Backing
Better
Mental
Health.
Maudsley
Charity
Annual Report
& Financial
Statements
2021-22
HS
JTAY
## Contents
Chair’s introduction ............................................................................................................................... 4 CEO’s message ...................................................................................................................................... 5 We are Maudsley Charity .................................................................................................................. 6 Why we exist ..............................................................................................................................................8 Our partnerships ....................................................................................................................................11 2021/22 overview ................................................................................................................................12 Our new funding themes ................................................................................................................14 Learning from COVID-19 ................................................................................................................16 Our anchor projects ...........................................................................................................................18 Key statistics .........................................................................................................................................20 The ORTUS building ........................................................................................................................22 Our grantmaking .................................................................................................................................24 Stories of impact ................................................................................................................................ 27 Thank you to our supporters ......................................................................................................38 Community fundraisers ..................................................................................................................39 Statement of public benefit ...........................................................................................................41 Looking forward ..................................................................................................................................42 Diversity, equity, and inclusion ...................................................................................................44 Financial review ................................................................................................................................... 47 Structure, governance, and management ........................................................................56 Statement of Trustees’ responsibilities ..................................................................................61 Independent auditor’s report ......................................................................................................62 Consolidated statement of financial activities ................................................................. 67
Maudsley Charity Annual Report 2021-22
3
## Chair’s introduction
Although the origins of Maudsley Charity go back over 900 years, it is only five years since our establishment as an independent charity, dedicated to improving mental health in southeast London and beyond.
One of our earliest decisions as an independent Board was to support the creation of a world-leading centre for children and young people’s mental health, here on the Denmark Hill campus. The Pears Maudsley Centre for Children and Young People will combine clinical services, innovation and research in a way that we know will have a major impact on children’s lives. I am proud that Maudsley Charity not only gave £10 million from its own resources towards the capital cost of this project (our largest ever single donation) but has also raised a further £14 million to date from other philanthropic sources. Construction of the Centre is now almost complete, and it is on schedule to open its doors in 2023.
Much has been accomplished in that short period. We have a strong and diverse Board of Trustees, an energetic and capable executive team, and a clear strategy for maximising our impact. At the same time, the COVID-19 pandemic has put both the mental health of the nation, and the capacity of the NHS, under unprecedented strain.
This report explains how we have responded to these pressures. In addition to emergency COVID-19 funding, we have decided to concentrate our resources in two areas of mental health where the need is very great and where – with our partners – we believe we can aspire to make a real difference. We have set aside a total of £20 million over the next few years to support work on Living Well with Psychosis, and on strategies to help young people who are most at risk of developing serious mental illness. At the same time, we will continue our long-standing programme of ‘anchor grants’, as well as smaller payments to improve everyday life in hospital and in the community for South London and Maudsley patients and staff.
Maudsley Charity is fortunate in everything it has inherited from the past. But we can also be proud of the foundation that has been built for the future. When I retire from the Board at the end of this year, I shall look back with admiration for that achievement, with thanks to my Board colleagues and our executive team, and with great confidence that Maudsley Charity will continue to improve the lives of those impacted by mental ill-health, for many years to come.
David Barclay Chair, Maudsley Charity
Maudsley Charity Annual Report 2021-22
4
## CEO’s message
The mental health landscape in the UK has undergone a seismic shift in the past three years.
Since Maudsley Charity launched its fiveyear Strategy in 2019, there has been an unprecedented rise in demand for mental health services alongside increasing pressure on NHS resources – both locally and nationally.
As an independent NHS charity, a core part of our mission is to support teams working in South London and Maudsley NHS Foundation Trust. During 2021/22, we played a crucial role in helping these teams adapt to a post-pandemic healthcare sector, including by funding the Trust’s awardwinning volunteering programme and by investing in new digital health approaches.
But Maudsley Charity is more than just a funder. Our ambitions about what we do and how we do it are evolving. We know that to make the biggest possible positive impact on the lives of the people we are here to serve, we need more capacity and a broader range of skills and experience, along with more partners and donors who share our vision for better mental health. As such, the significant growth of our team during 2021/22, including the appointment of our first Director of Fundraising and Communications, has marked an important point in our development as a charity.
In 2021/22 we began to shape and refine a new approach to funding at Maudsley Charity, shifting to a more strategic focus on a smaller number of areas in which we can engage with and support project teams more effectively, and in which we can make an even bigger difference.
This report outlines two major programmes on which we will be focusing over the next five years.
The first of these, Living Well with Psychosis, is launching in 2022/23. This programme focuses on improving the lives of people with a psychotic illness – not just through innovation in treatment, but by taking a wider view of what people with lived experience and their families say is important to them, such as access to employment and greater influence over their own care.
In 2023/24 we will launch our second major programme, which builds on the large investment we have made in the new Pears Maudsley Centre for Children and Young People and focuses on young people most at risk of mental illness. By identifying young people who are experiencing mental health problems, and by supporting them in the right way, at the right time, this programme will enable them to enjoy a future free from severe mental illness and to live the life they choose.
Both these programmes recognise that while the causes of mental illness are complex, there is a strong association with social disadvantage, discrimination, and trauma. Addressing these factors will not only form a clear strand through both areas of our upcoming work, but they will also enable us to harness and enhance the knowledge and expertise that exists within our many partner organisations from across the NHS, academia, and the local community.
It’s an exciting time and one of continuing change. Our board has played a crucial role in this period, and I am particularly grateful for the unstinting leadership, support, and guidance we have had over the last four years from David Barclay, our outgoing chair. I look forward to working with his successor as we continue to back better mental health for everyone.
**----- Start of picture text -----**
[
**----- End of picture text -----**
Rebecca Gray CEO, Maudsley Charity
Maudsley Charity Annual Report 2021-22
5
Students visit Bethlem Museum
## We are
## Maudsley Charity
## Maudsley Charity is a mental health charity based in southeast London.
Everyday life can be a struggle if you have a mental illness. Your education, career, finances, relationships and even your life expectancy can be affected – and it can take a long time to find and access the care you need and deserve.
At Maudsley Charity, we support, connect and champion projects, services and those working in mental health that give those who are most affected by mental ill-health the best chance to recover and fulfil their potential.
We support, connect and champion projects, services and those working in mental health
Maudsley Charity Annual Report 2021-22
6
We bring people together
**----- Start of picture text -----**
An inpatient
walking group
**----- End of picture text -----**
We believe that the work we fund has the potential for wider impact at both national and international levels
## We change lives
We fund and promote innovative, collaborative ideas and people that make a tangible difference to the lives of mental health service users and to the welfare of the staff who provide their care.
## We bring people together
Working alongside South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry, Psychology and Neuroscience (IoPPN) at King’s College London, we bring together researchers, frontline clinicians, service users, their families, and a wide range of voluntary and community organisations to prevent mental illness, improve care, and support recovery.
## We see the bigger picture
While we operate primarily within the four boroughs served by South London and Maudsley NHS Foundation Trust (Croydon, Lambeth, Lewisham, and Southwark), we believe that the work we fund has the potential for wider impact at both national and international levels.
## Our origins
We can trace our roots back to 1247, when the Priory of St Mary of Bethlehem was established in the City of London, on the site of what is now Liverpool Street Station. The priory is the earliest form of what eventually became Bethlem Hospital (the names ‘Bethlem’ and ‘Bedlam’ – by which it became known – are variants of ‘Bethlehem’).
In the early 1900s, eminent psychiatrist Dr Henry Maudsley began working with the London City Council to establish a _“fitly equipped hospital for mental diseases”_ . He believed that the bringing together of clinicians, researchers and educators in a single, urban location had the potential to transform the way that mental illness was approached, understood and treated.
This vision still lives on today through our work here at Maudsley Charity, and through the work of South London and Maudsley NHS Foundation Trust and King’s College London.
Maudsley Charity Annual Report 2021-22
7
## Why we exist
70-75% of people with diagnosable mental illness receive no treatment at all[ii]
A national crisis
One in four adults and one in eight children experience mental illness
22.8% 16.2% mental 15.9% cardioill health cancer vascular disease
Mental ill health is the single largest cause of disability in the UK, contributing up to 22.8% of the total social and economic burden, compared to 15.9% for cancer and 16.2% for cardiovascular disease[i]
The total cost of mental health problems in England in 2009/10 was 20 years People with severe £105.2 mental illness also have higher billion rates of physical illness potentially This includes direct costs of shortening their life services, lost productivity at by up to 20 years[iii] work and reduced quality of life
This includes direct costs of services, lost productivity at work and reduced quality of life
> [i] No health without mental health: A cross-Government mental health outcomes strategy for people of all ages https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/215808/ dh_123993.pdf#
> [ii] Evans-Lacko S, Aguilar-Gaxiola S, Al-Hamzawi A, Alonso J, Benjet C, Bruffaerts R, et al. Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: results from the WHO World Mental Health (WMH) surveys. https://kclpure.kcl.ac.uk/portal/files/86128664/S113_Evans_Lacko_ WMH_Treatment_Gap_IN_PRESS_10_17_17.pdf%C2%A0
> [iii] Mind and Body, Kings Health Partners: https://www.kingshealthpartners.org/our-work/mind-and-body/khp-mindbody
Maudsley Charity Annual Report 2021-22
8
**----- Start of picture text -----**
Southwark
Lewisham
121.2
per 100,000
people
Lambeth
45.6
per 100,000
people
Croydon
Lewisham
Rates of Severe
Mental Illness in the
England four boroughs in 2019/20
were above the national
average for England
of 0.93%
Lewisham has the
highest rate of people
subject to the
Mental Health Act
[5x]
in all of London at
In the year to
121.2 per 100,000,
March 2021,
more than twice the
Black people were
average for England
almost 5 times as likely
(45.6 per 100,000) [iv]
as white people to be
detained under the
Mental Health Act.
is a law used to mandate
344
detentions
per 100,000
people,
compared with
75 per 100,000 people [vi]
**----- End of picture text -----**
## Communities left behind
Men and women from African-Caribbean communities in the UK have higher rates of post-traumatic stress disorder and suicide risk and are 3 to 5 times more likely to be diagnosed with schizophrenia than any other group[v]
Black adults are far more likely to experience police involvement in their first contact with mental health services
The Mental Health Act is a law used to mandate treatment when people are a risk to themselves or to others. That treatment can include being detained in hospital against their wishes, commonly referred to as being sectioned. It also covers the use of Community Treatment Orders which outlines supervised care once you are released.
> [iv] Adults’ Mental Health in Lewisham: Joint Strategic Needs Assessment https://www.observatory.lewisham.gov.uk/ wp-content/uploads/2021/05/Mental-Health-JSNA-March-2020.pdf
> [v] Mental health for all? The final report of the Commission for Equality in Mental Health https://www.
> centreformentalhealth.org.uk/sites/default/files/publication/download/Commission_FinalReport_updated.pdf
> [vi] Detentions under the Mental Health Act https://www.ethnicity-facts-figures.service.gov.uk/health/mental-health/ detentions-under-the-mental-health-act/latest
Maudsley Charity Annual Report 2021-22
9
## The ‘other’ epidemic
**----- Start of picture text -----**
2020 2021 2022 2023
**----- End of picture text -----**
Many mental health disorders are more common after COVID-19. While the increased risk of anxiety and depression subsides within two months of COVID-19 diagnosis, other disorders including psychotic disorders and ‘brain fog’, continue to be made more often up to two years after COVID-19 diagnosis[vii]
From September 2020 onwards there was a sharp increase in referrals to Children and Adolescent Mental Health Services, with a peak of 180% in November 2020 compared with previous years[viii]
During this same period, there were over 15,000 urgent or emergency crisis care referrals for children and young people. A 59% increase compared to the same period in 2019
Children and Young People
At least 1 in 8 children or young people in the UK now have a clinically diagnosable mental health disorder.[x] That’s 3 in every classroom. By some estimates, that may have risen to as high as 1 in 6 since 2020xi
There has Children from the poorest been a **77%** rise 20% of households are in the number of four times children needing as likely to have serious specialist mental health difficulties poorest treatment for by the age of 11 as those x4 severe mental from the wealthiest 20%[xii] wealthiest health crisis[xii]
50%
of all adult mental health conditions are present before the age of 14[ix]
- [vii] Increased risk of some neurological and psychiatric disorders remains two years after COVID-19 infection
- [viii] Impact of the COVID-19 pandemic on child and adolescent mental health services https://www.cambridge.org/core/journals/bjpsych-open/article/ impact-of-the-covid19-pandemic-on-child-and-adolescent-mental-health-services/9488EA4D1C6E75433892361FD57C34ED
- [ix] Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. (2005). Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62 (6) pp. 593-602. doi:10.1001/archpsyc.62.6.593.
- [x] https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-in-england/2017/2017
- [xi] Mental Health Survey for Children and Young People, 2020 (MHCYP 2020) https://digital.nhs.uk/data-and-information/publications/statistical/mentalhealth-of-children-and-young-people-in-england/2020-wave-1-follow-up
- [xii] Centre for Mental Health https://www.centreformentalhealth.org.uk/sites/default/files/2021-02/CYP%20mental%20health%20fact%20sheet%202021.pdf
- [xiii] https://www.bbc.co.uk/news/education-60197150
Maudsley Charity Annual Report 2021-22
10
We work with a range of clinical, academic, and community partners who share our commitment to understanding and improving mental health.
## Our partnerships
Our key partners are South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry, Psychology and Neuroscience at King’s College London.
Ranked 4th in the world for highly cited neuroscience outputs
These are two organisations with whom we share not only a mutual commitment to understanding and improving mental health, but also a joint campus and linked historical roots.
## South London and Maudsley NHS Foundation Trust
South London and Maudsley NHS Foundation Trust provides the widest range of mental health services in England, providing more than 50 national and specialist services for adults and children who have particularly complex needs, or for whom treatment has not been successful elsewhere.
More than 5,000 inpatients and 40,000 outpatients are cared for and treated by South London and Maudsley each year, including within its hospitals in Lewisham, Lambeth, and Bethlem Royal Hospital in Beckenham.
More than 5,000 inpatients +40,000 outpatients are cared for and treated each year
## The Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King’s College London
King’s IoPPN is Europe’s largest centre for research and postgraduate education in psychiatry, psychology and clinical neuroscience. IoPPN is ranked 2nd in the world for psychology and psychiatry (US News, Best Global Universities). It is at the forefront of global mental health research and through its partnerships foster research and training in policy, prevention, treatment and care around the world. It produces more highly cited outputs (top 1% citations) on mental health than any other centre (SciVal 2019) and ranked 4th (2019) in the world for highly cited neuroscience outputs.
Along with South London and Maudsley NHS Foundation Trust, the IoPPN is part of King’s Health Partners, an Academic Health Sciences Centre that brings together research, clinical care and education partners to create world-leading improvements in healthcare.
Maudsley Charity Annual Report 2021-22
11
## 2021/22 overview Financial Summary
**----- Start of picture text -----**
Income
£9.7m
increase of
£4.2 million
£6m
earmarked
£4.5m for the Pears
Maudsley Cantre
for Children and
Young People
2020/21 2021/22
**----- End of picture text -----**
**----- Start of picture text -----**
Of the
£9.7m income
£6.4m
was the result of
donations and
legacies
**----- End of picture text -----**
**----- Start of picture text -----**
Assets Grant expenditure
2021/22
131
active projects currently
supported by grants
from the charity
2021
£163.6m
grants
in investments awarded
34 last year
£15.5m
in current assets £17.8m
286%
awarded, up
£4.9m 286% from
2020/21 2021/22
in fixed assets last year
**----- End of picture text -----**
Maudsley Charity Annual Report 2021-22
12
**----- Start of picture text -----**
Diversity,
Equity and
Inclusion
**----- End of picture text -----**
Maudsley Charity staff and trustees
As the charity continues to develop, 6 new employees were recruited since the last financial year
55%[+ 45%] of trustees of staff identified themselves as having lived experience of mental illness or caring for someone with mental illness
18% 9%[+] of trustees of staff identified themselves as Lesbian, Gay, Bi-sexual, Transgender, Queer/ Questioning (LGBTQ)
come from 26[%] a BAME of staff background
come from 36[%] a BAME of trustees background
Maudsley Charity Annual Report 2021-22
13
## Our new funding themes
In Kintsugi workshops participants repair objects using glue sprinkled with gold pigment.
## Big investments, big ambitions
At Maudsley Charity, we are committed to making a tangible difference to the lives of those affected by mental ill-health, now and in the future.
That’s why, from this year, we are changing our funding programme to focus on two key areas of mental health where we know we can make the biggest impact and investing in them accordingly.
Over the next five years, we will be £20 million across two themes: investing Living Well with Psychosis, and Young People Most at Risk of Mental Illness
These two areas were chosen based on evidence and expertise from both of our principal partners – South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry, Psychology and Neuroscience (IoPPN) at King’s College London – and upon the many valuable
insights and recommendations we received through our surveys, interviews, focus groups and workshops involving a diverse range of stakeholders from the academic, clinical and community sectors.
We also consulted people with lived experience of mental illness to help us understand the priorities of service users, their carers and their families.
Within both these themes, we know that there is a high level of need – both locally and nationally. We know that, historically, there has been a lack of resources available to respond effectively to these needs. And we also know that supporting people to live well with psychosis and supporting young people most at risk of mental illness are both areas in which, through our unique partnerships, networks and expertise, we can make a tangible, lasting difference to people’s lives.
We selected areas in which there was a significant current gap in the capacity and capability of both local and national services to respond, and in which we would be able to make the biggest impact through our funding and our unique networks of expertise.
Maudsley Charity Annual Report 2021-22
14
Jerrika rekindled her love of nature in the Occupational Therapy Garden at Bethlem Royal Hospital
In Southwark, Lambeth, Lewisham and Croydon rates of psychotic illness are two to three times higher than the UK national average
## £10 million into Living Well with Psychosis
Psychosis is a distressing symptom of a number of mental health problems. People experiencing psychosis can lose contact with reality and begin to see, hear, or believe things that are not real – this is sometimes called a ‘psychotic experience’ or ‘psychotic episode’.
Many, though not all, people who have a psychotic episode will be diagnosed with an ongoing psychotic illness such as schizophrenia. For some people, a long-term psychotic illness can severely reduce quality of life, bringing with it social and medical implications that significantly increase risks of unemployment, long-term physical disease, and early death.
Because people with a psychotic illness often need a great deal of practical, emotional and financial support, those who care for them are also more likely to develop poor mental health including depression and stress-related disorders.
Social deprivation and discrimination have a direct impact on the likelihood of developing a psychotic illness. In the UK, the highest reported rates of psychotic disorders are amongst Black ethnic groups. In Southwark, Lambeth, Lewisham and Croydon – four
of London’s most diverse boroughs – rates of psychosis illness are two to three times higher than the UK national average.
Our ‘Living Well with Psychosis’ theme will fund research and initiatives to improve the treatment and support the recovery of people affected by psychotic disorders, support families and carers, and help to address inequalities in the experiences of racialised communities in relation to mental health services.
As we collect and share ideas, evidence and best practice, we aim to not only to directly benefit people with experience of psychosis in southeast London, but also to inform and influence understanding and provision at both a national and an international level.
## £10 million into Young People Most at Risk of Mental Illness
Our upcoming theme to support young people most at risk of mental illness will build on the networks we have developed in the course of setting up the Pears Maudsley Centre for Children and Young People. It will enable us to go further in funding work that can target those young people most likely to experience mental illness but who are least likely to get the right help at the right time. Scoping will begin in full during the forthcoming year.
Maudsley Charity Annual Report 2021-22
15
## Learning from COVID-19
£1.1m to build on ideas through six new projects
Through the Digi Inclusion programme, Oli teaches service users digital skills
## Supporting silver linings
The COVID-19 pandemic created major challenges for people with mental illness and for those providing care and support, including within South London and Maudsley NHS Foundation Trust. It highlighted weaknesses in how and where services are delivered and was the catalyst for staff to propose ideas to make the Trust more resilient.
We have provided £1.1 million to enable South London and Maudsley to build on these ideas, through six new projects targeting some of southeast London ’s most vulnerable communities. With a focus on peer support, digitisation and racial equality, these projects have particular relevance to Black people, older people, and those with the most severe mental health issues.
## Digitisation
Total funding awarded: £461,471
The **Remote Memory Clinic** , which launched at the end of 2021, offers dementia patients and their carers a digital alternative to face-to-face assessments, appointments, and therapeutic services. A range of new technologies and digital platforms are being tested, to help South London and Maudsley staff engage more effectively with more than 2,500 dementia patients each year.
The **Digi Inclusion** programme aims to combat digital exclusion through technology and skills development workshops and oneto-one digital training for South London and Maudsley service users. During 2021/22, when in-person training was not possible, a website was launched to provide online video tutorials and other resources. All service users are eligible for a grant of up to £500 through an ‘online learner fund’ to enable them to access an online course of their choice.
“I feel like this course has given me a chance to compete in the labour market. Digi-Inclusion has improved my confidence, my opportunities and helped me apply my skills. I couldn’t have done it without the financial support.”
_Mehari, recipient of an online learning fund_
Maudsley Charity Annual Report 2021-22
16
## Racial equality
## Total funding awarded: £343,895
The **South London and Maudsley Patient and Carer Race Equality Framework (PCREF)** programme is designed to eliminate the unacceptable racial disparity in access, experience and outcomes for mental health service users in Croydon and Lambeth. Our funding will enable Croydon BME Forum to work alongside partner host organisation Black Thrive Lambeth to embed the PCREF into standard practice across Croydon and Lambeth. This project is of national relevance as the lessons learned will inform services offered by mental health providers across England.
The **Advance Statements for Black African and Caribbean People (AdStAC)** project involves promoting the use of ‘advance statements’ – care plans made by people with mental illness to advise mental health practitioners of their treatment and care preferences if they become unwell in the future. Advance statements are the only intervention known to reduce the risk of people being hospitalised against their wishes under the Mental Health Act, especially for Black adults, but are not being used as often as they could be. The AdStAC project aims to understand how South London and Maudsley can enable more people – both service users and staff within the Trust – to use advance statements, with a view to disseminating the results on a national scale.
PCREF programme is designed to eliminate the unacceptable racial disparity in access, experience and outcomes for mental health service users
## Peer support
South London and Maudsley staff engage with more than
Total funding awarded: £351,500
The **Peer Support – Violence and Aggression Project** aims to reduce levels of violence within South London and Maudsley’s acute psychiatric services. Peer support workers with lived experience of mental illness are taught how to recognise and sensitively respond to those who have experienced trauma, in order to advocate for patients with whom ward staff have not been able to engage.
2,500 dementia patients each year
The **Peer Support Home Treatment Team Project** employs people with lived experience of mental illness as peer support workers within the South London and Maudsley Home Treatment Team, which offers a community-based service to support people at home, rather than in hospital. During 2021/22, 60 people were helped to navigate mental health services in two boroughs (Croydon and Lewisham), 40% of whom were from a Black or minority ethnic background.
“I cannot begin to thank you enough for your kindness and support. This is the first time in over 20 years that I have been shown the level of care and understanding that you have shown me.”
_Peer Support Home Treatment Team service user_
Maudsley Charity Annual Report 2021-22
17
## Our anchor projects
We provide long-term, stable funding for four key programmes within the Trust that enhance local service delivery, benefit local people and service users, and help to reduce the stigma that surrounds mental illness. Our funding enables these projects to remain free and accessible for all.
## South London and Maudsley Volunteering Centre
## South London and Maudsley Recovery College
Total funding awarded in 2021/22: £97,000
Total funding awarded in 2021/22: £330,000
Volunteers are a vital part of the Trust and add huge value to NHS services, bringing skills and experience through roles including research, befriending, gardening, and activity coordination.
Recovery from mental illness involves a personal journey towards a meaningful and satisfying life – whatever symptoms or difficulties may be present. The Recovery College facilitates this journey by bringing together staff and people with lived experience of mental illness to jointly deliver an extensive programme of free mental health courses, workshops and webinars.
We fund two roles that provide important training and administration services for the volunteering programme that operates across the whole Trust, in both its hospital and community services.
The programme – which can be accessed anytime, anywhere – is designed to provide service users, carers, health professionals, support workers and the general public with the tools and knowledge to support people with experience of mental illness to live as well as possible.
The volunteering service has been praised for the diversity of its members. Over half the people who generously give their time come from an ethnic minority background and several of these are signed up to the specialist group Msaada (a Swahili word meaning ‘giving back’) _– “a volunteering programme for people from the Black and Minority Ethnic (BME) communities who want to support BME people who are living with a mental illness.”_
The Volunteering Service at South London and Maudsley NHS Trust was cited in a report by the Kings Fund as an example of a trust which has “adopted approaches that optimised the impact and value of volunteering.”
Every course and workshop is coproduced and co-led by trainers with lived experience working alongside mental health professionals and other people with expertise by job role. The combined skills and knowledge of these delivery staff afford a unique and valuable strength to this service.
Volunteers are accepted from as young as 16 years old and a mentoring project within Children and Adolescent Mental Health Services matches young volunteers aged 19-25 years old with a child or young person currently using one of South London and Maudsley’s services. Through regular meetings and community activities they build a relationship that allows the young service users to simply try new things, have fun and access for informal pastoral support.
Maudsley Charity Annual Report 2021-22
18
Bethlem Gallery’s Mental Health and Justice project explored the intersection between mental health and human rights
## Bethlem Gallery
Total funding awarded in 2021/22: £248,877
There is a strong link between art and mental health recovery. Bethlem Gallery supports the professional development and creative practice of emerging artists, many of whom have experience of using mental health services. The aim of the gallery is to make art an everyday practice and mental health an everyday conversation – including through exhibitions, residencies, workshops, collaboration and commissions.
Key projects during 2021/22 included the launch of the gallery’s new website and online events offer, and an exhibition in Maudsley Hospital of artwork by service users who have been admitted to mental health services via the criminal justice system, depicting their personal experiences of physical restriction.
Social media have been admitted to mental health services helped make the via the criminal justice system, depicting their Louis Wain exhibition the personal experiences of physical restriction. most widely reviewed Last year also saw the culmination of the and visited in Bethlem gallery’s artist-led collaboration with the Museum’s IoPPN ‘Mental Health and Justice’ research history. project, which involved the co-production of a year-long public programme exploring the complex intersection between mental health and human rights. The highlight of this project was the release of the film _RIP SENI,_ which premiered at Sheffield DocFest and was subsequently featured on the Guardian website. The film is a reaction to graffiti on public artwork outside Bethlem Royal Hospital referring to the case of Seni Lewis, a 23-year-old Black man who died at the hands of 11 police officers while in the care of the hospital in 2010.
Artwork by Beth Hopkins
## Bethlem Museum of the Mind
Total funding awarded in 2021/22: £412,900
Situated within the grounds of the Bethlem Royal Hospital, Bethlem Museum of the Mind holds an internationally renowned collection of archives and artefacts that reveal and preserve the rich and often challenging history of mental healthcare in the UK.
With the Museum forced to close its doors during the early part of 2021 due to COVID-19 restrictions, an online project was launched to provide opportunities for staff, service users and supporters to capture their own reflections and experiences of the pandemic.
Other highlights during 2021/22 included an exhibition about the artist Louis Wain – the subject of a major film starring Benedict Cumberbatch – and the potential of animals, nature and art to contribute to mental wellbeing. It became the most visited and widely reviewed temporary exhibition in the Museum’s 52-year history.
Many more people had the opportunity to see the Museum’s collections as a result of loans to numerous exhibitions in museums and galleries across the UK and abroad throughout 2021/22.
Maudsley Charity Annual Report 2021-22
19
## Key statistics
Bethlem Museum **2021** on-site and virtual visits during the year 21,735 online tours of the Louis 328 Wain exhibition participants 10,451 from school, college and participants from school, other learning college and other learning groups made 579 visits remote visits visits
participants from school, other learning college and other learning groups made 579 groups made in-person visits remote visits visits Bethlem visitors Gallery 4,058 event 498 participants 150 artists represented at the over participant artists annual workshops, exhibitions, events, 100 art fair
over participant artists workshops, exhibitions, events, commissions and projects
Maudsley Charity Annual Report 2021-22
20
Recovery College registered 2 students ,669
71.4[%] of trainers with lived experience of mental illness and recovery
digital drop-in and student 42 support sessions
28.6[%] of trainers from the health profession with training expertise
individual sessions delivered (Sep 2021 – Aug 2022) Aug 2022)
with training expertise sessions 532 delivered (Sep 2021 – Aug 2022) Aug 2022) 2021-22 Volunteering Service 172 148 volunteers have people lived experience signed of mental illness up to be volunteers, 48 bringing volunteers 52.2[%] the total to of volunteers are carers come from an ethnic minority for someone background with mental 389 illness
## Volunteering Service
389
Maudsley Charity Annual Report 2021-22
21
## The ORTUS buildin g
## A place for learning
## Where ideas are born
The RIBA award-winning ORTUS building was created in 2013 at the heart of the campus shared by South London and Maudsley NHS Foundation Trust and the IoPPN at King’s College London.
As the home of Maudsley Charity, this building offers an inspiring and dynamic space for clinical and academic staff, service users and the wider community to connect, learn, and innovate – with the ultimate aim of improving mental healthcare for everyone.
Despite being closed to the public during the COVID-19 pandemic, in early 2021/22 the ORTUS building provided a vital space in which frontline mental healthcare workers from South London and Maudsley could continue to access essential training and professional development, including mandatory courses such as Promoting Safe Therapeutic Services and Basic Life Support.
As restrictions eased and we were able to welcome more people back to the building during the second half of 2021/22, we were able to provide much-needed space for more than 700 events and meetings held by partner and community organisations, attracting more than 10,000 visitors in total.
Maudsley Charity Annual Report 2021-22
22
## Responding to needs
## A place for connection
We continued to promote the ORTUS building as a centre for positive change and collaboration during 2021/22, hosting a wide range of events, exhibitions and activities on behalf of our grantees throughout the year – including a Christmas art fair and celebrations for World Mental Health Day.
We also provided free meeting room space to grantees and began hosting weekly drop-in sessions on our publicly accessible mezzanine for the South London and Maudsley Recovery College and the Volunteering Service, who were able to offer advice, support and one-to-one training to help people navigate their digital and online products and services.
With the ORTUS building designed to serve and enhance the local mental health community, responding to the needs of our users is always a top priority.
With an ever-increasing demand for quality mental health training facilities, we have enabled Maudsley Learning, a non-profit organisation that designs and delivers professional training across the healthcare, education and public service sectors, to expand their use of the ORTUS building through the creation of a new ‘simulation suite’.
Opened in September 2022, the suite will give those working in mental healthcare and in other public services the opportunity to experience complex or emergency situations in a safe way, with actors playing the role of patients in staged settings that replicate real-life environments.
Maudsley Charity Annual Report 2021-22
23
## Our grantmaking
We are proud to currently support 131 active projects through a total investment of £17.8 million in 2021/22.
Together, these projects enable clinicians, support staff, researchers, community groups and charities to make a real difference to people’s mental health – in southeast London and beyond.
**----- Start of picture text -----**
£9,714,555
Total funding awarded
**----- End of picture text -----**
**----- Start of picture text -----**
£748,550
Total
community
£4,249,960
£1,129,777
Total service Total anchor
improvements
£3,586,269
Total research
**----- End of picture text -----**
|**Organisation**
**Project name**
**Award value**
Arts Network
The Network Project - using creative activities to support people with mental ill
health in Lambeth and Southwark
£24,948
Bethlem Gallery
Core Grant, exhibition and fundraising support
£292,959
Bethlem Museum of the
Mind
Core grant
£412,900
Bromley, Lewisham and
Greenwich Mind
Engaging in ME – peer support groups for individuals in BAME communities who
are reluctant to access secondary services
£24,850
Croydon Voluntary Action
We Stand Together - sport and physical engagement for refugees, asylum
seekers and homeless people with poor mental health
£29,325
Football Beyond Borders
Expansion of schools-based Therapeutic Wellbeing Practitioner programme
£30,000
Good Vibrations
Loophole Music - music-making sessions for inpatients at Bethlem Royal
Hospital
£30,000
InHealth Associates
Responding to Voices from the Asylum – a creative project using the archive of
the Bethlem Museum of the Mind
£3,000
InHealth Associates
Voices from the Asylum
£2,073
King’s College Hospital
Exploring the use of Body Worn Cameras in Acute Mental Health Wards
£15,986
King’s College London
National Institute for Health and Care Research (NIHR) Maudsley Biomedical
Research Centre
£1,514,656
King’s College London
Reducing the delay in prescribing clozapine for patients with ‘treatment resistant’
psychosis
£458,000
King’s College London
CogStack – development of an information retrieval and extraction platform to
improve access to patient health data
£345,074
King’s College London
Molehill Mountain: An app to help autistic people live better with anxiety
£314,365|**Category**|
|---|---|
||Community|
||Anchor|
||Anchor|
||Service
improvement|
||Community|
||Community|
||Community|
||Community|
||Community|
||Research|
||Research|
||Research|
||Service
improvement|
||Service
improvement|
Maudsley Charity Annual Report 2021-22
24
|King’s College London
Pathway for Eating disorders and Autism developed from Clinical Experience –
PEACE
£224,574
King’s College London
Assessing the mental health needs and outcomes of young people with epilepsy
attending clinical services in acute NHS Trusts
£210,000
King’s College London
Maudsley Charity Addictions Fellowship – to research new treatments and
protective interventions in the feld of addictions feld
£170,558
King’s College London
Accelerating requests for electrocardiogram interpretation for psychiatry
inpatients
£61,744
King’s College London
The Ginny Ng Scholarship Scheme - supporting young scientists and clinicians
specialising in psychiatric neuroimaging
£31,286
King’s College London
Enabling and evaluating the move to virtual treatment in NHS secondary mental
health services during the COVID-19 pandemic
£26,943
King’s College London
King’s Health Partners Staf Development Fund
£15,851
King’s College London
Feasibility of high-intensity interval training in improving physical and mental
health in inpatients with severe mental illness
£1,831
Lambeth and Southwark
Mind
Usemi – culturally appropriate care for BAME people living with psychosis
£30,000
Lewisham, Greenwich and
Southwark Samaritans
Samaritans in the Community – Outreach, Partnership and Engagement
£15,000
Mosaic Clubhouse
Hospital InReach – supporting Lambeth Hospital inpatients to transition back
into the community
£30,000
Outside Edge Theatre
Company
South London Drop-in Drama – arts-based recovery for people afected by
addiction and serious mental illness
£29,946
Raw Material Music &
Media Education Limited
Raw Recovery and Progression Sessions: creative wellbeing opportunities in
partnership with Recovery College
£28,200
South London & Maudsley
Piloting and disseminating the DISCOVER programme for care leavers who are
experiencing anxiety and depression
£180,000
South London & Maudsley
Recovery College – Core grant
£97,000
South London & Maudsley
Welfare Subsistence Fund – small grants to inpatients in urgent need of basic
items and/or clothing
£40,000
South London & Maudsley
Outdoor Gym Equipment for The Ladywell Unit
£13,500
South London & Maudsley
Presents for patients spending the festive season on the wards
£10,000
South London & MaudsleyMind and Body Programme – Integrating mental and physical healthcare
services to improve the patient care
£1,705,306
South London & MaudsleyCUES-Ed Digital Programme: Promoting mental health and wellbeing for all
£1,000,000
South London & MaudsleyVolunteering Programme – Core grant
£330,000
South London & MaudsleyAdvance Statements for Black African and Black Caribbean people (AdStAC)
£249,895
South London & MaudsleyTackling digital exclusion through technology and skills development for SLaM
service users
£247,859
South London & MaudsleyRemote memory clinic: Implementing remote measures and interventions to
support older people with cognitive impairment and their carers
£213,612
South London & MaudsleyPeer support workers for High-Intensity Users referred to Crisis Resolution Home
Treatment Team
£191,500
South London & MaudsleyImproving how we work with patients repeatedly involved in incidents of violence
and aggression
£160,000
South London & MaudsleyPatient and Carer Race Equality Framework (PCREF): Reimagining mental health
services for Black communities
£94,000
South London & MaudsleyImprovements to staf kitchens and rest and break spaces
£89,271
South London & MaudsleyBethlem Walled Garden – providing horticultural therapy and food growing
opportunities to service users on site
£49,995
South London & MaudsleyHorticultural Project for Refugees
£49,320
South London & MaudsleyTrust small grants scheme: Funding ideas benefting staf, service users and
carers
£90,984
South London & MaudsleyA quality improvement initiative to identify and mitigate Cannabis use disorder in
psychiatric inpatients
£35,200|Service
improvement|
|---|---|
||Research|
||Research|
||Research|
||Research|
||Research|
||Service
improvement|
||Research|
||Community|
||Community|
||Community|
||Community|
||Community|
||Research|
||Anchor|
||Community|
||Service
improvement|
||Community|
||Service
improvement|
||Service
improvement|
||Anchor|
||Research|
||Service
improvement|
||Research|
||Research|
||Research|
||Service
improvement|
||Service
improvement|
||Community|
||Community|
||Community|
||Research|
Maudsley Charity Annual Report 2021-22
25
|South London & MaudsleyCreative communities: peer-designed digital comics targeting serious mental
health issues in youth
£29,650
South London & MaudsleyCrisis Line: IT equipment to create a hybrid remote access system
£26,900
South London & MaudsleyBulimia Nervosa in adolescence: working with local communities to increase
access
£25,000
South London & MaudsleyBethlem Community Men’s Shed – a space for inpatients and service users in
the community to learn practical skills and improve wellbeing.
£25,000
South London & MaudsleyDISCOVER Emotional Wellbeing evaluation: Increasing its relevance, impact and
reach to male and female students
£25,000
South London & MaudsleyImproving transitions from child to adult services for young people with learning
disabilities in Lambeth
£24,956
South London & MaudsleyMindfulness for Adolescents and Carers
£24,606
South London & MaudsleyA trial of the Tree of Life methodology in acute forensic medium secure in-patient
settings
£24,540
South London & MaudsleyYoung People’s Recovery College
£23,600
South London & MaudsleyUsing blended digital technology to reduce harsh and inconsistent parenting
experienced by children with challenging behaviour in Lewisham
£22,250
South London & MaudsleySports Fans Cafe and Sporting Recovery – supporting the transition into
recovery opportunities in Lewisham
£21,380
South London & MaudsleyCannabis and Mental health: Learning from your PEERS
£20,698
South London & MaudsleyCroydon Women’s Hub – a collaboration with Women in Prison providing
support to ex-inpatients at Bethlem Royal Hospital
£20,095
South London & MaudsleyCOVID-19 Staf Recognition Photography Project
£20,000
South London & MaudsleyUpgrade of the conference and activity rooms to improve the environment for
patients and family members
£16,032
South London & MaudsleyA DBT-based skills workshop for parents and carers of young people with
emotional dysregulation and related risk behaviours.
£15,900
South London & MaudsleyListening isn’t the same as waiting to speak! – Evidence-based communication
in support of people with emotional concerns
£13,200
South London & MaudsleyTravel and accommodation grants to help families of mentally unwell children
attend appointments
£6,793
South London & MaudsleyIntroducing Restorative Justice for Mental Health Service users and the people
harmed by ofences committed by forensic patients
£6,000
South London & MaudsleySafewards Calm Down Methods – a box of sensory equipment to help patients
lower their levels of agitation.
£3,719
South London & MaudsleyEvaluation of DISCOVER online workshop delivery
£3,460
South London & MaudsleyResources to support creative pursuits and mindfulness activities for service
users in the community
£2,873
South London & MaudsleyStress Relief Room to encourage de-escalation of aggression during inpatient
stays
£2,727
South London & MaudsleyVirtual reality relaxation intervention for clinical staf to support wellbeing
£2,382
South London & MaudsleyGardening Project at Heather Close Rehabilitation Unit, Lewisham
£2,000
South London & MaudsleyGuts Cafe at the Bethlem – developing food cultivation and cooking skills of
residents at Bethlem Royal Hospital
£1,562
South London & MaudsleyTrust improvement project
£1,500
South London & MaudsleyRefecting on loss – support for chaplains facilitating Loss & Grief Groups
£1,160
South London & MaudsleyEnabling team members to refect on loss
£1,160
Sporting Recovery CIC
Widening Participation Project
£24,600
Sydenham Garden
Transitions Pathways Project – supporting adults transitioning away from
therapeutic care
£25,000
Theatre Troupe CIC
Southwark Youth Troupe: A specialist arts project for young people with acute,
severe and complex mental health problems
£29,300|Community|
|---|---|
||Service
improvement|
||Community|
||Community|
||Research|
||Service
improvement|
||Community|
||Community|
||Service
improvement|
||Service
improvement|
||Community|
||Research|
||Community|
||Community|
||Service
improvement|
||Research|
||Community|
||Community|
||Service
improvement|
||Community|
||Research|
||Community|
||Service
improvement|
||Service
improvement|
||Community|
||Community|
||Community|
||Community|
||Service
improvement|
||Community|
||Community|
||Community|
**Total funding awarded £9,714,555**
Maudsley Charity Annual Report 2021-22
26
## impact
Every one of the projects we invest in has the potential for significant positive impact on the lives of people with mental illness and the lives of those caring for them.
On the following pages, we’re shining a light on five of these projects – and sharing the stories of some of the those whose lives they have changed for the better.
Not only do these highlighted projects reveal the exceptional scale and breadth of our grantmaking portfolio, but we hope too that they provide a glimpse into the incredible impact of the work we fund.
Michael, Occupational Therapist at South London and Maudsley, standing in the Bethlem Walled Garden
Maudsley Charity Annual Report 2021-22
27
## Connecting... ...the dots
## The Pears Maudsley Centre for Children and Young People
Total funding awarded in 2021/22: towards the £10m **£65 million** building
## Working together to transform young people’s mental health care
With half of all adult mental health conditions established before the age of 14, we know it’s crucial to get in early when it comes to care and support. But across the UK, children’s mental health services are in demand as never before, with both referral rates and waiting lists at all-time highs.
Children’s children’s mental health services are in demand as never before, with both referral mental rates and waiting lists at all-time highs. health That’s why, over the past five years, we have been working alongside South London services and Maudsley NHS Foundation Trust are in and King’s College London to develop a groundbreaking new care and research demand centre that will bring together the largest group of mental health clinicians and as never academics in Europe. before
Based on the historic site of the Maudsley Hospital in southeast London, The Pears Maudsley Centre for Children and Young People will transform our knowledge and understanding of young people’s mental health and reduce the time it takes to bring new treatments to patients.
Maudsley Family therapy for children and adolescents with eating disorders, known as the Maudsley Approach, is used across the globe and has been shown to lead to full recovery in more than twice as many patients as standard individual therapy. The treatment is based on the understanding that neither children nor parents are the cause of an eating disorder, but instead encourages patients, families and professionals to work together to find effective solutions.
The £65 million centre is being built by Integrated Health Projects, an alliance between VINCI Construction UK and Sir Robert McAlpine. Construction began in June 2021 and is due to be completed in 2023.
Maudsley Charity invested £10 million to the building of the Centre and worked with colleagues at South London and Maudsley and King’s College London to raise significant additional funding from other donors, including Pears Foundation and the Rayne Foundation.
When the Centre opens its doors, it will enable scientists, clinical staff and educators with backgrounds in medicine, psychology, neuroscience and social science to collaborate, explore and improve the mental health of young people from across England. It will provide treatment to young people with a range of conditions, from eating disorders and body dysmorphic disorder, to anxiety, ADHD, autism and trauma. Together, they will be able to directly help more young patients, as well as influencing policy, practice, funding and attitudes towards mental health – at a time when need has never been greater.
The benefits and savings to society from the Centre could be worth up to £87 million a year through improved quality of life and reduced illness. With the building nearing completion, the focus now falls on creating the best environment for healing and maximising the impact of the research and care that will be delivered within its walls.
“It’s going to change things literally from the ground It’s so rare within up. mental health services to have facilities that have been designed from the very start with the key purpose of transforming and changing the agenda for mental health staff.”
_Dr Bruce Clark_
Maudsley Charity Annual Report 2021-22
28
## Ben’s story
## **Ben, a 20-year-old former service user, has been involved with the Art Group since its inception.**
“I’ve benefited from art therapy in the past, so I know that it can be really useful for people who are struggling to express themselves. Art can also make a hospital feel less surgical and more welcoming and give patients something else to focus on apart from the long corridors. It can inspire them and help them to feel a connection to others.
## Inspire, create, connect
The benefits of art and creativity for improving mental health are well-documented, and there is also an increasing appreciation of the importance of clinical environmental design for helping young people with autism, ADHD and other conditions to manage anxiety and connect with others.
The Pears Maudsley Centre for Children and Young Peopole has been co-designed by young patients from the start to be totally different from a traditional mental health clinic. During 2021/22, we supported Bethlem Gallery to bring together the ‘Young People’s Art Group’ – a group of young service users aged between 16 and 21 – to help guide our arts strategy at the Centre.
With the support of local artist, Daniel Regan, they created the brief for each of the three commissions, which invited artists to develop exciting, site specific artworks for the Centre, based on the theme of 'nature'.
Over the last 18 months the Young People's Art Group has worked alongside an independent creative producer to select the artists for the commissions and support them to make key decisions around the development of their artworks.
“I think the Pears Maudsley Art Group is a good idea because it allows young people like me to get involved who have experience in using these buildings – we know what it’s like to be in hospital, so we can imagine how other people who are new to the place might feel.
Ben’s sunset paintings
“To inform the development of the commissions, we responded to some creative exercises around the theme of nature, as a way of bringing the outside into the hospital. Mine was a waterfall with a sunset reflecting off the water. It was about nature, but it is also about hope – the day might have been rubbish but it doesn’t have to finish in the way it started.
“We know what it’s like to be in hospital so we can imagine how other people might feel.”
“Being part of the Art Group has been a positive experience so far. It’s made me more confident because I have been able to contribute to and learn from other people’s ideas.
“We’ve just appointed the artists for the first round of commissions and I’m looking forward to seeing the pieces in real life!”
Maudsley Charity Annual Report 2021-22
29
support, to help people with serious mental health problems reduce their reliance on high-potency cannabis.
There is a well-known link between heavy use of high-potency cannabis – or ‘skunk’ – and psychosis, a distressing condition that can cause people to lose contact with reality and begin to see, hear, or believe things that are not real. In London, where high-potency cannabis is readily available, around twothirds of patients that have psychosis are also regular cannabis users.
“This programme has changed my life.”
These patients are at risk of falling through the gaps, as standard treatments for psychosis do not take drug use into account, and mainstream addiction services often struggle to meet the complex needs of people with psychosis.
By giving people the tools, motivation, and support to understand and address their addiction while also treating and managing the effects of psychosis, the Clinic allows them to reduce their cannabis use and lead their own recovery
**----- Start of picture text -----**
© Tobias Tullius / Unsplash
**----- End of picture text -----**
## Repairing minds, rebuilding lives
At the Cannabis Clinic, patients who want to reduce their use receive bespoke treatment that combines medication and therapy with positive, non-judgmental peer support, led by people with lived experience of cannabis use and psychosis. By giving people the tools, motivation, and support to understand and address their addiction while also treating and managing the effects of psychosis, the Clinic allows them to reduce their cannabis use and lead their own recovery.
The Cannabis Clinic for Patients with Psychosis
Total funding awarded in 2021/22: £20,698
80% Helping people to recover from of the patients serious mental illness induced by who completed cannabis use treatment gave The Cannabis Clinic, led by clinician and up cannabis researcher Dr Marta di Forti, combines a completely medical approach with practical and social
In 2021/22, the Cannabis Clinic received permanent funding from the Trust after a successful two-year pilot, in which 80% of the patients who completed treatment gave up cannabis completely.
The Cannabis Clinic, led by clinician and researcher Dr Marta di Forti, combines a medical approach with practical and social
Maudsley Charity Annual Report 2021-22
30
“The psychiatric hospitals don’t help you quit — they just say, ‘You have this mental illness, we’re going to prescribe you these drugs.’ Now, with the Cannabis Clinic, I’m looking at life in a whole different way. My brain is starting to work again, I’m doing an apprenticeship, I’ve got back into art and produced music. This programme has changed my life.”
_‘Oli’, service user_
Since 2019 we have invested £105,827 into the development of the Cannabis Clinic, to ensure continuity and create compelling evidence for further funding.
“I started going to the peer group, and in two months, I’d cut down from about 15 joints a day to five. By May, I was off the weed completely.”
## Katie’s story
## **Katie started using cannabis as a teenager. It began as an occasional social activity, but quickly became a daily habit and soon sent Katie spiralling into paranoia.**
“I was 15 when I first tried cannabis. My friends and my family all used it, so it was basically just the norm. Soon, I was using it every day. People don’t think that weed is addictive – they think, oh, it’s just a plant, it’s alright – but it can take over your life. And if you’ve got mental health problems then it’s even worse – the paranoia can make you feel so isolated, so alone.
“I used it for 18 years. My mum’s dying wish was that I’d stop smoking weed because she wasn’t going to be around to help me. My own kids had never known any different, so I knew that if I didn’t
stop then, the likelihood of them picking up a joint was quite high.
“I came to the Cannabis Clinic in January 2021. I just thought, I’m going to get myself happier this year – I don’t know what it’s going to take, but I’m willing to do whatever I can. So I started going to the peer group, and in two months, I’d cut down from about 15 joints a day to five. By May, I was off the weed completely.
“It’s a lot better now than in the smoking days. Not every day is great, but if I have a tough day now, I’ll go for a walk, go and get a cup of tea, because I know that one joint will take me back to where I was. Things are a lot better with my kids, too. I’m more present. We’ve been doing things together more and there’s no paranoia – we’re a lot happier.”
Maudsley Charity Annual Report 2021-22
31
**----- Start of picture text -----**
Writing a
Using the metaphor of a tree
to represent life experiences
new story in a Tree of Life workshop
**----- End of picture text -----**
It has been so successful that the approach is now used as an official model of care in the Trust.
## The ‘Tree of Life’ programme
Total funding awarded in 2021/22: £24,640
Using narrative therapy techniques to help people recover from serious mental illness
The ‘Tree of Life’ programme is an alternative recovery approach, developed by narrative therapy practitioner Ncazelo Ncube-Mlilo through her work in refugee camps in Zimbabwe. Narrative therapy is a form of psychotherapy that encourages people to identify their values, skills and strengths, so they can deal more effectively with problems.
It uses ideas of strength, resilience, and relationships to engage people from a culturally diverse range of communities, through a series of workshops that
encourage them to reflect upon the positive aspects of their life using the metaphor of a tree. Guided by trained co-facilitators with lived experience, people are encouraged to draw a symbolic tree, with each section representing a different part of their identity, experiences, and ambitions.
Over the past eight years, we have funded the piloting and delivery of the Tree of Life programme in a number of mental health services across South London and Maudsley. It has been so successful that the approach is now used as an official model of care in the Trust.
In 2021/22, our £24,540 grant funded a pilot programme led by clinical psychologist Dr. Gerard Drennan using the Tree of Life with patients who were referred to mental health services via the criminal justice system.
Maudsley Charity Annual Report 2021-22
32
## Jerome’s story
## Drawing on experience
Around 80% of the patients in the secure admission wards within South London and Maudsley are from Black and Minority Ethnic backgrounds, and most have experienced difficult lives involving poverty, discrimination and crime. For these patients, the Tree of Life programme offers an inclusive and culturally sensitive approach to recovery from mental illness.
**After experiencing the benefits of the Tree of Life programme himself, former service user Jerome became a peer facilitator to support other patients in secure wards.**
“The stories you tell about yourself can change your whole perspective of who you are.”
“In hospital, the focus is on your issues more than your entirety as a human being. For some, not everyone, the reason you end up retelling those traumatic experiences to yourself again and again is because that’s the story the institution focuses on when you’re in a meeting or a ward round.”
Former service users with personal experience using the Tree of Life approach were trained as co-facilitators for the programme. With ongoing COVID-19 restrictions limiting visits to the ward, the programme had to be adapted so that it could be delivered using iPads as well as face-to-face. Despite the challenges this brought, the project was so successful that it was nominated for a Digital Access award at the 2021 Health Services Journal Awards.
“The Tree of Life gives you the opportunity to actually tell it from your own perspective, to write what you see of your own life. It makes you look at your foundations, what you’re doing now, your hopes and aspirations, the things people have given to you and what you’ve given them. For me it invoked a lot of good memories about childhood, like the greengage tree in my grandmother’s garden.
“Other types of therapy don’t focus on your culture as a whole, but Tree of Life allows you to explain what your roots mean to you. I’m of Caribbean descent and I definitely brought elements of my culture into it, in terms of where my principles and beliefs came from.
“A hybrid model has its challenges when you’re containing some difficult life stories. But there has been so much enthusiasm from the staff and the peers and the patients who have engaged in it. The peers were beamed onto television screens in the wards and were being really encouraging – it has been a real privilege to witness the effect of that on the patients.”
“It helps having facilitators with experience of being service users. Because as a facilitator I can say to people, look – I’m someone who’s been in your situation, someone who’s experienced what you’ve experienced. I come to you as a brother, basically.
“There was one guy who came in with a lot of frustration, things he wanted to get off his chest. I made sure that he was never shut down and that he was able to express himself – because I know that as a service user you don’t often get spaces where you feel genuinely safe, where you can be yourself. And he ended up engaging with every part of the course.
**----- Start of picture text -----**
© Alex Green / Pexels
**----- End of picture text -----**
“The stories you tell about yourself can change your whole perspective of who you are. So they can also change your life.”
_Melisa Ramadan, Facilitator and Drama therapist_
Maudsley Charity Annual Report 2021-22
33
## The DBT Clinic / HOPES project
## Total funding awarded in 2021/22: £15,900 Therapeutic peer-led support for parents of children with severe emotional problems
It can be both heart-breaking and overwhelming to care for a child or young person who is experiencing serious emotional distress and/or self-harming. However, there is limited support available for parents and carers, who often receive help relatively late in their family’s journey with Child and Adolescent Mental Health Services (CAMHS), if at all.
## Raising hopes
Research shows that the levels of stress and anxiety experienced by these parents and carers can be reduced by teaching them skills and strategies to empathise with their children, based on talking therapies such as Dialectical Behaviour Therapy (DBT). DBT has been specially designed for people who experience strong or overwhelming emotions and can help them manage their responses and find alternatives to selfdestructive behaviours.
In 2021/22, a pilot project led by Dr André Morris was delivered through the DBT Clinic at Maudsley Hospital to provide information, skills, and peer support to the parents and carers of young people who are emotionally distressed or self-harming – before they and their children reach crisis point.
12 parents took part in the pilot project, all of whom had children who were selfharming and had recently been referred to CAMHS but had received little or no support so far. The results were extremely positive,
Maudsley Charity Annual Report 2021-22
34
with the project achieving an unprecedented attendance rate of 100% and very high scores from all parents for helpfulness, effectiveness and satisfaction.
~~By providing £15,900 to this pilot projec~~ t, By providing £15,900 to this pilot project, we have helped to develop an accessible we have helped to develop an accessible service model with the potential to make a huge difference to the quality of life for service model with the potential to many families. make a huge difference to the quality of life for many families.
## Navigating the storm together
“[HOPES] helped me to see that there is light at the end of the tunnel.”
When your child is desperately struggling with their emotions, being left on a long waiting list for family support can feel like being stranded in a neverending storm.
The need for support is particularly acute in southeast London, an area that is home to a significant number of people from Black and/or minority ethnic backgrounds, who are typically under-served by mental health services in general.
The HOPES project (Hope Openness Peers Education Skills), offers a lifeline to parents and carers of young people with emotional problems living in the South London and Maudsley boroughs.
The programme is co-delivered by facilitators with experience of caring for a child with emotional problems. Parents and carers are offered tools and strategies, including mindfulness exercises, to help them validate their child’s experiences and to respond to their needs. They are also encouraged to share and discuss their experiences within the group.
## Jane’s story
**Jane became a peer facilitator for the HOPES project after receiving support from the DBT Clinic when her own child (who uses they/them pronouns) reached crisis point.**
“Alina was always sensitive, but as they grew older, they began struggling more and more with their emotions. There was a lot of shouting, swearing and crying – we got to a point where we were always treading on eggshells because we didn’t want to upset them.
“As it got worse it became very isolating. When your child is self-harming and suicidal, they can’t be left on their own – you can’t just go and meet a friend for coffee. Not everyone understands, so eventually people stop answering your calls and stop inviting you out.
“It took a long time to get the right support. At school, the focus was always on Alina’s behaviour rather than their needs. And at A&E they would just send us home, tell us to lock the knives away. And I thought that this isn’t helping – this is just containing the situation. As a Black person, I also
felt as if I was not always taken seriously. I kept being told ‘you’re strong enough to deal with this,’ even as I was telling them no, actually, I’m not. I’m struggling.
“We finally came to the DBT clinic in 2020. It was the first time I didn’t feel any negative judgments from the professionals I was working with – before, it was like it was my fault for not being able to keep my child safe. It also gave us a chance to talk to other families in a similar position, which was really important because they’re the ones that know what it’s like.
“It’s made a huge difference to how I parent. “When I was asked to be a facilitator with the HOPES project, I was really excited. I knew it was going to make such a difference to those families, especially having people like me there who have been through it and who know it actually works.
“We call it HOPES, and it really does give people hope. Because once you’ve been through it, you know that even if your child continues to struggle, they now have some really powerful tools to keep themselves safe in situations where otherwise they may not have been.”
Maudsley Charity Annual Report 2021-22
35
## write it down Speak up,
**----- Start of picture text -----**
© Leroy Skalstad / Pixabay
**----- End of picture text -----**
Advance Statements for Black African and Caribbean People
Total funding awarded in 2021/22: £249,894
## Creating opportunities for Black service users to make choices about their care
We all want to be able to make choices about how we are protected, treated, and cared for. People who are detained under the Mental Health Act (also known as being ‘sectioned’) are no exception – and while their capacity to make decisions may be temporarily compromised during a crisis, having an advance statement prepared is a helpful way to ensure their voice is still heard.
When someone is experiencing a mental health crisis, they may feel extremely frightened or distressed. Their behaviour can be erratic and, in some cases, it may be necessary to restrain them. Whatever happens, they still have a right to be kept safe, treated with dignity, and receive the care they need from the services that are designed to protect them.
Structural inequalities at every level of British society contribute to the shocking statistic that Black British service users are four times more likely than their white counterparts to be detained under the Mental Health Act. They are also more likely to be restrained using physical force, and less likely to receive the care and support they need – so have a higher risk of experiencing repeated admissions to hospital, and poorer long-term health outcomes.
In 2021/22, we funded £249,894 into a research study to create a workable process for Black mental health service users to complete and use advance statements, and to encourage and facilitate their use within all South London and Maudsley services.
An advance statement is a document that allows a person to have a say in how they wish to be treated in the future if they become unwell or experience a crisis. The document can be made with the help of family, friends, mental health professionals and/or independent advocates.
Having an advance statement prepared – and crucially, having access to mental health staff who are trained and experienced in using one – can counteract some of the inequalities that Black service users face. But the accessibility of existing information and support about advance statements is often limited by systematic, cultural and socioeconomic barriers.
The Advance Statements for Black People (AdStAC) project, led by Dr Shubulade (Lade) Smith CBE, Clinical Director for the Forensic Service at South London and Maudsley, and Dr Claire Henderson from the IoPPN at King’s College London, aims to overcome these barriers by working directly with Black service users to co-design a process for creating and using these documents that is workable for all service users, carers, and staff.
“AdStAC has been going really well. We’ve had a high level of engagement from staff, Black service users, carers/supporters and key people within the Trust who have provided insight and recommendations on how to ensure that advance choice documents can work effectively when they are implemented. We’re looking forward to taking on the next phase to use the recommendations and advice that have been provided.”
_Dr Shubulade (Lade) Smith CBE, Clinical Director for the Forensic Service at South London and Maudsley NHS Trust_
Maudsley Charity Annual Report 2021-22
36
## Breaking down barriers
## Lorna’s story
The AdStAC project includes a series of workshops with Black people who have previously been sectioned under the Mental Health Act, along with their carers and mental health service staff. Together, they will look at what processes and resources are already in place to help people create and use advance statements and identify where barriers exist.
## **Lorna works in healthcare and is a carer and advocate for her son Ryan who lives with psychosis.**
“Ryan is 26 and I suppose it started when he started using drugs and he started changing. It just basically got worse until there were all these outbursts happening that were quite extreme.
“He would start covering the air vents and locking the door and I couldn’t get into my own house sometimes. It was so bad that I was in my room and Ryan was just talking to himself, to the voices, talking about the Illuminati and about people being tortured. But he didn’t want to admit there was something wrong.
The findings from the workshops will be used to create an improved range of accessible, evidence-based support materials and training resources, to both encourage people to create advance statements, and make it easier for staff to use and follow them in practice.
“Ryan was sectioned during COVID-19 so for me that was the hardest thing. We had to wave to each other through a window. I remember him saying to one of the nurses on the ward he just wanted to hug his mother. A lot of people are quite traumatised by what they’ve been through, and they felt they were in a prison.
During 2021/22, two advisory groups were established for the project, along with a steering committee of academics and lay experts in policy and advocacy to oversee the research.
“I don’t want my son to be sectioned. I want to keep him well, so an advance statement is what we need. What will make him unwell would probably be him not taking his medication. I would say get the Home Treatment Team involved first before even thinking of hospital admission.
## Plan, Do, Study, Act
“I do get quite scared that the police don’t know how to deal with mental health patients. They will immediately think he’s a Black man, he’s being aggressive or he’s trying to do something because we’ve been stereotyped.
Recommendations from these advisory groups will be included in the resources, which will be produced using a ‘Plan, Do, Study, Act’ approach to allow regular opportunities for review.
“I’m just hoping for a system where you put my son’s name in and the ideal thing is they’ll know where Ryan lives, that they’ll know to contact me or to contact somebody that will know what the next steps are.
## With the UK
Government having previously committed to introducing new legislation to support the use of advance statements within mental health services, this project will help to ensure that any forthcoming transition is both smooth and equitable for everyone involved.
“The big thing would be that reassurance that he would be taken care of in the way he wants to be taken care of even if I’m not there.”
“I think I know my son better than the health care professionals. I’ve felt through the journey I was never listened to. The big thing would be that reassurance that he would be taken care of in the way he wants to be taken care of even if I’m not there.”
Maudsley Charity Annual Report 2021-22
37
## Thank you to our supporters
As a charity, we simply couldn’t do the work we do without the generosity and commitment of the people, partners, and organisations who share our mission to improve the lives of people with mental health issues.
## Philanthropic gifts
We are hugely grateful to all of the individuals, foundations, trusts and corporations who have supported us with transformational gifts during 2021/22 to improve the mental health of those most affected by serious mental illness in southeast London and across the UK.
This year, we worked in partnership with King’s College London and with £6.4m philanthropists dedicated to improving the mental health of children and young people, to focus on generating significant gifts to complement our own £10 million contribution towards the Pears Maudsley Centre for Children and Young People. As such, donations and legacies in 2021/22 totalled £6.4 million, compared to £838,000 in the previous year. Of this, £6 million was restricted for the Pears Maudsley Centre. This extraordinary £838,000 support will help us to change the future of mental health for children and young **2020/21 2021/22** people, not only in southeast London but throughout the entire UK.
£838,000
Special thanks for their incredible support goes to:
1. The Charles Wolfson Charitable Trust
2. The Garfield Weston Foundation
3. The Kuok Group
4. Monday Charitable Trust
5. The Pears Family Charitable Foundation
6. The Pictet Group Foundation
7. The Rayne Foundation
## Community fundraisers
During 2021/22, many individuals and groups generously gave their time and energy to raise money to support our work. Many had received treatment, knew someone who had, or had sadly lost a loved one to mental illness; many were dedicated members of South London and Maudsley staff.
We are so grateful to all of those who contributed so much time and energy to raise funds in the pursuit of better mental health.
We are so grateful to all of those who contributed so much time and energy to raise funds in the pursuit of better mental health.
Maudsley Charity Annual Report 2021-22
38
## Jenny Geall
## The Escape from Alcatraz Aquathlon, June 2023
## **Amount raised £2,000**
Jenny travelled all the way to San Francisco to take on the challenge of a 750-metre swim and a 5k run along the San Francisco Bay Trail.
## Community fundraisers
_“Mental health is something I have experience of, seeing both close family and friends affected, and I have seen first-hand how the Maudsley has helped them. They do an amazing job.”_
## Fiona Myrie & Carrie-Ann Black Skydive **Amount raised £1502 & £470**
Fiona and Carrie-Ann both work for South London and Maudsley NHS Foundation Trust and witness both the daily triumphs and challenges of delivering services to those who need it most.
_“With a long-standing interest in mental health, and being part of the community we serve, I have found myself at times limited to what I can achieve as a non-clinical person when I want to do more and to do something different from my day to day.” Fiona (left)_
_“(It) is undoubtably one of the most amazing experiences I have ever had and to do that for the charity and specifically the new Pears Building is such a privilege.” Carrie-Ann (right)_
## Rohan Candappa and Alleyn’s School alum
## ‘Changing Stories’ theatre show **Amount raised £2,167**
Rohan Candappa and John Eltham are good friends and former students of Alleyn’s School who were inspired to support the charity following a school reunion during the pandemic.
_“As a parent, I know of too many friends whose children have struggled, and are still struggling with their mental health, so I’m motivated to fundraise around the issue of the challenges young people are facing.”_
Maudsley Charity Annual Report 2021-22
39
## Melanie Mounsdon, Nona, Scarlett, Freya, Sian and Paul Stafford, Andy and Angela Greasby and Sarah Goonetilleke
## Thames Bridges Challenge 2022
## **Amount raised £6,090**
The Moundson Family (and friends) fundraised for the charity as a show of gratitude for the lifesaving anorexia treatment their daughter Freya received from the Intensive Treatment Programme (ITP) at Maudsley Hospital.
_“My anorexia recovery has been a long and bumpy journey, but I am happy to say that for the first time in 5 years I finally feel free. I owe my new life to ITP, it helped me out of the darkest place I have ever been.”_
## Matthew Strong
## everyone + everything festival
Ongoing until March 2023
## **Amount raised £2159** to Dec 2022 split between Maudsley Charity and two other charities
Matt is a street photographer who received mental health support from South London and Maudsley following a diagnosis of schizophrenia 20 years ago this year. He conceived the brilliant idea of an online arts festival to support mental health charities.
_“Together we have made something very special…I hope we can make a lot of positive awareness for mental health”._
## Henna
London Marathon **Amount raised £581**
Henna’s experience caring for her son when he was unwell from anorexia inspired her to become a mental health nurse at South London and Maudsley and to run marathons for her mental wellbeing.
_“When my son was an inpatient, he had the occasional little thing from the charity – some Lego, and a few little bits that made such a huge difference…glimmers of normality and reminders that he was a child.”_
Maudsley Charity Annual Report 2021-22
40
## Statement of public benefit
In determining our grant making strategies and the general administration of the Charity, the Trustees confirm that they have complied with the duty in section 17 of the Charities Act 2011, to have due regard to the public benefit guidance published by the Charity Commission for England and Wales. The Charity has considered the Charity Commission’s guidance on public benefit, including: running a charity (PB2)’.
The charitable activities, most of which are described in this report, are by nature for the public’s benefit. Trustees regularly monitor and review the success of the Charity in meeting its key objectives and aims, which fully meet the public benefit test, and all the activities of the Charity are undertaken in pursuit of its aims.
The achievements and case studies on pages 27-37 include illustrative examples of how the Charity’s activities have benefited the public.
Maudsley Charity Annual Report 2021-22
41
## Looking forward
## Implementing strategy
In 2022/23, we will enter a new phase in the development of Maudsley Charity with the roll-out of our first major thematic programme, a £10 million investment into projects that support people to live well with psychosis.
Over the coming year, we will start funding projects with links to eight areas we have identified that contribute to our Living Well With Psychosis theme:
- Giving people affected by psychosis a greater voice and influence over their own care
- Personalised and effective therapy and medication
- Culturally appropriate peer and family support, information, and advice
- Addressing the impact of racism and discrimination on access to appropriate care at the right time
- Help to avoid or reduce problematic cannabis use
- Improving what happens in crisis
Top: Josephine Namusisi Riley speaking with a fellow trustee
Above: CEO Rebecca Gray addressing trustees at their Away Day
- Better use of data to understand risk and target care
- Improving opportunities for employment and volunteering.
Maudsley Charity Annual Report 2021-22
42
We will create/finalise our pool of advisors and reviewers with lived, clinical and academic expertise who will help ensure we are funding the right projects at the right time, and we will develop a bespoke community sector funding stream as part of our wider programme.
We will continue to work in partnership to revolutionise the way children and young people with mental health issues can receive care and treatment in the future
With the Pears Maudsley Centre opening its doors in Autumn 2023, working towards this will also be a priority for us in the coming year. We will continue to work in partnership to revolutionise the way children and young people with mental health issues can receive care and treatment in the future, working with philanthropists and building networks to enable the Centre to transform lives, including the development of its arts programme.
## Strengthening capacity
In response to our increasing investment into mental health, we will grow our team to meet gaps in our capacity to achieve our goals. We will make more robust the infrastructure, process and internal behaviours which will allow us to be as confident as we can be on data management and cyber security, and we will invest in creating the environment where our colleagues and the organisation can thrive, engaging more and more with those closest to us who share our vision.
Top left: Outgoing Chair David Bradley at the charity project showcase
Top right: Trustee Béatrice Butsana-Sita
With a new Director of Fundraising and Communications in place, we will develop our strategy and plans for engagement and income generation to support all strands of our work, building a solid base beyond our current programme of partner-focused fundraising. We will expand our efforts to foster a collaborative and supportive relationship with frontline South London and Maudsley staff, including through the launch of a new small grants programme for NHS teams.
Our current Chair, David Barclay, comes to the end of his tenure in 2022, and we are extremely grateful for his support and leadership throughout. Following his departure, we will appoint a successor and support them throughout their journey to becoming an effective and inclusive leader.
Maudsley Charity Annual Report 2021-22
43
**----- Start of picture text -----**
Maudsley Charity funds the
South London and Maudsley
Volunteering Programme
**----- End of picture text -----**
In the projects we fund, we Diversity, equity, will continue to seek out those and inclusion that address
the health inequalities that minoritised communities face, including Black people with African and Caribbean heritage and South Asian communities
We are committed to changing and tackling inequality in every area of mental health and ensuring that our own organisation reflects those we exist to serve. In this forthcoming year, we will continue to embed the principles of diversity, equity and inclusion (DEI) within our organisation and in the projects and people that we fund, in line with the DEI framework provided by the Association of Charitable Foundations (ACF).
Internally, we will focus on recruitment and employment practice, reinforcing our training in unconscious bias and identifying, developing and implementing best grant
funding practice. Externally, in the projects we fund, we will continue to seek out those that address the health inequalities that minoritised communities face, including Black people with African and Caribbean heritage and South Asian communities.
During 2021/22, we worked with our staff, our partners, and our communities to better understand the difference we can make. To ensure we are committing to tangible action, we have adapted the ‘pillars’ from the ACF’s DEI report ‘The Pillars of Stronger Foundation Practice’ to provide an overview of our work.
Maudsley Charity Annual Report 2021-22
44
In 2021/22:
In 2022/23:
## **INVEST & LEARN:**
- Speakers to our monthly staff meetings included South London and Maudsley Patient and Carers Race Equalities Framework (PCREF) team leaders.
- We developed our charity-wide understanding and use of DEI concepts and terminology with a series of ‘Lunch & Learns’.
## **INVEST & LEARN:**
- We will continue to learn and adopt best practice in relation to inclusive recruitment and hybrid working embed in wider society. Further staff and Trustee training is planned.
- All staff received unconscious bias training, as well as regular online training.
## **DEI PRACTICES:**
- Our accreditations include Mindful Employer for employers who are positive about mental health, Disability Confident, a government scheme designed to encourage employers to recruit and retain disabled people and those with health conditions and Halo Code, which explicitly protects employees who come to work with natural hair and protective hairstyles associated with their racial, ethnic, and cultural identities.
## **DEI PRACTICES:**
- We will develop and embed DEI into our grant awarding and monitoring processes in order to ensure our funding and impacts are inclusive and address mental health inequalities.
- We will design a community funding scheme within our Living Well with Psychosis programme which addresses the potential bias against Blackled organisations common in community funding schemes.
- We worked with recruitment agency Harris Hill to embed best practices in inclusive recruitment, including regular learning and continuous selfchallenge.
- We reflected on our grant-making practices during a period of extensive consultation for Living Well with Psychosis and Young People Most at Risk of Mental Illness.
We address the impact of racism and discrimination in the care and outcomes for people who have experienced psychosis in an explicit priority within our new Living Well With Psychosis programme
## **FACING OUR NUMBERS:**
- Our staff DEI group reviews and reflects on recruitment statistics on a regular basis.
- We have examined our DEI data relating to existing grant making and captured learning for future developments.
## **GOVERNANCE & LEADERSHIP:**
- Our Trustees received and reviewed reports on our action plan and progress.
- We are committed to the Association of Chief Executives of Voluntary Organisations (ACEVO) Eight Principles to address the diversity deficit in charity leadership
- Our CEO’s statement can be read at: www. acevo.org.uk/eight-principles-to-address-thediversity-deficit-in-charity-leadership/
## **ADVOCATE FOR AND**
## **ADVANCE DEI PRACTICE:**
- We explicitly made DEI a project objective for the photography exhibition we co-produced with South London and Maudsley, _COVID-19 – Life Through a Lens._ This resulted in diversity of representation and engagement.
## **GRANT GIVING:**
- A Programmes DEI action plan will be developed, including regular review and reporting on grant giving with a DEI lens.
## **INFLUENCING:**
- As we develop our procurement policy and practices, we will work with our suppliers to improve DEI within our supply chains.
- We worked with our Anchor partners to advance their DEI practice, including setting specific commitments as required change.
- We address the impact of racism and discrimination in the care and outcomes for people who have experienced psychosis in an explicit priority within our new Living Well With Psychosis programme
Maudsley Charity Annual Report 2021-22
45
## Staff and Trustees
At the time these figures were calculated, they reflected the makeup of a small team of 12 staff and 11 trustees. While the use of aggregated data with such small numbers has its limitations, we are committed to transparency, reflection, and to holding ourselves to the same high standards which we expect of others.
Staffas at 31 March 2022 of staff identified 55%themselves as having lived experience of mental illness or caring for someone with mental illness (2021:70%)
**----- Start of picture text -----**
2020/21
2021/22
**----- End of picture text -----**
were from Black 26[%] and Minority Ethnic of staff communities (2021: 30%; population benchmark 40% in London)
18% of staff None of staff 82[%] of staff identified themselves considered identified as Lesbian, Gay, Bithemselves themselves to sexual, Transgender, female Queer/Questioning be disabled (LGBTQ) (2021: 30%) (2021: 10%; population benchmark (2021: 90%; third sector 20% UK working area population) benchmark 60% female)
None of staff considered themselves to be disabled
of trustees Trustees identified as at 31 March 2022 45% themselves as having lived experience of mental illness or caring for someone with mental illness (2021:70%)
Maudsley Charity is also supported in its grant decisionmaking by reviewers and panel members. We will review and report on these diversity statistics in future years.
were from Black and Minority Ethnic communities (2021: 13%)
36[%] of trustees
> trustees 6[%] of trustees identified themselves female (2021: none) (2021: 38%)
No trustees considered themselves to be disabled
**----- Start of picture text -----**
2020/21
2021/22
**----- End of picture text -----**
9% of trustees identified themselves as Lesbian, Gay, Bisexual, Transgender, Queer/Questioning (LGBTQ) (2021: 25%)
Maudsley Charity Annual Report 2021-22
46
## Financial review
Driven by our ambition to support lasting change in the lives of people living with serious mental illness, we continued our responsive and strategic grant-giving approach alongside fundraising in 2021/22.
We additionally completed a period of transition involving extensive consultation. This led to the identification of two new priority areas: Living Well with Psychosis and Young People Most at Risk of Mental Illness. Funds totalling £20 million have now been designated for grant giving in these priority areas over the next five years.
The Charity was incorporated on 20 November 2017; it received the assets of the Charity in its old form in February 2018 and became independent from the South London and Maudsley NHS Foundation Trust. The name of the trading subsidiary changed previously from Maudsley Learning CIC to Maudsley Charity Trading CIC. Maudsley Learning now refers to activities carried out by South London and Maudsley NHS Foundation Trust, which also has a base at ORTUS.
The Charity is an endowed organisation that achieves its objectives through grant making and through its trading subsidiary.
The group’s net assets have decreased £11m from £182.9m at 31 March 2021 to £171.9m at 31 March 2022. This reflects the increased grant-giving which is detailed in the section on pages 24-26.
Income is higher in the current period than in the previous period, £9.7m compared to £4.5m. We benefited from philanthropic generosity and successfully fundraised to support the Pears Maudsley Centre for Children and Young People project.
Our costs of raising funds have decreased from £549k to £516k as our Pears Maudsley Centre project-related fundraising matures towards building completion in 2023. We take a multi-year view of the contribution to
Maudsley Charity Annual Report 2021-22
47
Transformation – where the Charity has determined there is an opportunity to make a ‘game changer’ shift within an area of care and/or research
fundraising and are developing our longerterm fundraising strategy beyond the current Pears Maudsley Centre project campaign.
Donations and legacies in the period total £6.4m, as compared with £838k in the prior period. Of this year’s voluntary income, £6m was restricted for the Pears Maudsley Centre project. Currently, donation income is not expected to be regular; we aim to build a stream of regular donation income in future through our investment in fundraising.
Investment income from rentals has fallen in part due to a tenant in liquidation, while other investment income was as anticipated. In line with the Charity’s total return investment policy, our diversified portfolio is expected to achieve more of its return through capital growth rather than investment income.
Investment management costs have increased from £673k in 2021 to £698k in 2022, as financial management fees track portfolio valuations.
Charitable activities principally consist of grant expenditure, and also include the activities of Maudsley Charity Trading CIC. The ORTUS building and the activity within it are part of the charitable activities/assets of Maudsley Charity.
Support costs, which are allocated proportionately between costs of generating funds and charitable activities, have increased from £1.18 to £1.43m. The Charity continues to invest in its systems and in its operational team. We expect to expand and develop our team further and are allocating additional resources in the next two years in order to deliver greater impact through our grant-giving and development support to grantees. We will continue to manage our support costs to ensure they are appropriate.
The total assets at 31 March 2022 consist of investment assets of £163.6m, other fixed assets of £4.9m, and current assets of £15.5m, of which £14.9 is cash. Cash is at a lower level than at 1 April 2021, having been utilised for operational cash flow needs. Cash held remains within treasury management parameters agreed by the Board.
## Going concern
The Trustees have reviewed the financial position of the Charity, including its forecast cash flows, liquidity position and existing and potential funding commitments for the future. The Trustees believe that there are adequate resources to continue in operation for the foreseeable future, and ready cashflows for at least 12 months from the date of signing of the accounts.
The Trustees believe there are no material uncertainties in their assessment of going concern and, in consequence, these Accounts have been prepared on a going concern basis.
The Trustees have reviewed the potential long-term impact of COVID-19, societal and geopolitical developments. They remain confident in the Charity’s ability to continue to contribute to improved mental healthcare and support to the most vulnerable.
## Grants
In 2021/22 we made a number of different types of grants which, due to the nature of the activities the grants fund, often span more than one year.
As analysed in note 4.2, grants committed and paid during the year have been grouped into categories in line with the Grants Strategy which was implemented in 2019/20. The four main streams of grantgiving were:
**Transformation** – where the Charity has determined there is an opportunity to make a ‘game changer’ shift within an area of care and/or research. For the next two years funding under this stream will be committed to the Pears Maudsley Centre.
**Innovation and Improvement** – providing funding to develop and learn from new and improved approaches to care and treatment, with the potential to impact care across southeast London and beyond.
**Community and Connection** – for projects that make a positive contribution to
Maudsley Charity Annual Report 2021-22
48
Anchor – providing a consistent long-term stream of funding to wellestablished programmes of work to support people with mental illness
the lives of people who have experienced or who currently experience mental illness, primarily to benefit boroughs served by South London and Maudsley NHS Foundation Trust.
**Anchor** – providing a consistent longterm stream of funding to well-established programmes of work to support people with mental illness.
During 2020/21, we carried out a review of our current and prior practices in terms of grant giving, grants commitments and financial statement accounting policies. For the multi-year grants committed in years prior to 1 April 2020, expenditure is recognised as payments are raised, as payments are linked to delivery and progress reporting. From 1 April 2020, grants awarded are recognised as expenditure in the year in which the grant is formally approved by the Charity and has been communicated to the recipient, except to the extent that it is subject to performance conditions that are under the control of the Charity and would permit it to avoid making future payments.
As such, grant expenditure shown in the accounts relates not only to grant awards made in the current financial period but also often relates to grant commitments made in previous financial periods. Some grants, especially larger grants, fund projects which do not have an immediate start, and which span several financial and calendar years. Grant expenditure in any reporting period can vary quite significantly depending on the specific nature and timing of the grants committed in the current and prior reporting periods.
Grant giving has increased in the current financial period to £17.8m from £4.6m in the last financial period. There were 34 grants awarded this year, compared to 74 in the prior period.
The unpaid portion of historic grant awards is disclosed in note 10.1 as future commitments arising on delivery of relevant conditions. We have designated
funds totalling £1m to meet our future grant payment commitments. We have designated a further £20m for our two priority areas to be committed by 2027/28. A further £0.8m has been designated towards ongoing priorities (Anchor grants and Pears Maudsley Centre).
## Investments
The Investment Advisory Committee (IAC) is established as a subcommittee of the Board of Trustees. The Committee is focused on the performance of the financial and property investments in line with our investment strategy, seeking total returns which match our ambitions as well as preserving the real value of our endowment for future generations.
## Impact of societal and geopolitical developments on the Charity’s investments
The Charity’s endowment is invested for long-term investment returns to support our growing programme of grants. The endowment comprises cash deposits, stock market investments and commercial property. Aside from bank deposits, the Charity holds funds for foreseeable cash requirements in Short-term Money Market Funds with Royal London Asset Management.
2021/22 continued to be as extraordinary as the previous two years. The combined impact of geopolitical events and the changing outlook for growth and inflation made the quarter to end of March very challenging for financial investors. While not immune to the market movements, for example in response to the invasion of Ukraine, the resilience of our financial portfolios has rested on the strong underlying operational performance of the companies invested in.
The performance of Charity’s financial investments reflects the investment
Maudsley Charity Annual Report 2021-22
49
managers’ focus on inherent structural growth and the longer-term picture remains positive. The Charity’s investment horizon is long-term, and periods of short-term weakness and volatility are to be expected.
Our property investments are predominately located in Central London and Denmark Hill. The pandemic’s impact on the retail trade and tourism, while lessening, continues to be felt in relation to the Central London portfolio. The triennial property valuation took place at 31 March 2022. On professional advice, we did not carry out revaluations this year. Trustees will review the timing and need for valuations on an ongoing basis.
## Investment principles
The statement of investment principles was reviewed by the IAC during the year and approved by the Board of the Charity.
The purpose of the investment portfolio is to provide funds to enable the Charity to fulfil its primary objective over the medium term without damaging its ability to achieve the objective over the long term. The long-term time horizon for the investment portfolio is effectively in perpetuity. This allows for a bias in the portfolio towards long-term, higher returning asset classes likely to generate the strongest capital growth in real terms after inflation.
Service user representations of their mental health journey using modelling clay
## Investment requirements and objective
We have adopted a total return approach within our investment portfolio and can distribute capital as well as income (the endowment is expendable). Consequently, there is no formal income target.
While there is no formal annual distribution rate, returns in excess of inflation may be distributed to maximise the positive impact for the current beneficiaries of the Charity. The measure of inflation used is the Consumer Price Index (CPI), the official measure of inflation in the UK, although it is accepted that the inflation rate experienced by our beneficiaries may at times run at a higher rate.
The long-term nature of the investment portfolio allows for sizeable exposure to illiquid assets, such as direct investment in property. However, we monitor our cash requirements and hold sufficient cash for our medium-term operating plans outside our investment portfolio.
The Charity’s risk tolerance has not been formally defined in terms of the volatility of returns or the maximum permitted downside risk to capital. The long-term time horizon for the portfolio allows for a relatively high degree of risk to be taken in the portfolio. We have recognised that achieving the portfolio’s total return target will require accepting a relatively high level of short-term volatility in returns and sizeable fluctuations in capital values.
In order to maintain the current planned level of spending over the medium term and to preserve the value of the portfolio in real terms after inflation and distributions, the investment objective reflects the need to generate a total return of CPI +4%.
Maudsley Charity Annual Report 2021-22
50
We believe that it is inappropriate to invest in certain companies whose activities have a negative social impact or are contrary to the Charity’s primary purpose
## Ethical investment policy
We believe that our investment portfolio should be invested in a socially responsible manner. Our policy is to appoint investment managers who have fully integrated consideration of environmental, social and governance (ESG) issues into their investment process. Taking a socially responsible approach to investment is not inconsistent with maximising long-term investment performance, in line with the Charity’s fiduciary responsibility to maximise returns from the investment portfolio.
We believe that it is inappropriate to invest in certain companies whose activities have a negative social impact or are contrary to the Charity’s primary purpose – the promotion of mental health and wellbeing. No direct investment is therefore permitted in companies generating a significant amount of their revenue (more than 10%) from tobacco manufacturing and alcohol. Indirect investment in these areas within pooled investment vehicles is avoided as far as possible although, for the purpose of efficient fund management, a _de minimis_ exposure is permitted.
In principle, our ethical policy applies to passive investment vehicles as well as actively managed funds, although at present there is no exposure to passive investment vehicles within the portfolio.
We regularly review the list of exclusions.
## **Reporting environmental, social and governance (ESG) in relation to financial investments**
Recognising that investing is also a powerful tool for driving broader public benefit, we monitor the ESG engagement and activity of our investment managers in the same manner as we monitor the financial return of our investments against benchmarks. We receive regular detailed reporting on the engagement activities and voting of our investment managers in relation to our financial portfolio.
We note that ESG benchmarking and impact reporting are in development across the investment management sector.
The approach of our investment advisor Baillie Gifford is underpinned by a Positive Inclusion Factors Framework, which takes into account the value accruing to society in the long run; balancing the needs of all stakeholders; and exhibiting a culture of responsible business. As this requires complex and nuanced judgement calls, Baillie Gifford believes it cannot be simplified into a pre-packaged set of ESG scores. Their Annual ESG impact report tracks five criteria against MSCI ACWI. These criteria are UN Global Compact Compliance; Capital Allocation: Investment vs Pay-out; Alignment: Core Shareholders; Challenge: Board Independence; and Diversity: Women on Boards.
This year, our investment advisors Veritas commenced benchmarking the ESG performance of the portfolio they manage on our behalf using Morningstar Sustainalytics. On the sustainability risk metric, our portfolio scored 16.9 out of 50 (lower scores are better) at 31 March 2022, placing the portfolio in the top 10% of most sustainable segregated portfolios in its comparable category. The carbon intensity of the portfolio is 85% less than the benchmark (MSCI AC World) at 31 March 2022.
Royal London Asset Management has an engagement-based approach to ESG and reports narratively on six engagement themes for period 20222024: Climate change; Social & financial inclusion; Innovation, technology & society; Governance & corporate culture; Health; and Biodiversity. It is developing a bespoke ESG Dashboard in the belief that a lack of alignment in definitions and beliefs could lead a third party’s methodology to create scores that are not necessarily reflective of their own beliefs.
Maudsley Charity Annual Report 2021-22
51
We recognise the role that property can play in addressing the climate emergency
## **Carbon Footprint**
The carbon footprint of our financial portfolios is as follows:
## Baillie Gifford portfolio
4.23 tCO2e (2021: 5.22 tCO2e) Veritas portfolio
7.63tCO2e (2021 comparative unavailable)
The carbon footprint is calculated based on tCO2e per $1m invested. Figures refer to scope 1 and 2 emissions only. Scope 1 emissions are those deriving directly from company activities (i.e. stack emissions and fuel use); scope 2 emissions arise indirectly as a result of electricity use. Emissions within these scopes are reasonably under the control of the company and can be expected to be calculated by all companies.
Carbon intensity is the total carbon emissions per million USD of revenue generated; this allows comparison with the benchmark as a measure of the efficiency of the portfolio with regard to emissions per unit of financial output. Both portfolios outperform the benchmark at 31 March 2022:
Baillie Gifford
25.27 tCO2e (2021: 25.61 tCO2e) Veritas
25.38 tCO2e (44.39 tCO2e as of 30 June 2021)
Baillie Gifford and Veritas benchmark against MSCI ACWI Index. At 31 March 2022 the benchmark was 50.66 tCO2e per $1m invested for carbon footprint and 137.07 tCO2e for weighted average carbon intensity.
We recognise the role that property can play in addressing the climate emergency. We have not yet set carbon reduction targets in relation to our financial investments. Over the next two years, we will map our pathway to carbon net zero and articulate a responsible property investment approach to ensure that material ESG factors are integrated into investment decisions across all our property assets.
## Investment assets and performance
The Charity’s investment assets are analysed in note 6 to the accounts. As at 31st March 2022, approximately 71% of the total assets were financial assets, and the remaining 29% were property; this balance is largely unchanged from the previous year.
At 31 March 2022, the financial assets held as investments listed on recognised Stock Exchanges or through a managed fund in the case of Baillie Gifford were valued at £111.6m (£111.6m 31 March 2021). The portfolio managed by Baillie Gifford held through accumulation units was valued at £52.4m at 31 March 2022, a decline in a total return of -12.8% over the 12-month period to 31 March 2022. The portfolio managed by Veritas was valued at £63.9m at 31 March 2022, generating a total return of 14.4% over the 12-month period to 31 March 2022.
The Charity also holds assets in Royal London Money Market Funds. These funds are planned to provide cash for our short to medium term requirements (3 to 12 months) and are expected to generate higher interest rate returns than holding these funds in a standard bank account. The Money Market funds with Royal London were valued at £12.7m at 31 March 2022. Over 2021/22, the Charity expended £1.4m.
At 31 March 2022 the total value of the financial assets including cash held in the portfolio was £116.3m (2021: £116.4m).
Investment property assets in total stand at £47.3m at 31 March 2022 (2021: £47.2m). In line with our accounting policies, professional valuations of the investment properties took place on 31 March 2021. While the next formal valuation is due to be undertaken in March 2024, trustees note that the property markets continue to undergo change and valuations at a point in time may not fully capture the economic value.
Maudsley Charity Annual Report 2021-22
52
## **Investment income**
The total return on the combined financial investment portfolio was £17.7m, or 10.1% for the year (2021: £42.7m or 24.4%). The property portfolio has generated income of £2.0m (2021: £2.3m), a natural yield of 4.1% (2021: 4.8%) based on the property asset valuation. Dividend income received from the financial assets was £0.5m (2021: £0.5m), a yield of 0.47% (2021: 0.45%).
## Reserves
## **Reserves policy**
Our reserves policy, spending plans and long-term investment policies are intended to underpin the funding of grant making and operating activities. We hold endowment funds, restricted funds and unrestricted funds. Some of our unrestricted funds are designated for certain uses by the Trustees.
Funds transferred from the Charity in its previous legal form to its current legal form have retained the same level and nature of restriction.
## **Endowment funds**
Special The endowment funds are expendable. We Purpose aim to preserve the value of the endowment Funds in real terms to meet the needs of future generations. have been established The endowment is invested in property and financial assets with a view to providing through sufficient funds to enable us to fulfil our donations and primary objective, the promotion of positive legacies from change in the world of mental healthcare, service users over the medium term without damaging our ability to achieve the objective over the and others long term. The investment policy and returns over time are set out in more detail in the investments review on pages 49-52.
## **Restricted funds**
The Charity manages 16 restricted funds totalling £1.8m as at 31 March 2022 (2021: 16 funds totalling £1.0m). Of these restricted funds, £1m was received in March and will be expended in early 2022/23. One historic fund was fully expended in the year and we continue detailed work to identify
how each restricted fund can be spent down – for example being matched against approved relevant open grant bids or work with relevant clinical and academic staff to identify appropriate uses of the funds. Restricted funds are established through grants, donations and legacies and the details of each are set out in note 9.2. We have now put in place dedicated resource to ensure the funds are spent, or have spending plans in place, within two years.
## **Designated funds**
We have chosen to earmark certain funds for specific charitable activities.
The fixed asset reserve: the fixed assets held for charitable purposes rather than investment purposes are separately disclosed as charitable fixed assets – note 9.5.
Within the reserves of the Charity, the Trustees have established a designated fixed asset reserve to clearly identify funds which are not freely available to be deployed. At 31 March 2022, the fixed asset reserve was valued at £4.9m (2021: £5.0m).
Special Purpose Funds: the charity also holds 89 funds (2021: 90).
Special Purpose Funds are held for specific purposes and disclosed in detail in note 9.1 to the accounting statements. Special Purpose Funds have been established through donations and legacies from service users and others over time. While these funds are not restricted, we have undertaken to honour the wishes of the donors by designating them to be spent on the activity or area originally indicated by the donor.
The value of Special Purpose Funds as at 31 March 2022 is £0.3m (2021: £0.4m). As with the restricted funds, we continue our detailed work to identify how each fund can be spent down over an appropriate period. In many cases this means that funds will be spent, or have spending plans in place, within two years.
Maudsley Charity Annual Report 2021-22
53
We deliver our strategic impact through grant-funding innovation, research and service improvement
## **Unrestricted funds**
We hold sufficient unrestricted funds in cash both to meet the working capital requirements of our current operations and also to facilitate the delivery of the grant making strategic aim for the next two years of the five-year strategic plan.
We aim to maintain free reserves sufficient to respond to applications for grants and ensure that the costs of raising funds (excluding fund manager fees, which are met out of our investments), governance and support are covered without becoming a forced seller of equities should there be a downturn in the market.
During the period we reallocated £21m (2021: £13.6m) from the endowment fund to unrestricted funds. Despite volatility in financial markets due to societal and geopolitical events, unrestricted funds continue to be sufficient to meet working capital requirements and planned programme developments.
The reserves policy is reviewed on an annual basis. We review our treasury and cash flow management regularly to ensure that cash is available when it is needed to carry out our planned work and meet our commitments to others while maximising the return from short-term cash deposits and investments.
## Risk management
We maintain a risk register which is brought to Trustees periodically for review, with key risks highlighted at each meeting of the Board of Trustees. Risk assessment is an ongoing process, embedded in the day-today operations of the Charity. At key points throughout the year, more formal reviews take place using a risk register to support the analysis of, and decision-making around, risk. As well as considering how risks are managed for ‘business as usual’ and in annual planning and budgeting, we consider the risks we face when a new strategy, new project or piece of work is considered.
At March 2022, principal risks and uncertainties, and mitigations against these are as follows:
- Pears Maudsley Centre build project halted or severely delayed due to issues arising from regulation, construction, finance or poor project management:
The Pears Maudsley Centre is a major commitment for the Charity, through which we expect to contribute to an initiative that will make a difference to the mental health of the next generation. There is a risk that the project may slow or halt due to financial and regulatory changes.
We are in regular contact with South London and Maudsley and with the philanthropists who are supporting this vital project. Our Chief Executive attends Pears Maudsley Centre project meetings where there is a review of progress. We continue to communicate with donors on a regular basis. Any disruption to the delivery of this project will have a substantial impact on our strategy for the next two years and beyond. We are closely involved not only in funding the project but also in supporting its delivery and seek to contribute in a wide range of ways to ensure that the programme can be delivered successfully.
- Key strategic partners and the Charity do not work effectively together to fulfil the common goal of improving mental healthcare:
We deliver our strategic impact through grant-funding innovation, research and service improvement. In order to make a difference to the quality of healthcare received by people with mental illness, we need to work in effective partnership with South London and Maudsley and the IoPPN, as well as patients and families and community organisations.
There are regular meetings at executive level to support development of our relationships with South London and Maudsley and the IoPPN. Our process
Maudsley Charity Annual Report 2021-22
54
of engagement over this last year has opened up further formal opportunities for interaction, and changes to the grant-making approach developed and tested in cooperation with South London and Maudsley. Over the coming year, the annual Board-to-Board meetings will restart, and we will map and actively manage our key relationships.
- Organisational resilience and capacity to deliver during a period of significant change:
We have set ambitious objectives with the risk that in the near term it may not be able to deliver on these in a timely and effective manner due to delays in recruitment and implementing of systems and process developments. This could lead to a loss of credibility, low morale, staff burnout and increased employee turnover.
The Board agreed on additional staffing resource and organisational growth to meet objectives, and we have sufficient resources in place to recruit, onboard and support this growth. Staff wellbeing is monitored with support and workload management in place. We are further developing team communication, meeting and line management practices.
Our ongoing support to Bethlem Gallery provides a space for public engagement on mental health
- The implementation of new strategic priorities does not deliver the direction, impact and positioning to achieve our goals:
We have identified that a lack of coherence in our messaging and brand reduces the effectiveness of our engagement and reach to supporters and potential partners. A historic lack of clarity in relation to impact within grant schemes has also diminished our overall impact and credibility.
There is an established annual Board cycle with key review touchpoints for our Board throughout the year. This operates alongside continuous review with our team to ensure objectives are met. The Senior Leadership team has expanded to ensure we retain the capability to evolve and deliver against our strategy.
In our transition and engagement process over the last year, we have developed greater coherence and focus. A communications strategy is currently in development, which will align our charitable programmes and fundraising communications. Additional staff and resource are being put in place to deliver our goals.
- Grant-making approach does not deliver the required impact:
Should the increased grant funding not lead to improved mental healthcare in the priority areas, we could be seen as a poor steward of our assets and not delivering our mission. This would lead to reputational damage.
Additional resource is being put into place to develop our impact and evaluation processes and reporting. We are introducing further independent expert input into review panels and project assessments over the coming year. There is strong Board oversight of grant-making.
Maudsley Charity Annual Report 2021-22
55
## Structure, governance, and management
Maudsley Charity is a charitable company incorporated on 20 November 2017 and limited by guarantee. It is governed by the Memorandum and Articles of Association. Its governing body is the Board of Trustees; the Trustees are also members of the company.
The Trustees each guarantee £1. The Trustees delegate day-to-day management of the Charity to the Chief Executive.
## **Registered office**
## ORTUS
82-96 Grove Lane London SE5 8SN
Registered Charity number: 1175877 Company number: 11071377 Registered Charity number of previous Maudsley Charity legal entity: 1055440 www.maudsleycharity.org info@maudsleycharity.org
## **Charitable objects**
The Charity’s objects are restricted specifically to:
- any charitable purpose or purposes relating to the NHS Foundation Trust and the community health services associated with it (NHS);
- the general or specific purposes of the national health service;
- and the relief of sickness and the preservation of the health and social welfare of people living in the United Kingdom, particularly but not exclusively the mental health and wellbeing of such people.
## **Trustees appointment**
The Board of Trustees consists of a chair and eleven trustees. Trustees are appointed to serve for a period of three years. On retirement, they can be reappointed, but no trustee may serve for a consecutive period of more than nine years save in exceptional circumstances and with the approval of at least two-thirds of the other Directors. The minimum number of trustees is seven and the maximum number is 12.
The NHS Foundation Trust has the power to nominate up to three trustees where the total number of trustees, including those nominated by the NHS Foundation Trust, does not exceed ten.
An induction programme is provided for trustees on appointment. Members of the Board have individual areas of expertise and share information on relevant changes in legislation affecting the charity and best practice.
Maudsley Charity Annual Report 2021-22
56
## **Committees**
Much of the Board’s work is underpinned by the work of three sub-Committees.
- The Investment Advisory Committee monitors the allocation and performance of the Charity’s investment portfolio, reviews the investment strategy and policy and recommends changes to the Board of Trustees.
- The Remuneration Committee reviews
- The Charity all key HR policies and the annual pay
- is committed award proposals on which it makes to ensuring recommendations to the Board of Trustees. The Committee reviews pay
- compliance and pay structure, including consideration
- with privacy of appropriate benchmarking studies. legislation, • The Grants Advisory Committee reviews
- working to and assesses funding applications
- safeguard our and monitors funded projects. The supporters’ Committee establishes the funding rounds for applications and provides
- information recommendations to the Board on which
- and project applications meet the Charity’s
- respecting funding criteria. their **Charity Governance Code**
- preferences The Board of Trustees considers the
The Board of Trustees considers the Charity to have sound governance arrangements in place. During the last year, the Charity Governance Code has been used as a helpful tool to self-assess Board performance. Three principles (Organisational Purpose, Integrity, and Equality, Diversity and Inclusion) were reviewed in detail which enabled small improvements to be identified.
The Board of Trustees will continue to review its performance against the Code on an ongoing basis, selecting principles to be reviewed in detail in rotation.
## **Data protection and information**
## **governance**
The Charity is committed to ensuring compliance with privacy legislation, working to safeguard our supporters’ information and respecting their preferences. The personal information obtained is held, used, transferred and processed in accordance
with the Data Protection Act 2018 and all other applicable data protection laws and regulations including, but not limited to, the EU General Data Protection Regulation (2016/679) and the Privacy and Electronic Communication Regulations 2003.
Full details of how personal data is handled can be found on our privacy policy: maudsleycharity.org/privacypolicy
## **Fundraising governance**
We currently work in partnership with King’s College London who have undertaken our fundraising activities through their Fundraising and Supporter Development team (the Fundraising Team). The Fundraising Team reports regularly to us on fundraising income, other key performance indicators and any issues arising, including complaints. These reports are discussed with our senior leadership team.
The Charity is registered with the Fundraising Regulator and the Fundraising Team abide by the Code of Fundraising Practice. Our Trustees are aware of their obligations under the Charity Commission guidance on Charity Fundraising (CC20). We keep abreast of any subcontractors used by the Fundraising Team for their fundraising activities, and the Fundraising Team actively monitors them. We received no complaints during the year, and no sign-ups to the Fundraising Preference Service. We and the Fundraising Team respond appropriately to all issues raised.
We take seriously the protection of vulnerable people and other members of the public from inappropriate fundraising behaviour. In order to protect against unreasonable intrusion, persistence and undue pressure to give, the Fundraising Team ensures communications to supporters are relevant to their targeted audience and there is a clear opportunity for supporters to opt out of receiving future communications at any time.
Maudsley Charity Annual Report 2021-22
57
We have a duty to promote and protect the safety of children,
young people, and vulnerable adults, treating them with dignity and upholding their trust
## **Safeguarding**
We have a duty to promote and protect the safety of children, young people, and vulnerable adults, treating them with dignity and upholding their trust.
We do not deliver care, research or support directly. We provide funding to improve outcomes for people experiencing serious mental illness. The work we fund will regularly deliver services to people who are vulnerable adults or children and young people. Our direct contact with vulnerable adults and children and young people is minimal, but staff in the organisation will visit projects, tell the stories of people with lived experience, and hear from people keen to share experiences of donate money. We expect all organisations we fund to have their own safe, effective and proportionate safeguarding policies and practices in place and to adhere them at all times.
Maudsley Charity is a member of the Funder Safeguarding Collaborative, which gives us access to expertise and peer learning.
charitable property owned by the Charity, and continues to deliver high-quality facilities for education and training from the ORTUS.
More details on the ORTUS can be found on pages 22-23 and the company’s results are detailed in note 11.1.
## **Bethlem Gallery Projects**
**Limited Registered charity number 1055440, Company number 08194872** Bethlem Gallery Projects Limited is a linked Charity to Maudsley Charity. It is also a company limited by guarantee. This entity’s results have not been included into the Maudsley Charity accounts on the grounds of materiality. Net assets at 31 March 2022 were £237,915 (as at 31 March 2021 net assets were £132,092).
Managed by a small, artist-led team, the gallery provides a professional space for high-quality artwork by current and former patients of South London and Maudsley NHS Foundation Trust and fosters a supportive artist-focused environment. More details can be found on page 19.
## Subsidiaries
The Charity has two subsidiaries; Maudsley Charity Trading CIC’s results are consolidated in the group accounts, and Bethlem Gallery Projects Limited’s results are not consolidated due to being immaterial to the group accounts.
Following a review of Charity’s formal ‘constitutional’ link with Bethlem Gallery Projects Limited, it was agreed that current arrangement neither reflects the operational realities nor benefits either Charity or Bethlem Gallery. In May 2022 the Charity Board agreed to delink from Bethlem Gallery and facilitate it becoming a fully independent charity.
## **Maudsley Charity Trading CIC Company number 08122704**
Maudsley Charity Trading CIC is a subsidiary whose shares are wholly owned by Maudsley Charity. Maudsley Charity Trading CIC manages the conferencing, catering and café operations at the ORTUS, a
Maudsley Charity Annual Report 2021-22
58
**----- Start of picture text -----**
1. 2. 3.
4. 5. 6.
7. 8. 9.
10. 11.
**----- End of picture text -----**
## Board of Trustees
The following trustees served throughout the year unless otherwise stated:
1. Daniel Acquah
2. Peter Bafoe
3. David Barclay (Chair)
4. David Bradley*
5. Dr Nicola Byrne*
6. Béatrice Butsana-Sita*
7. Trevor Goode
8. Nigel Keen
9. Catherine Lee CBE (Chair of the Grants Advisory Committee)
10. Charles Maisey (Chair of Investment Advisory Committee)
11. Josephine Namusisi-Riley (Trustee from May 2021)
- Nominated by South London and Maudsley NHS Foundation Trust.
**----- Start of picture text -----**
Charity Senior
Leadership Team
1. Rebecca Gray
– Chief Executive
1. 2.
2. Alice Casey
– Director of Programmes
3. Lisa Kiew
4. Elvira Morrison
3. 4. – Director of Fundraising and
**----- End of picture text -----**
- Director of Finance and Operations
- Director of Fundraising and Communications (from February 2022)
Maudsley Charity Annual Report 2021-22
59
## Advisors
## **Bankers**
HSBC Bank plc 8 Canada Square London E14 5HQ
**Investment managers and custodians** Baillie Gifford & Co. Calton Square 1 Greenside Row Edinburgh EH1 3AN Veritas Investment Management LLP Riverside House 2a Southwark Bridge Road London SE1 9HA Royal London Asset Management Limited 55 Gracechurch Street London EC3V 0RL
## **Property managers**
Knight Frank LLP 55 Baker Street London W1U 8AN
JJE Properties Limited Cambridge House 27 Cambridge Park Wanstead London, E11 2PU
**Auditor** Moore Kingston Smith LLP 9 Appold Street London EC2A 2AP
## **Tax advisors**
Buzzacott LLP 130 Wood Street London EC2V 6DL
## **Solicitors**
Trowers and Hamlins LLP Sceptre Court 40 Tower Hill London EC3N 4DX
Walker Morris LLP 33 Wellington Street Leeds LS1 4DL
BDB Pitmans LLP One Bartholomew Close London EC1A 7BL
HCR Hewitsons (Harrison Clark Rickerby Ltd) Exchange House 482 Midsummer Boulevard Central Milton Keynes Buckinghamshire MK9 2ED
Maudsley Charity Annual Report 2021-22
60
## Statement of Trustees’ responsibilities
The Trustees (who are also directors of Maudsley Charity for the purposes of company law) 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) including FRS 102 ‘The Financial Reporting Standard applicable in the UK and Republic of Ireland’.
Company law requires trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charitable company and the group and of the incoming resources and application of resources, including the income and expenditure, of the charitable group for that period.
In preparing the financial statements, the Trustees are required to:
- select suitable accounting policies and then apply them consistently;
- observe the methods and principles in the Charities SORP;
- make judgements and estimates that are reasonable and prudent;
- state whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in the financial statements; and
- prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in business.
The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and to 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 Trust deed. They are also responsible for safeguarding the assets of the charitable company and the group and hence taking reasonable steps for the prevention and detection of fraud and other irregularities.
In so far as the Trustees are aware:
- there is no relevant audit information of which the charitable company’s auditor is unaware; and
- the Trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information.
The Trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company’s website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.
The Trustees’ Annual Report is approved by the trustees of the Charity. The Strategic Report, which forms part of the Annual Report, is approved by the trustees in their capacity as directors in company law of the Charity.
David Barclay Chair of the Board of Trustees 21 September 2022
Maudsley Charity Annual Report 2021-22
61
## Independent auditor’s report
## **Opinion**
We have audited the financial statements of Maudsley Charity for the year ended 31 March 2022 which comprise the Group Statement of Financial Activities, the Group and Parent Charitable Company Balance Sheets, the Group Cash Flow Statement and notes to the financial statements, including a summary of 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).
In our opinion the financial statements:
- give a true and fair view of the state of the group’s and the parent charitable company’s affairs as at 31 March 2022 and of the group’s incoming resources and application of resources, including its income and expenditure, for the year then ended;
- have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
- have been prepared in accordance with the requirements of the Companies Act 2006.
## **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 charitable company 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.
Maudsley Charity Annual Report 2021-22
62
## **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 charitable company’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.
## **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. 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.
In connection with our audit of the financial statements, 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 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 or a material misstatement of the other information. 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.
## **Opinions on other matters prescribed by the Companies Act 2006**
In our opinion, based on the work undertaken in the course of the audit:
- the information given in the trustees’ annual report for the financial year for which the financial statements are prepared is consistent with the financial statements; and
- trustees’ annual report has been prepared in accordance with applicable legal requirements.
## **Matters on which we are required to report by exception**
In the light of the knowledge and understanding of the group and parent charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the trustees’ annual report.
We have nothing to report in respect of the following matters where the Companies Act 2006 require us to report to you if, in our opinion:
- the parent charitable company has not kept adequate and sufficient accounting records, or returns adequate for our audit have not been received from branches not visited by us; or
- the parent charitable company’s financial statements are not in agreement with the accounting records and returns; or
- certain disclosures of trustees’ remuneration specified by law are not made; or
- we have not received all the information and explanations we require for our audit; or
- the trustees were not entitled to prepare the financial statements in accordance with the small companies regime and take advantage of the small companies exemption in preparing the Trustees’ Annual Report and from preparing a strategic report.
Maudsley Charity Annual Report 2021-22
63
CEO Rebecca Gray at the reopening of Denmark Hill station. Maudsley Charity contributed to artwork for this station which is heavily used by South London and Maudsley and IoPPN staff, and the wider community
## **Responsibilities of trustees**
As explained more fully in the trustees’ responsibilities statement set out on page 61, the trustees (who are also the directors of the charitable company for the purposes of company law) 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 group and parent charitable company’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 group or parent charitable company or to cease operations, or have no realistic alternative but to do so.
## **Auditor’s responsibilities for the audit of the financial statements**
We have been appointed as auditor under the Companies Act 2006 and section 151 of the Charities Act 2011 and report in accordance with those Acts.
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 influence the economic decisions of users taken on the basis of these financial statements.
Maudsley Charity Annual Report 2021-22
64
As part of an audit in accordance with ISAs (UK) we exercise professional judgement and maintain professional scepticism throughout the audit. We also:
- Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.
- Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purposes of expressing an opinion on the effectiveness of the group and parent charitable company’s internal control.
- Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by the trustees.
- Conclude on the appropriateness of the trustees’ use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the group and parent charitable company’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor’s report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s report. However, future events or conditions may cause the group or parent charitable company to cease to continue as a going concern.
- Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves fair presentation.
- Obtain sufficient appropriate audit evidence regarding the financial information of the entities or business activities within the group to express an opinion on the consolidated financial statements. We are responsible for the direction, supervision and performance of the group audit. We remain solely responsible for our audit report.
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.
## **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 charitable company.
Maudsley Charity Annual Report 2021-22
65
Our approach was as follows:
- We obtained an understanding of the legal and regulatory requirements applicable to the charitable company and considered that the most significant are the Companies Act 2006, the Charities Act 2011, the Charity SORP, and UK financial reporting standards as issued by the Financial Reporting Council and UK taxation legislation.
- We obtained an understanding of how the charitable company complies with these requirements by discussions with management and those charged with governance.
- We assessed the risk of material misstatement of the financial statements, including the risk of material misstatement due to fraud and how it might occur, by holding discussions with management and those charged with governance.
- We inquired of management and those charged with governance as to any known instances of non-compliance or suspected non-compliance with laws and regulations.
- Based on this understanding, we designed specific appropriate audit procedures to identify instances of noncompliance with laws and regulations. This included making enquiries of management and those charged with governance and obtaining additional corroborative evidence as required.
## **Use of our report**
This report is made solely to the charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006 and, in respect of the consolidated financial statements, 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 charitable company’s members and trustees those matters which 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 charitable company, the charitable company’s members, as a body, and the charity’s trustees, as a body, for our audit work, for this report, or for the opinion we have formed.
Luke Holt (Senior Statutory Auditor) for and on behalf of Moore Kingston Smith LLP, Statutory Auditor Devonshire House 9 Appold Street London EC2A 2AP Date: 21 September 2022
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.
Maudsley Charity Annual Report 2021-22
66
Consolidated statement of financial activities for the period ending 31 March 2022
Maudsley Charity Annual Report 2021-22
67
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## MAUDSLEY CHARITY COMPANY NUMBER 11071377
## **CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES**
FOR THE PERIOD ENDED 31 MARCH 2022
|Note
Income and endowments
Donations and legacies
2.1
Grants
2.1
Investment income
2.3
Other income
2.2
**Total income**
Expenditure
Cost of raising funds
3.2
Investment management costs
3.2
Charitable activities
4.2
**Total expenditure**
**Net income/(expenditure)**
Net gain/(loss) on investments assets
6.1
Net gain/(loss) on charitable assets
Net income/(expenditure)
Gross transfer between funds
9.4
**Net movement in funds**
Total funds brought forward
**Total funds**|Unrestricted
£000
Restricted
£000
Endowment
£000
342
6,061
-
-
-
-
2,484
-
-
812
-
-
**3,638**
**6,061**
**-**
516
-
-
-
-
698
14,703
5,207
-
**15,219**
**5,207**
**698**
**(11,581)**
**854**
**(698)**
-
-
462
-
-
-
(11,581)
854
(236)
20,573
-
(20,573)
**8,992**
**854**
**(20,809)**
18,079
991
163,794
**27,071**
**1,845**
**142,985**|Year to
31 March
2022
Total funds
£000
6,403
-
2,484
812
**9,699**
516
698
19,910
**21,124**
**(11,425)**
462
-
(10,963)
-
**(10,963)**
182,864
**171,901**|Year to
31 March
2021
Total funds
£000|
|---|---|---|---|
|||||
||||838|
||||152|
||||2,749|
||||730|
||||**4,469**|
|||||
|||||
||||549|
||||673|
||||6,283|
||||**7,505**|
|||||
||||**(3,036)**|
|||||
||||40,683|
||||(800)|
||||36,847|
|||||
||||-|
||||**36,847**|
||||146,017|
||||**182,864**|
Maudsley Charity Annual Report 2021-22
68
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## MAUDSLEY CHARITY COMPANY NUMBER 11071377
## **CONSOLIDATED STATEMENT OF FINANCIAL POSITION**
AS AT 31 MARCH 2022
|Note
Fixed assets
Intangible assets
5.1
Tangible assets
5.2
Investments
6
Shares in subsidiary
**Total fxed assets**
Current assets
Debtors
7
Cash at bank and in hand
**Total current assets**
Creditors: falling due within 1 year
8.1
Net current assets/(liabilities)
**Total assets less current liabilities**
Funds of the Charity
Capital funds: Endowment funds
9.1
Income funds
Unrestricted funds
9.2
Unrestricted funds
Designated fund: Fixed Assets Reserve
Designated fund: Special Purpose Funds
Designated fund: PMCYP
Designated fund: Themes
Designated fund: Anchor Grants
Designated fund: Grant Commitments
Restricted funds
9.3
**Total funds**|Unrestricted
Restricted
Endowment
30
-
-
4,856
-
-
20,584
-
142,985
-
-
-
**25,470**
**-**
**142,985**
614
-
-
13,032
1,849
-
**13,646**
**1,849**
**-**
12,045
4
-
1,601
1,845
-
**27,071**
**1,845**
**142,985**
-
-
142,985
65
-
-
4,886
-
-
354
-
-
300
-
-
20,000
-
-
473
-
-
993
-
-
-
1,845
-
**27,071**
**1,845**
**142,985**|31 March
2022
Total funds
£000
30
4,856
163,569
-
**168,455**
614
14,881
**15,495**
12,049
3,446
**171,901**
142,985
65
4,886
354
300
20,000
473
993
1,845
**171,901**|31 March
2021
Total funds
£000|
|---|---|---|---|
|||||
||||75|
||||4,907|
||||163,613|
||||-|
||||**168,595**|
|||||
|||||
||||1,096|
||||15,678|
||||**16,774**|
|||||
||||2,505|
||||14,269|
||||**182,864**|
|||||
|||||
||||163,794|
|||||
|||||
|||||
||||496|
||||4,982|
||||419|
||||10,200|
||||-|
||||-|
||||1,982|
|||||
||||991|
|||||
||||**182,864**|
As permitted by s408 Companies Act 2006, the company has not presented its own income and expenditure statement and related notes. The company’s deficit for the year was £10.9m. (2021: surplus £36.8m)
Signed on behalf of the Trustees on 21 September 2022
David Barclay Chair of the Board of Trustees
Maudsley Charity Annual Report 2021-22
69
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## MAUDSLEY CHARITY COMPANY NUMBER 11071377
## **STATEMENT OF FINANCIAL POSITION**
AS AT 31 MARCH 2022
|Note
Fixed assets
Intangible assets
5.3
Tangible assets
5.4
Investments
6
Investment in subsidiary
9.6
**Total fxed assets**
Current assets
Debtors
7
Cash at bank and in hand
**Total current assets**
Creditors: falling due within 1 year
8.1
Net current assets/(liabilities)
**Total assets less current liabilities**
Funds of the Charity
Capital funds: Endowment funds
9.1
Income funds
Unrestricted funds
Unrestricted funds
Designated fund: Fixed Assets Reserve
Designated fund: Special Purpose Funds
Designated fund: PMCYP
Designated fund: Themes
Designated fund: Anchor Grants
Designated fund: Grant Commitments
Restricted funds
9.3
**Total funds**|Unrestricted
£000
Restricted
£000
Endowment
£000
18
-
-
4,674
-
-
20,584
-
142,985
524
-
-
**25,800**
**-**
**142,985**
250
-
-
12,739
1,849
-
**12,989**
**1,849**
**-**
11,718
4
-
1,271
1,845
-
**27,071**
**1,845**
**142,985**
-
-
142,985
259
-
-
4,692
-
-
354
-
-
300
-
-
20,000
-
-
473
-
-
993
-
-
-
1,845
-
**27,071**
**1,845**
**142,985**|31 March
2022
Total funds
£000
18
4,674
163,569
524
**168,785**
250
14,588
**14,838**
11,722
3,116
**171,901**
142,985
259
4,692
354
300
20,000
473
993
1,845
**171,901**|31 March
2021
Total funds
£000|
|---|---|---|---|
|||||
||||60|
||||4,680|
||||163,613|
||||475|
||||**168,828**|
|||||
|||||
||||1,060|
||||15,407|
||||**16,467**|
|||||
||||2,431|
||||14,036|
||||**182,864**|
|||||
|||||
||||163,794|
|||||
|||||
|||||
||||738|
||||4,740|
||||419|
||||10,200|
||||-|
||||-|
||||1,982|
|||||
||||991|
|||||
||||**182,864**|
Signed on behalf of the Trustees on 21 September 2022
David Barclay Chair of the Board of Trustees
Maudsley Charity Annual Report 2021-22
70
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## MAUDSLEY CHARITY COMPANY NUMBER 11071377
## **CONSOLIDATED STATEMENT OF CASH FLOWS**
FOR THE PERIOD ENDED 31 MARCH 2022
|Cash fows from operating activities
Net incoming (outgoing) resources
Depreciation and amortisation charges
Disposal of intangible asset
Interest income
(Increase) / Decrease in debtors
Increase / (Decrease) in creditors
**Cash infow / (outfow) from operating activities**
Cash fows from investing activities
Interest income
Increase / (Decrease) in value of cash equivalents
Payments to acquire tangible and intangible fxed assets
Release on sale of net assets of subsidiary
Payments to acquire investment assets
Receipts from sales of investment assets
**Cash infow / (outfow) from investing activities**
Change in cash and cash equivalents
Cash and cash equivalents at begining of period
**Cash and cash equivalents at end of year**
Analysis of changes in net debt
Cash and cash equivalents
Cash
Cash equivalents|At 1 April
2021
£000
1,572
14,106|Year ended
31 March
2022
£000
(11,425)
105
5
(31)
482
9,544
**(1,320)**
31
(82)
(13)
-
(556)
1,143
**523**
(797)
15,678
**14,881**
Cash
fows
£000
584
(1,381)
**(797)**|Year ended
31 March
2021
£000|
|---|---|---|---|
|||||
||||(3,036)|
||||114|
||||-|
||||(51)|
||||(473)|
||||(3,812)|
||||**(7,258)**|
|||||
|||||
|||||
||||51|
||||448|
||||(232)|
||||-|
||||(528)|
||||1,056|
||||**795**|
|||||
|||||
||||(6,463)|
||||22,141|
||||**15,678**|
|||||
||||At 31 March
2022
£000|
|||||
|||||
||||2,156|
||||12,725|
||**15,678**||**14,881**|
Maudsley Charity Annual Report 2021-22
71
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## **Notes to the Accounts**
## 1.1 Nature of reporting entity
Maudsley Charity is a charitable company limited by guarantee registered with the Charities Commission (charity number 1175877) and incorporated in England and Wales (company number 11071377). Its Trustees are also the Members of the company, and in the event of a windup each guarantees £1. It is a public benefit entity, and its registered address is ORTUS, 82-96 Grove Lane, London SE5 8SN.
## Basis of preparation of Accounts
These Accounts are prepared under the historical cost convention, as modified by the revaluation of investments being measured at fair value via income and expenditure within the Statement of Financial Activities. They are prepared in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102). The Charity is a public benefit group for the purposes of FRS 102, and so it also prepared its Accounts in accordance with the Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102 Charities SORP), the Charities Act 2011 and the Companies Act 2006. They are prepared in GBP, which is the Charity’s functional currency. Monetary amounts in the Accounts are rounded to the nearest one thousand pounds.
## Going concern
As noted in the Financial Review on page 48, the Trustees have assessed whether the use of the going concern basis is appropriate and have considered possible events or conditions that might cast significant doubt on the ability of the Charity to continue as a going concern, including the potential long term impact of the COVID-19 emergency. The Charity prepares rolling cashflow and other forecasts, including scenario modelling in relation to its trading subsidiary. This analysis confirms, that even under the worse case scenario, the Charity would have sufficient liquidity to operate for at least the next twelve months. The Trustees believe there are no material uncertainties in their assessment of going concern and, in consequence, these Accounts have been prepared on a going concern basis.
## Group Accounts
The group Accounts consolidate the Accounts of the Charity and of its wholly-owned subsidiary undertaking, Maudsley Charity Trading CIC.
## 1.2 Incoming resources
All incoming resources are recognised once the Charity has entitlement to the resources, they can be reliably measured and receipt is probable.
## A. Donations, grants and legacies
This includes incoming resources generated from gifts, donations, grants, legacies, gifts in kind, intangible income and donated services and facilities:
a. Donations are accounted for when receivable, measurable, entitled and there is probability of receipt.
b. Grants are accounted for when receivable, measurable, entitled and there is probability of receipt.
c. Legacies are recognised once there is sufficient evidence that a receipt is probable and the amount of the legacy can be measured reliably. Where entitlement to a legacy exits but there is uncertainty as to its receipt or the amount receivable, details are disclosed as a contingent asset until the criteria for income recognition are met.
## B. Investment income is accounted for as it becomes due.
## C. Other incoming resources
These are incoming resources generated by the Charity which will be used to undertake its charitable activities. Income is recognised when Maudsley Charity has entitlement to the income, it is probable that it will be received, and the amount can be reliably measured.
## 1.3 Expenditure
Liabilities are recognised once there is a legal or constructive obligation to transfer economic benefit to a third party, it is probable that a transfer of economic benefits will be required in settlement, and the amount of the obligation can be measured reliably. All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to that category.
## A. Raising funds
The costs of raising funds are the costs associated with generating income for the funds held on trust. This will include the costs associated with investment and property management, certain legal fees, consultancy and other direct costs. The costs of raising funds include an apportionment of overhead, support and governance costs.
## B. Charitable activities
a. Cost of charitable activities comprises all costs incurred in the pursuit of the charitable objects of the Charity. These costs, where not wholly attributable, are apportioned between categories of charitable expenditure. The total costs of each category of charitable expenditure therefore include an apportionment of overhead, support and governance costs. The analysis of overhead and support costs and the bases of apportionment are set out at note 4.5 to the Accounts.
Maudsley Charity Annual Report 2021-22
72
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## **Notes to the Accounts**
b. Grants are made to third parties (including NHS bodies) in the furtherance of the Charity’s aim to improve mental health. We contribute to this through grant-making related to improvement in services and care, research and raising public awareness and understanding. Grants awarded are recognised as expenditure in the year in which the grant is formally approved by the Charity and has been communicated to the recipient, except to the extent that it is subject to performance conditions that are under the control of the Charity and would permit it to avoid making future payments.
## C. Allocation of overhead and support costs:
Support costs are allocated between the cost of raising funds and cost of charitable activities as a proportion of the net expenditure.
## D. Irrecoverable VAT:
Irrecoverable VAT is charged against the category of resources expended for which it was incurred.
## 1.4 Structure of funds
## A. Endowed funds:
Expendable endowed funds are those endowed funds which the Trustees have discretion to convert into expendable income. The total endowed funds of the Charity are all expendable funds.
## B. Restricted income funds:
Restricted funds are funds subject to specific restrictions imposed by the donor.
## C. Unrestricted income funds:
Unrestricted funds are available for application at the discretion of the Trustees in furtherance of the charitable objects of the Charity. The Trustees may earmark an element of the unrestricted funds separately for a particular project and these are identified as designated funds. This designation does not legally restrict the Trustees’ discretion to apply the fund.
## 1.5 Fixed assets
## A. Capitalisation
All assets falling into the following categories are capitalised:
a. Tangible assets which are capable of being used for more than one year, and have a cost equal to or greater than £5,000.
b. Groups of tangible fixed assets which are interdependent or would normally be provided or replaced as a Group with a total value in excess of £5,000 and an individual value of £250 or more.
c. Computer software licenses are capitalised as Intangible assets where they are capable of being used for more than one year and have a cost, individually or as a group, equal to or greater than £5,000.
## B. Valuation
Tangible fixed assets except land and buildings are stated at the lower of replacement cost and recoverable amount. On initial recognition they are measured at cost including costs such as installation directly attributable to bringing them into working condition. The carrying values of tangible fixed assets are reviewed for impairment in periods if events or changes in circumstances indicate the carrying value may not be recoverable.
All land and buildings are restated to current value using professional valuation at least every three years. The last valuation was undertaken in March 2021 with the next valuation due to be undertaken in or by March 2024.
Equipment is valued at the lower of estimated net replacement cost or recoverable amount.
## C. Depreciation, amortisation and impairment
a. Depreciation is charged on each main class of tangible assets as follows:
- Charitable land and buildings are not depreciated as the Trustees view these as long term appreciating assets not requiring provision for replacement. Charitable property leases contain adequate provisions for ongoing maintenance and repair. Charitable buildings were depreciated up until 31 March 2017.
- Computer equipment and office fixtures and fittings are depreciated over three years on a straight line basis.
- Intangible assets, such as website and software development, are capitalised including costs directly attributable to bringing them into working condition. These assets are amortised over three years on a straight line basis.
b. Each equipment asset is depreciated over its expected useful life.
c. Impairment losses resulting from short-term changes in price that are considered to be recoverable in the long term are taken in full to the Statement of Financial Activities in the year when the impairment was recognised. The Trustees do not consider the residual value of the fixed assets to be lower than the current carrying value in the accounts.
d. Impairment of investments in subsidiaries is stated at the Charity’s share of the subsidiary’s net assets, with an annual consideration of potential impairment.
Maudsley Charity Annual Report 2021-22
73
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## **Notes to the Accounts**
## 1.6 Investment fixed assets
Investment fixed assets are shown at market value.
a. Property assets are not depreciated but are shown at market value. Full valuations are carried out by a professional valuer at least every three years, and the buildings’ values in the intervening years are reviewed by professional valuer. The last valuation was undertaken in March 2021 with the next valuation due to be undertaken in or by March 2024. Valuation gains and losses are recorded in the Statement of Financial Activities with the Statement of Financial Position reflecting the revalued amounts.
b. Quoted stocks and shares are included in the Statement of Financial Position at market value. It is the Charity’s policy to keep valuations up to date such that when investments are sold there is no gain or loss arising. As a result the Statement of Financial Activities only includes those unrealised losses or gains arising from the investment portfolio throughout the period.
Social investments are carried at costs less any provision for diminution in value. Such investments are subject to review and any diminution charged to the Statement of Financial Activities.
c. Other investment fixed assets are included at Trustees’ best estimate of market value.
## 1.7 Realised gains and losses
All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening carrying value (or date of purchase if later). Unrealised gains or losses are calculated between market value at the period end and opening carrying value (or date of purchase of later).
## 1.8 Financial instruments disclosure
a. Cash and cash equivalents
Cash at bank and in hand is held to meet the day to day running costs of the Charity as they fall due.
Cash equivalents are short term deposits with a maturity date of three months or less.
b. Debtors and creditors
Debtors and creditors receivable or payable within one year of the reporting date are carried at their at transaction price. Debtors and creditors that are receivable or payable in more than one year and not subject to a market rate of interest are measured at the present value of the expected future receipts or payments discounted at a market rate of interest.
c. Fixed asset investments
Investments are a form of basic financial instrument. Fixed asset investments are initially recognised at their transaction value and are subsequently measured at their fair value as at the Statement of Financial Position date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the period.
## 1.9 Critical accounting estimates and areas of judgement
In the application of the charitable 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. These assessments include the possible impact on the values of the Charity’s investment properties for which the Charity has obtained assurance from its professional valuers. The Charity actively reviews, and seeks professional advice regarding changing market conditions and other factors including the impact of the ongoing COVID-19 situation and uncertainties in the evolving environment. After reviewing its assumptions and judgements, the Charity may seek more frequent professional re-valuations of its investment properties to ensure that carrying amounts in the accounts are appropriate.
All estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised where the revision affects only that period, or in the period of the revision and future periods where the revision affects both current and future periods.
In the view of the Trustees in applying the accounting policies adopted, no judgements were required that have a significant effect on the amounts recognised in the Accounts nor do any estimates or assumptions made carry a significant risk of material adjustment in the next financial year.
Maudsley Charity Annual Report 2021-22
74
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## **Notes to the Accounts**
|2.1
Voluntary income
Donations from individuals
Grants
**Year to 31 March 2022**
Donations from individuals
Grants
**Period to 31 March 2021**
2.2
Other incoming resources
Loan interest receivable
Interest on overdue rent
Bank interest
Rental income
Other income
Gift in kind
Turnover (Maudsley Charity Trading CIC)
**Year to 31 March 2022**
Loan interest receivable
Interest on overdue rent
Bank interest
Rental income
Gift in kind
Other income
Turnover (Maudsley Charity Trading CIC)
**Period to 31 March 2021**
2.3
Analysis of gross income from investments
Investment properties
Investment listed on Stock Exchange
Investment in Common Investment Fund
**Period to 31 March 2022**
Investment properties
Investment listed on Stock Exchange
Investment in Common Investment Fund
**Year to 31 March 2021**|Unrestricted
£000
Restricted
£000
Endowment
£000
342
6,061
-
-
-
-
**342**
**6,061**
**-**
Unrestricted
£000
Restricted
£000
Endowment
£000
340
498
-
-
152
-
**340**
**650**
**-**
Unrestricted
£000
Restricted
£000
Endowment
£000
-
-
-
-
-
-
30
-
-
-
-
-
1
-
-
-
-
-
781
-
-
**812**
**-**
**-**
Unrestricted
£000
Restricted
£000
Endowment
£000
-
-
-
-
-
-
51
-
-
-
-
-
395
-
-
14
-
-
270
-
-
**730**
**-**
**-**
Unrestricted
£000
Restricted
£000
Endowment
£000
1,958
-
-
526
-
-
-
-
-
**2,484**
**-**
**-**
Unrestricted
£000
Restricted
£000
Endowment
£000
2,272
-
-
477
-
-
-
-
-
**2,749**
**-**
**-**|Total funds
£000
6,403
-|
|---|---|---|
|||**6,403**|
||||
|||Total funds
£000|
|||838|
|||152|
|||**990**|
||||
|||Total funds
£000|
|||-|
|||-|
|||30|
|||-|
|||1|
|||-|
|||781|
|||**812**|
||||
|||Total funds
£000|
|||-|
|||-|
|||51|
|||-|
|||395|
|||14|
|||270|
|||**730**|
||||
|||Total funds
£000|
|||1,958|
|||526|
|||-|
|||**2,484**|
||||
|||Total funds
£000|
|||2,272|
|||477|
|||-|
|||**2,749**|
Maudsley Charity Annual Report 2021-22
75
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## **Notes to the Accounts**
## 3.1 Analysis of expenditure on raising funds
Fundraising costs have been allocated as costs of raising funds. The costs of the only consolidated subsidiary (Maudsley Charity Trading CIC) have been classified as costs of charitable activities, as the aim of the entity is to deliver goals aligned to its parent charity’s objects.
|Investment management fee
Investment property management costs
Fundraising costs
**Year to 31 March 2022**
Investment management fee
Investment property management costs
Fundraising costs
**Period to 31 March 2021**|Support costs
£000
Actual
£000
42
581
5
70
35
481
**82**
**1,132**
Support costs
£000
Actual
£000
93
499
13
68
86
463
**192**
**1,030**|Total
£000
623
75
516|
|---|---|---|
|||**1,214**|
||||
|||Total
£000|
|||592|
|||81|
|||549|
|||**1,222**|
3.2 Analysis of expenditure on raising funds – by fund category
|Investment management fee
Investment property management costs
Fundraising costs
**Year to 31 March 2022**
Investment management fee
Investment property management costs
Fundraising costs
**Period to 31 March 2021**|Unrestricted
£000
Restricted
£000
Endowment
£000
-
-
623
-
-
75
516
-
-
**516**
**-**
**698**
Unrestricted
£000
Restricted
£000
Endowment
£000
-
-
592
-
-
81
549
-
-
**549**
**-**
**673**|Total funds
£000
623
75
516|
|---|---|---|
|||**1,214**|
|||Total funds
£000|
|||592|
|||81|
|||549|
|||**1,222**|
Maudsley Charity Annual Report 2021-22
76
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## **Notes to the Accounts**
## 4.1 Charitable activities
The Charity had a number of grant ‘rounds’ during the reporting period, in both the year ended 31 March 2020 and the year ended 31 March 2021 to consider grants under the categories Innovation and Improvement, Community and Connection and ‘Other’. The Charity has considered on an ongoing basis support for projects closely associated with the Charity (Anchor – Partnership, Bethlem Museum and Bethlem Gallery grants). Charitable activities have been reviewed across these categories.
|Grants - Other
Grants - Innovation & Improvement
Grants- Community & Connection
Grants- Transformational
Grants- Anchor
Grants - SLaM Other
Charitable property management and maintenance
Charitable subsidiary activity
**Year to 31 March 2022**
Grants - Other
Grants - COVID
Grants - Innovation & Improvement
Grants- Community & Connection
Grants- Transformational
Grants- Anchor
Grants - SLaM Other
Charitable property management and maintenance
Charitable subsidiary activity
**Period to 31 March 2021**|Support
costs
£000
Activities
undertaken
directly
£000
Grant funded
activities
£000
22
-
300
67
-
921
24
-
335
1,089
-
14,999
58
-
800
30
-
420
4
56
-
53
732
-
**1,347**
**788**
**17,775**
Support
costs
£000
Activities
undertaken
directly
£000
Grant funded
activities
£000
64
-
342
346
-
1,860
137
-
733
78
-
421
-
-
-
209
-
1,120
29
-
161
6
31
-
117
629
-
**986**
**660**
**4,637**|Total
funds
£000
322
988
359
16,088
858
450
60
785|
|---|---|---|
|||**19,910**|
||||
|||Total
funds
£000|
|||406|
|||2,206|
|||870|
|||499|
|||-|
|||1,329|
|||190|
|||37|
|||746|
||||
|||**6,283**|
Maudsley Charity Annual Report 2021-22
77
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## **Notes to the Accounts**
|4.2
Charitable activities – by fund category
Grants – Other
Grants – Innovation & Improvement
Grants – Community & Connection
Grants – Transformational
Grants – Anchor
Grants – SLaM Other
Charitable property management and maintenance
Charitable subsidiary activity
**Year to 31 March 2022**
Grants - Other
Grants - COVID
Grants - Innovation & Improvement
Grants- Community & Connection
Grants- Transformational
Grants- Anchor
Grants - SLaM Other
Charitable property management and
maintenance
Charitable subsidiary activity
**Period to 31 March 2021**|Unrestricted
£000
Restricted
£000
Endowment
£000
136
186
-
988
-
-
359
-
-
11,089
4,999
-
858
-
-
428
22
-
60
-
-
785
-
-
**14,703**
**5,207**
**-**
Unrestricted
£000
Restricted
£000
Endowment
£000
284
122
-
1,925
281
-
870
-
-
499
-
-
-
-
-
1,070
-
-
449
-
-
37
-
-
746
-
-
**5,880**
**403**
**-**|Total funds
£000
322
988
359
16,088
858
450
60
785|
|---|---|---|
|||**19,910**|
||||
|||Total funds
£000|
|||406|
|||2,206|
|||870|
|||499|
|||-|
|||1,070|
|||449|
|||37|
|||746|
|||**6,283**|
Maudsley Charity Annual Report 2021-22
78
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## **Notes to the Accounts**
|4.3
Grants by organisation
South London and Maudsley NHS FT
Kings College London
Bethlem Art & History Collections Trust
Bethlem Gallery Projects Limited
InHealth Associates
Good Vibrations
Mosaic Clubhouse
Outside Edge Theatre Company
Theatre Troupe CIC
Raw Material Music & Media Education Limited
Football Beyond Borders
Lewisham and Southwark Mind
Croydon Voluntary Action
Sydenham Garden
Arts Network
Sporting Recovery CIC
Lewisham, Greenwich and Southwark Samaritans
Centre for Mental Health
Other grants
Hear Us
Mental Fight Club
Besstel Child Adult Psychiatric Foundation
**Total grants to organisations**|No. of grants
To 31 March
2022
£000
20
10,794
1
16
1
413
3
293
1
3
1
30
1
30
1
30
1
29
1
28
1
30
1
30
1
29
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
**34**
**11,755**|To 31 March
2021
£000|
|---|---|---|
|||2,570|
|||308|
|||420|
|||243|
|||-|
|||-|
|||-|
|||-|
|||-|
|||-|
|||-|
|||-|
|||-|
|||25|
|||25|
|||25|
|||15|
|||10|
|||4|
|||25|
|||3|
|||3|
|||**3,676**|
During 2020/21, Maudsley Charity carried out a review of its current and prior practices terms of grants, grants commitments and financial statement accounting policies. The multi-year grants committed in prior years, expenditure is recognised as payments are raised. Payments are linked to delivery and progress reporting. Failure to provide adequate reporting contractually removes the obligation to pay the full award to the grant recipient. From 1 April 2020, grants awarded are recognised as expenditure in the year in which the grant is formally approved by the Charity and has been communicated to the recipient, except to the extent that it is subject to performance conditions that are under the control of the Charity and would permit it to avoid making future payments.
## 4.4 Grants to individuals
No grants were made to individuals in the current and prior years.
|**Total grants to individuals**
**Total grants made**|No. of grants
To 31 March
2022
£000
**-**
**-**
**34**
**11,755**|To 31 March
2021
£000|
|---|---|---|
||||
|||**-**|
|||**3,676**|
Maudsley Charity Annual Report 2021-22
79
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## **Notes to the Accounts**
## 4.5 Allocation of support costs and overheads
Support costs have been allocated between the cost of raising funds and charitable activities as a percentage of each costs portion of the total expenditure.
|Period to 31 March 2022
Financial and administration costs
Other professional fees
External audit fee
Maudsley Charity
Maudsley Charity Trading
Publications and courses
Depreciation and amortisation
Reapportionment of governance costs
**Adjusted fgure**
Year to 31 March 2021
Financial and administration costs
Other professional fees
External audit fee
Maudsley Charity
Maudsley Charity Trading
Publications and courses
Depreciation and amortisation
Reapportionment of governance costs
**Adjusted fgure**|Expenditure
on raising
funds
£000
Expenditure
on charitable
activities
£000
Governance
costs
£000
65
1,072
80
3
42
29
-
-
25
-
-
8
-
-
-
6
99
-
**74**
**1,213**
**142**
8
134
(142)
**82**
**1,347**
**-**
Expenditure
on raising
funds
£000
Expenditure
on charitable
activities
£000
Governance
costs
£000
153
789
41
6
31
11
-
-
25
-
-
8
-
-
-
19
95
-
**178**
**915**
**85**
14
71
(85)
**192**
**986**
**-**|Total
allocated
£000
1,217
74
25
8
-
105|
|---|---|---|
|||**1,429**|
|||-|
|||**1,429**|
|||Total
allocated
£000|
|||983|
|||48|
||||
|||25|
|||8|
|||-|
|||114|
|||**1,178**|
|||-|
|||**1,178**|
Maudsley Charity Annual Report 2021-22
80
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## **Notes to the Accounts**
## 4.6 Staff costs
During the period ending 31 March 2022 an average of 12 people were employed by the Charity. There are no staff employed by Maudsley Charity Trading CIC. The Charity’s staff costs for the period ending 31 March 2022 are analysed as follows:
|
analysed as follows:|||
|---|---|---|
|Salaries and wages
Social security costs
Employer pension costs
Redundancy costs|Year to
31 March 2022
£000
566
78
44
87
**775**|Period ended
31 March 2021
£000|
|||518|
|||49|
|||40|
|||-|
|||**607**|
The total amount paid in the year ending 31 March 2022 for redundancy payments was £87,274. There are no amounts to be paid at the balance sheet date.
The number of employees during the period whose total employee benefits (including redundancy but excluding employer pension costs) fell within the following bands:
||||Year to|Period ended|
|---|---|---|---|---|
|||31|March 2022|31 March 2021|
|£60,000|- £69,999||1|1|
|£80,000|- £89,999||3|-|
|£90,000|- £99,999||1|1|
The total employer pension contributions for these employees was £22,743 (2021 £17,180)
## Key management personnel
The key management personnel of the Charity are the Trustees and the senior management team. The senior management team consists of 4 members of staff (2021: 3). No Trustees received any remuneration from 1 April 2021 to 31 March 2022 (2021: nil). During the period ended 31 March 2022, the total remuneration and employee benefits of the senior management team, including employer’s pension contributions and employer’s NI contributions, was £299,978 (2021: £275,700).
## 4.7 Related party transactions
The Charity’s related parties are its Trustees, their close family members and entities under their control, and its subsidiaries, Maudsley Charity Trading CIC and Bethlem Gallery Projects Limited. A minority of Maudsley Charity Trustees are also trustees of SLaM, but they do not control either entity individually or collectively.
No Trustees received any remuneration from 1 April 2021 to 31 March 2022. In the period ending 31 March 2022, 2 Trustees were reimbursed £431 relating to travel and training expenses incurred as part of their role as Trustees (during the year ended 31 March 2021 0 Trustees were reimbursed £0). No amounts were owed at period end.
During the period ended 31 March 2022 the Charity paid £40,049 to Maudsley Charity Trading CIC relating to room hire at the ORTUS. At the period end, the amount owed to Maudsley Charity by Maudsley Charity Trading CIC was 17,319. During the period ended 31 March 2022 the Charity paid £266,069 to Bethlem Gallery Projects Limited. At the period end £2,914 was owed.
During the period ended 31 March 2021 the Charity paid £7.27m to SLaM. At the period end £4,069 was owed. No Trustees, who were also trustees of SLaM, took part in approval of any grants.
The Charity had no other related party transactions during the period or balances at period end.
Maudsley Charity Annual Report 2021-22
81
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## Notes to the Accounts
|5
Fixed assets
5.1
Intangible assets (group)
Cost:
Balance at 1 April 2021
Disposals
**Balance at 31 March 2022**
Accumulated amortisation:
Balance at 1 April 2021
Disposals
Charge for the period
**Balance at 31 March 2022**
**Net book value at 31 March 2022**
**Net book value at 31 March 2021**
5.2
Tangible assets (group)
Cost or valuation:
Balance at 1 April 2021
Additions
Disposals
**Balance at 31 March 2022**
Accumulated amortisation:
Balance at 1 April 2021
Disposals
Charge for the period
**Balance at 31 March 2022**
**Net book value at 31 March 2022**
**Net book value at 31 March 2021**
Note: all freehold land and buildings belong to Maudsley Charity.
5.3
Intangible assets (Charity)
Cost:
Balance at 1 April 2021
Additions
Disposal
**Balance at 31 March 2022**
Accumulated amortisation:
Balance at 1 April 2021
Charge for the period
**Balance at 31 March 2022**
**Net book value at 31 March 2022**
**Net book value at 31 March 2021**|Software
development
£000
Website
development
£000
130
66
(7)
-
**123**
**66**
87
33
(2)
-
19
22
**104**
**55**
**19**
**11**
**43**
**33**
Freehold land
and buildings
£000
Other fxed
assets
£000
4,668
333
-
13
-
(35)
**4,668**
**311**
-
94
-
(35)
-
64
**-**
**123**
**4,668**
**188**
**4,668**
**239**
Software
development
£000
Website
development
£000
106
66
-
-
(5)
-
**101**
**66**
79
33
15
22
**94**
**55**
**7**
**11**
**27**
**33**|Total
£000
196
(7)|
|---|---|---|
|||**189**|
|||120
(2)
41|
|||**159**|
|||**30**|
|||**76**|
|||Total
£000
5,001
13
(35)|
|||**4,979**|
|||94
(35)
64|
|||**123**|
|||**4,856**|
|||**4,907**|
|||Total
£000
172
-
(5)|
|||**167**|
|||112
37|
|||**149**|
|||**18**|
|||**60**|
Maudsley Charity Annual Report 2021-22
82
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## Notes to the Accounts
|5.4
Tangible assets (Charity)
Cost:
Balance at 1 April 2021
Disposals
**Balance at 31 March 2022**
Accumulated depreciation:
Balance at 1 April 2021
Disposals
Charge for the period
**Balance at 31 March 2022**
**Net book value at 31 March 2022**
**Net book value at 31 March 2021**|Freehold land
and buildings
£000
Other fxed
assets
£000
4,668
22
-
(3)
**4,668**
**19**
-
10
-
(3)
-
6
**-**
**13**
**4,668**
**6**
**4,668**
**12**|Total
£000
4,690
(3)|
|---|---|---|
|||**4,687**|
|||10
(3)
6|
|||**13**|
|||**4,674**|
|||**4,680**|
All charitable tangible fixed assets were independently valued on 31 March 2021 to the value of £4,667,947 by Valuation Office Agency by their Principal Surveyor; MRIC, RICS Registered Valuer, DVS. The valuations have been undertaken in accordance with International Financial Reporting Standards (IFRS). They are also prepared in accordance with the professional standards of the Royal Institution of Chartered Surveyors: RICS Valuation – Global Standards and RICS UK National Supplement. The assumption has been made that the properties valued will continue to be held by the Charity for the forseeable future.
## 6 Investments
No individual investment represented a material aspect of the total investment value.
|6
Investments
No individual investment represented a material aspect of the total|investment value.||
|---|---|---|
|6.1
Movement in fxed asset investments
**Market value opening balance**
Disposals at carrying value
Acquisitions at cost
Net gains on revaluation
**Market value as 31 March 2021**|To 31 March
2022
£000
**163,613**
(1,143)
556
543
**163,569**|To 31 March
2021
£000|
|||**123,903**|
|||(1,056)|
|||528|
|||40,238|
|||**163,613**|
The net gain on investment assets shown on the Statement of Financial activities for the year ended 31 March 2021 includes an unrealised loss of £0.08m on the value of cash investments which are included within Cash at Bank and in Hand.
|6.2
Analysis of fxed asset investments
Investment properties
Investments listed on the Stock Exchange
Cash held as per of investment portfolio
As at 31 March 2021|To 31 March
2022
£000
47,262
111,637
4,670
**163,569**|To 31 March
2021
£000|
|---|---|---|
|||47,176|
|||111,573|
|||4,864|
|||**163,613**|
Investment property was independently valued on 31 March 2021 to a value of £47.2m. Valuations were carried out primarily by Savills (MRICS and RICS Registered Valuers), an independent professional property firm by a Chartered Surveyors, with some minor holdings valued by Valuation Office Agency. The valuations have been prepared on the basis of Market Value, the definition of which is set out in Valuation Practice Statement 4 1.2 of the Red Book. The valuation has been arrived at predominately by reference to market evidence for comparable property and we can confirm that the report complies with the International Valuation Standards as well as the Red Book.
Maudsley Charity Annual Report 2021-22
83
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## Notes to the Accounts
|7|Debtors||||
|---|---|---|---|---|
|7.1|Amounts falling due within one year|Group|Charity|Group
Charity|
|||At 31 March|At 31 March|At 31 March
At 31 March|
|||2022|2022|2021
2021|
|||£000|£000|£000
£000|
||Trade debtors|449|184|394
301|
||Amounts due from subsidiary undertaking|-|17|-
57|
||Prepayments|126|13|24
24|
||Accrued income|20|20|638
638|
||Other debtors|19|16|40
40|
|||**614**|**250**|**1,096**
**1,060**|
|7.2|Loan – due within one year|Group|Charity|Group
Charity|
|||At 31 March|At 31 March|At 31 March
At 31 March|
|||2022|2022|2021
2021|
|||£000|£000|£000
£000|
||Loan – Mental Health at Work|-|-|40
40|
|||**-**|**-**|**40**
**40**|
||During the year the loan made to Mental Health at Work Ltd, a former||Charity subsidiary, was repaid in full.||
|8|Creditors||||
|8.1|Amounts falling due within one year|Group|Charity|Group
Charity|
|||At 31 March|At 31 March|At 31 March
At 31 March|
|||2022|2022|2021
2021|
|||£000|£000|£000
£000|
||Trade creditors|448|213|181
156|
||Grant creditors|10,897|10,897|1,694
1,694|
||Accruals|228|163|220
193|
||Deferred income|460|444|394
378|
||VAT|16|5|16
10|
||**Total creditors**|**12,049**|**11,722**|**2,505**
**2,431**|
|8.2|Deferred income (group and Charity)|Group|Charity|Group
Charity|
|||Period to 31|Period to 31|Year to 31
Year to 31|
|||Period to 31|Period to 31|March 2021
March 2021|
|||March 2022|March 2022|£000
£000|
|||£000|£000||
||Deferred income as at 1 April 2020|394|378|429
429|
||Released in year|(394)|(378)|(429)
(429)|
||Deferred to next year|460|444|394
378|
||**Deferred income as at 31 March 2021**|**460**|**444**|**394**
**378**|
Deferred income in the Charity comprised of income received for rent relating to the next financial period.
Maudsley Charity Annual Report 2021-22
84
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## Notes to the Accounts
|9|Analysis of funds|||||||
|---|---|---|---|---|---|---|---|
|9.1|Unrestricted funds – Group|1 April|Incoming|Resources|Transfers|Gains and|31 March|
|||2021|resources|expenditure||losses|2022|
|||£000|£000|£000|£000|£000|£000|
||Designated fund: Special Purpose Funds|||||||
||COVID19 - 1 fund|24|-|(21)|(3)|-|-|
||General research - 7 funds|66|-|(3)|-|-|63|
||Manic depression research - 2 funds|3|-|-|-|-|3|
||Learning disabilities - 1 fund|4|-|-|-|-|4|
||Mental health training - 2 funds|39|-|(35)|-|-|4|
||Hussey Trust - 1 fund|25|-|-|-|-|25|
||Clinical audit - 1 fund|32|-|-|-|-|32|
||Bloomfeld - 1 fund|32|-|-|-|-|32|
||Mother and baby - 3 funds|35|-|-|-|-|35|
||Other - 71 funds|159|-|(3)|-|-|156|
||**Total Special Purpose Funds**|**419**|**-**|**(62)**|**(3)**|**-**|**354**|
||Designated fund: Fixed Assets Reserve|4,982|-|(105)|9|-|4,886|
||Designated fund: Grant Commitments|1,982|-|(989)|-|-|993|
||Designated fund: PMCYP
|10,200|-|(10,000)|100|-|300|
||Designated fund: Anchor Grants|-|-|-|473|-|473|
||Designated fund: Themes|-|-|-|20,000|-|20,000|
||Unrestricted funds|496|3,638|(4,063)|(6)|-|65|
||**Total unrestricted funds**|||||||
||**at 31 March 2022**|**18,079**|**3,638**|**(15,219)**|**20,573**|**-**|**27,071**|
|||1 April|Incoming|Resources|Transfers|Gains and|31 March|
|||2020|resources|expenditure||losses|2021|
||Designated fund: Special Purpose Funds|£000|£000|£000|£000|£000|£000|
||COVID19 - 1 fund|200|-|-|(176)|-|24|
||General research - 7 funds|66|-|-|-|-|66|
||Addiction abstract - 1 fund|84|-|(84)|-|-|-|
||Drug unit research - 1 fund|86|-|(86)|-|-|-|
||Manic depression research - 2 funds|3|-|-|-|-|3|
||Learning disabilities - 1 fund|4|-|-|-|-|4|
||Mental health training - 2 funds|39|-|-|-|-|39|
||Hussey Trust - 1 fund|25|-|-|-|-|25|
||Clinical audit - 1 fund|32|-|-|-|-|32|
||Bloomfeld - 1 fund|32|-|-|-|-|32|
||Mother and baby - 3 funds|36|-||-|-|35|
||Other - 71 funds|193|-|(34)|-|-|159|
||**Total Special Purpose Funds**|**800**|**-**|**(205)**|**(176)**|**-**|**419**|
||Designated fund: Fixed Assets Reserve|5,667|-|(114)|229|(800)|4,982|
||Designated fund: Grant Commitments|-|-|-|1,982|-|1,982|
||Designated fund: PMCYP|-|-|-|10,200|-|10,200|
||Unrestricted funds|1,451|3,819|(6,110)|1,336|-|496|
||**Total unrestricted funds**|||||||
||**at 31 March 2021**|**7,918**|**3,819**|**(6,429)**|**13,571**|**(800)**|**18,079**|
Maudsley Charity Annual Report 2021-22
85
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## Notes to the Accounts
|9.1|Unrestricted funds – Charity|1 April|Incoming|Resources|Transfers|Gains and|31 March|
|---|---|---|---|---|---|---|---|
|||2021|resources|expenditure||losses|2022|
|||£000|£000|£000|£000|£000|£000|
||Designated fund: Special Purpose Funds|||||||
||COVID19 - 1 fund|24|-|(21)|(3)|-|-|
||General research - 6 funds|66|-|(3)|-|-|63|
||Manic depression research - 2 funds|3|-|-|-|-|3|
||Learning disabilities - 1 fund|4|-|-|-|-|4|
||Mental health training - 2 funds|39|-|(35)|-|-|4|
||Hussey Trust - 1 fund|25|-|-|-|-|25|
||Clinical audit - 1 fund|32|-|-|-|-|32|
||Bloomfeld - 1 fund|32|-|-|-|-|32|
||Mother and baby - 3 funds|35|-|-|-|-|35|
||Other - 59 funds|159|-|(3)|-|-|156|
||**Total Special Purpose Funds**|**419**|**-**|**(62)**|**(3)**|**-**|**354**|
||Designated fund: Fixed Assets Reserve|4,740|-|(43)|(5)|-|4,692|
||Designated fund: Grant Commitments|1,982|-|(989)|-|-|993|
||Designated fund: PMCYP|10,200|-|(10,000)|100|-|300|
||Designated fund: Themes|-|-|-|20,000|-|20,000|
||Designated fund: Anchor Grants|-|-|-|473||473|
||Unrestricted funds|738|2,857|(3,393)|8|49|259|
||**Total unrestricted funds**|||||||
||**at 31 March 2022**|**18,079**|**2,857**|**(14,487)**|**20,573**|**49**|**27,071**|
|||1 April|Incoming|Resources|Transfers|Gains and|31 March|
|||2020|resources|expenditure||losses|2021|
||Designated fund: Special Purpose Funds|£000|£000|£000|£000|£000|£000|
||COVID19 - 1 fund|200|-|-|(176)|-|24|
||General research - 7 funds|66|-|-|-|-|66|
||Addiction abstract - 1 fund|84|-|(84)|-|-|-|
||Drug unit research - 1 fund|86|-|(86)|-|-|-|
||Manic depression research - 2 funds|3|-|-|-|-|3|
||Learning disabilities - 1 fund|4|-|-|-|-|4|
||Mental health training - 2 funds|39|-|-|-|-|39|
||Hussey Trust - 1 fund|25|-|-|-|-|25|
||Clinical audit - 1 fund|32|-|-|-|-|32|
||Bloomfeld - 1 fund|32|-|-|-|-|32|
||Mother and baby - 3 funds|36|-||-|-|35|
||Other - 71 funds|193|-|(34)|-|-|159|
||**Total Special Purpose Funds**|**800**|**-**|**(205)**|**(176)**|**-**|**419**|
||Designated fund: Fixed Assets Reserve|5,586|-|(62)|16|(800)|4,740|
||Designated fund: Grant Commitments|-|-|-|1,982|-|1,982|
||Designated fund: PMCYP|-|-|-|10,200|-|10,200|
||Unrestricted funds|1,532|3,549|(5,533)|1,549|(359)|738|
||**Total unrestricted funds**|||||||
||**at 31 March 2021**|**7,918**|**3,549**|**(5,800)**|**13,571**|**(1,159)**|**18,079**|
Maudsley Charity Annual Report 2021-22
86
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## Notes to the Accounts
## 9.1 (continued)
The objects of each of the designated unrestricted funds are as follows:
The COVID19 fund is designated to support front line NHS staff and patients during the Coronavirus pandemic. The grants commitment fund is designated for unpaid grants commited to prior to 1 April 2020.
The PMCYP fund is designated for the Pears Maudsley Children and Yound People’s Centre.
The Themes fund is designated for grants awarded under the Charity’s two new priority areas: Living Well with Psychosis and Young People Most at Risk of Mental Illness.
The Anchor grants fund is designated for spend on Anchor grants over a three year period dependent on the grantees progress
The general research fund is designated for research in clinical areas.
The addiction abstract fund is designated for supporting current awareness journal in Addiction Clinical Academic Group.
The drug unit research fund is designated for providing support for research studies in Addiction Clinical Academic Group.
The manic depression research fund is designated for research in this specific clinical area.
The learning disabilities fund is designated for child disability services.
The mental health training fund is designated for the welfare and benefit of staff and patients on relevant wards. The Hussey Trust fund is designated for staff welfare and amenities.
The clinical audit fund is designated for local mental health services, research or education. The Bloomfield fund is designated for support in this specific clinical ward.
The mother and baby fund is designated for patients welfare and amenities.
The other funds include all donations for which a donor has not expressed any preference as to how the funds shall be spent and unrestricted income accruing to the Charity.
The majority of these funds have been in existence for many years with limited disbursements made. Many funds have similar stated purposes. Over 2021/22 the Charity actively engaged with administrators of all Special Purpose Funds to ensure planned disbursements. Where this is not possible, the Charity intends to actively engage with the administrators of all Special Purpose Funds with a view to pooling funds where possible and seeking applications from grant recipients whose projects meet the purposes specified. The Charity is of the view that this process will result in the current value of existing Special Purpose Funds will be extinguished within three years.
Maudsley Charity Annual Report 2021-22
87
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## Notes to the Accounts
|9.2|Restricted funds|1 April|Incoming|Resources|Transfers|Gains and|31 March|
|---|---|---|---|---|---|---|---|
|||2021|resources|expended||losses|2022|
|||£000|£000|£000|£000|£000|£000|
||Barbara F Miller|41|-|-|-|-|41|
||Lewisham & Guys Mental Health NHS Trust 30||-|(2)|-|-|28|
||The Pears Family Charitable Foundation|80|-|-|-|-|80|
||Ronald Lavender|2|-|-|-|-|2|
||Pears Maudsley Children and|307|5,742|(4,999)|-|-|1,050|
||Young People Centre|||||||
||Maudsley Theatre Project Fund|8|-|-|-|-|8|
||CUES-Ed|100|305|(100)|-|-|305|
||Autism Service|30|-|-|-|-|30|
||Epilepsy Research|212|-|(79)|-|-|133|
||OCD|61|-|(3)|-|-|58|
||Bethlem Adolescent Unit|3|-|-|-|-|3|
||Bethlem Occupational Therapy|22|-|(22)|-|-|-|
||Physical and Mental Wellbeing of Staf|50|-|-|-|-|50|
||Psychotheraputic Treatment|31|-|-|-|-|31|
||Mental Health of Older Adults|1|-|-|-|-|1|
||Children and Young People|13|14|(2)|-|-|25|
||**Total restricted funds**|||||||
||**at 31 March 2022**|**991**|**6,061**|**(5,207)**|**-**|**-**|**1,845**|
|||1 April|Incoming|Resources|Transfers|Gains and|31 March|
|||2020|resources|expenditure|between|losses|2021|
|||£000|£000|£000|funds £000|£000|£000|
||Alice Milner Goulde|32|-|(32)|-|-|-|
||Barbara F Miller|41|-|-|-|-|41|
||Cedric R Swann|29|-|-|(29)|-|-|
||Lewisham & Guys Mental Health NHS Trust 30||-|-|-|-|30|
||Marina House|2|-|(2)|-|-|-|
||The Pears Family Charitable Foundation|80|-|-|-|-|80|
||Ronald Lavender|2|-|-|-|-|2|
||Pears Maudsley Children and|151|156|-|-|-|307|
||Young People Centre|||||||
||Restorative Justice Funds|6|-|(6)|-|-|-|
||Maudsley Theatre Project Fund|8|-|-|-|-|8|
||CUES-Ed|50|50|-|-|-|100|
||Autism Service|10|20|-|-|-|30|
||Epilepsy Research|212|-|-|-|-|212|
||OCD|50|12||-|-|61|
||COVID19|6|241|(281)|34|-|-|
||Bethlem Adolescent Unit|-|3|-|-|-|3|
||Bethlem Occupational Therapy|-|22|-|-|-|22|
||Physical and Mental Wellbeing of Staf|-|102|(81)|29|-|50|
||Psychotheraputic Treatment|-|31|-|-|-|31|
||Mental Health of Older Adults|-|-|-|1|-|1|
||Children and Young People|-|13|-|-|-|13|
||**Total restricted funds**|||||||
||**at 31 March 2021**|**709**|**650**|**(403)**|**35**|**-**|**991**|
Maudsley Charity Annual Report 2021-22
88
Consolidated Statement of Financial Activities for the year ended 31 March 2022
Notes to the Accounts
- 9.2 The objects of each of the restricted funds are as follows:
Alice Milne Goulde: Alice Milne Goulde left her residual estate to be shared equally between the Bethlem Royal Hospital (for the benefit of the hospital) and South Tees Acute Hospital NHS Trust. In September 1977, she received a lifesaving operation to remove a brain tumour and returned for further treatment thereafter. The South London and Maudsley NHS Trust Charitable Funds received £1m in cash and shares from her bequest between November 2001- July 2002, and this sum was used to part fund the Trustees underwriting of £1.4m for Neuroimaging Centre in 2002/03. Subsequent commitments made have reduced the balance on the fund and with the agreement of the executors of the estate, the remaining funds are to be applied to the Ginny Ng Fellowship scheme.
Barbara F Miller: Mrs Barbara F Miller (deceased) left one-half of her estate to the Bethlem Royal Hospital and Maudsley Hospital ‘for the specific purpose of research into Schizophrenia and Manic Depression and not for the welfare of patients or otherwise.’ The sum of £32,189 was received in August 2010. We are in discussion with the director of R&D at South London and Maudsley NHS Foundation Trust (SLaM) (and clinical lead for the national psychosis service) about the potential for use of this fund against a bid made in the near future.
Cedric R. Swann: Cedric Swann (deceased) was treated at the Maudsley Hospital in 1954. To show his gratitude for the “excellent treatment he received,” he bequeathed 1/20 of his residue to the Maudsley Hospital. The sum of £22,650 was received in June 2011. we are currently assessing whether this fund can be set against any of the bids for upcoming grants rounds.
Lewisham & Guy’s Mental Health NHS Trust Charitable Funds: these funds were restricted on merger. Although the funds operated as an unrestricted fund with the previous Trust, the purpose of the overall charitable fund was more narrowly defined than those of Bethlem and Maudsley and Lambeth Healthcare. These funds will be run down over time and any additional income related to these areas is to be credited to unrestricted funds.
Marina House Project: this fund was restricted at the request of the donors Actomed in 1998. The fund allows for three years funding for additional hours at Marina House (additions). The third instalment of £175k was received in 2002/03.
The Pears Family Charitable Foundation: This fund supports a two-year Youth Volunteering project within South London and Maudsley NHS Foundation Trust. The fund will pay for the salary of the Co-ordinator and for the running costs of the project. The full amount has been received and is expected to be disbursed in the near future.
Ronald Lavender: The family of Ronald Lavender (deceased) left a contribution of £2k to be used for the benefit of long term residents under the care of the Trust, especially the residents of Rosewood.
Simon Walker Trust Fund: this fund was established in 2001 at the bequest of Mr & Mrs Walker, following the death of their son who was a service user of the Trust. Further donations were received from friends and family. The fund allows for the income generated from the original donations to provide small grants to service users for rehabilitation. Since 2011/12 the Trustees of the Maudsley Charity agreed to fund any shortfalls arising from Grants made to allow greater grant making flexibility to help deliver recipient needs. The grants that the Charity has made out of unrestricted funds on behalf of the Simon Walker fund for some time is now significantly larger than the opening fund balance itself; this has now been transferred between reserves to reflect what has happened.
Pears Maudsley Children and Young People Centre: donations restricted to funding the Pears Maudsley centre for children and young people.
Restorative Justice Funds: this fund supports Restorative Justice projects at River House, Bethlem.
Maudsley Theatre Project Fund: funded by a private donation, this fund supports a project which provides access to theatre and the arts for long stay forensic patients.
CUES-Ed: funded by a private donation, this fund supports work at CUES-Ed, a psycho-education project based in primary schools developed by Clinical Psychologists and CBT therapists from SLaM.
Autism Service: funded by two legacies, this fund supports the National Service for Autism at the Michael Rutter centre. The Charity has engaged with the team there to spend this fund appropriately.
Epilepsy Research: this fund consists of a single legacy to support research into epilepsy. The charity is engaged in seeking an appropriate project for the funds, and it is anticipated that a commitment will be made in the next financial year.
OCD: funded by a private donation to support OCD treatment access for low income families COVID-19: The COVID-19 fund consists of donations to support front-line NHS staff or patients during the coronavirus pandemic
Bethlem Adolescent Unit: legacy received for adolescent unit at Bethlem
Bethlem Occupational Therapy: donations received for the Bethlem Occupational Therapy Garden via the Big Give Physical and Mental Wellbeing of Staff: donations received for supporting the physical and mental wellbeing of staff and volunteers
Psychotheraputic Treatment: transfer of assets from the Watson Charity to fund low fee therapy Mental Health of Older Adults: donations received to support work with older adults and those with dementia Children and Young People: donations received to support children and young people, through services or research
Maudsley Charity Annual Report 2021-22
89
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## Notes to the Accounts
|9.3
Endowment fund
Maudsley Charity expendable
endowment
**Balance at 31 March 2022**
Maudsley Charity expendable
endowment
**Balance at 31 March 2021**|1 April
2021
£000
Incoming
resources
£000
Resources
expenditure
£000
Transfers
£000
Gains and
losses
£000
31 March
2022
£000
163,794
-
(698)
(20,573)
462
142,985|
|---|---|
||**163,794**
**-**
**(698)**
**(20,573)**
**462**
**142,985**|
||1 April
2020
£000
Incoming
resources
£000
Resources
expenditure
£000
Transfers
£000
Gains and
losses
£000
31 March
2021
£000
137,390
-
(673)
(13,606)
40,683
163,794|
||**137,390**
**-**
**(673)**
**(13,606)**
**40,683**
**163,794**|
|9.4
Transfers between funds
Reasons
To fund
Release from endowment investment assets to unrestricted
Unrestricted funds
Reallocation of donation recorded as unrestricted to restricted
Restricted funds
Transfer from unrestricted to restricted to cover overspend on
restricted fund
Restricted funds
**Movement in unrestricted funds**
Reallocation of donation recorded as unrestricted to restricted
Unrestricted funds
Transfer from unrestricted to restricted to cover overspend on
restricted fund
Unrestricted funds
**Movement in restricted funds**
Release from endowment investment assets to unrestricted
Unrestricted funds
**Movement in endowment funds**
**Total movement in funds**|Period to 31
March 2022
£000
20,573
-
-
**20,573**
-
-
**-**
(20,573)
**(20,573)**
**-**||
|---|---|---|
|||Year to 31
March 2021
£000|
|||13,606|
||||
|||(34)|
|||**13,571**|
||||
|||1|
|||34|
|||**35**|
||||
|||(13,606)|
|||**(13,606)**|
||||
|||**-**|
Maudsley Charity Annual Report 2021-22
90
Consolidated Statement of Financial Activities for the year ended 31 March 2022
|Endowment|funds||£000|-||47,262||95,723||-|-|-|-|**142,985**|Endowment|funds||£000|-||47,262||95,723||-|-|-|-|**142,985**|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|Restricted|funds||£000|-||-||-||-|-|1,849|(4)|**1,845**|Restricted|funds||£000|-||-||-||-|-|1,849|(4)|**1,845**|
|Special|Purpose|Funds|£000|-||-||-||-|-|354|-|**354**|Special|Purpose|Funds|£000|-||-||-||-|-|354|-|**354**|
|Themes|||£000|-||-||-||-|-|20,000|-|**20,000**|Themes|||£000|-||-||-||-|-|20,000|-|**20,000**|
|Anchor|Grants||£000|-||-||-||-|-|473|-|**473**|Special|Purpose|Funds|£000|-||-||-||-|-|473|-|**473**|
|Grant|Commitments||£000|-||-||-||-|-|993|-|**993**|Grant|Commitments||£000|-||-||-||-|-|993|-|**993**|
|PMCYP|||£000|-||-||-||-|-|300|-|**300**|PMCYP|£000|||-||-||-||-|-|300|-|**300**|
|Fixed Asset|Reserve||£000|4,886||-||-||-|-|-|-|**4,886**|Fixed Asset|Reserve||£000|4,692||-||-||-|-|-|-|**4,692**|
|Unrestricted|funds||£000|-||-||20,584||-|614|(9,088)|(12,045)|**65**|Unrestricted|funds||£000|-||-||20,584||524|250|(9,381)|(11,718)|**259**|
|Total|assets||£000|4,886||47,262||116,307||-|614|14,881|(12,049)|**171,901**|Total|assets||£000|4,692||47,262||116,307||524|250|14,588|(11,722)|**171,901**|
|Matching of assets|(group)|||Charitable tangible and
intangible fxed assets||Investments - property||Investments - equities|and funds|Investment in subsidiary|Debtors|Cash|Creditors|**Totals**|Matching of assets|(Charity only)|||Charitable tangible and
intangible fxed assets||Investments - property||Investments - equities|and funds|Investment in subsidiary|Debtors|Cash|Creditors|**Totals**|
|9.5||||||||||||||||||||||||||||||
Maudsley Charity Annual Report 2021-22
91
Consolidated Statement of Financial Activities for the year ended 31 March 2022
## Notes to the Accounts
## 9.6 Investment in subsidiaries (Charity only)
|Investment in subsidiaries (Charity only)|||
|---|---|---|
|Maudsley Charity Trading CIC - Investment
Shareholding opening balance at 1 April 2021
Maudsley Charity Trading CIC - share capital at 31 March 2022
Less: Impairment provision on investment in Maudsley Charity Trading CIC
Impairment provision at 1 April 2021
Addition to impairment during the period
Impairment provision at 31 March 2022
Net value of investment in Maudsley Charity Trading CIC
**Total value of investments in subsidiaries**|Period to 31
March 2022
£000
1,500
**1,500**
(1,025)
49
**(976)**
**524**
**524**|Year to 31
March 2021
£000|
||||
|||1,500|
|||**1,500**|
||||
||||
|||(659)|
|||(7)|
|||**(1,025)**|
||||
|||**475**|
||||
|||**475**|
The impairment provision relating to the investment in Maudsley Charity Trading CIC was revalued at 31 March 2022 in accordance with the fair value of the investment now being stated at the net assets of the entity, and was transferred to the current legal entity at this value. This policy requires an annual revision of the carrying value of the subsidiary investment to reflect the net assets recorded in the Accounts of any subsidiary. In the year, £98,910 was deducted from the Impairment provision associated with Maudsley Charity Trading CIC.
10 Commitments and liabilities
|Maudsley Charity has the following commitments:
Charitable projects|At 31 March
2022
£000
993
**993**|At 31 March
2021
£000
4,330
**4,330**|
|---|---|---|
10.1 Maudsley Charity has the following commitments:
The unpaid portion of historic grant awards are disclosed as future commitments. The Charity has designated funds to meet these future commitments.
- 10.2 The Trustees recognise liabilities in the accounts once the expenditure has been or is likely to be incurred, or there is a legal obligation to expend funds. There is no such obligation as at 31 March 2021.
Maudsley Charity Annual Report 2021-22
92
Consolidated Statement of Financial Activities for the year ended 31 March 2022
Notes to the Accounts
## 11 The Charity is the controlling party of the following companies:
## 11.1 Maudsley Charity Trading CIC (Company Number 08122704)
The Charity owns 100% of the share capital of the company. The principal activity of the company is to carry out activities which benefit the community and in particular (without limitation) to provide accessible learning in mental health and wellbeing . The net assets of the company at 31 March 2021 were £474,811 (as at 31 March 2020, net assets were £833,815).
|Turnover
Less: Direct costs
**Gross proft**
Less: Administrative expenses
Other operating income
**Operating proft/(loss)**
Interest receivable and similar charges
**(Loss)/Proft on ordinary activities before tax**
Tax on proft on ordinary activities
**(Loss )/Proft for the period**|Year ended 31
March 2022
£000
821
(49)
**772**
(723)
-
**49**
-
**49**
-
**49**|Year ended 31
March 2021
£000|
|---|---|---|
|||277|
|||(19)|
|||**258**|
||||
|||(618)|
|||-|
|||**(360)**|
|||-|
|||**(360)**|
|||-|
||||
|||**(360)**|
## 11.2 Bethlem Gallery Projects Limited (Company number 08194872)
Bethlem Gallery Projects Limited is a linked Charity to Maudsley Charity. It is also a company limited by guarantee. This entity’s results have not been included into the Maudsley Charity accounts on the grounds of materiality. Net assets at 31 March 2022 were £237,915 (as at 31 March 2021 net assets were £132,092).
## 12 Operating lease commitments Lessor
|At the reporting end date the company had contracted with tenants
for the following minimum lease payments:
Within one year
Between two and fve years
In over fve years
**Total as at 31 March 2021**
Lessee
At the reporting end date, the Charity had contracts with a single landlord
relating to a property with the following minimum lease payments:
Within one year
Between two and fve years
In over fve years
**Total as at 31 March 2020**
Lease payments during the period totalled £177k.|At 31 March
2022
£000
1,780
4,266
42,585
**48,631**
At 31 March
2022
£000
183
730
1,370
**2,283**|At 31 March
2021
£000|
|---|---|---|
|||1,494|
|||3,934|
|||22,223|
|||**27,651**|
||||
|||At 31 March
2021
£000|
|||176|
|||692|
|||1,601|
|||**2,469**|
||||
Maudsley Charity Annual Report 2021-22
93
Consolidated Statement of Financial Activities for the year ended 31 March 2022
Registered Charity number: 1175877 Company number: 11071377 Registered address: Maudsley Charity ORTUS 82-96 Grove Lane London SE5 8SN Telephone: 020 3696 9760 Email: info@maudsleycharity.org Website: maudsleycharity.org Follow us on
**----- Start of picture text -----**
94
**----- End of picture text -----**
Maudsley Charity Annual Report 2021-22