Charlty number. 1167785 rftlsh Assod•tlort lor Perfomilft8 Arts Medklne IWAMI Trust••< Annu•l R•port •nd FIMnd•l St•t•m•nts For th• y•ar •nd•d 31 D•c•mb•r 2025
Brftlsh Associatlon for Perf0m)IArtS Mediclne (BAPAM> Chath 1167785 Ch•lrm•n'$ Introductlon 2025 was our bu5iestyear since records be8an. We saw 31J)O patients, withjurt under 3500 dinical enquiries between them, and delivered 2790 dinical consultations. PrOdIng a performirrf art5-focused clinical assessment to creattve pra¢tltioner5 is the core of our worL and it was good to be able to help so many people. Towards the end of 2025 we 58w a slight drop in the number of pahents presentin8 wlth a mental health i55ue, and a grow5ng number pres•ntln8 Wtth a musculoskeletal orvocal health problem. Most of our dinlcs ar• Onllne whlth enables U5 to aSse55 performers wherever they are In the UK wlth minlmum walt. We commlt to offerin8 a face to face follow up and hold cllnlcs In Northern Ireland, Wales. Scotland, thè North East and North West of England, Yorkshlre and the Humber as well as the West and East Mldlands. Over 55% of patlents are from outslde London. and we are pleased that we be acce5s1ble to the national populatton In thls way. We have Specialist practitloners all over the Country and provide contlnuing professlonal development se551ons to enable everyone to have access to recent evldn¢ from Jpecialists in performlni arts InediGine. The number on our Dirertory stsnd5 at 313, aibd iiifui iiiatlui) dlJ()u¢ pra¢tttttsners can be accessed vla our websfte. We knowthat a numberof performlng arts health funders and provld•rs also use thi5 to ensure patients let th• rl8ht care. Our mèntsl health SeCe contlnues to attract support. Equlty renewed thelr contract for counselllng to members whose mental hèalth problem was taused by the workln8 envlronment. The Royal Varlety Charlty and Dance Prolesslonals Fund a150 contract wlth us to provlde therapy. The Musl¢ Mlnds Mattel. therapv hemt, whlch was SLtth a support to musicians, unfortunately stopped offering this seThlee from the •nd of 2025. We have been worklng with the Royal Society of Muslclans, PRS Memr5 Fund, PPL and the Christoper Meredlth FoUndal)n to look at how to sustaln fundingto support the mentsl health of musl¢lans. We have been worklnq closely wlth Ttsnlc Muslc and Muslc Supwjrt t¢i iindprstand hnw ran h•tt•r ¢ollaborate across our provlslon and Dr Arun Castro, our GP has been cOntrfbun8 to Muslc Support's MuldISCIplInary Team aSsesents. Thls Is a 4try PQsltlve development. In all we have worked wlth Just over 900 mental health patlents th15 year and dellvered over 18th) counsel11 sessions. Feedb•ckfrom our patlents contlnuests show a hl8h level of s•ttsfartlon. Our annual suryey of patlents seen 12 months a80 shows that 78% of patlents are back to perfornilng wthln thls pèriod and 84% sald we had helped. 92% of patyents were satisfied wlth walttng ts'mes. ainlcal ad¢¢, manner and knowledge was rated as'8¢Jod or'excdlenv by 97% of perf¢)rmers, and 99.3% said they would recommend BAPAM to a collea8u¢. Our rlat5¢nshlp wlth our partners has beèn stron8 ovrthls perlod. We worked hard to support Muslc Mlnds Matter when they had to Stop thelr funding of menAI health assessment and therapy, mana8ln8 pattents afferted to support them to alternavfUndlng and proding athiceto Help Muslcians as needed. Our work with the Musicians, Urion too. has 8on• from Étr•rtgth to str•nwth and w• w•r• very touthed by ih•lr k5nd dona0 of E13k to support U5 over the transltlon perSod. PRS Members Fund also klndly gave u5 £IOk as donatlon for the same purpose. Thls was very much appredated. We have also ¢ontlnued to enjoy productive workln8 relatfonshlp wlth the Royal So¢iety of Musicians. BAPAM prowdes dlnlcal advlce to thè RSM to support the Trustees Sn thelr deti5ion-makin8 on •pplication5 received by musidans needing support wlth health problems and collaborates with RSM on the delivery of health trainini which is very successful. Our work with Equlty ha5 not only eTratAed us 5UPPOrt Equity members with health, but also to advise on the health issuès for Immerslve theatre workers and to viork wlth the LGBTQ Workin8 Grovp on making health services more accesslble. I would also like to thank the PPL 8oard for thelr ongoing flnandal support of the work of BAPAM. DUr[r thls year, our heath educatlon programme SlighY reduced in numbers. Thls was due to the reduce number of psychoeducatlon sesslons run by Muwc Mind5 Matter I"MMWI. However, we were delighted to be able to support MMM by creatln£ new content for the pro6ramme whith they will now offer tht.msel¥es. We have also beer¢ running a verypopulartraining series wlththe Actors, Trust We connUtt0 pro4ldé one-
BrStlsh As%14t10n forPerfornilryArts Medldm IBAPAMI Chlty 1167785 to-one mentorship sessions for winners of Help Musiaang creatlvè awards, and Wide Days in Sentland. W are very grateful to the dlnician5 and trainers who have worked wlth us on these programmes. We were Very Pid to launth the'lnTun< 5elfra55es¥nent t(KA at the PRS AGM tlils ytdv. AuE55iblY tij all, it enables musicians and composers to work throu8h a Checklist of hedhY prèttice to check where they might need mor• Information and support and takès them io ¥ series of relevant resources based on the answers they have given. Thls Is d•si8nd to be used at scale to help performts understand and manage risks to health. We were also deliknied to reoive funding for"Stagefif- online irainln8 module5 designed to inform performers and organisattons about the risks to health and to mltigate thern, Providin8 certificate on passing th ¢our5e. These modules 11 be free to all and, we hope, will enale wider access to knowledge and understandlng of how to reduce work-related health problm5 in the performing arts. The ac¢ount5 for &4PAM for the year to 31 Cttember 2025 ended the year wlth a surplus on unrestrlcted funds of £192,842. Our year end unresttl¢ted resetves lafter assets) are £419.258. Thls Is an Improved position on 2024 and now In Ilne wlth our res•Thes O1¢v. On behaw of our Trustees, I would Ilke to pay a special tribute to our staff and dinicians who have worked hard to ensur thal we can conttnue to provide BAPAM'S import¥nt servlces. l am always Impresstd by the professional commliment and hard Work of our staff and the wider comrnunity of prattitloners to ConnUe the much-needed supwrt to the health of the perfom)Ing arts sector. Thanks too, to our funders. Help Musiclan5, Musicians, Unlon. Equhy, PPL PRS Memberfs Fund, RSM. Dano Profe$51onals Fund, Royal Varletv Charlty as well as everyone who ha5 given a finandal donaOn or thelr tfme and resource to ensur• that BAPAM contlnues Its ffl1sOn to h•lp perftxmers stay healthy. PETER LEATHEM, Chalrrn•n 28.4.2026
Brlilsh Asso¢latkJn for Perfomiln8 Arts Medidne (BAPAMI Cfr•ffty 1167785 Contents Pa8e Legal and admlnlstrative information Tru5tees' Annual Report Structuré, lovemance and management ObJ•rtlves and actlvltie5 Strate8lc re Ach5•vements and performanc• Flnandal revtew Plans for future perlods Prln¢lpal rlsks and uncertalntl•s Statement of Trust••s' r•sponslWlltles Audltorfs report to the Trustees 14- 16 Statement of flnandal artlv5tles 17 Balance sheet Cash Ilow statement Notes to the flnandal statemer
Brltlsh Assoclathn for Perforn)Ini Arts Medklne IBAPAMI tharfty 1167785 Le8al and admlnlstr•tlve Infommthn th•rlty number 1167785 Re8l$twed Office 63 Mansell Street London El &4N Patrons Imoeen C¢0 Slr Mark Elder Dame Evelyn Glennle rslmon Rathe Shella Reld Zeb Soanes Dame janet Suzman Slr Wlll4rd Wl)Ite Jullan Uoyd Webber Johnny Marr50tt Shella Atlm Trust Peter Le¥them Ichalnnanl John Turner IHor)orary Treasur•rl Adam Adnyana Demiott Davlson (Medlol Trustee) ftemllekun HorT15 Matthew Hood Dami•n Lon8son (M5¢1 Trust••l Ml¢hael Mehta Imedictl Trustee) lappolnted 04 Febru•ry 20251 Jonathan Morrlsh Mark Phllllp5 IWl¢al Trustee) Hara Troull Imedkal Truste•l Chrls Walters Aaron Willlamon Pat Woo Imedlcal Trustee) M¢dk•l Commlttee Mlthd Mehts Ichalrl BSC (h*$) Osteopathy Pllates Rehabllltotlthry Hara Troull M88S. MSC PA Dawd Fieldlng BM 8Ch MRCS LCRP L>RCOG MRCP (re5ignedJonuory 2025) Peter Newman Bsc. MBBS DRCOG, Jcpr6P, Dlp Orc Med Antta Nathan MB th8 MRCGP(reslgned October 2025J Tor4 Burnay Anthony Ordman MBBS. LRCP MRCS FFAR(S, FRCP, FFPMRCA Paul Chethey Msc Addio108y RKAD. MSHAA Lou Curley, Pc CSP AACP Lucie Rayner Uolned July 20251
Brltlsh Assodatlon forperlornilni Arts Medkln¢ IBAPAMI Charlty 1167785 L•8•1 and admlntstr•tl¥e Inforn)atlon Chltl Exttutl¥e aalrt Corde4ux Medkll Team Dr Flnola Ryan, Executlve Medical Director Dr Arun Castro Salarled GP AdmInIstrnt5 Tum Dan Hayhurst. Dlredor of Communlcatlons and Infomiatlon Anna Mylvaganam, Senior Finance Offlcer lappolnted July 20251 Ruth Zadi, ainics Manager Rory Parker Mental heafth manager maternlty ¥Ve, then Perfomance Mana8er from September 2025 Charlotte Hancy, Hdpllne Manager Pareis Jean-marie, Mental Health fvoanager (Retumed from maternlty leave from September 20251 Tullka Pand*y. ainlc Artlons Phoebe Butler. Train{r Man48er Beverley Zammlt, Dlrectory ot Practltlon•rs Pport Jean aèv•rltr, Helpli A$Stant Sru}ana Sarawl, Buslness Systems and Data Analysls May Rob•rtson, Helpllne Asst5tsnt Imolen Bell, Hel 1n¢ Asslstant Audlto Compass A¢¢ountants Venture House. The Tanners East Street, Tltchfield Hampshir• P014 4AR B•nkers Unbty Trust Bank Four Brlndley Place 8lrmir8ham Bl 21B CCLA. COIF tharltJe5 Depostt Account Senator House 85 Qu•en Vlctorla Street London EC4V 4ET Pale 2
8rltlsh Assoclatlon for Perfomilng Arts Medklne IWAM) Charlty No 1167785 Report of theTrustees lorthe yrdId 31" December 2025 The Trustees preserrt theli feport ai)d the flnèricial stdteriirriis lor the yea¥ ended 31 December 2025. The Trustees who served durln8 the year and up to the date of this report are set out on page l. The Trustees have had due regard to the guidonl$sUed by the Charity Commission on Publ1¢ Benefit Strurtuffj iovernance ind m&ft4em•nt Board ()f Trustees In January 2025 the BAPAM Board comprlsed lourteen T$t. Peter Leathem, who holds a number of muslc industry Dlrertorships IndudlTh8 the role of CEO of PhonoyJaphlc Performance Ltd IPPLI as chalr, flve medlcal doctors Iwlth expert15e in perforniing arts medic4nel, a chartered accountant. an academic, a muslc Industry communlcations expert. the MD of a la¥8e castin8 platform, artd two rtpresentatlves from unlons IMu51clans' Unlon IMUI, Equltyl. Followln8 the re$l8rtIon of Dw PennyWrl8ht. Mlthael Mehrawas appolnted Chalrof the Medi¢alCommittee and also became • Trustee at the start of 2025. Trusttès are appolnted and chosen by exlstin8 mernbers. Newly appolnted Trustees recelve written and verbal gtsldancefrom th• Chlef Executlvt abouttht responslbllftles ofthelr ro1• and the oblertlves, strurture and artlvities of th• or8an153tion and are Invited to all BAPAKS •ducatlonal event5. The Chief Execiitlve also ensure5 that Trustees regularly rettlw relevant Infamiatlon from the Charlty CommIson. Audltors and Sollcitors, healthcare re8ulation, as well as expert advlce and support from collearfues such as the Medlul Dlrector. A numh•r of Trust••s ar• Comlni to the •nd of th•lr t•nur•, Indudtn8 our Chalr. In r•A•wlng t•nur•s, th• Board has, exceptlonally, asked Peter Leathem to 5tsy on fora further 3 years to 2030 which he has a¢¢epted. Havln8 had a perlod of flnandal rtablllty, the1055 of 5ignlficant fundin8 to BAPAM lor mental health 5ervlces to muslclans represents £45Uk, and th staffln8 cuts to the ¢>rgani5ation reduclng the workln8 days of the CEO, the Board has a8reed that a further 3 year t•rm wlth the ¢urrent Chalr would be prudent. Chlef ExecUtIv m•dl¢•l •nd admlnlstr•tS¥e tum Trustees delegate much ofthe charlS buslnessto the paldchlèf EXetVt6, who ls•ppolnted•nd supervlsed by the Board. The Chlef Expcutlve Is responble for the day-to4ay management of th• organisation Includlrig appolntln8 and mana8ln8 Staff, flnanclal transartlons. performance rportln& fundraislng and organislng events. The Chief Executlve also adSe$ the Board on operational and strateglc development and rlsk management Issue To supwrt our cllnl¢•l worK we have a medlcal team to provtde 54ay o¥erslght of the work overseen by Dr Flnola Ryan as Executlve Medlcal Dlrector. Dr Ryan Is an Occupatronal Health Consultant Physitlan and musician. Dr Arun iastro Is chair ot the Mentsl Health Murt(- dlsapllnary Team and provides tJ¥o days of dlnl¢al and on call cover to BAPAM patierrts. With Dr. Finola Ryan this enables us to prowde 5 days on call to mana8 clinl¢al risk, provide dlnlcal advite to othtr or8ani5ation5 as well as provtdlng addltlonal capaclty for appolntments. Dan Hayhur5t, Director of Communitation5 and Information manages the Buslness Systems Da Analyst. Srulana Sarangi, 8ernice Beiiedey Zammit Dlrectory support and Phoebe Butler, Training Manager and oversee5 Communications, the DSrettory of Prartitioner5 and Information Governan. He Is also SLtpport•d by Paige Crosble, freelance ¢ornmunications consultsnt who has brou8ht conslderable additional value. Th¢ Chief ExetIVe Is supported by an administrative teom. The decision not to appoint •nothfvr Senior Operations Manager, but to develop the middle managemerrt team as the Operational Management Team has been successful. Charlotte Hancyi Helpline Mana8•r. Ruth Zadi, ainics Manager and Rory Parker who
Brftlsh Assoclatlon for P¢flomiln8 Arts Medklne IWAM) Charlty No 1167785 was promoted to PerfOrnian Manager fdlowln8 the Mentsl Health Managerfs return from Mernlty Leave, have worked well together to identify and resolve operational matters. Pare15 Jean Marie, Mentsl Hèalth Mana8er returned from maternlty leave In Septèmber 3 day5 a week and wè èmployed Ellie Yousry temporarllytrj SUprt thg.-.pam a£ Pareis rerneAt0 work. Thé hèlpliné team has continued to support wider dinical adminlstratlve tssks whi¢h has proved very successful and the team Is better able to SUPPOrt all functlons durlng staff absence. Srujana Sarangl as 8uslne5s Systems Data Analyst has worked alon8side the team to develop IT systems which enable tasks to be completed easlly, automated where possSble and for managers to quickly review where there may be any backlogs or errors and provlde support and 8uldance to rectlly the process. Th5$ has prnded addltlonal confidenc• In our managm4nt of hlÉh volume patients wrth varyln8 needs. At the end of 2025, the team eonslsted of 9.5 full time equlvalents wlth tour full tirne staff (The Chief Executive, Cllnlts, Performance Mana8er and Buslness Systems and Data Analyst and eleven part.tlmè staff). Sadly, we need to make cuts to ourfredance staff and retslned only our communlcatlons consultaiit. Volunte•Ys We are very grateful to all our volunteers, Particular to those dlnlclans who live thelr tlme for free In Medlcèl Commlttee5 and thelr worklng groups to develop ellnl¢¥l 8uldance for the organlsatlon and to dlstrlbutè acro55 the sector. We held 30 of th•s• mettln85 over 2025, iivolvire over 40 clln¢iians and professlonals who gave an estlmated 3600 hours in meetings, For our Intemal purpose5 we value thls at approximately £32,(0 whlth In ac¢ord•nce wlth accounttnK prlndples Is not recognlsed In the Flnanclal Statements. Commlttees The OAPAM Board Is supported by two sd5n1 £ommltte¢s. The MEdl¢AI Commlttee holds dtlE8ated responriblIty for BAPAS dlnlcal governance Ilndudlng statutory compliance) and operatlons to the Committee. The Medical Commlttee is chalred by PAithael Mehts and Is supported operatlonally by the M•dl¢al Dlrector, Chlef Executlve and team. The Commltte• opèrates In accordance wlth Terms of Reference devtlopèd bythe Medlcal Dlrectorand Chlèf Executlve. Members are volunteer healtTrKare practit oners appolnted through a formal appll¢atlon proce$5. Key Commlttee responslblllt6es Indude.. the appoln=ment and monitoring of BAPAM'S cllnlcal workfor¢e Isesslonal W¢¥rkers and volunteers).. overseeing membership of the Directory of PractlUonrs,' monlttsrin8 the safety and quallty of BAPAM'S ¢llnlcal and ad50Th, servlces.. oversèeln8 8APAM's health edutIOn and tralnlng artIvIs. The Flnance Su1cOmM[ttQ¢ Is thalred by Matthew 00d and works to Ternis of Refereft aireed by the Board. It 15 attended by the Honorary Treasurer, JohnTvrner and Remi Marri5 and Damlen Lon8son as well as th• CEO and Senlor Flnance Offlcer. It olSee$ flnance and the annual audlt. Workln8 groups The Coinmunicatlon$ 8roup. attended by Jonathan Morrlsh for the Board, Is managed by Dan Hayhurst and reports to the Board quarterly. Lynne Best from Fourth Plllar also attends. The External Scrutlny Mental Health Group stood down In autumn of 2025 on the understanding that It Could be reinstated a5 nece55ary. Damlen Longson klndly a8reed to join the Medlcal Committee and David Carter (Lay Practitioner) agreed to attend 8oard meetings. Staff appra15al$ are COrUCted annually by Ilne marbagers, and fornial salary re¥lews are ¢onduded every three years by nominated Trustees. The review took Pla in 2025 and found that salaries are largply In line wlth avera8e salaries for similar Ze organisations. Additional Corporate rpOnsibl11t1es are delegated by the 808rd to working 8roups TruStee$ as required land similarly. the Medi(Jl Committee delegates speciftc P•y4
Brltlsh Assoclatlon for P•rfornilh8Arts Medklne qBAPAM} Charlty No 1167785 dlnlcal governance Issues to individual expert members). At psent the following Workin8 Groups are in place.. Vocal Health= thaired byTori Burnay. This group of specialistdortors, speech and languagetherapists and vocal rehabilitstion roache5 produces guidance and adv6ce on mana8lng patient pathways Psych050clal Hoalth: ehalr@d by Prttfp.¢or lanp. Ciin£borg. Thls group bdngg tD8ether therapists worklng under contrart to BAPAM to revlew and develop practice. Hearing.. chaired by Dr Flnola Ryan. This group of doctors and audlolo8lsts Is brin8ing together the most rent edence for best pradice in hearin8 conservation and treatment of hearln8 heafth problems. Mus¢u195keletal.' chalred by Lou Curlèy. Thls Éroupstarted In 2020 and enables dl%usslon and revlew of prartice as well as oversoetng health promotion and educatlon work. Research.. Chaired by Lucie Rayneri physlotheraplst, and Indudes Members from UCL Th55 group has an overview of research and audiL Assesslwd Cllnlclans dialred by Dr Flnola Ryan, thls 8roup brfngs tO8ether assessln8 cllnldans from across the UK to revlew and dlscuss wartlce. In oddltlon, the Internal MultldlsdplinaryTeaffl Imedical D5reLtor, GP. ainl¢al Psychol[$t8Thd Mental Heakh Mana8erl manage th• trlagt of mental health patients. We were sad to losè Cllnlcal Psytholo8lsL Sam Thompson from th1$ aroup In late 2025 and wlsh hlm the best In hls new role. BAPAM Offlc• We have been In our offlce In Mansell Street, El: for years now and the space Is worklng well, a¢commodatln8 the hybrld team, mtirys and enablin8 US to rent cllnlc space as needed. We h¥ve made some Improvements to Ilihttn8 and the tslets and ha a rew deanln¢ st(e. N•twot¥ •nd oth•r r•l•tlonihlpi BAPAM Is proud of fts length'i a550claUon wlth many natlonal perfomlr¥ arts organlsatlons. Throughout 2025, we have malntalned strong Ilnks with our prlncipal fund, Hdp Musidans UK, PPU PRS Members Fund, Royal Society of Musldans, Royal Varfety Charitriand with unions represtntin8 performers" particularly the Musl¢lans' Unlon IMUI and Equlty who •190 provlde us wlth fundlng. We are now ProdIng medlcal admlceto Muslcsupport. a ment•1 health and addldon$ d)4rttyfor musl¢lans, for some of thelr ¢oses. Our mental servSc¢ has contlnued to be very well used. although, happllyi the proportlon of mental health presentatlons ha$ 51i8htly reduced 14%). Therapy sthemes lficlude Mu51L Mind5 Matter, Equlty, Dance Professlonals fund and Royal Varlety Charfty. S¢hemes tend to offer 6-8 se5slons. In total, we supported 911 performers wlth mental health issues In 2025 and dellverd over 18W counselling sesOn$. Unfortunately, Music MSnds Mattr, whith héd provided woriderlul )upyuit fuf mu>l¢ prtJft551ona15 mental health need, are unable to surtaln the sr¥ltè Into 2026. representing a loss of future fundin8 of É450k per annum and thls ¢losed for therapy and assessment at the end of the year. Our relaOnshIp wtth PPL has again been a great source of strength thls year thanks to the CEO land BAPAM Chzirl, Peter Leathem, who as well as providin8 us with much needed fundlng, including fof training and education has also 8lVtn 8enerou5 SUPP(Yt by enabling BAPAM to actess It8al, HR, IT and Communicatlons expertlsèfrom the PPLsenlorteam. We arè also gratèful tothe PRS Members Fund for thelr ongolng flnanclal suppo¢ and we have bèen delighted to work with them to deliver an onllne health prgmotion tool for PRS Members. We are pleased to continue to work with the Royal Soaety of Musiu¥n IRSMI as their dlnlcal partner and we have contlnued to deliver our Jolnt trainlng programme brIn8l tO8¢th•r many musicians at weblnars In dlverse health toplcs on mentsi. physical. hearing and vocal heath. les
Brttl$h Asso¢lallon forPertornilng Arts Medklne IBAPAMI Ch•rlty No 1167785 Our face-trface clinlcs have Intteased In attendance in 2025, and we are pleased to be collaborating with the Sage, Gateshead, BIMM in Birmingharn. and the Royal Welsh College of Musl¢ and Drama to provide cllnlcs in Gateshead, Bimiingham and Cardlff. We also have clinics in Belfast, Glasgow, Leeds and London and are workln8 t9 Set up a new clinic in Leicester with PPLPRS. We have ties with educatlon•l Institutions. both in the perforniing arts s•¢tor le.g. performance course5 at consentoires and colleges) and in heathcare xleft¢e ènd mediane le.g. performance sdence and performing arts medicine course5 at the Centre for Performance Sclènte at the Royal College of Music and at Unlverslty College London). Our Chlef Exetutive. Claire Cordeaux. and BAPAM Assessln8 ainician member Sarah Upjohn are MemrS ol the Healthy Conservatolres Netsvork Group. Qur cllnldans regularlv provide expert Input into teachin8 on the Postgraduète Pro8ramme In Performing Art5 Medlcln at UCL. W are also the charlty partner of Wld Days In kotland and prode health mentorlng forthtlr selected artlsts. Obl•ctlv•s •nd •rtfvlll•s The purpose of 8APAM Is the advanCeMt of eduotion by the promotion of medScal rsear¢h In the fleld of physlcal and mentsl Stress and Its effects on performan¢e,- the protertlon and preservatlon of health by the improvement of medical care for actors, musldans, dancers and those Involved In the perfoTmln8 arts; by the provlslon of treatment and preventst5¥e care,. by en¢ouraglng research In this fleld,. and by dlss•min•tln8 tht Useful results of such rnsearth. BAPAM achlev•sthlsthrou8h dlrertprovlslon of Informatlon, dlnl¢¥l assessment¥nd referral for student and proftsslonal members olthe performln8 arts communty, and through broader educatlon. trainln& researth and dlssemlnatlon of knowled8e about best practlce n performlng art5 medidne. The BAPAM Board agreed our 2025-8 str•tegy In January 2025. The strategyhas flve alms of Growth, Qualftv, Acc•sslbillty, Su5talnallty and Researth supported by four enablers of Team Stablllty, G0vern¥nce, Communlcatlons and EffiderKy. Rv%tr.'irrli Tt'JnJ StablliiN' G(svernanL Iiojmunkcations Efficlency Growth Whllst we were not l¢)okJn8 spe¢fflcallyto Increase our numbers of patlents, we dld havethe hl8hest number of new and returning patients in our hlstory and also the highest number of people etwa8in8 in our contlnuing professlonal development se55ions. We expanded our reach in terms of trainin8 provislon and now have an on8olng partneTshlp with the Actors, Benevolent Fund Inow Actors, Trustl for the dtrlivtry of psychoeducation which always proves very popular. Our new publitation on the physical health of backstsge workers wf(h the Ass(xiatlon of Brltlsh TheatrtTÈthni¢ians was launthed in )ecember and our onllne health self-assessmenttool wlth PRS Members Fund was launched atthe PRSAGM Ix June. Wewere also delighted to be successful in our funding bid to the BritTrust to supportthe health of artists working in Creative health and were very pleased to have a new partnershlp wlh Muslc Supwt to PrOde medical adce on speclflc cases. Pale 6
Brlt15h AssoclJlkn forPerfonnini Arts Mediclne {8APAM) ChJrlty No 1167785 Our partnership development ha5 largelyfocu5ed on arganisations who can share our information ivith their tsrget populations, and thi5 has worked well with diiics outside London whith are now fillin8 Ilp thanks to better local engagement, as vjell as national organi5ations who can dissemine key health messages. We see all our fundeTS as partners and dedlcate timeto ensuringthat our service works forthelr populatlons. Qualtty We dereglstered from CQC thls year and are uftdertaklng our self-assessment for SEQOHS Isafe Effective Quallty Ocojpatlonal Heatth Service) as our servlces lit the octupational health model much MO closely. A new 38reement with DarK Professionals Fund has seen us beln8 ablt to offer physical as well a5 psychologlcal therapy to dancers. We are also able to measure outcomes for both mentsl health and vocal health by followin8 up patients usln8 validated out¢ome measures, and plan to includ• musculosk•l•tsl patlents In 2026. Acc•sslbUIty Our work on accesslblllty, whlch has Induded reachln¥ outto or8anlsatlons who work speclfically with Blobal malorlty artlsts, has enabled us to inuease the proportion of artists we see from that populatlonto 18%from 15%. Unfortunatelyi we contlnue to See a drop in the number of men •ccesslnB the servlce. Sustalnablllty We ha(1 a successful year In attract5ng n•w lundlnz and r•talnln8 exlstlni fundin8 and •nsurlng that costs were In Ilne wlth Income. Prlvate donatlt)ns Increased as a result of focused marketln8 tfforts and thanks to the many Indlvldu#ls who gave their tlme and support. It was very dts4ppolntin8 that Muslc Mlnds Matter was sadly unableto sustsln thelrown fundin8to enable usto contlnue to support patlents wlth mental health Issues ivlth assessments and therapy. The Royal Varlety Charlty and PRS Members Fund have been able to contlnue thelr support, but we had a number of patients who were unable to recelve a servlce. We ar• Committed to contlnulnito over assessments for antrone who presents wlth a heilth condltlon caused by or Impactlng thelr ¢reatlNt work, but have needed to make some cuts to st•ffln$, avoldlng redundancies at thls stsge, In orderlo stay wlthln budget and reseThe Ilmlts. R•Mirch We have been workini with Go>ldsmlths Iuniverslty of London) re5e•rthers to Use our mental health dats to undertake research Into the Impartof therapy, and with UCL to revle the outcomes of vo¢al health patlents followlng dlnleal advlce. Our partnershlp development ho$14rgely fwjsed on organlsattons whocan share our Inform¥tlon ivlth thelr tar8èt populatlons. and thos has worked well with diiics outside London whlch are now fllllng up thanks to better local engagement, a5 well a5 national organlsations who can dissemiftate key health mess.Jge5. We see all our funders as partners and dedlcate time to en5urlr* that our seICe works for thelr populatlons. In establishlng and delivering BAPAS misslon and Strate8i¢ Plan, the Trustees conflrm that they have consldered the Charlty COMMIlon,$ eEJidanto on publlt IJ.fft BAPAM'S work dirertly benefits the hèalth and wellbelng of thos4 se¢lions of the community comw1s1r performlng arts students and professlonal performers and professlonals, many of whom experlence dlstress and hardshlp due to health Issu•$ and Inlurles. Detalls are provlded quarterly to our Board, Medical Committee and funders. Achl•v4m•nts Ind perforni•nce ainlcal Gov•manc• We are now worklni toward5 acryeditation with SEQOHS and alm to achieve this in 2026. We continue to maintsin scrutiny of our dlnlcal goveman¢e processes through regular reporting and revlew of Incident5 and pr¢xe55 of continvous Improvement supported by our Operations Managers and overseen by our Medical Dlrertor and Mediol Committee. Pale 7
Brltl$h Asso¢iation for PerfornilngArts Medkine (BAPAMI No 1167785 ainlcs Our free assessrnent servlces remalned a core Se throughout 2025, and we delivered nearly 2800 appolntments, which is a record. We h•Tr& face to face appointments available in 8 locatlons i n the UK IBelfast, Gatshttad. 8irmingham, Glasgow. Cardlff, Manchester (until July) and Leeds). Consultations are booked up In our London premises and are buildin8 outsid• London thanks to t•r8gt•d h••lth promotlon6 and we have contSnued to prode the majority of our appointrnents onllne Pat6•nts nymber5 from outside London are over 55%. We are most grateful to all our diniaans fortheir worl notjust in providing clinics but also working with us to revlew and further improve prartice. ainlcal wothrc• Twenty-seven ellnldans. nationally. dellvered our fr•e BAPAM dlnlcal asse5%ner)t services during 2025, provld5ng their servlcesfor an honorarium below the market rate. Our donician areas of expertl$* in¢luded general practlce, orthopaedic surgery lupperllmbl, rheumatolo8y, phys1¢)therJpy, 05teopathy, hand therapyi ¢llnical psychology, and psychotherapy. New ¢linl¢al practitionerslolned the Dlrectory In 2025, and some left as we strictly enforce our standards. We are pleased that our work on tlghtenlng up scrutiny of practltloners is now workin8 very smoothly. We folls)w up cliniclans on an annual b4519 to check that documentatlon Is current and that they are attendlng tralnlng. If, desplte remlnders, w• do not rrfelve a dedaration that doujmentstlon 5$ current, thty are removed from the tmrertory. Our Current number of prartitton•rs Is 311. We now have over 80 theraplsts workln8 wlth us to support performers under the Equlty, Dance Professlonals, Royal Varletycharltyand Music Mlnds Matters sthemes. Ourtralneetherap6stsfr¢)m the Blac Asian and Minorlty Ethnlc tralnSw scheme have stsrted to see cllents and two have now lolned our therapy s¢h•mes and two more are about to quallfv. ainlcal Acllvlty Durln8 202J, we mana8ed nearly 3000 dITil1 enqulwies andlogked •fter r<IlY 3000 patlents of wlilch 1910 were new reglstratlons. We provlded 2788 free appolntments. Thls Is a8aln the hl8hest number of cllnics recorded In the last 5 years and thank5 go to Ruth Zadi and our helpllne for man¥lng first contacts and cllnlcs. It Is aood to see that new performers are findi BAPAM. 11 tlents., ew 024 1748 22 1792 021 19 1269 18 1020 017 016 910 1872 lstratlons ree 620 418 818 224 1212 Intment6 At the end of 2025 41% of patierts were pre5entlng wtth a muxuloskeletsl Issue Compared to 2PA wlth mentsl health problem and 20% wlth voice issues, 3% presented wtth a hearlng problem and fA wlth jaw and dentlstry problems whllst"otherf remained * P4. It should be noted that this Is based on Information tsken at registration and aftew assessment many patients are found to havE more than one diagnosls. Over 93% of ¢linlcal enquirles have an assessment ainlcal Mrvlctt- ev•luatlon Jnd IMrt We have continLwI to collect extenslve anonymous patlent satlsfattlon and survey data throughout 2025. These data enable us to monrftor and improve our ser¥ices, and to assess ImpacL They also provlde evidersce of performers, broader healthcare experiences and needs whith we share with o in the field. We undert¢k a reeW of the feedback collected from 308 perfomiers attendln8 BAPAM assessment during 2025 and the resufts were as fJllows- 36.5% of respondents waited lessthan I weekfor their appointmenL
Brftlsh Assodatlon for PwfomilngArts Medklne (WAM) Charfty No 1167785 35.65% waited 1- 2 week5. 4.77% walted 2-3 weeks. 8.16% wait•d 3- 4 wéeks. 4.91% walted morethan 4 weeks. Most respondent5 lover 72%) recelved thelr appo ntment wlthln 2 weeks of flrst calllng the Helpllne. However, over 92% of patients were satisfied wth waiting times. ainical advice and manner was rated as 'good' or 'excellenY 97% of performers, 97% also rat•d dlnldan knowled8e a5 excellent or good and manner and attitude was rated at 99.3% sald they would recommend BAPAM to a colleague. The most common appolntsnent outcornes were: Informatlon about my condltlofi.- 65.94% Healthy perforniance alce/se1f-hp recommerdat5ons: 52.43% Infarmatlon about NHS referra1slserCes andlor a letterto my GP.. 27.42% Infarmatlon about andlor referral to a private healthcare seThlc•: 24.44% A selectlon of patlent wmments has been prded below.. Thank you, I hove olreudy emolled ts+soyhowklnd helpAul0ndkno¢d¢¢QbleXwlls. l om now mol'e able to mokeinAormeddecision5 aboutonyjurtheroperotlonson my honds. lom ulso less depressed. althouqh scared oAon even blg9er operotlon on myhand5. lt1snoteas monoglng wlthoutyourdominonthond when everyone who would hove help¢d is sod.'y no lgnqer olive. But there ure people infvr ivorse situutityis. Tliorik you I all the sUPPOrt. X wos most Infvrmotlve ond 4elpfvl wlth suggesttons on holv to move fvnvord wrfth my Issue whllst stlll perAorn?Ing os o musldon. monner was very cpproochoble, ond l fvlt comfothble wlth o.sklnq her questions thot I hod. X wos 1?vdy- very colm, Ilstened vtry uttentivdy to.Tre. wos very owore. letting me toke thlnqs 04 my own pace. I felt thotshe wos deflnl4 ely oble to help me. l Jiist wlsh Illved neorer her cllnit. It wus thefirst time IAelt I spoke to someont who understoodmy situotion. fhunk you, Xl The meeting wos very helpfvl und helpedme mqke pfjrqlle15 which I hod not befgre to be oble to come to o potenticrl cuusè olmy problem5 which wlll then help me solve them X wos Incredibly helpful andfrii?ndly and mude mefvel more conjldentinjlndlnq q solutlon In wht7tls cauOng my volce problems. X hos not only mode me understond what myissue is buthelped mereolise IvhotmyJorword journi:yshould be, if I want to be oble to use my shoulder, orm und hond os a musioon ond person moving fvrward. Dr. X wos t7mo2inq. He really listened to me, cored obout whotl wos telling him ondtteoted o brilli13nt letter that I can now take to my GP to ty to qet them to oction things. He olso expluinedsomeprevious tÉstresults thotnobodyhodyet explained to me. lfrellike I gotmore outolthe hour 1h him thun in two yeor.'i Wlth my urrent GP. I can't tell you ho*, greotitAeels to hove on qdvocote.. Yve been so tired andunwellond on top of thot I've been struggling to be seen or hegrd rjntil no%v. And thutleods to bertermentul heulth, whiigj in turn leods to betterphysicalheolth etc. Afterlust one appc.intmentmymind undshouldersAeel lighter. Tlionk you. Our annual suNey, whlth collects feedback from parJents 12-18 months after thelr appointment, recelved 128responses. 84%ofpattentssaid that BAPAM had helpedwith theirproblem. OFthe 16%who sald BAPAM Pai¢ 9
Brftlsh Assodatlon for P¢rfomitn8Arts Medldne (WAMI Charfty No 1167785 had not helped, some had long-5tandirvd complex problems that we Could not help with, and some had not been able to get NHS followp. A few would have l.ked further support and help with the next Steps. We have been able tts Imement an offer of routlne follow tsps for patients after 3 months so that we can pl¢k up people who have not been a¢ to attess the sUPPOrt recommended and provide further help. We have also updated our pauefil InfuwrndUTJn leaflet lo explain bEtter wh3t we do and do nor cover. Patlents told us that 78% were back to performance eitherfully or partially. Feedback on how we helped was cate8ori5ed as follows.. Theraplst and Counsllln8 Support113.36%1 Medlcal Advlce and Guldan¢e110.74% of responses) Theraplst and Counselling Support113.36%1 Specialist Referral Coordlnation17.76%1 Physiotherapy Ac¢e55 and Coordination15.73%1 Anxlpty and Strss M•n•8ement15.61%1 Medlcal A55e55rnent and Slgnpostln814.8VAI Therapeutlc EMer¢lse Guid•nce14.7fAI Volce and Vocal Health Support14.53%1 Medlcal Fundln8 Assi5tance14.53%) P•rtomi•r h••l¢h educlon Our health promotion tralning programme, Includltw partnershlp5 wlththe Iloyal Sodety of MLtslelans, Musl¢ Mlnds Matter and other or8anlsatlons, ¢ontlnued thls year, attractln8 over 2000 attendees from across the UK. We have been offerlnA re8ular sess5oM on Injury preventlon and vocal health as well as multlple psychoeducatlon and 5elfcare sesslons to support performers to set and malntsln health goals. Whllst we contlnued to devdop traSnlng materlals for Muslc Mlnds Matter, there was a pause In the dellvery of thls tralnlng whlch malnly accounts tor the redurtion In numbers from 2024. We contlnue to work wlth the wlnners of the Help Musidan Creative Awards to provide health mentorship se$51ons offerlng our Healthv Practlce Dlaryto help performers Identrfythtir own health risks ¥nd to develop healthy prartlcttto mttl8ate them. We were dellBhted to have been awardd fundln8 by PPL to develop free onllne baslctrainln8 to prevent key healthcare problems In mentsl and physical health whlch wlll be free to all. We look forward to launchln8 thls In 2026. Protesslonal dw•lopm•nt We hal been contlnulng to provide re8ular profe55lonal develoent evenln8 sesslons to 0r dlnlcal practltiC*ners onllne. We ran 9 events In 2025 wlth •n attendance of nearly 400 practllloners. Thls 15 4 sIRnlflcant In¢rea5e in attendance, and the sessions are well received. There is national and Internatlonal Interest In these, and we would like to create a Ilbrary for practltloners to ac¢ess a5 our series Is quite unique. How•ver, we have not yet had the capadty to implemerttthis. Dr Flnola Ryan and Clalre Cordeaux attended presented at the PAW conference in Washington DC and Finola has now ITred the Boar(J and will be co-thairiw the conference In 2026 In New Yor Rese•rch and ac•dnIC Ilalson We have contlnued our partnershlp wlth the UCL Post8raduate Pr¢8ramme In Performing Arts Medltlne dvrirvd 2025, wlth Contributions to the course from ourtrustees. staff and volunteer dinical prartitioners. Pwio
Brftlsh Assoclatlon for Pwforniin8 Arts Medkthe {BAPAM) Charity No 1167785 Flnance and Fundralsln8 FUndraIni attSvltSes We are extremdy grateful to performers, Patients, organlsatlons and supporters who raised funds for BAPAM through donations and during 2025. We were espeelally 8rat•fvl to C¥rpl Chapman, counselling psyehologi5t, who prowded assessmènts for BAPAM patients over many years and klndly left us a lega¢y on her passlng. Megan Rushbrooke also raised a significant amount of money a5 a result of her amazlng blke rlde frorn Cardiff to Snape In Suffolk in a Sing day. It is pleasing to note that our partnershlp working with industry or8ani5ation5 has resulted in inueased fundlr4. Fln•ncl•l revlew Urrestricted income forthe yearwas £1,347,752, an inuease of £ 191.017117%), partly attrlbabIetoI1j an Increase In cllnical artivlty,1111 an Increase in training and health promotlon actSvlty and Iliil some odditlonal grants recelved In antlupation of one of our re8ular fundr5 anticipated withdrawal In 2026. UnrestriLted expendlture decreased by a small amount 1£ 20,9281, w¢th savln8s achleved by a reduced headcount and the non-repetitlon of the one-off promotional event which took place In 2024 more than compensating for the Increase In cllnical assessmerit and therapy costs. The net result was a SiiTplus on unrestrlcted funds of £192,842, a consldefable Improvement over the prtor yearfs defldt of £ 19,054 and the year before thavs deflcft of £115,429. Throu8hout the year wè nefited from grants from Help Muslclans UK Music Mind5 Matter, MU, PPL, PRS, Equlty, The Royal Varfety Charity, The Royal Balld Benevolent Fund and an anonymous donor who has kindlv agreed to fund the costs of employln8the Medlcal Dlr•ctor,' are key to BAPAM'S sustalnablllty. Rw•rvo1 8APAM has a reserves pollcy designed to malntaln reservesat a ltrvel to ensurethat, Sn a perlod of unfor•sen dlfflculty, Its actlvltles can bt ¢ontlnued for a mlnimum perlod of three months. In the event that the or8anlsatlon ¢an no longer fun¢tlon, thls would allovi a 5trateglc run4own of artlvltles and full ¢ompllance w5th oiitstandln8 personn•l and ¢)p•r•tlonal obll8atl¢ns. We ensure the calculatlon It the requlred level of reserves Is an Inte8ral part of annual plannln& budget and forecastln8 and tske5 Into account planned •ctlvlty levèls. all flnandal commltments and the rlsks assoclated wlth dlfferent Incom• streams. W• ensurethat such r•serv are held In rtadllyre415ableform aThl r.. ststutory redundanLry. contractual obll6ations to staff, professlonal fees. three months utllltles and oth•r property costs, equlpment costs and wrlte dawns. Wo hl8hll8hted tht the end of 2024 that we would stek to rre$S our shortFall In Vnrestrlcted ReseThs In 2025, which we have achieved wtth some comfort. However. we are expectlng a very tough 2026 as one of our rnajor funders wlll no lon8er be able to support us, and we are ¢urrently expecting to incur a significant deficit in 2026. Based on the bud8•t for 2026. we tIrnate the deslred amount of unr*5trtcted reser¥e5 to be £300k In ac¢esslble funds. Atthe end of 2025, totsl unrestricted reserves were £430,053,- after dedurtlon of the lilllquldl lixed assets of £ 10,795 the amount of frtely availalle reserves 15 £419,258. P•8e li
Brbtlsh AM0t1*tk fof PerfOnn1 Arts Medldne (WAM) Chwlty No 116rn5 Prlnclpal rlsks and un¢tttslmles ajxl pl$ forthe fur• The board of Trustees regulady revlews th• principal risks to the tharity. Those risks indude our rnllance on grant fundin& the burdens placed on our relatNely small staff numbers, and reputational and other risks associated with our professional work. We continue to seek ¥der and more se¢ure source5 of flnance and have managed to mitl8ate some of the losses of funding from mUt Mlnds Matter wtth kind donations from other organlsallons which have helped to sustaln the core assessment servi. We have recentlv strengthened our staff learn. Ourprofessional standardsare key.. boththe board of Trustee5 and our Medical Commrttee give oJntlnuin8 and careful attention to the way in which we offer dinical Servi$ and advice. We review our Insurance requirements annu•lty. PETER LEATHEM, thairman
British Assocl•tSon for PerfumilA Art5 Medldne (WAM) Chwlty No 1167785 st+Ment of Trust•es R¢sponslblHtl¥ The Trustee5 are responslb5e fc preparing the Trustees, Annual Report and the financial statements in accordan with applicable law and United Kingdom Accountin8 Standards Iunited Kingdom Generally Accepted Accounting Pra¢tkel. The law applicable to charlties In England & Wales requires the trustees to prepare flnanaal statements for each financial year which Wve a true and fair view of the state of affairs of the charf(v and of the incomln8 resources and applicatlon of r•sources of the tharityforthat period. In preparin8 these finanaal statements, the trustees are required to: select suttable ¥ttountlng polldes and then appfy them con$t[rt,. observe thè mdhods and Princie$ in the charr15 SORP 2019 IFRS 1021: make jud8ements and tlMateS that are reasonable and prudent,. stat• whetherapplicable UK A¢eountin8 Standards h¥v• b•on follow•d, subl•et toanymat•rl•l departures disclosed and explalned in the financlal sMernentS: prepart the finandal statements on the goln8 concern bass unless tt Is Inapproprlate to presume that the tharfty will contlnu in operilion. The Trustee5 are responslble for keepln8 proper accountlng records that d15dose wlth 4$onable accuracv at any tlme th• flnanclal position of th• charfty and enable them to ensure that the flnanclal statements comply whh the Chantles Act 2011. th Charfty Ik¢cwnts and RekKJrtsl Regulailons 21x18 and the prov151ons of the trust deed. They are also responslble for safe8UaTding the assets of the tharty and hence for taklng reasonable steps for the preventlon and detection of fraud and other Irre8ularttles. Trurt• D•d•r•tl¢n So far as the Trvstees are aware, there k5 no Tele4ant audlt Informat1 of whlth the charws audltors are unaware. Trustee5 have taken all the steps necessary to make themselves aware of any relevant audlt Infomiatlon and io estab115hihat the crS •udltors are aware of that Inform•tlon. Thlg report w45 Ipw(Ned by the &4PAM Board of Trustees on 28 Aprtl 2026 and *ned on fts behalf bv fk Vf PEfER LEATHEM, Chalrrnan
Brltlsh Assod•tlon for Perfom)In8 Arts MedKlne (8APAMI Ch•rlty No 1167785 Independent Audliorfs Report to the Trusttts otthe Bflttsh Asso¢latlon for Pertom)In8 Arts M8di¢lne Oplnlon W havg 4uditod th• flnanclal stem*r of Brftlsh Assoaation tor Ptrformlng Arts Medicine Ithe'charftyl for the yèar ended 31st December 2025 which comprise the Statement of Finan¢lal Artivlty. the Balance Sheet and notts to the financial statements, Induding a summary of significant accounting policles. The financial reporting framework that has been applied in thelr preparation is applicable law and Unlted Klngdom Actountlng Standards, Indudln8 Flnancial Reporung Standard 102The Flnanual Reporting Stsndard applicable In the UK and RÉpubll¢ of Ireland Iunlted Klngdom Gènerally knepted Accountlng Practlcel. In our oplnlon the finandal statements: ' glve a true and falr vlew of the state of the tharitVs aff•irs as at 31st De¢ember 2025, and of Its incomln8 resour5 and appllcatlon of resources. for year thÈn ended,. . have b••n properly wepare(I In accordwce wlth Unlted Kln8d¢Jm Generally Accept•d Accountln8 Prartl¢t,' •nd . hav• prepared In Kcordanc• wtth the requlrements of the Charltles Act 2011. 8•Jls foroplnlon W• condurted our audlt In attordance wlth Internatlonal Standards on Audltln8 IUXI I15 IUKII and appllcable law. Our re5ponslbllSttes under those stsndards are fvrthor descrlbed In the Auditorf5 re5ponslbllitie5 for the audlt of the flnandal ststements sertlon of our report. We are Iridependent of the charlty In accordancè wlth the ethical requlrementsthat are relevantto our audit of the flnancial stdtements In the UK, Includiw the rRc'J Ethl¢al Stsnd•rd, •nd w¢ h•¥e fulfllled our other ethlul reswnslL)Illlles In accordance with these rtqulrements. We b•lleNY that th• audlt dere we have obtsin•d Is suffldent and appropriate to provlde a basls for our oplnlon. Conduslons f•l•tlni to lolni conc•rn In audltln8 the f6nand•l statements, we have conduded that the trusteerf of the 8olni concern ba51s of account5ng In the preparatlon of the finandal statements Is approprlate. Based on the work we have performed, we have not Id•nttfied any materlal un¢ertaintles relating to •vents or ¢onditlons that Sndlvlduall¥' or ¢oll•rtiv•ly. may cast si8nificant doubt on th• charitsbl• company's abS11ty to continue as a going Conrn for a perlod of at least twelve months from wien the fInala1 statements are authorlsed for Issue. Our resp)nslbilitles and the responsibilities of the trustees with respect to ioln8 concern are descrlbed In the relevant sertions of thls report. Othw Inlornmtlon The other information comprises the informatlon Iwduded in tht trustee5 annual reporL other than the flnanclal stat•mènts and our aJdltorfs reportthereon. The trustees are responslbleforthe other information contained within the annual report. Our opinion on the finantial 5tstèments doe5 not cover the other Information and, except to the extent othenwise expliaY stated In our rert, we do not express any form of a55ufafKe cotKIu5ion lhtiM.
Bittlsh Assoclatlon for Perfomiln8 Arts Medkhle {BAPAM) Chath No 116rn5 Our responsiblllty Is to read the other infomiatlon and. In doing so, conslder whether the other information is materially inconsistent wsth the financial statements or our knowledge obtained in thè audit or otherwise appears to be materlally misstated. If we identify suth material inconsistencies or apparent materlal mi55tatements, we arè rtquiied to determine whether there Is a materi21 misstatement in the finandal statèmènt# ttr a materlal mlsstat@m•nt of the other inforniation. If, bas•d on tho work w• hav• rform•d, we conclude that there is a rnaterlal misstatement of thls other informatlon, we are requlred to report that fact. We have nothlng to report In thls regard. MJtt•rs on whkh w• •r• rnquli•d to report by exceptlon We have nothln8 to report In respect of the followln8 matters In relatlon to whlch the CharltSes IA¢¢ounts and Reports) Re8ulat6on5 2008 require us to reportto you If. In our opinion.. . the informatlon 8lven In the financlal statements Is Inconststent In any materfal re5pert wlth the trustee5' report,. or . sufflcitnt •c¢ount5ng records ve not Ixen kept.. or . the flnanclal statements are not Sn a8reem•nt wlth the a¢c¢unt5ng r•cords,' or ' we have not recelved •ll the tnformat5on and explanatlons we requlrefor our audlL R•spon$lbUltl•s of lrnsth•s As explalned more fully In the tru5tees' respons5bllltles st•tement15et out on pa8• 101. the trustees are re>pon31ble for the prep•r•tlon of fin•nd•l st•tements whl£h 8lvt • tsut Jrid fdlr vlew, arid rui SULII Irilernal control as the trustees determlne Is necessaryto enablethe preparatlon of flnandal ststementsthat are free from materlal mis5tatemenl whether due to fraud or error. In preparlng the Iln•n¢lal statements, th• trustees are respon51ble for assesslng thè charltvs ablllty to continue as a 8olng concern, disdosin& as applicable. matters related to going concern and uslng the golng ¢oncern basis of a¢¢ountlni unless thetrustees elther Intend to Ilquldate the th•dty or to cèase op•ratlons. or have na rea115tlc •lternatlve but to do $0. Audltorfs rewonslbllltl•s for th• •udlt otthe IIMnd•l ststem•nts We have been appolnted as audltor under sectlon 144 of the Charltleg Act 2011 and report In accordance wlth re8ulatlon5 made under 154 of that Art. Our objectlves are to obtsin reasonable •ssuran¢e about whether the ftnanclal statements as 3 whole art freefrom materlal misststement, whetherduetofraud or èrror, and to i$5ue an audltorfs reportthat includes our oplnlon. Re•50nableassurance Is a hl8h levtl of assuran¢e, but Is not a guaranteethatan aLtrdlt conducted In accordance wtth ISAS IUKI Ivill always detect a material mSsstatement when it exists. Misstatenients can rise from fraud or error and are considered materlal If, Individually or in the aggregate, they could reasonably be xperted to Influence the Lyonomlc d¢i5ions gf users tsken on the basls of these financial statements. Irregularlties. In¢ludirvd fraud, are instances of n0n-tynpllan with laws and regulatlons. We design procedures in Ilne with our resPb51bIlltie5, OUtlli)ed di¥. Iv dEtKt tnatErial ffti55ktement5 In respect of irregularitie5, Includin8 fraud. P•ge IS
Brlilsh Asso¢l•tton for Perfomikng Arts Mediclne {BAPAM) Charlty No 116rn5 The spectfic procedures for thls engagement and the extent to vA)Ich these are opable of detecting Irregularities, including fraud is detailed below.. . We galned an understandin8 of the legal and regulatoryframework aPie¥bletO the charity and the sector In which it operates throu8h diseussionK with manag¢mgnt sertor resèarch and the application ol relevant aud knowledge and experience . We made enqulries of marba8wnent around artual and potential Iltl8atlon and dalms We made ènqutries of management and relevant staff, and deslgned tsur audlt procedur, includin8 revlewin8 financial statement disclosures and testing of supportlng dotumentstion. to as5es5 compliance wlth appllcable laws and re8ulations. We focussed on laws and regulations whlch could glve rlse to materlal mlsstatement In the flnanclal statements Includln& but not Ilmlted to, the Charftles Art 2011, the Charttles SORP, and the Financial Reportin8 Stsndard 102. . We Sdentlfied the Tlskof material mSsstatmnt of the financial statements due to fraud and designed audlt procedures to respond to the rlsk. We performed audlt pro¢edure5 deslgned to address the rlsk of fraud arlslng from management overrlde of controls, Indudin& but not Ilmlted to, t•st5ng of fvurnal entrle5 and other adjustments, rewIng a¢countln8 estlmates for evlden¢e ot b1•5. •nd evalu•tlnB the buslMSS ratlonal• of slenificant transactlons outslde the rlMo1 ¢ouTse of buslness Because of the Inherent limitatlons ot an audll, there Is a rlsk that we wlll not det¢rt all IrrÈularltle5. Includini those leadSng to a material misst•tement in the flnanclal statements or non-complian wlth r•8ulation. Thls r15k Increasesthe more that compllance wlth a law or regulatlon Is removed from the events and tran511rt1ons reflerted In the flnanclal statements, as we wlll be less likely to become aware of instances of non.compllance. The rlsk Is also 8reater re8ardln8 Irregularftles occurrtng due to fraud rather than error, as fraud Involves Intentlonal concealment, forgery, colluslon, OMIS0 or misrepresentstlon. Afurtherdescrlptlon of our responslblles forthe audttof theflnan¢lal statement5 Is located on the Flnandal Reportlng Councll's webslt• ot.. www.froor8.uklaudltorsresponslbllltles. Thls descrlptlon fomis part of our audltows reporL ol our report Thls report Is made solely to the ¢harltVs tnjstees. as a bodys In accordan wlth Part 4 of the Charltles (Accounts ènd Report51 RegUlaOn5 2008. Our audlt viork has been undertaken so that we mlght state to the chariws trustees those matters we are requSred to state to them in an auditorf5 report and for no other PUTP05e. To the fullest extent p4rn)ltted by law. we do not accept or assume r•sn$1b[1lty to anyone other than the ch3rtty and the charivs trustees as a body, for our audtt worK for this report. or for the opinions we have formed. Comp•ss Accountants LIMeLl Chartered Accountsnts and statA11tor Vènture House, The Tanneries East Street. Titchfield, Hamp..hirc, P014 4AR Dale: 281412026 Pw16
Brfttsh A5$0dJtlon for Perfomiln8Arts Medldne (BAPAMI Chartty No 1167785 ststement of Flnan¢lal Artl¥ltles For tho y•ar•nd4d 31 D•¢•ml)•r 202S Unrestrlct Funds Restrfrted Funds unreI1rted Restrirted Funds Fynds 2024 Tot•1 Income Grants Donations In klnd Other donatlons and legacies Investment In¢ome Totsl Incomlng Resources 1.325.076 17.700 1,342,776 1,108,772 30,667 1,139,439 2,8 21,168 21.168 1,508 43,461 43,461 1.347,752 17.700 1.365,452 L156,735 30,667 1,187,402 EMp•fvdliur• Clinical cost$ & Therapy ¢ost5 Mental Health therapy Costs Health Promotlon stsffing costs Marketln8 of servl¢es Fundralslnl expenditure Premises costs Office ¢0st5 Accouritanty and bank charges Legal exp•ndlture Governance costs: udlt 414,414 420,954 367.656 30,667 398,323 29,534 559,337 29,534 559,337 5,634 613,420 5,634 613,420 18,087 18,087 45.841 45,841 36,097 75,082 36,097 7S,OY2 44.677 16,598 44,677 76,598 13,973 13.973 17,108 17,108 2.8 5,337 5,337 2,055 2,055 Tot•1 charh•bl• •xpendlture 1,154,861 6,540 1.161.401 1,175,789 30,667 1,206,456 N•t mo¥•m•nt In funds Transfers between funds Reserves brou8ht forward 192.892 11,160 204,052 119.0541 119,0541 237.161 237,161 256,215 256,215 Total funds caffkd lowrd 430,053 11,160 441.213 237,161 237,161 All trar15athon5 are derfved from contlnulng actlvltles. All reco8nised gains and losses are IndUd in the Statement of Flnancial Actlvltles Pale 17
Brltlsh Assodatlon lor PerfonnlryArts Medlclne IBAPAMI Charlty No 1167785 Staterne of Flnandal Poslt As Jt 31 December 2025 2025 2024 N(*•s Tangible assets 10,7% 20,564 Current Ass•ls Debtors Cash at bank and In hand 201,134 337.055 $38,189 246.984 131,683 378,667 Crodftors: amounts fl11 du• ¥Athln onè ye4r 107,771 162,070 430.418 216,597 441,213 237,161 Unrestrltted Funds Restriaed Fund5 430,053 11,160 Ml,213 237,161 237,161 The a¢counts have been pr•Par In accordance wlth the Flnandal R•wtlng Standard 102 •nd the Charltles Act 2011. The flnanclal statements were approved and ahorIsed for Issue by the TruAee Board on 28 Aprll 2026 and 51gned on behalf by PEfER LEATHEM, Chalmian J(XIN TURPIER, Honorary Treasurer Date.. 28.04.2026 P•y 18
Brltlsh Assoclatlon for Perfomin$ Arts Medidne IBAPAMI Charlty No 116rn5 5tat•mwt of C•$h Flow For ihe ye•r Iftded 31 Decembu 2025 2024 $h Flows from Opefatln8 Artfvltks: Net Cash Generatedl Iusedl bn Operatln8 Actlv6tl•s 206.584 121.0301 Cash Flows from InY•rtln¥ Artl¥ltles: Inte¥est Income Purchase of property, pl•nt and equipment 1.508 12,7201 1,702 12,3501 ChanRp In Cash and Cash Equlvalents In the year 205.372 21.678L Cash and osh equlvalents at l January 2025 131,683 153,361 Cash at 31 December 2025 337,055 131,683 R•¢onclll•th>n ol n•t Incom•l•wdltyr• t• n•t ush Ilow from op•rntln8 •rtlvlil Net Infomelldefl¢ltl SOFA Depreclatlon Interest Income R*du¢tlonllln¢reasel In prepaymentsldebiors In¢reasellRedurtionl In accrualslcredltors 204,052 12.489 11,5081 45,850 154,2991 119,0541 12,311) 11,7021 117,0611 4,477 N•1 Cash G•n•rnt•d/lUs•dl lrt op•r•t1 A¢iMIl•s Pap 19
Brltlsh Associailon forperlornilni Arts Medkine13APAMI tharlty No 1167785 Notes to Ihe flnanclal st•tements for the year ended 31 Dècèmber 2025 Accountln8 polldes The prlAtip41 accounting policies are summ•ii5ed below. The UntIng polldes have beeii opplled conslstently throughout the year. 1.1. tharlty Infomiatlon The 8rltlsh Ass¢xiation for Perfornilng Arts Medldnels a registered tharlty, number 1167785. The business dresS 15 shown on the Infomiatlon page. The Brftlsh A$50ciation for Perfornilng Arts Medlclne meets the definIon of a publlc beneflt entlty tjnder sertlon 34 of FRS 102. Assets and Ilabllltles art initially recognised at hlstorlcal ¢ost or transaction value. unless otherwise ststed in the releydnt a¢¢ountin8 poIIcv. The prln¢lpal oblectlves of the th•th #re detslled In the Trustees report. 1.2. 8asls of i¢courtl The flnanc5al statements have been prepared under the hlstorlcal wst ¢onventlon and In ac¢ordanc• INlth At¢Ount1 and ReportlnB by Charlt5es.' Ststement of Recommerbd•d Prattite applicable to charltles prepai5rvd their accounts In x¢ordance wlth the Flnandal R•portln8 Stsndard appllcable In the UK and Republlc ol Ireland IFRS 1021 lefl¢rtlve Ortober 20191- Icharltles SORP IFRS 10211, the Flnanclal Reportln8 Standard applicable In the UK and Republlc of Ireland IFRS 1021, the Charltles Act 20114nd UK Generally Accepted Practlce. 1.3. Fund •ccountl Unrestrlrted funds are grants, d¢)naUons and other Incomln8 resources re¢elvtd or generated for Restrlcted funds are to be used for spedfied purposes a$ lald down bythe donor. Expendlture whlch meets th•se ulterla Is Identllled to th• fund. l.& Incom• Voluntary Income Is recelved by way of donations and g5ft5 and Is Included In fvll In the Statement of Flnanclal Actlvltles when re¢elvable. Donated assets are Induded at th• value to the charity where thls can be quantlfled and a third partv is bearing the cost. The value of seThl¢es provlded by volunteers has not be•n Included. Grants. Indud1 grants f¢x the purchase of fixed assets, are recognised In full In the Statement of Flnan¢lal ArtiTrAties In the yeartowhlth they latt. Income from Investments Is induded in the year in whlch It Is re1¥4b1e. R•sourcu •xp•nd Expendlture Is recoBnlsed on an accruals basls as a Ilablllty Is Inrjjrred. Charftable expendlture compr15es those costs Sncurred by the tharity in the deli¥ery of Its activities and services for Its beneficiaTie5. It Includes both cost5 can be allocated directly to such actSvlties and those costs of an Indlrect nature necessary to support them. Support costs are those costs Incurred diredly in supportof expendrtijre on the obJe¢ts of the charity and Include project management. Redundan¢v and other costs in connection with the termination of employment are rèco8nised In the period In whlch the dedslon toterminatethe employment Istaken. Govèrnan¢e costs include those costs Incurred In the 8overnanceof the thartty and Its assets and are prlmarlly assouated with constitutional and statutory requirements.
Brltlsh Assoclalkn forPerfomiin8 Arts Medldne IBAPAM) tharity No 1167785 Notes to the fln•ndJl statsments torthe ye&r ended 31 December 2025 1.6. Flnan¢lal Instruments The charlty£ flnandal ass•t and lIalItI8% eonslst of ea#h and cash equivalents. oth•f d•btor£ and ireditors, and accrned eXnseS. The fair valu• of these itms aPpr0MateS their carrytng alue due t.o thèli 5hort-term nature. Unless othtn¥lse noted, the tharity is not exposed to s18nlficant interest. foreign exchange or credlt rlsks ari5ir from these Investments. 1.7. Tinilble fixed assets Depreclation is provided at rates Calculatt0 wrrte off the cost le55 residual value of ea¢h asset over Its expected useful Ilfe, as follows.. Leasehold Improvements Computer Equlpment Offlce Equipment Flxture5 and Fittln8S Medlcal Equlpment - erthe remalnln8 lrfe of the lease -33 I13%r annum -20% per annum -20% per annum -20% per annum 1.8. Goln8 ¢on¢•rn There are no materlal uncertalntl•s relatsd to events or ¢orKlltlons that may cast slgnlflcant doubt upon the ¢harlty$ alIty to contlnu• as a golng concem. employms Numb•r ol Employ• Th• a¥•f• monthly numb•r of •mploy••s dur5ni the y•ar were.. 2025 2024 16 15 Employmént Costs {All •mploymeDt Costs for both ye• •r• Chary to unr•sirlrttd lundsl 2025 2024 Sallrles Soclal Securlty Costs Pension Costs Other staff costs Sncludlng HR advlsory costs 435,729 47,370 36,096 485,569 50,966 39,535 *10,142 559,337 37,350 613,420 Durlng the yearthe charlty made no temilnation Pents[2024. £IL9071. During 2025 one stsff member earned emoluments in betsveen £70,000 and £80,000 per annum12024: 1 £70,OfKI- £80,0001. No trustees rt¢elved any remuneration. Senlor management Remuneration costs lindudlng bÈnèfftsl ts4,40212024'. £91,470) The char5ty operates a defined contrilmrtlon penslon scheme in r¢s¢t of the employees. The scheme and its assets are held by INleperent MareTS. The penslon ¢harge represents ontributions due fioiii Llidrity. Notes to the flnanclal statements
Brltlsh Assoclation for Perfornilni Arts Medklne (BAPAMI C*arfty No 1167785 foi the year ended 31 Dec•mber2025 Flxed assets Leasehold CoMptr Medlcal Imprfftments Equlpment Furnltur• Equlpm4nt Tot•1 CosVv8lu•tlon At I january 2025 Addltlons Dlsposals At 31 December 2025 28,644 30,708 2,720 1,793 1,773 62,918 2,720 28,644 33,428 1,793 1,773 65,638 Amortts•tlon At l January 2025 Charge for th• y••r Dlsposals At 31 Dec•mber 2025 111,9351 19,5481 127,3321 12,8291 11,3141 11121 11,7731 142,3541 112,4891 21,483 1,773 54,843 N•t bookValu• At 31 December 2025 7,161 3.267 3.376 367 At 31 D•c•mber 2024 16,709 D•bto 2025 20Z4 Debtors Accnjed In¢ome Prepayments 105,453 95,126 555 186,849 49,584 10,551 246,984 201,134 eJ•dttors 2025 2024 Accruals Deferred incom• Other Credthr$ 19.113 81,153 7,505 18.800 122,760 20,510 107 771 162,070
Brftlsh Assoclatlon for P•rfomiln8Arts Medldne {WAM} Charlty No 1167785 Notes to the flnaftcl•l statements for the year ènded 310ecember 2025 Net assets bètween fvnds Analysls ot Net Asse be¢w•en Funds Unrestrlrted Restrkted Funds Funds Unrertri¢ted Restrlrted Funds Funds 2024 Fund Balances at 31 December as represented by: Tanglble Flxed Assets Current Assets Current Llabillti•s 10,795 527,029 107.771 430,053 10,795 538,189 107,771 441.213 20,564 378,667 162.070 237,161 20,564 378,667 162,070 237,161 11.160 11,160 R•strlct•d funds Grants WLYe re¢elN*d from the Royal Ballet Benevdent Fund IRBBFI for both 2025 and the prlor year. for the purposes of supportln8 professlon•l danor5. The 2024 grant was Snt In tts entlrety during the ¢OUTse of that flnand•l perlod. but for 2025 an unspent amount has betrn carded forward. Grants rec•Sv•d from the Royal Vartety Ch¥ffty are approv•d on an Indivldual by Ind¥ldual basls wlth payments recelved after assessment and therapy have been provided land therefore there 15 no balance to be urried forward) and are therefore no lon8er consldered restrlrted R88F Tot•1 2025 Balance as at 31 December Donatlons recelv durln the ear Payments made durlng the ear Balance Carried forword as at 31 December 17,71)0 17,7 6,5401 11,160 11.160 Page 23
Brltlsh Asx>clatlon forPwfomiini Arts Medldne IBAPAM) Cfrarfty No 1167785 Notes to the flftanclal ststements tor the year ended 31 December 202S RBBF Royal Varlety Tot•1 2024 Balance as at 31 December l)onat10ns received durin the ar Payments made during the ear Balance Carried forwa..d as at 31 Dee•mber 9,960 20,707 30.667 20,707 30,667 Lus• commltm•nts At 31 Dmber 2025 Ihe Charws outstandlnocommltmtnts for future mlnlmum lease payments under non.tsncellabl¢ 9ratIng leases were as follows: L•nd ind Bulldlni$ 2025 2024 Wlthln on• year Between two and flve years Over flve years 21,316 45,267 R•knt•d p•rty tr•nMrtlons Three trustees Tecelved paymentstotallng £2L749 relatin8 to tondurtlni dlnlcs In 2025. FInInl Instrum•nts The cafrylns amounts of ihe LaMwlty's nnandal Instiumtnts are as fvllows.. 2025 2024 Financial ossets Debt instruments measured at amOrtI cost: - debtors and accru•d Income (note 41 2CKJ,579 192,490 236,433 236,433 P8e 24