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2022-12-31-accounts

MENTAL HEALTH INNOVATIONS

TRUSTEES’ ANNUAL REPORT AND FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31 DECEMBER 2022

Registered Charity Number - 1175670

CONTENTS

Trustees Annual Report Pages 2-24 Statement of Trustees’ Responsibilities Page 25-26 Independent Auditor’s Report Pages 27-31 Financial Statements: Statement of Financial Activities Page 32 Balance Sheet Page 33 Statement of Cash Flows Page 34 Notes to financial statements Pages 35-60

Mental Health Innovations Registered Charity Number: 1175670

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Trustees’ Annual Report

The Board of Trustees are pleased to present their Trustees’ Annual Report and accounts for the year ended 31 December 2022. The report and accounts comply with the requirements of the and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their financial statements in accordance with FRS102 (effective 1 January 2019).

Introducing Mental Health Innovations

Mental Health Innovations (“MHI”) is a digital mental health charity which develops new ways to help people have conversations about mental health. We combine digital innovation, data-driven analysis and expertise in mental health. Our purpose is to transform lives by improving access to helpful digital resources for mental health in the UK.

MHI was founded in November 2017 with the support of The Royal Foundation following their successful Heads Together campaign. Heads Together identified the potential that digital tools offer in supporting people struggling with their mental health. MHI works in partnership with charity partners, academic institutions and the corporate sector to help improve mental health in the UK.

MHI’s first digital mental health service is Shout 85258. Shout uses the technology platform of the US charity Crisis Text Line and provides free 24/7 text message support for anyone who is struggling to cope.

Our Mission

Mental Health Innovations’ mission is to use data-driven analysis, clinical expertise and technological innovation to develop and sustain pioneering digital products and services that meet underserved needs and that improve the mental health of the UK population.

Our Vision

Our vision is that everyone in the UK has access to the digital mental health services that they need and can access appropriate, high-quality support quickly and efficiently through the power of technology.

Mental Health Innovations Registered Charity Number: 1175670

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Our Values

Integrity

We are driven by the best interests of the people we serve and we place them at the heart of everything we do. We have high standards and we hold ourselves to account to deliver our objectives and KPIs to achieve our mission.

Collaboration

We embrace a diverse range of people, skills, views and experiences within our organisation to achieve better outcomes for the people we serve. We work together with empathy and mutual respect.

Courage

We are bold and push the boundaries to find new and better ways to support more people. We are not afraid to try new things and we learn from our mistakes.

Insight

Our work is evidence-based. We interrogate data and draw upon clinical expertise to inform our actions and to set standards for best practice. We are curious, reflective and we seek regular feedback on our performance.

Agility

We are nimble and flexible, responding swiftly to new challenges and innovating purposefully to achieve our goals and objectives.

Diversity and Inclusion

Our goal is to be a diverse and inclusive organisation that is representative of the UK population at all levels, including our Board of Trustees, our staff, our volunteers and our beneficiaries. We believe that diversity among our staff will lead us to have a creative and empowered team that can develop and deliver high quality services. We want these services to be known to and accessed by a diverse range of the UK population, including demographics that are underserved by mental health support services.

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We hold ourselves accountable to progress through our Diversity and Inclusion Working Group. The Group facilitates open conversations where our attitudes and working practices can be challenged, identifies where improvements need to be made, makes evidence-based recommendations and tracks progress against our goals.

The Trustees have referred to the Charity Commission’s general guidance on public benefit when reviewing our aims and objectives and in planning our future activities. These objectives fall under the purposes defined by the Charities Act 2011.

Shout: 24/7 support for the UK

Shout 85258 is a free, confidential, 24/7 text message support service for anyone in the UK who is struggling to cope. The service is staffed by trained volunteers who are overseen by clinical supervisors. The Shout service is available around the clock and is designed to enable individuals to take their next steps towards feeling better. https://giveusashout.org/

How it works

Shout is designed to be as easy to access as possible – there is no app or data required, no registration process, no fee. It is silent, free, confidential and anonymous – a texter can send a text message any time of day or night wherever they happen to be.

Every conversation is with a human being and there are three levels of risk management and quality assurance operating across the service:

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Clinical oversight of the platform and ensuring the quality of our conversations is at the heart of Shout 85258. Both Professor Peter Fonagy, of University College London and the Anna Freud Centre, and Dr Jean O’Hara FRCPsych, a Visiting Senior Lecturer (IOPPN) at King's College London and Honorary Consultant Psychiatrist (SLaM), are MHI Trustees.

The Shout service currently employs more than thirty clinicians with a breadth of experience drawn from NHS roles, private practice and crisis response. Clinical supervisors monitor conversations in real time, provide support to volunteers in their responses to texters, review transcripts, monitor the case notes of repeat users and are responsible for appropriately responding to safeguarding cases or conversations where a risk-to-life is

As of 30 June 2023, Shout 85258 has more than 2200 active Shout Volunteers (compared with 2,150 as of 30 June 2022).

Crisis Text Line partnership

Mental Health Innovations is in partnership with Crisis Text Line to bring to the UK the established technology platform and service model that underpins the Shout service. Mental Health Innovations licences the technology platform from Crisis Text Line to power the Shout service. No fee is payable in respect of this service or the IT support provided by Crisis Text Line.

Crisis Text Line’s US service is a free, nationwide, text-based, 24/7 service for people experiencing crisis. The service has been operating in the USA since August 2013. As of June 2023, Crisis Text Line has exchanged more than 8.7 million conversations with US texters in crisis. More information on Crisis Text Line can be viewed at: www.crisistextline.org.

Mental Health Innovations Registered Charity Number: 1175670

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Numbers

From launching the Shout service in its pilot phase in May 2018 to 30 June 2023, Shout 85258 has grown to having:

Historically, 62% of texters identify as straight and 38% of texters as LGBTQ+ . Female users have represented 75% of users. 62% of texters have been under 25 years old.

Being the fifth year of operations, 2022 was a year of significant growth for the charity. The impact we were able to have on our community scaled significantly between 2021 and 2022, although the number of conversations have reduced slightly in 2023 to date, especially as a result of the pandemic.

Mental Health Innovations Registered Charity Number: 1175670

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2018
(May to
December)		 2019 2020 2021 2022 2023
(Period to
30 June)		 2018 -
2023
(Period to 30
June 2023)
Total conversations 26,571 166,620 355,870 501,568 663,719 291,932 2,006,433
Total texters* 14,218 81,933 159,287 208,911 253,717 131,352 679,578*
Active Volunteers 544
(As of 31
December)		 1,671
(As of 31
December)		 2,304
(As of 31
December)		 1,794
(As of 31
December)		 2,227
(As of 31
December)		 2,244
(As of June
2023)		 2,200+
(As of June
2023)
Conversations per day 269
(December
average)		 698
(December
average)		 1,303
(December
average)		 1,614
(December
average)		 1,740
(December
average)		 1,608
(June
average)		 1,129

Note: * Total texters row represents unique texters in each period. As a result, the total column is not additive.

Mental Health Innovations Registered Charity Number: 1175670

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Texter Feedback •r shout 85258 rD shout 85258 (￿4 4Vo yKpJLK4 Ji Yty¥ )) shout 85258 shout 85258 Mental Health Innovations R￿Istered Charity Number,. 1175670

Review of 2022 Operations

2022 was a landmark year for Mental Health Innovations, where we scaled Shout to meet demand from 260,000 people in mental health crisis, taking a phenomenal 670,000 conversations with people in distress. Of these conversations there were 9,500 interventions where texters were at risk of imminent suicide. During the year 4,800 volunteers took 55,000 hours of conversations with texters.

We harnessed our unique data insight and clinical expertise to launch a flagship report looking at Shout’s role in UK suicide prevention and worked with 79 partners to extend mental health support and training to communities and businesses across the nation.

We collaborated with amazing figureheads including The Prince and Princess of Wales, Harry Kane, Will Young and Ed Sheeran to raise awareness of the cause and won national awards for campaigning and research.

However, as in 2021, fundraising was the biggest single challenge for the charity during the year. Conversation volumes continued to grow, resulting in an increased cost base, and maintaining a financially sustainable foundation became increasingly challenging.

During the year, MHI continued to seek to diversify income streams and build awareness of the service to help with this. We continued to make good progress in developing commissioned partnerships with organisations throughout the country to enable more users to access the service. In addition, we started to experiment with public fundraising, particularly through Facebook, to help further diversify income streams. We also continued to seek to develop further relationships with philanthropic and corporate potential donors.

In 2022, Shout continued to white-label the service to charity partners, universities and corporate partners in order to provide support to specific vulnerable groups, and to add capacity to the wider sector. Many charities that offer excellent services during the day are able to signpost their service users to Shout during the night-time, thereby offering round-the-clock support. During 2022 MHI continued to provide effective 24/7 support with a team of clinically trained supervisors in New Zealand to better support the late evenings and night-time texters in the UK.

In the year, the staff team has grown, with the average number of staff being 84 in 2022 (79 in 2021).

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2023 Strategic Focus

MHI has continued to build each year on the strong foundation initially developed in 2018. In 2023 to date, we have continued to grow the impact and reach of the Shout 85258 service, particularly through our commissioned partnerships.

The most common issues presented from our texters are suicidal ideation, self harm, anxiety and stress. This continues to create a need for emotional support that the Shout service is able to respond to. Our clinically robust and monitored digital service demonstrated its ability to scale rapidly to facilitate the replacement of at least some of this support.

MHI has continued to focus on building out staffing and systems to respond to the pandemic and to ensure sufficient capacity to cater for this growth in service demand. This enabled us to provide the necessary service capacity and enabled us to respond to the higher number of conversations and train more volunteers.

MHI’s operations in New Zealand continued, enabling MHI to have clinical supervision staff members, trained in UK practice. Increasing operations in New Zealand under aligned data protection regulations provides increased capacity to meet increased overnight demand for the 24/7 Shout service.

MHI’s strategic objectives for 2022-25 are as follows:

Mental Health Innovations

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The high-quality of the Shout 85258 service has been our primary aim throughout what has been a difficult period as the fundraising challenges, caused firstly by the pandemic and then the difficult economic environment, have made things more difficult operationally than we would have hoped.

In 2023, MHI has continued to seek to diversify and grow income, complementing the kind support of our philanthropic donors with support from the corporate sector and public fundraising, as well as growing the commissioned service offer to sectors that would benefit from a tailored, white-labelled version of the Shout 85258 service in serving their communities and/or customers.

The user base of Shout 85258 is currently skewed towards white, female texters aged 14-24. MHI aspires to widen the appeal and reach of the service to a broader range of demographics and seeks to grow service usage among different genders, ethnicities and socio-economic groups. We are focused on identifying underserved demographics and reaching these audiences through community based marketing activities, deploying behaviour change marketing principles. We will also reach more diverse audiences through the generation of new keyword partnerships with charities and community organisations who have reach into these demographics.

Growing our Data Insights capacity and outputs continues to be a key focus in 2023 and we have developed technology to help in this regard. Data insights support the day-to-day operation of the Shout 85258 service and MHI’s future programme of charitable activities including the identification of areas for the development of additional digital products and services.

Mental Health Innovations Registered Charity Number: 1175670

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Governance

Mental Health Innovations

Mental Health Innovations is a Charitable Incorporated Organisation established in 2017, regulated by the Charity Commission (Charity no. 1175670). The business of the charity is governed by the Board of Trustees (whose members during the year are listed below). The trustees are responsible for overseeing the management of all the affairs of Mental Health Innovations and delegate day-to-day management of the organisation to the Chief Executive and the Senior Management Team. The trustees make decisions in accordance with the provisions of the Charities Act 2011. The board meets at least four times a year.

Give us a Shout Ltd

Give us a Shout Ltd is wholly owned by Mental Health Innovations, was incorporated in October 2019 and is registered in England and Wales (Company no. 12273687). The business of the subsidiary is governed by the Chair, CEO, and Director of Finance and Operations (from October 2020). The subsidiary is currently dormant, with no financial activities.

Trustees

The Trustees who served during the period and up to the date of signature of the financial statements were:

Edward James Wray Dominic Brendan Flynn Peter Fonagy Charles Stuart Mindenhall Simon Christopher Weaver Dr Amy Shi-Nash Dr Uma Vaidyanathan Dr Jean O’Hara Jerome Jude Misso

(Resigned September 2022)

Senior Management Team

Victoria Hornby (Chief Executive Officer) Clare Bolton (Director of Marketing and Communications) Christopher Chapman (Finance Director) Edward Conway (Director of IT and Security) Alistair Crawford (Chief Operating Officer) (Appointed April 2023) Sarah Kendrick (Clinical Director) Dr Fiona Pienaar, PhD (Senior Clinical Adviser) Dr Mark Ungless (Director of Data Insights) Caroline Westley (Director of Income)

Mental Health Innovations

Registered Charity Number: 1175670

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Registered address

Mental Health Innovations PO Box 78319 LONDON W10 9FE

Independent Auditor

Moore Kingston Smith LLP 6th Floor, 9 Appold Street, London, EC2A 2AP

Principal Bankers

Barclays Bank Plc Leicester LE87 2BB

Recruitment, appointment and training of Trustees

The Board of Trustees review the skill set of its members, via a Trustees Skill Matrix, on a regular basis and will seek to fill gaps with people with the appropriate level of skills and experience. Once appointed a new Trustee is given information on the legal expectations and duties of a Trustee, meets with the Chief Executive and other relevant staff, is given an information pack of relevant documentation and is provided with any relevant training. All Trustees are kept updated on any changes to the responsibilities of a Trustee under the Charity Commission.

Pay Policy

MHI aims to reward people who work for the charity fairly and equitably for the work they do, and for the skills and experience they bring to the organisation and in line with the published grade and salary banding. Salaries are reviewed on an annual basis for both cost of living and merit increases. The pay of the Chief Executive is reviewed by the Chair of the Board of Trustees, and any changes would be approved by the Board of Trustees, and the pay of other key personnel is reviewed and approved by the Chief Executive.

Charity Governance Code

MHI has focused on enhancing its processes in relation to the 7 principles of Charity Governance. The principles encourage charities to publish a brief narrative in their Trustees’ Annual Reports explaining how they apply it.

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The Board will continue to focus on MHI’s governance arrangements in areas covered by the code to ensure that the charity’s governance aligns well with the code.

As the MHI team, volunteer community and Shout service grow significantly, the Board and Senior Management Team are committed to developing a diverse and inclusive organisation with services that appeal to and are accessible by a wide range of demographics among the UK population. A Diversity and Inclusion committee, formed by staff in the organisation, meets regularly to improve diversity and inclusion in the organisation as well as the volunteer community, and in ensuring that our service is visible and welcoming to all communities in the UK.

Safeguarding

We believe that everyone has the right to live in safety, free from abuse or neglect no matter who they are or where or how they live.

We believe that safeguarding is everyone’s responsibility and that difference and diversity should be respected and celebrated. Our mission at Shout is that everyone is treated fairly, with accessible information, advice and support to help stay safe and maintain control of their lives.

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We are dedicated to safeguarding all individuals who use Shout by valuing them, listening to and respecting them and by providing a safe environment for all of our texters so that they can access the support they deserve.

We strive to identify individuals who are suffering, or at risk of suffering, abuse and neglect and where appropriate, to report concerns in a timely manner to relevant agencies. We believe that the duty to safeguard and to promote resilience, wellbeing and safety extends to all staff, Volunteers and Trustees of Shout. We recognise the devastating effect of abuse and neglect and this drives our commitment to safeguarding comprehensively and with compassion.

Our commitment at MHI is to ensure robust safeguarding measures are in place for our texters. We therefore have a Safeguarding policy in place, as well as a complaints policy.

Training

Regular training in safeguarding for all staff is a standard for all employed staff. All new staff are also expected to complete their safeguarding training during the induction process. This training includes:

There is an ongoing programme of training and skills development for all volunteers and staff via monthly interactive safeguarding forums and podcasts which are available on Hive Learning.

All Clinical Supervisors and Coaches are trained to Level 3, and our UK Safeguarding Panel members are trained to Level 5. All staff are expected to redo all safeguarding training every two years

For Trustees

Trustees have undertaken training in Safeguarding for charity trustees in line with the Charity Commission guidance on good safeguarding governance.

Digital safeguarding

We launched our Digital Safeguarding training in line with the Safeguarding Children Level 3 in April 2022 and all members of the clinical team were required to complete this .

Priorities for the future are to:

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Safer recruitment

Provide Safeguarding guidance/questions to the recruitment team to ensure our responsibilities are highlighted throughout the process from application to beyond/throughout their employment.

Data Protection and Information Security

In 2022, we continued to mature our ISMS, we closed off a number of risks, including automating volunteer data retention. We had no findings in our 2022 surveillance audit. We will reach the end of our 3 year audit cycle at the end of 2023 and are preparing for a full audit. We have upgraded to the latest ISO 27001:2022 standard. We have completed a number of projects to bolster device and browser security, one of which also allows us to bring device management in-house, saving at least £15,000 per year. We are piloting a version of the service, which uses non-SMS channels, allowing us to reach underserved parts of the population.

There has been extensive work on updating our core volunteer training to use Moodle LMS and generational AI for scenario based activities. We hope this significantly reduce the key drop-out points for trainees and result in better skills. Training activity and assessments will be streamed to our analytics platform to help us target areas for improvement.

Work has commenced updating our privacy centre with clearer, more accessible policies. Based on the development of external advice, opinion and policy over the last 5 years, we will be moving to a new lawful basis for our processing, which adds greater clarity to our users and partners. We will have clear transitional arrangements for data collected to date. Ongoing 2023 include a next-generation data anonymiser and preparation for the new tech stack (Phoenix). We have applied business intelligence and automation tools to our support desk to ensure we could scale with the growing number of volunteers and staff. MHI's cyber risks have been consolidated and closely aligned with its data assets.

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Internal policies and Regulatory Compliance

Our organisation's policies are reviewed at least annually to ensure they reflect current best practice, and we provide regular awareness training to support staff in understanding, applying and complying with our policies.

Fundraising Compliance

Our Funder Policy recognises our legal requirements as a charity to maximise our income in line with our mission whilst ensuring that our activities and behaviour comply with the law. MHI acknowledges that the generosity of our donors and partners enables us to carry out our charitable activities. Whilst our aim is to maximise our income we recognise that on very rare occasions we may consider refusing a donation or other involvement with a sponsor or a particular activity. In such an instance we will act with the utmost integrity; we will respect any matters of legitimate confidentiality and, in conducting all discussions and conveying the decision, will aim to respect the dignity of the prospective donor and/or partner.

We believe in adhering to the highest standards of fundraising practice and our fundraising activities are led by our Director of Income as well as the Income Generation team, who are responsible for ensuring that all fundraising follows the standards in the fundraising code. We received no complaints about our fundraising this year. We also pay close attention to the changing regulatory environment to ensure that we are compliant with best practice and that our fundraising is transparent, honest and non intrusive. We do not employ professional fundraising agencies with the majority of fundraising activities planned and delivered by our small inhouse fundraising team.

Mental Health Innovations Registered Charity Number: 1175670

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Our People

Our employees and our volunteers remain at the heart of everything we do. As a fast growing organisation, we continue to work to attract the right people and to create a supportive working environment so that they want to stay.

Staff wellbeing remains at the forefront of our mind, and is especially important given the nature of our work. We continue to invest in support to help our staff look after their wellbeing. Our teams in the UK and New Zealand are offered health insurance and an employee assistance programme, and our clinical team receive paid-for supervision.

In order to create a vibrant and creative workspace we are committed to being truly representative of the people we serve. We have invested substantial effort in broadening the reach of our service, and on initiatives that increase awareness of issues around diversity and inclusion among our staff and Volunteers. Our Diversity, Equality and Inclusion working group meets regularly to support the organisation’s Trustees and Senior Management Team in delivering a strategy for diversity, equality and inclusion.

We have many opportunities for staff to make their voices heard across the organisation as we seek to understand ways to better support staff, with regular surveys to identify areas to explore and working groups to ensure a broad range of voices are heard.

All staff can invest in their learning and development with a personal training budget to use on areas of interest, as well as training courses delivered to the whole organisation. Staff and Volunteers have access to a wide range of online learning courses to further their skills and knowledge.

We seek to make sure that everybody who works or volunteers for us does so in a safe environment, free from discrimination and harassment. We have policies and procedures in place to make sure this is the case, and that concerns can be raised and dealt with discreetly and effectively.

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Our Supporters in 2022

We would like to thank all those who supported Mental Health Innovations and the Shout 85258 service, as without their help, our work would not be possible.

Our Donors and supporters in 2022 include:

We would like to thank the following networks for providing the Shout’s text service free to the service user and ‘off bill’: EE, O2, Three, Vodafone, BT Mobile, Tesco Mobile, Virgin Mobile, iD Mobile, Sky, Telecom Plus, Lebara and GiffGaff.

Volunteers

Our Texters

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And a final thanks to all those who have helped us raise awareness of Shout 85258 and all who wish to remain anonymous.

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Financial Review

2022 in Review

2022 was another challenging year financially for MHI. As the year progressed, the resulting economic challenges continued to impact our fundraising efforts. As a result MHI continued with the approach to diversify income streams, where possible, in order to help protect against such circumstances impacting the organisation in the future. There was a continued growth in commissioned services, which involved providing the Shout service to partner organisations where users would have a specific keyword. MHI provides data insights based on the texter population to the organisation. Income in the year totalled £6.1m (2021: £5.2m), which was below target for the year. In order to help meet this challenge MHI continued to look for opportunities to reduce the cost base without impacting the quality or 24/7 service provided.

In addition, fundraising for MHI was made significantly more difficult by the publication of an article in The Observer newspaper in February 2022 which made a number of allegations about our use of data for research. A subsequent investigation by the Information Commissioner’s Office (ICO), completed in March 2023, found these allegations to be entirely unfounded. However, the impact on our reputation, loss of income and substantial legal fees will take some time to recover from.

In 2022, MHI again needed to support a significant growth in demand for the Shout service. In order to respond to this growing demand, further investment was required to build the capacity of the organisation to ensure we could continue to provide a quality service, including underlying systems, supporting service delivery and robust governance. However, with the fundraising challenges detailed above we approached this growth carefully and sought to control costs, particularly in support areas.

MHI is committed to ensuring that Shout service users experience the highest quality of support. As such, Shout’s primary expenses are:

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Over the course of 2022, MHI’s expenditure was £6.7m (2021: £5.9m). Increased demand for the service necessitated a growth in staff with headcount growing from 79, as at 31 December 2021, to 84 as at 31 December 2022. This resulted in additional costs of £0.2m during the year.

Restricted funds are those that are subject to restrictions specified by the donor and can only be used for the specified purpose, namely the Shout 85258 text service or Data Insights. The charity had restricted funds of £1.8m at the end of the year (2021: £0.5m).

There were negative unrestricted reserves at the end of the year of £1.1m (2021: +£0.7m).

Reserves Policy

To safeguard the need for sufficient funds to cover on-going management, administration, and support costs, as well as respond to future investment opportunities, the Board aims to maintain unrestricted, free, reserves at a level that equals between 3 and 6 months of expenditure, which currently equates to between £1.7m and £3.3m.

As at 31 December 2022, the charity does not have any unrestricted reserves and this has largely been caused by the three-fold growth in demand for our services during the pandemic, resulting in the significant increase in our costs, which has challenged our fundraising in the current economic climate.

In anticipating this position in the previous year, the charity sought to improve cash resource levels by obtaining a £3m loan from the IGY Foundation. It has been agreed that this loan is repayable in September 2026, with no repayments needing to be made before December 2024, and then with further repayments calculated on a quarterly basis based on cash levels exceeding agreed amounts. Any amount outstanding at the end of September 2026 would become repayable at that time.

The Trustees are committed to strengthening income streams and are continuing to closely monitor the charity's financial needs by managing its cash flow using all available funds at its disposal, including the IGY loan. As at 31 December 2022 our total cash balance was £2.5m (2021: £4.0m), however, the charity is forecasting to build up its unrestricted funds over the course of the next 24 months to enable it to achieve the target free reserve policy level.

Going Concern

MHI is 5 years old and has not, therefore, had the time to build up significant unrestricted reserves. The majority of income received has been restricted to delivering and scaling the Shout service. We do not actively promote the service ourselves, but it is widely promoted elsewhere, with particular increases in demand during the pandemic and more recently,

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spikes in demand driven by social media attention and NHS signposting. The increasing demand has meant we have needed to increase our fundraising, to retain reserves at an appropriate level. This has been a challenge in the current climate.

However, significant efforts from both the Trustees and executive team have delivered a much more diversified and stronger income pipeline, enabling us to be more positive about the financial future. Several new, material sources of income in Q4 2023, 2024 and beyond will secure the longer term financial sustainability for Mental Health Innovations. Most notable of these, after positive engagement with NHS England, is the requirement for national coverage of 24/7 crisis text services as set out in NHS England's Urgent and Emergency Care Recovery Plan, published in January 2023. Shout is currently the only provider of a universal 24/7 mental health crisis text services in the UK. We have begun engaging with the 42 Integrated Care Boards (ICB’s) in England and expect to be successful in securing contracts with a substantial number of these ICBs. Given the scale and reach of the Shout service, MHI is also hopeful of securing a significant grant from the Department of Health and Social Care’s £10m Suicide Prevention Fund for the voluntary and community sector.

In September 2021, following a sustained threefold increase in demand for the service during the pandemic we received a £3 million loan from the IGY Foundation to help us manage our cash flow in such a difficult environment. In recognition of the challenging economic climate, the IGY Trustees have agreed to extend the original term of the loan from September 2024 to September 2026. No repayments of the loan will be made before December 2024.

Our planning processes, including financial projections and stress-testing, have taken into consideration the current economic climate and its potential impact on various sources of income and planned expenditure. The nature of the projections demonstrate that in all scenarios we are able to continue in existence for the next 12 months, although the stress scenarios rely on a positive outcome from material events.

alternative plans in place if needed, and have adequate resources to continue in operational existence for the next 12 months. Accordingly, the Trustees believe that a going concern basis is appropriate and, on this basis, the financial statements have been prepared on this basis. The Trustees are confident that these expanded income streams will enable the charity to eliminate the deficit on unrestricted funds, over a period of up to 24 months as noted in the reserves policy, without adversely affecting its ability to deliver on the projects for which it has received restricted funding.

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Risk Management - Principal risks and Uncertainties

Trustees have overall responsibility for risk management and in line with their policy maintain a risk register. However, the Trustees also recognise that for the risks to be identified and managed successfully there needs to be shared accountability throughout the organisation. Risks are considered at both a strategic and operational level, with the nature of the risk noted on the register along with an assessment of its likelihood and potential impact. The senior management team reviews the risk register quarterly with the risks being reviewed by the Board on a quarterly basis. Depending on the nature of the risk, the management will either consider measures to put in place to mitigate against the risk or, where an external risk is outside of the charity’s control, a response plan.

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Statement of Trustees’ Responsibilities

The Trustees are responsible for preparing the Trustees' Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). The law applicable to charities in England and Wales requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the Charity and of the incoming resources and application of resources of the Charity for that year.

In preparing these financial statements, the Trustees are required to: - select suitable accounting policies and then apply them consistently;

The Trustees are responsible for keeping sufficient accounting records that disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008 and the provisions of the constitution. They are also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

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Disclosure of Information to Auditor

Each Trustee has confirmed that there is no information of which they are aware which is relevant to the audit, but of which the auditor is unaware. They have further confirmed that they have taken appropriate steps to identify such relevant information and to establish that the auditor are aware of such information.

The Trustees' Annual Report was approved by the Board of Trustees.

.............................. Edward James Wray

Trustee

Dated: 24 October 2023

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INDEPENDENT AUDITOR’S REPORT TO THE TRUSTEES OF MENTAL HEALTH INNOVATIONS

Opinion

We have audited the financial statements of Mental Health Innovations for the year ended 31 December 2022 which comprise the Statement of Financial Activities, the Summary Income and Expenditure Account, the Balance Sheet, the Cash Flow Statement and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 ‘The Financial Reporting Standard Applicable in the UK and Republic of Ireland’ (United Kingdom Generally Accepted Accounting Practice).

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s Responsibilities for the audit of the financial statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charity’s ability to continue as a going concern for a period of at least twelve months from when

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Mental Health Innovations

Registered Charity Number: 1175670

27

Other information

The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Matters on which we are required to report by exception

We have nothing to report in respect of the following matters where the Charities Act 2011 requires us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the trustees’ responsibilities statement set out on page 24, the trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.

Mental Health Innovations Registered Charity Number: 1175670

28

We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in aggregate, they could reasonably be expected to

As part of an audit in accordance with ISAs (UK) we exercise professional judgement and maintain professional scepticism throughout the audit. We also:

We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

Mental Health Innovations

Registered Charity Number: 1175670

29

Explanation as to what extent the audit was considered capable of detecting irregularities, including fraud

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below.

The objectives of our audit in respect of fraud, are; to identify and assess the risks of material misstatement of the financial statements due to fraud; to obtain sufficient appropriate audit evidence regarding the assessed risks of material misstatement due to fraud, through designing and implementing appropriate responses to those assessed risks; and to respond appropriately to instances of fraud or suspected fraud identified during the audit. However, the primary responsibility for the prevention and detection of fraud rests with both management and those charged with governance of the charity.

Our approach was as follows:

There are inherent limitations in the audit procedures described above. We are less likely to become aware of instances of non-compliance with laws and regulations that are not closely related to events and transactions reflected in the financial statements. Also, the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion.

Mental Health Innovations

Registered Charity Number: 1175670

30

Use of our report

This report is made solely to the charity's trustees, as a body, in accordance with Chapter 3 of Part 8 of the Charities Act 2011. Our audit work has been undertaken so that we might state to the charity’s trustees those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to any party other than the charity and charity's trustees as a body, for our audit work, for this report, or for the opinion we have formed.

……………………………………….

Moore Kingston Smith LLP, Statutory auditor

24 October 2023 Date: ……………… 6[th] Floor, 9 Appold Street London, EC2A 2AP

Moore Kingston Smith LLP is eligible to act as auditor in terms of Section 1212 of the Companies Act 2006.

Mental Health Innovations Registered Charity Number: 1175670

31

MENTAL HEALTH INNOVATIONS

STATEMENT OF FINANCIAL ACTIVITIES INCLUDING INCOME AND EXPENDITURE ACCOUNT

AS AT 31 DECEMBER 2022

Not
e
Income from:
Donations and gifts
3
Charitable activities
4
Investments
Total income:
Expenditure on:
Raising funds
5
Charitable activities
6,7
Total resources expended:
Net income/ (expenditure)
for the year/ Net movement
in funds
Funds balances as at 1
January 2022
Fund balances at 31
December 2022		 Unrestricted
funds
Restricted
funds
Total
2022
2022
2022
£
£
£
507,708
4,829,196
5,336,904
758,467
8,516
766,984
18,099
18,099
1,284,274
4,837,712
6,121,987
627,118
627,118
3,121,923
2,987,265
6,109,188
3,121,923
3,614,382
6,736,305
-1,837,649
1,223,330
-614,319
713,405
529,000
1,242,404
-1,124,244
1,752,329
628,085		 Unrestricted
funds
Restricted
funds
Total
2021
2021
2021
£
£
£
1,780,047
2,624,210
4,404,258
754,443
63,874
818,317
12,546
0
12,546
2,547,037
2,688,085
5,235,121
0
358,028
358,028
3,434,870
2,148,345
5,583,215
3,434,870
2,506,373
5,941,243
-887,833
181,712
-706,122
1,601,238
347,288
1,948,526
713,405
529,000
1,242,404

Mental Health Innovations Registered Charity Number: 1175670

32

MENTAL HEALTH INNOVATIONS

BALANCE SHEET

AS AT 31 DECEMBER 2022

Note
Fixed Assets
Tangible assets
10
Investments
11
Current Assets
Debtors
12
Cash at bank and in hand
Creditors: amounts falling due within one
year
13
Net current assets
Total assets less current liabilities
Creditors: amounts falling due after more
than one year
14
Net assets
Income funds
Restricted funds
16
Unrestricted funds		 2022
£
£
69,923
100
70,023
2,053,908
2,503,609
4,557,516
-976,438
3,581,078
3,651,101
-3,023,016
628,084
1,752,329
-1,124,245
628,085		 2021
£
£
59,513
100
59,613
662,613
3,953,679
4,616,292
-402,309
4,213,984
4,273,597
-3,031,193
1,242,404
529,000
713,405
1,242,404		 £
59,513
100

Edward James Wray Trustee

Mental Health Innovations Registered Charity Number: 1175670

33

MENTAL HEALTH INNOVATIONS

STATEMENT OF CASH FLOWS

AS AT 31 DECEMBER 2022

STATEMENT OF CASH FLOWS
AS AT 31 DECEMBER 2022
2022 2021
Note £ £ £ £
Cash fows from operating
activities
Cash generated from operations 21 -1,436,396 2,171,835
Investing activities
Purchase of tangible fxed
assets -31,773 -10,116
Purchase of shares in subsidiary
company 0
Investment income received 18,099 12,546
Net cash used in investing
activities -13,674 2,430
Net cash used in fnancing
activities 0 0
Net increase in cash and cash
equivalents -1,450,069 2,174,265
Cash and cash equivalents at
beginning of year 3,953,679 1,779,414
Cash and cash equivalents at
end of year 2,503,610 3,953,679

Mental Health Innovations Registered Charity Number: 1175670

34

MENTAL HEALTH INNOVATIONS

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31 DECEMBER 2022

1 Accounting Policies

Charity information

Mental Health Innovations is a Charitable Incorporated Organisation registered with the Charity Commission for England and Wales, Registered Number: 1175670.

1.1 Accounting convention

These financial statements have been prepared in accordance with FRS 102 “The Financial Reporting Standard applicable in the UK and Republic of Ireland” (“FRS 102”), “Accounting and Reporting by Charities” the Statement of Recommended Practice for charities applying FRS 102 (effective 1 January 2019), the Charities Act 2011 and UK Generally Accepted Accounting Practice. The Charity is a Public Benefit Entity as defined by FRS 102. The Charity has a trading subsidiary, Give Us A Shout Limited, which has been established should the Charity decide to undertake trading activities in the future. The company is currently dormant and these financial statements are not consolidated.

The financial statements are prepared in sterling, which is the functional currency of the Charity. Monetary amounts in

The financial statements have been prepared under the historical cost convention. The principal accounting policies adopted are set out below.

1.2 Going concern

MHI is 5 years old and has not, therefore, had the time to build up significant unrestricted reserves. The majority of income received has been restricted to delivering and scaling the Shout service. We do not actively promote the service ourselves, but it is widely promoted elsewhere, with particular increases in demand during the pandemic and more recently, spikes in demand driven by social media attention and NHS signposting. The increasing demand has meant we have needed to increase our fundraising, to retain reserves at an appropriate level. This has been a challenge in the current climate.

However, significant efforts from both the Trustees and executive team have delivered a much more diversified and stronger income pipeline, enabling us to be more positive about the financial future. Several new, material sources of income in Q4 2023, 2024 and beyond will secure the longer term financial sustainability for Mental Health Innovations. Most notable of these, after positive engagement with NHS England, is the requirement for national coverage of 24/7 crisis text services as set out in NHS England's Urgent and Emergency Care Recovery Plan, published in January 2023. Shout is currently the only provider of a universal 24/7 mental health crisis text services in the UK. We have begun engaging with the 42 Integrated Care Boards (ICB’s) in England and expect to be successful in securing contracts with a substantial number of these ICBs. Given the scale and reach of the Shout service, MHI is also hopeful of securing a significant grant from the Department of Health and Social Care’s £10m Suicide Prevention Fund for the voluntary and community sector.

In September 2021, following a sustained threefold increase in demand for the service during the pandemic we received a £3 million loan from the IGY Foundation to help us manage our cash flow in such a difficult environment. In recognition of the challenging economic climate, the original term of the loan has been extended from September 2024 to September 2026. No repayments of the loan will be made before December 2024.

Our planning processes, including financial projections and stress-testing, have taken into consideration the current economic climate and its potential impact on various sources of income and planned expenditure. The nature of the projections demonstrate that in all scenarios we are able to continue in existence for the next 12 months, although the stress scenarios rely on a positive outcome from material events. The Trustees are confident that the MHI will successfully manage the uncertainties, with alternative plans in place if needed, and have adequate resources to continue in operational existence for the next 12 months. Accordingly, the Trustees believe that a going concern basis

Mental Health Innovations

Registered Charity Number: 1175670

35

confident that these expanded income streams will enable the charity to eliminate the deficit on unrestricted funds, over a period of up to 24 months as noted in the reserves policy, without adversely affecting its ability to deliver on the projects for which it has received restricted funding.

1.3 Charitable funds

Unrestricted funds are available for use at the discretion of the Trustees in furtherance of their charitable objectives.

Restricted funds are subject to specific conditions by donors as to how they may be used. The purposes and uses of

1.4 Income

Income is recognised when the charity is legally entitled to it after any performance conditions have been met, the monetary amounts can be measured with sufficient reliability, and it is probable (more likely than not) that the income will be received.

Donations are recognised once the Charity has been notified of the donation, unless performance conditions require deferral of the amount. Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation.

Commissioned income is recognised when the service has been provided in accordance with the agreement and the respective income earned.

The charity has a licence with a third party for the use of an IT platform for the provision of the Shout Service. There is no fee payable in respect of this service or the IT support. No licensee pays a licence fee so it is not practicable to estimate a sum for the purposes of the accounts.

1.5 Expenditure

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. Expenditure is classified under the following activity headings:

Expenditure is allocated to the particular activity where the cost relates directly to that activity incurred and includes attributable VAT which cannot be recovered.

Direct charitable expenditure comprises all expenditure related to the running of the text service.

Support costs represent costs that cannot be directly attributed to the activity. Governance includes the cost of compliance with constitutional and statutory requirements and other costs related to the governance of the Charity. Support and governance costs are allocated in full to the single charitable activity.

1.6

Mental Health Innovations Registered Charity Number: 1175670

36

Tangible fixed assets are initially measured at cost and subsequently measured at cost, net of depreciation and any impairment losses.

Depreciation is recognised so as to write off the cost of assets less their residual values over their useful lives on the following bases:

The gain or loss arising on the disposal of an asset is determined as the difference between the sale proceeds and the carrying value of the asset, and is recognised in the net income/(expenditure) for the year.

1.7 Fixed asset investments

A subsidiary is an entity controlled by the Charity. Control is the power to govern the financial and operating policies of the entity so as to obtain benefits from its activities. The investment in Give Us A Shout Limited is disclosed in note 11 and the investment is shown at cost.

1.8

At each reporting end date, the Charity reviews the carrying amounts of its tangible assets to determine whether there is any indication that those assets have suffered any impairment loss. If any such indication exists, the

recoverable amount of the asset is estimated in order to determine the extent of the impairment loss (if any).

1.9 Cash and cash equivalents

Cash and cash equivalents include cash in hand, deposits held at call with banks, other short-term liquid investments with original maturities of three months or less.

1.10 Debtors and creditors

Debtors are amounts owed to the Charity. They are measured on the basis of their recoverable amount. Creditors are amounts owed by the Charity. They are measured at the amount the Charity expects to have to pay to settle the debt.

1.11 Financial instruments

The Charity only has financial assets and liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value.

The Charity has elected to apply the provisions of Section 11 “Basic Financial Instruments” and Section 12 “Other

1.12 The cost of any unused holiday entitlement is recognised in the period in which the employee’s services are received. Termination benefits are recognised immediately as an expense when the Charity is demonstrably committed to terminate the employment of an employee or to provide termination benefits.

1.13

Mental Health Innovations Registered Charity Number: 1175670

37

2. Critical accounting estimates and judgements

In the application of the Charity's accounting policies, the Trustees are required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities, that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are in the period in which the estimate is revised where the revision affects only that period, or in the period of revision and future periods where the revision affects both current and future periods.

The Trustees consider that there are no material areas of judgement or estimation uncertainty.

Mental Health Innovations

Registered Charity Number: 1175670

38

3. Donations and Gifts

Donations and gifts Unrestricte
d Funds
Restricted
Funds
Total
2022
2022
2022
£
£
£		 Unrestricted
Funds
Restricted
Funds
Total
2021
2021
2021
£
£
£
Huang Foundation 0
1,110,900
1,110,900		 0
529,000
529,000
Department of Health and Social Care
The Bally’s Foundation*		 0
437,709
437,709		 0
0
0
0
0
0
0
400,000
400,000
Young Minds Trust 0
320,000
320,000		 250,000
0
250,000
Stone Family Foundation 0
250,000
250,000		 0
250,000
250,000
Gamesys Foundation* 0
200,000
200,000		 0
0
0
Alta Advisors 181,000
181,000		 0
200,000
200,000
The Jongen Charitable Trust 100,000
0
100,000		 100,000
0
100,000
TLA Esp Ltd 0
100,000
100,000		 0
0
0
Network Rail 0
98,900
98,900		 0
0
0
CHK Foundation
The Prism Charitable Trust		 0
95,000
95,000		 0
100,000
100,000
60,000
0
60,000		 0
5,000
5,000
Linbury Trust 0
50,000
50,000		 0
75,000
75,000
Selfridges 0
35,000
35,000		 0
0
0
Wolfson Foundation 0
30,347
30,347		 0
0
0
Bridges Impact Foundation 0
30,000
30,000		 0
50,000
50,000
SJP Foundation
NFU Mutual Charitable Trust		 0
30,000
30,000		 0
0
0
0
0
0
0
25,000
25,000
IQSA 0
19,313
19,313		 0
15,463
15,463
Gooding
ME+EM
AO Foundation
Gilead Sciences		 0
12,000
12,000		 0
0
0
0
0
0
0
0
0
0
0
0
0
11,928
11,928
0
10,000
10,000
10,000
0
10,000
Harry's, Inc. and Harry's USA, Inc 0
10,000
10,000		 0
140,000
140,000
Bloomberg LP
Anonymous Donors
Public Donations		 0
10,000
10,000		 0
20,968
20,968
710,000
300,000 1,010,000
145,039
226,975
372,014
316,614
338,000
654,614
19,393
988,977
1,008,370
Other** 1,700
35,122
36,822		 575,008
711,805 1,286,813
507,708
4,829,196
5,336,904
1,780,047
2,624,210 4,404,258

*The Bally's Foundation acquired Gamseys in October 2021

**iConnections, Tides, Pavers and Randal Charitable Foundation in Other

Mental Health Innovations

Registered Charity Number: 1175670

39

4 Commissioned Partnerships

Student Minds
NHS England
Serco Ltd
Better Help
Wirral Clinical Commissioning
Group
NHS Hampshire, Southampton
and Isle of Wight CCG
Kent and Medway
Open University
Sussex Partnership NHS
Foundation Trust
Sony Interactive Entertainment
Europe Ltd		 Unrestricted
Funds
Restricted
Funds
Total
2022
2022
2022
£
£
£
134,828
0
134,828
91,748
0
91,748
43,690
0
43,690
42,661
0
42,661
37,796
0
37,796
36,734
0
36,734
33,000
0
33,000
26,100
0
26,100
25,087
0
25,087
21,750
0
21,750		 Unrestricted
Funds
Restricted
Funds
Total
2021
2021
2021
£
£
£
399,819
0
399,819
92,752
0
92,752
3,610
0
3,610
22,789
0
22,789
0
0
0
0
0
0
8,300
0
8,300
5,335
0
5,335
0
0
0
0
0
0
CW Plus 16,550
0
16,550		 1,809
0
1,809
Catch 22 16,450
0
16,450		 1,431
0
1,431
Renfrewshire LA 15,918
0
15,918		 2,748
0
2,748
NHS Herefordshire &
Worcestershire CCG
Norfolk County Council
BEN
The Lighthouse Club
NAViGO Health and Social Care
CIC
Pandas Foundation
The Football Association
Childrens Society
Clackmannanshire Council		 13,788
0
13,788
13,379
0
13,379
13,352
0
13,352
13,174
0
13,174
12,750
0
12,750
12,647
0
12,647
12,200
0
12,200
10,139
0
10,139
10,027
0
10,027		 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other Commissioned
Partnerships*		 104,701
8,516
113,218		 215,849
63,874
279,723
758,467
8,516
766,984
754,443
63,874
818,317

*Snapchat, NHS England and NHS Improvement NW Region, Harrys, University of the West of England, Burnt Chef Project moved to Other Commissioned Partnerships

Mental Health Innovations Registered Charity Number: 1175670

40

5. Raising Funds

Fundraising
Staf costs
Consultancy
Other costs
Ofce accomodation		 Restricted funds
Restricted funds
2022
2021
£
£
370,953
315,324
54,612
2,800
192,493
29,372
9,060
10,533
627,118
358,028

Mental Health Innovations Registered Charity Number: 1175670

41

6. Charitable Activities

(a) Delivery of Shout Service
Delivery of Shout Service
2022
2021
£
£
Staf costs 3,492,560
3,449,186
Other costs 1,160,454
1,058,237
4,653,013
4,507,423
Share of support costs (see note 7) 1,439,362
1,060,818
Share of governance costs (see note 7) 16,812
14,974
6,109,188
5,583,215
Analysis by fund
Unrestricted funds 3,121,923
3,434,870
Restricted funds 2,987,265
2,148,345
6,109,188
5,583,215
(b)
Clinical Supervision 2,503,496
2,359,367
Volunteer training and support 643,094
585,892
Information technology and data security 541,008
582,537
Communications and Partnership management 309,846
531,330
Data Insights 655,570
448,298
Other management staf costs 0
0
4,653,013
4,507,423
Share of support costs (see note 7) 1,439,362
1,060,818
Share of governance costs (see note 7) 16,812
14,974
1,456,174
1,075,792
Clinical Supervision
Staf costs and Consultants 2,354,884
2,207,687
Other Clinical Supervision costs 98,026
80,499
Ofce accommodation 50,586
71,181
2,503,496
2,359,367

Mental Health Innovations

Registered Charity Number: 1175670

42

Volunteer training and support

Staf costs and consultants 494,423
491,931		 494,423
491,931
Other Volunteer training costs 71,312
13,439
Training and Community Management 57,094
49,101
Ofce accommodation 20,264
31,420
643,094
585,892
Information technology and data security
Staf costs and Consultants 352,452
401,283
Tech and Data Security costs 180,040
166,478
Ofce accommodation 8,516
14,775
541,008
582,537
Communications and Partnership
management
Staf and Consultant costs 259,509
395,180
Service Marketing and Overheads 43,324
123,067
Ofce accommodation 7,013
13,083
309,846
531,330
Data Insights
Staf and Consultant costs 504,640
336,082
Data Insights costs 93,132
54,232
Imperial Partnership costs 50,000
50,000
Ofce accommodation 7,797
7,983
655,570
448,298
Other management staf costs
Other management staf costs and consultants* 0
0
Ofce accommodation 0
0
0
0

Mental Health Innovations

Registered Charity Number: 1175670

43

7. Support Costs

Staf costs
Depreciation
Accountancy fees
Consultant costs
Legal and professional costs
Ofce accomodation costs
Outbound Messaging Costs
Other staf related costs
Miscellaneous
Audit fees
Total
Analysed between Charitable
Activities		 Support costs
Governance
costs
Total
Support costs
Governance
costs
Total
2022
2022
2022
2021
2021
2021
£
£
£
£
£
£
£762,376
£762,376
£636,093
£636,093
£2,387
£2,387
£2,240
£2,240
£6,699
£6,699
£8,777
£8,777
£66,013
£66,013
£24,587
£24,587
£22,574
£22,574
£11,390
£11,390
£22,075
£22,075
£35,376
£35,376
£391,476
£391,476
£227,374
£227,374
£141,861
£141,861
£89,735
£89,735
£23,902
£23,902
£25,246
£25,246
£16,812
£16,812*
£14,974
£14,974
£1,439,362
£16,812
£1,456,174
£1,060,818
£14,974
£1,075,792
£1,439,362
£16,812
£1,456,174
£1,060,818
£14,974
£1,075,792

Governance costs include payments to auditors of 2022: £16,812 (2021:£14,974) for audit fees and assistance with the preparation of the statutory accounts. MHI also outsource payroll including in Accountancy fees above. Payments to them for these services totalled 2022: £6,698.91 (2021: £8,592 )

Mental Health Innovations Registered Charity Number: 1175670

44

8. Trustees

None of the Trustees (or any person connected with them) received any remuneration, benefits or reimbursement of expenses from the Charity during the period.

Mental Health Innovations Registered Charity Number: 1175670

45

9. Employee costs

Average number of employees during the year
Employment costs
Wages and Salaries
Social Security costs
Other pension costs		 2022
2021
Number
Number
84
79
2022
2021
£
£
3,860,147
3,675,412
369,901
363,313
395,840
361,879
4,625,888
4,400,603

Redundancy and settlement payments of £23,378 (2021: £36,312)) were made in the year.

For 2022, the key management personnel of the charity comprised the Trustees, the Chief Executive Officer, Clinical Director, Senior Clinical Advisor, Director of Communications and Marketing, Director of Data Insights, Director of Finance and Operations, Director of IT and Security, Director of Income Generation, Head of Operations, Head of Safeguarding and Clinical Managers. The aggregate remuneration was £1,363,945 (2021:£1,171,671.06)

The number of employees whose annual remuneration was £60,000 or more were:

2022 2021*
Number Number
£60,000 - £69,999 8 7
£70,000- £79,999 1 0
£80,000- £89,999 3 3
£90,000- £99,999 1 2
£100,000- £109,999 0 0
£110,000- £119,999 1 1

Mental Health Innovations Registered Charity Number: 1175670

46

10. Tangible Fixed Assets

Fixtures and fttings Computers Total
£ £ £
Cost
At 1 January 2022 15,294 115,309 130,603
Additions 4,289 42,966 47,255
Disposals 0 -15,482 -15,482
At 31 December 2022 19,583 142,793 162,376
Depreciation
At 1 January 2022 6,329 64,760 71,089
Depreciation charged in the year 2,387 33,547 35,935
Depreciation on disposal 0 -14,571 -14,571
At 31 December 2022 8,716 83,736 92,453
Carrying amount
At 31 December 2022 10,867 59,057 69,923
At 31 December 2021 8,965 50,549 59,514

Mental Health Innovations Registered Charity Number: 1175670

47

11. Fixed asset investments
Cost or valuation
At 1 January 2022		 Other investments
£
100.00
0
100.00
100
100
2022
2021
100
100
Additions
At 31 December 2022
Carryingamount
At 1 January 2022
As at 31 December 2022
Other investments comprise of:
Investments in subsidiaries
Fixed asset investments not carried at market value

The investment in the subsidiary represents the £100 share capital purchased at cost. The subsidiary is currently dormant

Mental Health Innovations Registered Charity Number: 1175670

48

12. Debtors

12. Debtors
Amounts falling due within 1 year
Other Debtors
Prepayments
Accrued Income
Long term:
Deferred Expense		 2022
2021
£
£
314
313
36,190
25,906
2,016,916
635,878
488
516
2,053,908
662,613

Mental Health Innovations Registered Charity Number: 1175670

49

13. Creditors: Amounts falling due within one year

Notes
Accruals and Deferred Income:
Accruals
Rent
Deferred Income
14a
Tax and Social Security:
PAYE liability
VAT Control
Pension liability
Other Creditors:
Investment in subsidiary		 2022
2021
£
£
193,184
111,949
41,752
0
581,005
122,832
815,941
234,781
98,345
89,331
31,102
43,441
129,446
132,772
30,950
34,655
100
100
976,438
402,309

Mental Health Innovations Registered Charity Number: 1175670

50

14. Creditors: Amounts falling due after more than one year

Rent
Deferred Income
14a.
Repayable Loan		 2022
2021
£
£
0
31,193
23,016
0
3,000,000
3,000,000
3,023,016
3,031,193

MHI received on 22 September 2021 an unsecured repayable grant of £3m from the IGY (a registered charity). This was to fund working capital and fund core costs over a period of up to three years. The agreement states that the funding will not be repayable during the deferred period. The deferred period is 12 months from the drawdown date. After this deferred period the loan is repayable when cash balances (excluding the repayable grant) exceed the MHI reserve at each quarter day as defined in the agreement which are as follows:

MHI Reserve Level Period
£2,750,000 12 months from drawdown
£3,000,000 13 – 24 months from drawdown
£3,250,000 25 – 36 months from drawdown

The outstanding balance shall be repaid at the end of the 36 month period.

Mental Health Innovations Registered Charity Number: 1175670

51

14a. Deferred Income

14a. Deferred Income
2022 2021
£ £
Deferred Commissioned Income b/f 122,832 23,629
Released to income in the year -122,832 -23,629
Deferred Commission Income in the year 604,021 122,832
Total Deferred Commissioned Income 604,021 122,832

Deferred Income was calculated when we invoiced a commissioned partner in 2022 and the service, or part of the service, related to the following two years.

Mental Health Innovations Registered Charity Number: 1175670

52

The Charity operates a defined contribution pension scheme for all qualifying employees. The assets of the scheme are held separately from those of the Charity in an independently administered fund

£395,840 (2021:£361,878)

Mental Health Innovations

Registered Charity Number: 1175670

53

16. Restricted Funds

The income funds of the charity include restricted funds comprising the following unexpended balances of donations and grants held on trust for specific purposes:

Movements in Movements in funds in 2021 Movement in funds in 2022
Incoming Resources Incoming Resources Balance as
Balance as at resources expended Balance as at resources expended at
1 January
1 January 2021 2021 2021 1 January 2022 2022 2022 2023
£ £ £ £
Shout service 250,000 2,157,000 -2,407,000 0 £3,438,812 £2,958,812 £480,000
Imperial
Partnership and
Data Insights 0 0 0 0 £288,000 £288,000 £0
Huang
Foundation 0 529,000 0 529,000 £1,110,900 £367,570 £1,272,330
One Space 10,707 0 -10,707 0 0 0 0
Our Frontline 0 2,085 -2,085 0 0 0 0
NHS England 86,581 0 -86,581 0 0 0 0
Total 347,288 2,688,085 -2,506,373 529,000 4,837,712 3,614,382 1,752,330

The Shout service relates to funds to provide support services to individuals struggling with their mental health through text services.

Imperial Partnership and Data Insights funds support the growth of Mental Health Innovations, particularly the data analysis and research work for the development of further innovations in mental health

Huang Foundation funds support the data analysis and research work for the development of further innovations in mental health

One Space relates to a special project programme which aims to support people under the age of 25 to find appropriate support for their mental health during the COVID-19 pandemic and its aftermath. Our Frontline is a collaboration between MHI, Mind, the Samaritans and Hospice UK. This service offers a curated set of resources and services to offer round-the-clock one-to-one support to frontline health, care, emergency, education and key workers. NHS England is an agreement that provides a helpline accessible 7 days a week, able to be setup and delivered nationally, to all ages of NHS staff, with clinical oversight, providing immediate, anonymous and confidential support for any health and care staff member, requiring mental health or crisis support at any time.

Mental Health Innovations Registered Charity Number: 1175670

54

17. Analysis of net assets between funds

Fund balances at 31 December 2022 are represented by

Tangible Assets
Investments
Current assets/
(Liabilities)
Long term liabilities		 Unrestricted
Funds
Restricted
Funds
Total
Unrestricted
Funds
Restricted
Funds
Total
2022
2022
2022
2021
2021
2021
£
£
£
£
£
£
69,923
69,923
59,514
0
59,514
100
100
100
0
100
1,828,748
1,752,330
3,581,078
3,684,983
529,000
4,213,983
-3,023,016
-3,023,016
-3,031,193
0
-3,031,193
-1,124,245
1,752,330
628,085
713,404
529,000
1,242,404

Mental Health Innovations Registered Charity Number: 1175670

55

18. Operating lease commitments

At the reporting date the Charity has outstanding commitments for future minimum lease payments under non- cancellable operating leases, which fall due as follows;

Within one year
Within two to fve years		 2022
2021
£
£
78,485
171,055
-
78,485
78,485
249,540

Mental Health Innovations Registered Charity Number: 1175670

56

19. Related party transactions

The Royal Foundation is the founding donor supporting Mental Health Innovations in establishing the Shout service. The Trustee, Charles Mindenhall, also sits on the board of the Royal Foundation. No donations were received this year from the Royal Foundation (2021: nil).

Former Trustee, Charles Mindenhall, also sits on the board of Hive Learning, which provides a learning and community management environment for Shout volunteers. A fee of £49,619.33 was paid to Hive Learning for delivery of this service in 2022 (2021: £29,947).

The CEO, Victoria Hornby, and the former Trustee Charles Mindenhall, also sit on the board of Bridges Impact Foundation, which is one of the donors supporting Mental Health Innovations. In 2021 MHI received a donation of £30,000 (2021:£50,000).

Mental Health Innovations licences the technology platform underpinning the Shout service from Crisis Text Line. MHI received £nil (2021: nil) from Crisis Text Line.

Mental Health Innovations Registered Charity Number: 1175670

57

20. Subsidiaries

The Charity owns 100% of the ordinary share capital of Give Us A Shout Limited (Company number 12273687 - England and Wales). The company is currently dormant and has an ordinary share capital of £100. Its registered office is Phoenix Brewery, 13 Bramley Road, London, England, W10 6SZ.

Mental Health Innovations Registered Charity Number: 1175670

58

21. Cash Generated from Operations

a. Cash generated from operations

2022 2021
£ £
Surplus/ (defcit) for the year -£614,319 -£706,122
Adjustments for:
Investment Income (SOFA) -£18,099 -£12,546
Depreciation and Impairment of Tangible Fixed Assets £21,364 £9,890
Movements in working capital
(Increase)/Decrease in Debtors -£1,391,295 -£95,895
Increase/(Decrease) in Creditors £565,953 £2,976,508
Cash generated from Operations -£1,436,396 £2,171,835
b. Reconciliation of Net Cash Flow to Movements in Net Cash
2022 2021
£ £
Decrease in cash in the year representing change in net debt -1,449,994 2,174,189
Loan changed to pre share as debt
Net cash at 1 Jan 2022 3,953,603 1,779,414
At 31 December 2022 2,503,609 3,953,603

Mental Health Innovations Registered Charity Number: 1175670

59

c. Analysis of Changes in Net Debt

1 January Non-cash Cash 31 December 1 January Non-cash Cash 31 December
2022 changes Flows 2022 2021 changes Flows 2021
£ £ £ £ £ £ £ £
Cash at bank and in 3,953,603 - 1,449,994 2,503,609 1,779,414 - 2,174,189 3,953,603
hand
Debt due < 1 year - - - - -
Debt due > 1 year - - - - -

Mental Health Innovations Registered Charity Number: 1175670

60