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
fO￿ard 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, med1￿1 and gdmlnlstrail¥# team
Trvstees del￿ate 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
Wo￿1￿￿￿10Ups
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 le￿1Ve￿ 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 ag￿n 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¥ attl￿tIeS
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.
Rese￿85
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 te*s, 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 statemen*s
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 Declar*tltsn
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 reP￿t 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 charl￿5 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$55 of a¢countlng
The tlnanclal statements have been prèparèd under the hlstorlc81 cost convèntlon and In accordance
with Accountlng and Reportlng by Charitles.. Statement of Recommended Practice applicable to
cliarltles preparlng their accoun15 Iri 8CCOTdance wlth the Flnancial Reporting Standard ai)pllcable in
the UK and Rèpublic ol lieland IFRS 1021 leffective October 20191- Icharlties SORP IFRS 10211, the
Financial Repo¥tlhg Standarit appllcable in the UK and Republlc oi Ireland IFRS 1021, the Charltles Acl
2011 and UK GenerallyAccepted Practlce.
Fund ac¢ountlnB
Unrestrlttèd funds are grants, donatlons and othèr Incoming resources ¥ecelved or generated for
general purp95e5.
Restrlcled funds are to be vsed for speclfiecl purposès as laid down by the donor. Expendlture which
meets these crlteila is identlfied to the fund.
1.4, Income
Voluntary Income is recelved by way of donatlons and glfts anrt Ig Included In f￿11 In the Statemènt of
Flnancial Activ5tlP5 when iecelvable. Doiiated assets are Included at the value to th¢ charlly wl)ere
thls can be quantlfied and a thlrd party Is bearlng the eost. The value of servieés provlded by
volunteers has not been Includèd,
Grants, Includlng grants for the purchase of fixed assets, are iecognlsed In full In the Statement of
f inancial Acllvitle5 in the year to which they relate.
Income from Investments Is Included in the year In whlch it Is recelvable.
1.5. Rèaoureès expended
Expendlture is recogn15ed on an atcrual$ 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 Eqvlpmer*i
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
ContrIb￿l0￿S 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 le￿ived
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 I￿APAm) 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