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2025-12-31-accounts

United for Global Mental Health (A company limited by guarantee)

Registered number: 11139817 Charity number: 1180516

United for Global Mental Health

(A company limited by guarantee)

Trustees' report and financial statements For the year ended 31 December 2025

Doc ID: 31591badd74590b13db6c32d7dcf02573b595fd5

United for Global Mental Health

(A company limited by guarantee)

Contents

Reference and administrative details of the Charity, its Trustees and advisers 2
Trustees' report 3 - 14
Independent auditors' report on the financial statements 15 - 18
Statement of financial activities 19
Balance sheet 20
Statement of cash flows 21
Notes to the financial statements 22 - 30

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Doc ID: 31591badd74590b13db6c32d7dcf02573b595fd5

United for Global Mental Health

(A company limited by guarantee)

Reference and administrative details of the Charity, its Trustees and advisers For the year ended 31 December 2025

Trustees Professor Graham Thornicroft, Chairman Peter Yaro (resigned as Director 12th March 2026 but continues to serve as Trustee) Alan Court Neelesh Christopher Heredia Samantha Elizabeth Brown Babita Sharma Enoch Li

Chief executive officer Sarah Kline Company registered number 11139817 Charity registered number 1180516

Registered office

2nd Floor 168 Shoreditch High Street London E1 6RA

Independent auditors

Kreston Reeves Audit LLP Statutory Auditor 2nd Floor 168 Shoreditch High Street London E1 6RA

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Doc ID: 31591badd74590b13db6c32d7dcf02573b595fd5

United for Global Mental Health

(A company limited by guarantee)

Trustees' report for the year ended 31 December 2025

The Trustees present their annual report together with the audited financial statements of United for Global Mental Health for the year 1 January 2025 to 31 December 2025. The annual report serves the purposes of both a Trustees' report and a directors' report under company law. The Trustees confirm that the annual report and financial statements of the charitable company comply with the current statutory requirements, the requirements of the charitable company's governing document and the provisions of the Statement of Recommended Practice (SORP) applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS102) (effective 1 January 2019).

Since the Charity qualifies as small under section 382 of the Companies Act 2006, the strategic report required of medium and large companies under the Companies Act 2006 (Strategic Report and Directors' Report) Regulations 2013 has been omitted.

Objectives and activities

United for Global Mental Health is dedicated to creating a world that enables good mental health for all. We focus on what will make the most difference to global mental health, and we build whatever it takes to make that happen. Our work is global, and we support our partners who work nationally around the world. The beneficiaries of our work are primarily those with a diagnosed mental health condition, but also wider society, as every person will experience periods of good and poor mental health, and many will need support from their communities or more formally through government services to regain their health.

a. Policies and objectives

United for Global Mental Health seeks to raise awareness of mental health issues through campaigning and advocacy, and to encourage the de-stigmatisation of mental health issues. We promote the implementation of effective interventions, guided by international norms and standards from organisations such as the WHO and other UN agencies, as well as insights from people with lived experience of mental health conditions. We advocate and campaign for financing to support mental health initiatives so that additional funding can be made available to mental health programmes, particularly at the national level.

In setting objectives and planning activities, the Trustees have given due consideration to general guidance published by the Charity Commission on public benefit, including 'Public benefit: running a charity (PB2)'.

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United for Global Mental Health

(A company limited by guarantee)

b. Strategies for achieving objectives

Our current strategy covers the period from January 2024 to December 2026. Our vision is “a world where everyone, everywhere, has someone to turn to for their mental health.” Ultimately, to create a kinder, healthier, more productive world.

We use our expertise in advocacy and policy to advance this vision and focus on four areas of strategic impact:

  1. Rights: Everyone has the right to enjoy the highest attainable level of mental health.

  2. Health systems: Mental health care should be integrated across all health systems as a vital step towards making quality, comprehensive, and person-centred mental health services accessible to all.

  3. Ecosystems: We will seek to shape the world we all live in to help promote better mental health.

  4. Field building: We can grow the reach and impact of organisations working to advance good mental health for all.

Since we were established, we have tried very hard to be mindful of the rest of the mental health sector. In our last strategy, we explained that we both unite, incubate and advocate. This remains the case.

We unite – working with campaigners, practitioners, national organisations, businesses, people with lived experience, funders, researchers, governments, and international bodies so they can learn, collaborate, and make greater progress together.

We incubate – designing and setting up the initiatives with partners that will make the most impact on global mental health and help them to grow.

We advocate – identifying where there is a need for financial and political progress, gathering technical insight, finding opportunities to encourage positive change, and working with others to achieve success.

A copy of the strategy can be found at: https://unitedgmh.org/about/our-strategy/

c. Activities undertaken to achieve objectives

The trustees are satisfied United for Global Mental Health (UnitedGMH) fulfils the Charity Commission’s guidance on public benefit.

d. Main activities undertaken to further the Charity's purposes for the public benefit

In 2025, alongside partners from government, business, international institutions and civil society, we focused our efforts on seven key issues. We aimed to:

  1. Make sure mental health is fully integrated into policies and actions to tackle the climate crisis and environmental destruction.

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United for Global Mental Health

(A company limited by guarantee)

  1. Accelerate progress on suicide decriminalisation, particularly in the Caribbean region, where it is treated as a punishable offence rather than a public health issue.

  2. Make sure mental health care is fully integrated into HIV and TB health services.

  3. Advance mental health on the global political agenda by engaging with the UN General Assembly’s High ‑ Level Meeting on Non ‑ Communicable Diseases and ‑

Mental Health: the first UN high level meeting to prioritise mental health. We continue to press governments to translate this recognition into concrete commitments.

  1. Accelerate the deinstitutionalisation of mental health care. We want to end institutionalisation and see a shift to community-based care where people's human rights are respected and their recovery prioritised.

  2. Elevate young people’s mental health up the local, regional and global political agenda.

  3. Build the field of mental health advocacy through our Global Mental Health Action Network (GMHAN), a global community of advocates that makes change happen.

Achievements and performance

a. Review of activities

1. CATALYSING CLIMATE ACTION TO PROTECT MENTAL HEALTH

More countries are recognising the link between mental health and climate change, yet very few have plans to address it. In April 2025, we released a first ‑ of ‑ its ‑ kind report to help governments identify how integrating mental health across sectors within Nationally ‑ Determined Contributions (NDCs) can unlock significant co benefits. Currently, only 3% of NDCs reference mental health; our report aims to change that. It outlines practical entry points for embedding mental health into climate mitigation and adaptation policies, providing policymakers with clear guidance on positioning mental health as a core component of climate resilience. The report has since been added to the NDC Partnership’s knowledge portal, the primary global hub for NDC support.

In 2025, mental health made unprecedented progress in global climate policy. We helped drive this by coordinating mental health civil society ahead of key global moments such as COP30, briefing major climate stakeholders, including the African Group of Negotiators and the Least Developed Countries Group, and strengthening the integration of mental health within climate and health discussions.

At COP30 in Belém, Brazil, mental health was recognised for the first time in COP history as a core element of adaptation. The Belém Health Action Plan, endorsed by more than 80 countries and organisations, includes concrete steps to integrate mental health into climate adaptation efforts. Mental health was also included in the Global Goal on Adaptation, ‑ ‑ marking its first ever appearance in a COP negotiated outcome.

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United for Global Mental Health

(A company limited by guarantee)

2. THE DECRIMINALISATION OF SUICIDE

In November 2024, our work in the Caribbean received USAID funding via a consortium led by the Education Development Centre (EDC) to support suicide decriminalisation efforts in the Caribbean. Despite USAID funding cuts in early 2025, our advocacy continued to support critical progress in several Caribbean countries with a focus on Trinidad & Tobago, Grenada, St Lucia, and The Bahamas. This initiative began with a three-day workshop, which ultimately led to the establishment of the Caribbean Suicide Decriminalisation Coalition (CSDC). The coalition partners brought together the voices of young people, people with lived experience, and mental health professionals to build a compelling case for suicide decriminalisation in St Lucia and Grenada. Governments are now actively working with our coalition partners to move towards the decriminalisation of suicide. As an example, Senator Gloria Thomas, Minister of Social & Community Development and Gender Affairs in Grenada, raised the issue of decriminalisation in Parliament. She recognised it as a significant step forward in improving mental health services and reducing stigma.

3. INTEGRATING MENTAL AND PHYSICAL HEALTH SERVICES

We’ve continued to push for mental health care to be integrated into HIV and TB programmes; an approach with the power to strengthen both physical and mental health outcomes in ways that reinforce one another.

Since 2022, we’ve been working in partnership with the Elton John AIDS Foundation (EJAF) to integrate mental health into HIV and TB programmes. In May 2025, we commissioned an independent evaluation of this work. The evaluation’s findings showed that our targeted advocacy contributed to a six ‑ fold increase in the inclusion of mental health in Global Fund funding requests, expanded access to services for millions of people, and supported key policy wins at both national and global levels. It also found that our work directly benefitted more than 40,000 people and indirectly reached more than 20 million people across our four priority countries: Nigeria, Pakistan, the Philippines and South Africa, giving them greater access to mental health information and/or services.

Across these countries, the evaluation concluded that:

As programmes worldwide navigate budget cuts and a more constrained political environment, the evaluation makes clear that targeted advocacy can still deliver meaningful, scalable impact.

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United for Global Mental Health

(A company limited by guarantee)

4. DRIVING MENTAL HEALTH UP THE POLITICAL AGENDA

The second half of 2025 saw a major surge in global momentum for mental health, with United for Global Mental Health and the Global Mental Health Action Network playing a central role in keeping mental health high on the political agenda. From UN corridors to grassroots campaigns, our work helped sustain political commitment, amplify community voices, and demonstrate what is possible when advocacy, collaboration and lived experience come together.

‑ A defining moment came in September 2025 at the UN High Level Meeting on Noncommunicable Diseases and Mental Health, the first time mental health had ever been recognised at the UN General Assembly as a priority health issue and an essential part of ‑ effective health systems. We helped shape this milestone by co leading global advocacy with the NCD Alliance, UN agencies and more than 100 civil society organisations; working with over 60 governments to secure strong commitments; and producing reports and briefings calling for integrated, people ‑ centred care and a shift from institutional to ‑ community based services. We also ensured that lived experience voices were included throughout the process and co-organised the leading mental health side event with WHO and the Wellcome Trust, bringing together heads of state, ministers, youth advocates and civil society leaders.

The impact was significant. The Political Declaration adopted at the meeting included the strongest mental health commitments ever made at this level, covering suicide prevention, youth mental health, deinstitutionalisation and financing. More than 100 governments spoke about mental health at the UN and signalled support for national reforms, including increased budget allocations and strategies to transition away from institutional care.

5. DEINSTITUTIONALISATION OF MENTAL HEALTH

We have continued to work closely with governments, communities, and people with lived experience to accelerate the transition away from outdated institutional models of mental health care. Our focus remained on promoting community ‑ based, rights ‑ centred and tailored services, because everyone deserves dignity, autonomy, and meaningful support within their own communities. Deinstitutionalisation is not simply about closing facilities; it is about building mental health systems that respect rights, restore dignity, and provide real, person ‑ centred care.

We published our flagship report, Out of Sight, Out of Mind – The Human Rights Case for Ending Institutionalisation in Mental Healthcare , which has already reached more than 12,000 people online and is helping to build global understanding of why institutionalisation must end. Our intent is to strengthen the global case for community ‑ based mental health systems and reinforce the principle that every person has the right to support that enables

6. ELEVATING YOUNG PEOPLE’S MENTAL HEALTH

We are proud to serve as the advocacy lead for the Being Initiative, supported by Fondation Botnar and Grand Challenges Canada. The programme focuses on improving the mental health and wellbeing of adolescents across 12 priority countries in Africa, Asia, Latin

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United for Global Mental Health

(A company limited by guarantee)

America and Europe: regions where adolescent mental health needs are high, services are under ‑ resourced, and youth ‑ led innovation has the potential to drive meaningful, scalable ‑ change. By investing in research, youth led solutions and ecosystem strengthening, the initiative aims to transform prevention and early intervention in settings where the impact can be greatest.

In 2025, our advocacy helped elevate youth mental health on some of the world’s most influential political stages. As part of the Children’s 20, we played a key role in securing mental health commitments in the G20 Leaders Declaration, including action on suicide prevention, workforce expansion and perinatal mental health. We also supported the first round of youth mental health grants across 11 countries, catalysing new approaches and strengthening local leadership.

A central focus of our work has been ensuring that young people with lived experience shape national and global policy conversations. Their leadership was visible throughout the ‑ year, from the G20 to the UN High Level Meeting on NCDs and Mental Health, and at the Global Mental Health Summit. At the 2025 Global Ministerial Mental Health Summit in Doha, we helped ensure youth voices were front and centre, with young innovators showcasing digital solutions designed by and for their peers.

‑ Together with our partners, we are helping shift youth mental health from a long neglected issue to one that is increasingly recognised, prioritised and better resourced across countries where the need, and the opportunity for impact, is greatest.

7. BUILDING THE FIELD OF MENTAL HEALTH ADVOCACY

In 2025, the Global Mental Health Action Network (GMHAN) continued to grow as the world’s largest and most diverse mental health advocacy community. The network now connects more than 8,000 advocates across 174 countries and territories; a remarkable 48% increase in membership in just one year. Members span NGOs, researchers, youth leaders, and people with lived experience, reflecting the breadth and depth of the global movement for mental health.

A major focus this year was expanding our reach in regions historically underrepresented in global mental health discussions. Through strategic partnerships with regional organisations, membership in the Eastern Mediterranean and Western Pacific more than doubled, ensuring that voices from these regions are better represented in global policy processes. Today, a new member joins GMHAN every two hours, demonstrating the growing demand for a connected, coordinated global mental health community.

‑ Alongside this growth, we worked closely with members to drive policy level impact at both national and global levels. The lead-up to the UN High ‑ Level Meeting on Non ‑ Communicable Diseases and Mental Health provided a critical opportunity to ensure that young people could shape the agenda. GMHAN convened young leaders to define shared civil society priorities and supported their participation in key meetings in New York and Geneva, ‑ including the WHO Youth Multi Stakeholder Hearing. Their contributions helped secure a final UN Political Declaration that includes five times as many references to children and ‑ young people as previous NCD focused declarations, marking a major step forward for youth mental health.

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United for Global Mental Health

(A company limited by guarantee)

At the national level, GMHAN continued to support members to influence policy reform and strengthen mental health systems. Across multiple countries, advocates used GMHAN’s global best practices, peer learning, and shared evidence to engage governments, shape ‑ ‑ national strategies, and advance community based, rights centred approaches to care. These efforts contributed to meaningful policy shifts, including commitments to expand youth mental health services, strengthen prevention and early intervention, and transition away from institutional models of care.

Through this combination of global advocacy, regional expansion, and national ‑ level influence, GMHAN is helping to build a more connected, more representative, and more impactful global movement, one that is increasingly shaping the policies, systems, and investments needed to improve mental health for people everywhere.

Fundraising

UnitedGMH raises funds through a balanced mix of philanthropic partnerships, trusts and foundations, and corporate supporters. This diversified approach helps ensure financial sustainability and reduces reliance on any single income stream. Our fundraising model is ‑ ‑ ‑ relationship driven and focused on long term, mission aligned partnerships that support both programme delivery and organisational resilience. All fundraising is carried out directly by UnitedGMH staff; we do not use external fundraising agencies. There were no complaints received in the year.

Key funders and income streams

‑ During the year, we secured new multi year funding commitments from philanthropic partners, including a major grant from Bukhman Philanthropies to support our maternal mental health work. We strengthened relationships with existing partners such as Pinterest, lululemon and built a new partnership with A&O Shearman, whose support spans unrestricted funding, staff ‑ led fundraising, and pro bono contributions. We also advanced several significant opportunities with trusts, foundations and institutional funders, reflecting growing interest in ‑ global mental health and systems level advocacy.

Trends in the funding landscape

The broader funding environment remains competitive, with a relatively small pool of funders working in global mental health. Our new donor cultivation is long ‑ term and non ‑ linear, but we ‑ are seeing steady progress in building partnerships with genuine multi year potential. We also observed increased interest in areas such as maternal mental health, youth mental health, climate and mental health, and rights ‑ based reform.

Future plans

Our fundraising priorities for the coming year include:

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United for Global Mental Health

(A company limited by guarantee)

‑ ‑ We remain focused on cultivating long term, values aligned partnerships and maintaining a sustainable, diversified funding base that supports our mission and strategic goals.

Risk Management and Regulations

We abide by the Chartered Institute of Fundraising (CIoF) best practice standards and the UK Fundraising Regulator’s Code of Fundraising Practice. We are committed to ensuring that all fundraising is open, honest, respectful and legal. We also take particular care to ensure that fundraising activities do not place undue pressure on people in vulnerable circumstances, and all donor information is managed in line with data protection legislation and our internal privacy policies.

All fundraising activities are carried out directly by UnitedGMH. Neither the charity nor anyone acting on its behalf was bound by any voluntary fundraising scheme or standard beyond those noted above. Any fundraising activity undertaken on behalf of the charity is agreed and approved by the CEO before any approaches are made. The CEO reports to the Board of Trustees at least quarterly.

UnitedGMH does not engage in public fundraising through direct solicitation. While a donate button is available on our website, the majority of funds raised through this channel come from corporate partners.

No complaints were received during the year regarding fundraising activities undertaken by the charity or by anyone acting on its behalf.

Financial review

a. Going concern

After making appropriate enquiries, the Trustees have a reasonable expectation that the Charity has adequate resources to continue in operational existence for the foreseeable future. For this reason, they continue to adopt the going concern basis in preparing the financial statements. Further details regarding the adoption of the going concern basis can be found in the accounting policies.

b. Reserves policy

The Charities SORP requires a statement of a charity’s reserves policy within its annual report. The trustees have adopted a reserves policy so that in case of insufficient funding the charity will be able to wind up its activities and meet all its obligations in a timely manner. The policy

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United for Global Mental Health

(A company limited by guarantee)

stipulates that unrestricted funds not committed should be a minimum of six months of operating costs, which at this point equates to £825,000. At the end of the 2025 financial year, the charity held £1,183,000 in unrestricted funds. Given the financial uncertainties arising from a fully fundraised charity, combined with the fact that some grants are only paid in arrears at project milestones, the trustees consider this a well-balanced position.

c. Financial Review

The charity ended 2025 with total funds of £1,362,268 (2024: £1,495,792) carried forward.

The charity had a total income from grants and donations of £2,063,094 (2024: £1,289,853), of which £740,767 was unrestricted and £1,322,327 was restricted. Income grew by 60% versus last year; growth came chiefly from two new 3-year grants (Wellcome Trust and Fondation Botnar/Grand Challenges Canada). In its fundraising, the charity is prioritising securing multi-year grants and donations in order to provide financial and operational stability.

Expenditure totalled £2,193,618 (2024: £1,784,577) of which £1,017,856 was unrestricted and £1,175,726 restricted spend. Expenditure grew by 23% versus last year.

The Charity reports a £130,524 deficit (6%) for 2025, an improvement on the 38% loss from 2024. The projections for 2026 are for a break-even position at the end of the year.

Structure, governance and management

a. Constitution

United for Global Mental Health is registered as a charitable company limited by guarantee and was set up by a Trust deed.

b. Methods of appointment or election of Trustees

The management of the Charity is the responsibility of the Trustees who are elected and coopted under the terms of the Trust deed.

First, the board reviews the expertise required to augment existing board capacity, and then the board asks the CEO to research and propose potential trustees (with guidance from trustees based on existing contacts). Prospective trustees are then interviewed by at least one or more board member (or their appointment is further researched by board members) before being recommended to the full board for the approval of their appointment. The board will consider from time to time if any further external body will be entitled to appoint one or more trustees: this would be based on the level of financial contribution provided to the charity and on the agreement of all trustees.

d. Pay policy for key management personnel

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United for Global Mental Health

(A company limited by guarantee)

In deciding the remuneration of the Charity's senior executives, the trustees consider the potential impact of remuneration levels and structures of senior executives on the wider charity workforce and will take into account the following additional principles: to ensure that the charity can access the types of skills, experiences and competencies that it needs in its senior staff, the specific scope of these roles in the Charity and the link to pay. The Charity recognises that it is, on occasion, possible to attract senior executives at a discount to public sector or private sector market rates.

e. Organisational structure and decision making

The organisation has a relatively flat structure given its small size. The organisation structures itself around its projects and strategic objectives, with cross-functional teams operating throughout.

f. Risk management

The charity maintains a risk matrix. The Trustees have assessed the major risks to which the Charity is exposed, in particular those related to the operations and finances of the Charity, and are satisfied that systems and procedures are in place to mitigate exposure to the major risks.

Plans for future periods

As we move into 2026, a deliberate transition year ahead of our new organisational strategy launching in 2027, we will focus on evolution rather than revolution; strengthening and expanding the areas where we know we can drive meaningful change. We will:

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United for Global Mental Health

(A company limited by guarantee)

Statement of Trustees' responsibilities

The Trustees (who are also the directors of the Charity for the purposes of company law) are responsible for preparing the Trustees' report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the Trustees to prepare financial statements for each financial year. Under company law, the Trustees must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the Charity and of its incoming resources and application of resources, including its income and expenditure, for that period. In preparing these financial statements, the Trustees are required to:

The Trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the Charity's transactions and disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Disclosure of information to auditors

Each of the persons who are Trustees at the time when this Trustees' report is approved has confirmed that:

Auditors

The auditors, Kreston Reeves Audit LLP, have indicated their willingness to continue in office. The designated Trustees will propose a motion reappointing the auditors at a meeting of the Trustees.

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United for Global Mental Health

(A company limited by guarantee)

The audit registration of Kreston Reeves LLP was transferred to Kreston Reeves Audit LLP on 6 October 2025. Kreston Reeves Audit LLP were formally appointed as auditor to the charitable company on 6 October 2025.

Approved by order of the members of the board of Trustees and signed on their behalf by:

Professor Sir Graham Thornicroft

Date: 22 / 07 / 2026

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United for Global Mental Health

(A company limited by guarantee)

Independent auditors' report to the Members of United for Global Mental Health

Opinion

We have audited the financial statements of United for Global Mental Health (the ‘charitable company’) for the year ended 31 December 2025 which comprise the Statement of Financial Activities, the Balance Sheet, the Statement of Cash Flow and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice). In our opinion the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the auditor responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The other information comprises the information included in the trustees' annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on

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the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the directors’ report included within the trustees' report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the trustees’ responsibilities statement [set out on page 13, the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect

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of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

Capability of the audit in detecting irregularities, including fraud

The objectives of our audit are to identify and assess the risks of material misstatement of the financial statements due to fraud or error; to obtain sufficient appropriate audit evidence regarding the assessed risks of material misstatement due to fraud or error; and to respond appropriately to those risks.

Based on our understanding of the Charity, and through discussion with the Trustees and other management (as required by auditing standards), we identified that the principal risks of noncompliance with laws and regulations related to health and safety, anti-bribery and employment law. We· considered the extent to which non-compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements such as the Companies Act 2006 and Statement of Recommended Practice. We communicated identified laws and regulations throughout our team and remained alert to any indications of non-compliance throughout the audit. We evaluated

management's incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls), and determined that the principal risks were related to

controls around the charity's bank account. Audit procedures performed by the engagement included:

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

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As part of an audit in accordance with ISAs (UK), we exercise professional judgment and maintain professional scepticism throughout the audit. We also:

We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

Use of our report

This report is made solely to the charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed.

Stephen Moss BSc (Hons) FCA (Senior Statutory Auditor) For and on behalf of Kreston Reeves Audit LLP London

Date: 4 August 2026

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United for Global Mental Health (UGMH)

Statement of Financial Activities for the year ended 31 December 2025

Note
Income
Grants and donations
3
Other income
5
Total income
Expenditure
Charitable activities
6
Total expenditure		 2025
£
715,627
25,140
740,767
1,017,856
1,017,856
Unrestricted
Funds		 Restricted
Funds
2025
£
1,322,327
-
1,322,327
1,175,762
1,175,762		 Total
Funds
2025
£
2,037,954
25,140
2,063,094
2,193,618
2,193,618		 Total
Funds
2024
£
1,288,045
1,808
1,289,853
1,784,577
1,784,577
Net income/(expenditure) (277,089) 146,565 (130,524) (494,724)
Transfers between funds
Net movement in funds
Reconciliation of funds
Total funds brought forward
Total funds carried forward
14		 (277,089)
1,460,364
1,183,275		 146,565
35,428
181,993		 (130,524)
1,495,792
1,365,268		 -
(494,724)
1,990,516
1,495,792

The notes on pages 22 to 30 form part of these financial statements.

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United for Global Mental Health (UGMH)

(A company limited by guarantee) Registered number: 11139817

Balance Sheet as at 31 December 2025

Note
FIXED ASSETS
Tangible Assets
11
CURRENT ASSETS
Debtors
12
Cash at bank and in hand
CREDITORS: Amounts falling due within one year
13
NET CURRENT ASSETS
TOTAL NET ASSETS
CAPITAL AND RESERVES
Restricted funds		 2025
£
877
833,677
600,207
1,433,884
(69,493)
1,364,391
1,365,268
181,993		 2024
£
425
606,841
1,009,201
1,616,042
(120,675)
1,495,367
1,495,792
35,428
Unrestricted funds 1,183,275 1,460,364
14 1,365,268 1,495,792

The Trustees acknowledge their responsibilities for complying with the requirements of the Companies Act 2006 with respect to accounting records and preparation of financial statements.

The financial statements have been prepared in accordance with the provisions applicable to entities subject to the small companies regime.

The financial statements were approved and authorised for issue by the Trustees and signed on their behalf by:

Professor Sir Graham Thornicroft Trustee

Date: 22 / 07 / 2026

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United for Global Mental Health (UGMH)

Statement of cash flows

for the year ended 31 December 2025

Note
Cash flows from operating activities		 2025
£		 2024
£
Net cash used in operating activities
15		 (430,213) (609,682)
Dividends, interests and rents from investments 21,219 1,808
Purchase of tangible fixed assets - (2,147)
Net cash (used in)/provided by investing activities 21,219 (339)
Change in cash and cash equivalents in the year
Cash and cash equivalents at beginning of year
Cash and cash equivalents at end of year
16		 (408,994)
1,009,201
600,207		 (610,021)
1,619,222
1,009,201

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United for Global Mental Health (UGMH)

Notes to the financial statements for the year ended 31 December 2025

1 General Information

The company is a company limited by guarantee. The members of the company are the Trustees named on page 1. In the event of the company being wound up, the liability in respect of the guarantee is limited to £1 per member of the company.

2 Accounting Policies

2.1 Basis of preparation of financial statements p p

p p ( ) g p g by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the United for Global Mental Health meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy. The financial statements are stated in GBP and rounded to the nearest pound.

2.2 Income

All income is recognised once the Charity has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.

Grants are included in the Statement of financial activities on a receivable basis. The balance of income received for specific purposes but not expended during the period is shown in the relevant funds on the Balance sheet. Where income is received in advance of entitlement of receipt, its recognition is deferred and included in creditors as deferred income. Where entitlement occurs before income is received, the income is accrued.

2.3 Expenditure

Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a third party, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is classified by activity. The costs of each activity are made up of the total of direct costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs which contribute to more than one activity and support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent with the use of resources. Central staff costs are allocated on the basis of time spent, and depreciation charges allocated on the portion of the asset’s use.

Expenditure on charitable activities is incurred on directly undertaking the activities which further the Charity's objectives, as well as any associated support costs.

All expenditure is inclusive of irrecoverable VAT.

2.4 Government grants

Government grants relating to tangible fixed assets are treated as deferred income and released to the Statement of financial activities over the expected useful lives of the assets concerned. Other grants are credited to the Statement of financial activities as the related expenditure is incurred.

2.5 Tangible fixed assets and depreciation

Tangible fixed assets costing £1,000 or more are capitalised and recognised when future economic benefits are probable and the cost or value of the asset can be measured reliably.

Tangible fixed assets are initially recognised at cost. After recognition, under the cost model, tangible fixed assets are measured at cost less accumulated depreciation and any accumulated impairment losses. All costs incurred to bring a tangible fixed asset into its intended working condition should be included in the measurement of cost.

At each reporting date the Charity assesses whether there is any indication of impairment. If such indication exists, the recoverable amount of the asset is determined to be the higher of its fair value less costs to sell and its value in use. An impairment loss is recognised where the carrying amount exceeds the recoverable amount.

Depreciation is charged so as to allocate the cost of tangible fixed assets less their residual value over their estimated useful lives, using the straight-line method.

Depreciation is provided on the following basis:

Office equipment - 25% Computer equipment - 20%

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United for Global Mental Health (UGMH)

Notes to the financial statements for the year ended 31 December 2025

Gains and losses on disposals are determined by comparing the proceeds with the carrying amount and are recognised in the Statement of financial activities.

2.6 Debtors

Trade and other debtors are recognised at the settlement amount after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due.

2.7 Cash at bank and in hand

Cash at bank and in hand includes cash and short-term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account.

2.8 Liabilities and provisions

Liabilities are recognised when there is an obligation at the Balance sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement, and the amount of the settlement can be estimated reliably.

Liabilities are recognised at the amount that the Charity anticipates it will pay to settle the debt or the amount it has received as advanced payments for the goods or services it must provide.

Provisions are measured at the best estimate of the amounts required to settle the obligation. Where the effect of the time value of money is material, the provision is based on the present value of those amounts, discounted at the pre-tax discount rate that reflects the risks specific to the liability. The unwinding of the discount is recognised in the Statement of financial activities as a finance cost.

2.9 Financial instruments

The Charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method.

2.10 Operating leases

Rentals paid under operating leases are charged to the Statement of financial activities on a straight- line basis over the lease term.

2.11 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 and which have not been designated for other purposes.

Designated funds comprise unrestricted funds that have been set aside by the Trustees for particular purposes. The aim and use of each designated fund is set out in the notes to the financial statements.

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the Charity for particular purposes. The costs of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements.

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United for Global Mental Health (UGMH)

Notes to the financial statements for the year ended 31 December 2025

3 Income from grants and donations

----- Start of picture text -----
Unrestricted Restricted Total Total
funds funds 2025 2024
£ £ £ £
Grants 563,847 1,322,327 1,886,174 825,459
Donations 151,780 - 151,780 462,586
Total voluntary income 715,627 1,322,327 2,037,954 1,288,045
Total 2024 1,024,494 263,551 1,288,045
----- End of picture text -----

For 2024, voluntary income has been re-categorised into grants and donations to aid analysis. This is a change to categorisation only; the overall voluntary income figure remains unchanged.

4 Other incoming resources

Fees
Bank interest
Interest received
Total 2024		 3,921
21,219
25,140
1,808		 -
-
-
-		 3,921
21,219
25,140
1,808		 -
1,808
1,808

5 Analysis of expenditure on charitable activities by fund type

Employed Staff
Contracted Staff
External Consultants
Travel
Events & Workshops
Partner Support
Support		 £
331,402
195,291
258,160
28,735
41,228
1,985
161,056
1,017,856
Unrestricted
funds		 Restricted
funds
£
373,276
197,404
162,909
217,241
60,387
3,000
161,544
1,175,762		 Total
2025
£
704,678
392,695
421,069
245,976
101,615
4,985
322,600
2,193,618		 Total
2024
£
726,831
415,741
139,083
90,996
50,904
-
361,022
1,784,577
2024
Employed Staff
Contracted Staff
External Consultants
Travel
Events & Workshops
Partner Support
Support
Total 2024		 £
232,567
130,459
116,722
43,060
39,905
-
331,960
894,672
Unrestricted
funds		 Restricted
funds
£
494,264
285,282
22,361
47,936
11,000
-
29,062
889,905		 Total
2024
£
726,831
415,741
139,083
90,996
50,904
-
361,022
1,784,577

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United for Global Mental Health (UGMH) Notes to the financial statements for the year ended 31 December 2025

6 Analysis of support costs

Outsourced HR, Finance and Fundraising
Bank charges & currency conversion losses
Web, comms tools, IT & office
Travel
Staff recruitment, training, welfare
Audit, Accounting & Professional Fees
Insurance
2024
Outsourced HR, Finance and Fundraising
Travel
Web, comms tools, IT & office
Audit, Accounting & Professional Fees
Bank charges & currency conversion losses
Staff recruitment, training, welfare
Insurance
Total 2024		 -
-
-
-
-
12,720
-
12,720
-
-
-
15,312
-
-
-
15,312
Governance
function
£
Governance
function
£		 General
support
£
111,926
91,573
61,478
18,089
23,494
(1,493)
4,813
309,880
General
support
£
116,072
110,335
58,265
22,468
17,156
16,945
4,469
345,710		 Total
2025
£
111,926
91,573
61,478
18,089
23,494
11,227
4,813
322,600
Total
2024
£
116,072
110,335
58,265
37,780
17,156
16,945
4,469
361,022
-		 Total
2024
£
116,072
17,156
58,265
110,335
16,945
37,780
4,469
361,022

For 2024, support costs have been re-categorised to better reflect the operational model and to aid analysis. This is a change to allocations only; overall expenditure remains unchanged.

7 Auditors' remuneration

----- Start of picture text -----
2025 2024
£ £
Fees payable to the Charity's auditor for the audit of the Charity's annual accounts 12,720 15,312
8 Staff costs and numbers
Total 2025 Total 2024
£ £
re-stated
Gross wages and salaries 594,979 612,146
Employer's national insurance 85,390 95,482
Pension 24,309 19,203
704,678 726,831
The 2024 staff costs have been re-stated to add one non-UK based member of staff who had been previously omitted.
2025 No. 2024 No.
The average number of employees during the period was 8 10
The number of employees whose employee benefits (excluding employer pension costs)
2025 No. 2024 No.
exceeded £60,000 was:
In the band £60,001 - £70,000 1 1
In the band £70,001 - £80,000 - 2
In the band £80,001 - £90,000 2
In the band £90,001 - £100,000 1 2
In the band £100,001 - £110,000 1 -
----- End of picture text -----

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United for Global Mental Health (UGMH) Notes to the financial statements for the year ended 31 December 2025

----- Start of picture text -----
Staff costs have been analysed as: Total 2025 Total 2024
£ £
re-stated
Direct charitable expenditure 601,295 620,197
Governance 7,209 7,436
Support 96,174 99,198
704,678 726,831
----- End of picture text -----

9 Trustees' remuneration and expenses

During the year ended 31 December 2025, one Trustee was paid an allowance of £1,530 to travel to the 4th Global Mental Health Advocacy Forum. (2024 - £97 of expenses paid to 1 Trustee).

10 Tangible Fixed Assets

Cost
At 1 January 2025
Additions
At 31 December 2025
Depreciation
At 1 January 2025
Charge for the year
At 31 December 2025
Net book value
At 31 December 2025
At 31 December 2024
11 Debtors:amounts falling due within one year
Grant debtors
Contractor deposits
American Friends of UGMH loan account
American Friends of UGMH sales ledger balance
Prepayments and accrued income
12 Creditors:amounts falling due within one year
Trade creditors
Other creditors
Accruals and deferred income		 Office
equipment
5,200
-
5,200
5,200
-
5,200
-
-		 Computer
equipment
15,627
-
15,627
15,202
(452)
14,750
877
425
Total 2025
£
731,055
37,868
27,000
1,040
36,714
833,677
Total 2025
£
37,169
497
31,827
69,493		 Total
20,827
-
20,827
20,402
(452)
19,950
877
425
Total 2024
£
-
170,529
170,529
-
436,312
777,370
Total 2024
£
212
510
119,953
120,675

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United for Global Mental Health (UGMH)

Notes to the financial statements for the year ended 31 December 2025

13 Statement of Funds - current year

----- Start of picture text -----
Balance at Transfers Balance at
01-Jan-25 Incoming Outgoing in / (out) 31-Dec-25
£ £ £ £ £
Restricted Funds
Grand Challenges Canada 35,428 698,189 (552,173) - 181,443
Wellcome - GMHAN - 369,590 (372,035) 2,445 -
Wellcome - Environment - 129,936 (129,386) - 550
Elton John Aids Foundation - 93,999 (158,994) 64,995 -
Grand Challenges Canada -
tracking activity - 30,613 (30,613) - -
35,428 1,322,327 (1,243,202) 67,440 181,993
Unrestricted funds
General funds 1,460,364 740,767 (950,416) (67,440) 1,183,275
1,460,364 740,767 (950,416) (67,440) 1,183,275
Total funds 1,495,792 2,063,094 (2,193,618) - 1,365,268
Statement of Funds - prior year
Balance at Transfers Balance at
01-Jan-24 Incoming Outgoing in / (out) 31-Dec-24
£ £ £ £ £
Restricted Funds
Comic Relief 1 - (1) - -
HSBC 498,381 - (498,381) - -
Grand Challenges Canada 146,411 69,778 (180,761) - 35,428
Elton John Aids Foundation 5,716 62,732 (68,448) - -
Wellcome 2023 - GMHAN 5,266 - (5,266) - -
Wellcome 2023/24 - Climate 3,753 121,428 (125,181) - -
EDC - 9,613 (11,867) 2,254 -
659,528 263,551 (889,905) 2,254 35,428
Unrestricted funds
General funds 1,330,988 1,026,302 (894,672) (2,254) 1,460,364
1,330,988 1,026,302 (894,672) (2,254) 1,460,364
Total funds 1,990,516 1,289,853 (1,784,577) - 1,495,792
This is phase 2 of this grant cycle, funding a further three years of work on
Grand Challenges Canada
youth mental health as part of the Being initiative (funded by Fondation Botnar
R-GCC/BEING-2024-27
and the Canadian and British governments).
This grant part-funded the work of the Global Mental Health Action Network
(GMHAN), a global advocacy, communications, and learning coalition with more
Wellcome - GMHAN 2025
than 8,000 members across civil society, NGOs, academia, governments,
R-WELL-2025-GMHAN
international organisations, and the private sector in over 170 countries. This
grant has now ended.
----- End of picture text -----

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United for Global Mental Health (UGMH) Notes to the financial statements for the year ended 31 December 2025

----- Start of picture text -----
3-year grant to support national advocacy and policy work on climate change
Wellcome - Environment
and mental health work in a select group of countries, in particular to better
R-WELL-25/28-ENV
integrate mental health within relevant climate policies (and vice-versa).
This grant was a continuation of our work on integrating mental health into the
Elton John Aids Foundation
Global Fund strategy (2023 - 2026), and ensuring mental health becomes
R-EJAF-2022/24-A
integral to all HIV programming in all countries. This grant has now ended.
UGMH was funded to produce a report on global investments and strategies for
R-GCC/USAID-2025 integrating HIV, TB, and related comorbidities into health systems to improve
outcomes. This work has now ended.
Comic Relief This was the balance from the Speak Your Mind campaign
This was the balance from the Speak Your Mind campaign and support for the
HSBC
work of UGMH
This was to fund work done by the Global Mental Health Action Network
Wellcome 2023 - GMHAN
(GMHAN)
This was to fund work by UnitedGMH on climate change and the environment.
We contributed to mental health being explicitly included for the first time ever in
Wellcome 2023/24 - Climate
major agreements and commitments on climate change and the environment
that cover the globe
UGMH and its partners implemented activities focused on the decriminalization
Education Development Center of suicide. This included developing an advocacy strategy, including training on
(EDC) advocacy and media engagement, and input into legislative reform processes
to decriminalize suicide. This grant has now ended.
----- End of picture text -----

14 Analysis of net assets between funds

Tangible fixed assets
Current assets
Creditors due within one year
Total		 £
877
1,252,768
(69,493)
1,183,275
Unrestricted
funds
2025		 Restricted
funds
2025
£
-
181,993
-
181,993		 Total
funds
2025
£
877
1,434,761
(69,493)
1,365,268

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United for Global Mental Health (UGMH)

Notes to the financial statements for the year ended 31 December 2025

Analysis of net assets between funds - prior period

Tangible fixed assets
Current assets
Creditors due within one year
Total		 £
425
1,580,614
(120,675)
1,460,364
Unrestricted
funds
2024		 Restricted
funds
2024
£
-
35,428
-
35,428		 Total
funds
2024
£
425
1,616,042
(120,675)
1,495,792

15 Reconciliation of net movement in funds to net cash flow from operating activities

Net expenditure for the period (as per Statement of Financial Activities)
Adjustment for:
Depreciation charges
Dividend, interests and rents from investments
Increase in debtors
Increase (decrease) in creditors
Net cash used in operating activities		 2025
£
(130,524)
(452)
(21,219)
(226,836)
(51,182)
(430,213)		 2024
£
(494,724)
5,301
(1,808)
(131,223)
12,772
(609,682)

16 Analysis of cash and cash equivalents

Cash in hand
Total cash and cash equivalents		 2025
£
600,207
600,207		 2024
£
1,009,201
1,009,201

17 Analysis of changes in net debt

17 Analysis of changes in net debt
At 1
January
2025
£		 Cash flows
£		 At 31
December
2025
£
Cash at bank and in hand 1,009,201 (408,994) 600,207
1,009,201 (408,994) 600,207

18 Key management personnel

The Trustees consider the key management to be themselves and the CEO. Remuneration paid to key management was as follows:

Salaries incl employers national insurance and pension contributions 2025
£
123,704
123,704

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United for Global Mental Health (UGMH) Notes to the financial statements for the year ended 31 December 2025

19 Pension commitments

The Charity operates a defined contribution pension scheme. The assets of the scheme are held separately from those of the charity in an independently administered fund with NEST. Staff also have the option to enrol into a private pension scheme. The pension cost charge represents contributions payable by the charity to the pension schemes and amounted to £24,309 (2024: £19,203; restated, see note 8). There were pension contributions payable at the balance sheet date of £610 (2024: £510).

20 Related parties

American Friends of United for Global Mental Health (AF-UGMH) is a 501(c)(3) not-for-profit organisation in the United States of America. The purpose of American Friends is to hold, administer and disburse funds from US donors to support projects and initiatives involving mental health to the Charity. During the year, the Charity received a grant of GBP 74,040 from AF-UGMH (2024: GBP 550,112).

At balance sheet date AF-UGMH owed UGMH £27,000 plus £1,040 in respect of administrative costs that had been paid for by UGMH and had been recharged or were due to be recharged to AF-UGMH.

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