Charlty registration number 11S0032 Company registration number 07791021 (England and Wales} BRIGHTON THERAPY CENTRE LIMITED ANNUAL REPORT AND UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 lliNIIIIIII *A￿3AG￿¥ 21109r2024 COMPANIES HOUSE A20 #51 BRIGHTON THERAPY CENTRE LIMITED LEGAL AND ADMINISTRATIVE INFORMATION Trustees O Aknsanya R Burges>Gamble R Clare SR81 D Scuty S Thompson J Tomlinson (AP￿Inted 27 April 2023} {Appointed 26 Oclober 20231 Charlty nuffl￿r 1150032 C¢mpany nufflber 07791021 Prlnclpal address 23A New Road Brighton East Sussex BN1 1UG Regl$teFed oifice 23A New Road Brighton Easl Sussex BN1 IUG Inde￿ndent ¢xamlner Ihllliam Rot)erts FCA Friend-Janes ￿"mrted 4th Floor Park Gate 161-163 Preston RI￿j Brighton East Sussex BN1 6AF BRIGHTON THERAPY CENTRE LIMITED CONTENTS Pa9e Trustees. report Independent examiners report 10 Stslement of financial activitss 11 Statement of fmancial posrti 12 Notes to the financaal statements 13-19 BRIGHTON THERAPY CENTRE LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 DECEMBER 2023 The trustees present thelr rtport and accounts for the year ended 31 December 2023. The financial statement$ have been prepared in accordance wlh the accounb.ng polic¢es sel out in the note lo the accounts and comply wtth the charity's Memorandum and Articles of Associabon, the Companies Act 2006 and 'A¢eounting and Reportirkg by Chariti'es.. Statement of Re¢ommen¢Jed Practice applicable to ¢harits"es preparing their accrAmts in accordance ￿1h the Financial Repo￿ng Standard ap￿Icable in the UK and Republi¢ ol Ireland IFRS 102). (as amended for ac￿un￿.ng periods commencing from 1 January 20161. The Trustees have paid due regard to guidance issued by the Charity Commission ￿gardIng public ber￿fft and in ¢*ciding what ath'viknes the tharity should WKlertake. About 8rlghton Therapy Centre Our Vlsbon- Making quality psych¢Jogical therapies accessible to all_ Our Publlc Benèfrt Statement: To relieve mental and emotional suffering. and advance wellbeing for people living in England and Wales by the provision of qualrty, appropriate and effe¢tive psychological therapies, for the public beneffil. Our Ml$$lon: We are an indei)endent charrtable OTganisatron w7lh a Mission to provide a wide choice of high-quality psycholegical therapies to all. Whilst we offer servi¢es lo all. we are committed to meeting the needs of underrepresented or difficult lo reach groups vtt)o find il harder to access therapeutic service5. We are joined in our mission by people ¢h005ing lo work or volunteer for BTC, and by our full-fee paying dients who, in using our services. are contributiNJ financially to our charitsble work_ Values: Integrity, indusivity, compassion & excdlence. Our Alms.. To create cent￿S of Clinical excdlen¢e that are infomied by our commitment lo in¢lu$ivity. the advancement of best practice ￿ expertise in area$ of spwalism. I￿ludIr￿9 traum&informed approaches. To help individuals in our wnfflunilies improve thwr emotional well-being and quality of lrfe by working wilh them to hdp them learn strategies to maintain Iheir own mental wellness and lo prevent relapse. To improve access with our n￿c0St and lowJel depends M 4 income streams." Income from elinieal seNices provided lo indNiduals and organisations by our employed practits'oner team. Room rental income from Iha sdf*mpJoyed approved pwtib'oners. Grant fundir¥J received from Charitable trusts ￿ statutory t(4Jies. Donations from the public. Our social enterprise model works particularty well in like Bn"ghtffi arbd Hastings with socioeconomic inequalities., here. a large number of FeW9 can and ￿11 pay a full fee fw high quality therapy. Our slandaid therapy fee$ are simTrlar lo Ihose of private therapists in the local area,'and we reinvest any profil we make from this income. as well as our ro¢¥n rental income. into providing n￿0$1 and Iow-cost therapy lo disadvantsged local people cannot afford the standard fees. This enables our fulkfee paying clients lo support their ¢ommunity al the same lime as looking after their own mental health. The model is clinlcally safe. adhering to BACP and UKCP ethical frameworks. Practitioners receive high levels of supervision and are pfovided wth ongoing CPD opportunities. The management team are supported by an exteTnal supervisor and dinical govemance group. Information govemance meet5 the highest Standards following the ¢Jevelopmenl of a bespoke MS Dynamics dirucal system. Robust infrastructu￿ and govemarLe. combined vth the eommrtment of OUT Practitioner team, ensure that our prath'ce is l)oth s¢alable and ethl¢ally sound. Our response to the climate crisls We have minimised our carbon lootprinl ty rewdirvj and f￿uSsing our seNices on clients in the local area lo reduce travel to and from our centres. We also support green commLth'ng by providing a nearby designated bike shed for waclitioners who cycle lo work and desire a sheltered space for secure bicycle storage. Online therapies have helped lo reduce travel by clients and practitTroners sb'll further which have continued lo offer after COVIO ￿$triC￿.0n$ were lifted in the UK to keep our ¢arbon footprint as low as possible. Ourresponse to the Cost of livlng crlsls We have consistently monitored Ihe cost of therapy by means of scoping exercises of other mental health services available as well a5 reviewry client feedback and assessing the demand and need for low-cosl therapy. We recruited several rw trainee5 in 2023 across bolh of our sr(e5 to ensure that we could continue to offer Iow-cost seryices to the eommunib.es we support. Fi¥lher to thbs, we continue to make tsrgeled fundraising applications to suprA)rt our INwever, we also faced significant challenges. There were delays in the opening of the new Cent￿ and breaking into a new market proved more complrcaled than anticipated. Over-stretched statutory services led to a surge in demand tTom Complex. disadvantaged elients, but we struggled lo raise the money necessary lo meet this need. Against the backdrop of these difficulties a great deal was sbll achieved. as demonslraled belN in this table detailing the outcomes of 2023 Action Plan: BRIGHTON THERAPY CENTRE LIMITED TRUSTEES. REPORT (CONTINUED) (INCLUDING DIRECTORS, REPORT) FOR THE YEAR ENDED 31 DECEMBER 2023 ACTION OUTCOME Improve monitoring and evalualion of services ReQoL'IRe￿erin9 Quality of Lifel before and after measures introduced for all clients in receipt of n￿0$1 and low-cosl services O Demographic reporbn9 introduced and demonstrating diverse client ulab" O In 2023 we provi¢Jed 2843 no-cost and Iow-cost therapy sessions v. 2699 in 2022, most of which was funded with grants 5ecureé in 2022 HoW￿eT the number of individuals $uprx)rted fell from 208 in 2022 to 176 in 2023. reftecting the lower levels of new grant fijndin in 2023 We completed rede￿ration of lo￿tsfied rooms and refreshing of kit¢hen area at the beginniro of 2023 We have not been a￿e lo continLJe ￿￿th furthei refvrbishments at the end 012023 due to bud et restrictsons 4 pra¢tslioners now t¥ained in and offering couples therapy EMDR can be used as an intense protocol16-12 sessions) for trauma5 or symptom reduclion, or il can be incorporated into longer-lemi work. EMDR is recommended by NICE lo treat PTSD. and vthile rt is available on the NHS. waiting lists are long arKI eligi￿"lIty criteria afe tough. We are in a strong position with 5 qualffied praclitioners. and a further 2, induding our Clinical Manger, training in 2024 8TC 8 leader in tiauma in E. Sussex, as evIde￿ed by referrals lor trauma work from other local organis81ion$, an¢J conlracls secured with stalulo seryice 4 New guidelines introduced regarding contracting lo promote transparency and empower ¢lienls 4 Review of procedures to improve client data integnty, èspecially in relation to GP and contact details / Discharge summary Teporting stcs)ped in the interests of infomalion management best prath'ce. We continue to monitor outcomes wth end of thera uestionnaires. New CPD sessions rolled out to practitioners. t0p￿S inc... Diversity and I￿luSion, race, cu￿ural drflerences. and the fefvgee community Adapb'ng therapy models lo the individual needs of the d￿nt Boundaries and tab￿.. money, hoJidoy5 and sex Building a thriving private prathce An Intrc*Juction lo Ccgnilive Analytic Therapy ICAT) / Introduciion of a new mandatory online Information Handling trainin 0 5 rwi trainees M pla￿Ment. wrth a range of modalitie$ and fee Sta￿ that are an important aspect of our service5 O A numkr of trainees have come to the end of their placements and Secured places cffl our qualified pracb"lioner team, others have compleled lurther quaItfi¢at￿nS and accredrtalions. enabling them lo advance through our pracbtioner levels IGradLiate, Associate, SeniorAssociatel. This demonstrates the quality of pr&tilioner that we conbnue lo attract. and how the supervision and govemance that BTC provides is a solid platfoim from which ractskn"oners can learn develo and r¢)W With the Of anisatson New praclilioner5 have joined us from 8IPOC and LGBTQ+ communits"e$ / Our 8LM Discuso*ion Group continues to develop. influencing the of nisational culture and ovemance Increase provision of Th>cost and low-cosl services Improve physical enwrmment Respond lo demand for couples therapy EMDR Revise practitioner guidelines to promote best prackn.ce Improve CPD ¢)pportunities for wactitioners Trainee ￿acement Continue to exptore bvays to promote equality. th"ver5ty and inclusion BRIGHTON THERAPY CENTRE LIMITED TRUSTEES. REPORT (CONTINUED) (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 DECEMBER 2023 ACTION OUTCOME Continue to develop sustainable in¢ome streams O Our employed clinical team now cover 75% of the gross payroll through income genefated from their clinical work Pro-bono consultancy from Adil Qureshi, Head of Talking Therapies and co-writer of many suceessfvl fundraising trids at Ihe wMbled(￿ Guild, a community charity in London, helped improve our grant fiJndiTrJ strategy O Public fundraising campaign 1aUr￿hed, induding Social media strategy and plans for a community newsletter Payroll costs were increased in 2022 to dedicate ￿sOUrceS to imyovhng our financial securty and expand our income streams by empl¢)wng a Lead Fundraiser position to develop and support a markets.ng $tfategy and create fvndraising materials. Wth these in place, the CEO has now resumed responsibility for fundraising, th the $UPF•yi of the employed team Own therapy hub in Hasb'rvjs New therapy hub opened in April 8 local therapists recruited, ir￿lUding 2 vdunteers Business slc>w to stsrt. which caused a slight fall in clinical services income, but gradually growing as more clients ale being Seen. We ex this 5eNi¢e and income to f¢)w further in 2024 4 Strategic ￿an for fijrther gr0￿h and development completed CharIta￿e objectsves with the charities commi5s10n and our 3￿CleS of associ*ion ￿th Companies House ¢Manged to cover England and Wales as our'area of benefit" rather than '8righlon & Hove and the Surroundin areas. as il was revioLtsl CEO completed executive leadership course with Imperial C¢YlegelComdel O Finance & IT Administrator completed a Payrdl training which ha5 ena￿ed us lo bring this fiJn¢bon in hoLJ$e Finance & IT Administrator promoted to Operating Officer Member of the clinical team com leled a SU rvision Irainin CEOIClini¢al Di￿10T maintained a wular programme ol community meetiThJs. met with m05t practitioners iAdividu811y. held consuttab.on meetlry5 about the futu￿ of the organ(sation and delivered a¢Jditiond CPD workshops. However, changes to our Clin￿01 praclices and standard5 to bring them in line wth our organisational ¥alue$ and mtssion have fe$ulled in a small umber of practitionets leaving Vdhi¢h presented an opportunity lo balance the leam as now more experienced junior practitioners have moved into more senior rojes and new trainees could be recruited 4 The majority of initial consultations now lake place online O Reduction in pnnled materia15 / Im oved ￿mote wor1(in ca abilities for office staff 4 Promotion of wr elhical social enterprise model on website and in staThJard email communications wth dients O Slrapline on cwr logo changed to gve a dearer message of our ethos Plan for longer tefm growth and development Internal talent development Maintain leadership at Bnghlon centre Red￿e carton I￿)￿nI Promote social enterprise model 4 1 BRIGHTONTHERAPYCENTRE •ESPOKE. IIICIUSIVE. P¥OFÉ551ONAL lo.... 4 J BRIGFrroNTHERAPYCENTRE wtl LOEFNG VOU A YnuP COMMu%iiy BRIGHTON THERAPY CENTRE LIMITED TRUSTEES, REPORT {CONTINUED) (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 310ECEMBER 2023 Charitable Works Sumrnary How much has BTC contribwted to ongoing therapy in 20237 The mairb ¢onlributs"on that BTC makes to the no-cost and Iow-COSi services it provides is through the governance. management, administration, infrastructure and premises Ihat are ne¢essary lo provide Ihes8 services. In addition. the charity maintains a small fund to provide continuity funding for Clients who have received exlemal grant funding but would benefft from addits.onal sessions to COM￿ete their treatment. Total contribution from BTC funds". £1.880 Totsl ¢ontribution from extemal grant funds.. £51.775 Totsl contrlbullon to ongolng thernpy In 2023: £63.6651£46.309 In 2022) Succe55ful grant funding applicatlons 2023: Magdalen & Lasher- £1.000 (Hastings) Emesl Kleinwort Charitable Trust- £7.500 {Bnghlon & Hastingsl The Chalk Cliff Trust- £S.000 {Bnghlon 8 Hastingsl Heads on Hastings Refugee Pilot- £5,750 IHa$bngsl Percy Bitton- £750 (Hastingsl Ukrainian Refugee Programme Partnership- £6.900 (Bright(￿) PuUic Donations - £539.59 Iunreslricledl Total grant fundln9 in 2023: £27.4391£98.950 20221 Included here are funds ￿lch were raised for the set up and ￿0¥#th of Hasts"ngs Trrapy Centre and were designated for covellng operating costs and refvgee work. BRIGHTON THERAPY CENTRE LIMITED TRUSTEES. REPORT (CONTINUED) (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 DECEMBER 2023 Cllent Feèdback BTC has an established process for engaging dient and PTactib"oner on It$ services and care. with comprehensive surveys treing undertaken eath year. In addib"on. we are conb"nually solic(ti"ng feedback from clients Ihrough our end of therapy questionnai￿5 vthi¢h they are asked to complete when they fintsh Iherapy. Highligh15 from the 2023 5uNey are as folltrw5". This year 57 client svrveys We￿ com￿eted out of 720 sent (7.92% resFon5e ratel. We received an overall 4.515-star rating. equal to 4.5 in 2022_ People chose to Come to BTCIHTC for several reasons, but these were largely word-of-mouth re¢ommendats"ons. Many also uted Ihat suiL*Ae NHS seNices We￿nI available. and they eouldn'l afford private therapy. They generally found that the offKe team deall with their issues sensitively and appropriately. Of respondents lo I￿OM the question applied" 83% experienced an improvement in Q￿fidence or wellteing 810h experienced a ￿dUctIon in anxiety or depre￿0￿ 70% experienced a reduction in Suiadal thoughts 76% experienced a reduction in urges to physically self-hami 61% experienced an improvement in their phygcal heatth 71% fell more able to retum to or remain at work 690/• fell less isolated 36Vo reduwl their use of other seNce$. such as GP, Merrtal Health Services and A&E. after coming 10 BTC Comments included.. 'The service C¢ynplet8ly changed my lrfe around for the better. The therapist encouraged me lo think of strategies and gave me confidence to Carry these ¢)ul." "l canl fault my experience. I consider myseff very lucky in the thefapist I was allotted. I was instantly put al ease and able to talk in depth abcxrt the diffi¢urt experiertt I wa$ living through. She wa$ $0 good." "I was especialty raw and emob.onal ￿ grief al the beginning and whilst l am sb"Il in loads of emotional pain l am now in a much calmer and more peacefijl space which I can fully atiribuie to the EMDR. The process has appea￿¢ lo 'str"Il the waters, and has 'sleadied the ship, SOme￿at %thich has hdped my emotional stale so Ihal l am in a posits'on to go forward with the next chapter to seek employment.. 'My Ihefapist gave me the perfect combinalion of empathy. space lo release and process trauma, and practical tods to use in everyday life. I fed l¢ansfomied by the pr￿$S. in ways th* I never expected. "Il has completely changed my MH. I was super anxious lo get on buse$ and do general life things but this completety changed. I was experiencing medium to severe anX￿ty every day. Now my anxiety is me(Jium lo mild only a few days a month." 'Thank you to everycfe at BTC made aecessiny tl*rapy so swthe, warm and inclusive from the first ¢onlact'. 'BTC helped with ffly Confidence. the way I C￿M￿nICale. the way I value myself, h¢)w l (jeal witr¢ Iraumabc events.. BRIGHTON THERAPY CENTRE LIMITED TRUSTEES, REPORT (CONTINUED) (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 DECEMBER 2023 Role$ & Stakeholders Trustees The trustees. are also the directors for the purKK)se of ccrfnpany law. and stho serve¢Y during the year were". David Seully (appointed in Oclobw 20231 Jo Tomlinson Julie Watson (stepped dovm in October 2023) Lola Akinyemi lappoinled in April 20231 Richard Burgess-Gamble. Treasurer Robert Clare Sandeep Rai Suzanne Thompson. Chair None of the trustees has any beneficial interest in the eompany. AJI of the trustees ¥e direct¢Jrs of the company and guarantee to contribute £10 in the event of a winding up. The trustee5 have been recruited by a $ele￿10n process whereby an individual has expressed an interest in supporting the organisabon. and also possesses knovledge and skills pth.nent to the gct4J management of the organisaliori. Appointments are made as follows.. ApplicatIc￿ is considered by Ihe m￿e￿nI Twstees as lo siilability. Applieanl is interviewed by the Chair of the Trustees and the Management. If successful. the Candidate is apwynted. perKling any necessary background cheeks. references and a final agreement from the board of trustees. The tnJ5tees have extensive expenen¢e in the followiry areas-. mental health law. Child￿n and family mentsl health. adult mental health, psychotherapy. business management. charty law and procedu￿$ and human resources. The trustees meet quarterty to oversee the running of BTC. The Ch*"r meets ￿th the CEO monlhly. The Financial Govemance Group is a subgroup of the Board which meets with the CEO every 6 months and reports into the Board. The Clinical Govecnance Group is a subgroup ofthe 8oafd meets wth the CliThcal Manager and CEO every 1-2 morbths arKI reptyls into the Board. Staff CEO- Kerry Evans Clinical Director- Michad O'Rourke Operatin9 Offl¢er- Ryan Pratt Administrators- Sophie Chapman lappoinle(111 Oecember 20231. Kathy Hines-Walkin$ Trauma Lead- Maureen Mccamley Oetails of procurement, recruitment and appointment of BTC Stsff" Upon deciding to recruit for a position within the em ￿0Yed tsam at BTC. a detailed job specification and person 5pecificatson are created which highlight the need wthin the team and the desirable qualities of an applicant which centre around BTC'S core values. After posting these details wrth a fair lime5cale, applicants we assessed by the CEO and a decision is made as lo who BTC would like to inleryiew. Interview que5ts.ons a￿ c¢)nstructe(I which will help ascertain the applicant's experience. Skills, suitability for the rde, and values lo help BTC make ils decision. The successful applicant is then expected lo un¢Jergo a DBS check prior lo onboarding Mlhin th&r team. In the event that no suitable candidate$ are found. BTC wll review the need for the position and if necessary, wll restsrt the recruttment P￿e$S. Self-Employ8d Approved Praclitlonews Detsils of procuremenL recruitment and appoinlment of BTC approved self•mployed pract5tioners.' Membership is open lo mentsl health practitioners vkno have an interest in a$5i5ting BTC to achieve its aims and are williThJ to adhere lo the rules of BTC.. BRIGHTON THERAPY CENTRE LIMITED TRUSTEES, REPORT (CONTINUED) (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 DECEMBER 2023 Brighton Therapy Centre has a fourf¢S