**2023-2024** ## **IMPACT & FINANCE REPORT** POWERFUL PARTNERSHIPS POWERFUL IMPACT Bethel Health and Healing Network @BETHELHHN **2023-2024** ## TABLE OF CONTENTS |**SECTION**|**Page Number**| |---|---| |**Reflections From The Chair**|**2**| |**CEO's Statement**|**4**| |**Patron’s Statement**|**6**| |**Doula Service Overview**|**9**| |**Doula Case Study 'A'**|**12**| |**Doula Case Study 'B'**|**13**| |**Pregnancy Support After Loss**
**Meetings**|**15**| |**Rapha Listening Service**
**Overview**|**16**| |**Rapha Case Study 'S'**|**18**| |**Rapha Case Study 'K'**|**20**| |**Men’s Health and Wellbeing**
**Programme**|**22**| |**International Women’s Day 2024**|**23**| |**Volunteering at Bethel**|**24**| |**Volunteer Case Study ‘AS’**|**25**| |**Volunteer Case Study ‘KV’**|**26**| |**What Our Partners Told Us**|**27**| |**Marketing Overview**|**28**| |**Financial Review and Statements**|**29**| |**Acknowledgements & Contact**|**34**| Bethel Health and ~~—___~~ 7 @BETHELHHN Healing Network **1** **2023-2024** ## REFLECTIONS FROM THE CHAIR It’s been yet another challenging year for Bethel Health and Healing Network (Bethel), along with the rest of the charity sector. It is a credit to all those small charities as to, not only how they survive, but also how they continue to provide vital services to their respective communities under such financial constraints. That said, I am once again immensely proud of every staff member and our loyal volunteer team for their continued effort and contributions in maintaining our excellent services, both our Doula Service in supporting vulnerable mothers during their pregnancy and our Rapha Listening Service, assisting those members of our communities who rely on our listening support during some very challenging personal situations. Well done! A huge word of thanks to all our partners for your continued financial support, without which we could not provide these vital services, which in turn lead to improved outcomes for our communities. This leads me onto the exciting news that we will be moving into our new space at the ‘Bloomsbury Health Centre’, Nechells. This will afford us increased space for staff and of equal importance, space for the new and improved Baby Bank, whilst also offering the opportunity for face to face listening sessions. This move sits succinctly in line with the prophetic vision of Bethel and ultimately having a future space to fulfil a wide and varied range of holistic health related services. Watch this space! The future for Bethel will still remain a challenge. The new government will no doubt have the efficiency of the NHS and social services on their radar and as such, charities will have to see what unfolds in time. Until then, we continue to weather the storm with lots of bid submissions and remain hopeful and optimistic. Finally, I am pleased that we are in the process of creating spaces on our Board for a service user and a volunteer to support co-design/ collaborative service provision, which should add new and fresh perspective to our already brilliant Board of Trustees. Bethel Health and Healing Network @BETHELHHN **2** **2023-2024** ## REFLECTIONS FROM THE CHAIR (CONTINUED...) In conclusion I once again make reference to the biblical quote that remains our mantra: - 66— _Fix your thoughts on what is true, and honourable, and right, and pure,_ - _and lovely, and admirable. Think about things that are excellent and worthy of praise..._ ~~—9~~ **PHILIPPIANS 4:8** ## **DUNCAN MOORE** Bethel Health and S ~~—__ TO~~ @BETHELHHN Healing Network **3** **2023-2024** ## CEO’S STATEMENT Our focus in 23/24 has been to build on the impact of the previous year, increasing both the reach of Bethel, creating opportunities for deeper more meaningful partnerships and increasing our income through contracts and fundraising. There are a number of highlights that stand out for me, including our soonto-be move to our first ever Place of Wellbeing and Welcome. After 18 months of planning and negotiating, and with excellent support from NHS Estates, Property Services, NHS CSR and Jericho for the refurbishment work, we are due to move into Bloomsbury Health Centre in June 2024. Being based in this space that sits at the heart of Nechells, where many unmet needs exist, we have made it our mission to work with existing community partners in the patch to improve outcomes for those who need our services in the area and beyond. The work we do at Bethel is firmly planted in reducing health inequalities and challenges for local communities and working with those same communities as assets, providing training, upskilling and increased capacity to support even more service users. - In this past year our Rapha, Doula and Support teams have worked incredibly hard to achieve amazing outcomes and outputs for community members that use our services. - In our Doula Service, we have supported almost 450 vulnerable pregnant women with over 1,600 support sessions and home visits to over 200 women. - In our Rapha Service we supported almost 100 service users providing just under 350 sessions of support, with over 273 hours of listening. We also continued to reduce our average waiting times to around 6–8 weeks. Bethel Health and ~~—___~~ Healing Network @BETHELHHN **4** **2023-2024** CEO’S STATEMENT (CONTINUED...) Our volunteers are the foundation One of the recent partnerships being that allows to reach as many explored is with Sandwell Hospitals people as we do. This year we had Charitable Trust – we are looking at 40 volunteers that signed up and innovative ways of supporting our were actively delivering sessions Doula Champions and Rapha Listeners and support across both our into a range of opportunities to services. volunteer, take on extra learning, create opportunity for upskilling and Funding within the sector continues to increasing our capacity to support our be a challenge, but with lots of hard service users. work we have been able to work with As we move forward into 24/25 our a range of partners to support joint focus is on deepening those bids and consortia collaboration to partnerships and creating consortia support the increased access to bids that increase our impact, services, reduce health inequalities contribute to our income and provide and create sustainable outcomes for even more opportunities to co-design our communities. our services into the future. **JENNIFER JONES-RIGBY** fo Bethel Health and Nw @BETHELHHN **5** Healing Network **2023-2024** ## **PATRON’S STATEMENT** It is my great honour to stand before you today as Patron of Bethel Health and Healing Network, a role I have proudly held since 2017. This incredible organisation, blessed with a dedicated and compassionate team, continues to do remarkable work in the face of challenging circumstances. In today’s climate, the third sector is being increasingly called upon to fill critical gaps in care and support for the most vulnerable among us. The measure of a truly civilised society is how we protect and uplift those most in need, and Bethel exemplifies this in its mission and actions. I am deeply grateful for the tireless work of the staff and volunteers who uphold the organisation’s commitment to providing life-changing support to those who need it most. As a teenage single mother in the 1960s, I know first-hand how critical it is to have support in difficult times. Back in those days, society often frowned upon young women like me, and little help was offered by both the community and family. It was through resilience and determination that many of us overcame these challenges. Today, organisations like Bethel provide vital lifelines to young women and others facing similar struggles. A recent report highlighted the alarming decline in maternity services, with staggering rates of infant and maternal mortality becoming more common, even in this age of advanced technology. It is beyond belief that we are facing such crises, and it underscores the invaluable work that organisations like Bethel do in supporting pregnant women, mothers, those who have experienced loss and families in need of a compassionate ear. Each year, Bethel staff and volunteers serve over 650 individuals, with new partnership expanding our ability to reach those most in need. Bethel Health and Healing Network @BETHELHHN **6** **2023-2024** ## **PATRON’S STATEMENT** ## **(CONTINUED...)** While the organisation offers multiple services, the connection between physical health and mental well-being cannot be ignored. In fact, mental health issues among BAME (Black, Asian, and Minority Ethnic) pregnant women are about 13% higher than in other groups. This can be attributed to various factors, including: - A lack of awareness about where to seek help - Language barriers - Cultural traditions that can hinder access to care. As a midwife in my earlier years, I witnessed these challenges first-hand, though they existed on a much smaller scale back then. Today, in a city like Birmingham, which is home to over 120 languages, the need for culturally sensitive and accessible support services is greater than ever. Bethel’s vision is to empower the people of Birmingham, Solihull and the Black Country, particularly the most vulnerable to achieve physical, emotional, and spiritual well-being. It is no surprise that a large percentage of our service users come from BAME communities. Bethel stands as one of the few charities offering such comprehensive support to these groups. Recently, I had the pleasure of visiting our newly established Wellbeing and Welcome Centre, a wonderful space that provides more room for our team and volunteers to operate. This Centre includes a growing baby bank, offering essential supplies to families who are struggling. Located in the heart of Nechells, the centre presents an exciting opportunity for us to deepen our engagement with the community and extend our reach in partnership with local organisations. As Patron, my role is to serve as an ambassador for this incredible charity. I am committed to expanding our network and encouraging others to answer the call to action put forth by our CEO Jennifer Jones-Rigby. I urge our partners and supporters to continue engaging with the Bethel team and explore new ways we can collectively support the mission of Bethel in our communities. Bethel Health and ~~_—__~~ 7 @BETHELHHN Healing Network **7** **2023-2024** ## **PATRON’S STATEMENT CONTINUED...** To our sponsors and supporters—thank you. Your contributions are invaluable, but the funding climate remains challenging, and we must continue to work together to secure the future of Bethel's services. I want to personally thank the Chairman Duncan Moore, the staff, and the volunteers for their unwavering dedication. A special thanks to our CEO Jennifer Jones-Rigby, for her vision and relentless pursuit of excellence in service we deliver. Together, we are not just restoring lives; we are building a brighter future. Bethel’s work transforms communities, one life at a time. But we cannot do it alone. We need your support—please DONATE, VOLUNTEER, and PARTNER with us to continue this vital work. Let’s keep making a difference, transforming lives, and building a better future for all. ## **Dr Beverly Lindsay OBE, OD, DL** Bethel Health and ~~_—__~~ Healing Network @BETHELHHN **8** **2023-2024** ## DOULA SERVICE - _Bethel Doula Service provides_ - 1 _emotional and practical support to vulnerable pregnant women and new mothers during the antenatal, birth and postnatal period._ ## **ACHIEVEMENTS AT A GLANCE** **----- Start of picture text -----**
440
rN
a. 456 8
REFERRALS RECEIVED WOMEN SUPPORTED
1,623
204
SUPPORT SESSIONS WOMEN SUPPORTED AT HOME
**----- End of picture text -----**
This year, we supported more women than ever before. On average we received 38 referrals a month from midwives in the Birmingham, Solihull and Sandwell areas, requiring support for women facing a range of economic and social issues and safeguarding concerns during their pregnancies including poverty, unstable housing, immigration issues, mental health, domestic abuse and FGM. ## **Service Reach:** Supported 440 women from 52 countries of birth Nearly a third were refugee or asylum-seeking women ## **Senior Doula Team:** - 4 senior doulas provided home visits and sourced essential items for mothers and babies Advocated on behalf of women and attended appointments Participated in safeguarding procedures and maintained contact throughout pregnancy and post-birth Focused on building trust and promoting better outcomes for both mother and baby ## **Volunteer Doula Connectors:** Recruited and trained volunteer Doula Connectors to enhance service capacity Provided opportunities to learn the skills of a community doula ## **Mother and Baby Group:** Weekly term-time sessions for service users and local women On average 5–6 mothers attended each week with their children Mothers accessed support from staff and peers - Children participated in free play, musical sessions, and group snack time to encourage social interaction Craft workshops and guest speakers provided health advice ## **Cost of Doula Service:** Average cost per woman: £602 (pregnancy, labour, and post-birth support) Cost rises to an average of £1,668 if perinatal mental health and/or safeguarding needs are present Bethel Health and @BETHELHHN ~~ee~~ Healing Network **9** **2023-2024** ## **WHO DID WE SUPPORT?** **----- Start of picture text -----**
UK
PAKISTAN
ERITREA
INDIA
4
“—- =
< NIGERIA ai)
31%
WOMEN FROM
OUR TOP
ASYLUM-SEEKING OR REFUGEE
WOMEN
52
5
COUNTRIES OF BIRTH
**----- End of picture text -----**
**----- Start of picture text -----**
DOULA SERVICE: COMPARITIVE CHART
2022/23 |_| 2023/24
2000
1623
1500
1124
1000
456 440
321
269
500
:
0
Referrals Women supported Support sessions
**----- End of picture text -----**
**----- Start of picture text -----**
HOW DID SERVICE USERS BENEFIT?
**----- End of picture text -----**
**----- Start of picture text -----**
71% 44%
ACCESSED FELT LESS ISOLATED &
ITEMS NEEDED ALONE
**----- End of picture text -----**
Bethel Health and @BETHELHHN ~~ose~~ Healing Network f ~~o).~~ **10** **2023-2024** ## ‘¢— - _I was new to motherhood in the UK, so I had no idea about certain aspects... I received exceptional care from the Doula Service that I was not getting back home so I am very happy. I have already referred a colleague to Bethel Service._ **BLACK CARIBBEAN FEMALE, 33, VULNERABLE DUE TO DOMESTIC ABUSE** - 7 _I had received quick and_ - | _effective support. I have learning difficulties, however, the doula made sure she explained everything so I could understand._ **MIXED WHITE/BLACK CARIBBEAN FEMALE, 25, WITH A HISTORY OF MENTAL HEALTH & DOMESTIC ABUSE** ## **SATISFACTION AND BENEFITS OF SUPPORT** **84% 82% SATISFIED WITH THE WOULD SUPPORT** **WOULD SUPPORT RECOMMEND TO FAMILY AND FRIENDS 51% BENEFITED FROM HAVING SOMEONE TO TALK TO 71% MOST BENEFITTED FROM THE PRACTICAL SUPPORT** Bethel Health and Healing Network @BETHELHHN **11** **2023-2024** ## DOULA CASE STUDY ‘A’ 66— _She (Senior Doula) was the best, she was there for us, she listened, even when my husband ranted and raged. She_ | _helped us remain calm, and to get an understanding as to what was happening. When I forgot or did not understand what was said at the appointment, I called her, and she calmly explained. It was so hard to attend a hospital where I had such bad experiences, but she held our hands throughout, spoke up, and helped us to speak up for ourselves. We are so happy to have a healthy baby.Thank you ….you are always welcome in our home. I would recommend the Doula Service to friends, and anyone who needs pregnancy support_ ## **‘A’ DOULA SERVICE USER** ## **A’S STORY** ## **DOULA SUPPORT** A was referred to the Doula Service after suffering traumatic miscarriages, including the loss of her son at 20 weeks gestation. When A found herself pregnant again, though unaware at first, she was troubled by frequent spotting. A’s concerns were often dismissed, the Senior Doula advocated for her and provided emotional support. ## **Emotional Support:** At key appointments, the Senior Doula provided emotional reassurance to A and her husband, helping them overcome their anxiety. ## **Advocacy and Guidance:** The Doula helped the family understand complex medical procedures, such as the cervical suture, and ensured they received all relevant information. At the 12+ week scan, A was tearful and neither she or her husband could look at the screen. The Senior Doula encouraged them and on hearing the baby’s heartbeat there was instant relief. However, at the consultant appointment, A’s husband was again on edge anticipating the ‘worst-case scenario.’ The Senior Doula helped them to listen as the consultant explained the benefits, risks, and options of having a suture inserted to prevent baby loss. A and her husband appreciated the Senior Doula compassionate support and asked her to attend future appointments. ## **Ongoing Care:** The Doula’s involvement didn’t stop at the hospital; she continued to offer support throughout the early postnatal period, ensuring A’s family felt secure and well cared for. ## **Group Support:** - A joined Bethel’s Pregnancy Support After Loss Meetings (PSALM), providing an opportunity to listen to the experiences of the other women. This helped both her and her husband feel heard and understood, contributing to their emotional recovery. During the labour, the Senior Doula encouraged A’s husband when he was struggling to cope due to the birth taking place at the same hospital as the previous loss. Labour progressed well and A gave birth to a healthy baby. ## **TIMELINE** ## **MISCARRIAGES AND BABY LOSS** A SUFFERED MULTIPLE MISCARRIAGES, INCLUDING THE LOSS OF HER SON AT 20 WEEKS GESTATION. ## **PREGNANCY DISCOVERY** A DISCOVERED SHE WAS PREGNANT AGAIN, BUT AFTER WEEKS OF BLEEDING, FELT SOMETHING WAS WRONG. ## **BETHEL DOULA SERVICE SUPPORT** A WAS REFERRED TO THE DOULA SERVICE BY A MENTAL HEALTH WORKER DUE TO THE IMPACT OF HER PREVIOUS TRAUMATIC PREGNANCIES. ## **12+ WEEK SCAN** WITH SUPPORT FROM THE SENIOR DOULA, A AND HER HUSBAND SAW THEIR BABY’S HEARTBEAT, PROVIDING MUCHNEEDED REASSURANCE. ## **CONSULTANT AND PRE-TERM PREVENTION CLINIC** THE DOULA ENCOURAGED A’S HUSBAND TO LISTEN TO THE CONSULTANT, HELPING THE COUPLE UNDERSTAND THE RISKS AND OPTIONS, INCLUDING THE CERVICAL SUTURE PROCEDURE. ## **HEALTHY BIRTH** LABOUR PROGRESSED WELL AND A GAVE BIRTH TO A HEALTHY BABY. THE SENIOR DOULA CONTINUED TO SUPPORT THE FAMILY THROUGHOUT THE EARLY POSTNATAL PERIOD. Bethel Health and Healing Network @BETHELHHN 12 **2023-2024** ## DOULA CASE STUDY ‘B’ ## **B’S STORY** B’s pregnancy journey was clouded by anxiety due to two traumatic caesarean births and a history of mental health issues. At 30 weeks pregnancy, she was referred to the Doula Service to receive much-needed support. B felt her past birth experiences had not been handled well because her views were overlooked, and she feared this would happen again. For her last birth, she longed to experience labour and potentially have a vaginal birth. B originally planned to give birth at a maternity unit outside Birmingham but feared the staff would not listen to her wishes. Despite her family and friends being satisfied with the care, B couldn’t face returning to her previous local unit. She explained that she would need support wherever she birthed, as she was anxious that her voice wouldn’t be heard. ## **DOULA SUPPORT** ## **Advocacy and Emotional Support:** - The Senior Doula had a in-depth conversation with B about her fears, helping her relocate care to a nearby maternity unit so she could be supported throughout labour. ## **Co-ordinated Care:** - Bethel’s Doula Manager collaborated with community midwives and consultants to ensure B received consistent midwifery, perinatal mental health, and Doula support. ## **Birth Planning and Debrief:** The Senior Doula assisted B in crafting a detailed birth plan and organised a review of her previous births. A plan for a trial of labour (VBAC) was agreed upon, and the Doula provided continuous emotional support during the pregnancy. ## **TIMELINE** ## **PREVIOUS TRAUMATIC BIRTHS** B EXPERIENCED TWO TRAUMATIC BIRTHS, BOTH RESULTING IN CAESAREAN SECTIONS, LEAVING HER WITH MENTAL HEALTH ISSUES. ## **REFERRAL TO BETHEL DOULA SERVICE** B WAS REFERRED TO THE DOULA SERVICE AT 30 WEEKS OF PREGNANCY TO RECEIVE EMOTIONAL SUPPORT FOR HER FINAL BIRTH. ## **DOULA SERVICE SUPPORT** B REQUESTED THE SENIOR DOULA ADVOCATE FOR HER, ENSURING HER VOICE WAS HEARD DURING HER BIRTH PLANNING. B WANTED TO ATTEMPT A VAGINAL BIRTH (VBAC) AFTER BEING MADE AWARE OF THE RISKS BY THE MIDWIFERY AND OBSTETRIC TEAM. ## **RELOCATING CARE** AFTER DISCUSSING HER CONCERNS WITH THE DOULA, B AGREED TO RELOCATE HER CARE TO A LOCAL MATERNITY UNIT WHERE THE DOULA COULD PROVIDE CONTINUOUS SUPPORT THROUGHOUT THE BIRTH. ## **BIRTH PLAN AND SUPPORT** THE SENIOR DOULA HELPED B CREATE A BIRTH PLAN AND ARRANGED A DEBRIEF SESSION TO DISCUSS HER PREVIOUS TRAUMATIC BIRTHS. THE DOULA SUPPORTED B EMOTIONALLY THROUGHOUT, INCLUDING DURING THE TRIAL OF LABOUR. ## **BIRTH AND POSTNATAL SUPPORT** B GAVE BIRTH WITH THE SUPPORT OF THE DOULA, WHO CONTINUED TO PROVIDE EMOTIONAL CARE AND GUIDANCE DURING THE POSTNATAL PERIOD. Bethel Health and @BETHELHHN Healing Network **13** **2023-2024** ## COSTS AVOIDED _New NHS England figures show that more than 57,000 new and expectant mums have received specialist support for mental health problems over the last year, up a third on 2022._ ## **ENGLAND, MAY 2024** _Perinatal mental health problems are those that occur during pregnancy or in the first year following the birth of a child and affect up to 27% of women._ ## **ENGLAND, MAY 2024** _In severe cases, perinatal mental health can result in a stay in a perinatal mental health unit where the average stay is 8 weeks._ ## **ROYAL COLLEGE OF PSYCHIATRISTS, NOV 2018** ## **BREAKDOWN OF POTENTIAL COSTS SAVED:** The service users in both case studies were experiencing mental health problems due to traumatic histories and/or previous birth experiences. Without the Senior Doula support, the women would likely have needed additional assistance from specialist midwives, consultant obstetricians, perinatal mental health teams and GPs. An escalation to an in-patient unit was avoided through the support and advocacy provided. Outlined below are the potential costs avoided in each case: ## **COSTS SAVED** **£27,833** **----- Start of picture text -----**
£947 X 28 DAYS
**----- End of picture text -----**
**----- Start of picture text -----**
28 DAYS IN AN IN-PATIENT
PERINATAL MENTAL HEALTH
UNIT £26,516
£55 X 12 HRS
6 ADDITIONAL VISITS BY A
SPECIALIST MIDWIFE
(INCLUDING TRAVEL TIME) £660
£202.5 X 2 HRS
2 ADDITIONAL CONSULTANT
OBSTETRICIAN
£405
APPOINTMENTS
Ga»
£42 X 6
6 ADDITIONAL GP
APPOINTMENTS
£252
**----- End of picture text -----**
Source: Unit Costs of Health and Social Care 2022. PSSRU (University of Kent) & Centre for Health Economics (University of York) & National Schedule of NHS Costs - Year 2021/22 - NHS trusts and NHS foundation trusts Bethel Health and Healing Network @BETHELHHN **14** **2023-2024** ## PREGNANCY SUPPORT AFTER LOSS MEETINGS 66— _It was an opportunity to meet other bereaved_ | _mums who are going through the same as me._ ## **PSALM PARTICIPANT** 66— _For support with my mental health after my loss._ | ~~_~~ ## **PSALM PARTICIPANT,** _**REASON FOR ATTENDING**_ _To help me cope, and prepare for my unborn after the loss._ ## **PSALM PARTICIPANT,** _**BENEFITS OF ATTENDING**_ Bethel delivered monthly group sessions (PSALM) where women from vulnerable communities could talk about their loss and subsequent pregnancies in a safe and confidential space. The online and face-to-face sessions delivered at the Birmingham Mind Hub were led by a trained female facilitator from Bethel experienced in supporting pregnant women and dealing with perinatal mental health issues. Support included peer support, signposting, and professional advice and guidance. ## **REASON FOR ATTENDING** ## **BENEFITS AT A GLANCE** **100%** **SIGNPOSTED AND SUPPORTED TO ACCESS OTHER SUPPORT** **90% PEER SUPPORT/ SHARING WITH OTHERS WITH SIMILAR EXPERIENCE** **80% EXPERIENCED IMPROVED HEALTH AND WELLBEING** Women aged 18 – 40 years plus attended the group primarily to connect with others who had gone through the same type of loss. Access to space for collective understanding and support with their mental health and wellbeing. Opportunity for participants to prepare for their new baby with more confidence. ## **BENEFITS OF ATTENDING** Women felt that without the group they would have had to struggle alone with their current pregnancy and would have been less able to cope due to their mental health struggles. Bethel Health and @BETHELHHN ~~o_O~~ Healing Network ~~0 ———~~ **15** **2023-2024** ## RAPHA LISTENING SERVICE 66 ~~—~~ _The Rapha Listening Service supports people from_ | _diverse community backgrounds in their journey toward better mental health and well-being. We provide early intervention, interim or follow-on support through matching with a trained listener for up to 9 listening sessions._ **----- Start of picture text -----**
ACHIEVEMENTS AT A GLANCE
**----- End of picture text -----**
**346 SUPPORT SESSIONS DELIVERED 288 273 LISTENING SESSIONS HOURS OF LISTENING SUPPORT** Our service users were mostly referred for low mood, anxiety and depression. However, during the initial assessment and subsequent listening sessions, service users often disclosed other health and well-being concerns and more severe mental health issues. Some service users were on NHS mental health waiting lists awaiting support. Our team of 2 staff and 23 volunteers delivered 346 support sessions as well as signposting and facilitating referrals to other community and mental health services. To manage reduced volunteering capacity, we also offered group support enabling service users to learn creative skills whilst sharing their lived experiences. ## **THIS YEAR WE SUPPORTED 92 PEOPLE** - 66 ~~—~~ _Research indicates that 1 in 6 adults have experienced a 'common mental disorder' like_ - | _depression or anxiety in the past week._ ~~—9~~ - **MIND** - 66 ~~—~~ _22 million antidepressant items were prescribed_ - | _to an estimated 6.8 million identified patients costing £56 million._ **76%:** **29%** South Asian **15%** Black **7%** Other ethnic groups ## **NHS BUSINESS SERVICES AUTHORITY, 2023** _1.94M people were in contact with mental health services in June 2024; 75,805 were within_ 66— _Birmingham and Solihull ICB._ | ~~———5)~~ **NHS ENGLAND** ~~———5)~~ §) Bethel Health and Healing Network @BETHELHHN **16** **2023-2024** ## END OF SUPPORT EVALUATION - _It was a very positive experience as the person that I had was very good. My counseling was ending and it was almost like a bridge…Because I knew it was coming each week it helped me manage my week better…I was a bit worried before the sessions as it's a bit of a weird situation speaking to a complete stranger but it went well… it was what I needed as my confidence was not very high. Having the same person was good, he was quite encouraging and helped me to realise when I had done well. It made me realise I can do_ ~~——~~ - _things!_ ## **WHITE BRITISH FEMALE, 36, REFERRED FOR DEPRESSION AND ANXIETY** _I let out things that I have had on my mind for years and years. Things that happened to me from age 8/9, I am now in my 70s. Sometimes, I was not feeling well, and they were patient with me and gave me time to talk. The lady who listened to me was brilliant…she really helped me. I would like to access listening services again as I_ ~~Bi~~ _feel lonely._ **BRITISH ASIAN FEMALE, 76, REFERRED FOR LOW MOOD AND STRUGGLING TO LIVE ALONE AND GOING OUT INTO THE COMMUNITY** **----- Start of picture text -----**
BENEFITS OF SUPPORT
**----- End of picture text -----**
## **BY THE END OF THE SUPPORT PERIOD** **2/3** **MENTAL HEALTH AND WELLBEING HAD IMPROVED** **SUPPORT RECEIVED MET OR % EXCEEDED THEIR EXPECTATIONS** **WOULD RECOMMEND THE % RAPHA SERVICE** **----- Start of picture text -----**
73% 72%
I FEEL MORE ABLE TO
I FEEL MORE POSITIVE COPE WITH MY
ABOUT MYSELF PERSONAL
SITUATION
73% 58%
I FEEL LESS LONELY I FEEL MORE
POSTITIVE
AND ISOLATED
ABOUT THE
FUTURE
48%
I FEEL MORE ABLE 39%
TO COPE WITH MY I HAVE MORE
RELATIONSHIPS CONFIDENCE TO
CONNECT WITH
OTHERS
33%
I HAVE BEEN
SUPPORTED TO
ACCESS OTHER
SERVICES
**----- End of picture text -----**
Bethel Health and Healing Network @BETHELHHN **17** **2023-2024** ## RAPHA CASE STUDY ‘S’ ## **S STORY** S, a White British lady in her late 50s, was referred to Bethel’s Listening Service after a mental health assessment. She struggled with anxiety, depression, low self-esteem, and chronic physical illness. At first, S was nervous and uncertain about the listening sessions, unsure of what to expect. During the initial sessions, S spoke at length about her poor self-image and the few worries she thought she had. As the sessions progressed, she revealed deeper concerns about her past and expressed sadness over her negative self-talk and the mistreatment she had experienced. These sessions became a space for her to express her grief over the life she felt she could have had, had her confidence not been eroded over the years. As she continued with the listening sessions, S began to view herself differently. She started journalling as a way to capture her thoughts and reflect on her progress, which helped to boost her confidence and mental well-being. ## **RAPHA SUPPORT** ## **Matched to a Listener:** S was paired with an experienced listener to ensure she felt comfortable opening up in her sessions. ## **TIMELINE** ## **STRUGGLING WITH ANXIETY AND LOW SELF-ESTEEM** S EXPERIENCED LONG-STANDING ANXIETY, DEPRESSION, AND CHRONIC PHYSICAL ILL HEALTH. SHE FREQUENTLY SOUGHT SUPPORT FROM HER GP. ## **REFERRAL TO BETHEL’S** ## **LISTENING SERVICE** REFERRED FOR ADDITIONAL EMOTIONAL SUPPORT AFTER A LOCAL MENTAL HEALTH SERVICE ASSESSMENT. THE DOULA SERVICE MATCHED HER WITH AN EXPERIENCED LISTENER. ## **OPENING UP DURING LISTENING SESSIONS** OVER THE COURSE OF HER SESSIONS, S BEGAN TO TALK OPENLY ABOUT HER SELF-ESTEEM ISSUES, WORRIES, AND SADNESS ABOUT THE PAST. **JOURNALLING AND SELFREFLECTION** S BEGAN TO JOURNAL HER PROGRESS, HELPING HER RECOGNISE HER SELFWORTH AND REFLECT ON HER ACHIEVEMENTS. ## **Reassurance and Affirmation:** During the first session, the listener reassured S that it was a safe, non-judgemental space, which encouraged her to open up more in future sessions. ## **Encouragement to Self-Reflect:** The listener helped S explore her self-worth and suggested journalling as a way for her to track her achievements and reflect on her progress. ## **IMPROVEMENT IN MENTAL HEALTH** S'S MENTAL HEALTH IMPROVED SIGNIFICANTLY BY THE END OF HER LISTENING SESSIONS, LEADING TO THE DISCONTINUATION OF HER ANTIDEPRESSANTS. ## **Emotional Support During Anti-Depressant Review:** The listener supported S as she underwent a GP review, leading to the discontinuation of her antidepressants while her mental health remained stable. ## Bethel Health and Healing Network @BETHELHHN **18** **2023-2024** ## COSTS AVOIDED S felt her mental health problems were increasing, which would potentially have required more acute mental health interventions from the community mental health team, and additional GP appointments. However, the opportunity to talk through her concerns and fears with her listener resulted in stopping antidepressants and overall improvement in her mental health. **BREAKDOWN OF POTENTIAL COSTS SAVED FOR ‘S’** **£15 X 6 MONTHS COSTS OF ANTIDEPRESSANTS FOR 6 £90 MONTHS (NICE) £42 X 6 6 ADDITIONAL GP APPOINTMENTS £252 6 IAPT APPOINTMENTS £432 X 6 FOR A COMMON MENTAL HEALTH PROBLEM (LOW SEVERITY – GREATER £2,592 NEED):** _**TOTAL COSTS AVOIDED**_ **£2,934** _**(6 MONTHS)**_ ea SOURCE: UNIT COSTS OF HEALTH AND SOCIAL CARE 2022. PSSRU (UNIVERSITY OF KENT) & CENTRE FOR HEALTH ECONOMICS (UNIVERSITY OF YORK) & NATIONAL SCHEDULE OF NHS COSTS - YEAR 2021/22 - NHS TRUSTS AND NHS FOUNDATION TRUSTS > Bethel Health and ~~a~~ Healing Network @BETHELHHN **19** **2023-2024** ## RAPHA CASE STUDY ‘K’ ## **K STORY** K, a middle-aged Asian British man, was referred to the Rapha Listening Service by Living Well Consortium. He had been struggling with low mood, negative thoughts, and severe sleep deprivation due to ongoing physical health problems. In addition to these challenges, K was also dealing with the recent loss of a family member and was feeling overwhelmed by suicidal thoughts. His initial assessment on the Warwick and Edinburgh Wellbeing Scale (WEMWBS) indicated probable clinical depression, which prompted immediate safeguarding monitoring. K was placed on the waiting list for a listener, but his situation was closely watched due to the safeguarding concerns. When his sessions began, he was tearful as he was relieved to finally have someone who was listening to him. ## **RAPHA SUPPORT** ## **9 Listening Sessions Provided:** - K received 9 sessions in total, where he expressed his emotional struggles, including his grief and suicidal thoughts. ## **Encouragement to Express Feelings:** - Through the sessions, K began to open up more to his family about his feelings, and he was supported in taking steps to visit the grave of his deceased relative, aiding in his bereavement process. ## **TIMELINE** ## **STRUGGLING WITH LOW MOOD AND SUICIDAL THOUGHTS** K, A MIDDLE-AGED ASIAN BRITISH MAN, EXPERIENCED LOW MOOD, NEGATIVE THOUGHTS, AND SLEEP DEPRIVATION, WORSENED BY PHYSICAL HEALTH PROBLEMS. ## **REFERRAL TO RAPHA LISTENING SERVICE** K WAS REFERRED BY LIVING WELL CONSORTIUM, WITH CONCERNS OVER HIS MENTAL HEALTH, FAMILY BEREAVEMENT, AND SUICIDAL THOUGHTS. ## **LISTENING SESSIONS BEGIN** K STARTED HIS 9 LISTENING SESSIONS, WHERE HE EXPRESSED HIS DEEP CONCERNS, ALLOWING HIM TO BEGIN HIS EMOTIONAL HEALING JOURNEY. ## **IMPROVED MENTAL HEALTH** BY THE END OF THE LISTENING SESSIONS, K'S MOOD IMPROVED SIGNIFICANTLY, AND HE NO LONGER FELT SUICIDAL. HIS WEMWBS SCORES REFLECTED THIS POSITIVE CHANGE. ## **Proactive Health Management:** - With encouragement from his listener, K became more proactive in managing his physical health, booking GP appointments before his symptoms worsened. ## **Safeguarding and Referral Support:** - As K was a safeguarding case, he was referred to other primary care services, which he accepted with gratitude. ## Bethel Health and ~~—~~ Healing Network @BETHELHHN **20** **2023-2024** ## COSTS AVOIDED **BREAKDOWN OF POTENTIAL COSTS SAVED FOR ‘K’** **35 DAYS IN- PATIENT MENTAL HEALTH (AVG STAY)** **ADDITIONAL 6 IAPT COMMUNITY CONTACTS** **£341 X 35 DAYS £11,935 £140 X 6 £840** **TOTAL COSTS AVOIDED** **£12,775** ea SOURCE: UNIT COSTS OF HEALTH AND SOCIAL CARE 2022. PSSRU (UNIVERSITY OF KENT) & CENTRE FOR HEALTH ECONOMICS (UNIVERSITY OF YORK) & NATIONAL SCHEDULE OF NHS COSTS - YEAR 2021/22 - NHS TRUSTS AND NHS FOUNDATION TRUSTS Bethel Health and Healing Network @BETHELHHN **21** **2023-2024** ## MEN’S HEALTH AND WELLBEING PROGRAMME ## **SUMMARY OF ACTIVITIES (2023-2024)** **Rapha collaborated with community partners to deliver targeted health and wellbeing activities for men from communities with low engagement. Over 40 men benefitted from increased mental health awareness, advice, guidance, health checks and physical activity.** ## **1. Men’s Health and Wellbeing Consultation Meeting** This online meeting focused on creating a comprehensive program targeting men’s health and long COVID recovery. Key topics included long COVID awareness, access to healthcare services, mental health support, physical wellbeing, and the importance of community engagement. ## **3. Open Discussion on Men’s Health** This online discussion tackled the low uptake of NHS screening among AfroCaribbean men aged over 40, emphasising barriers like historical distrust, lack of information, and healthcare service disparities. Solutions included targeted outreach, better communication with GPs, and advocacy for equitable healthcare services. **4. Blood Pressure Monitor & Long COVID Event: High Croft Community Centre** Attendees received blood pressure readings and free monitors, and Bethel presented on long COVID services. The event highlighted the importance of accessible healthcare and timely interventions. ## **5. Community Walk: COGOP Acocks Green Community Centre** The walk, supported by Birmingham Canals Trust, promoted physical activity and mental wellbeing through community engagement. The group is planning future walks. ## **2. Men’s Health and Wellbeing Consultation Meeting: COGOP Acocks Green Community Centre** The event featured presentations on NHS services, prostate cancer, diabetes, and high blood pressure. A session by Bethel highlighted long COVID’s impact and NHS support options. The symposium encouraged proactive health measures and timely interventions. > Bethel Health and ~~a~~ Healing Network @BETHELHHN **22** **2023-2024** ## INTERNATIONAL WOMEN’S DAY 2024 ## **THEME: INSPIRE INCLUSION** This year’s event, hosted with support from Near Neighbours, aligned with Rapha's ethos of respecting, hearing, and inspiring all to achieve optimal well-being. A total of 28 women from diverse backgrounds, including the **UK, Iran, Africa, West Indies, India, and Pakistan** , attended the event. ## **Feedback** Attendees expressed deep gratitude for the event, describing it as empowering, thoughtful, and a meaningful way to connect with other women. Several mentioned how the event boosted their well-being and left them with lasting positive memories. ## **HIGHLIGHTS OF THE DAY** **Opening Session** : Led by Bethel’s CEO, women greeted each other in their native languages, emphasising the diversity and inclusion in the room. **Breast Cancer Awareness** : A talk by Breast Cancer UK on the importance of breast self-examination. ## **Conclusion** The event was a success, embodying the theme of inclusion and inspiring all who attended. With goody bags, sunflower seeds symbolising hope, and a focus on well-being, the day left participants smiling and feeling connected. **Pampering and Wellness Advice:** A Bethel staff member set up a pamper corner with sleep management and relaxation tips, creating a serene atmosphere. **Poetry, Music, and Affirmations:** A reflective session combining music, poetry, and empowerment was led by former Bethel staff members, encouraging the women to share positive affirmations. **Drumming Workshop:** The day concluded with an energetic drumming session by Beat It Percussion, bringing the event to a joyful close. > Bethel Health and ~~a~~ Healing Network @BETHELHHN **23** **2023-2024** ## VOLUNTEERING AT BETHEL Volunteers are integral to our service delivery, providing 1-2-1 support and assisting at events and group activities. This year the Rapha and Doula services were again supported by 40 volunteers, although short-term volunteering continued as individuals needed to find paid employment to meet cost of living increases. 66— _Love the support given to me by staff. I'm loving the training - both the face-to-face and the_ | _online opportunities. I feel really valued!_ ~~—9~~ **RAPHA LISTENER ‘A’** ## **ACHIEVEMENTS AT A GLANCE** VOLUNTEERS SUPPORT ACTIVE SESSIONS OVER THE YEAR[309] DELIVERED RAPHA DOULA VOLUNTEERS VOLUNTEERS **----- Start of picture text -----**
VOLUNTEERS BENEFITED
**----- End of picture text -----**
**94% 88% VOLUNTEERING FELT APPRECIATED EXPERIENCE WAS A AND VERY WELL POSITIVE ONE SUPPORTED 88% 82% APPROPRIATELY OPPORTUNITY TO INFORMED GIVE BACK** ~~'~~ @o@ _I learn to be disciplined and focused during_ | _listening sessions and I learn a lot from listening to clients. It is very interesting…Clients and the team constantly express their appreciation of the service I offer._ **RAPHA LISTENER ‘B’** _I'm always impressed at any of the face-to-face_ se _meetings how well-informed team members_ —3 _are and their openness to learn more and be better informed._ ~~a!~~ **RAPHA LISTENER ‘C’** 66 ~~—~~ _I feel I have learned a lot being a volunteer for Bethel. I still feel I can learn more. Helping_ | _people is what I enjoy doing._ ~~——)~~ ## **RAPHA LISTENER ‘D’** Bethel Health and Healing Network @BETHELHHN **24** **2023-2024** ## VOLUNTEER CASE STUDY ‘AS’ ## **AS STORY** AS joined Bethel’s Doula Service over a year ago as a Doula Connector, driven by her desire to work with vulnerable people and contribute to their well-being. In her role, she provided crucial support to women, including emotional and birth-related assistance, helping them navigate difficult times with compassion and care. One of AS’s key contributions was offering language support in Punjabi and Hindi to women at Collection Hotels, enabling better communication and understanding between the service users and healthcare providers. In September 2023, AS enhanced her skills by completing Bethel’s two day Doula Course, which equipped her with further knowledge and expertise in emotional support and post-natal care. ## **BETHEL SUPPORT AND IMPACT** ## **Doula Training:** AS completed Bethel’s Doula Course, which equipped her with the skills to provide emotional and practical support to women during pregnancy, birth, and the post-natal period. ## **Language Support:** AS’s fluency in Punjabi and Hindi allowed her to assist service users at Collection Hotels, ensuring they had access to care despite language barriers. ## **Career Progression:** With the experience gained at Bethel, AS now works as a Health Care Support Worker and is also training as a social worker on Frontline’s three-year programme. Upon completion, she will register with Social Work England and will receive a Master’s degree in Advanced Relationship-Based Social Work Practice with Children and Families. ## **TIMELINE** ## **JOINING BETHEL AS A DOULA CONNECTOR** AS JOINED THE DOULA SERVICE AS A DOULA CONNECTOR OVER A YEAR AGO, PROVIDING EMOTIONAL AND PRACTICAL SUPPORT TO SERVICE USERS. ## **DOULA TRAINING COMPLETION** IN SEPTEMBER 2023, AS SUCCESSFULLY COMPLETED BETHEL’S TWO-DAY DOULA COURSE, GAINING ESSENTIAL SKILLS TO SUPPORT WOMEN DURING PREGNANCY AND POST-BIRTH. ## **LANGUAGE SUPPORT PROVIDED** AS OFFERED LANGUAGE SUPPORT IN PUNJABI AND HINDI TO SERVICE USERS AT COLLECTION HOTELS, ASSISTING THEM DURING APPOINTMENTS AND ENSURING THEY RECEIVED PROPER CARE. ## **CAREER PROGRESSION** ‘AS’ NOW WORKS AS A HEALTH CARE SUPPORT WORKER AND IS TRAINING TO BECOME A SOCIAL WORKER THROUGH FRONTLINE’S THREE-YEAR PROGRAMME. _I am really glad to have had the opportunity to volunteer with Bethel. As a Health Care Support Worker, I wanted to gain experience working with vulnerable people and offer my expertise. The wide range of training I accessed has helped me during my application for further studies, for which I am truly grateful._ ## **AS, DOULA CONNECTOR** Bethel Health and Healing Network @BETHELHHN **25** **2023-2024** ## VOLUNTEER CASE STUDY ‘KV’ ## **KV STORY** KV, who holds a Level 4 qualification in counselling, joined Bethel’s Listening Service in January 2023, driven by her passion for helping others. Since then, she has volunteered for an impressive 63 hours, supporting service users through difficult times with empathy and compassion. KV finds volunteering to be mentally and physically beneficial, explaining that she volunteers without any expectations, simply enjoying the opportunity to be there for others. Despite her busy schedule juggling family, work, and studies, KV makes time to organise meetings and provide a high level of care to service users. The experience has been deeply rewarding for her, both personally and professionally. ## **TIMELINE** ## **JOINING THE LISTENING SERVICE** KV, PASSIONATE ABOUT HELPING OTHERS, JOINED BETHEL’S LISTENING SERVICE IN JANUARY 2023. ## **63 VOLUNTEERING HOURS** SINCE JOINING, KV HAS DEDICATED 63 HOURS OF HER TIME TO SUPPORTING OTHERS THROUGH THE SERVICE. ## **UTILISING COUNSELLING SKILLS** ## **BETHEL SUPPORT AND IMPACT** ## **Mental and Physical Benefits:** KV explains that volunteering brings her significant mental and physical health benefits, as she feels fulfilled by helping others and giving back to the community. HAVING COMPLETED A LEVEL 4 QUALIFICATION IN COUNSELLING, KV APPLIES NON-JUDGEMENTAL LISTENING AND EMPATHY IN HER VOLUNTEER ROLE. ## **Skills in Action:** Through her role, KV practices key skills such as being non-judgemental, congruent, and empathetic, all of which are vital in providing effective listening support. ## **Observing and Learning:** By listening to others' stories, KV reflects on her own life, appreciating her experiences and has felt humbled by the opportunity to support those in need. ## **Positive Feedback:** KV is especially grateful for the feedback she receives from service users and management, knowing that the service she provides has made a positive impact. Bethel Health and @BETHELHHN <> ~~——~~ Healing Network _ ( ~~o).__~~ **26** **Bethel Health and @BETHELHHN Healing Network** **27** **2023-2024** ## MARKETING OVERVIEW **ACEBOOK REACH** f **TOTAL REACH:** 11,558 (+38%) **Organic Reach:** 7,808 (+289.8%) **FROM ADS:** 3,630 (+45.1%) The total reach on Facebook from January to September was 11,558, showing a 38% increase. Organic reach contributed 7,808 interactions, a significant increase of 289.8%, while ad reach accounted for 3,630, growing by 45.1%. ## **INSTAGRAM REACH** **TOTAL REACH:** 1,580 (+5.7%) **Organic Reach:** 1,353 (+1.1K%) **FROM ADS:** 247 (+100%) Instagram’s total reach was 1,580, making a 5.7% increase. Organic reach surged to 1,353, a remarkable 1,100% growth, while ad reach contributed 247, doubling with a 100% rise. ## **CONTENT PUBLISHED** ## **CONTENT PUBLISHED** Based on up to 200 pieces of content, there was a 36% increase in published content compared to the previous period (2 April 2023 – 31 December 2023). > **PHOTOS: 25 TEXT: 1** > **VIDEOS: 5 STORIES: 1 LINKS: 2** With up to 200 pieces of content, there was a 104.5% increase in published content compared to the previous period. **POSTS: 38 STORIES:7** **Bethel Health and @BETHELHHN** ~~eS~~ **Healing Network** f ~~o).~~ **28** **2023-2024** ## FINANCIAL REVIEW AND STATEMENTS Income for the year amounted to £393,839 (2023: £301,352) whilst expenditure was £386,053 (2023: £374,002). This resulted in a surplus of £7,787 (2023: deficit of £72,650) and an increase in funds for the year to £9,885 (2023: £2,098). After a disappointing year in 2023, the plan for 2024 was to stabilise the financial position and to start to build up reserves. This was achieved and will continue to be the focus in the next financial year. ## **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 take into account 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 at 31 March 2024, that will require minimum free reserves of approximately £98,535 to be held (2023: £95,752). 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. > Bethel Health and ~~—_——___~~ Healing Network @BETHELHHN **29** Bethel Health and Healing Network Independent Examiners Report to the Trustees of the Bethel Health and Healing Network I report on the financial statements of the Charity for the year ended 31 st March 2024 Respective responsibilities of trustees and examiner The charitys trustees a￿ responsible for the preparation of accounts. The trustees consider that an audit is not required for this year under section 43{2) of the Charities Act 1993 {'the 1993 Act'} and that an independent examination is needed. The charity has prepared accrued accounts and l am qualified to undertake Ihe examination. It is my reponsiblity to: - examine the accounts under Section 43 {3) (a) of the 1993 Act - follow the procedures laid down in the General Directions given by the Chanty Commissioners made under seclion 43 (7) (b) of the 1993 Aci. state whether particular matters have come to my attention Basls of Independent Examlnerfs Statement My examination was carried out In accordance with the General Directions given by the Charity Commissioners and with Regulation 11 of the 2006 Regulations. An examination includes a review of the accounting records kept by the organisation. and a comparison of the accounts presented with those records. It also includes includes consideration of any unusual items or disclosures in the accounts and seeking explanations from you as trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit. and consequently I do not express an audit opinlon on the view given by the accounts. Independent Examlnerfs Statement In connection with my examination, no matter has come to my attention :_ 1. which gives me reasonable cause to believe that in any material respect. the requirements: to keep accounting records in accordance with section 41 of the 1993 Act and Regulation 4 of the 2006 Regulations: and to preparé accounts which accord with the accounting records and comply with Ihe accounting requirements of the 1993 Act and Regulation 8 of the 2006 Regulations. and which are consistent with the methods and principles of the Statement of Recommended Practice: Accounting and Reporting by Charities have not been met, or 2. to which. in my opinion, attention should be drawn to enable a proper understanding of the accounts to be reached. Signed: Date: (91iol+ David Chittenden 18 Cunningham Road Peterborough PE2 9RG Bethel Health and Healing Network BETHELHHN 30 Statemtrnt ol FInanc￿l A¢thltle• Y•ar Ended 3141 Marth 2024 Tg1•l Fund• 2024 Tot•1 Funds 2023 In¢om• And Endowmonts Irom: Donalon¥ and lty%i 58.056 29.755 307.628 85.811 307,628 51,692 249.558 Inieresl Other kncome 400 400 56.056 337.783 393,839 301.352 Exp•ndlturn on: Raising fund$ Chafitablo art'vld•s 20.174 309.822 20,174 365.878 16.232 357.770 56.058 Totsl Qxwnd￿rO 56.058 329,997 386,053 374.002 Net I￿orn# 7,787 7.787 {72.6501 R•Gonelll•tlon of Fund• Totsl FUNJS trfoullhl lon¥afd 2.098 74.749 Total Fund• carrl•d lorward 9.885 9.885 2.098 8•l•n¢• Sh••t •• •t 31•t March 2024 Curr•nt A•••i• Deb1￿5 C¥sh 01 bank •r#J In haTrJ 38.102 72.149 57.728 129.875 12 41.997 Curr•nt Ll•bllrtl•• Li•bilili•8 l*lling du• ye•r 13 32.112 127.777 N•t A•••t• 9.885 R•pr•i•nt•d by:. FUNI R•slrKted Fund¥ 15 15 9,865 Toi•l Fund• 2.098 The InJ$to•$ (who ar• •lw th• d1r0￿ ol th• th• of ¢)ywny Iwl c4%)fimi that for onded 31 MaiGh 2024.- . Ihe ¢ompany was entftled to oxtmpiion from authl wthr secticffi 477 of thg C¢xnp•nies Act 2006 fft fv£fi. •nd . members have nol required the company ￿ obt*MI ￿ ¥udii ol its ¥cuunl• ts the perh)d In quesltth 4) •co¥d•nc• wth 8ècb.on 476 of Ihe Acl. H￿￿v•r. In Jrxordanee Mction 14S ol t￿ Charrt￿¥ Act 2011 and Seei￿ 44 of Ihe Charities and Trusiee Inveslmenl (Scouand) Aci 2005, the 8ccg)unls ha￿ bwn •xamingd ty an indepertdenl •x•mI￿r. The Irusla8$ ocknNI* Ih•br r•spM$*M"lttios fw *ilh r•tyrnwts o1tr4• ALI vriih r•spBcl ty) I￿(￿nt￿lI r•c 197.365 115,158 rJ1.060 134.818 210.148 147.623 19.661 312,5Z2 3e5.878 357.770 7. Analy919 ol •upport co•t• 2024 2023 Communle•tkn oo*t• Offi¢* ¢osts Pr•miMs cosls Legal and profe•don•l Other operating costs 7.812 1e.065 17.258 25.072 25.885 10.038 12.393 15,559 30.710 18.339 92.090 85.040 8. Ind•p•nd•rt •xamlnw'8 r•nwJnwa¢l¢)n Th• Ind•p•nd•nl •xamingr prvAd•d 8•pAeM on • volurthy baois ￿ no fee w•$ ¢hwg•d {2023'. NI) Tru•io•*' r•murwration and •xp•nts• Durkng the year. no TnJgt•es received any remunw*lon or olhe benefits •ThJ no eyw*es were dlimed (2023.. NII 10. Si•ff ¢ost$ •molwn•m• Salari•s and wages Social security C06ts Employers contribution lo dthed eontribuli¢m per￿1 Jeheme 271.154 21.843 7.049 299.846 263.913 20.372 5.751 290.03S Th•r• w•r• no •mpby•M whoM •molum•nl$ lsal•ri•s, w•g•s. b•n•fft$ in kMKI)l•l in • b•nd •) •x¢rfs rf £80.(fj012023.. WII The avernge number ol Persons empknyed by the Charfty. induding part lime staff, Cale￿al￿ on a time equivalent b•sl# was". Core *aff 8.81 11. D•btor• Aceounls R•e•Nabl• Ac¢rued Revenue Prepaid Expenses Olh•r 33.217 70.213 1.938 36,102 72.149 12. Bank and Cash Bal￿•6 TS8 curronl aecounl Triodos deposl account Petty Cash 5.461 177 256 5.894 55.014 2.677 35 57.726 Bethel Health and Healing Network BETHELHHN 32 13. Current UJbSlltle1 Ip•y•bl• wlthln on• y•ai) Aoy)unts Payable Accruals and deferred irK4Y PayToII Liabil￿1*5 Prepaid Income 20.852 1.404 9.023 833 32.112 3,J83 453 11,072 127.777 14. R•l•t•d p•rty tr•n••¢tlon• Oonatsons ￿thoUt 01 £390 V4we rocwvod fr¢Mn one truswe12023. £360 Irom 1 truth•l These 8mc4mts s*J ￿ UK4ud• gift wd as60o•l•J with Il*se dortalw. Al 18t Apfll 2023 At 1$t Aprll 2024 15. St•l•m•nl ol Fun Incom• Exp•ndlturn Tr•n•l•rn Unrosthd•d Funds General Doula designèted 131.520 129.421 30.1SJ 307.628 337.783 20.174 309.822 329,997 141.500 131.616 9.885 R￿tr￿led F￿￿9 D￿jIa R8ph• 35.394 20.662 56.056 35.394 20.662 56,056 Tothi FuTrJs 2.098 393.839 386.053 9.885 Prlw y••r Unr•sthcted Funds G•ner*l Ooula d•signated 141.578 68.829 74.749 6.ln 249.5S8 255.731 18.232 312.150 328,381 131.S20 129.421 2.098 Resirttod FuTra• Doula Raph• 17.122 28.499 45.621 17.122 28.499 4S.821 Tolal FufvJ$ 74.749 301.352 374.002 2.098 Bethel Health and Healing Network BETHELHHN 33 **2023-2024** WE'D LIKE TO THANK ALL OF OUR FUNDERS, DONORS AND VOLUNTEERS FOR THEIR AMAZING SUPPORT 1ST FLOOR, BLOOMSBURY HEALTH CENTRE, 63 RUPERT ST, NECHELLS, BIRMINGHAM B7 5DT REGISTERED CHARITY NO: 1 **116225** COMPANY NUMBER: **05813084** ENQUIRIES@BETHELNETWORK.ORG.UK **HTTPS://WWW.BETHELNETWORK.ORG.UK/** Bethel Health and Healing Network @BETHELHHN **34**