Maternal Mental Health Alliance Charity No: 1178152 Maternal Mental Health Alliance Report and unaudited Financial Statements 2024 - 2025
Maternal Mental Health Alliance Charity No: 1178152 Contents For the year ended September 2025 Page Reference and administrative information Report of the Trustees Independent Examiners report 25 Statement of Financial Activities 26 Balance Sheet 27 Cashflow 28 Notes to the statements 29
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Charity number 1178152 Registered office and operational address International House 12 Constance Street London E16 2DQ Trustees The trustees are who served during the year and up to the date of this report were as follows- Luciana Berger (Chair) Yasmin Mulji Ivice-chairl lulia Avramescu (Treasurer) Sakina Ballard Sarah Arnold Dr Clare Dolman Dr lan lones Lisa Williams Dr Elizabeth Penny (from September 2025) Vivien WaterField Ifrom September 2025) Hannah Yates (from September 20251 Dr Henry Fay {retired Sept 2025) Kate Billingham (Former Vice-chair, retired Sept 2025) Chief Executive Officer justin Irwin (up to May 2025) Nikki Wilson (from May 20251 Royal patron Her Royal Highness the Princess of Wales Bankers CAF Bank Ltd 25 Kings Hill Avenue West Malling Kent ME19 4IQ Independent examiner Godfrey Wilson Limited Chartered accountants and statutory auditors 5th Floor Mariner House 62 Prince Street Bristol B514QD
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Reference and administrative information set out on page 1 forms part of this report. The financial statements comply with current statutory requirements the Constitution and the Statement of Recommended Practice - Accounting and Reporting by Charities (effective from january 20191. The trustees are pleased to present their annual report together with the financial statements of the charity for the year ended 30 September 2025. Foreword by Baroness Berger, Chair of Trustses It has been a tremendous privilege to chair the Maternal Mental Health Alliance throughout 2024-25, a year in which the need for our work has never been clearer, nor our collective resolve stronger. Against a backdrop of persistent inequalities and rising pressures on families and services, the MMHA has continued to be a unifying, courageous and evidence-led voice. Our members, Champions. partners and staff have worked tirelessly to advance our shared vision: that every woman, birthing person and family can access high quality, compassionate perinatal mental health care, wherever they live and whatever their background. We know that deep inequities persist in perinatal mental health care de5Plte national progress, and we remain deeply committed to centring those most marginalised in our work. As an organisation rooted in anti-racist principles. we stand alongside all those marginalised by their race. faith, culture or any other barriers that make access to safe, respertful care more challenging. This year we saw the powerful impact that determined collaboration can achieve. From securing national commitments such as the E1.5 million investment from the National Lottery Community Fund for our Maternal Mental Health Councils to influencing parliamentarians, shaping debates and amplifying lived experience at the highest levels, the MMHA has helped keep perinatal mental health firmly on the national agenda. Our new Parent Information Centre. expanded Champion involvement, innovative collaborative projects, and continued progress across the four nations demonstrate what is possible when collaborative working, lived experience and strategic partnerships come together with clarity of purpose. None of this would have been possible without the extraordinary people at the heart of the Alliance. I want to thank our members, funders, partners and the many professionals who contri bute so generously to our mission. l am especially grateful to our lived experience Champions. who continue to shape and strenhen our work with courage and insight, and to our dedicated staff team. expertly led by our new CEO, Nikki Wilson. Together, we are building unstoppable momentum towards a future where perinatal mental health is recognised. resourced and prioritised in all four corners of the United Kingdom and where every family receives the sUPPOrt they deserve. Baroness Berger
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Ob'ectives and activities for the ublic benefit The trustees confirm that in compiling this report they have had due regard to guidance on public benefit issued by the Charity Commission in compliance with the duty set out in section 17(5) of the Charities Act 2011. Our pury7ose The Maternal Mental Health Alliance (MMHA) is a UK-wide charity and collaborative network united by one vision: high quality and compassionate mental health care for all mothers. birthing people and families. Our alliance includes our members (grassroots Community groups, national charities and professional bodies). our lived experience Champions network and an incredible range of professional experts and political allie5. We are proud to have the support of our Royal Patron HRH The Princess of Wales, a passionate champion of perinatal mental health. We have a bold vision of the future we want to co-create: We place equal emphasis on caring for mental and physical health before, during and after pregnancy. The right type of mental health care is always provided at the right time, without discrimination. Mental health conditions experienced in the perinatal period are no longer associated with shame, stigma or failure. The need The perinatal period, pregnancy and two years following birth is a time of profou nd change and heightened vulnerability for mothers and birthing people. One in four will experience a perinatal mental health condition (The Lancet Regional Health 20241; at least half will remain undiagnosed and untreated. The consequences of not receiving appropriate treatment can be (levastating., suicide is the leading cause of maternal death between six weeks and a year after birth IMBRRACE-UK, 20251. Poor maternal mental health during the critical first 1001 days also shapes lifelong outcomes for children. The an nual economic cost of untreated perinatal mentsl conditions is estimated to be £8.1 billion per year (LSE, 20181. Marginalised communities face disproportionate risks and barriers. Black mothers are more than twice as likely to die during pregnancy or shortly after birth IMBRRACE-UK, 20251, and they are 13% more likely to experience postnatal depression and anxiety (Mental Health Foundation, 2023). Young mothers under 25 are twice as likely to experience postnatal depression (Public Health England, 20191, and suicide rates among teenage mothers are rising. Mothers facing poverty. addirtion and trauma experience compounding barriers such as judgement, stigma. and fear of child removal that systematically exclude them from seNices designed to help.
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 The outcomes we expect from MMHA activities ar*. 1. Through our national campaigning and influencing work. we will collaborate to secure systemic commitments that embed perinatal mental health as a priority at both national and local levels. 2. Through our portfolio of collaborative projects. we will co create innovative solutions that improve care. These solutions will champion lived experience leadership and aim to make support more equitable and better integrated across local and national systems. 3. Through our awareness and education activities, we will drive measu rable improvements in both public and professional understanding of perinatal mental health. ensuring greater awareness. reduced stigma. and stronger knowledge of how and where to access support. Whilst the primary beneficiaries of our activities are women, birthing people, and families affected by perinatal mental health problems. these outcomes also contribute to greater efficiency and effectiveness across health and social care services. support the wider economy, and promote improved health equality overall. How the MMHA is trying to achieve change We drive change by: Transforming systems, not simply improving individual services. Holdingthewhole ofthe UK in mind. not England only. Amplifying our influence, and elevating the work of our network and members. Placing equity and lived experience leadership at the centre of our values and decision-making. Focusing explicitly on closing the gaps faced by marginalised women and birthing people. Arting strategically, aligning our evidence and advocacy with national poliry opportunities.
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Overview of MMHA'S achievements and erformance Highlights of another produciive and influential year for the MMHA include: Ortober 2024 Launched a new report on the state of Maternal Mental Health seICe5 IMMHS) in England, which directly contributed to the reinstatement of the MMHS service in Humber. Delivered a successful Big Give campaign. centred on bringing real stories "Out of the Shadows", helping to raise both funds and national awareness. Welcomed a new Ambassador, Tessa van der Vord, an NHS midwife specialising in maternal mental health, who brings powerful professional and personal insight to our mission. Movember 2024 Senior MMHA leaders met with the Secretary of State, Wes Streeting, and Baroness Merron, Minister for Women's Health and Mental Health. The meeti ng provided an important opportunity to outline the scale of perinatal mental health problems. highlight progress to date, and draw attention to persistent inequities and gaps in care. MMHA senior leaders also met with the Royal College of Midwives, Heads of Midwifery to discuss the need for stronger integration of mental health support within maternity services and to explore opportunilies for collaborative action. December 2024 Secured a £1.5 million grant over five years from the National Lottery Community Fund's UK Fund to support the Maternal Mental Health Councils project, which is designed to tackle inequities in perinatal mental health. The project began in April 2025. Advanced work across the devolved nations. In Northern Ireland, alongside MMHA member organisations Action on Postpartum Psychosis (APP) and Women's Resou rce and Development Agency (WRDAI, we met with Health Minister Mike Nesbitt to raise concerns about the continuing absence of a Mother and Baby Unit IMBU) in the region. Contributed to a new resource on understanding the needs of young mums, developed for a range of audiences. This Creating Connertions project was fu nded and led by the Mental Health Foundation, linked to their delivery of the DHSC Suicide Prevention Programme. january 2025 Advanced work across the devolved nations. In Wales, MMHA member organisation Home-start Cymru met with Sarah Murphy. Minister for Mental Health. to discuss key issues in perinatal mental health. Our Devolved Nations Coordinator ensured that perinatal mental health was a central theme in the discussion and we continue to support joined up influencing across the nation.
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 February 2025 Collaborated with Laura Kyrke-smith MP on a Westminster Hall debate on perinatal mental health, centred primarily on maternal suicide. The associated media coverage including interviews on BBC Breakfast and BBC Woman's Hour led to a 21% increase in V15its to our website, significantly boosting public engagement with our work. March 2025 Advanced devolved nations work. Senior MMHA leaders met with Kate Forbes, Deputy First Minister, and Maree Todd, Minister for Social Care, Mental Wellbeing and Sport, to discuss the current status of perinatal mental health services in Scotland and highlight ongoing gaps, challenges, and opportunities for improvement. May 2025 Maternal Mental Health Awareness Week artivities included.. Launching our Symptom Checker and Parent Information Centre to support parents in recognising symptoms and accessing information and help. Hosting a Westminster drop-in event, attended by over 40 MPS and Members of the House of Lords. raising political awareness of perinatal mental health. Delivering collaborative awareness raising campaigns with Suicide&Co, Lansinoh, Limpet. Peanut. and our corporate partner Tommee Tippee. These cam paign activities generated 1 million social media impressions, significantly expanding our reach. Launched a new collaborative project with Sunderland Counselling Service and Ways to Wellness, as part of a three year Pilgrim Trust-funded programme to deliver a Maternal Mental Health Link Worker service for young mums in the North East of England. June 2025 Champions work on a broad range of projects including the coproduction of a Reading Well scheme for maternal mental health, commissioned by the charity the Reading Agency. Announced the local partner for the first MMHA Maternal Mental Health Council: Her Circle, based in Newcastle, who will lead delivery of this pioneering local model. July 2025 Launched the pilot of a new corporate training offer. The Pdrent Gap. developed in collaboration with Dr Krystal Wilkinson and MMHA member organisation PANDAS, designed to help employers better underand and support parents in the workplace.
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Our activities 2024-25 This section will cover our activities in relation to: Influencing national systems to ensure excellent service provision Collaborative projects to improve care Raising awareness of maternal mental health MMHA lived experience Champions MMHA membership Organisation development Fundraising Plansforthe future Influencing national systems to ensure excellent service provision MMHA continued to work with our growing membership to influence parliamentarians, civil servants, NHS and NICE leaders, commissioners, clinical directors, Integrated Care Boards, and key government departments including Health and Education alongside frontline healthcare professionals and corporate partners. Our mission is to ensure that perinatal mental health remains a key priority and that excellent care is available for all. 1. UK-wide campaigning Meeting with Secretary of State for Health Wes Streeting MP and Baroness Merron (Minister with responsibility for women's health and mental healthl provided an opportunity to explain the scale of perinatal mental health problems. progress made. inequities in outcomes, and gaps in care. Senior NHS England representatives attending expressed that MMHA are their 'go-to' perinatal mental health issues. MMHA'S offer to support the Government with their work was warmly received, with Baroness Merron keen to meet women with lived experience and inviting MMHA to attend a maternity roundtable she hosted, to share what priorities need to be in the Government's next health plan. min rin hMP Laura Kyrke-smith. Labour MP for Aylesbury, continued to be a fantastic ally to MMHA. We supported Laura to i niliate a Westminster Hall Debate on perinatal mental health in February and worked with her in advance, providing a policy briefing with key areas of concern and recommendations for artion. which Laura used in the debate and subsequent media interviews. This resulted in substantial media coverage. including BBC Breakfast News, BBC Woman's Hour, The Observer, The Guardian, The Time5, and more.
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Dr rn hAw In May, as part of Maternal Mental Health Awareness Week, MMHA hosted a parliamentary drop-in at Westminster. Supported again by Laurn Kyrke-smith MP, the event ai med to raise awareness of perinatal mental health amongst parliamentarians and allow us to develop relationships with potential advocates. Three lived experience Champions were there to share their stories and talk about what actions are needed to make care better. More than 40 MPS and members ofthe House of Lords came, a real success showing wide interest in the issue. The MMHA has continued to influence major stakeholder organisations across the perinatal, maternity and early years landscape. strengthening our position as a trusted expert voice. This has included presenting to the Royal College of Midwives. Heads of Midwifery on the importance of embedding psychological therapists Wlthin maternity team5, and deepening collaboration with the Royal Foundation Centre for Early Childhood and Anna Freud through discussions on workforce needs and integrated mental health models. Our work with the Institute of Health Visiting has continued through regular meetings and conference contributions, helping to shape national thinking on universal services. We have also contributed to the Birth Companions, social care-related advisory group to Ènsure women and birthing people with complex needs are reflected in pathway development. Our role on the MBRRACE-UK lay summary group ensures that perinatal mental health considerations remain visible within national mortality reporting. In addition, meetings with the Start for Life team have focused on better integrating psychological therapies, family hubs and maternity services, reinforcing our commitment to system-wide improvements in care. We are constantly lobbying for change through the broad range of advisory groups we sit on. This includes: MHS & Policy NHS England Maternity & Neonatal Stakeholder Council Maternity Consortium National Suicide Prevention Strategy Advisory Group (NSPSAG) and VCSE NSPSAG group National Care Pathway Advisory Group (focused on women with social care involvement) Research & Evidence MBRRACE-UK lay summary group james Lind Alliance Perinatal Steering Group
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 King's College London Advisory Group5 for maternity care for women with multiple long-term conditions and service provision for those with mild to moderate illness Professional & Clinical Royal College of Psychiatrists Perinatal Mental Health Faculty Physical Health & Maternal Mental Health Special Interest Group (Active Pregnancy Foundation) Metworks & Thinl Sertor Pre-conception Partnership Young Parent Network (WILD Project) National DVA Forum Pregnancy & Baby Charity Network 1001 Days Alliance 2. Campaigning for specialist services In 2024-25, NHS completed their roll out of statutory-funded specialist perinatal mental health services and Maternal Mental Health Services IMMHSI. Whilst significant progress has been made since 2016 when increased investment was first announced, there is still much to do. This includes protecting progress, exposing the gaps in provision and advocating for ongoing investment. MMHA launched a new report on the state of MMHS'S. Key findings included the following.. Only 11 out of 41 MMHS support women who have had their babies removed through care proceedings. a group at especially high risk of perinatal mental health issues and suicide. One Maternal Mental Health Service (Humber) has already closed due to lack of funding. Waiting times for assessment ranged from 0-26 weeks. For those who met the criteria, waiting times for treatment ranged from 0-52 weeks. Staff reported being overwhelmed by rising referrals. citing limited resources. Ahead our November Ministerial meetin& senior NHS England representatives Inteened to ask commissioners in Humber what was happening. We were subsequently told that the ICB reviewed their budget and remobilised their service. This tangible demonstration of the impaci of policy work is incredibly welcome for the women and familie5 in that local area. In 2025, the MMHA strengthened its national leadership role on specialist perinatal mental health services by co-leading a key session with Action on Post Partum Psychosis (APP) at
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 the Royal College of Psychiatry (RCPsych) Perinatal Faculty. highlighting the current state of specialist provision, emerging risks in the system. and the coordinated actions required to protect and improve care. Alongside this, the MMHA continued close collaboration with APP and RCPsych to safeguard hard-won specialist capacity across the country amid inconsistent local commitment. with concerns proactively escalated to NHS England and other national decision-makers. This sustained partnership approach positioned MMHA as a central convenor working to ensure that specialist services remain robust. prioritised, and fit for purpose for women, birthing people, babies and families. 3. Nation-specific work We work to influence policy. improve transparency. and advocate for equitable access to perinatal mental health care for families across each nation of the UK. The MMHA played a significant role in shaping the emerging 10-year NHS plan by providing clear, evidence.based recommendations to national decision.makers. We submitted a comprehensive response to the government's consultation on the next long-term health plan for England, highlighting the need to protect and expand specialist perinatal mental health services. address persistent inequities. integrate psychological support throughout maternity care, strengthen the Start for Life programme, and improve data transparency. We also contri buted to the NHS England Maternity and Neonatal Stakeholder Council's submission, ensuring perinatal mental health was embedded within system-level planning. Alongside this. we met with Kate Brintworth, Chief Midwife for NHS England, to discuss practical steps for integrating psychological support within maternity pathways, and held further discussions with the Clinical Director for Psychological Care, Adrian Whittington. on embedding mental health expertise into maternity services nationally. Together, these engagements ensured that the needs of women and families were strongly represented within the strategic direction of the forthcoming 10-year pkn. We remain on the National Suicide Prevention Strategy Advisory Group (NSPSAGI, which exists to support and oversee the national suicide prevention strategy for England. Within the strategy, pregnant women and new mothers are identified as a specific risk grou p, and our role is to input on the needs of families and the gaps in care. This includes raising awareness of the specific issues for women with social care involvement, as evidenced by both MBRRACE-UK'S data and our own MMHS report. Most of MMHA'S work this year was maintaining pressure on Stormont to ensu confirmation of funding for the build and operations of the MBU. At the end of 2024 we had a high level of Legislative Assembly engagement, meeting with MLAS Sinead McLaugh and Cara Hunter individually to discuss peri natal mental health supporL specialist team roll-out. and Mother and Baby Unit IMBU) updates. Both have io
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 offered their support. including taking questions from MMHA to Northern Ireland Assembly meetings. Following this engagement. an Assembly Question was tabled, and the Health Minister, Mike Nesbitt MLA, issued a formal reply regarding the status of MBU funding and next steps. We responded to the Health Ministerfs Assembly Question reply with a joint members, letter calling for interim measures and offering MMHA support. We have also collated a bank of all writtenloral Assembly Questions and perinatal mental health mentions in Assembly and cou ncil meetings. We have noticed an increased in attention on the MBU Issue e.g. Independent MP Alex Easton raised Nl disparities in a House of Commons debate, a Mid Ulster councillor included the MBU in his address, and an offer from Cara Hunter MLA to write a Member's Statement. This makes us hopeful that 2025-26 will see a commitment to a u nit being put in place. We also worked with member organisation Aware to support BBC journalists on a BBC Spotlight programme on postpartum psychosis and the lobbying around the MBU in Northern Ireland. We participated in a session in the Scottish Parliament with our hosting partner Aberlour, highlighting perinatal mental health and the particular needs of women and birthing people facing severe disadvantages. We met with Kate Forbes (Deputy First Minister) and Maree Todd (Minister for Social Care, Mental Wellbeing and Sport) to discuss the status of perinatal mental health services in Scotland. Particular focus was on the role of lived experience in Scotland and concerns around who holds overall accountability for progress. We convened three MMHA Scottish member meetings to discuss the current landscape and identify collaborative actions. There are concerns around the lack of transparency and momentum on perinatal mental health commitments. and an absence of opportunities for the voice of lived experience to feed into government plans, so these collaborative conversations will be useful, especially in light of Scottish elections in 2026. MMHA presented to the specialist health visitor and midwives, forum on the needs of women and birthing people with common perinatal mental health problems, and the integrated model as a viable option to be considered in Wales. With Home-start Cymru we met with Sarah Mu rphy MS (Minister for Mental Health in Wales) and advocated for perinatal mental health as a key theme. We have identified potential collaborators from charity organisations in Wales, such as Samaritans Wales, who are interested in perinatal care. li
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 The Minister has requested a review to look into whether sufficient beds have been allocated for the MBU provision in North Wale& We continue to remain involved in supporting the case for sufficient provision. We supported a group of midwives who were doing a sponsored walk across Wales to raise money for MMHA and awareness of MBU provision for families in Wales as part of Maternal Mental Health Awareness Week. In Wales, we wrote joint letters to key Members of the Senedd regarding a proposed decision to disband the Perinatal Mental Health Network and Perinatal Mental Health Clinical Lead role in Wales. We are concerned this move will further remove a spotlight on perinatal mental health, slow progress and make tracing accountability harder. Collaborative projects to improve care 1. Maternal Mental Health (MMH) Councils Project The new MMH Councils project formally began on l April 2025 and is now MMHA'S largest Èver collaborative projert. It represents a bold, equity-driven model of community action designed to transform local perinatal mental health system5 in four locations, ensuring they work for those who are most often excluded. The Councils will: Identify 5y5tem barriers and unmet community need5 Co-design action plans and integrated services that break down organisational silos Ensure care pathways are culturally appropriate, timely and accessible Secure commitments from service providers and hold decision-makers accountable Capture evidence of impact and amplify local voices Translate local learning into national policy and prartice Significant foundational work has been completed to build strong and inclusive governance for the projett: An evaluation partner, Wonder Insight. was recruited and work began on a Story of Change process. They have already held two workshops with staff and are conducting introduction calls with members, community organisations working with marginali5ed groups, and MMHA Champions the evaluation tools are fully co-designed. The first meeting of the Projert Governance Board took place in july and all relevant Terms of Reference documents approved. A learning review took place. drawing on insights from A Better Start (ABS), Maternity and Neonatal Voices Partnerships IMNVPS). and MMHA'S 2016-2018 project Mums and Babies in Mind (MABIMI to create a strong evidence foundation for the new model. The first of three Maternal Mental Health Council will operate in the North-East, selected as the initial location for piloting this new model. Shortly after confirming the region, Her Circle was appointed as the local partner. Her Circle specialises in supporting women experiencing multiple disadvantage, including poverty. domestic violence, addirtion lan 12
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 experience they have coined as "complex motherhood"), and is therefore uniquely placed to help shape an equity-driven local CounciL Her Circle will.. Provide the Council Chair, drawn from their lived experience network Offer 1-2 days per week of local coordinator support Lead local stakeholder engagement Co-create the North-East council mission, organise meetings and deliver against agreed outcomes Work closely with MMH4 in particular to Ènsure that local learning is translated into national impact At the end of this financial period. planning was underway for a 'town hall. style event in Newcastle, scheduled for October 2025. aimed at bringing together all key stakeholders. Early preparatory meetings identified and engaged health and care leaders across the region. This combination of local expert15e, community-rooted leadership and 5yStem-level engagement has laid strong foundations for the North-East Council's formal launch and early impact. 2. Black Maternal Mental Health Project MMHA is part of a new project led by The Motherhood Group to better understand and advocate for the mental health needs of Black mothers. Our role is to translate community impact reports into national change through policy and advocacy. Our main role this year was to organise a parliamentary event in collaboration with The Motherhood Group, to be held in November 2025 at the House of Lords. and to draft a policy briefing to sit alongside a Community Action Toolkit, providing MPS and partners with practical, community-led solutions to extend the report's impact. This work is part of a three.year agreement for MMHA. Funded by Esmee Fairbairn Foundation. 3. Maternal Mental Health in South Asian Communities Over the last year we have improved our knowledge of South Asian maternal mental health, looking into existing research, finding out what members are doi ng, and seeking to address gaps i n membership, the Champion network and the local affiliate scheme. This work began with South Asian maternal mental health being the theme for our Members Collaboration Space in May. 4. Maternity Link Worker for Young Parents The MMHA is working with two of ou r local affiliates (Sunderland Counselling Service and Ways to Wellness) as part of a three-year Pilgrim Trust-funded project to deliver a Maternal Mental Health Link Worker service for young mums in the North-East of England. 13
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 MMHA'S role is to capture the learnings of the project and disseminate the outcomes with the aim of influencing policy. The peer support group launched in mid-August. Referral pathways are working well, with 14 referrals for young women under 25 years since April. The project is providing regional insights, and the most recent discussions to support young mums have been focused on poverty-proofing the maternity pathway and considering how accessible local seNices are when different languages are needed. 5. Reading Scheme on Perinatal Mentsl Health MMHA was commissioned by the Reading Agency in September 2024 to deliver a Co-produced Reading Well scheme for maternal mental health. We held four co-production workshops, and we also had Champion representation at each book selection meeting with the Reading Agency. The final scheme is called 'Reading Well for Families, with the strapline 'Books to support families, wellbeing from conception to two., The list consists of 21 books in England and 22 books in Wales, plus additional d igital resources to support the scheme. Conditions covered in the final list include anxiety, OCD, postpartum psychosis, birth trauma. postnatal depression and baby loss. Representation of women and birthing people who identify as LGBTQIA+ Black or brown women andlor neurod ivergent was embedded throughout the list, as well as books to support partner5 and families, with a balanced representation of lived experience voices and personal stories reflected throughout. The list was launched in Parliament in lune, followed by a Welsh launch event. MMHA staff and Champions contributed to the Reading Well for Families parliamentary launch at Westminster. With the scheme now live. we are actively supporting its dissemination and evaluation. Raising awarene55 of maternal mental health Maternal Mental Health Awane$S Week Running from 5-11 May. our approach to Maternal Mental Health Awareness Week(MMHAWI was adapted from 2024. This year. we leaned more heavily on content collaborations with a select group of brands and organisations. We achieved one million social media impression5 across campaign activities, significantly expanding our reach and improving awareness of perinatal mental health. Our results were strengthened by concentrated support from our corporate partner, Tommee Tippee. As part of their renewed contract commitment in April 2025, they made a financial investment in a PR.able content partnership with Peanut. as well as collaborations with All on the Board and A View from a Bridge. 14
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Maternal Mental Health Awareness Week artivities included: Lau nching our Symptom Checker and Parent Information Centre, helping parents recognise symptoms and find clear information and sUPPOrt. Hosting a Westminster drop-in event. atten(ied by over 40 MPS and Members of the House of Lords, raising political awareness of perinatal mental health. Delivering collaborative awareness.raising campaigns with Suicide&Co. Lansinoh. Limpet. Peanut. and our corporate partnerTommee Tippee. Ambassador Programme Our first Ambassador, Dr Krystal Wilkinson remains a valuable supporter of the MMHA in public via social media and speaking engagements. Krystal played an instrumental part in development of The Parent Gap, and continues to advocate for and raise awareness via networking events an(i speaking engagements. As our pilot of The Parent Gap signs its first partners, Krystal will support with her HR skills and expertise. In Ortober we announced a second Ambassador, Tessa van dervord, an NHS midwife specialising in maternal mental health. Tessa supported The Big Give Campaign in October and played an integral role in the production of our new Parent Information Centre on our website. Parent Information Centre Funded by our Big Give campaign (Ort 2024), the MMHA Parent Information Centre launched in May. The new parent-facing information was developed with support from Champions. clinicians and members, and includes the Perinatal Mental Health Symptom Checker and a video series featuring MMHA ambassador and mental health midwife. Tessa van der Vord. The reception from both healthcare professionals and parents has been incredibly positive, and we know it is being used in at least three NHS trusts during antenatal and postnatal appointments. Our symptom checker posters are being displayed in maternity wards. further extending reach. The pant Gap The Parent Gap is a pilot workplace training programme developed to help employers better understand and support the emotional and mental health needs of parents. Created in collaboration with Dr Krystal Wilkinson and MMHA member organisation PANDAS. the pilot explores the often-overlooked -gap" between what parents need and what workplaces currently provide. Through evidence-based content, lived experience insight and practical tools for managers and H R teams. the pilot equips organisations to build more compassionate, inclusive cultu$ where parents can thrive. Early corporate partners have already engaged with the pilot, which will inform the development of a full 15
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 programme and strengthen MMHA'S wider ambition to influence the environments in which parents live and work. Corporate partnerships Ti Tommee Tippee's support during this financial year focused on Maternal Mental Health Awareness Week and an in.store campaign with Tesco. Running throughout lune, the campaign donated 20p to MMHA for every qualifying product sold, generating E20.000 for the MMHA over the five-week period. In lune. MMHA worked with Lansinoh to include a specially designed business card promoting the Symptom Checker and Parent Information Centre in their product sample boxes for midwives and healthcare professionals. This offered a low-cost, direct way to raise awareness of MMHA'S resources, and we are exploring further materials for future distribution. We also collaborated with Lansinoh on The Newborn Garden. an award-winning installation at BBC Gardeners, World Live 2025. Designed by lane Eastwood and inspired by lived experience of postnatal anxiety, the garden created a calm, private space for carers to feed their babies and won a Silver Award for its creative and emotional impact. Lansinoh staff further supported MMHA through their own fundraising efforts, including a bake sale, reflecting their continued commitment to our work. MMHA Lived Experience Champions This year, Champions have been closely involved in a wide range of MMHA activities, contributing their expertise, insight and lived experience across our work. Their contributions included: loi ning the Project Governance Board for the Maternal Mental Health Councils projett. Writing blogs for The Parent Gap website. Helpi ng develop the new Parent Information Centre. reviewing content and identifying gaps or questions parents may be hesitant to ask. Supporting MMHA campaigns, including contributing videos for The Big Give. Sharing their experiences, including speaking at= The parliamentary drop-in event during MMHAW A training session for Kin¢s College London's Midwifery course The Institute of Health Visiting liHV)'s Champion Forums A staff awareness session at Lansinoh Perinatal mental health training day5 for primary care professionals in the Midlands 16
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Reviewi ng training delivered by the Mental Health Foundation as part of the Creating Connections project focused on young mums and suicide prevention. Reviewi ng new perinatal mental illness resources developed by the Royal College of Psychiatrists IRCPsych). covering topics such as postpartum psychosis. perinatal OCD, lithium in pregnancy and interacting with children's social care. Helpi ng update i nternal MMHA documents, including Champion WhatsApp gu idelines, grounding packs and the demographic Champion survey. MMHA members We continue to grow an engaged and diverse membership and Ènded the year with a record number of members. Alongside regular members, meetings. this year we hosted several shorter'Listen and Learn" sessions with members. including a session focussed on Black maternal mental health, with presentations from the Motherhood Group and Tommys. Having historically focused our membership around national organisations, we piloted a membership for local organisations during the year. We are maintaining the existing group of affiliates and proactively inviting a small number of new affiliates to join where we have identified gaps particularly within marginalised communities. Anxious Minds Babyzone Croydon Becoming Families Byyourside Connecteij Perinatal Support CIC Croydon Voluntary Action Derry Well Women Her Circle luno Perinatal Mental Health Support Kingston Welcare Maternity Engagement Action CIC Menucha Mothers Uncovered NeuroNatal Acaijemy C.l.C Parent Sanrtuary CIC Proud 2 b Parents Smile Group Spoons Charity Strengthening Wellbeing Together CIC StToud Motherhood Collective CIC Sunderland Counselling Service The Delicate Mind CIC The Fertility Alliance The Happy Mums Foundation CIC The Marnahood Space The Motivational Mum5 Club Thrive at Five Ways to Wellness Wearside Women In Need IWWINI WILD Young Parents Project Youth Education Health Advice 17
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 rr Aberlour MIND Cymru Acacia Family Support Mindwise Action Mental Health Mothers at Home Matter Action on Postpartum Psychosis Mothers for Mothers Action Trauma Mothers Matter Active Partnerships Mummy's Star Active Pregnancy Foundation MumsAid Anna Freud National Centre for Children and Families Muslim Women's Network UK Antenatal Results & Choices National Centre for Mental Health Approachable Parenting National Children's Bureau Association for Infant Mental Health IUK) Netmums Association for Postnatal Illness IAPNII Neurodivergent Birth Aware NSPCC Baby Sleep Information Source (Basis) PANDA'5 Foundation Barnardts's PAPYRUS Become Parent-lnfant Foundation Beelotus Parents 1st Before Becoming a Parent IB48P) Peeps Bipolar Scotland Perinatal Mental Health Partnership UK Bipolar UK Pefson Shaped Support IPSSI Birth Cornpanions Petals Birthlight Positive about Down syndrome IPADS) Birthrights P05tpartum Support International Black Mothers Matter Pranarya & Arthur Magoffin Foundation Blaze Trails CIC Pregnancy Sickness Support Bliss PTSD UK Brazelton Centre Quarriers Breathe Arts Health Research Refuge British Association for Counselling and Psychotherapy Refugee Women Connect British Medical Association British Psychological Society British Society Psych050rnatic Obstetrics, Gynaecology & Andrology Centre for Mental Health Centre for Research on Farnilie5 and Relationships Centred Soul- Health & Wellbeing for all the Family Changing Lives Children and Young People's Mental Health Coalition ICYPMHCI Relate Relate Nl Rethink Mental Illness Royal College of GPS Royal College of Midwives Royal College of Nursing Royal College of Obstetricians and Gynaecologists Royal College of Occupational Therapists 18
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 City Pregnancy Counselling & Psychotherapy Icpcp) Community Practitioner and Health Visitors Assoclètion ICPHVAI Crossreach Counselling Dadpad Royal College of Paediatric5 and Child Health Royal College of Psychiatrists Samaritans Sands Society for Reproductive and Infant Psychology ISRIPI Sport in Mind Suicide&Co Support 2Gether The Birth Trauma Association The Centre for Emotional Health The Ectopic Pregnancy Trust The Hearts and Minds Partnership The Human Milk Foundation The International Marce Society The Miscarriage Association The Motherhood Group The Motherless Mothers The Parent Rooms Dance Mama Dandelion Military Families Doula UK Early Intervention Foundation Family Action (Formerly Family Welfare Association) Family Nurse Partnership Fatherhood Institute Fertility Network UK Five X More For Baby's Sake Trust Gingerbiead GPS Championing Perinatal Care IGPCPCI Horne-start Horne-start Cyrnru Inspire - Northern Ireland Association for Mental Health Institute of Health Visiting lakes Charity National Maternity Support Foundation Kinship Lifeboat Perinatal Mental Health CIC Local Government Association ILGAI Make Birth Better MamaDoc CIC Maternal OCD Maternity Action McPin Foundation Mellow Parenting Mental Health Foundation The Patients Association The Pelvic Partnership The UK Committee for UNICEF IUNICEF UK) Thelma Matiltla Alves Foundation Think Ahead Tommy's the Baby Charity Twins Trust Unite the Union WAVE trust Wednesday's Child Wellbeing of Women Women's Resource and Development Agency Working Families Young Murns Support Network Youngminds Mental Health Hub by Meyouwellbeing Mentor Mums MIND 19
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Organisational development In May 2025, Nikki Wilson joined MMHA as our new Chief Executive, succeeding justin Irwin, who had served as Interim CEO. Nikki joined from member organisation Make Birth Better, bringing deep expertise in charity leadership, perinatal mental health, trauma-informed practice, and cross-sector collaboration. Throughout the year, we also developed and expanded our staffing structure to support the delivery of our national programme. Key appointments included- National Programme Manager (councils) - a new post created to enhance coordination and consistency across the Councils network. Lived Experience Coordinator- an existing role which we made permanent, reinforcing ou r commitment to embedding lived experience leadership at the heart of our work. Campaigns Officer lfixed-term contract)- appointed to build our public-facing influencing capacity and support national advocacy campaigns. We also strengthened our governance with the recruitment of three new trustees: Hannah Yates and Dr Elizabeth Penny, both senior leaders in mental health in England, bringing valuable strategic and clinical insight. Vivien Waterfield CBE. Deputy CEO at Home-start UK. offering significant expertise in organisational leadership and fundraising. At the same time. two of our longer standing trustees Kate Billingham and Henry Fay stood down from the board. We thank them for their incredible support over rècent years. Fundraising and income generation This year marked significant progress in strengthening and diversifying MMHA'S income, enabling us to expand our impart nationally and locally. We were delighted to secure a E1.5 million National Lottery Community FLJnd grant, awarded over five years. with at least £350,000 directed to local partner organisations delivering their Maternal Mental Health Councils. The Bernard Lewis Family Charitable Trust supported us through the second year of a three-year grant, helping 5UStain our core operations and strategic capacity. In addition, the Sigrid Rausing Trust made a generous one-off donation towards our mission. Collaborative project funding remained a key part of our income mix. We worked in partnership on projects supported by the Esmée Fairbairn Foundation, The Pilgri m Trust, the Mental Health Foundation, and The Reading Agency. We also continued academic collaborations with Kings College London and the University of York, enabling research that advances understanding of perinatal mental health and informs future policy and practice. We are grateful for all the supporters who contributed financially to our work this year. We received donations totalling over £25.000. including through the Big Give campaign, as 20
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 well as a wide range of inspiring individual and team fundraising activities from supporters across the country. Corporate partnerships atso grew. Our long-standing partnership with Tommee Tippee raised an impressive £54.975. We welcomed our first Parent Gap partner. Reward Gateway. and continued to develop a range of other valued corporate relationships. Plans for the future Looking ahead to 2025-26, our priority will be the successful delivery and Èarly learning of our Maternal Mental Health Councils. a bold systems-change programme designed to transform local perinatal mental health pathways in four regions. With our first Council launching in the North-East, we will focus on embedding lived experience leadership, strengthening local partnerships, and generating insight that can be translated into national influence. These insight loops, moving evidence and lived experience from local systems into national policy conversations, will be central to our impact in the coming years. We will also begin developing a new organisational strategy. to be launched in spring 2026. Building on everything we have learned since our first strategy in 2023, this next chapter will sharpen our focus on equity, on lived experience leadership, and on our distinctive strengths in national advocacy. As part of this, we will seek to maximise key policy windows. such as the ongoing maternity and neonatal investigation and other inquiries and government consultations scheduled for 2025-2026, ensuring the voices and needs of families most at risk are clearly represented. By working closely with members, Champions. professional bodies and policymakers. we will continue to position the MMHA as a trusted partner influencing systemic change across all four nations. Alongside this strategic development, we will continue delivering our multi-year grants and projects. including our partnership with The Motherhood Group on Black maternal mental health, and the Maternal Mental Health Link Worker project supporting young mums in the North-East. Strengthening MMHA'S long-term sustainability will remain essential. Over the coming year. we will deepen relationships with existing funders, cultivate new partnerships. and expand our portfolio of income streams to ensu continued impact across all areas of our work. Above all, we will continue to work collaboratively across our Alliance network to push for a future where excellent, equitable perinatal mental health care is embedded across national and local systems and where every family can access the support they need to thrive. 21
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Structure overnance and mana ement The MMHA was founded in 2011 by women with lived experience, comi ng together with clinicians and voluntary sector organisations, with a shared determination to improve care and support for women in the perinatal period. The MMHA was registered as a charitable incorporated organisation ICIOI in April 2018, with a revised constitution adopted in September 2023. The trustees serving during the 2024-2025 financial year and since year end are as follows.. Luciana Berger (Chair) Yasmi n Mulji (Vice-chairl lulia Avramescu (Treasurer) Sakina Ballard Sarah Arnold Dr Clare Dolman Dr lan lones Lisa Williams Dr Elizabeth Penny (from September 2025) Vivien Watetheld (from September 2025) Hannah Yates (from September 2025) Dr Henry Fay (retired Sept 2025) Kate Billingham (Former Vice-chair, retired Sept 20251 Trustee selertion Pro$$ Trustees are appointed for a term of three years and may stand for re-appointment after that time. There is a trustee induction and training programme in place. The board consider what skills are needed from new trustees, and recruit on that basis, typically through a public recruitment process. Meeting and sub%ommittees The trustees meet formally four times a year and communicate frequently throughout. The board of trustees has a finance and governance sub-committee, and certain decisions are delegated by the rest of the board to this sub-committee, which also meets four times a year. Charity management Day-to-day management of the MMHA is delegated to the CEO, and the team of staff. Although the MMHA has a registered address in London, staff are all home-based, ensuring office costs are minimal. 22
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 Arrangements for setting key management personnel remuneration Remu neration is discussed annually by the finance and governance sub-committee or the full board of trustees. Salaries of senior MMHA staff are benchmarked against simikr roles in the voluntary sector, with regular reviews. The salary of the CEO is discussed annually by the board. financial review These accounts show activity forthe year October 2024 to September 2025. The MMHA considers itself to be in a healthy financial situation meanwhile remains focused on diversifying our income generation to ensure sustainability in the years ahead. Total income for 2024-25 was E430.35712023-24 E620.732) and total expenditure was E545.421 (2023_24 E463,8171, details of which are set out in the attached accounts. We planned for our spending to exceed our income because we had built up more than six months of reserves and wanted to use some of these funds to maximise impact. This year saw income from a new multi-year grant from National Lottery. In addition, core funding was received from the Bernard Lewis Charitable Family Trust and the Sigrid Rausing Trust. Income for collaborative projects was raised from The Motherhood Group, Mental Health Foundation, Pilgrim Trust and the Reading Agency. Income from corporates was primarily raised through our partnership with Tommee Tippee. Income was also received via donations and bank interest. Restrirted funds at 30 September 2025 were £57,67112024.. £95,581). Unrestricted fu nds at 30 September 2025 were £199,36512024: E276,519). The charity has no debt or guarantee. Risk management Responsibility for risk management lies with trustees. with day-to-day responsibility delegated to the CEO. The risk register is regularly reviewed by the trustees and the finance and governance sub-committee. The senior leadership team typically considers risk on a regular basis. Controls are in place to minimise risks. and to manage risks that occur. Reserves policy The MMHA needs reseNes to provide security to MMHA operations. An abrupt ceasing of MMHA operations would impact indirectly on women with maternal mental health problems and the MMHA'S work to improve services. The MMHA remains heavily reliant on grant income. The MMHA reserves policy is therefore designed to cover shortfalls in income and periods when income does not reach expected levels or to buy some time i n the event of reduced income. for example a grant not coming through or being delayed. 23
Maternal Mental Health Alliance Charity No: 1178152 Report of the Trustees For the year ended September 2025 The trustees have agreed a reserves policy of maintaining 3 to 6 months ru nning costs. One month's running costs in the financial year 2025-26 is forecast at around £58,000. Reserves at year end 2024-25 are £257,036 equivalent to 4.4 months future running costs based on 2025-26 expenditure. which within the target level. Approved by the trustees on 26 March 2026 and signed on their behalf by Luciana Berger - Chair 24
Independent examinerfs report To the trustees of Maternal Mental Health Alliance I report lo the trustees on my examination of the accounls of Maternal Mental Health Alliance (the CIO) for the period to 30 September 2025. which are *t out on pages 26 to 39. Responsibilities and basis of report As the charity Iruslees of the CIO you are responsible for the preparation of the accounts in accordance with the requirements of the Charibes Act 2011 I'the Act'i. report in respect of my examinatson of the CIO'S accounts carned out under section 145 of the 2011 Act and in Carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 145151{bl of the Act. Independent examlner's statement Since the CIO'S gross income exeded £250,000 your examiner must be a member of a tx)dy listed in secbon 145 of the 2011 Act. I confimi that l am qualified lo undertake the examination because I am a member of the Institute of Chartered Accountants in England and Wales IICAEW}, which is one of the listed bodies. Godfrey Wilson Limited also provides payroll services to the CIO. l nfIrM that as a member of the ICAEW l am subject lo the FRC'S Revised Ethical Standard 2016, which I have applied with respect lo this engagement. I have completed my examination. I confirm that no rnaterial matters have come lo my attention in connection with the examination giving me cause lo believe that in any material respect.. 111 accounting records were not kept in respect of the CIO as quIred by sectson 130 of the Act., or 121 the accounts do not accord with those records,. or 131 the accounts do not mplY with the applicable requirements concerning the form and conlenl of accounts sel out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a 'true and fair Vie which 1$ not a matter considered as part of an independent examinatson. I have no concems and have come across no other matters in connection wth the examination to which attention should be drawn in this port in order lo enable a proper understanding of the accounts to be reached. 38hhi£et Dickihso Dale: 26 March 2026 Jennlfer Dlcklnson ACA Member ofthe ICAEW For and on behalf of.. Godfrey Wilson Limited Chartered accountants and statutory auditors 5th Floor Mariner House 62 Prince Street Bristol BS14QD 25
Maternal Mental Health Alliance ststement of financial activitie5 For the ear ended 30 Se ternber 2025 2025 Total 2024 Total Restricted Unreslricled Note Income from: Donations Charitable act'vits'es Investments 44,764 78.180 4.497 44.7fA 381.096 4,497 50,446 569,308 978 302,916 Total income 302.916 127,441 430.357 620,732 Expendlture on: Raising funds Charitable acbvits'es 103.624 100,971 103,624 441.797 106,404 357,413 340,826 Total oxpendlture 340,826 204.595 545,421 463,817 Net income I (expenditure) and net movement In fund8 {37.9101 {77,1541 {115.0641 156,915 Total funds brought forward 95.581 276.519 372.1110 215,185 Total funds Carr1 forward 57.671 199.36S 257,036 372,100 All of the above results are derived from continuing acb"vib"es. There were no other recognised gains or losses other than those stsled above. Movements in funds are disclosed in note 14 to the accounts. 26
Maternal Mental Health Alliance Balance sheet Forthe ear ended 30 Se tember 2025 2025 2024 Note Current assets Debtors Cash al bank and in hand 10 19.120 270.204 17,428 381,792 289,324 399,220 Liabilities Creditors." amounts falling due within 1 year 11 32,288 27,120 Net current assets and net assets 13 257,036 372,100 Funds Reslricled funds Unrestricted funds General funds 14 57.671 95,581 199,365 276,519 Total eharlty funds 257,036 372,100 Approved by the Iruslees on 26 March 2026 and signed on their behalf by Luciana Berger- Chair 27
Maternal Mental Health Alliance ststement of cash flows Forthe ear ended 30 Se tember 2025 2025 2024 Cash used In operating activities: Nel movement In funds Adjuslmenls for.. Ilncreasel I decrease in debtors Increase I Idecreasel in creditors Interest from investments 1115.064) 156,915 {1.6921 5,168 4.497 20,046 131,4451 978 Net cash (used Inl I provlded by operatlng actlvltles 116,085 144,538 Cash flovrn from investing activities: Interest from investments 4.497 978 IDocreasel I Incroase In cash and cash equlvalents In the year 1111,5881 145,516 Cash and cash equivalents al the beginning of the year 381,792 236,276 Cash and cash equl¥alent8 at the end of the year 270.204 381,792 The charity has not provided an anatysis of Changes in net debl as it does not have any long temi financing arrangements. 28
Maternal Mental Health Alliance Notes to the financial statements For the ear ended 30 Se ternber 2025 Accounting policies a) Basis of preparation Maternal Mental Health A]liance is a charitable incorporated organisation in England and Wales. The registered Offi address is Intemabonal House, 12 Constsnce Street, London, E16 2DQ. The financial statements have been prepared in accordance with Accounting and Reporting by Charities.. Statement of Recommended Practice applicable to charities in preparing their accounts in accordance with the Financial Reporb'ng Slandard applicable in the UK and Republic of Ireland IFRS 1021 (effective 1 January 20191- (Charities SORP IFRS 10211. the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021. Maternal Mental Health Alliance meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised al historical cost or transaction value unless otherwise slated in the relevant accounting policy note. b) Going concern basis of accounting The ac¢ounls have been prepared on the assumption that the charity is able to continue as a going concern, which the Iruslees consider appropriate having regard to the current level of unreslri¢led reserves. There are no malenal uncertainties about the ¢harty's ability lo continue as a going concern. c) Incomo Income is recognised when the charty has entsuemenl to the funds, any performance conditions attached to the item of income have been met. rt is probable that the income will be received and the amount can be measured reliabty. Income from the government and other grants, whether 'capitsl' grants or 'revenue' grants, is recognised when the charity has enlidemenl lo the funds, any performance conditions allached to the grants have been met, il is probable that the income TrMII be received and the amount can be measured reliably and Is not deferred. Income received in advance of provision of services is deferred unbl criteria for income recognition are mel. dl Donated servlces and facllltles Donated professional services and donated facilities are recognised as income when the charity has control over the item. any conditions associated with the donated item have been met, the receipt of economic benefit from the use by the charity of the rtem, is probable and the economic benefit can be measured reliably. In accordance with the Charitses SORP IFRS 1021, general volunteer time is not recognised. On receipt. donated professional services and donated facilities are recognised on the basis of the value of the gift to the charity which is the amount the charity would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market", a corresponding amount is then recognised in expenditure in the period of receipt. el Interest recelvable Interest on funds held on deposit is included when re1vable and the amount can be measured reliably by the charity". this is normalty UF)on notification of the interest paid or payable by the bank. 29
Maternal Mental Health Alliance Notes to the financial statements For the ear ended 30 Se ternber 2025 Accounting policies {continuedl Funds accounting Unreslricled funds are available lo Snd on acb"vib"es that further any of the purposes of the charity. Designated funds are unrestn'cted funds of the charity which the Iruslees have decided al their discretion to sel aside to vse for a SFecrfic purpose. Restricted funds are donations which the donor has specified are lo be solely used for paClar areas of the charitys work or for specific projects being undertaken by the charity. g) Expenditure and irrecoverable VAT Expenditure Is recognised once there is a legal or construcb.ve obligabon to make a payment to a third paty, it is probable that setllement will be required and the amount of the obl+galion can be measured reliably. Irrecoverable VAT is charged as a cost against the acb.vity for which the expenditure was incurred. h) Allocatlon of support and governance costs Support costs are those functnS that assist the work of the charity but do not directly undertake charitsble acbvits'es. Governance costs are the Costs associated wlh the governance arrangements of the charity. including the costs of complying with constitutional and slalulory requirements and any costs associated with the strategic management of the charity's activib'es. These costs have been allocated beeen cost of raising funds and expenditure on charitable aclivf(ies on the basis of staff costs as follows". 202S 23.7% 76.3% 2024 22.9% 77.1% Raising funds Charitable activities 11 Dobtors Trade and other debtors are recognised at the setdemenl amount due after any trade discount offered. Prepayrnent5 are valued al the amount prepaid net of any trade discounts due. jl Cash at bank and In hand Cash al bank and cash in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisib.on or opening of the depos11 or similar account. k) Creditors Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due lo settle the obligation can be measured or esb"mated reliably. Creditors and provisions a normally recognised at their setilemenl amount after allowing for any trade discounts due. 11 Financial instruments The charty only has financial assets and financial liabilities of a kind that qualty as basic financial Instruments. Basic financial instruments are inib.alty recognised al transaction value and subsequently measured at their setuemenl value with the exptIOn of bank loans which are subsequenlly recognised at amorb.sed cost using the effecbve interest method. 30
Maternal Mental Health Alliance Notes to the financial statements For the ear ended 30 Se ternber 2025 Accounting policies {continuedl m) Pension costs The charity operates a defined contribution pension scheme for ils employees. There are no further liabilities other than that already recognised in the Statement of Financial Acb'vities. n) Functlonal currency The financial statements are prepared in sterling, which is the fvnctional currency of the charity. Monetary amounts in these financial statements are rounded to the nearest £1. o) Aecountlng estlmates and key ludgements In the application of the charity's accounting policies, Ihe trustees are required to make judgements, estimates and assumptions about the carrying values of assets and liabilities that are not readity apparent from other sources. The eslimales and undertying assumptions are based on historical experience and other factors that a considered lo be relevant. Actual results may differ from these eslimales. The eslimales and underfying assumptions are reviewed on an ongoing basis. Revisions to accounting esb'males are recognised in the period in which the estimate is revised if the revision affects only that period, or in the period of the revision and future periods if the revision affects both current and future periods. There are no sources of eskn'mation uncertainty that have a significant effect on the amounts recognised in the financial slatemenls. Prlor porlod comparatlves: Statemgnt of financlal activltlos 2024 Total Restricted Unre$tri¢led In¢ome from,. Donations Charitable activities Investments 50,446 68,777 978 50,446 569,308 978 500,531 Total Income 500.531 120,201 620,732 Expenditure on: Raising funds Charitable activities 95.568 332, 10.836 25,349 106,404 357,413 Total expendituro 427,632 36,185 463,817 Net Income and net movement In funds 72,899 84,016 156,915 31
Maternal Mental Health Alliance Notes to the financial statements For the ear ended 30 Se ternber 2025 Incomg from donatiODS 2025 Total Restricted Unrestricted Donations Membership fees 44,464 300 44.464 300 Total Income from donatlons 44,764 44,764 Prlor perlod comparatlve: 2024 Total Restricted Unrestricted Donations Membership fees 49.246 1.200 49,246 1,200 Total Income from donatlons 50.446 50,446 Income from charftable actlvttles 2025 Total Restricted unstrICted Grant8: Bernard Lewis Foundation Mental Health Foundation Motherhood Group National Lottery Community Fund Pilgrim Trust Reading Agency Sigrid Rausing Trust University of York 63.000 25.685 20,000 146.080 32.600 14.443 63,000 25.685 20,000 146,080 32,600 14.443 25,000 1,108 25.000 1.108 Total Grant Income 302,916 25.000 327,916 Contract Incomo: Guy's and Sl Thomas NHS Foundats'on Trust King's College London Lansinoh Laboratories UK Ltd Mayborn {UKI Ltd NSPCC Parent Gap delivery Tommy's 1,780 200 1.500 38,750 800 10.000 150 1.780 200 1,500 38,750 800 10.000 150 Total Contract Income: 53,180 53.180 Total income from charitable activities 302.916 78,180 381,096 32
Maternal Mental Health Alliance Notes to the financial statements For the ear ended 30 Se ternber 2025 Incomg from charitable activities (continued) Prior period comparative: 2024 Total Restricted Unrestricted Grants: Bernard Lewis Foundatson Mental Health Foundation National Lottery Community Fund The Judith Foundation 63.000 11.750 425.781 63,000 11,750 425,781 10.000 10,000 Total Grant Incorne 500.531 10.000 510,531 Contract Income: Mayborn IUKI Ltd Kenvue Speaker and Training fees Qlic IT Tommy'$ Guy's and Sl Thomas NHS Foundats'on Trust Other income 35,000 8.851 7,990 2.500 2,240 1.720 476 35.000 8,851 7,990 2.500 2,240 1,720 476 Total Contract In¢ome: 58,777 58,777 Total In¢omfr from ¢harltablo a¢tlvlti08 500,531 68,777 569,308 Goyemment grant8 The charity receives government grants, defined as funding from National Lottery Community Fund to fund charitsble activities, and service contract income from the NHS. The lotsl value of such grants in the period ending 30 September 2025 was £146,080 12024.. £425,7811. There are no unfulfilled conditions or conlingenc*s attaching lo these grants or service income in this or last year. 33
Maternal Mental Health Alliance Notes to the financial statements For the ear ended 30 Se ternber 2025 6. Total expenditurg Support and Raising Charitable governance funds tivitses Costs 2025 Total Staff costs Inole 81 Direct project cost$ Monitoring and evaluation Organisalional I capacity development Overheads 71.519 230.143 .991 2.520 8.830 102.189 403,851 96,991 2,520 13,787 28,272 4,957 28,272 sUtOtal 71.519 338.484 135,418 545,421 Allocation of support and governance cosl 32.105 103.313 135,418 Total oxpondlture 103.624 441,797 $45,421 Total governance costs were £4,729 {2024. £5,953). Prlor perlod comparatlve: Support and Raising Chantable governance funds activibes Costs 2024 Total Staff ¢osts Inole 81 Direct project costs Monitoring and evaluatson Oryanisalional I capacity development Overheads 73.596 203,684 56.555 354 6.020 93,986 371,266 56,555 354 10,185 25,457 4,165 25.457 Sutotal 73,596 266.613 123,608 463,817 Allocation of support and governance cost 32.808 90.800 123.608 Total èxpènditure 106.404 357,413 463,817 Net movement In funds This is stsled after charging.. 2025 2024 Trustees, remuneration Trustees, reimbursed expenses Independent examiners, remunerats.on Independent examination lexcluding VATI Other services lexduding VATI 233 185 1,550 630 1,490 648 Three trustees were reimbursed for travel expenses of £233 12024." Two trustees £1851. Addilionalty in 2025 £95 was paid for Twslee training12024'. nill. 34
Matemal Mentsl Heahh Alliance Notes to the financial slatements For the ear ended 30 Se tember 2025 8. Staff costs and numbers Staff costs were as follows.. 2025 2024 Salaries and wages Social security costs Pension costs Freelance staff 314.543 25,938 15.813 47.557 308,624 25,917 15,923 20,802 403,851 371,266 One employee earned betsveen £60.000 and £70.000 dunng Ihe year12024.' One). The key management personnel of the charity are deemed lo comprise of the Trustees, the CEO, the Development and Programmes Manager. the Campaign Manager and the Engagement and Strategic Opportunities Manager. The lotsl employee benefits of the key management personnel were £137,36612024.. £140.7461. 2025 No. 2024 No. Average head count Full lime equivalents g. Taxatlon The charity is exempt from corporatson tsx as all rts income is charitable and is applied for charitable purposes. 10. Debtorn 2025 2024 Trade debtors Prepayments 17.179 1.941 14,671 2,757 19,120 17,428 35
Matemal Mentsl Heahh Alliance Notes to the financial slatements For the ear ended 30 Se tember 2025 11. Creditors: amounts due within 1 year 2025 2024 Trade creditors Deferred income Accruals Other creditors 6.916 10,000 15,372 3,096 8,750 8,230 7,044 32,288 27,120 12. Deferred Income 2025 2024 Balance al the start of the year Released in year Deferred in year 8,750 18,750} 8,750 18,7501 8,750 Balance al the end of the year Deferred income relates to funds re¢eived in advance of delivery of servi8 and grants with tim bound conditions. 13. Analys18 of net assets between funds Restricted unrestn.cted funds funds Total fund8 Current assets CUrnt liabilrties 61,015 3.344 228,309 28,944 289,324 32,288 Net assets at 30 September 2025 57.671 199.365 257.036 Prior period comparative: Restricted Unrestricted funds funds Total funds Current assets Current liabilrties 101,748 6,167 297,472 20,953 399,220 27,120 Net assets at 30 September 2024 95,581 276,519 372,100 36
Matemal Mentsl Heahh Alliance Notes to the financial slatements For the ear ended 30 Se tember 2025 14. Movements In funds At1 October 2024 At30 September 2025 Income Expenditure Restrlcted funds Amplfying Maternal Voices, Mental Health Foundation Bernard Lewis Foundation Creating Connections, Mentsl Health Foundation Motherhood Group National Lottery Community Fund Pilgrim Trust Reading Agency University of York 22.725 63,000 22.725 63,000 10.5(KI 10,500 6.797 2,960 20.000 146,080 32,600 14,443 1.108 9.757 10.625 190.227 29,401 13.983 1.108 9,375 34,137 3,199 460 78,284 Total ro$trl¢tod funds 95.581 302,916 340.826 57,671 Unrestrlcted funds General funds 276.519 127,441 204,595 199 365 Total unrestrlcted funds 276,519 127,441 204.595 199.365 Total fund8 372,100 430,357 545,421 257,036 Purposes of restrlcted funds Amplifying Maternal In partnership wlh Mental Health Foundation, the AMV project will Voices, Mental Health spodighl the malem81 mental health experiences of mothers from Foundation seldom heard communitses. In pursuit of accessible care for all women and families, there will be a Conference and leaming event lo break down barners and produce an Engagement Toolkit to inspire action al a IaL level. Bernard Lews Foundation This grant is for staff salaries to enable us to Raise Our Voi¢e supporth.ng communications and income generatson. Creating Connections, Mental Health Foundation In partnership with Mental Health Foundation. the Creating Connects'ons project is a Department of Health and Social Care funded project building on the already successful delivery of MHF'S 'Connect" peer support rn(xlel working with young parents and UOK which is delivered for young people in educational settings. The project aim is to Create a safe space and increase s(Kial connection for young people and young mothers through facilitaled peer supporL 37
Matemal Mentsl Heahh Alliance Notes to the financial slatements For the ear ended 30 Se tember 2025 14. Movements in funds {continuedl Motherhood Group MMHA is part of a project led by The Motherhood Group to better understsnd and advocate for the mental health needs of Black mothers. Our role is to translate community impact reports into national change through policy and advocacy. National Lottery Community Fund In the year ended 30 September 2024 the last installmenl of this grant received to extend the work of the Everyone's Business campaign, into Everyone's Business - at Every Contact. This builds on our experience and the current interest in perinatal mental health lo ensure all women receive the right support and care, whatever their mental health needs, background and whichever part of the system they are in contact with. Pilgrim Twst Grant payments from the Pilrgim Trust are for a three-year funded proje¢t to deliver a Maternal Mental Health Link Worker service for young mums in the North-Easl of England. Il's a collaboration beeen MMHA, Surbderland Counselling Service and Ways to Wellness. Reading Agency Funding from the Reading Agency was for the role MMHA played in the Reading Well for families project. We ran a lived experience panel who collated a set of recommendations for book and digitsl SoUrceS that would support the wellbeing of parents in the perinatal period. University of York MMHA are providing lived expernCe input for a mental health project being run by York University to support young mums. 38
Matemal Mentsl Heahh Alliance Notes to the financial slatements For the ear ended 30 Se tember 2025 Prior period comparative: At1 October 2023 A130 September 2024 Income Expenditure Restricted funds Amplfying Maternal Voices, Mental Health Foundation Bernard Lewis Foundation Creating Connections, Mental Health Foundation National Lottery Community Fund Total rostrlctod funds 22.682 22,682 52.500 63,000 10,500 11,750 425,781 4,953 347,497 6,797 78,284 22.682 500,531 427.632 95,581 Unr¢strl¢ted fund8 General funds 192,503 120,201 36,185 276,519 Total unrgstrlctfjd funds 192.503 120,201 36.185 276,519 Total funds 215.185 620,732 463.817 372,100 15. Related party transactlons There were no related parb'es in the current or prior period. 39