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2022-03-31-accounts

MumsAid Maternal Mental Health Support

Report and Accounts Year ended 31 March 2022

MUMSAID MATERNAL MENTAL HEALTH SUPPORT

CHARITY INFORMATION

FOR THE YEAR ENDED 31 MARCH 2022

Trustees

The trustees who served during the year and at the date of approval were as follows:

Mercy Brown Margaret Carney Julie Ferguson (resigned 31 May 2021) Clare Harland Delia Hyde (resigned 31 March 2022 ) Grishma Patel (appointed 29 April 2021) Hazel Pearson Stephanie Pickerill Gertrude Seneviratne (resigned 17 February 2022) Jill Thompson Victoria Wright Nupur Yogarajah Renu Assi (appointed 16 June 2022) Zenah Shuhaiber (appointed 08 September 2022)

Key Staff Miriam Donaghy (Founder & CEO) Governing Document CIO Foundation registered 7 September 2018 Charity Registration Number 1179849 Principal Address 184 - 186 Westcombe Hill Blackheath London SE3 7DH Independent Examiner Heather Dunlop FCA

Contents Page
Charity Information 1
Trustees' Annual Report 2-11
Independent Examiner's Report 12
Statement of Financial Activities 13
Balance Sheet 14
Notes to the Accounts 15-23

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

– FOR THE PERIOD FROM 1[st ] April 2021 31[st] March 2022

The trustees of MumsAid have pleasure in submitting the charity audit report and accounts for the period above.

Principal activities of the charity

MumsAid is a Charitable Incorporated Organisation (CIO). The charity's principal objectives as set out in its constitution are the preservation and protection of health and the advancement of good health.

MumsAid has a vision of a future where all mothers are supported in giving their babies the best start in life. We believe passionately that pregnancy 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.

Review of activities

The on-going Covid-19 pandemic continued to create challenges for MumsAid, with the women we work with needing support more than ever and the delivery of that support becoming more complex due to social distancing and isolation requirements. We received high volumes of referrals throughout the last year, particularly as other local services including health visiting were understaffed, resulting in a decrease in support available to families. In addition, we continued to see an increase in mothers who were experiencing complex needs, including more birth trauma, and relationship breakdown as well as growing financial and domestic pressures, made worse by increased isolation and health concerns for themselves and their families.

The MumsAid team worked with dedication and flexibility to respond to these challenges and were able to continue with the hybrid model of delivery that we developed last year, offering both online and in-person counselling and therapeutic groups. Our service for young mothers, which we also adapted last year, to provide a more holistic offer with practical as well as psychological interventions to support their wellbeing has continued to work well and was expanded to increase access to the support. We would like to thank our staff and volunteers for their creativity, commitment and adaptability through this time, enabling MumsAid to continue meeting the needs of our clients at a time when our support has been so vital.

Counselling service

Our primary activity has continued to be the provision of free counselling, using an evidencebased model STARK© developed by MumsAid’s CEO, for women experiencing mental health issues or emotional difficulties during pregnancy or after having a baby. 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 access 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 295 women (2021, 280 women) through its various services, which is a small increase from the preceding year on the numbers that received specialist counselling. There was also an increase in the total number of counselling hours that we offered, as we recruited additional counsellors to meet growing

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

demand and often extended our usual offer of 12 sessions, counselling the very vulnerable during lockdown and 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 a range of perinatal mental health conditions on not only the mothers themselves but also their families, including over 400 babies and children.

Groups

As well as the Young MumsAid (YMA) groups, we were pleased to be able to offer our popular weekly art group and emotional well-being groups, both of which act as stepping stones into and out of our one to one counselling offer. Sometimes mums are not ready to access counselling, and the social contact and personal resilience skills developed in our groups can be enough to make a difference for some of our mums without the need for additional interventions.

YoungMumsAid

Young MumsAid (YMA), the specialist service we provide for very young mothers (aged 21 and under), continued to be an integral and growing part of our provision. Our young mothers have been particularly vulnerable during the pandemic, 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, friends and health professionals (such as health visitors and Children’s Centres ). We have continued to see an increase in birth trauma, with hospital infection control measures meaning that many women had to attend appointments and go through the birth and immediate postnatal experience alone or with limited support from partners or caregivers. Some of the young mothers we supported have also experienced traumatic losses, such as miscarriage, stillbirth, the death of their own caregivers during the pandemic, or challenges relating to babies born with significant health needs.

MumsAid have continued to work in partnership with other local charities and organisations to ensure that our mothers get vital items. For example, we partner with:

We continued to run the weekly YMA drop-in group, at a Children’s Centre in the east of the borough and due to its popularity and high attendance, with numbers ranging between 6-12 mums, we looked to offer a second group in the south of the borough. We were able to do this with a partnership with the Mental Health Foundation who offered funding and support from their Connect program. The groups offer an opportunity to provide practical and emotional support to young mums 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 support reported a decrease in isolation, an improvement in health and wellbeing and talked about valuing the opportunity to make new friends. Creating positive memories was also a crucial part of our

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

work, and we were pleased to be able to also offer additional activities such as swimming, a trip to the farm and visits to local parks and community venues.

Out-of-hours text service

In response to an increase in mothers who require help and support outside normal working hours, including evenings and weekends, we were pleased to be able to launch an Out-ofhours text service with funding received from a small pot of discretionary funding awarded by local Councillors in Royal borough of Greenwich. This service is available 24 hours 7 days a week and can access emergency help if a safeguarding risk is detected. We plan to extend access to this service to dads who are partners of those using our services who will have their own key word, ‘Dad’.

Private and low-cost counselling

We have increased the number of associate therapists who provide our private and lowcost 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 and email enquiries 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.

Training, events and other activities

We adapted our training packages in order to deliver online workshops to external audiences, continuing our work to challenge stigma and raise awareness amongst frontline health and social care professionals and volunteers about mental health conditions 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 ensured that our therapy team were confident to deliver online counselling efficiently and safely by offering them ‘best practice’ training on how to deliver counselling via video conferencing and telephone and offered regular online CPD events to the team.

We were able to compensate for the lack of community event opportunities by focusing more on our digital presence and impact, and we sought advice and expertise to develop our digital platforms and update our website to further our reach. By investing more time in our digital presence, we were able to raise our profile on social media through Facebook, Twitter and Instagram accounts, and through employing a part-time Comms Freelancer we substantially increased followers on all our existing platforms and set one up on LinkedIn as well.

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

Our objectives for 2021/22

Over the year we had planned to extend our counselling services alongside an enhanced outreach and advocacy offer, and in this we were successful, both increasing the number of mothers supported and the overall therapy hours offered. We secured additional funding for advocacy support alongside the launch of a trauma service to support more mothers with complex needs.

We were also successful in our plans to write up the evidence-based counselling model STARK© developed by our CEO and have promoted this at speaking events and as part of online training delivered this year. The pace of this has been slower than anticipated due to internal capacity constraints but we continue to build on this work with additional speaking engagements lined up and further development of this strategic area prioritised for future years. As described below, we have also continued developing our approach to evaluating our work.

Another area of success is in the development of unrestricted income through both fee-paying counselling services and increased community and individual donations. Both of these areas have grown in the last year, despite delays in appointing a dedicated fundraising role, which is testament to the hard work and determination of our staff and trustees. We are also continuing to identify and work with more partners, not just in delivery of our services, but in accessing additional support for our mums and their families, as well as building our wider profile in the sector.

Our other priority for the year was to develop our core infrastructure and enhance our operational staffing capacity. There were some difficulties and delays here due to competing demands, the need to recruit new roles to access the skills needed for digital implementation and the need to prioritise renewing funding for core service delivery. We have focused on addressing this challenge in the upcoming financial year and we are making good progress, with an executive assistant recruited and a fundraiser role out for recruitment before the end of 2022.

Performance & Impact

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 groups that some other services have difficulty reaching. Again, more than half of all women supported were from non-white British ethnic backgrounds.

We undertook another external evaluation, this time led by Kerry Carter, Msc who carried out a comparative analysis of the outcomes for mothers who received our counselling in person with those who received it via an online platform for her thesis research with University of East London. Results revealed the average EPDS (Edinburgh Postnatal Depression Scale) score changed positively and significantly at the end of therapy for both groups of mums. We were very pleased to see such a positive impact:

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

Satisfaction with the service was rated very high on average in both groups, face-to-face 4.8 out of 5 and online 4.7 out of 5.

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: MumsAid McPin Report

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 assistance in our YoungMumsAid service, and we plan to develop further our evaluation methodology for these newer aspects of our service. Across all of our services where clients received advocacy support from MumsAid, 100% reported that the support they received has been beneficial for them.

We were recognised by the Mayor of Greenwich with a Community award as part of the Greenwich Civic awards 2020 for our services to women in the borough and we were absolutely thrilled to have our impact celebrated and acknowledged nationally, by being named as the overall winner at the GSK Impact Awards in September 2021, an outstanding achievement for a charity of our size. This accolade comes with a cash award of £40,000, 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 have a loyal and dedicated core team with low levels of staff turnover. We are founder led and the core staff have been with the organisation for many years but due to the need to increase capacity we have identified the need to expand the team with additional key roles. In response to the rising numbers of women who have experienced birth trauma we have recruited an experienced Trauma therapist and plan to recruit an additional young mums support worker. To bolster capacity of the support team and to continue enhancing our productivity we have begun to recruit for an Executive Assistant.

The clinical team has benefitted from the recruitment of the experienced Trauma therapist who joined in Jan 2021 and who, in addition to having a small case-load of clients who need specialist help, was able to offer training in Trauma informed practice to the rest of the team including the volunteers. We also extended the contract of a designated therapist to work with our partners, the Motherhood Group, which represents members of the BAME community for another year. The trustees made the decision to meet the cost of this from reserves in line with our commitment to continue supporting the most marginalised women and we were delighted when we were later offered additional funds from RBG to cover the cost of this service.

We continued to have a committed team of 11 volunteer counsellors during the last year, each providing an average of 4 hours per week. We receive requests for trainee counselling placements throughout the year. We have also had volunteers who have helped with administration, fundraising and outreach attending events to increase awareness about our services.

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

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 engage. We also know there is still more to do, particularly as the pandemic increased the stressors on many vulnerable families. Around one 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 communitybased counselling services, which are a lifeline for many local mothers. We will also continue with the 24-hour Text service and roll it out to dads as well as mums. We plan to further develop the Trauma service by increasing the hours of the specialist therapist and recruiting more volunteer counsellors and we also plan to deliver a new service for mothers of babies with disabilities or complex needs. We have identified this gap in service provision from mothers who have used our service asking us if we could develop it, and we have successfully raised half of the funds required for the first year. We would like this service to include an enhanced outreach and advocacy support along similar lines to the one we have developed for young mothers.

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 plan to work with pro bono support offered to us by GSK to copywrite the STARK model on which our therapeutic approach is based with the aim of disseminating evidence-based best practice to perinatal mental health across the country. We hope that this will allow us 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 counselling services, exploring new partnerships and developing individual giving opportunities. This will be supported by a dedicated fundraising strategy that will guide our approach alongside recruiting a dedicated fundraising role for the first time.

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, and we will prioritise embedding the Lamplight CRM system to increase efficiency and developing the right structure to support our expanded clinical team. We plan to use some of the funds we received from Central Greenwich Children’s Centres ( CGCC) to enable recruitment of an Executive assistant who will support the CEO and our central services, including HR, and the CRM system. This will enable us to establish firmer 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 subgroups, which report into the Board, divided to cover essential areas such as finance,

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

marketing, fundraising and governance. These sub-groups have facilitated more focused indepth 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 register, developing an induction pack and code of conduct for new trustees and introducing the Charity Excellence Framework as a valuable review tool. We have also reviewed and updated a number of HR and governance policies, with input from trustees with relevant skills and expertise.

In terms of board recruitment, we have addressed specific skill gaps by working successfully with recruitment programs such as Boardlead and Reach who introduce and match professionals from their corporate and strategic partner networks to non-profit Boards. We continue to recruit board members who share our values and passion in fulfilling our aims and objectives. After an initial interview with the CEO and Chair, new prospective trustees are invited to have a meeting with another board member and then asked to attend one meeting as an observer. We have two previous service users and several board members, including the Chair, who have lived experience of perinatal mental health issues.

Our YoungMumsAid project has additional oversight via 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's Services; the Children's Centre Area Commissioners: CGCC; Young Londoners Fund; Lloyds Bank Foundation; the Mental Health Foundation 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, Mama Kind, BLG Mind, More2, the Maternal mental Health alliance and other perinatal mental health networks. We also continue to explore new partnership opportunities that could further our mission and aims, for example with Corporates.

Service users : The mothers we support through our services 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.

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

stakeholder meetings for Home-Start Greenwich Children 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.

Financial review

We have worked hard to transition to a more sustainable funding model with a mix of income streams and developed programmes with partners to broaden the specialist perinatal mental health offer locally. Our funding, which has more than doubled in the last three years, is mainly made up of grants from charitable trusts and locally contracted services. Income during the period, primarily from grants and contracts, totalled £331,242 (20-21 £619,022), of which £231,978 (20-21 £559,164) was restricted.

The decrease in income (circa. £300,000) relates to a transfer, in the last financial year, of restricted funds from Central Greenwich Children’s Centre s, as part of the winding up of that organisation. A final transfer of £14,000 was received in this financial year ending March 2022. CGCC sought a local charity with similar aims to transfer their remaining assets to and MumsAid developed a successful business case for these funds to be awarded to us. This donation is covered by a grant agreement and is supporting local delivery and development over three years from 2021-24. These funds are supporting us to meet unmet need in Greenwich as well as increase our sustainability; they will contribute to a fundraising and operations role, support us to move to accessible local premises and contribute to the cost of the YoungMumsAid Service Manager. They also allow us the flexibility of stretch capacity through sessional roles to meet fluctuating local demand for our services. 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 than this, income remained stable over this year, compared to last year. There was some decrease in contractual income relating to the natural ending of some contracts with the local NHS. Conversely, there was growth, as planned for, in both donations and private counselling income, this reflects a deliberate strategy to invest in the growth of unrestricted income and broaden our overall income mix. New funders in the year include a grant from the Rosa fund (£28,450) which supported us to extend our trauma service and income from our partnership with the Mental Health Foundation (£26,880). We also benefitted from the £40,000 prize for being named overall winner of the 2021 GSK Impact Awards.

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 were successful in securing a renewal of this funding in December 2022.

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 supporting the delivery of peer support and therapeutic groups, including art, mindfulness, journaling and singing groups. This has included grants from the Mental Health Sustainability Fund and the Big Give.

As with many small charities, one of our key challenges is long-term financial sustainability, and we have made good progress here in driving growth in donations and earned income, and we intend to continue building on this in future years. We continue to develop new income streams and we’re working to diversify our funding mix and the range of partners we work with

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

even further. Most of our funding is restricted and this can make it difficult to address emerging needs or innovate within our work. We have made progress in developing paid-for services and there is untapped demand here, but we currently lack the resources to market and develop this further, and this will be one of the priorities for the planned new fundraising and business development role.

In 2022-23 we will continue our focus on increasing income from private and low ~~- c~~ ost counselling services and finalise the codification of our service delivery model to support the development of an enhanced training offer. We also aim to expand our 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 £360,529 (20-21 £287,874), of which £296,143 (20-21 £253,142) was restricted. Unrestricted funds at the period end totalled £106,227 (20-21 £71,349) and restricted funds were £249,104 (20-21 £313,269). The restricted fund balance is predominantly made up of the CGCC funds.

We aim to grow to meet demand and to secure a sustainable future for MumsAid. We expect our costs to increase as we seek to appoint new roles to meet our target staffing structure and develop our unrestricted income approach.

MumsAid provides exceptional value for money. We have the equivalent of fewer than six fulltime staff but benefit from volunteer commitments and engagement on our steering groups from local service users who help shape our work and focus. We can utilise volunteers to promote our work and reach out to young mums via the channels that work for them. We also benefit from some volunteer admin support. We monitor our running costs carefully and seek donations in kind where possible to keep costs down; for example, we have secured free or discounted use of counselling rooms and crèche facilities from many of our host partners, which would otherwise have a price of thousands of pounds per year. We have low overhead costs and work flexibly to reduce fixed costs.

Reserves policy

The trustees have set a reserves policy that requires reserves to be maintained at a level that would enable MumsAid's to maintain the smooth operation of our services and activities during times of unforeseen difficulties. Elements we consider when setting our minimum and target reserves levels are; cashflow management, continuation of service delivery when income fluctuates, to enable investment in new services and ideas, and investment in future-proofing our core infrastructure. In consideration of these we have set a policy of a minimum level of 3 months of expenditure and a maximum target of 6 months of expenditure.

To meet our aim to hold a minimum of three months' charitable expenditure as general reserves, we would need to hold approximately £83,113 based on current forecasted activity in the next financial year to March 2023 (total forecast expenditure less the cost of subcontractor payments and dep reciation in Dec’22 management accounts). We currently have approximately 3.5 months' cover in general reserves, which is in line with our policy target.

Our longer-term target of 6 months expenditure represents a wider set of needs including; managing inflation risk linked to the cost of living crisis, piloting of planned new work as well as ensuring continuity of existing projects with upcoming funding renewal needs, premises

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

and equipment costs that may arise from a future planned office move, and further development of our organisational structure to meet strategic growth plans. Hence, we have budgeted to continue building our general reserves this year and next to support theses aims. Our business strategy for the next three years is targeting substantial growth, and thus our underlying reserves requirement to support sustainability will increase. We need to ensure our reserves grow proportionally to our expansion in activity and income to ensure we can remain stable, especially during such a time of economic volatility as we expect over the next few years because of the impact of the pandemic alongside the ongoing cost of living crisis, both of which are driving increased demand for our services. We expect our overall position in 2022-23 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 problems 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 throughout 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 receipts 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 assets of the charity and to take reasonable steps to prevent fraud or any other irregularities.

Approval

This report was approved by the trustees and signed on their behalf by:

Name: Jill Thompson Date: 24.01.23

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MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES’ ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2022

I report to the trustees on my examination of the accounts of the above charity (“the Trust”) for the year ended 31/03/2022.

Responsibilities and basis of report

As the charity's trustees, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (“the Act”).

I report in respect of my examination of the Trust’s acc ounts carried 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 145(5)(b) of the Act.

Independent Examiner’s statement

The charity’s gros s income exceeded £250,000 and I am qualified to undertake the examination by being a qualified member of the Institute of Chartered Accountants in England and Wales.

I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination which gives me cause to believe that in, any material respect:

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Heather Dunlop FCA (Institute of Chartered Accountants in England and Wales) For and on behalf of Contando Limited 7 Bell Yard London WC2A 2JR

Date: 25/01/23

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MUMSAID MATERNAL MENTAL HEALTH SUPPORT

STATEMENT OF FINANCIAL ACTIVITIES

FOR THE YEAR ENDED 31 MARCH 2022

Note
INCOME AND ENDOWMENTS FROM:
Donations
3
Charitable activities
4
Total income and endowments
EXPENDITURE ON:
Charitable activities
5
Cost of raising funds
6
Total expenditure
Net income/(expenditure)
Transfers between funds
14
Other recognised gains/(losses):
Other gains/(losses)
Net movement in funds
Reconciliation of funds:
Total funds brought forward
Total funds carried forward
14		 Unrestricted
Funds
£
80,514
18,750
99,264
63,366
1,020
64,386
34,878
-
34,878
-
34,878
71,349
106,227		 Restricted
Funds
£
231,978
-
231,978
296,143
-
296,143
(64,165)
-
(64,165)
-
(64,165)
313,269
249,104		 Total
Funds
2022
£
312,492
18,750
331,242
359,509
1,020
360,529
(29,287)
-
(29,287)
-
(29,287)
384,618
355,331		 Total
Funds
2021
£
564,800
54,222
619,022
287,874
-
287,874
331,148
-
331,148
-
331,148
53,470
384,618

The statement of financial activities includes all gains and losses recognised in the year.

All income and expenditure derive from continuing operations.

The notes on pages 15-23 form part of these accounts.

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MUMSAID MATERNAL MENTAL HEALTH SUPPORT

BALANCE SHEET

AS AT 31 MARCH 2022

Note
FIXED ASSETS
Tangible assets
9
CURRENT ASSETS
Debtors
10
Cash at bank and in hand
11
CREDITORS: Amounts falling
due within one year
12
Net current assets / (liabilities)
Total assets less current liabilities
CREDITORS: Amounts falling due
after more than one year
Net assets / (liabilities)
TOTAL NET ASSETS
FUND BALANCES
14
Unrestricted Funds
Restricted Funds
TOTAL FUNDS		 Unrestricted
Funds
£
-
-
14,668
95,586
110,254
(4,027)
106,227
106,227
-
106,227
106,227
106,227
106,227
-
106,227		 Restricted
Funds
£
617
617
3,645
244,842
248,487
-
248,487
249,104
-
249,104
249,104
-
-
249,104
249,104		 Total
Funds
2022
£
617
617
18,313
340,428
358,741
(4,027)
354,714
355,331
-
355,331
355,331
106,227
106,227
249,104
355,331		 Total
Funds
2021
£
1,477
1,477
2,587
385,262
387,849
(4,708)
383,141
384,618
-
384,618
384,618
71,349
71,349
313,269
384,618

The financial statements were approved by the Board of Trustees and were signed on its behalf by:

______ Jill Thompson, Chair of Trustees 24.01.23 Date __

Charity number: 1179849

The notes on pages 15-23 form part of these accounts.

Page 14

MUMSAID MATERNAL MENTAL HEALTH SUPPORT

NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2022

1 Statutory Information

The charity is a charitable incorporated organisation registered with the Charity Commission in England & Wales. The charity's registered number and principal address can be found on the Charity Information page.

2 Accounting Policies

The financial statements have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant notes. The financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS102) (effective 1 January 2015) - (Charities SORP - FRS102) and the Charities Act 2011.

The Charity meets the definition of a public benefit entity under FRS102. Assets and liabilities are initially recognised at historical cost unless otherwise stated in the relevant accounting policy notes.

The principles adopted in the preparation of the financial statements are set out below.

a) Going concern

The trustees have assessed whether the use of the going concern basis is appropriate and have considered possible events or conditions that might cast significant doubt on the ability of the charity to continue as a going concern. The trustees have made this assessment for a period of at least one year from the date of approval of the financial statements. In particular the trustees have considered the charity's forecasts and projections and the possible implications should projected income and / or expenditure vary unexpectedly. The trustees have concluded that there is a reasonable expectation that the charity has adequate resources to continue to operate for the foreseeable future. The charity therefore continues to adopt the going concern basis in preparing its financial statements.

b) Income Income including income from government grants is recognised in the period in which the charity becomes entitled to receipt, the amount receivable can be measured reliably, and receipt is probable. Donations are generally recognised when they are received. Income is only deferred when the charity has to fulfil conditions before becoming entitled to it.

Gift aid income are recognised when claims are submitted to HMRC. Gift aid that has not been recovered by the balance sheet date is included as a debtor.

Income from charitable activities represents income receivable from goods, services and facilities supplied in furtherance of the charity's charitable objects. It includes income from traded private and low cost counselling services, training and consultancy provision.

c) Expenditure

Expenditure is recognised when it is incurred and it includes attributable VAT which cannot be recovered.

Support costs have been allocated 100% to charitable activities as the direct costs of raising funds are a trivial value compared to the direct costs of charitable activities. As such the Trustees do not believe that the benefits of greater accuracy through further detailed allocation of support costs would outweigh the costs involved.

Governance costs, which are included in expenditure on charitable activities but are identified separately in the notes to the accounts, includes costs associated with the independent examination of the financial statements, compliance with constitutional and statutory requirements and any other expenditure incurred on the strategic management of the charity.

The value of any voluntary help received is not included in the accounts.

d) Donated goods, services and facilities Donated goods, services and facilities are included at the estimated value to the charity.

e) Fund accounting General funds are unrestricted funds which are available for use at the discretion of the trustees in furtherance of the general objectives of the charity. Restricted funds are donations which are to be used in accordance with specific restrictions imposed by donors. Employment costs, including pension costs, may be allocated to restricted funds where this is allowed by the terms of the restricted donation.

f) Tangible fixed assets

Items purchased or donated for the charity's own use are capitalised when the cost of purchased items is equal to or more than £500 and the item is expected to benefit the charity over more than one accounting period. Depreciation is charged on a straight line basis so as to write down the value of each asset over its expected useful economic life. To achieve this objective the following depreciation periods are used:

ICT Equipment

Between 3 and 7 years

The carrying values of tangible fixed assets are reviewed for impairment in periods when events or changes in circumstances indicate that the carrying value may not be recoverable.

Page 15

MUMSAID MATERNAL MENTAL HEALTH SUPPORT

NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2022

g) Debtors, creditors and provisions

Debtors are recognised at the settlement amount due after any discounts offered.

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 to settle the obligation can be measured or estimated reliably.

h) Basic financial instruments

Financial assets and liabilities: Financial assets and financial liabilities, including debtors and creditors, are recognised when the charity becomes party to the contractual provisions of the instrument. Additionally, all financial assets and liabilities are classified according to the substance of the contractual arrangements entered into. Financial assets and liabilities are initially measured at transaction price (including transaction costs) and are subsequently re-measured where applicable at amortised cost.

The Charity only holds basic Financial Instruments. Financial Instruments are classified and accounted for according to the substance of the contractual arrangement as financial assets or financial liabilities. The financial assets and financial liabilities of the Charity are as follows:

i) Pension scheme arrangements The charity operates defined contribution pension schemes for its employees. Obligations for contributions to these schemes are recognised as an expense when the liability arises. The assets of these schemes are held separately from those of the charity in independently administered funds.

j) Taxation

The charity has taken advantage of the various reliefs from taxation available to charities and no tax is payable on the charity's income.

k) Critical accounting estimates and areas of judgement The trustees do not consider that there are any material sources of estimation or uncertainty at the balance sheet date that could result in a material adjustment to the carrying values of assets and liabilities in the next reporting period.

3 Donations and legacies

Donations
Grants and contract income
Income tax recoverable
Donated goods, services and facilities		 2022
£
18,505
271,977
-
22,010
312,492		 2021
£
5,579
559,164
58
-
564,800

Grants above includes government grants of £104,119 from the Royal Borough of Greenwich (2021: £97,119 from the Royal Borough of Greenwich). Further details of the nature of the grants are in the note 14 below.

Donated goods, services and facilities include £3,000 of donated video production services, £4,750 of training and £14,260 of donated venue hire. The corresponding costs have been included in the relevant expenditure headings in note 4.

Private Counselling
Low Cost Counselling
Therapeutic groups
Training
Consultancy		 2022
£
15,790
970
90
1,900
-
18,750		 2021
£
9,925
1,910
33,258
2,100
7,029
54,222

Page 16

MUMSAID MATERNAL MENTAL HEALTH SUPPORT

NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2022

5 Charitable expenditure

a
Costs incurred directly on charitable activities
Staff costs
Costs to deliver client activities
Client Support
Memberships/Insurance
Supervision
Subcontractors and Partners
Research and Evaluation
Training
Marketing/Advertising
Travel
IT development
Depreciation
b
Costs incurred on support & administration
Governance costs
Accounting fees
Office rent
Insurance
Printing, postage and stationery
Telephone
Sundry
Office equipment
HR
Total expenditure
6
Cost of raising funds
Fundraising costs
7
Gross wages and salaries
Employer's National Insurance
Pension costs
Total Staff Costs
Analysis of staff costs, the cost of key management personnel and trustee remuneration and expenses		 2022
£
258,469
16,440
2,591
731
1,020
40,100
180
6,847
8,113
657
9,467
859
345,474
3,379
725
5,400
659
116
1,861
454
11
1,430
14,035
359,509
2022
£
1,020
1,020
2022
£
202,481
11,745
21,243
235,469		 2021
£
221,308
-
1,794
646
1,080
38,095
4,968
2,359
3,933
172
1,686
690
276,731
3,060
-
5,400
849
145
1,541
122
26
-
11,143
287,874
2021
£
-
-
2021
£
186,303
9,910
10,827
207,040

The total staff costs in this note excludes non payroll related staff cost such as sessional staff and recruitment which are included in note 5.

The average monthly number of employees during the year was 10 (2021: 10 totalling 5 FTE) totalling 5 FTE. Most of the charity's activities are carried out by volunteers.

No staff received salaries at a rate of more than £60,000 per annum (2021:£NIL).

The charity's key management personnel comprise the trustees, the CEO and the YMA service manager (in the prior year the YMA service manager was not part of the key management personnel).

During the year key management personnel received employment benefits totalling £93,967 (2021: £65,338).

No trustees received any remuneration or other benefits from an employment with the charity or a related entity in either the current or preceding year.

Volunteers are also a key part of MumsAid’s team and added value. We currently have 11 volunteer counsellors, each of whom volunteers an average of 4 hours per week to support our mothers (so a weekly average total of about 44 hours). Volunteers are either qualified counsellors or psychotherapists or trainees who have reached a certain stage in their training. They receive regular supervision and CPD through MumsAid to oversee the quality of their work and support their development. We also benefit from 2 volunteers supporting admin or operations who provide 3 days per week in total.

8 Net Income/Expenditure for the year

This is stated after charging:

Amount paid to independent examiner for examination Depreciation

2022 2021
£ £
2,500 2,000
859 690

Page 17

MUMSAID MATERNAL MENTAL HEALTH SUPPORT

NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2022

9 Tangible fixed assets

Cost At 1 April 2021 Additions Disposals At 31 March 2022 Accumulated depreciation At 1 April 2021 Charge for the year Eliminated on disposal At 31 March 2022 Net book value At 31 March 2022 At 31 March 2021

10 Debtors

Falling due within one year: Trade debtors Prepayments

11 Cash at Bank and in Hand
Bank operating accounts
Petty cash

12 Creditors: liabilities falling due within one year

Trade creditors Accruals

----- Start of picture text -----
ICT Total
Equipment 2022
£ £
3,435 3,435
- -
- -
3,435 3,435
1,959 1,959
859 859
- -
2,818 2,818
617 617
1,477 1,477
2022 2021
£ £
13,877 -
4,436 2,587
18,313 2,587
2022 2021
£ £
340,374 385,208
54 54
340,428 385,262
2022 2021
£ £
612 2,658
3,415 2,050
4,027 4,708
----- End of picture text -----

Page 18

MUMSAID MATERNAL MENTAL HEALTH SUPPORT

NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2022

13 Pension commitments

During the year employer’s pension contributions totalling £21,243 (2021: £10,827) were payable to defined contribution personal pension schemes. No pension contributions were owing at the balance sheet date (2021: £NIL).

14 Funds

During the year the movements in the charity's funds were as follows:

General Unrestricted Funds
Total Unrestricted Funds
Restricted Funds
Central Greenwich Children's Centres (CGCC)
Big Give Trust
Mental Health Foundation
Mental Health Sustainability Fund (AMHP)
National Lottery Awards For All
National Lotter Community Fund (Mighty Acorn)
RBG Text Service
RBG Commissioning
ROSA Women Thrive Fund
Young Londoners Fund
C19 - Lloyds Bank Foundation
C19 - London Community Response Fund (City Bridge Trust)
Total Restricted Funds
Aggregate of funds		 Opening
balance
01-Apr-21
£
71,349
71,349
299,505
-
-
4,410
634
-
-
-
-
6,083
842
1,795
313,269
384,618		 Incoming
resources
£
99,264
99,264
14,000
700
26,880
-
-
10,000
7,000
97,119
28,450
47,829
-
-
231,978
331,242		 Outgoing
resources
£
(64,386)
(64,386)
(100,000)
(700)
(26,880)
(4,410)
(634)
-
(3,355)
(97,119)
(7,113)
(53,912)
(225)
(1,795)
(296,143)
(360,529)		 Transfers
in the year
£
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Gains and
losses
£
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Closing
balance
31-Mar-22
£
106,227
106,227
213,505
-
-
-
-
10,000
3,645
-
21,337
-
617
-
249,104
355,331

Analysis of net assets by fund

The assets and liabilities of the various funds were as follows:

Tangible fixed assets
Debtors
Cash at bank and in hand
Creditors falling due within one year
Creditors falling due after one year		 Unrestricted
funds
£
-
14,668
95,586
(4,027)
-
106,227		 Restricted
funds
£
617
3,645
244,842
-
-
249,104		 2022
£
617
18,313
340,428
(4,027)
-
355,331

Page 19

MUMSAID MATERNAL MENTAL HEALTH SUPPORT

NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2022

In the previous year the movements in the charity's funds were as follows:

General Unrestricted Funds
Total Unrestricted Funds
Restricted Funds
Central Greenwich Children's Centres (CGCC)
Children In Need
L&Q Foundation
Lloyds Bank Foundation
Mental Health Sustainability Fund (AMHP)
National Lottery Awards For All
National Lottery Building Connections
Peabody
RBG Commissioning
Young Londoners Fund
C19 - Lloyds Bank Foundation
C19 - London Community Response Fund (City Bridge Trust)
C19 - METRO GAVS (Greenwich Charitable Trust Covid-19 Emergency Fund)
Total Restricted Funds
Aggregate of funds		 Opening
balance
01-Apr-20
£
46,223
46,223
-
-
-
-
-
1,268
-
-
-
5,979
-
-
-
7,247
53,470		 Incoming
resources
£
59,858
59,858
300,000
42,422
4,128
15,000
4,410
-
19,534
3,750
97,119
47,829
10,629
4,713
9,630
559,164
619,022		 Outgoing
resources
£
(34,732)
(34,732)
(495)
(42,422)
(4,128)
(15,000)
-
(634)
(19,534)
(3,750)
(97,119)
(47,725)
(9,786)
(2,918)
(9,630)
(253,142)
(287,874)		 Transfers
in the year
£
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Gains and
losses
£
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Closing
balance
31-Mar-21
£
71,349
71,349
299,505
-
-
-
4,410
634
-
-
-
6,083
843
1,795
-
313,269
384,618

Analysis of net assets by fund

In the previous year, the assets and liabilities of the various funds were as follows:

Tangible fixed assets
Debtors
Cash at bank and in hand
Creditors falling due within one year
Creditors falling due after one year		 Unrestricted
funds
£
-
523
73,499
(2,673)
-
71,349		 Restricted
funds
£
1,477
2,064
311,763
(2,035)
-
313,269		 2021
£
1,477
2,587
385,262
(4,708)
-
384,618

Page 20

MUMSAID MATERNAL MENTAL HEALTH SUPPORT

NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2022

Purposes of restricted funds:

Big Give Trust

Marketing and communication support for fundraising campaign

Central Greenwich Children's Centres (CGCC)

Grant supporting the delivery of MumsAid's charitable services in the Royal Borough of Greenwich.

Children In Need

Young MumsAid - was set up in 2015 to provide services for teenagers aged 16-19 who are pregnant or have a child under age of 2. This service provides up to six months of weekly one-to-one counselling, plus psychological education, to 16-19 year old pregnant teenagers or mothers living in Greenwich, in recognition of their multiple and often complex needs.

L&Q Foundation

Funding to support the provision of free group therapy and art therapy to pregnant women and mums with young children, bringing together mums facing similar issues so they can learn how to manage their own mental health and support each other.

Lloyds Bank Foundation

Enhance grant supporting the development of the organisation, including funding towards a Business Development Manager post for 1 year, IT infrastructure and hardware upgrades and strategic development.

Mental Health Foundation

The project funded by Mental Health Foundation targets young mums aged up to 25. It addresses the support needs of acutely vulnerable families who face complex challenges, including those arising from Covid-19. It enables access to practical care and support, drop in groups and YMA specialist.

Mental Health Sustainability Fund (AMHP)

Grant from the Association of Mental Health Practitioners to further MumsAid's sustainability in delivering mental health services in the VCSE sector.

National Lottery Awards For All

IT upgrade, including new website and new equipment to allow us to make better use of digital solutions.

National Lottery Building Connections

Peer outreach and group support for mothers with perinatal mental health issues. MumsAid is working in partnership with Home-Start Greenwich and Central Greenwich Children's Centres to provide peer support to isolated mothers who are currently unable to attend counselling, through home visits from trained volunteers. We also offer opportunities for mothers with perinatal mental health issues to socialise, access mindfulness and wellbeing groups, and participate in bi-annual social gatherings.

National Lottery Community Fund (Mighty Acorns)

Mighty Acorns project is a holistic support service for parents of babies aged 0-2 with medical conditions, additional needs or disabilities.

Peabody

Ensuring mothers living on the Peabody Moorings Estate who would benefit from our service will be appropriately identified or will have the confidence to self-refer and will not therefore slip through the net. Providing counselling in a children's centre within easy reach for mothers identified from the Peabody area.

RBG Commissioning

Local authority commissioned services to provide counselling and therapeutic groups to women in Royal Borough of Greenwich. We work in partnership with Bromely, Lewisham and Greenwich Mind who deliver groups for new mums under this grant.

RBG Text Service

Out of hours service, available 24 hours, 7 days per week for young mums who may be struggling or experiencing crisis.

ROSA Women Thrive Fund

Funding from Rosa Women Thrive enables recruitment of a specialist trauma therapist who can manage increasingly complex cases, support safeguarding, and share best practice trauma informed care with our team.

It also funds a weekly drop-in group, where mums can support each other using skills they already have, enhancing wellbeing and confidence, management of stress/depression/anxiety, and providing parenting and relationship support.

Young Londoners Fund

Funding from The Mayor's Young London Fund is enabling YoungMumsAid to provide psychological support to girls and young& women (14-21) in Greenwich who are either pregnant or have a child under two years old. As well as 1-1 therapy in 3 children centres in the borough, the funding will also fund a drop-in group located in a supported housing block in Woolwich for young mothers, increasing accessibility and reducing barriers to engagement.

C19 - Lloyds Bank Foundation Bridging grant furthering the support provided by our Lloyds Bank Foundation Enhance grant including provision for investment in IT capacity and capability and additional business development manager hours to support effective continuation of services during Covid-19 pandemic.

C19 - London Community Response Fund (City Bridge Trust)

Grant enabling Young MumsAid to better support vulnerable mothers throughout the Covid-19 pandemic period including provision of emergency supplies; using virtual platforms to provide counselling and support; and supporting mothers to connect digitally while face-to-face services are unavailable/not permitted.

C19 - METRO GAVS (Greenwich Charitable Trust Covid-19 Emergency Fund)

Grant to enable Young MumsAid service to better support vulnerable young mothers through the period of the Covid-19 outbreak by strengthening internal capacity to support more mums and more mums in different ways.

Page 21

MUMSAID MATERNAL MENTAL HEALTH SUPPORT

NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2022

15 Transactions with related parties During the year the charity:

a) Received donations totalling £30 (2021: £NIL) from related parties (which includes trustees, any other members of key management and anyone closely connected to them).

b) No expenses (2021: £NIL) were paid to, or for, the trustees.

Page 22

Total funds carried forward Total funds brought forward Reconciliation of funds: Net movement in funds Other gains/(losses) Other recognised gains/(losses): Transfers between funds Net income/(expenditure) Total Expenditure Cost of raising funds Charitable activities EXPENDITURE ON: Total income and endowments Charitable activities Donations and legacies INCOME AND ENDOWMENTS FROM:
14 14 6 5 4 3 Note
106,227
249,104
355,331		 71,349
313,269
384,618		 34,878
(64,165)
(29,287)		 -
-
-		 34,878
(64,165)
(29,287)		 -
-
-		 34,878
(64,165)
(29,287)		 64,386
296,143
360,529		 1,020
-
1,020		 63,366
296,143
359,509		 99,264
231,978
331,242		 18,750
-
18,750		 80,514
231,978
312,492		 Unrestricted
Restricted
funds
funds
Total
2022
2022
2022
£
£
£
71,349
313,269
384,618		 46,223
7,247
53,470		 25,126
306,022
331,148		 -
-
-		 25,126
306,022
331,148		 -
-
-		 25,126
306,022
331,148		 34,732
253,142
287,874		 -
-		 34,732
253,142
287,874		 59,858
559,164
619,022		 54,222
-
54,222		 5,636
559,164
564,800		 Unrestricted
Restricted
funds
funds
Total
2021
2021
2021
£
£
£