AMENDED JFywtlng Mums and th'r Families MumsAid Maternal Mental Health Support Report and Accounts Year ended 31 March 2023
MUMSAID MATERNAL MENTAL HEALTH SUPPORT CHARITY INFORMATION FOR THE YEAR ENDED 31 MARCH 2023 Tru•t••• Thè trustees who served during the year and al th& dale of approval were as lollows.. Mercy Brown Iresignod 19th JAnu8ry 20231 Margaret Camey Iresigned 3rd Novemb&r 20221 C18re Harland Grishma Patel Hazel Pèarson Stephanie Pickerill (resigned 191h January 20231 Jill Thompson Vicloria Wright Nupur Yogarajah Renu Assi (appointed 161h June 20221 Zenah Shuhaiber (appointed 8th September 20221 K•y Staff Miriam Donaghy (Founder & CEO) Gov•rnlng Docum•nt CIO Foundallon registered 7 September 2018 Chrtty R•gl•tratlon Numb•r 1179849 Prfncll Addrn¥• 184- 186 Westcombe Hill BL3(heath London SE3 7DH Ind•p•nd¢nt EXamIr Heather DLtnlop FCA Cont•nts Charity Information Truste85' Annual Report Independent Examine¢s Report Sl8tem8nt ol Fin8naal Actiwties B8lan¢& Sheel Nolas to the Accounts P*9• 2-15 16 17 18 19-26 Pagè 1
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES. ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 The trustees of MumsAid are pleased to submit the trustee5' annual report and accounts for the period above. Objectives and activities Obieitrles Mums4id is a Charitable Incorporated OrgaTrisation ICIOI. The charity'5 principal objectives as set out in its constitution are the preservaDon and protection of health and the advancement of good health. On 30 March 2023, the Trustees adopted a revised objerts clause for its constitution, reflerting the charity's increased scope and arnbition. MumsAid will achieve its principal objeth.ves in parttcular by= al Supporting the mental health and emotional health and well-being of women and families especially during pregnancy and early motherhood. bl Providing a holistic support service tailored to individual need including specialist l-l perinatal and other counselling from counsellors who are clinically superwsed and trained. cl Delivering therapeutic groups and frdcilitating peer 5UPPOrt. dl Providing information. advice. 8uidance and community adV(Y to resolb* issues and identr.fy avBilable sUPPOrt options. el Sharing MumsAid's specialist knowledge and disseminating best practice to rnise awareness and undefstsnding of how to support maternal and family mentsl health. Mumthid's vision is of a future where all mothers a supported in gtving their babies the best start in life. We believe passionately that pregnancy and new motherhood can be an excitin& but also challengin& time. and that the ri8ht support can make a difference, not just to mothers but to the healthy emotional development of their babies, and the broader wellbein8 of their families aTh communifies. Activities this year mUm&d tskes a holistic approach to the needs of mothefs experiencing Perinatsl Mentsl Health IPMHI challenges. Our services combine indiwdual counselling and group support plus outreach and advocacy, including help wtth hoLFsin& finance and employment. We also play a vital role helpir4g mothers access other SUPPOrt via our network of partners. We have eight key serv15.. A spedallst wlnatsl counselSln8 servke open to mothers of any a8e. provided one-to-one by counsellors who are clinically supervtsed and trained. Therapeutlc and peer support groups bringing together mums facing similar issues $0 they can learn how to manage their own mentsl health and support each other. YoungMumsAid IYMA): an accessible, trauma-informed and specialist service offering more intensivè support for mothers under 21, including home visits. regular contsrt from YMA staff. advotacy. a 2417 texting service and up to 24 sessions of individual therdpy.
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES, ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 Mighty Acorns: a new holistr"c support service for parents of babies aged 0-2 with complex medical conditions. additional needs or disabilities. Outreach servlces.. these include home visits and attendance support at essential health appointment5 Wlth babies. Other elements include befriendin8 SUPPOrt a5 well as advice and referrals to other services on issues include housing, managing h'nances and debt, and domestic violence issues. Some mothers need help with completion of benefits and housing forms and with college and work applications. We also help with donated furniture and white goods, essentials such as nappies and formula, arbd securing additional payments and childcare Ithrou8h Care to Le3rnl- Partnership wtth The Motherhood Group offerin8 specialist individual counselling provided by Black therapists to support Black mothers. Trauma Service.. a dedicated, specialist programme of therapy and group support for mothers experiencing trauma (including birth trauma) and complex challenges such as domestic abuse. Private and low-cost counselling setvices- available to women and their partners that are not eligible or able to attend our counselling services le.g., working parents not available during the dayl. All funds generated by these services are channelled back into our core charitable actsvitres. In addition, we are increasingly working with partners Isee Partnershi below), to.. Improve access to PMH services.. especially for underserved mothers. Raise awareness and reduce the Stigma surrounding PMH, for example.. speaking at the Westminster Health Forum Policy Conference, presenting at the Maternal Mental Health Alliance Conference; contributr.ng artr.cles to the British journal of Midwifery, International Journal of Parenting Education, and Perspectives in Public Health: active support for Maternal Mental Health Awareness Week. Share expertlse wlth other protesslonals: A PMH Clinical and Awareness Training Programme provides specialist training and continued professional development for counsellors. GPS and nurses, plus awareness training ft)r frontline health and social care workers. Trends thi5 year The aftermath of the Covid-19 pandemic and the cost-of-living crisis continued to create challenges for MumsAid, with the women we work with needin8 SUPPOrt more than ever and the delivery of that support continuing to be complex. We received hi8h volumes of referrals throughout the 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, includin8 more birth trauma, and relationship breakdown. The growin8 fi'nancial and domestic pressures has been made worse by the ongoing cost of living crisis.
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES. ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 The MumsAid team worked with dedication and flexibility to respond to these challenges and were able to continue with the hybTid model of delivery that we developed during the pandemic, offerin8 both online 3nd in-person counselling and therapeutic groups. Our service for young rnothers, which we also adapted to provide a more holistr'c offer with practical as well as psychological interventions to support their wellbeing, has continued to develop its innovative and much-needed work and was expanded to increase access to our support. We antr'cipate that demand for this specialist support will continue to grow. We would like to thank our staff and volunteers for their creativity, commitment and adaptability through thi5 time, enabling MumsAid to continue meeting the needs of our clients at a time when our support has been so vital. Achievements, impact and performance Our work has a proven positive impact on maternal mental health. On80ing evaluation of our counselling services continue5 to demonstrate that we are engaging under-served groups thot some other services have diffi'culty reaching. Again, more than half of all women supported were from non- white 8rittsh ethnic background5. The difference we make MumsAid supports mothers who are experiencing significant pre- and post-natal mental health challenges. We work with them to address the immediate emotional challenges and provide on8oin8 support to help them get back on track. Specifically* we support mothers to achieve positive change in four areas: Improved mental health, increasing resilience and ability to make posltfjve choices. Improved relationship with their babies. Reduced social isolation. Improved quality of life. Mum5Aid has had a proven positr've impact.. in reducing depresslon, anxiety, and stress,. Improving mothers, confidence in parenting,. and enhancing relationship quality. We have robust monitorin8 processes, and our most recent internal evaluation of outcomes Imarch 20231 indicates that we continue to achieve great outcomes for our clients. Depresslon.. 97% of mothers who completed counselling saw thelr scores on the Edinburgh Postnatal Depression Scale IEPDSI fall,. 72% moved below the threshold for clinical depression. Confidence.. There was a marked improvement after counselling for mothers who identified 'conftdence in their parentin8' as an issue at the outset. 89% of women increased confidence in their parenting abilities. Stress: 98% of mothers saw their scores from the Perceived Stress Index scale improved. Sat15fartlon.' The overall rating was 4.7 out of S. 100% would recommend the servlce.
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES, ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 In 2022, we undertook another external evaluation, led by Kerry Carter, MSC, a perinèt31 psychotherapist and coach with lived experience of being a mum. She 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 foi her thesis research with the University of East London. Results revealed the average EPDS IEdinburgh Postnatal Depression Scale) score changed positively and signifbcantly at the end of therapy for both groups of mums. We were very pleased to see such a positive impact.. 96% of the face-to-face group and 87% from the online group reported improvement in their scores. 72% of the face-to-fa¢e group and 52.2% of the online group moved from a clinical to sub clinical score. Satisfaction with the service was rated very high on average in both 8roups.' face-to-face 4.8 out of 5 and online 4.7 out of 5. Our holistic approach for mothers with complex needs, which combines one-to-one counselling support with group work, outreach and advocacy. sees similar clinical outcomes and satr"sfaction rating5. For example, in the 12-month period up to December2022, our YoungMumsAid Servi saw: 8onding scores improve from 7 to 4.89, with 82% of mothers showing improvement. Parental stress scores improve from 21.94 to 13.78, with 100% of the mother's showin8 improvement. Social connections scores improve from 13.94 to 10.61, with 87.5% showing improvement. Across all specialist services where clients received advocacy support from MumsAid, ICK)% reported that the support they feceived had been beneficial for them. Who benelits and in what way. Our core beneficiary group consists of mothers and families in Greenwich and, increasin8ly, beyond. This includes four main underserved groups= Women experiencing perinatal mental health during pregnancy and the first two years postpartum. Teena8e and young mothers. Mothers from Black and Minority Ethnic communities. Mothers of babies with disabilities and medical conditions. Our primary activity has continued to be the provision of free Counselling, using an evidence-based (0 model, STARKID, developed by MumsAid's CEO, Dr Miriam Donaghy, 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. We have maintsined that hybrid approach post pandemlc, recognising that online and telephone support can have benefits in broadenin8 access and enabling U5 to respond to individual needs and preferences. meeting women where they feel most comfortable.
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES, ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 Much of our work with young mothers involves teenage women who suffered neglect or abuse as children, and many have babies who are subject to child protection plans. Many experience Intersecting problems includin8 poverty, isolation, unstable housing, Ioss, relationship breakdown and a lack of family support, and this has a negative impact on their mental health. The majority are significantly above the Adverse Chlldhood Experlences (ACES) scale threshold for elevated risk for wide range of ne8ative medical, mental health, and social outcomes. Our data shows that: 87% have experienced domestic violence,. 95% have had previous mental health problems- 81% have special educational needs or disabilities,. 28% have been known to Social Care CIN/CP,. 43.5% have reported childhood neglect,. and 100% of them are dependent on benefits. A signiflcant number. 56%, of the young mothers121 and underl that we support are from Black and Mlnorlty Ethnlc communltles. Some have been trafficked or involved in drugs and 8an85. Mothers benefit by accessing - often for the first time professional, therapeutic support whlch allows them to begin working through the difficulties they are experiencing. However, over time we have learnt that vulnerable mothers are better able to en8a8e with therapy when other urgent, practical needs are being addressed, such as the need for secure housin8 or access to finan¢lal assistance. We have therefore developed other services to wrap around the needs of mothers, their babies and frdmilies, helping them to access wider care and assistance and build new relatlonships and networks of support. This includes: Supporting attendance at essential health appointments with babies. Completion of benefits and housing forms; help with college and work appllcatfons,. and advice and support with rehousin8. Support with moving away from violent relaonshIps. Provision of donated furniture and white goods,. support to secure additional payments. Childcare sUPPOrt (for example, through Care to Learn). Another key audience is health and soclal care professlonals who work wlth mothers and families. We aim to build their knowledge and understsnding of PMH issues so that they can provide effective signpostlng and support for families durin8 the perinatal period. To date our work with this group has been reactive. We have developed trainin8 in response to requests from professionals themselves. Next year we want to proactively market a tralning programme to meet the demand we know exists from our pilot Schemes thls year,
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES, ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 Beneliciary numbers In 2021-22, we supported 295 mothers and their babies. In 2022-23, we worked with approximately 3 10 mothers. Around 69 of these received support through our Youn8MumsAid service. Next year12023-241, we aim to increase the numbers that we can help in order to respond to the huge rise in demand, but this will be subject to increasin8 capacity in the teèm to provide more counselling and outreach support. We have piloted our training offer with 40 professionals. We want to review our training programme next year and work to brin8 It to new audiences includin8 corporate workforce teams. How we measure success Mothers receiving counselling complete pre- and post-service questionnaires, which use recognised clinical measures includin8 the Edinburgh Postnatal Depression Scale and the Perceived Stress Index to evaluate mental health improvement, stress levels, and relationship quality with partners, as well as gathering feedback on their experience of our services. We use self-report scales to determine confidence in parenting and the bond between mother and baby. These are recorded as part of individual case notes. We also keep in touch with mothers who have accessed any of our services, followlng up with them at least at three and six months "post service" Sometimes this can help identify ongoin8 or further needs. Sometimes it sees mothers re-en8a8in8 Wlth our services as part of a network of mutual support. For women who are receiving additional support beyond counsellin& we: Maintain case notes to track support provided, referrals and resolutions/outcomes. Gather group attendance data. Gather quarterly participant feedback on services received and any other support needed. Record therapists'ladvocacy workers, observations of mother-baby bonds. Collect referreflpartner feedback on en8a8ement with other services. We are embarking on training and consultancy from Pro-8ono Economics to review our theory of change and how we evaluate our increasingly holistic support for mothers. The aim of this work is for us to better articulate our impact and the Social Return on Investment in our approach. At the individual level, success for us is about helping mothers access the help they need to move forward and take the step5 they need to thrive as parents. Each cllnical measure or self-reported scale seeks to capture that and help identify where we can improve the support we provlde. The impact of our work is seen through the experiences of the individual mothers we WOTk with. For example, one client, I, is showing significant improvements In depression and anxiety, and developing a growing Sense of her own ability to keep herself and her baby safe and to pursue a career. J ha5 also created a strong bond with her baby, who is thriving. Other mothers report reduced Isolation.
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEÉS. ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 supporting their children to socialise and seeing them develop, as well as improved housing and money management. External rocognition As pioneers in the development and delivery of maternal mental health services, MumsAid has provided over 2,OCKJ pregnant and new mums with highly 5pecialised free and low-cost perinatal support since 2012. We have grown from a small start-up to an award-winning charity that has achieved national recognition including from the Maternal Mental Health Alliance IDiversity and Inclusion Award Winner, 20181 and the Royal Society for Public Health IPublic Mental Health and Wellbeing Award Winner, 20181. In the same year Public Health England featured our work as an example of best practice in perinatal mental health. In 2021 MumsAid was the overall winner of the Kings Fund / GSK Impact Award lour award video is available here.. www. outube.com watch ?v= 15 5usW2NAI. In December 2022, we were highly commended for the Best of Royal Greenwich Business Award under the category of Health and Wellbeing. Governance, structure and management Governing document MumsAid was set UP a5 a CIC in 2012. In 2018, MumsAid was established as a CIO governed by its Constitution. MumsAid's CIO Constitution was amended for the first time in 2023. On 30 March 2023, the Trustees adopted a revised objects clause, reflecting the charity's increased scope and ambition. MumAid's revised objectives are the preservation and protection of health and the advancement of 8ood health; further detail is outlined above lsee page 21. Governance MumsAid is governed by Its board of trustees, whlch meets re8ularly with the CEO and the senior leadership team lon overa8e every two months). Board papers and the agenda are circulated In advance and the meet4n8s are mlnuted, wlth a¢tlon polnts1088ed and reported back on. The work of the board is supported by several sub-groups, includin8 a Finance Committee and sub8roups for Governance, Fundraislng, Clinical Practice, Marketin8, HR and Strategy. The subgroups comprise trustees and relevant staff members. The Finance Committee and the Governance subgroup typically meet 1-2 weeks before the board meetings to prepare for them. Other subgroups meet as and when needed, and additional working groups may be convened on an ad hoc basis to work on a particular topic, such as reviewin8 MumsAld's organisational structure. Trustees MumsAid currently has eight trustees wlth a broad range of relevant knowledge, skllls and experience. The Board is led by MumsAid's Chair Jill Thompson, who is a psychotherapist 5peciallsin8 in perinatal mental health and relationship therapy. She has over 35 years, experience of working
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES, ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 within the Statutory and voluntary sectors. MumsAid's Treasurer, Vicki Wright, is Director of Finance and Operations at the New Economics Foundation. Other board members, experience includes: an integrative psychotherapist with a back8round in charity research, consultancy and grant making,. a lawyer with a focus on 8overnance, risk and compliance,. professionals with senior level experience in Operations and Human Resources, Business Planning, Risk Management, Finance and Marketing. Several members have lived experience of PMH and birth trauma. One is a past service user. Trustee recruitment, appointment and induction The members of the CIO are its charity trustees for the time being and only its trustees may be Its members. All our trustee5 go through an application and interview process. All trustees are provided with kev document5 such as the constitution and MumsAid Trustee Code of Condurt. More recently we successfully applied for trustee support from Board Lead, who offer both newly recruited and established trustees, access to governance trainin8 packages. In recent years, we have been continuing to develop and enhance our governance processes, including undertaking skills audits and trustee recruitment to fill skills gaps, introducing a trustee code of conduct, developing our induction and selection processes, broaderbing the CPD opportunities for trustees, and reviewing trustee commitment and involvement. Management, staff and volunteers Core team MumsAid is led by Dr Miriam Oonaghy, Founder and CEO of Mum5Aid. Dr Donaghy set up one ofthe first postnatal depression therapy groups in the UK. The approach she developed challenges existing models of viewing PMH as only a medical condition, highlighting the crisis of identity and purpose that many new mothers experience and advocating for an individualised approach to help recovery. Her academic work and direct experiences are the foundations of MumsAid'5 approach today. We are extremely fortunate to have a CEO who is a recognised and well-respected authority in the perinatsl mental health field. The MumsAid team brings our values of compassion and profe55ionali5m to life. We have a loyal and dedicated core team with low levels of stsff turnover and our core staff have been with the organisation for many years. This has been particularly appreciated in the current climate of skills shortages. In this last linancial year, we have been able to develop our core staff team with the addition of a full-time executive assistant who supports both the CEO and Board of Trustees. This appointment has created more opportunities for the CEO and Board to focus on future strategy ènd development. To date. fundraising has been covered by the CEO and a sub8roup of trustees, with some support from freelance fundraisers, and creating a dedicated post within the staff team to drive this forward is a key priority. We began recruitment for a fundraising manager in late 2022, but unfortunately the first round of recruitment did not lead to a successful appointment. Recruitment was re-opened in
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRusfEES' ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 2023 with support from an agency and a suitable candidate has now been found. We are delighted to welcome them into the team, where they will play a vital role in supporting the sustainability and growth of Mum5Aid. The team adapted to working remotely durin8 the pandemic restrictions and now, as in many other organisations, a hybrid workin8 culture has become established. In a recent service review. stsff identified the hybrid model had created a pressing need for a designated staff member to hold offi'ce mana8ement responsibilities and to take on basic administfative tasks which would support staff communication, mitigatin8 against the silo effect of remote workin8. This role would also release time for existing staff to spend on more specialised dutfes, promoting staff development. We worked in partnership with Greenwich Local Labour and Business IGLLa81, and we are delighted to have found a local person whose appointment lin mid 20231 also support5 our mission to develop a more diversifr'ed team reflecting the local community we Serve. As a living wage accredited employer as of December 2022, we are fully committed to providing salaries that meet artual costs of livin8 rather than a government directed minimum. Clinical staff In January 202 1, in response to the rising numbers of women experiencing blrth trauma, we recruited a senior psychotherapist specialisin8 in trauma. In addition to direct work with clients, the postholder was able lo offer training in 'Trauma Informed, practice to both our clinical staff and the volunteer counsellors on placement with us. This input enabled us to continue the delivery of our trauma informed support groups when the inltial funding for the specialist clinician came to an end. The trauma informed group programme has been extremely well received and Is now delivered by one of our clinical staff wlth the support of a volunteer counselloT. We have also condnued to prioritise the fundlng of the designated therapist to work with our partners, The Motherhood Group, which represents members of the BAME community. Previously the trustees had made the decislon to meet the cost of this service from reserves In line with our commltment to continue supporting the most marginalised women. We will have a fundraising manager in post soon and this service wlll be hlghlighted as an ongoing priority. Volunteers Our MumsAid covnselling placements contlnue to be sou8ht after and we have had a committed team of 10 volunteer counsellors durlng the last year, each providlng a minimum of 3 hours per week. We receive requests for trainee counselling placement5 throughout the year. Since the pandemic restrictions, online sesslons have become an established part of the counselling service and have made our placements more accessible to those students based further afi'eld. The focus, however, has been to contfnue to work in partnership with the local children's centres and offer face-to-face counselling in community-based settin85. This last year has seen an expansion in our volunteer placement provision as we have recently taken on two befrienders, both h'rst year students at the Centre for Counselling and Psychotherapy Education ICCPEI. These placements offer the flexibility to 5UPPOrt our young mothers, who often require more practical help before being able to utillse counselling support. We also have a volunteer SUPPOrting one of the YMA drop-ln groups. io
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES. ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 In addition, we have benefi.tted from volunteeis who have helped with administration, supporting core staff, as well as fundraising and outreach volunteers, promoting and attending events to increase awareness about our services. We are grateful to our two MumsAid Ambassadors fof continuing to support our cause and mission.. Dr Trudi Seneviratne, a Consultant in General Adult and Perinatal Psychiatry who has held national and internatr'onal roles promoting PMH services; and Zoe Tapper, an actress who is passionate about supports'n8 PMH. We are especially proud of our three MumsAid Community Champlons, all ex-service users keen to give back by volunteering their time for fundraising and public-speaking events. sharing theif passion and belief in the transformath've impact that being given the right support at the ri8ht time can chieve. Our champions feature prominently in our promotional videos. Organisatronal strucliire review We are aware that we need to stren8then the staff team and organisattonal structure to.. Balance the workload of ihe CEO and mitigate any potential succession risk. Ensure the right level of input across the senior team of strategic and operatlonal focus, particularly in terms of long-term approach to service delivery. income generation and communicarrons. Support consistency and accountability as the organisatr'on continues to grow over the next few years. As part of the additional pro-bono support offered by Llovds Foundat6on, we plan to engage a consultant to undertake a review of the current structure and roles, make recommendations for improvements and identify the key gaps to be addressed as a priority. We did some initial thinking on how to update our or8anisational structure as part of a business plan and fundraising review with an independent consultant in 2022. As part of the additional pro-bono support offered by Lloyds Foundation, we now plan to engage a consultant to undertake a more comprehensive review of the current 5truclure and roles, make recommendations for improvements and identify the key gaps to be addressed as a priority. Partnerships We work closely with other Charities, community organisatfons and Statutory agencies to ensure that we reach the people most in need of support, and work in a joined-up way to addre55 their needs as effectively as possible. Broadly our partners fit into five groups. l. Referral partners We have strong cross-sector partnerships that allow for two-way referrals and ensure that our work Complements other services. Referral partners include.. GPS,. health visitors; social workers; the pre- birth team,. 8est Beginnings specialist midwives; the NHS Perinatal Mental Health Team,. children's entres,. Time to Tèlk Ipart of the NHS Improvin8 Access to Psychological Therapies programmel- and li
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES, ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 other charities includin8 Mind and the Plef Centre. We participate in multi-a8ency Early Help meetin85 to provide early intervention support for stru8glin8 families. 2. Delivery p3rlners Delivery partners include.. The Motherhood Group, which supports and shares the Black maternal experlence. We support their work and provide counselling to mothers in their network. The Bridge Community Centre, which hosts and supports the Mighty Acorns servlce for mothers of babies with disabilitr'e5, medi¢31 conditions or complex needs. Greenwich Leisure Limited, which provides us with room5 and creche support In two of the children's center's they manage. More2, which provides,. childcare and learnin8 and play opportunSties for chlldren, trainln8 and employment support for parents, and fe creche spaces for mothers receivin8 counselling. New links include Nigerian Community Greenwich CIC and Black Female Entrepreneur Greenwich; we are developing these links as part of our work to extend our reach In local communitles. 3. Supportr"ng access to other services and support This Includes partnerships with South-East London Communlty Energy ISELCEI to help famllies wlth energy Costs. and Mama Kind, a local "baby banv that helps mothers access essentials such as nappies and formula. 4. Other local partnerships Other local partnerships include.. Bromley, Lewisham & Greenwich Mind: we have partnered with their Mindful Mums programme to help pregnant women and new mothers to look after themselves during pregnancy and the first year after birth. Home-start Greenwlch: we provlde servlces In some of their children's centers and postnatal depression awareness trdlnin8 for staff and volunteers. Greenwich Action for Voluntary Service {METRO GAVSI: whlch helps us to ldenfy potentlal funders and partners. 5. Good practice sharing and learning We are a member of the Maternal Mental Health Alliance, a coalition of organisatlons worklng together to improve the lives of women and families in the UK affected by maternal mental health difficulties Ihtt matern3lmenta1healthalliance.or and of the British Association for Counsellin8 and Psychotherapy IBACPI. We are also part of the South London Perinatal Mental Health Network and the local Maternity Voices group. 12
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES, ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 Financial review We have worked hard to translfjon to a more 5UStainable funding model wlth a mix of income stream5, and developed programme5 Wlth partners to broaden the specialist perinatal mental health offer locallv. Our funding is mainly made up of grants from charitable trusts and locally contracted services. Income during the period, primarily from grants and contract5, totalled £426.294121-22.. £331,242). of which £294,383121-22.' £231,978) was restricted. The increase in income was driven by the recognition in income of grants totalling £97,455, for which we had entitlement to at the year-end, but which relate to activities agreed with the relevant funders to be carried out in future years. Otherwise, our income remained stable over this year, compared to last year. We are the '80 to, service In Greenwich for PMH support, and this status supported us to secure an asset transfer last year from a local charity that was winding up, CGCC, which accounts for the bulk of our restricted reserves level. This funding supports local delivery, as it is restricted to the benefit of Greenwich residents. Thi5 donation is covered by 3 grant agreement and is supporting local delivery and development over three years from 202 1-24. These funds are supporting us to address unmet need in Greenwich, as well as increase our sustainability. They will contribute to building Sustainable core 5tafh.ng and infrostructure alongside extending our services to respond to demand, including through the flexibility of adding stretch capacity via sessional roles to meet fluctuatin8 local demand for our services. We continue to successfully deliver commissioned perinatal services for the Royal Borou8h of Greenwich and this service is currently funded to April 2026. We were successful in securing a renewal of this fundin8 in Oecember 2022. As with many small charities, one of our key ¢hallen8es is long-term financial sustainability. We have made good progress here in drivin8 8rowth in donations and earned income, and we intend to contr'nue building on this in future years. We continue to develop new income streams and we are workin8 to diversify our funding mix and the range of partners we work with even further. Most of our funding is restricted and this can make it difficult to address emer8in8 needs or innovate within our work. We have made progress in developin8 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 fole, which was appointed post year-end. In 2023-24 we willcontinue our focus on increasing income from private and low-cost counselling services and on the development of an enhanced training offer. with an initial focus on corporates. We also aim to expand our work in partnership with organisations With similar aims, as well as exploring digital delivery options to reach more mothers than ever before. Total expenditure was £383,441 121-22: £360,529), of which £331,301 121-22: £296.1431 was restricted. Unrestricted funds at the period end totalled £185,998121-22- £106,227) and restricted funds were £212.186121-22.. £249,1041- The restricted fund balance is predominantly made up of the 13
MUMSAID MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES, ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 CGCC funds along with funding from the City Bridge Trust for which we had entitlement at the year- end, but which relates to activities to be carried out in future years. 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 tar8et stsffin8 Structure and develop our unrestricted income approach. MumsAid provides exceptional value for money. We have the equivalent of fewer than six full-time staff but benelit 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 mothers via the channels that work for them. We also benefit from some volunteer admin support. We monitor our runnin8 Costs carefully and seek donatrons 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 trustee5 have set a reserves policy that requires reserves to be maintained at a level that would enable Murn5Aid's activib'es to confjnue during times of unforeseen diffi'culties. We hold reserves to manage cashflow and enable investment in new services and ideas. We aim to hold a minimum of three months, charitable expenditure as general reserves, approximately £104,208 based on the agreed budget for the financial year to March 2024. We currently have approximately 5.25 months, cover in unrestricted reserves, which meets our pollcy target. The unrestricted reserves include £25,COO which we have reco8nised this year as we have entitlement, but the income relates to activlties that are planned for the upcoming year. We have budgeted to bulld our general reserves over the coming years to support the foundation5 for 8rowth,' our busine55 Strategy for the next three years Is tar8etin8 substantial growth, and thus our underlying reserves requirement to support sustainability will increase. We need to ensure our reserves grow proportlonally to our expansion In activity and Income to ensure we can remain stable, especially during such a time of economlc volatility as we expect over the next few years due to the impact of the ongoing cost of living cri5i5, which is driving increased demand for our services. We expect Our overall position in 2023-24 to be a deficit as we spend down an agreed portion of the CGCC restricted fund and utilise the designated portion of our unrestricted reserves. The desl8nated reserves cover some unfunded costs in the year to March 2024 as follows.. Unfunded portion ofdelivery costs for Young Mums Ald Apr-sep 23 Full delivery costs for Mighty Acorns Apr-sep 23 Full delivery costs for the Motherhood Group Apr-sep 23 IT & Tech Fund Finance outsourced review Fundraiser recruitment costs and one year post funding £41,311 £6,OlXI £4,250 £5,0(K) £6,8(K) £39,395 14
MUMSAIO MATERNAL MENTAL HEALTH SUPPPORT TRUSTEES, ANNUAL REPORT FOR THE YEAR ENDED 31 MARCH 2023 Public benefit As dlscussed further In Achievements im ct and erfofmonce labovel, all our charitable actfvities benefit the pvblic 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 and elsewhere. We support OLtr service users 50 that they can manage their mentèl health effectively and are thereby able to participate and contribute more fully in society, as opposed to being mar8inalised and excluded.This also has associated benefits for their children, supporting improved developmental outcomes over the long term. It also benefits the public through the improved engagement of our service users with society, their enhanced ability to contribute as members of the wider public, and in many tases their reduced reliance on statutory services. Our seNices 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. Most of our services are free, and any contribution expected from clients is in line wlth their ability to pay. Nobody is excluded from accessing OUT 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 accountin8 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 bv.. Name.. Jill Thompson, Chair Date= 501.25 15
IPIOEPEIIDEIIT EXAIIINER'8 REPORT TO ThE TRUSTEE8 OF IjmD WITERNAL MENYAL MEALTh SUPPORT llh• CMrtty) I r•F(rfl to Ihè on ry exarrrfmlkn ol •ccwts of abm Tnmn for 3 3110W3 R••pon•lbHttI•• 4n¢J of r•port r•wlreThfit8 ollhè Chartb81 2011 (Tr A¢n I repryi In re¥wa ol ry eN8rrtna1n ol th• Tntsl'• eanl•J rArt ¢xthr 145 c4 the 2011 Acl and In c4rTrlrg nry ax8nlno1kn. I hab Ic4th¥J 11 I1 •PF4k•t4e (%re¢Jcrn fvi ty the Chwty I•¢¢ 145(SMikl A¢1. The gr¢M •xc••J•J £250.1)X) l am 10 b a quallw ol the of In ErqlaTrJ iTrJ w1. ¢4yTh¢vM valh exon11 glwa• c8uM lo th•1 In. •ty re•F•¢t'. he recrrfd8 kapi In Ittyon 130 0lth• CharlUud crf aCcjrrt1 ¢yJt In the charl IAcc(th• aThJ Rep>ts} R¢gul•tyryry 2(X)6 IhAn thai Ihè attrrtS • 'V •rnl f• VI 11 rnt a mDtter ccrnhJ•t•J u part ol •n WthpOrf •x•nknl aiieniiM 01j be dra In th1• reryt In lo the I¢¢ to t• H••itr Lknknp FCA Ilnifjlulo of Chrt•rnd In EryLgTrJ ¥bYW••l For aThJ b8hAlfol¢wknlo 7WYwd Lrrthn WC2A 2JR 18
MUMSAID MATERNAL MENTAL HEALTH SUPPORT STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2023 T¢)tsl Funds 2023 Total Fund¥ 2022 Unrestricted Fund$ Restricted Funds Note INCOME ANO ENDOWMENTS FROM: Oonabons Charttable a¢tiwb'es 177.136 14,775 294.383 411.519 14.ns 312.492 18.750 Totsl Incomg Jnd •ndowm•nts 131.911 294.383 428.294 331,242 EXPENLNTURE ON.. Charitat actiwtres Cost of raising funds 47.025 5.115 331.301 378,326 5,115 359,509 1.020 Totsl oxpondltur• 52,140 331,301 383,441 360,529 Not Sn¢om•ll•xp•ndltur•) 79.771 136.9181 42,853 (29.28n Transf•rn b•tWogn lunds 14 79,771 {36,9181 42,853 {29.287) othor rrt0gnl8 g*ln•lIlos8l. Other 9ainslllossesl Net movèmènt In funds 79.771 {36.9181 42.853 129,28n R•conclliatlon of fvnd$: Total fsjnds brought forward 1C6,227 249,104 355,331 384.618 Totsl funds carrbod forward 14 185.998 212,186 398.184 355.331 Thtr ststement of financjal actiwties indudes all g•in$ and1038¢8 rwnised in the y•ar. Al inc¢m¢ and expenditure d8rive from continuing operation8. Ths notes on pages 1>26 fom part ofthes& •c£ounts. 17
MUM8AID MATERIIAL MENTAL HEALTH 8UPPORT BALANCE 8HEeT AS AT 31 IIARCH 2023 Tot•1 Fundi 2023 Tot•1 Fund• 2022 Ufimtncd Fund• R•Jlnd•d Fundi Nol• FIXEO ASSETS Tingible assets 392 392 617 392 392 617 CURRE14T ASSETS O•blor• CBh at b•nk •nd In h•nd 10 110,1X)s 83.191 110.005 294.985 18.313 211794 193,196 211,794 lo4.9) 358.741 CREDITORS.. Am•unts l•lllng du• wlthln on• y••r 12 17,1981 (7.1981 14.tr2n N•1 ¢uft•nt •••l# I Ill•blllll••l 185998 211 794 397 792 354.714 Totsl •M•ts l••• curr•nt IlabllbO•• 16S,998 212.186 398.184 355.331 CREDITORS.. Amounts l•lllng du• •ft•t mor• th•n tsn• >••r Pl•1 •u•l• I Ill•bllhl••l 165,998 212.186 398.184 355.331 TOTAL hieT A88eT8 18S998 355 331 FUNO 8ALANCE8 14 Unmthct•O Fu1 185998 185.998 185.998 106.227 RwtrKl•d Fund 212.188 TOTAL FUNDS Th• fin•nLI •l•l¢rn•nts **r• •pprov¢d by th• Bo•rd ofTw•t•u 4nd r¥ •yn•d on Il• b•h•M by.. Jill Thomp•on. Chair ol Tru D•t• Chanty numt•r 1179849 Th• not•• on pagu 128 fom part ol Ihese #ccounll. 18
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