Charity nuinbey: 1167785 Brltlsh A55o¢latk*n for Performlni Arts Mediclne IBAPAMI Tru5tee¢ Annual R¢poi4 and Flnan¢lal Staternent$ Forthe year ended 31 De¢ember 2023
Brltl$h Assodatlon for Performlng Art$ Medlclne IBAPAMI Charity 1167785 Chalrmarfs IDtrodu¢tlon 2023 ha5 again been our buslest year as patient need contlnues to Increase. Although many performance professitsnals are still presentlng with mental health i5sue5, tl)e proportion of these presentations has decreased sliEhtly and there has also been an inciEase In musculoskeletal Inlurles which perhaps Indlcates tliat performers are back to reEular work. BAPAM has demonstrated our aglllty li) adapting servlces to meet patient need in these changlng and challenging times, and we are very grateful for the funding from benevolent funds and industry bodies which ehable5 U5 to provide this support. We are dellghted that we are now settled In new offlces at 63 Mansell Street. We rent the space from Scoliosls SOS who provlde a health sewlcè and allow us to use thelr cliiilc room space. Th15 IS a very patient-focused building, and we have been made very welcome. Our London face to face clinics are well attended and we continue to offer f&¢e to face clinlcs alongslde our online servlce in Nortlièrn Ireland, WalEs, Noith East and North West of England, Yorkshlre and the Humber as well asthe West Mldlands. By the end of the year 2600 cllnlcal assessments had been delivered thls wav, the highest number yet recorded. Over 3100 patients contacted BAPAM in 2023, an Increase of 120A. We have contlnued to malntaln our objective of ensuring that services are available to performers across the UK, and l am pleasedto saythat over55% of patients are from outslde London. The cllnlcs team, particularly Ruth Zadi with the support of Usman Iqbal. has done well to manage this signlficant Increase. We wer& delighted to have Incieased our Dirèctory of Practitloners to 320 cllnl¢lans, all experienced in working wrth performers. Our mental health servlce continue5 to attract support. Equlty renewed thelr contract for counselling and provide support to members whose mental health pfgblem was caused by the worklng envlronmènt. Thls has helped to keep demand wlthln budget wlth the add5tlonal 5UPPOrt of fundlng from the Equity Charltable Trust. Tlie Music Mlnds Matter therapy services funded prlmarily by Help Muslclans continue to provlde sSgnlficant support to muslclans although the number of sesslons they offer has slightly reducèd to ensure no mu51cian is turned away. Wè also work with thÈ Royal Soclety of Muslc13ns and PRS Members Fund a5 well as Tonic Mus5¢ and Muslc Support to try and ensure ongolng support foi musicians who need It. We have been struck by the helpful and collaboratlve approach of all these bodies. In all we Iiave worked with well over 1000 mental health patSents this year and delivered over 7250 counselllng ses51ons. Our Multidisclplinary Team continues to triage patlents more qulckly, ensurfrbg that we can identify ai)y patients who are b?st suppgrted in the NHS at an early Stage 50 that they get the support they need. We contlnue to see patlents who would have otherwlse been seen by the NHS but where clinlcs weie either closed temporarily or had long waiting lists. We do not expect this to be a long-term trend, but we have agreed to work wlth funders to support patlents who need help to get back to work. We are increasingly providing clinlcal advi to other organlsatlons on how best to SUPPDrt performers who find themselves In thls sltuatlon. Feedback on thls serylce has been encou¥aglng. Feedback from our patlents continues to show a hlgh level of satisfaction, Our annual survey of patients seen 12 months ago shows that 79% of patlents arè back to performlng wlthin this perlod and 86QA 5ald we had Iielped. 97Y• of patlents werè satlsfled with waillng tlmes. Cllnlcal advlce, manner and knowledge was rated as'8ood' or'ex¢ellenY by 97% of performers, and 98% sald they would recommend BAPAM to a Colleague,
Brltlsh A950clatlon for Peiformlng Arts Medlclne I&APAM) Charlty 1167785 Our team has gr¢)wn to manage Increased demand, and we have Invested In the team structu¥e and thelr professional development, The meiital health team was iestructured in 2023 to Increase the administrative capaclty and medlcal oversigl)t of the work. We i)ow have two 5alaiied doctors on tho team who provide medical cover a5 well as addltional capaclty to see patients who may need to be fast.tracked to other servicès, We have been provldlng management training to senior staff and reconclliatlon support for the meiital health t@am I'èmalhlng in post. We were very pleased that Dr Finola Ryan Jollied us as Executlve Medlc?l Director inseptember. An Occupational Health Physiclan, also Honorary Lecturer at the Performing Arts Medl¢lne Postgraduate progr4mme at UCL, Flnola brlngs a very helpful focu5 to BAPAM'S work. Thls year we were also able to appolnt a Buslness Systems and Data Analyst thanksto support from PPL followlng a systè1115 revièw wlth PPL consultants. Srujana Sarangi 50ins Dan Hayhurst and her work has been Improvlng our systems to ensure robust tracklng of increasing numbers of patlents through our 5eNlces and ImprovlnE access and waltlng times whllst 5UPPOrtlng safety. Dan's leadeishlp has enabled these benefits to be reallsèd and to focus on some of hls other responsib115tles which Include communicatlons and Dlrectory of Pra¢tltloners recrultment an additlonal 52 practitloners have Joined us this year. Our relatlonshlp wlth Help Muslcians contlnuès to be Strong owrthis pprlod and we are pleased to be worklng with Sarah Woods, the new CEO, and laurie Ollva, Director of Services. We are very grateful for Help Muslcians, support aiirl to be worklng alongside their work as cllnlcal partner. Our work wlth the Muslclans. Unlon too. has gone from strength to strength. We have collaborated on tralnlng weblnars and health resources including our healthy practice gulde for teachers and look fOard to continulng to work effectively together. Wo have also ¢ontlnued to enjoy a i)roductlve worklng relatlonshlp with the Royal Socleiy ot Mu51cians, and we are most grateful to them for enabllng us to use thelr offlces whllst we were seeklng our permanent home. BAPAM provide5 cllnlcal advlce to the RSM to support tlle TrusteÉs in their de¢lslon-making on appllcatlons recelved by musicians needing sUPPOrt with health problem5 and collaborate with RSM on the delivery of health training whlch Is very successful. Our work with the Mu51cians' Unlon too, has been very helpful. We have collaborated on tTalnlng weblnais and health resources gnd look forward to contlnulng to work effectlvely togetlier. During thls year, our health educatlon programme has continued to thrlve training over 2500 performing arts profegslonals through runniiig onllne sessions. In additlon to ruiining general sesslons on preventlnB physlcal Injury* mental and vocal he21th, we have a150 offered weekly sesslons to support attendees to develop and maintaln health #oals, The P.E.R.F.O.R.M.A,N.C.E programme whl¢h covers the key areas for performance health Iposture, Environment, Routine, Fitness, Overuse, Rest and recovery, Mental health, Anmlety, Nutrition and Cllnlcal Expertise) has proved very successful and we have also launched a nèw programme wlth Attitude Is Everythlng for people wlth neurodlvorgent tralts. Thls has proved very popular. The psychoeducation programmes whlch we run wlth Help Muslclans and EquSty have also beets well recelved and requested by other organlsatlons. We cc>ntlnue to provide one-to-one mentorshlp sesslons for wlniier5 of Hèlp Mu51clans' creative award5, and Wlde Days in Scotland. We are very 2rateful to the clinlcians and trainers whg have worked wlth us on these programmes and thank5 to phoebe Butler who has maiiaged thls very successful pi'ogramme.
Brltlsh Asso¢l#tloh for Performlng Arts Medlclne IBAPAMI Charlty 1167785 The accounts for BAPAM for the yeai. to 31 December 2023 ended the year with a deficit on unrestricted funds of £119,410. Thls occurred as a result of increased cllr>ical activity, and the necessary spend on staffln8 managèment. Our year end unrestricted reserves are £ 252,234. This is in line wlth our feserves policy but is a tlghter margln than we would Ilke. On behalf of our Trustees, I would like to pay b speclal trlbtJtÈ to our staff and cllnicians who have worked hard to ensure that we can continue to provide BAPAM'S important service5. 1 am always Impressed by the professional comm5tment and hard work of our staff and the wider tommunity of practltioners to continue the much-needed 511PPOrt to the health of the performlng artg sector. Thanks too, to our funders, Help Musicians, Muslclans, Union, Equity* Equlty Charlt3ble Trust, PPL, PRS MembLJls Fund, RSM, Dance Piofessionals Fund, as well as everyone who h35 giveri a financial domalion or their time and resource to ensure that BAPAM contlnues Its missioii to help perfoTmers stay healthy. PETER LEATHEM. Chaiin)an
Brltl$h Assoelatlort f4Jr PerformlhB Arts Medlclne IBAPAMI Charlty 11677BS Contents Pagè Legal knd admsnlstratlve Information Tru5tees' Annual Report 4-11 Structure, governan¢e and manJ8ement Objective5 and actlvltres sirateglc repo¥t Achleveraents and performance Fi08nclal review Plan5 for future perlods PriTrclp81 risks and un¢értaintie5 statement of T¥ustees' respon5ibllilie5 12 Auditorfs report to the Trustees 13-15 StatÈment of financial activltles 16 Balèno sheet 17 Cash flow statement 18 Notes to the ftnanclal siatements 19-23
Brltlsh Assodatlon for Performln8 Art$ Medlclne laAPAMI Charlty 1167785 Legal #nd admlnSstrative It)loYmitlon Charlty number 1167785 Regl$ter•d Offlcé 63 Mansell Street London El 8AN Patrons Imogen Cooper Slr Mark Elder Dame Evelyn Glennle Sir Slmon Raltle Sheila Reid Zeb Soanes Dame Janetsuzman Slr Willard Whlte Jullan Lloyd Webbèr TMst*es Pèter Leatliem Ichalrmanl John Turner (Honorary Treasurer) Penny Wrlght Imedlcal Trustee) Adam Adnyana lappolnted 30 January 20241 Matthèw Hood Hllary Hadley Iresigned 30January 20241 Damièn Longson {Medlcal Trustoel appolnted 24January 20231 Jonathan Morrlsh Mark Phllllp$ Imedlcal Trustee) Hara Troull (Medical Tru5teel Chris Walter5 Aaron Wi11Samon Pat Woo Imedical Trusteel Medlcal Commlttotr Penny Wrlght (Chalrl MA MBBS MRC6P Haro Trouli MBBS Msc PAfid Davld Fièlding 8M Bch MRCS LCRP DRCOG MRCP Tamara Karnl Cohen MBChB BSC Chrlstlne Huntèr MBChB BSC Petsr Newman Bsc, MBBS, DRCOG, JcpfGP, Dlp Coc Med Anlta Nathan MB Ch8 MRCGP Declan Costello MA, M88S, FRCS{ORL-HNSJ (resignedAugusf2023) Tori Burnoy Ooined O¢tob¢r 2023? Sarah Upjohn EdD MA h15CP
Brltlsh Assorlatlon for Perfgrmln8 Arts Medl¢lne IBAPAMI Charlty 1167755 Legal and admlnlsiratlve Informatlon Anthony Oidman MB8S, LRCPMRCS, FFARCS, FRCP, FFPMRCA Michael Mehta 85c (honsj Osteopothy Pilutes Reht7bilitt7tion Paul Che¢kley Msc Audiology RHAD,MSHAA Sarah Wor51ey-Harri5, HCPC Regi5rered OccupotlonulPsy¢hDIo9lSt (resignetl October2023J Chlpf Executlva Clalre Cordèaux Medl¢al Team Gall Allsopp, Execvtlve Medl¢al Olrector (To July 20231 Dr Flnola Ryan, Executive Medical Olrèttor If¥om SeptembÈr 20231 Dr Nina Amediro, Salaried GP an(1 Interlm Medical Dire£torJulv and Aubjust 2023 Dr Anita Nathan Ilrom October 20231 Admln15tr8tl¥e Team Dan Hayhvrst, InfDrmatipn Oflicer Usman Iqbal, Senlor Operations Manager Anushka Tanna, Cllnlcal HEalth Mental Health Ana Cal)aco, Mental Health TriaEP P¥actitloner ILeft Septeinber 20231 Ruth Zadi. Clinics Marta8er Parels lean-marie, Mental Health Manager Tullkk Pandeyi Cllnk A¢tlons Phoebe Ilutlef, Heath Prornotion Olflcer Beverley Zammlt, Directory of Pyatiitloners Support Sue Falconer, Helpllne (Left Augu&1 20231 Imogen Cleverly. Helpline Aoiy Parker, Mental HeBlth Asslstant ljolned Aprll 20231 Charlottv Hanty, Helpline Agsistaiit ljoinEd April 20231 Estle Mclaurln, Helpllnè A$$15tantljolned September 2023 and left Oclobei 20231 Srujana Sarangl, Business Syslen15 and Data Analysis (from Mav 20231 Audltors CompassA¢countants Venivre House, The Tanners East Street, Tltchlleld 14ampsl)ire P014 4AR Page 2
Brltlsh Assoclatlon for PerformlnB Arts Medl¢lne18APAMI Cha¥lt¥ 1167785 Lègal aftd admlnlstratlvo Inltyrmatlon Bankers UnltyTnist Bank Four Brindley Place Blrmlngham BJ 218 CCiA- COIF ChaTlties Deposit Accounl Senator House 85 Queen Victorla Street London EC4V 4ET P&8È 3
Brltlsh Assodatlon for Perforrnlhg Arts Medlclne IBAPAMI Charlty No 1167785 Report of thè TN$tees for thè year ènded 31 December 2023 Thè Trustoes present thelr report and the finandal statements for thè year ended 31 Oecember 2023. The Trustees who served during the year and up to the datè of thlÉ report are set out on page l. The Trustees have Iiad due regard to Ihe guidance issued by the Charlly Con7mission on Public Benefll. siru¢turei governaF)ce and management Board of Trustees January 2023 the BAPAM Btsard comprised iwelve Trustees.. Pèter Lealhem, who holds a numberof music Industry Directorslilps Includlng the iole of CEO of Phonographlc Perforrnance Ltd IPPLI as chair, fivè Medlcal doctors IwSth expertlso In performlng 8rt5 medlcinel, a chartered accountant, an academic, a music industry communlcatlons expert, the MD of a large casting pltttform. and twg iepre5entatives Irom union5 Imuslclans, Union IMUI, Equltyi. WÈ were delighted to be lolned by Professor Damien Longson, Consultanl Liai50n Psychlatrist, whose oversight of our mental health work ha5 been enormously helpful, We were sad to Say goodbye to Hilary Hadleyi our Equlty Trustee and wlsh her well in her retirement. We wèlcomed Adam Adnyana, a150 from Equity, In her pla¢e and look forward to worklng with him, The support and guidance of our Trustees durlng 2023 has been Inv&luable as we grow the charity. Trustees are èppoFnted and thosen by exl$tinE members. NÈwly appoinled Trustees recetve wrlttÈn and vÈrbal guldance ffom the Chief Exetutlve about tlie responslbilltie5 of their role and the objectives, gtrutture and activitles of the organisatlon and are inviled lo 411 BAPAM'S edurational events. The Chief Executive also ensures that TrustÈéÈ iegularly receive relevant informatlon from the Charlty Commlssion, Audltors ond Solititors, Care Qvalltycommlsslon, aswell as expert advice and support from colleaguessuch es the Medlcal Director. Chlef Ex¢¢utlve, med11 and gdmlnlstrail¥# team Trvstees delate much of the chariV5 business lo the pald Chlef Executive, who lsappointed and supervlsed by the Board. rhe Chief Executlve 15 responslble for the day.to-day management ol the organisatlon Includlng appolntlng and manaEinE Staff, finan¢lal tr8n$8¢tlons, performance reporting, lund¥a151nE and organlslng evènls. The Chlef Exe¢utive 8150 advises the Board on operational and stratègic dèveltsprykent ar¢d risk Management 155ues. To supptsrt the Erowing tllnlcal work, we have now appolnted a medlcal team to piovide 5-day oversight of the woik. Dr Gail Allsopp left In July and was replaced by Dr Flnola Ryan as Execvtlve Medlcal Dlièctor. Dr Ryan Is an Occupatlonal Health Physlclan and muslclan. We are verygrateful to Dr NiTra Amedzro for provldlng interim medlcal leadershlp over the summer. Dr Amediro Is part of the medlcal te&m and was joined by Dr Anlta Nathan In October and Dr Arun Castro who lolned In Jantjary 2024. Tlils Is a slEnlflcant dèvelopment and enables us to manageanycllnlcal rlsk as well as providlng addltlonal £ap8cityfor appointments as patient need glows. The Chlef Executive is SUPPOTted by an adminlstrative te8m. Durlng 2023, wè neèded to brlng In HR expertlse to review the Men181 health team where personnel diffSculties were impadlngstaff wellbeing. The HR revlew recommended a re5tructurlng ol the team to Intrease medlcal oversiEht and admlnlstrative suppotL A consultation process totsk p18ce and Arba Cabaco accepted redundancy whllst Anushka Tanna moved to a Mental Health Ambassador role and Rory Parkei's adminlstrative role becarne full tlme In support of Pareis Jean Marle. A Teconciliatlon process took place wlth an occup41Ional psychologist to work wlth the remalnSng members of the team. Management tralnlng Is being provided to all managers, Includlng coverinp Managing Sickness Absence, Commulllcatlon. and Equalltyand Dlverslly, The medical team was also sifen8thened. Thls was a challenglng time for the team ahd resulted In o grlevoncé agalnst the organisgtign whlch was not upheld and whose retOMmÈndatlons mlrrored ilie outcoine of the HR revlew. The mental hèalth team has P•gq
brlt15h A55odatlon for Performlnu Art$ Medlclne IBAPAMI Charlty No 1167785 settled now, and thè mental health MDT Is overseen by Dr FiTrola Ryan with a BAPAM GP and Cllnlcol Psychologist, Sam Thompson. The financial cost of managlng thls p¥ocess was signlficant, but we are pleased that It lias resulted in a more stable team 8nd that patient care, as measured by feèdback and scores, was not Impacted. We have appointed new hèlpllnè staff during the year, Charlotte Hancy Is now a permanent member of the team, Estie McLaurln worked for Iwo months In Septembei and August and Falza Navql lolned u5 In November on a freelance contract. They replaced Sue Falconer who left in the summer and have provlded additlonal capacity to plck vp emalls and telepl)one enquiries from patlents. Tulika Pandey¢ontlniiestofo¢u5 on patient actions post-clinic, our Senior Manager, Speclal Projèct5, Dan Hayhurst, ha5 overseen the Information and communicatioiis function of BAPAM, Includlng cliiiician recrultment and his skllls In dévèltsplng our CRM together wlth hls understandlng of the staff who uge It and the purpose of work are invaluable. We were veiygrateful to be ablèto rètrultSrujan8 Sarangi as a Buslne5s Systems and Data Analyst to suppoit Dan In systems Smprovement work, and herwgrk h4$ inrregsed our ablllty to easlly track patlent eplsodes and qulckly monitor actSvSty and has streamlined processes to enable admlni5trators to be more efficient and effective wlth theirtlmè. This was a5 3 resultof PPL'S generous additloTral fundlng. Dan manages BAPAM'S communicatlons and oversees our health Education and prevenllon proErarnme where Phoebe Butler is responslble for deliveryottralnlng. He alsomanages Berenice Beverfyzammltwho provides SUPPOTt Dn the Directory of Prhctitloners. Atthe end of 2023, the team cons15ted of 12 full tlme equivalents wlth flve full time staff (The Chiéf Executive, Senior Operatlons Mgnager, Cllnlcs, Mental Health Manager and Mental Health Adtnlnistrator, Business Systems and Data Analyst and fourleen part-tlme slaff of whicli two are freelance. Our teaffl is now better eouipped to managè the volume of patlent rare safely and slill dedicate tSme to speaklng to nèw patients calling for help. Volunteers We are very grateful to all our volvnleers, particularly to those cllnlclans who give thelr tlme for free In Medical Committees and thelr working groups to develop clinical 8uidaiice for the organlsatlOD and to distribute acioss the sector. We held 28 of ihese meeiings ovèr 2023, involvlng 40 clinlclans who gfive an estlmated 33601)otJrs iii meetlngs. For our Internal purposes we value thls at approxlmately £30,OOOwhlch In accordance wlili a¢countlng prlnclples15 not retognised In the Flnancial Ststements. Commlttee8 The BAPAM Board Is supported by one standing committee the Medlcal Commlttee and delegates responslbility for BAPAM'S clinical governance 1Sncludlng statutory compllancel and operation5 to the Commlttee. The Medical Commlttee Is thalrÈd by Dr Penny Wrlght, a Medical Trustee, and Is supported rjpèrationally by the Medl¢al Dlre¢tor, Chlef Executlve and team. The Commiltee operaies In accordancewlth Yerms of Reference developed by the Medlcal D5rector and Chlef Executive. Members 4re volunteer healthcare practltloners appolnted through a formal applicatlon process. Kèy Commitlee responslbllltles Include.- the appointment and monStorlng of 8APAM's clinical workforce Isesslonal workers and volunteers),, overseelng membershlp of the Olrt¢tory of Practltloneis,. monltorlng the safety and quallty of BAPAM'S cllnlcal and adv1901y 9ervltÈs,' ovèrseeing 8APAM's hèalth edutatlon and Wo110Ups Flnance and Annual Audlt are overseen by the Chalrfflan and Treasur¢i Ind Trustee Matt Hood kindly thairs the Flnance Sub-committee whlch is also attended by John Turnér, Penny Wrlght, Damien LonBson and reports lo the Board, The Communltatlon5 group* &tlenderf byjonathan Moiilsh lor the tscbard, 15 managed by Dan Hayhuist and reports to the Board quarterly. The External Scrutiny Mental Health Group was establlshed ltsllowlng the HR ieview and Is chaired by Damlen Longson and attended by Penny Wright wlth Modlc41 Director, Mental Hèalth Ambassador and Chief fxéculive input. P•ge 5
Brlt15h A$so¢latlon for Performlng Arts Medlclhe18APAM} Cha¥lty hlo 1167785 Staff appraisals are conducted annually by line manageis, and formal salary revlews are coDduded every three years by nominated Trustees. The nexl revlew 15 due in 2024. Addltional COTporate respon51bilitles are delegated by the Board to worklng groups of Trustees as required land slmllarly, the Medical CommSttee delegates specific clinlcal governance Issuesto Indivldual expert members). At presentthe followlThg Worklng Groups are in place: Vocal Health: chalrèd byTory Burnay. Thlsgroup of speclalist doctorg,5pèech and lanEuaEe theraplsis and vocal rehabllitation coaches lias produced guidance on the recommended caie pathway for professional voice users experlentSng health problems. Psycliosoclal Health.. chaired by Professor Jane Glhsborg. Thls group bTin&s together therapists work4n8 unde¥ contract to BAPAM to feview and develop practlce. Audiology.. chaired by Dr Finola R¥ar>. Thls gioup of doctors and audlolo8lsts Is brlr>gin¥ tngether thè most recenl evldèn¢e for best practlte Sn hearlng conservatlon and treatment of l)earin8 health problems. Musculoskelètal.. chaired by Oi Davld Flelding. Thlsgroup siartéd In 2020 and ènables dlscvsslon and review of practlce as well as overièein8 heaiih promotlon and educatlon work. Research: cliaired by Dr Hara Troull and Includes members from UCI and the Centre of Performaftte Selence at RCM. Thls group has an overvlew of research and 8udlt. AssesslnB cllalcians chalred by Dr Finola Ryan, thls new aroup brin6S together assessing clinician5 from across the UK to revlew al di5CU5s pracilce, addition, the internal multidi5ciplinar¥ Team Imedical Dlrector, GP, and Ment41 Health Manager) to manage the trlage of mental health patiehig have alsDbeen jolned by DISam Thompson, Clinltal P5ychologSst as Sarah Worsley-Harris stepped down from Iier role at BAPAM. We p&y tfibute to her for all lier work in supportlng the menial health prolect gnfl wish hÈr well In her retlremènt. 8APAM Offlce We are dellEhted to have moved Snto a new office In Mansell Street, El, taklng the second floor uf the Scollosls SOS bullding wliere we are also able to use clinic looms. We are VEry 8rateful to the Royal Society of Musiclans fol allowlng us to use thelr ofllces whilst we awalted a permaneJ)t offlce. Network5 and oiher relationshlps 8APAM Is proud of Its lengthy association with many natlonal performing arts organlsètions, Throughour 2D23, we have malntalned strong Ilnks with our principal fundeis, Help Musicians UK. and wlth unlons representing performers - particularly the Musltlaris, Unlon IMUI anil Equiiy who also provlde us wSth fundlng, Our mental sèrviee has tontlnued to be very well used, although the proporlion of mental health presentatlon5 has slightly reduced. Music Mlnds Malter reduced thé number of therapy sesslons they could provide in july and asked us to manage the Implementation. We were very grateful to the Equity Chatitabl Trust for provlding addit101131 funding to supplement the Equity scheme and both enabled us to provldE therapy for creatlve practltioners. The Dan Piofesslonal Fund contlnued to support therapy foi dancers. In total, we supported over 1000 performers wlth mental health i55ue5 In 2023 ènd dellvered over 7250 counselllng 5Èssions, Our relatlonshlp wlth PPL has agaln been ttgreat SOL¢rce Df strength thls year thanks to the CEO land BAPAM Chairl, Peter Leathem, who as well 85 provlding us wlth much needed fundln& has olso given generou5 support by enabllng 8APAM to access legal, IT and Communlcatlons expertise fiom the PPL senlor team. We are also grateful tts PRS for their ongolng financlal support. Our relatlonshlp wlth the Royal Soclety of Musl¢ian IRSMI developèd Into a slrong partnershlp and we are gratèful to them for allowlng us lo use their offlce spacè, BAPAM provldes routlne ¢linlcal advlce on appllcations, and we have continued to dellver our lolnt Ifalnlng programme brlnglng togèiher over 1400 muslclans atwèblnars ii) dlverse health iopics on mentali physltal, hearlng and vocal health.
3rlt15h A55oclatlon for PerfoYmlnE Art$ Medlclne IBAPAMI Charlty No 1167785 We are very pleased to have ie-EStablished our face-to.face cllnics in 2022, aftd to bè tollaborailng with the 5)Ee, Gateshead, the Liverpool PhllliarmoThic and the Royal Welsh College of Muslc aiid Dratna to provide clinlc% In Gateshead, LIvÈrp(y and Cardiff. We also have tieswlth educatlonal instltutlons, both In the performing arts seclor le.g. performance courses at ¢onservatoires and colleges) and in Iiealthcaie sclehce Ond medlcine le,g, peTformance science and performlng arts medl¢ine courses at the Cenlre for Perfomiance Scieiice at the Royal College of. Muslc and at Unlversliycollege Loiillonl, We are verygrateful to the Royal Collegè ol Muslc for Snvlting usto collaborate On a PhD project. Mlchael Duriant has started hls PhD In health promotioh, Our Chief Executive, aalre Cordeaux, and 8APAM Medical Comtnittee member Sarali Uplohn are membefs of the Healthy Conservatolres Network steering GTOUP. Our clinicians regularly provide expert input Into teachlng on ihe Masters In Performlng Arls Mediclne at UCL. WÈ arè also the charity pariner of Wlde Days In Sctrtland and provide healtli mentorin8 lor thelr selected art15ts. Obl¢¢tlves and actlvltles The purpose of BAPAM Is: the advancement of edvcat40n by the piomotlon of medical research In the field OF physical and mental stres5 and Its effects on performantè,. the protecilon and preservatlon of health by the improvement of medlcal tare foT actor9, musicians, dancers and those involved In the perfoimlng orts; by the provlslo# of tieatment and preveDtatlve tare,, by encouraglng research In this field,. and by dissemlnatlng the useful results of su¢h iesearch. BAPAM achlevès thi5 tlirough dlrett provision of Information, clinlcal assessmentand referral forstudent and professlonal mèmbèrs ol the performlng art5 rommunityi and th¥ougli broaLfer education, tralnlng. ie5earch and dlssomlnatlon of knowled8e about best practlce In performing arts mÈditlne. At the start of 2022, we agréod a three-year str8te8y wlth our Board and funder$ wllh ft)ur key alms whlch are revlewed e8¢h year. Cllnl¢al Asgessment and Dlagno$l$. Grow Ilie provlslon of hlgh qualityfree cllnlcal a55es5ments to peiformers and perfOrmar professtonals to determine a dia8nosis and pathway to further assessment andloy treatmentto enable access to all genres of performerslperlormance piofessionals UK-wide. Onward Referral Development: Develop onward referral pathways through the NHS, IndÈpendent healthcare providers, or a combSnatlon of the two to ensure the right care is dellvered as qulckly as posslble and explore models ol dellvery to offer art15ts and funders efflclènt optlons lo support thelr are. Injury Preventlon8nd Health Promotlon.. Provlde hlgh qualltY evidence-based health eduution and rèsources to performers and organisations Involved In the performancè environment. Resear¢h: Drew on BAPAM expertise and data to Inlorm and dèvelop resèarch projects tllnlcal caie and health promotion, whlch can inform polity and practice in the Indu51ry and health¢aie and securè funding for development In 2023, we set otst 10 oblectlves for the year.. Alms 1. growth 2. Smarter more efficlentworkln8- $tabllising tlie.ttam 3. Clearer paihway for"compleK' Patlents 4. Developmentof cllnlcal workforce- managlng growlh efficlently, safely and wlth care Pago Y
Brltlsh Assoclatlon forperlormlng Art5 Medlclne18APAMI charlty No 1167785 5. Cllnic81 and preventlon advlce io morè organlsallons 6. Fundralsing strateEY- new Trustee- Improved nelworkln8 7. Octupailonal health service developmenl and support 8. Progress on research Tegistry 9. Developing partnerships 10. Permanent premlses lfi establlshlng and delivering BAPA Ws mlsslon and Stratèglc Plan the Trustees confirm that they have conslderèd ihÈ Charlty Ctsmmission'5 4uldance on publlc beneflt. BAPAM'S work directly benefits the health and welSbeinE of those sections of the tommunlty tomprislng performing arts students and professional performers, many of whom experientè distress and hardship due to health issues and inlulles. Delalls are provlded quarterly to our Board, Medl¢al Commlttee and funders. Achlevements and pertomian¢• Cllnleal Govèynance The Care Quality Commlsslon cantelled 4 planned onsile InspectSon as a result of our tèmpor&ry offlte move to the Royal Soclely of MvsÈclans and wlll Inspeci agaln once we are established In our new premlses. Nevertheless, we Iiave continued to maintaln scrvtlny of ou[ clinical governance prDcesses througl) the woik of Usman Iqbal as our Senlor Operations Manager, with our Medlcal DlrÈctor antf Medical Commlttee. Cllnl¢s Our free assessment 5ervlce5 remalned a core servlte throughout 2023. We have online appointments available In 8locations in the UK (Belfast, Galeshead, Liverpool, Blrmlngham, Cardiff, Manthester and Leed51. Consultations are book¢d up in our new London PTemlse5 although they are harder to fill outsSde London, and we have contlnued to provide the malorlty of our appolntment5 online, Patlent numbers from outside London are over 55%. We are mostgrateful to all our tllnlclans fortheir work, ThrJtjUSl in providing ¢linic5 but Iso workingwith us to review and further Improve practlce. Cllnlcal woykforee Thirty-four clinlclans, nationally, dellvered our free BAPAM cllnlcal assessment seTvlces durln8 2023, provldlng thelr sÈrvlces for an honorarium below the market rate. Our cllnlcians, areas 0¢ expertlse Included general piactlce, orthopaedlcsurgery (upper limbl, rheumatology, physlotherapy, osteopathy, h&nd therapv, clinical psychology and psychotherapy. Flfty-two cllnic81 practitioner5 loiTred ihe Dlrectory In 2023. We are pleased that our work on tl8htenlng up scfutlny of practitioners Is now workiDg very smoothly, We follow up cllnlGlpns on an annual basls to check that documentation is current and thal they are altendlng tralnlng. We have had some cllnsciBns who have retl¥ed from tlie Directory. Our current number of practitloneis15 318. We now have over 70 theraplsts worklng wSth us io support perlormers under IIFe Equity. Dance Piofessionals and Muslc Minds Matlers schemes. Our tralnee therapists from the Blatk, Aslan aiid Mlnoylty Ethnlc trainiTr6 scheme have starte(I to see clients and one has now Ioihed our therapy s¢hemes and two more are about to qUBllfv. Cllnlcal A¢tlvlty Durlng 2022, we managed 3177 clinical enqulries and looked after 2850 patlent5 of whlch 1872 were new reglstiatlons, We provlded 2598 free appolntmonts. Thls Is agaln the hlehest number of cllnlcs recorded ID the last S years and thanks go to Ruth Zadl and oui helpline for managlng fSist contacEs and clinics. More patients wlth complex conditions 1)ave called for support, possibly because NHS servlces have been uDav•llable. P•ga 8
BYltl$h A$sL¥dallon for Pe¥lormlnB Arts Medl¢lne IBAPAMI Charlty No 1167785 Ilpotlents.. New reglstiatlons 023 22 1792 021 1450 020 984 019 1269 1$ 1020 OJ7 573 016 6412 1872 Free pointmenis 59 2418 1818 1224 1212 987 702 99 At the end 012023 39% of patlents wèie presenting with a musculoskeletal issue compared to 31% with a mental health problem. 2W are PTesentlng wlth volce Issues and"other' remaliis at 7%. It should be noted that thls Is based on Informatlon take# at ieglstratlon and afterasse$5ment many patients are foiiftd to have moTe than orbe diagnos15. 58% 01 our patients are aged between 18 and 35. wlth 25% being 18-25 years. 28% are between 36 and 65. 59% of patlents are identlfied as fèmale and 16DA from Black, Asian or mlnorlty ethnlc groiip. 78% of pallents ate Instrumentalists or slngers and songwriters, and the remaining 22% actors and dancers/clrcus perforTr)ers. Many of our patients do more than or>e pÈrformln8 ait. Cllnlcal 69NIc*5-•valu4tlon and ImpDct We have etsntinued io collect extenslve anonynious patlent Satisfaction and survèy data ilirougl)out 2023. Thèse data enable us to monltor and Improve OUT 5eivices, and to assess Impact. They also provlde evidence of performerg broader healthcare experlences and needs whieh we share with our partners in the field. We undertook an assessment of the feÈdback Collected from 3,331 peiformers attendlng thelr fiTst BAPAM assessmenl durlng 2023. 72% reported being seen within 2 weeks of contactin8 BAPAM and 89% wlthin 3 weeks. Only 2% walted more than 4 weeks. However, 97% of patlents were satlgfied wlth waitinll tlmes. Clinlcal advltè and mariner was rated as 'good' or 'excellent' by 97% of performers, 96% rated clinician knowled8e as excellent or good. 98% sald theywould rècommÈnd BAPAM toa colleague. Thè most tommon 8ppolntmenl tsutcomes wérè informatlon about health condltion 16(1%1 and advi about hoalthy performancè prattice149%1. Our ant>iial svrvey, whlch collects feedbadc fiom patlents 12 months after thelr appolntment le1Ve 182 responses. 86% of patlp.nts sald that BAPAM had helped wlth their problem. Of the 14% who $8ld BAPAM h8d not helped, some had lon8 Standlng complex problems ihat we could not lielp wlth, and soine had not been able to get NHS follow-up. A few would have IlkÈd fuTther support and help wlth next steps. We have been able ¢0 implement an offer of roullne follow-up for patients after 3 months 50 that we ¢an pick up people who have not been able to access the SUPPOTt recommended and provide lurther help. PatlentS told us that 79% were back to performancè. Performer health edutatlon Our health promotlon tralnlng pro8ramme, includlng partnershlps with the Royal So¢lety of Musicians, Help Muslclans and other organ15atlons, has ¢ohtlnued onlSne thi5 yearaltracting over2500 attendees from across the UL We have been offerlng monthly 5e55ions on Injury preventSon and vocal health as well as wéeklv sesslons on OUT P.E.R.F,O,R.M.A.N.C.E wellness programme to support perlormèrs to set and malntaln hèalth go415. Our self-care sessions wlth Help MuslclaTrs have been very well evaluated and we have continuèd to workwlth the winners of the Help Musrclan Creatlve Awards to provlde health mentorshlp sesslons. WÈ have beèn runnlng regul8r psychoeducatlon programmes for creatlve p¥actitloner5 supported by Equlty th55 year to supplement the covnselling programme. We also offèrÈd a six-IvÈek progiamme for people with neurodlvelse ITailsto supportthe devèlopment of managementstrategles. We contlnue to offer our Hèalthy Practlce Dlary to hèlp perfoTmers Identifytheirown l)ealth risks and to develop healthy practlces to mitigate them. Professlonttl development We have beer) contlnulng to provide regular prolesslonal developtnent evenlng sesslons Dnllne and Dr Hara Tloull ha5 re-intr¢UCed PAM Rounds gt UCLfor dinlclans to meet and share case studles. she also rEn a PAM and a PAM Research Day In September whlch wa5 well attended, and participants appreciated belng able to mèet together agn and dis¢uss recent trends Iii case mlx and best management practlce. Enormotss thanks Pagé 9
8rlt15h A550clatlon for PerfDrmln8 Art5 Medlclne IBAPAMI Chaylty No 1167785 are due to Dr Hara Troull who has put the progfams together and hosted them. Attendante onllne was 172 in 2023 ènd over 40 people attended tlie PAM and Reseafcli Days. Research and a¢ademl¢ Ilalson We have contlnued our partnèrship wlth the UCL Msc in Performlng Arts Mediclne during 2023. wlth contributions to the course from OUT trustees, staff and volunteer clinlcal piattitioneTS. We are delighted tliat future research is plannlng to use tl)e BAPAM database, starting wlth audlis, to develop reseèrch projects. The flrst of these is on vocal hé8ltl) 8nd the clinScaudit will report ill early 2024, Michael Duriant, PhD student from the Centre of Performance Sclence at the Royal College of Music with BAPAM as collaboratlve partner Ss conlSnuSng to work on health promotlon, Flnan¢e and Fundralslnl Fundral$ln¥ attltIeS We are extrErnely grateful to performeis. patlents, org4nlsatlons an(1 supporters who raised funds for APAM through donatlons and events during 2023. It is pleasing to noto that our partnershlp worklng with industry oiganisatlons has resulied In Increased funding. Our Increased tralnln8 octlvlty Is also fundlng the admlnlslratlon of tfainliig progrommes. Flnanclal revlew Unrestrltted income for the year, Includlng donatlons in kind IHR and management consultatTrCV Services generously provlded by PPLworth È5,3691 was £1,387,3SO, an Increase of £ 61.89415%). laigelyattributable to Incre45es in fundSn£ from PPL and our anonymous supporter wl)o funds ihe Medlcal Dliettoi role. Unrestrlcted expendlture Incieoseil by £212,457 from £1,290,322 to £ 1,5Q2,779, The maln factor Sn the Intieased e05ts lies wltli lil the signlficant Inttease In average headcount (we only reached the full stofflng level at the end of last year, as opposed to thé wliole of thls yèar, Ihe Tecrubtmentof a data analyst and part time GPS Iwhlch15 ¢ompen5ated bya redL¢Ctlon in clinical costs desplte hi8hervolumèsl and lill an exceptSonal Itém tonThectÈd to a staff grievance procedure linked to the HR revlew (bf the mental health team. The cost of IiJTrnlng the Off1 Ipremlses and general propèrty rèlated overheads) saw the reductlon In dliert occupancy costs of £22,965 due to the relocatlon io first the RSM and Subsequently to our new premises In Man5ell Street. Agalnstthis we note Increased tr8vel and general office costs as we recoverfrom COVID. The nèt result was è deficit on unrestrlcted funds oFwa5 £115,4291£35,134 surplus in tlie prlor Yearl. We beneflt Irom grants from Help Muslclans UK, MU, PPL, PRS, Equlty, the Royal Bgllet Benevolènt Fund and an anonymous donor who has kindly egreed to furbd the Costs of employlng the MÈdical Dlrector,- these arè key lo BAPAM'S sustalnablllty. Sadly In 2023 we did not achleve our goal of Identifylng arbd bénefltin8 from new rèturrln8 sources of fijnding. Rese85 UAPAM has a reserves policy designed to malntain reserves at a level toensure that, In a perlod of unforesee dilliculty, its activities can be coThtlnued for a minimum pèrlod of three months. In the event that the oiganisation can no longer functlon, thls would allow 8 Strategic run-down of 3Ctivlties and full compllamte wlth outslandlne persoiinel and operatlonal obligations, We ensure the calculation at thè required level of reser$ Is an Inte8ral part of annual planningi budget and forecastlng and take5 into account planned activity levels, all Ilnantlal tommltments and the rlsks associated wlth dtfferent income streams, Pa88 10
Brltlsh A5s0clatlon for Performln¥ Arts Medl¢ine IBAPAMI Charlty No 1167785 We ensure that such reserves are helcl in readlly reallsaL¥le form and tover.. 5tattJtory redundancy CODtwartual obllgations tD Staff, professlon41 tes, three montli$' utllltles and other propeTty ¢0Sts, equipment costs and wrlte downs. As tsf the end gf 2023, and based on the budget for 2024, we estimate the de51red amount of unrestrlctèd reservès to be £230k- £ 25Ok In acce55ible funds. At the end of 2023, total unrestrlcted reserves werè £256,215,. after deduction of the1111Squldl flxed assets of £ 30,524 the amount of freèly avallablè ièSèNes Is £225,691, The re¢overy of reserves to alKsve £ 230,000 Is a key oblectlvp for 2024. Prlnclpal rlsk$ ond uficeYtalntle$ and plans for the future The board olTrustees regularly reviews tliè prlnclpal rlsks to the charltv. Those risks Include ovr rellance o giant funding, the burden5 placed on our relatlvely smo11 staff numbers, and reputatlonal and othér ilsk5 assoclated wlth our professlonal work We contlnue to seek wider and more secure sources of finano and are hearlened by the renewed and IntrÈased supporl we are recelvln8 from our fundeis. We have recently strenEthened our staff te8m. Our profe5slonal standards are key,. botli the board of Trusteès and our Medical Committee give contlniilng and careful attention to the way in whlch we offer cllnlcal servlces and advlce. We revlew our Insurance requlrements annually, PETER LEATHEM, Chalrman Pa84 11
Brltlsh A$$oGiatlon for Peiformlng Arts Medlclne IMPAM) Challty No 1167785 Statement of TYu$tèè5 Responslblllil&$ The Trustèes are re5ponslble for preparlne the Trustees, Annuol Report and the financial statements i accordance wlth applicable law and United Klngdom Accountlng Standards Iunlted Xihgdom Generally Accepted Accounting Pr4cli¢el. The law appllcable to charlties In England & Wales requires the trustees to piepare financial statements for each flnanclal year whlch give a true and falr vlew of the state of affalrs of the ¢l)arlly and of the incoming resources and application of resources of the charlly for that pèrlod. In preparlng these financial statements, the trustees ale requlred to.. select sultable ac¢ountSllg poli¢ies and ihen apply them consistently. obseive tho methods and princlplès ifb the Ch8ritles SORP 2019 IFRS 1021. make judgement5 aiid estimates that are reasonable and prudent. state whether applicable UKAccountlngStandèrdshave been followed, svbject toanymaterlal depaTlure5 disc105ed find èxplained in the financial statements. prepare the financlal statements on the goSng concern basls uhless It Is inapproprlate to presume that the th8Titywlll Continue in operation. The Trustees are responsible for keepSng proper accounllng records that disclose wlth Teasonable accuracy at any time thÈ flnanclal position of Ihe thariiy and enable thèm tts ei)sure that the financlal statemens comply wlth the Charlties Act 2011, thÈ Charity IAc¢ounls and Reports) Re£ulatlon5 2008 and the provlslons of tlie trust deed. Thèy arÉ also responslble for 54leguarding the a5set5 of tlie charlty and hènce for ¢akinB reasonable steps for the prevention and detedlon of fcaud and other Irregularities. Trustee Declartltsn So fèi as the Trustees are w8re, there is no reltvant audlt inff>rmation of which the chariivs audltors are unaware. Tiustees have taken all the steps iiecessaiy to make themselves aware of any relevant audlt Informallon and to establish that the chailly'5 auditors are aware of that Information. This reportwas approved by the BAPAM Board of Truslees on 30 Apill 2024 and slgned 5t$ behalf by PETER LEATHEM, Chal¥man P•8e 12
Brltlsh As$oclatlon for PÈrformlnB Arts Medlclne IBAPAMI Charlty No 115778S Indepèndent Audltorfs Ileport to theTrustees of the Brit15h Assoclatlon for Performlng Arts Mediclne Oplnlon We hève audlted the Ilrtanti3I statements ol 8rlti511 Assoclation lor Perlorming Arts Meisicine Ithe'ch3rit¢l for the year ended 31st December 2023 which comprise the Statement of Financial Activity, thv. Balance Sheet and notes to the Ilnancial stètèn)ents, in£luding a summary of si8n51icant accountlng policres. The fii)anclal reporting framewoTk that h35 been applled in their PFeparatiDn 15 3ppl¢cable law and United Kingdom AccountinE Standards, including Flnancial Reporting Standard 10?.The Financial Reportln8Standard applicable in the UK and Republlc of Ireland (United Klngdom Generally Ac(epted Accounting Practl¢el. In our opinlon the financlal statements: 81ve 8 true and fair VIEW of Ihe state ol the charity's affairs as ar 31st O¢cember 2023, and ol its incoming esourtes and applicatlon of resources, for tle year then ertded,. have been properly prepared In accordHncE with Unlted Klngdom fjenerdlly AttEpted Accounting Piactlce,. and have been prepa*ed In accordaThce wlth the requlrements of the Charltle5 Aci 2011. Basls for oplnlon We condutted our audlt In accordance with Internatlonal Standard5 un Avditln8 IUKI IISAS IUKII and appllcablè law. Our re.sponslblllties under those standard5 are further destribed In the Audltor's re5ponsibllitles fDI the avdlt of the flnanclal statements section ol our report. We are Independent of the charity in accordance with the etlilcèl ¥Èquirements that are relevant to our audit of the financlal 5tatement5 In the UK, including the FRCS Ethical Standard, and w& have fulfllled our other ethical responsibillties In accordance wlth these requlremènts. WÈ bellÈve that the audli evidence we have obtalned Is sufflclent and approprlate to provlde a basls for our oplnlon. Concluslon5 relatlllB to Eoln8 conter In audltlng the linanclal statèments, we have tonclsjded that the liuslees, use ol IhE 8Dln8 conterii basis of ac(ounting in the preparation ol the Ilnoncial statements Is appropriate. Based on the work we have perltsrmed, WE l)avE rlot IdeiitSflEd a¥ material uncertalnlles ielating to events or condltlons that. indlvldually ortollèctively, may cast slgnlficènt doubl on the charitsble company's abillty to contlnue as aBoin£ concern for? peiiod of at IEa5t twelve month5from when the financial ststements ale aulhorised for Issue. Our responslbilitie5 and the responslbllltlès of the tiustees wlth respect Èo golng concern arè dÈs¢rlbed In the relevant secllons of this report. other Inlormatlpn The other InfoFmatlon comptlses the informatlon Included In the trustees annual repoit, other than the financlal statements and our auditor's report thereon. The trusteesare responslblefortheother information contained within the annual report. Our opinion on the flnancSal statements does not cover thÈ othei information and. excepl to the extent oihefwise expllcitly slated In our report, we do nol express any form of assurance conclusion thereon. Pa8e 13
Brltlsh Assoclatlon for Performlrjs Art5 Medklne IBAPAMI Chaylty No 116778S Our respDnslbllity15 to read the other information and. in dolng so, consider whetherthe other Informatlon Is materially iricon5iStetttwiih the flnancial state.ments or our knowledge obtalned In the audlt or otherwise appear5 to be materlally misstated. If we identify such materlal Inci)nsistencle5 or apparent materlal misstatements, we are required to deterrnlDe whethe.r there 15 a makerlal mlsstètement In the financial 5t3tements 01 a material mlssiatement Df the othei Inlormation. 11, based on the work we have perloimed, we conclude that there li a maierlal mlsstatement of thls oiher inlormatlon, we are requlred to report that fact. We have nothing to rePt iTh this regard. Matters on whlch we are requlred tts report by excèptlon We have nothlng to rÈport In respect of the followlTr8 matters In rÈlatlon to whlch the Charltles (Accounts and Reports1 Regulations 2008 iequire us lo repo¥t to you il. in our oplnlon.. the information Biven in the f4r*an¢i315tatemenls Is inconsistent in any materièl respect with the trusiee5' report; or suffttient accountlng record5 have not been kept; or the financlal stèlements are tsot in agreement wth the attourtting records.. or we have not received all the Information and explanatlons we require for our audit. Responslbllltles of trustees As explained more fully In the trustees, responslbllltles stètement15et out on page 101, the trusteès Ore responsiblÈ foi the preparation of Ilnancial statements whlch 8ive a true arhd fair vlew, and for sv¢h internal control as the trustees determlne Is necessary to enable the preparation of Iinancial Statements that are free fr¢m rnateilal mlsstatement, whethèr due to fr3ud or error. In pieparln8 thè financlal statemenls. the trustees are responslble for assessln8 the charl5 ability to contin¢Je as a going concern, disclDslng, a5 applicable, matter5 related to yoing concern and using the goin concern basls of ac¢ouiitin8 unles5 the tru5tee5 either Snlend to liquidate the charlty or to cease operatlor$5. or have no realistic alternative but to do so. Avdltorfs re5ponslbSlltles forthe audlt of the flnan¢lal 5tatemenls We hève bèen appointed as auditor under settioh 144 Of ihe Charltles A¢t 20JI and report In accordan with re8ulatlon5 made undersectlon 154 of ihat Acl. Our objèctlves are to obtain reasonable assurance about whether the flnancial Statements as a whole are free from material mlsstatement. whÈth&Tdue tofraud oreiror, and to Is$Lie an audltor'sreportthat Includes ouropinlun. Reasonable assurance15 a high level olassurance, bui Is not a 8uaranteetliatan audit conducted Sn accordance with ISAS IUKI wlll always detect a material mlsstatement when It e¥ists. Mlsstatements can arlse from fraud or error and 3re consldered materSal If, Indlvidually or In the aggregale, they could reèsonobly be expected to infltjence the economle declslons ol users takon gn the basis of these flnèntlal Staternents. Irre8ularitie5, includinL. fiaucl. aro Instances of non-cornpliance with laws and regulations. We d@siEn procedures In line wlth eur responslbllitles, Outllnèd above, to detect maierial misstatements In ¥e5pect Df Irre8ularltles. Includlng fraud. Page 14
Brltlsh Assoelatltsn for Perfo¥mlng Arts Medlclne {BAPAMI Cha¥lty No 1167785 The speciflc procedure5 lor this engagement and the emtent to which these are capable of detecting Irregularlties, Indudlng fraud is detalled below.. . We galned an understandinE of the legal and regulatory framework applltable tothe thailÈy and the settor in which it operates through discLF5$10ll5 Wlth management. sector research, and the appllcation of relevant audlt knowlèdBe and exp2rlenEe - We made enquirle5 of managÈmEnt aiound actijal and potential Ilti8ailon and clalms We Inade enquilies ol management and relevant staff, and designed our avdit procedures, includlnE revlewing linancial stat•.meMt dlsclosuies and testing of Supporting documentatlon, to assess compllan¢e wilh applicable law5 and regulations. We focu55ed on law5 and regulatlons whlth could Bive rise to malerlal mlsstatement in the financlal statements includin& but not Ilmlted to, the Charltles Act 2011, the Charities SORP, and the Financlal Reporting Standard 102. We identilled the risk ol materlal m1551alement olthe flnancial staternents due to fraud and desi8rted audit procedures to respond to the rlsk. We perlormv.d èudlt procedures deslgned to addre55 the rlsk of fraud arlslng from man8gemetht override ol controls. Includlng, but not liinited to. test*ng of journal entries and other adjustments, ievlewing accounting estimate5 lor eviifence ol bias. and evaluatlng thp bvslne55 rationale ol signSfi¢ant trans&clioTrs outside the normal covrse of business Because ol tlie Inherent Ilmltatlons of an avdit, there 15 8 rlsk that we wlll not detecl all Ir¥egularltle5, including those leadlng io a material rni55tatenient In ille financial statements or nDn-compliance wlth regulatlon. Thls risk Increases the more that compliance wlth 8 law or iegulatlon Is removed from tlie evenls and transactions reflected Inthe financlal statements, as we will be les$15kelyto become aware of in5tance5 of non-compliance. The risk Is also 8ieaier regardlng irre8ularitles otturring due to fraud rather thall error, as fièud Involves lTrtentlonal concealment, forgery, colluslDJI, omisslon OT mlsrepre5ent?tion. Afu¢ther descriptlon olour responslbilitlesftrrthe. audltofthe financtal Statements is located on the Financial Reptsrtlng Council's web51te at.. www.frc.org.uklaudltorsrèsponslbllitles. Thls desuiptlon forms part of our auditor's report. Use of our rèport Thi5 report is made solply to the charlty'S trustp.es, as a bodytr in accordènce w51h Part 4 of the Charlties IAccouiits and Report51 Re8ulation$ 2008. Our audit work has been undertaken 50 that we mi8ht state to the charity's trusteès those matters we are r¢qulre¢l to state to them In èn audltorfs report and lor no other PUfP05e. To the fullest extent permitted by law, we do not a¢pt or assume responsibility to anyDne other than tho charily and the charltls trustees as è body, for OUF audlt work, for thls report. tsr for thè oplnSons we have ftsrmEd. Co pas Account4nts LIMlted Cha ed A(countanls and Statutory Audltor Venture House, The Tanneries East StreeL Titchfield, Hampshlre. P014 4AR Date: 2££ PaBe IS
rltlsh Assoclatlon for lyerformlng Arts Medlclne IBAPAMI Charlty No 11ST185 Staiemeni of FIMart¢141 Actlvlile$ For thp year ended 31 December 2023 Unrestrlcted Funds Restrlcted Funds 2023 Total Unrestrlcted Fund5 Restil¢ted Funds 2022 Total Income Grants Donations In klnd other donations Investlnent Income Total Incomln8 Resources 1,365,470 5.369 15,084 1,427 25.375 1,390,845 5,369 15,084 1,310,359 3,850 10,936 311 13,000 1,323,359 3,850 10,936 311 1.387,350 25,375 1,412,725 1,325,456 13,000 1,338,456 Expendlture Clihical c051s & Therapy costs Mentèl Health ther3py Costs Health Promotlon staffing costs Marketln8 of services Fundralsing expendlture Premises costs offi costs AccouJ)tancy and bank ¢hèrge5 Legal expendlture Governance costs.. trustee meetTng5 Governance costs.. audlt Awards Ifom Research and Education Fund 674,957 25,375 700,332 745.060 22,700 767,760 1,263 657,4741 1.263 667,474 2.581 391,121 2,581 391,121 9,729 9,729 8,656 8,656 61,560 GO,794 61,560 62,645 84,525 43,698 84.525 44,543 1,851 19,482 19,482 io,ooi lo,1 7,520 7,520 4,680 4,680 Tolal charltable expendlture 1,502,779 27,226 1,530,005 1,290,322 23,54S 1,313,887 Net movement In funds Transfers between funds Rese¥ves brought forward 1115,4291 11,8511 1117,2801 35,134 110,5451 24,589 371,644 1,851 373,495 336,510 12,396 348.906 Total lundscariled forward 256,215 256,215 371,644 1,851 373,495 All tran58Ctlons are derived from tt)ThtinuinÉ activltle& All recognlsed gèlns and10s5es are Included In the Statement of Flnancial Actlvltles Page 1$
Brltl$h Assocl3tlon for PerformlnB Art$ Medlclne (BAPAMI Charliy Ntb 1167785 Balante Sheet As at 31 December2023 2023 2022 Wote$ Flxèd As¥Èts Tanglble a55ets 30,524 4,118 CvrrentAs$ets Deblors Cash at bank and In hand 229,923 153,361 383,284 215,383 3(14,426 519,809 Credltoys: èmount$ falllng due wSthln one vear 157,5931 1150,4321 Net Current Asset$ 225,691 369,377 Net Assèi8 256,215 373,495 Funds Unrestrl¢ted Funds Restricted Fund5 256,215 371,644 1,851 256,215 373,495 The accounts have been piepartd in accordènce wlth the Flnancial Reportlngstandard 102 and thè Charitles Act 2011. Tlie linanclal stgtements wer&Èpproved and authorlsÈd for issue by the TrustÈè5 on 30Aprll 2024and 51gned on Its belialf bv PETER LEATHEM, Chalrmarb j OHN TURNER, Honorary Treasurer Pa8& 17
Brltlsh Assoclatlon for Performlng Arts Medltlne IBAPAMI Charlty No 1167785 Cash Flow Statement Forthe yèar ended 31 December 2023 2023 2022 Cash Flows from Operating A¢tivltios', Net Cash Generatedl (Used) In Operating Activitles 1120,6301 170,129 Cash Flows from Inve$tln8 Actlvltles., Interest Income Purchase of property, plant and equlpment 1,427 131,8621 311 12,0381 Change itt Cash and Cash Eqvlvalents in the year 1151,0651 168,402 Cash and casli Èquivalents ot ljanuary 2022 304,426 136,024 Cash at 31 Dècember 2022 253,361 304,426 Rétonclllailott of net Incomo/expenditure to net ¢a¥h flow from operatlng actlvllles Net Income/ldefl¢ltl SOFA Depreclatlon Interes1 Income ReductloMlllncrÈasel In Prepaymentsldebtors Increase/lReductlonl in accruals/cfeditors 1117,2801 5,456 11,4271 114,5401 7,161 24.589 2,783 13111 25.812 117,256 Net Cash G¢nerated/lU$edl In Oporatlng Actlvllles 1120,6301 170,129 P&g8 18
Brltlsh Assodatlon fvr Performlng Arts Medl¢lne IBAPAMI Charity No 1167785 Ngte6 to the flnanelal statement5 forthe year ended 31 Oecember 2023 Accountln8 pollties The principal accounting policles are summarised below. Tliè accounting polldes liave been applled conslstently throughout the year, 1.1. Ch?rlty Informatlon Tl?e Britlsh Associatlon for Perlorming Arts Medlclne Is a règlstèreil Gharlty, number 1167785. Thè busiiiess address Is shown on the Informatlon page. The Brltlsh Assoclatlon for Performlng Arts Medltlne meets the deflnitlon of a publlc benefit entity under section 34 of FRS 102. Assets and Ilabilitles are SnStially recognlsed at historical cost or transacllon value, unless otherwise stated In the ¥elevaht accounting policy, The prlncipal obJe¢tlves of th ch8rlty are detalled In the Trustees report, Ba$55 of a¢countlng The tlnanclal statements have been prèparèd under the hlstorlc81 cost convèntlon and In accordance with Accountlng and Reportlng by Charitles.. Statement of Recommended Practice applicable to cliarltles preparlng their accoun15 Iri 8CCOTdance wlth the Flnancial Reporting Standard ai)pllcable in the UK and Rèpublic ol lieland IFRS 1021 leffective October 20191- Icharlties SORP IFRS 10211, the Financial Repo¥tlhg Standarit appllcable in the UK and Republlc oi Ireland IFRS 1021, the Charltles Acl 2011 and UK GenerallyAccepted Practlce. Fund ac¢ountlnB Unrestrlttèd funds are grants, donatlons and othèr Incoming resources ¥ecelved or generated for general purp95e5. Restrlcled funds are to be vsed for speclfiecl purposès as laid down by the donor. Expendlture which meets these crlteila is identlfied to the fund. 1.4, Income Voluntary Income is recelved by way of donatlons and glfts anrt Ig Included In f11 In the Statemènt of Flnancial Activ5tlP5 when iecelvable. Doiiated assets are Included at the value to th¢ charlly wl)ere thls can be quantlfied and a thlrd party Is bearlng the eost. The value of servieés provlded by volunteers has not been Includèd, Grants, Includlng grants for the purchase of fixed assets, are iecognlsed In full In the Statement of f inancial Acllvitle5 in the year to which they relate. Income from Investments Is Included in the year In whlch it Is recelvable. 1.5. Rèaoureès expended Expendlture is recogn15ed on an atcrual$ ba515 a5 a Ilablllty Is Incurred, Charltable expetsdlture comprises those costs Incurred by tl)e charity in the dellvery of its actlvlties and sèrvlces for Its benellciaries. It Include5 both costs that can be allocatèd directly to suth activltieg and those costs of an indlrect nature necessary to SUPPOTt them. Support CgSts are those costs Intuired dlrectly In support of expendlture on ihe objects of the tharity and Include project management, Redundancy and other costs In connectlon with the teimlnation of employmentare recognlsed In the perlod In whlch the declsSon to termlnate the employment Is taken. Governance tosts Include those ¢ost$ Inturred In the governaDcè of the charity and ils a$5eis and are prlmarlly assodaled wlth constltutlonal and statutory requlreinents. Page 19
Brltl$h A$stsclatlon for Performln8Arts Medltlne IBAPAMI Charlty No 1167785 Notes to the flnan¢lal statements forthè year ended 31 De¢ember 20x3 1.6. Flnanclal In5trurnents The charitV5 finallcial p55ets and Ilabilitles cgnsist of cash and cash equlvalents, other debtors and ereditors, and accrued expenses. The Fair value o ihese items approxlmotes thelr carryinK value isue to thelr short-term natuie. Unless otherwlse noted, the charity Is not exposèd to sl8nlfteaTrt Interest, forelgn exchange or credlt rlsks gTlslng from these Investmenis. 1.7. Tanllble flKed a53ets Depreclatlon Is provlded at rates Calculated to Wflte off tho tOSt less resldval value of each asset over its expected useful Ilfe, as follow5: Leasehold Improvements Computer Eqvlpmeri Office Equlpment Flxtures and Flttlngs Medlcal Equlpment over the rémalnlng Ilfe of the lease - 33 113°A per annum - per annum . pei annvm - 2 per gnnum 1.8. Goln8 ¢oncern There are no material unceTtalntles rÈlated to events or condltlons that m)v cast sSBnlflcant doubt upon the charity's abillty to continue as a golng concern. Employees Number of Employee5 The avÈrAge monthly number of employees durlng the year were: 2023 2022 17 12 Employment Costs IAII employmènt Costs for both years are chargedto vnrestrlded lund$l 2023 2022 Salaries Soclal Security Costs Pension Costs othér staff cost& Includlng HR advlsory tOSts 515,310 41,114 37,105 333,175 27,490 21,430 73,946 667,475 9,026 391,121 Durlng thÈ yeai ihe charlty made a terminatlon payment of £ 7,04512022: nlll. Durlng 2023 one staff mÈmber earned emolumènts in between £70,000 #nd £80,000 per annum12022.. 1 £70,000- £80.(K)01. No trustees recelved any remuneiation. Duiing the year, one Trustee was reimbursed £ 308 for expense5 of travel to trustee and othÈr mÈetln8s12022'. £nlll. Senlor managen)ent Remuneiatlon costs Ilncludlng benèfits) weie £9L47012022'. £86,688) Thè cliariiv operates a defined contrlbution penslon scheme ITr respect of the employees. The Scheme and Ils assets are held by Indepèndént managers. The penslon charge represents ContrIbl0S due from the charlty. Pa4e 20
B Yltlsh Assodailon for Performlng Arts Medlclne IBAPAMI charfty No 1167785 otes to thèflnat)clal statémènts for the yearended 31 De¢emb•r 2023 Flxed assets Leasehold Improvements Computey Equlpment Medlcal Furnlture equlpment Total Cost/veluatlon At ljanuary 2023 Addition5 Dlsposals At 31 December 2023 25,704 3,218 1,229 1,773 28,71 31,862 28,644 28,644 1,229 1,773 60,568 Amortlsotlon At I january 2023 Charge for the year Disposals At 31 December 2023 121.6621 12,9931 11,2291 11.697) 176) 124,5881 15,4561 12,3871 12,387 124,655 11,2291 11,773 130,0441 Net Book V41ue At 31 December 2023 26,257 4,267 30,524 Al 31 Dece mber 2022 4,042 76 4,118 Debtors 2023 2022 DÈbtoYs A£cTued Income Prepayments 146,861 72,232 10,830 229,923 2,108 206,237 7,038 215,383 Credltors 2023 2022 Accrvè Deferred incomè Other Creditors 26,720 102,760 28,113 14,158 102,760 33,514 157,593 150.432 Pap21
Britlsh Assoctatlon for Pe¥foYmlng Art$ Medlclne IBAPAMI charity No 1167785 Notes tg the Ilnanclal statements for thè yeai ended 31 Docember 2023 Net assets between fuhds An?lyg1s of NetAsset5 between Funds Unre5tri¢ted Fund5 Restrlcted Funds 2023 Unrestrl¢ted Re$trl¢ted Fund Fund$ 2022 Fund Balance5 al 31 Decèmber as represented by.. Tan8lble Fixed Assets CurientAssets Current Llabiliiles 30,524 3B3,284 1157,5931 256,215 30,524 4,118 383.284 517,958 1157,5931 {150,4321 256,215 371644 4,118 519,809 1150,432 373,495 1,851 1,851 Restrfcted funds The R& D Restricted funds were availablè for prlzès ènd grants in the Ntld of resea¥ch and educatlon. Durlng the covrse of the prlor yeèr a grant wfjs received from the Equlty Charitable Fund IECFI, whlch was spent In Its entiroty in supportlng aciors. A Erant was retelved from the Royol Ballet Benevolent Fvnd IRBBFI which was spent In Its Éntlrety for thé purposes of supportlng professional d8ncers. Totsl 2023 Tol41 1022 ECF RB&F R&'D ECF RB8F R&D Balan a$ at 31 December Donatlons leived during the year Payments made during the year Balance Carrled ftrrward as at31 December 12,396 9,700 2,696 12.396 13,000 12,275 13,000 13,OOCI 13.000 113,OODI 112.275 (1,8511 123,5451 113,0001 9,700 845 23,5451 1,851 1,851 Leasè commltme.nts At 31 December2023 the Charity'soutstandin8commltments for future minlmum lease payments under non-cancellablè operatlnE leases were as follows.. nd and Ilulldlnas 2023 2022 fxplry Date.. Withln onè yèar Between two and flve ye&rs Over flve yeais 69,314 Pale 22
BTltl¥h A$soclatlon for Performlng Art$ Medl¢lne18APAM) Charlty No 1167785 Note$ to the flnanclal statement$ lorthe yearended 31 Dècember 2023 Related party trnnsactlons Two trustee5 retelved payments totalSng £5,628 relatlng to conductiog clinlc$12022: two Trtsstees, £4,212). io. Flnan¢lal Instrunients The carrylng amounts of the charltvs fSnancial instruments are as follows.. 2023 2022 Ffrnunciul ossets Debt instruments mèasurèd at amortised cost., - debtors and accrued In¢ome Inote 4} 219,093 219,093 208,345 208,345 Pa¥9 29
Brltlsh A5s0Glatlon forPerformlng Arts Medlclne IAPAm) Charlt¥ No 1167785 Unrestrlded Iheome and Expendlture for the yearto 31 De¢ember 1023 lthis ond rhelollowing poge ureformonogem8lltlnJoimotion only and do notformpi7rt olthestotutory finttnriGI stotementsj 2023 2023 2029 2022 Grants HMUK Mu51c Mlnd Matters MLI Equlty PPL PRS for Muslc Ar¢onymous fundln¥ for Medical Dlrector Warner Grand Order of tlie Water Rats Dance Professional Fund 344,691 748,241 50,000 68,( 75,0(K) io,(J)o 61,538 1,086,952 50,000 65,440 42,369 10,000 18,598 10,0 s,000 12,375 1,3G9,845 1,288,359 Othey Incomè Othèr Income a per capita basis Other voluntary incomt, induding donations and fuftd¥alsers 8ank Intèrèst Donatlons con5ultsncy & advice Total other Ineome 2LOOO 15,084 1,427 5,369 22,000 10,936 311 3,850 37,097 42,880 Totsl Income 1412,725 1.325.456 Cllnlc rost5 Honoraria paid to cliniclansltherapisls Other cllnlc costs indudlfig medical Comrnlttee 1700,3321 1745,0601 I7,332) 1745,0601 EdLtcatlon and TralnlnB net surpluslldeflcltl 11,2631 12,5811 Premises Premises rent and rates 16L5601 184,5251 184,5251 161,5601 Staff costs 5alari&s includlng Nl and pensions Temporary staff and recruitment costs Grlevante and Hfl coiisultancv Tot&1 staff costs 1598,6401 12,1151 166,7191 1382,0951 19,0261 1667,4741 139L1211 MarketlnB and fundral$ln8 Advertisin81 marketing of services fundralslng expenditure 19,7291 18,6561 19,7291 18,6561 Paza 24
Brlt15h A550clatlon tor Peiloymlng Art$ Medl¢5ne IbAPAMI ChA Ylly No 1167785 offlte expeftdlture onated Con5vltancy advice Software and IT support Trustee meetlng expenses Sundry office eKpenditure Insurances Equipment depreclatlon 15,3691 121,1691 13,8501 119,1851 124,7771 15,8741 5,456 19,8811 18,718) 12,783 143,6981 162.6451 Finan co$t$ Audlt Accountancy ank charges & bad debt5 Finance costs 17,5201 117,0071 12,4751 14,6801 18,6321 1,369 114,6811 127,002 Awards Irom Research and Educatlon Fund Tot?[ expendlture 11,530,005) 11,290,322) (Deficitll Suiplus 1117,2801 35,134 Pale 25