felt she was being unfairly treated by others. The focus now changed to building strength, resilience and self–advocacy. A identified that although things were difficult, she was ‘keeping on going and staying positively minded’. As the sessions progressed, she became more confident about her plans to address the work issues. While suicide ideation had been an important disclosure for A during her initial assessment, she no longer raised this issue during the listening sessions as A became more confident. At the end of the support evaluation, A said that the listener's kindness and support had boosted her mood and that she had looked forward to the sessions. Overall, she felt that the sessions helped her cope with her difficulties and that she was now in a ‘much better place.’ ## **Economic Impact of Support** Around 1 in 5 people have suicidal thoughts at some point in their lives. In 2021, in England and Wales, the suicide rate was 10.7 deaths per 100,000 people; while this was statistically significantly higher than the 2020 rate of 10.0 deaths per 100,000 people, it was consistent with the pre-COVID�19 pandemic rates in 2019 and 2018.14 Each suicide costs an estimated £1.7m. Around 70% of this cost is the emotional impact on families and society.15 Due to A’s suicidal ideation, she was classed as a safeguarding risk with a potential for referral to social services and/or A&E. Having the opportunity to talk to her listener enabled A to build resilience and develop strategies that helped her manage her thoughts and take positive action. The safeguarding alert was therefore reduced, and further escalation to social services was not required, or an emergency attendance at A&E for a mental health assessment. A remained in work and avoided potentially having to sign on for Job Seeker’s Allowance. ## **Summary of Potential Costs Avoided** |**Costs Avoided**|**Costs**|**Total cost**|**Assumptions**| |---|---|---|---| |Social services -
Safeguarding
escalation|£42 x 6
hours|£252|Social worker (adult services) £42 per
hour – 6 hours| |Avoided A & E visit|£312|£312|A&E mental health liaison services| 13 |GP appointments|£42 x 3
appointments|£126|3 appointments| |---|---|---|---| |JSA|£84.80 x 24
weeks|£2,035.20|JSA claim for 24 weeks - £84.80 single-person
allowance| |**TOTAL £2,725.20**|||| _**SOURCE: UNIT COSTS OF HEALTH AND SOCIAL CARE 2022. PERSONAL SOCIAL SERVICES RESEARCH UNIT (UNIVERSITY OF KENT) & CENTRE FOR HEALTH ECONOMICS (UNIVERSITY OF YORK)**_ 14 ## Volunteer Impact Report “It keeps me in touch with the human reality. There can be good times and difficult times. Through Rapha Listening Service I'm able to offer something to those in need.” (Rapha Listener 2+ years) Being able to help others makes me feel like I have done something good and positive, mentally it is a very rewarding process **40 407** ACTIVE SUPPORT SESSION HAD A POSITIVE VOLUNTEERS DELIVERED BY EXPERIENCE VOLUNTEERS **[93%]** **50%** BEEN WITH BETHEL FOR A YEAR OR MORE **100%** FELT APPRECIATED 15 HOW VOLUNTEERS BENEFITTED **75 50 25 0 73% 67% 67% 67% 53% 47%** OPPORTUNITY WORK INCREASED DEVELOPED TRAINING MADE TO GIVE BACK EXPERIENCE CONFIDENCE JOB RELATED OPPORTUNITIES FRIENDSHIPS SKILLS **Rapha Volunteer Listener Case** K, a Criminology and Psychology student, who was in full- **Study** K, a Criminology and Psychology student, who was in fulltime employment and a mother of two, sought to obtain experience in supporting people with mental health needs. K applied to volunteer with the Rapha Listening service in January 2023 and began client support in March following her training in reflective listening skills, safeguarding and confidentiality. K has supported three service users from diverse ethnic backgrounds with anxiety and depression due to work stress, family and relationship issues, and health concerns. She has now delivered almost twenty telephone listening sessions and grown in confidence in engaging with people with mental health needs and responding appropriately to safeguarding concerns. K feels she has benefitted both mentally and physically through volunteering with Bethel. Having listened to other people's stories and being there for those who need it, she said “ _I very much appreciate what I have got and what I have achieved in my life so far. Volunteering makes me feel humble and I am very happy to help others whenever I can_ .” Through her volunteer listening role, K has been able to learn and practice how to support people in an empathetic and non-judgemental way. She has also become better at being organised and scheduling meetings that fit within her busy life schedule, family, work and study time. She stated, “ _Being able to provide a good service makes me feel good. It is ever so rewarding to hear back from the service users and my management that the service I provided was useful_ .” 16 ## **Volunteer Doula Case Study** C, a mother of two young children from Romania is a placement student from an international institution providing vocational programmes. C began her Doula Service placement in early 2023 and participated in Bethel’s doula training course which equipped her with the skills to support vulnerable pregnant women. Since the training C has provided telephone and face-to-face emotional support to several vulnerable and isolated pregnant women and supported the delivery of Moses baskets full of essentials to women in need of basic supplies for their babies. She also had the opportunity to provide administrative support to the team and collect feedback from service users. C has valued her experience of being part of a dedicated team who works to improve the lives of women. She commented, “ _The Doula team’s unwavering commitment has been inspirational and has provided me with invaluable insights_ .” C has learned about Bethel’s structured process for ensuring women's well-being, both physically and emotionally. Having witnessed the transformational impact of the support on women and their families, C suggested outreach initiatives so that even more women can benefit from the support available and has grown in her desire to continue to make a difference in the lives of the most vulnerable people. She stated, “ _The time spent volunteering with Bethel Doula will forever be etched in my memory as a significant period of learning, growth, and service_ .” 17 ## **Financial Review & Statements** Income for the year amounted to £301,352 (2022: £305,725), whilst expenditure was £374,002 (2022: £378,998). This resulted in a deficit of (£72,650) (2022: deficit of (£73,273) and a decrease in funds for the year to £2,098 (2022: £74,749). Bethel continued to deliver its long-term plan of providing enhanced services through the increased staffing structure. Unfortunately, income generation did not meet the target and so more reserves were used than anticipated. This low level of reserves does leave Bethel vulnerable, but the Trustees are confident that the improved income levels and significant surplus budgeted in 23/24 are achievable and will place the Charity on a firm footing for the future. Reserves Policy Reserves are required to: ·Smooth out surpluses and deficits year on year; ·Replace capital expenditure or restructure the organisation; ·Deal with the effects of any risks that materialise e.g., significant losses of income and delays in payments; ·Allow the organisation to take on opportunities that may arise in a timely manner; ·Deal with the unexpected. Trustees are required to set an appropriate minimum level of reserves and in doing so, consider these reasons for holding reserves, as well as current and future financial needs. The trustees have decided to set minimum reserves at 4 months of unrestricted expenditure, as indicative of the operating reserves required by the nature and size of the charity. As of 31 March 2023, that will require minimum free reserves of approximately £95,752 to be held (2022: £98,270). Both the policy and its implementation are under regular scrutiny. Trustee Responsibilities for the Financial Statements Charity and Company Law require the Trustees to prepare financial statements for each financial year, which give a true and fair view of the state of affairs of the Charitable Company at the balance sheet date and of its incoming resources and application of resources, including income and expenditure for that period. In preparing those financial statements, the Trustees are required to: ## Select suitable accounting policies and apply them consistently to: ·Make judgements and estimates that are reasonable and prudent ·State whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements ·Prepare the financial statements on the going concern basis, unless it is inappropriate to assume that the Charity will continue in business The Trustees are responsible for keeping financial records which disclose with reasonable accuracy at any time the financial position of the Charity and that enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Charity and hence must take reasonable steps for the prevention and detection of fraud and other irregularities. 18 B•thel Heatth and H•allng Network Independent Examlners Report to the Trustms of th• 8oth•l H•alth and H•allng N•ts¥ork I report on the fin8ndal 5tstements of tho Chartty for ts year ended 31 st Mard12023 Respectlve re8ponslbllltl•s of trust••J and examln•r Tho c*arW8 trustees are respon8lble for Ihe preparation of 8co)unls. The Iwstw considar that an audit Is not requlred for thls year under soclk)n 4312} ol the Charflles Ad 1993 vu as trustees concomiry any 6uth matters. The procedures undeklaken do not provkle all the evidence Ihat %4r)u￿ bè roqulred h an audc and o)nsoquonity I do nol axpress an audit oplnkjn on the vlew given by ihe accounts. IndO￿ndent Examln•rf• Statsm•nl In connectlon with my examfjna￿n, rn) matter ha8 come lo my attenilon :. 1. whlth glves me reasonable cause to ￿lIeve that In any material rnspect. the requlrements., lo keep accounting rewrds In a¢cxJnlance with sedion 41 of the 1993 Acl and Regulailon 4 01 Ihe 2008 Regulauons: and to prepare accounts ￿1c￿ accord tho accounling records and comply vlth the accountlng requlrements of the 1993 Act aThJ Regulation 8 01 the 2008 R8gulations: and whth arn o)nsistenl wilh the methods and pnniiples of the Slotoment of Recornm•nded Pradi¢%: Accounung and Roportlng by Chadiles hav0 not been m81, or 2. to which. in my oplnion. attenb'on should be drawn to onable a propor underntAndlng of tho ac￿unIS to be roat*￿d. Slgned: Date: Iilq I g£)Is David Chittenden 18 CunnSngham Road Peterborough PE2 9RG 19 sknbm•ni of FIDincl•l A¢ttvlY Y••f End•d 31•1 M8i¢h 1023 T•W Vund¥ 2023 low Fund• 2022 I￿orn• •nd from: 45.e21 8.OT2 249.558 51.692 249.558 88.613 236.074 Chari13b* 3.034 45.011 255.TJl 301.352 J05.725 Exp•ndhur• on: 18.232 312.ljo 18.232 357,770 11.817 387.181 Ch•rttabl• 4S.621 Tot41 •xp•Dth'￿tr? 45.621 328.J81 374.C¥)2 ?79.998 N•1 172.6JOI (n.8501 In,2731 RKOn¢lll•t￿n ol Fun rotsl Fur￿1 browhl lor￿rd 74.749 74.749 148.022 Tot•1 Funds C•￿1•￿ lorw•NI 74.749 4l•ne• Sh••t 44 •t Jl*t p￿TrA 2023 Curv•nt A•••¢• 11 12 n.149 J7.726 129.876 29.$ 61.48$ 91.D21 Curr•llt LI1￿1111 Li•b51rtNg8 l•Thny du• y••r IJ 127.777 18.272 N•t A•••t• R•pr•*•nl•d by... 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(Mry Ooniiions 8r• accounlod Ipf 9w• i•¢w•d INI Bank ml•r•¥i l¥ f•¢coJnisod rt il cr•drt•d to Idl Expwha￿r• •nd Ll•bl 111 ExF4rn1th b •ccount•d lty •¢wd$ b•**. 141 Uobi¥tsM w• r•wr••d a• •oon 41 ¢1 • I•9￿ to p•y ￿ Tr•¢Mrn. {•} Ax••l• T•n9lb* fL¥8d 8iMls ar• c•wlaHs¢d11 I￿¥ ¢081 mor• than £1.NO •r￿ tan be ui•d mty• 4y* >•w.TPy •• vthtrj •t coil or.119lft•a, •1 on rncthpl.Thi (h¥rty ¢mnity hbw 11sel8. 10 T•xatk>Th ¢hirlty li nol Ikqb* lor kncr*m• ct•th•t* •dr*thB.In•Co￿ VAT b InElhl•d li cost or eyger4• io 11 r•Lgw•. 2025 2022 3,322 3.322 2.898 •Non Davenport5 Chanly Blrmingh•m VdLrt•ry Sery*• Coth É¥mon Trust GB P•rtn•rnh H••llh Ex¢Th•Thg• H••n ol Eryl•rn1 L•gaCy Wetl Mi018nd8 Lloytts Bank Found•L o¥bmenl loi Good18en•f•¢i fyyl P••rs FovrKfwli¢rt RKti¥rd Kilcupp• Ch•rty The 291h MBY 1W1 Chirltabl• Tr￿1 Th• Amobts Cl¥rk Cornmunily Furtl Tts ASDA Foundalion Th• 8vJ G￿1 Trust Lld Th• ¢oL8 Char114bl• Tfusi Th¢ Goodenough Charrt•bl• T￿t The E¢Jword Gosiiin Found The Naiional Lollery Communlty W.E D. Charltabl• TIpAI 780 12.SCQ 12.X 13.131 1.972 2280 2.250 26.WQ 10.Q)J 9Tr) 7Q) 1,0Tr) 1,000 9.893 500 45,621 6.on 51.692 e4.613 21 3. In¢tyM from t￿￿11¥b￿ •Gll¥l¢l•¥ rnln9h4m 8 Mental Htalh NHS F+>JrthUw Trwl Wdl Consortwi iray Hall CommwNiy Tfust Lld NHS Pirmingharn and Sohlwll ICB NHS &rminghim 4￿3 Sok.￿ C¢G NHS Pl•¢* Country IC8 NHS Bl•ck Courdry •fid Wesl 8harn CCG Sand*tU 4 Wesl Bwmwh•m Howw NMS Tr￿1 21.991 24.991 35.000 7.380 80.643 23.817 $4.835 18.278 19.975 32.998 7.360 80,843 33.847 $4.835 18.271 4.583 104.32e 71.4NJ 249.551 249.550 236,074 4. Exp•ndltur• g•n•r•thig Ivwiionb •nd l•g•¢l•• Ilnr••trI￿•d fvnd• Raising funLIS 10,232 11.817 & C¢xty of •¢ll¥lW•• by lund typ• 17.122 28.499 183.273 98.223.42 180.395 128.722 231.544 76. Rapha Ilsier￿a $er¥k• Tru$i•d Chartty IPQASSOI 50.654 312.150 50.654 357.770 59.571 367.161 45.821 •. C••ts of ¢h•rfiaW• KU¥lti•¥ ty *thty ty ActMtI•• ¥nd•rt•k•n Irnciiy Support ¢MI• TIA•l Tokni Do￿4 R•ph•1i1i•￿ry ¥w¥t• Twil•d ch•niy IPQASSOI 180,39S 126.T22 29.7Y4 20.WI 210.148 147.023 276.384 9J.797 X17.117 357.770 367.181 7. An•ty•li ol •opp•rt co•i• 2027 Communultsn ¢oith omc• coiii Pr•mls•$ costi 10,036 12,393 15.S55 30,716 18.339 12,809 13,435 12.452 39.133 13.793 Oth•r ¢p•r•ithg coi 85.¢)40 92.322 l. Ind•p•nd•nt•X•￿H•h r•mun•Mion Th• 1rxl•F4JTrJw4•x•nYArpm￿ • ¥oknt•ry b•1* •• no f••wtt thw•d12022.. NUI •. TMt•••' l•mun•r￿10fi •nd •XP•M•• Sal4r*s aTrJ w#9 SOCI￿ s¢curily toils 20?.913 20.J72 280.418 17.482 4607 282.507 290.035 Thr• %¥•t• rK+ •moKmMt* IMl•r*8. b•MIts •) • b•KI h •x¢•M olE60,ty)0 12022.. NWI Th• 8verig• numbw of pernom •m￿￿y•¢ by thi Chm, st•ff, •wth•l¢rl b••l• w•i.' Car• staff 11, D•btorn Accowl$ Rgtht A¢¢ruBd Reven Prgp4xl Exp•n Olh•r 70213 28.814 1.153 1.936 72,149 29,$33 12. 8•nk •nd ¢•17t Bthnc TSB c￿￿•r￿ a¢¢?wrt Tdc430¥ depDiii •CCWt Peity Cash $5.014 2.877 3S 57.720 45.785 15.677 28 61,488 22 13. Ll•Nllt*• Ip•y•bl• wllhth orn y•a Accounls Payabfe Accru815 And def•rr•J knEOm• Poyroll Lbabli￿&S Prwkj Int￿9 3.803 453 11.072 1123S8 127,777 3.531 2.183 10.558 18,272 14. R•l*t•d party tramK￿onS D¢nalions ¢oThJiW ol £380 iec•i¥od Ir¢m om POT2.. E380 frorn i I1￿￿) These amoLmis do nat i￿￿1• lh• gift All￿11•d b*• ¢Jr￿•1**I At lstAprfl 2022 16. 8tst•m•nt ol Fund• Exwdl¢Urn Tf•Mf•rn Gen•ral DOULA desl9nil•d 141.578 86.829 74.749 0.17J 16.232 312.150 328.301 131,820 129.421 255.n1 ft•ilr*tsrt Fur￿• O¢u Raph# 17.122 17.122 28.499 45,621 45.621 Y¢lal Fur 74.719 301.352 374,002 2,090 pr￿ y•if Vnr8stri¢t•d Fw1• G•rnAI 106.2S• 41.783 148.022 47.136 226.074 263.210 11,817 141,576 356.483 74.749 18.043 4.472 22.51S 18.043 ?2.515 Tow Fw 148 022 5.725 378. 74.749 23 ## HOW CAN YOU HELP? Volunteer with the Doula or Rapha services to deliver vital support to those in need Partner with us to develop joint mental health and wellbeing services Create opportunities to reach vulnerable pregnant women in the Black Country and surrounding areas Access to practical resources, storage facilities and funding opportunities ## **ABOUT BETHEL HEALTH AND HEALING NETWORK** **Our Vision:** To enable and empower people to become physically, emotionally, and spiritually healthy **Our Mission:** Offer a range of holistic services that promote health and wellbeing to people in need **Our Values:** Compassion, Integrity, Empowerment, Fairness, Partnership ## **Our Strategic Aims:** - Diverse communities have access to quality mental health and wellbeing services - Bethel Health and Healing Network continues to be a place of welcome for those in need Deliver and develop effective services for existing and new beneficiaries Increase our impact through strategic partnerships - Bethel Health and Healing Network is an effective and sustainable organisation ## **CONTACT US** **----- Start of picture text -----**
0121 661 4276 enquiries@bethelnetwork.org.uk
@bethel_network @bethelhhn @bethel_network
**----- End of picture text -----**
Bethel Health and Healing Network 196 –198 Edward Road, Balsall Heath Birmingham B12 9LX Registered Charity No: 1116225 Company number: 05813084 24 ## **References** Kobylski LA. Keller J. Molock SB. Le H. 2023. Preventing perinatal suicide: an unmet public health need. The Lancet Public Health https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(23)00092-0/fulltext National Maternity Review. 2016. Birth Births Improving outcomes of maternity services in England, A Five Year Forward View for maternity care CQC 2022 Maternity Survey: Statistical Release NHS England https://www.england.nhs.uk/mental health/perinatal/#:~:text=Perinatal%20mental%20health%20(PMH)%20problems,a%20wide%20range%20of%20conditi ons https://www.rcpsych.ac.uk/mental-health/treatments-and-wellbeing/mother-and-baby-units(mbus)#:~:text=On%20average%2C%20people%20stay%20for,to%20be%20being%20at%20home. National Cost Collection: National schedule of NHS costs - Year 2021/22 - NHS trusts and NHS foundation trusts Centre for Mental Health and London School of Economics, 2014. The costs of perinatal mental health problems McManus, S., Meltzer, H., Brugha, T. S., Bebbington, P. E., & Jenkins, R. (2009). Adult psychiatric morbidity in England, 2007: results of a household survey. McManus S, Bebbington P, Jenkins R, Brugha T. (eds.) (2016). Mental health and wellbeing in England: Adult psychiatric morbidity survey 2014. House of Commons Library.2023 Mental Health Statistics: Prevalence, Services and funding in England https://www.moneyandmentalhealth.org/money-and-mental-health-facts/ https://www.nhsbenchmarking.nhs.uk/mental-health-sector https://www.mind.org.uk/information-support/types-of-mental-health-problems/statistics-and-facts-about-mentalhealth/how-common-are-mental-health-problems/ https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/suicidesintheun itedkingdom/2021registrations https://hub.supportaftersuicide.org.uk/wp-content/uploads/2019/07/compelling_case.pdf https://www.gov.uk/jobseekers-allowance 25