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||**Page**|
|---|---|
|**Reference and administrative details of the company, its Trustees and advisers**|1|
|**Chairman's statement**|**2**|
|**Trustees' report**|**3 −23**|
|**Trustees' responsibilities statement**|**24**|
|**Independent examiner's report**|**25**|
|**Statement of financial activities**|**26**|
|**Balance sheet**|**27**|
|**Statement of cash flows**|**28**|
|**Notes to the financial statements**|**29 −39**|
|The following pages do not form part of the statutory financial statements:||
|**Appendix I −Glossary of terms**||
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|atistics below are consistent with p|revious years|
|---|---|
|British|85.98%|
|Irish|0.36%|
|Any other White background|1.61%|
|White and Black Caribbean|0.05%|
|White and Black African|0.10%|
|Any other mixed background|0.67%|
|Indian|0.26%|
|Pakistani|0.05%|
|Any other Asian background|0.21%|
|Caribbean|0.16%|
|Any other Black background|0.57%|
|Any other ethnic group
Not known|0.88%
9.09%|
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|Problem Descriptor|Count||
|---|---|---|
|01.01.2020 −31.12.2020|||
|Depressive episode|499|25.92%|
|Generalized anxiety disorder|377|19.57%|
|Recurrent depressive disorder|101|5.24%|
|Post−traumatic stress disorder|65|3.37%|
|Mixed anxiety and depressive disorder|39|2.02%|
|Social phobias|30|1.56%|
|Obsessive−compulsive disorder|23|1.19%|
|Mental disorder, not otherwise specified|22|1.14%|
|Disappearance and death of family member|19|0.99%|
|Specific (isolated) phobias|14|0.73%|
|Panic disorder [episodic paroxysmal anxiety]|13|0.67%|
|Agoraphobia|9|0.47%|
|Bipolar affective disorder|4|0.21%|
|Eating disorders|1|0.05%|
|Stress related|56|2.91%|
|Somatoform related|24|1.25%|
|All Relationship related issues|20|1.04%|
|Other|1|0.05%|
|No code provided|609|31.62%|
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|||**Unrestricted**|**Total**|Total|
|---|---|---|---|---|
|||**funds**|**funds**|funds|
|||**2020**|**2020**|2019|
||**Note**|**£**|**£**|**£**|
|**Income from:**|||||
|Charitable activities|2|**822,763**|**822,763**|647,197|
|**Investments**|3|**1,906**|**1,906**|2,586|
|Other income|4|||685|
|**Total income**||**824,669**|**824,669**|650,468|
|**Expenditure on:**|||||
|Charitable activities|5|**721,962**|**721,962**|609,677|
|**Total expenditure**||**721,962**|**721,962**|609,677|
|**Net movement in funds**||**102,707**|**102,707**|40,791|
|**Reconciliation of funds:**|||||
|Total funds brought forward||**181,506**|**181,506**|140,715|
|Net movement in funds||**102,707**|**102,707**|40,791|
|**Total funds carried forward**||**284,213**|**284,213**|181,506|
##
||||**2020**||2019|
|---|---|---|---|---|---|
||**Note**||£||£|
|**Fixed assets**||||||
|Tangible assets|11||**8,434**||2,261|
||||**8,434**||2,261|
|**Current assets**||||||
|Debtors|12|**100,714**||57,098||
|Cash at bank and in hand||**235,883**||159,157||
|||**336,697**||216,255||
|Creditors: amounts falling due within one||||||
|year|13|**(60,818)**||(37,010)||
|**Net current assets**|||**275,779**||179,245|
|**Total assets less current liabilities**|||**284,213**||181,506|
|**Total net assets**|||**284,213**||181,506|
|**Charity funds**||||||
|Unrestricted funds|14||**284,213**||181,506|
|**Total funds**|||**284,213**||181,506|
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|**Statement of cash flows**
**for the year ended 31 December 2020**|||
|---|---|---|
||**2020**|2019|
|||£
"|
|**Cash flows from operating activities**|||
|Net cash used in operating activities|**86,715**|53,663|
|**Cash flows from investing activities**|||
|Purchase of tangible fixed assets|**(9,989)**|(594)|
|**Net cash used in investing activities**|**(9,989)**|**(594)**|
|**Cash flows from financing activities**|||
|**Change in cash and cash equivalents in the year**|**76,726**|**53,069**|
|Cash and cash equivalents at the beginning of the year|**159,157**|106,088|
|**Cash and cash equivalents at the end of the year**|**235,883**|159,157|
|The notes on pages 29 to 39 form part of these financial statements|||
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|||**Unrestricted**|**Total**|Total|
|---|---|---|---|---|
|||**funds**|**funds**|funds|
|||**2020**|**2020**|2019|
||Counselling services|822,763|**822,763**|647,197|
||Total 2019|647,197|647,197||
|**3.**|**Investment income**||||
|||**Unrestricted**|**Total**|Total|
|||**funds**|**funds**|funds|
|||**2020**|**2020**|2019|
||Investment income|1,906|**1,906**|2,586|
||Total 2019|2,586|2,586||
|**4.**|**Other incoming resources**||||
|||**Unrestricted**|**Total**|Total|
|||**funds**|**funds**|funds|
|||**2020**|**2020**|2019|
||CPD Training and SAR's income|||685|
||Total 2019|685|685||
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||**Unrestricted**|**Total**|Total|
|---|---|---|---|
||**funds**|**funds**|funds|
||**2020**|**2020**|2019|
|Counselling services|721,962|**721,962**|609,677|
|Total 2019|609,677|609,677||
##
||**Activities**||||
|---|---|---|---|---|
||**undertaken**|**Support**|**Total**|Total|
||**directly**|**costs**|**funds**|funds|
||**2020**|**2020**|**2020**|2019|
|Counselling services|244,383|477,579|**721,962**|609,677|
|Total 2019|348,409|261,268|609,677||
##
||**Counselling**|**Total**|Total|
|---|---|---|---|
||**services**|**funds**|funds|
||**2020**|**2020**|2019|
|Counsellor costs|214,702|**214,702**|295,975|
|Room hire and other operating leases|29,681|**29,681**|52,434|
|**Total 2020**|244,383|**244,383**|348,409|
|Total 2019|348,409|348,409||
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||**Counselling**|**Total**|Total|
|---|---|---|---|
||**services**|**funds**|funds|
||**2020**|**2020**|2019|
|Staff costs|348,356|**348,356**|150,749|
|Depreciation|3,816|**3,816**|722|
|Insurance|1,439|**1,439**|1,519|
|Telephone|4,589|**4,589**|3,534|
|Postage and stationery|2,328|**2,328**|4,289|
|Advertising|180|**180**|1,402|
|Other costs|14,161|**14,161**|2,821|
|Printing|1925,|**1,925**|2,223|
|Travel|397|**397**|2,789|
|IT expenses|27,139|**27,139**|23,465|
|Accounting and bookkeeping|5,482|**5,482**|7,787|
|Professional fees|504|**504**|103|
|Director of Services management fees|61,606|**61,606**|52,159|
|Repairs and maintenance|586|**586**|738|
|Cleaning|790|**790**|2,212|
|Subscriptions|816|**816**|1,419|
|Bank charges|105|**105**|205|
|Governance costs|3,360|**3,360**|3,132|
||477,579|**477,579**|261,268|
|Total 2019|261,268|261,268||
||**2020**|2019|
|---|---|---|
|**This is stated after charging:**|||
|Depreciation of tangible fixed assets: owned by the charity|**3,816**|722|
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||**2020**|2019|
|---|---|---|
||£|£|
|Wages and salaries|**319,927**|140,265|
|Social security costs|**23,422**|7,866|
|Contribution to defined contribution pension schemes|**5,007**|2,618|
||**348,356**|150,749|
|**2020**|2019||
|---|---|---|
|**No.**|**No.**||
|**14**||7|
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||**Fixtures and**|**Computer**||
|---|---|---|---|
||**fittings**|**equipment**|**Total**|
||**£**|**£**|**£**|
|**Cost or valuation**||||
|At 1 January 2020|**3,810**|**13,465**|**17,275**|
|Additions|**1,691**|**8,298**|**9,989**|
|At 31 December 2020|**5,501**|**21,763**|**27,264**|
|**Depreciation**||||
|At 1 January 2020|**2,521**|**12,493**|**15,014**|
|Charge for the year|**1,717**|**2,099**|**3,816**|
|At 31 December 2020|**4,238**|**14,592**|**18,830**|
|**Net book value**||||
|At 31 December 2020|**1,263**|**7,171**|**8,434**|
|At 31 December 2019|1,289|972|2,261|
|**Debtors**||||
|||**2020**|2019|
|||**£**|**£**|
|**Due within one year**||||
|Trade debtors||**1,040**|520|
|Other debtors||**653**|1,586|
|Prepayments and accrued income||**99,021**|54,992|
|||**100,714**|57,098|
##
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||**2020**|2019|
|---|---|---|
|Trade creditors|**21,775**|22,792|
|Other taxation and social security|**20,059**|2,883|
|Other creditors|**1,912**|836|
|Accruals and deferred income|**17,072**|10,499|
||**60,818**|37,010|
##
|**Statement of funds −current year**|||||
|---|---|---|---|---|
|||||**Balance at**|
||**Balance at 1**|||**31**|
||**January**|||**December**|
||**2020**|**Income **|**Expenditure**|**2020**|
|**Unrestricted funds**|||||
|General Funds|**181,506**|**816,070**|**(713,363)**|**284,213**|
|Unallocated amounts||**8,599**|**(8,599)**||
||**181,506**|**824,669**|**(721,962)**|**284,213**|
|**Statement of funds −prior year**|||||
||Balance at|||Balance at|
||1 January|||31 December|
||2019|Income|Expenditure|2019|
|**Unrestricted funds**|||||
|General Funds|140,715|647,103|(606,312)|181,506|
##
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|**Summary of funds −current year**|||||
|---|---|---|---|---|
|||||**Balance at**|
||**Balance at 1**|||**31**|
||**January**|||**December**|
||**2020**|**Income **|**Expenditure**|**2020**|
||**£**|£|£|£|
|General funds|**181,506**|**824,669**|**(721,962)**|**284,213**|
|**Summary of funds −prior year**|||||
||Balance at|||Balance at|
||1 January|||31 December|
||2019|Income|Expenditure|2019|
||£|£|£|£|
|General funds|140,715|647,103|(606,312)|181,506|
##
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##
|**Analysis of net assets between funds −current pe**|**riod**||
|---|---|---|
||**Unrestricted**|**Total**|
||**funds**|**funds**|
||**2020**|**2020**|
||**£**|**£**|
|Tangible fixed assets|8,434|**8,434**|
|Current assets|336,597|**336,597**|
|Creditors due within one year|(60,818)|**(60,818)**|
|**Total**|284,213|**284,213**|
##
##
|**Analysis of net assets between funds −prior perio**|**d**||
|---|---|---|
||Unrestricted|Total|
||funds|funds|
||2019|2019|
||£|£|
|Tangible fixed assets|2,261|2,261|
|Current assets|216,255|216,255|
|Creditors due within one year|(37,010)|(37,010)|
||181,506|181,506|
##
##
||**2020**|2019|
|---|---|---|
||£|£|
|Net income for the period (as per Statement of Financial Activities)|**102,707**|40,791|
|**Adjustments for:**|||
|Depreciation charges|**3,816**|722|
|Loss/(profit) on the sale of fixed assets|−|(789)|
|Decrease/(increase) in debtors|**(43,616)**|13,268|
|Increase/(decrease) in creditors|**23,808**|(329)|
|**Net cash provided by operating activities**|**86,715**|53,663|
##
##
##
|||**2020**|2019|
|---|---|---|---|
|||£|£|
|Cash in hand||**235,883**|159,157|
|**Total cash and cash equivalents**||**235,883**|159,157|
|**Analysis of changes in net debt**||||
||**At 1**||**At 31**|
||**January**||**December**|
||**2020**|**Cash flows**|**2020**|
||**£**|**£**|**£**|
|**Cash at** bank and in hand|**159,157**|**76,726**|**235,883**|
||**159,157**|**76,726**|**235,883**|
##
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||In the IAPT context, course accreditation with a recognised professional body|
|---|---|
||indicates that the training programme has undergone a process of scrutiny to|
|Accreditation|ensurethat its curriculum, teaching materials, staffing, resources,|
||management and governance structures have met the necessary national|
||curricula requirements as agreed and laid down by the IAPT programme.|
|ADSM|Anxiety disorder specific measure|
||**British Association for Behavioural & Cognitive Psychotherapies**|
||**The** lead organisation for Cognitive Behavioural Therapy (CBT) in the UK and|
||Ireland. It promotes, improves and upholds standards of CBT practice,|
|BABCP|supervision and training. It supports its members to develop professionally|
||and links with the CBT community. It is a professional association operating a|
||highly−respected voluntary register for our accredited cognitive behavioural|
||psychotherapists, and help to protect the public by supporting best practice.|
||**British Association for Counselling & Psychotherapy**|
|BACP|It is the professional association for members of the counselling professions in|
||the UK.|
|Bipolar|Formally called Manic Depression, is a mental health condition which causes|
|Disorder|extreme mood swings, that includes emotional highs and lows|
||Border line personality disorder, also known as, emotionally unstable|
|BPD|personality disorder (EUPD). A disorder of mood where a person is unable to|
||stabilise emotional regulation and their interactions with others.|
||Under IAPT requirements, a person is said to be at "caseness" when their|
||symptom score exceeds theaccepted clinical threshold for the relevant|
||measure of symptoms. For the PHQ−9, this is a scoreof 10orabove. For the|
|Caseness|GAD−7, this is a score of 8 or above. Other symptom measures, such as those
used to measure the severity of different anxiety disorders, have their own|
||specific thresholds. Some outcome measures (such as the WSAS) do not have|
||recommended caseness thresholds but provide valuable additional|
||information about the quality of a treatment response.|
||**Cognitive Behavioural Therapy**|
||**This** is a type of talking treatment which focuses on how your thoughts,|
||beliefs and attitudes affect your feelings and behaviour, and teaches|
|CBT|you coping skills for dealing with different problems. It combines
cognitive therapy (examining the things you think) and behaviour|
||therapy (examining the things you do).|
|CCG|Clinical Commissioning Group|
|COPD|Chronic obstructive pulmonary disease|
|CPD|Continuing professional development|
|CQC|Care Quality Commission|
|DIT|Dynamic Interpersonal Therapy|
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|DNA|Did Not Attend|
|---|---|
|EMDR|Eye Movement Desensitisation Reprocessing Therapy|
|GAD−7|Generalised Anxiety Disorder Scale|
|GP|General practitioner|
|HIT|High Intensity Therapist|
|IAPT|Improving Access to Psychological Therapies|
|IBS|Irritable bowel syndrome|
|ICT|Integrated Care Partnership|
|IESO|A digital IAPT service provider|
|IPT|Interpersonal psychotherapy|
|KMPT|Kent and Medway Partnership Trust|
|KPI|Key Performance Indicator|
|KLOE|Key Lines of Enquiry|
||Long−term physical health condition.|
|LTC|A range of long−term physical health conditions such as cardiovascular disease,
chronic obstructive pulmonary disease, diabetes and musculoskeletal|
||disorders.|
|MBCT|Mindfulness−based cognitive therapy|
|MDS|Minimum Data Set|
||Medically unexplained symptoms.|
|MUS|Persistent physical symptoms that are distressing and disabling but cannot be
wholly explained by a known physical pathological cause. Examples include|
||chronic fatigue syndrome and irritable bowel syndrome.|
|NCCMH|National Collaborating Centre for Mental Health|
|NICE|National Institute for Health and Care Excellence|
|PTSD|Post−Traumatic Stress Disorder|
|PEQ|Patient Experience Questionnaire|
|PHQ−9|Patient Health Questionnaire for Depression|
||The descriptor corresponds with ICD−1.0 codes and captures information on|
||the nature, severity and duration of symptoms, and their impact on|
|P roblem
descriptor|functionality. A problem descriptor is used to support identification of
appropriate NICE−recommended treatment options. It is recognised that
people may have more than one mental health problem. For this reason,|
||services can enter several problem descriptors. The primary problem|
||descriptor should reflect the treatment being delivered.|
|PWP|Psychological wellbeing practitioner|
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||Glossary|
|---|---|
|RCT|Randomised controlled trial|
||A national standard that at least 50% of eligible referrals should move to|
||recovery has been set for IAPT services. Aperson movesto recovery if their|
|Recovery|symptoms were considered aclinicalcase at the start of theirtreatment(that|
||is, their symptoms exceed a defined threshold as measured by scoring tools)|
||and not a clinical case at the end of their treatment.|
|R eliable
improvement|A person has shown reliable improvement if there is a significant
improvement in their condition following a course of treatment, measured by
the difference in their first and last score.|
|Reliable|A person has 'reliably recovered' if they meet the criteria for both recovery|
|recovery|and reliable improvement.|
|Ste
2
p|Step 2 treatments are undertaken by Psychological Wellbeing Practitioners
(PWPs) and they are noted as being of low to mild/moderate levels of need.|
|Ste
3
p|Step 3 therapists, are High Intensity Therapists (HITs) who work with higher
levels of psychological need.|
|WAWU|We are with you (another IAPT service provider, previously called ThinkAction
and KCA)|
|WSAS|Work and Social Adjustment Scale|