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2021-03-31-accounts

Supporting Mums and their Families MumsAid Maternal Mental Health Support Report and Accounts Year ended 31 March 2021

MUMSAID ￿TERNAL MENTAL HEALTH SUPPORT CHARITY INFORMATION FOR THE YEAR ENDED 31 MARCH 2021 Tru$lè•s Thg Iw8l8è8 who sèrvad durwio tha year and at the date of approv81 w8r8 as follows.. Mercy Bn)wn MargAffjI Camey lappoinled 20 October 20201 Julyé Farguson Iresbngd 31 May 20211 C18r8 H8rf8nd Dèlla Hyd8 lappoknted 29 Aprfl 20211 Ann Marhall Irc-Eqncd ?8 July. Grishma Patel (appointed 29 April 20211 Hazèl P$8ts0n lappolntgd 23 June 20201 siaph8n Pickerfll lappolntod 08 July 20201 G8rtrud8 S8neviratn8 Jlll ThomnHnn Vkloda Wrlght Nupur Yogarajah y Staff Mlrfam tX)ll8ghy (Founder & CEO) Gov•irtlno Docum•rtt CIO FoundntK)n rogk4torod 7 Soplcmbor 2018 Charlty R•gl•tratlon Numbor 1179849 Prlnclpal Addr••s 184- 186 W8stcomb8 Hm Blaekh88lh London SE3 7DtrI Indop•nd•nt Examln•r maria£la1￿ Yao ACA BAnk•r• M81ro 8ank On8 South8mpton Row London WC18 SHA Contents Charity Inf0rn￿tK>n Trustee8' Annual Report Independent Examlnerfs Report Statemgnl ol Fln8ncl81 Act￿￿1￿8 Balance Sheet Caghflow St8teffrst P8 10 12 13-14 15-18 kntes to the Accnunts Detal￿d Sta18rn8nt of Flnanc￿l ActM￿S wtih Comparatfves Pag8 1

FOR THE PERIOD FROM I"April 2020- 31" March 2021 The trustees of MumsAid have pleasure in submitting the charity audit report and account5 for the period above. Principal activities of the charity MumsAid is a Charitable Incorporated Organisation ICIOI. The charity's principal objectives as set out in its governinE document are the preservation and protection of health and the advarlcement of good health. MLJmsAid has a vision of a future where all mothers are supported in giving their babies the best start in life. We believe passionately that pregnanty and new motherhood can be an exciting, but also challenging, time, and that the right support can make a difference, not just to mothers but to the healthy emotional development of their babies, and the broader wellbeing of their families and communities. Revlew of activities The Covid-19 pandemic created significant challenges for MumsAid in thi5 financial year, as it did for so many other organisations, with the women we work with needing sUPPOrt more than ever and the delivery of that support becoming more complex due to social distancing requirements. We received high volumes of referrals throughout the last year, particularly as other local services scaled back their sUPPOrt to families, and we saw increasingly complex needs amongst the mothers we support, including isolation, heightened stress, anxiety and health concerns, more birth trauma, and growing financial and domestic pressures. The MumsAid team worked with dedication and flexibility to respond to these challenges and we are proLJd that we were able to provide continuous uninterrupted support right from the start of the first lockdown in March 2020. We have developed hybrid solutions to respond to the continually changing government guidelines around Covid-19, alternating between in-person and online delivery of counselling services and groups depending on what was safest in the current context. We have adapted our service for young mothers to provide more holistic and practical assistance to support their wellbeing. We would like to thank our staff and volunteers for their creativity, commitment and adaptability through this time, enabling MumsAid to ensure our clients never had to experience a break in service during a year when our support was even more vital. Counselling service Our primary activity has continued to be the provision of free counselling for women experiencing mental health i55ues or emotional difficulties during pregnancy or after having a baby. From March 2020 onwards, the Covid-19 pandemic and social distancing requirements created challenges for services providinE direct support to f3milies but, whenever possible within Government Euidelines, MumsAid continued to offer face-to-face contact for those who wanted it, and when this was not feasible, we delivered services online or by telephone. When social distancing eased, we maintained that hybrid approach, recognising that online and telephone support can have benefits in broadening acces5 and to enable us to respond to individual needs and preferences, meeting women where they feel most comfortable. During this period, MumsAid provided support to a total of 280 women through its various services, which represents a 12Yts increase from the preceding year on the numbers who received specialist Page 2

counselling. There was also an increase in the total number of counselling hours tliat we offered, as we recruited additional counsellors to meet growing demand and often extended our usual offer of 12 sessions, counselling the very vulnerable during lockdown and while they were receiving no support from statutory services. Where we were still able to work in Children's Centres, crèche facilities were made available to those who needed them, and our intervention meant that we were able to ameliorate the impact of 3 range of perinatal mental health conditions on not only the mothers themselves but also their families, including over 200 babies and children. Groups We increased the volume and variety of our groups, which were all online this year apart from the Youn8MumsAld group (see below), and offered opportunities for peer SLJpport, psychoedLJcation. and creative expression through art and journaling. These online groups were very well received by participants and feedback su88ests that they made a significant rontribijt.ion to mili8ate the Inevitable increased Isolation from the pandemic. The development of our group offering also meant we were able to extend our reach beyond Greenwich, with participants coming from all over the UK including several women from Scotland ttending our 8roup5. YoungMumsAld YoungMumsAid IYMAI, the specialist service we provide for verv voung mothers (aged 21 and nderl, continued to be an integral and growing part of our provision. Our young mothers have been particularly vulnerable durlng the pahdemic, experiencing more financial stress and reported Increases in domestic violence, and all in the context of increased isolation and disrupted contact with their usual support systems, including family, fr￿endS and health pi'ofessionals (such as health visitors and Children's Centresl. During the last year we saw an increase in birth trauma, with hospital Infectlon control measures meaning that many women had to attend appointment5 and go throuEh the birth and immediate postnatal experience alone or with limited Support from partners or caregiver5. Some of the young mothers we supported have also experienced traumatic losses, such as miscarriage, stillbirth, the death of their own caregiver5 during the pandemic, or challenBes relating to babies horn with significant health needs. The f5rst wave of the pandemic In March 2020 triggered panlc buying, which resulted in shop shelves being stripped of essential items sbch as nappies and formula. MumsAid responded to the desperate need of our young mothers, who had good reason to fear they would be left without essential supplles. by arranging home deliverles and we have continued to work in partnership with other local tharitie5 and organisations to ensure that our mothers get vital items, For example, we partner with: MamaKind to procure and deliver'baby bundles" of nappie5, nearly-new baby clothes and babv milk to young mothers experiencing financial distress South East London Energy ISELCEI to provide support and help around fuel povertv Charlton Community Trust (CACTI to provide advice and help around housing needs As some of our counselling and therapeutic support moved. online, we recognised there were additional issues around dieital access and so we started funding data bundles for mothers to on?.ble access to online or telephone counselling. Over the last year we also noticed an increase in mothers who require help and support outside normal working hours, includinE evenings and weekends, and plans are underway to launch an out-of-hours text service to address this need. Page 3

The pandemic also highlighted the ongoing need for more practical and nutreach support for our young mothers, and in response to this need we worked with one of the service's main funders, the Young Londoners Fund, to refocus our grant so that we could deliver more practical support and advocacy to this vulnerable cohort of young familie5. We recruited an experienced YoungMumsAid manager to lead the expanded service and appointed a dedicated advocacy worker for YoungMumsAid in February 2021, enabling us to continue developing the YMA drop-in group, which takes place weekly at a Children's Centre in the east of the borough. Attendance at this group has been positive, with numbers ranging between 6-12 mums. We provide practical and emotional support to youn8 mum5 and their babies, including support around child development and healthy relationships, and advice on benefits, housing and gaining access to volunteering, training and employment opportunities. The mothers who received 5UPPOrt reported a decrease in isolation, an improvement in health and wellbeing and talked about valuing the opportunity to make new friends. Creating posltive memories was also. a crucial part of our work, and vie p,an to build on this next year offering additional activitie5 such as swimming, a trip to the farm and visits to local parks and community venues. Privote ond Iow-c05t counsellinq Becoming proficient at delivering safe online counselling also enabled us to increase our private and low-cost counselling offer for those women and their partners who were not eligible or able to attend our counselling service, including those beyond our geographical reach and mothers who were not available for daytime counselling due to work commitments. All funds generated by these services are channelled back Into our core charitable activities. Signposting We continued to receive calls from all over the UK from people seeking support, and whenever we could not offer direct help staff made every effort to signpost to relevant services. Peer support projert Our collaborative project with Home-start Greenwich and Central Greenwich Children Centres ICGCCI offering a peer-support project was completed during this financial year. Subject to finding fLJnding we would be interested to offer a peer-SLJpport service again in the future. Trainingo event5 and other octivities The pandemic restyictions impacted our ability to deliver face-to-face workshops to external audiences in 2020-2021, but we adapted our training packages so that we could deliver them online, continuing our work to challenge sligma and raise awareness amongst frontline health and social care professionals and volunteers about mental health conditlOn5 that affect pregnant and new mothers. We also maintained close links with allied professionals throughout the pandemic to ensure that they were aware of our continued service and to support referrals. We provided internal training and CPD, ensuring our therapy team were confident to deliver online counselling efficiently and safely by offering them 'best practice, traininB on how to deliver counselling via video conferencing and telephone. We were able to compensate for the lack of community event opportunities by focusing more on our digltal pre5eric¢! and impact, and we sought advice and expertise to develop our digital platforms and update OLJr website to further oiir reach. By investing more time in our digital presence, we were able to raise our profile on sotial media through Facebook, Twitter and Instagram accounts, substantially increasing followers on.all platforms. Impact Page 4

Our work has a proven positive impact on maternal mental health. Ongoing evaluation of our counselling services continues to demonstrate that we are engaging under-served Eroups that some other services have difficulty reaching. Again, more than half of all women supported were from non-white Britlsh ethnic backgrounds. Our evaluation of counselling also evidenced that our intervention is effective in improving the mental health of the mothers that we support.. 96Yo showed improvement on a scale that measured depression Ithe Edinburgh Postnatal Depression Scalel, with 67Yo of those who completed counselling movinÈ to below the clinical threshold for depression. After counselling 81Yo of women reported experiencing increased confidence in their parenting abilities, and 92Yo reported an improved bond with their babie5. Yet again this year IOO¥o of mothers reported that they would recommend our service. These statistics reflect continued improvements in outcomes when compared to the findings of the McPin evaluation report from January 2020, as published on MumsAid's website.. htt www.mums-aid.or about-us our-im act Beyond our counselling service, we also collect regular feedback from the mothers who take part in our groups and those who are supported by advocacy, outreach and practical a551Stance in our YoungMumsAid Service, and we plan to develop further our evaluation methodology for these newer aspects of our service. We were absolutely thrilled to have our impact celebrated and acknowledged by hearing in March 2021 that we were one of io finalists to win the GSK Impact Award, and we were later recognised as the overall winner at the recent award ceremony, an outstanding achievement for a charity of our size. This accolade comes with a cash award of £30,000, as well as four days of training for senior staff alongside production of a promotional film for the future use of the service and represents a wonderful recognition of our work and impact. Our staff and volunteer team We continued to have a loyal and dedicated core team with sow levels of staff turnover. We are founder led and the core staff have been with the organisation for many years but this year we also expanded the team with additional key roles. With the help of a Lloyds Enhance Grant we had recruited a Busine55 Development Manager for a fixed-term contract, who helped to raise £33,510 in additional income. The Business Development Manager was also instrumental in researching the options for our communication system needs and took the lead in working with Lamplight to implement a new CRM system, which once up and running should enable us to improve our data analysis efficiency and performance. This year we also strengthened the clinic21 team with the recruitment of an experienced senior supervisor, the employment of a designated therapist to work with our partners, the Motherhood Group, which represents members of the BAME community. and the addition of paid associate MumsAid therapists to deliver our private counselling service. The expansion of our YMA service led to the appointment of an experienced manager for the service, plus a part-time advocacy worker. We continued to have a committed team of 12 volunteer counsellors during the last year, who volunteered an average of 4 hours per week. We receive requests for trainee counselling placements throughout the year. Page 5

Future plans We know that we make a profound difference to the lives of mothers and babies and that we reach those women that other services often struggle to engaBe. We also know there is still more to do, particularly as the Covid-19 pandemic increases the stressors on many vulnerable families. Around one in in five mothers suffer from perinatal mental health issues and in the Royal Borough of Greenwich alone this means approximately 1,000 mothers per year. There are hundreds more women and children who would benefit from the life-changing support we can provide, and we continue to work towards our goal to become 'the go to organisation for support for new mums, in Greenwich and beyond. In terms of service provision, we will continue to strengthen and extend our core community-based counselling services, which are a lifeline for many local mothers. We also plan to offer enhanced outreach and advocacy support for vulnerable mother5 and expand the reach of our services. Beyond our direct support, we are committed to sharing our expertise in perinatal mental health more widely, and we are now attracting clinicians who are keen to work with us to develop their own maternal mental health research projects. We are also working on writing up and further evaluating our therapeutic approach with the aim of disseminating evidence-based best practice to perinatal mental health across the country. We hope that this will allow u5 to develop a training offer which could also have the benefits of providing a source of new unrestricted income to support our charitable activities. In addition, we plan to support sustainability by further developing our fee- paying coun5elling services, exploring new partnerships and developing individual giving opportunities. Building a strong core team and robust infrastructure are crucial in ensuring that the organisation is able to deliver its services as effectively as possible, and we continue to work on this, implementing the new Lamplight CRM system to increase efficiency and developin8 the riEht structure for our expanded management team. Towards the end of the year, we secured new funds from Central Greenwich Children's Centres ICGCCI which will support us to develop a new role which will oversee our central services, including Finance, HR, Digital and Business Development. Thi5 will support us to establish firm foundations for sustainable growth. Governance The policy and operating decisions of the charity rest with the senior staff and trustees, who meet on a bi-monthly basis to monitor the activities of the charity and set the appropriate priorities and direction for the charity. The expansion of the board in the previous year enabled the trustees to set up several sub-groups, which report into the Board, divided to cover essential area5 such as finance, marketing, fundraising and governance. These sub-groups have facilitated more focused in-depth work to be accomplished by the trustees and staff. Particular progress has been made in the area of governance, for example with the process of expanding and refining our risk reElSter, developing an induction pack for new trustees and introducing the Charity Excellence Framework as a valuable review tool. Page 6

Our YounEMumsAid project has additional oversight V13 a quarterly stakeholder steering group which includes referrers, partners and specialists who understand the specific needs of this cohort, as well as young mums who can offer unique insights through their own lived experience. Consultation with stakeholders The charity's primary stakeholders include the trustees, the women we Support through our services, and our funders, who include.. Royal Borough of Greenwich Children'5 Services., the Children's Centre Area Commissioners.. Home-start Greenwich, GLL, and CGCC,. Children in Need,. the Young Londoners Fund; Lloyds Bank Foundation,. Barnardo's,. the L&Q Foundation,. the Mental Health Sustainability Fund- and SELCE. We are also grateful for the shared working and support with our partners and colleagues, including midwives, social workers, health visitors, GPS and children's centre staff in Greenwich, Home-start Greenwich, the Motherhood Group, MamaKind, Barnardo's. Best Beginnings and other perinatal mental health networks. We also continue to explore new partnership opportunities that could further our mission and aims, for example with the Mental Health Foundation around peer support for young mothers. Consultation with specific stakeholder groups= Service users: The mothers we support through our service5 have opportunities to provide regular informal feedback during counselling and group sessions, or contact with the YMA manager or advocacy worker. They also complete post-service questionnaires giving feedback on the service they received and ideas for improvements, and they are encouraged to engage with us through'social media, including Facebook, Instagram and Twitter. Trustees.. We consult our trustees through our bi-monthly board meetinES and sub-group meetings and informal contact with the staff team in between. Volunteers.. We consult our volunteer counsellors during their fortnightly supervision meetings, which provide an ongoing opportunity to discuss any feedback about their experiences and those of the women they support with the CEO and supervisors, and for this feedback to be heard and responded to. Funders.. We attended frequent outreach meetings Wlth existing funders and prospective funders such Es the local Clinical Commissioning Group, and we provided quarterly evaluation reports on our service for those funders that required it. Referrers and partners.. We liaised with GPS, health visitors and other voluntary sector organisations through various forums and ensured representation at the quarterly stakeholder meetings for Aome-start Greenwich Children's Centres. We also have ongoing support and involvement with Maternity Voices in Greenwich and have ensured that perinatal mental health has been a prominent agenda item. Networks.. We have continued to be active members of the Maternal Mental Health Alliance and the South London Perinatal Mental Health Network. Financial review Income during the period, primarily from grants and contracts, totalled £619,02212019-20'. £233,6281, of which £559,16412019-20.' £209,737) was restricted. The majority of thp increase in income1£300,0001 relates to a transfer of restricted funds from Central Greenwich Children's Centres, as part of the winding up of that orEanisation. A final transfer of £14,000 was received in the financial year ending March 2022. CGCC sOU8ht a local charity with Page 7

similar aims to transfer their remaining assets to and MumsAid developed a successful business case for these funds to be awarded to us. The funds must be applied to Greenwich-based work only and are intended to support a core senior central role as well as additional counselling capacity over at least three years. A former CGCC board member has been appointed as a MumsAid trustee to oversee the deployment of these funds in line with agreements made between the two organisations. Other new funds in the year include a grant from the Young Londoners fund1£47.829 pla for three vearsl which 5UPPOrts our YoungMumsAid service and support from Lloyds Bank Foundation for business and infrastructure development1£25,6291, including supporting our response to Covid-19. Other pandemic-related funds secured comprised of a small grant from the London Communitv Response Fund1£4,7131 to enable provision of essential items to vulnerable mums during the pandemic-related lockdowns and funding from Greenwich MetroGavs1£9,6301 to support the transition to safe online and telephone counsellinE services. We continue to successfully deliver commissioned perinatal services for the Royal Borough of Greenwich in partnership with Bromley, Lewisham & Greenwich Mind, and this service is currently funded to April 2023. We also have a number of smaller grants underpinning our work, helping to extend the reach of our YoungMumsAid and MumsAid services to new areas across the Royal Borough of Greenwich and also supportinE the delivery of peer support and therapeLJtic groups. including art, mindfulness, journaling and singing groups. This has included grants from Peabody Trust, the Lottery's Building Connections fund, Best Beginnings and the L&Q Foundation. As with many small charities, one of our key challenges is lon8-term financial sustainability, and we have made good progress here in securing new funders both this year and the following year. This has supported widening the breadth of our service offer too with the expansion of online group work and a formal'ised advocacy offer. We have increased our income from private and low-cost counselling as well as small unrestricted donations. We continue to develop new income streams and we're working to diversify our funding mix and the range of partners we work with even further. We want to do more to increase unrestricted income to enable flexibility in our delivery approach. In 2021-22 we will continue to focus on increasing income from private and low-cost counselling services and finalise the codification of our service delivery model to 5UPPOrt the development of an enhanced training offer. We also aim to expand OLJr work in partnership with organisations with similar aims as well as exploring further digital delivery options to reach more mums than ever before. Total expenditure was £287,87412019-20.. £209.3071, of which £253.14212019-20.' £207,023) was restricted. Unrestricted funds at the period end totalled £71,34912019-20.. £46,233) and restricted funds were £313,26912019-20.. £7,247). The restricted fund balance is predominantly made up of the CGCC funds transferred just before the year end. Reserves policy The trustees have set a reserves policy that requires reserves to be maintained at a level that would enable MumsAid's activities to continue during time5 of unforeseen difficulties. We hold reserves to manage cashflow and enable investment in new services and ideas. We aim to hold three months, charitable expenditure as general reserves, approximately £69.000 based on current Page 8

forecasted activity in the next financial year to March 2022 (total costs less the cost of subcontractor payments and the costs of new roles funded in full by the CGCC restricted funds). We currently have approximately three months, cover in free reserves, which 15 in line with our policy target. We have budgeted to aim for an unrestricted surplus for 2021-22 as we are planning for growth and need to ensure our free reserves grow proportionally to our oxpansion in activity and income to ensure we can remain stable, especially during such a time of economic volatility a5 we expect over the next few years as a consequence of the impact of Covid-19. We expect our overall position in 2021-22 to be a deficit as we spend down an agreed portion of the CGCC restricted fund. Public benefit All our charitable activities benefit the public by their nature because we directly support parents experiencing mental health prok>lems and emotional distress, and their babies, in London's Royal Borough of Greenwich. We support our service users so that they can manage their mental health effectively and are thereby able to participate and contribute more fully in society, as opposed to being marginalised and excluded. This also benefits the public as a whole through the improved engagement of our service users with society, their enhanced ability to contribute as members of the wider public, and in many cases their reduced reliance on statutory services. Our services are widely available throuEhout Greenwich and the development of our online services has further increased our reach. Our clients can self-refer or come to us through a variety of agencies. The majority of our services are free, and any contribution expected from clients is in line with their ability to pay. Nobody is excluded from accessing our services on a financial basis. We have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing our aims and objectives and in planning our future activities. Responsibility of trustees Charity law requires us as trustees to prepare financial statements for each accounting year which record the rrtceipts and payments of the charity for the year. We are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charity and enable us to ensure that the financial statements comply with the Charities Act 2011. We also have a responsibility to safeguard the asset5 of the charity and to take reasonable steps to prevent fraud or any other irregularitie5. Approval This report was approved by the trustees and signed on their behalf by.. Name.. Jill Thompson Date.. 1310112022 Page 9

INDEPENDENT EXAMINERE REPORT TO THE TRUSTEES OF MUMSAID MATERNAL MENTAL HEALTH SUPPORT Cthe Charity'l I report 40 the chaflty l.wsle&s.on my fjx8mlnalion ot the accounts of the Charity for the yearend&d 31 March 2021 on pages 11 to 19 following, which have been Prepared on the basis of Ihe accounting policies sel out Dn page 15. Responslbllltie& and basls of report As the charity's tnjslees of the Charitable Incorporated Organr6ation you are Tesponsknle for the PTeparalion of th& accounts in accordance with the requirements of the Cha￿lieS Act 2011 I'lhe Acl'l. I report in respect of my examInat￿n of the Charity's accounts carried out under section 145 of the Act and in carying out my eyamination I have tollc)wecl all appiicabk vi￿¢tIonS gwen Lsy me Lnarny Lommiss10n under 14515llb} of thg Act. Indo￿ndant oxamlnèr's statamènt Since the Charity's gross income exceeded £250,000 your examiner must be a member of a body listed in rtinn n! ?ni i Apt ! pnn!!rrti trn Ilnrl￿rt￿Ir￿ Ihg 9v￿rnIn￿lIn￿ gm mgmber ol ICAEW. which is one of th* listod bodies. I have completed my examlnatlon. I confimi that no matters have come to my attention in connection ￿th the examination giving me cause to believe.. l. accountlna recofds wère not keDt In resoect of the Charitv as ￿Quired bv section 130 of the Act.. or 2. the accounts do not accord with those records.. or 3. the accounts do not comply with the applicable requirements oonceming the fom and content of accounts sel out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts givo a truo and fairf viow which is not a matlor considorod as part of an indgpondonl gxaminalion. I have no concems and have come across no other matters in conneclDn with the examination lo which allentiofi should be drawn in this report in order to enable a Proper underBlanding of the accounts lo be reached. Marie-claire Yeo ACA Inslilule of Chartered Accounlanls in England and Wales Date: 211112022 Page 10

MUMSAID MATERNAL MENTAL HEALTH SUPPORT STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2021 Total Funds 2021 Total Funds 2020 Unr8stricled Fund5 Restncled Funds Note INCOME ANO ENDOWMENTS FROM.. Donations Ch8rilable activities 5,636 54.222 559,164 564.800 54.222 229,648 3,980 Total Income and endowments 559.164 619022 233.628 EXPENDITURE ON.. 34.732 253,142 287,874 209,307 Totsl expendlture 34.732 253.142 287 874 209.307 Net Incomellexp8nditurel 2S.126 306.022 331,148 24.321 Tr8n8f¢r$ betr4een funds 25.126 306,022 331.148 24,321 Other recognised g8lnslllosse81'. Net movement in funds 25,126 306,022 331.148 24,321 Reconciliation of funds.. Tol31 funds brought forward 46,223 7,247 53,470 29,149 Total funds carried forward 71,349 313.269 384,618 53.470 The slalement of financial activities includes all gains and losses ￿cOgnised in the year. All incorne and expenditure derrve from continuing operations. The notes on page 15-18 form part of the%e accounts. Page11

MUMSAID MATERNAL MENTAL HEALTH SUPPORT BALANCE SHEET AS AT 31 MARCH 2021 Tol81 Funds 2021 Total Funds 2020 UnreslnGled Fund8 RéÈttsct6d Funds Not8 FIXED ASSETS Tangible assels 1,477 1.477 1,268 1,477 1,477 1.268 CURRENT ASSETS D8biors Cash at bank and in hand 523 73,499 2,064 311,763 2,587 385,262 3.162 111.503 74,022 313.827 387,849 114,665 CREDITORS.. Amount6 P4111ng due within ong year 10 12,6731 12.0351 14,7081 162.4631 Net current assets I Iliabilitie&l 71,349 311,792 383,141 52.202 Totsl 85s8ts le5$ curren¢ Ilabilltle5 71.349 313.269 384,618 53.470 N&t assets I lllablll￿oS) 71,349 313.269 384.618 53,470 TOTAL NET ASSETS 71.349 313.269 384.618 53,470 FUND BALANCES Unrestricted Funds General funds 71.349 71.349 71.349 71.349 46,223 46,223 Restricted Funds 313.269 313,269 7,247 71.349 313.269 384618 The flnanckql Sta18ff￿nIs w8re approved by the Board of TnJ5tees and were signed on ils behalf by". Jim Thompson, Chair of Trustees Dole 13.01.22 Charity number.. 1179849 The note5 Qn page 15-18 lorrn part of these accounts. Pag& 12

MUMSAID MATERNAL MENTAL HEALTH SUPPORT FOR THE YEAR ENDED 31 MARCH 2021 CASH FLOW STATEMENT Notg 2021 2020 Cash fflows from operatlng Bctivltles.. Alet Cash provided by (used inj operatlng aC￿VIlle$ 274.659 71,985 Cash lows Irom Investlng aetlvltl6s: Purchase ol property, plant 2nd èquipment Ngt cash prgvlded by/(us8d Inj Inveslng activities 899 899 Change In ¢a5h and 8qulvalents In tha raportlng perlod Cash and equlvalents at th8 beglnnlng of thè yoar Chango In ¢a$h and oqulvalents due to ex¢hang8 rate mov8m8nt8 273,760 111,503 71,985 39,518 C&sh •nd Cash equlvalgnts at the end of the ygor 385,263 111,503 An8ly818 of ch8ng•s In n•t d•bt'. Al start ol year IAny non-¢8sh rnovemenisl At end ol ygar C&sh-Ik)w8 Cash 111,S03 273.760 385.263 Total net funds I Idebll 111 503 273 760 385 283 Pag8 13

MUMSAID MATERNAL MENTAL HEALTH SUPPORT FOR THE YEAR ENDED 31 MARCH 2021 NOTES TO THE CASH FLOW STATEMENT Note a.. Re¢oncillatfjon of net Incomellexpendlturel to net ¢ash flow from opèratlng actlvltles 2021 2020 Ng¢ Incom81(¢xpendlture) for the reporwng pèrlod (as per Ihe statement gf flffranclal a¢tlvld•s) 331.148 24,321 Adluslments for.. Depreciation charges and provisions lor impaimwnt Ilncr8aseyd8¢rease in debtors Increaselldecreasel in creditors 690 575 157,7SSI 634 11921 47.222 Net cash provlded by (used Inj operatlng &ctivili¢¥ 274,659 71.985 Noto b: Analy818 of cash and ¢a8h equlvalents 2021 2020 Cash at bank ￿th Immediate access Pelly cash 385,208 54 111,503 Total cash and cash 09ulvalents 385,262 111 $03 P8ge 14

UkIs￿OI11TEfttIAL PNTAL HEALTH SLPPOPT NOTES TOTHE AGCOUNTS FOR ThE YEAR ENOED JI IIAR¢H 2021 8tstutory Infor￿tion The ch&nly¥ owwlipn￿gth￿dwlh Ewlind Tho prfnw8l¥d¢t095 bo on Ihè Charty Inf&Tr￿l￿n pasè. Thg34 finpnc￿l on uhdattho ThÉsé IiThan(K)l &klèmÉn1s havg bèan pmpaMQ In aC￿rdance wmh Iho'SI?Ipmnl Df Pia¢lKè AttounUng Regorting by ￿￿panf iliif attovnlsin c¥È tsncJud#th Ihal Ihéw IS a èwoclalknn Ih81 Ihe hBS lo tOnI￿)ul lo op&iaie loi Ihe I0￿￿et￿b￿ The 1h•ffjfore (onlinuéslo4dopi me Wino con¢em l¥ fiThBnwl bl Lfj￿ 1$ fè¢o9nisèd ￿ lh• IhB thanly b£cDrnB6 onliMBd Its ￿£1￿1, èmounl rocw?Olo be ¥￿IN 1&agonab￿COm&nly, nd Is p￿b￿b. For lh& pBrt. IncDmll ￿ genvrtly ￿C￿￿ed. On￿ lh• lo fu¥iliy)ndili0￿ by[0￿borD￿rt1 éhlillèd io Ihallho ps1o be pxpond£d In B dod ¥nd kbwc051 ￿unE￿I￿g tr)n￿￿è￿tyOfts￿￿n. Thè tthÉthyhÉÈ1ak&n vièwlhalilhasontyonè thartab4w 8￿r1y. tho al I￿￿ doThBion>. wh8n Iho J¢c￿lI￿nI lo the Ih¥l rtTr4blyind thèn io Ihè eilenl th?1 ￿ny￿ndit￿n8 Ihègmnl oyl6idf olih Dntrolofiho ch4thy. Th¢ c091 IyntsNnolw9nrtwnl Or￿h8￿n￿ib￿Pn Yhll so￿ tha￿11￿￿ Ow•1 £500.￿ io ID B(kn￿li8& uhJ&lak#n by tho chgn1y. Thfj ol Ihp tsf IhÈ tharty con￿Or¢￿10 n109￿1¢d Ihal acli¥itye&ÉlÈart lo b•foiinèone GrJ%fflanttÉ cDslÉ. ato In￿0•d ￿ oxwnoltum on noles to Ibe Iho Indwendvn1 0￿￿7￿?11￿n ofihQfthpnG¥l￿0lprn&nlB. ￿￿t￿IK￿r￿918no &talultrry[oqw￿￿￿t& ond ￿nY 0ih8r£Xpèr￿Iuts Incu￿￿ on 1ho sWif49¢ DI 1￿chartY GèMAI IL￿d$ ￿Trr4$￿ed thlcb ?wwlpbl¢ fot El IhÈ tsf thè t￿1140￿ In thrtMw8nce cf Ihe (￿¢11¥￿3 ol Ih? thanty (Ur￿ •fo ID bll Usd￿ bydono Iloms PurthÈ*d ordon•l8d (oilh8 ch0rflw8owTh￿U Ih&Th £$00 and Ihe toben8111 th8th3￿lY than •ccoun1in9 pe￿￿. Is Cha￿￿￿ èh a slrdQa1 Ihè ba￿S ￿ as to vèlw ol 855pI Itb u5Dlul e(unD￿ Ilè To lh￿Qb￿C1￿ dep￿a￿￿on 1GTEqw￿￿I BoNwoD3¥nd F yos Thé fixéd f•wwo&foihpaMv&nl￿ porod5 Ihaltho cwrOng ¥i￿e be Thg cNafilyOWfdIosd4T￿0J contnbu1￿n pwngon th•rywloTilsenylDyee5 obluÈ￿nS I￿(￿￿1￿110￿& ￿ Ih•84 gthèmsare 8¥ ?n expen￿ Ihe lptyllyan￿% The 85$01sol Ihe¥e 5Gh9rnesg￿ 5gPB ￿tslYf￿MlhD&e ol the th￿Y1￿ lunds. Th4 dtr not c¢ngéor th?1 the￿ ?rp mwl9￿01BO￿rC￿￿ of D&tThBIIDn untsrfÈinty al IhÈ bèl￿) sM•l aaltr thal its tstyno Domtion

lwh1s￿D MATERP4ALMENfAL PEALTh SUPPORT PIOTE$TO THE ACCOUNT5 FOR ThE YEARENDED31 k14RCH2021 202¢ 559.1 $8 LO 229 648 2020 t￿mI&11ng Lowcosl CouDs81kn9 Consul?nGy Try￿￿1n￿ 9,925 ChllritsbWA 202Q 221.304 Cknnl Svoptsm Mgrnba￿hlp￿1n5￿r￿ 1.5&1 Subcon1￿CtiNs8￿d P8rfnp45 4.968 2.3S9 3.933 2,000 glAdVa￿S1 3,770 Ttsvel ITdevobomtsnl 690 1tp8 951 Intuirèd tsnuPPtsrt&admirtistr4ti¢n Govemanco wsl$ ¢e InÉuffdn( lino. posthQ• 849 447 ndry ON¢0 ègu¢rn•nl Tdal pxwndlkn GrDEÈwauBgsnd POns￿n ¢wt? ￿n1hlY nunBrDfEth￿y0b5￿u￿fto IQI2020.. 7110￿￿9 S FTE. Oul biwolunleqrn. Nts Mall rouivèd a ￿1• ￿￿,000 ￿{ann IhD on 1ho Chprfy Info￿￿t￿ pp tknmg IhèyesrkÉymanÉtèMènl pèmnnèl b4nollt3lo1?￿n[ £65.33812Q20-. £5B.82T Tarffjlt4• Ix•dos•ot• E4uwnl 051 2W7 899 Addiknn& Al 31 2D31 Chpwe Iwlho AI 31 2WL1 90 NB1 boDkv?b)E Al 31 2D21 Al J1 2030 Pago 16

MLN5AK)MATERNAL￿HrAL HEALTh SUPPQRT NOTES TOTHEACCOW4TS FOR ThE ¥EAR EWED 11 MARCH 2421 2Q20 athèrdebits ToAI d6tort Caih it8•nk 4nd hW•nd 2020 BAnk tsp•oiiW Attttsunl# Ily¢ah 385,208 2020 TNd• •d 11 Ihv y•ortho kh• Op•niDg Quigolni CbWn9 bI￿n¢4 Jl.Kr.21 ot••r.20 G•n•MIUnf•strtl•dAind 4e,223 59,05 6•,85S e4nlrWQm•nwh ChldMn'bConlrn•(cacci 30D￿09 2,50J 6J4 19,634 3.7JQ 0.9 e.osJ 19.7801 Cl4-ltsndob con1￿￿lty R•wni• Fund icily8￿￿1• Twwll ct&-METRO QIAVS (Ownwth ¢h•AiibKI ¢￿-1& EmTgM¢yFundl 10.$301 T(4•ir¥ithiid Fufioi J3,470 284,E18 Anwly•i tsltt•ii*bkn by lurtd dn 3.D84 2.587 385.262 Cusl al bank ID hilld 73.411 71.J48 optslno bgl•nc4 12.2641 Funds .2S41

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