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 stren￿hen 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 se￿ICe5 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 under￿and 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 Inte￿ened
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
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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.
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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 Awa￿ne$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.
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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 pa￿nt 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 ex￿eded £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 re￿1vable 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 S￿nd 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 pa￿C￿lar 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 funct￿nS 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 be￿een 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 ex￿ptIOn 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 un￿strICted
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
sU￿tOtal
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
Su￿total
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 servi￿8 and grants with tim
bound conditions.
13. Analys18 of net assets between funds
Restricted unrestn.cted
funds
funds
Total
fund8
Current assets
CUr￿nt 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 I￿aL 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 be￿een
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 exper￿nCe 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