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2025-03-31-accounts

Annual Report and

Financial Statements 12 months to March 31[st] 2025

A Charitable Incorporated OrganisaFon Registered charity number 1181216

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Dose of Nature Annual Report 2024-25

Our purpose is to improve the mental health and wellbeing of individuals through increased engagement with the natural world.

Over the past six years we have helped over 1,500 people with a wide range of mental health issues, referred directly by their GP to our Nature PrescripFon Programme.

that demonstrates the physiological and psychological benefits of spending Fme in nature.

accessible to all, and offer a genuine alternaFve to medicaFon and more tradiFonal talking therapies.

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Contents

Charity Overview 3
Our Model 4
Clinical Results 5
Current Research 7
Demographics 8
GPs 10
Our Volunteer Guides 12
Our Groups 13
2024-25 Highlights in Guildford 14
2024-25 Highlights in Kew 15
Young People’s Programme 16
In the Media 18
Wellbeing Workshops 19
Funders and Supporters 20
AdministraFve Details, Structure, Financial Review, Future Plans and
Public Beneft 21
Statement of Financial AcFviFes for the Year Ended 31 March 2025 22
Balance Sheet 23
Statement of Cashfows 24
Notes to the Financial Statements 25
Independent Examiner's Report 31

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Charity Overview

Dose of Nature is a mental health charity dedicated to improving the mental health and wellbeing of individuals through increased engagement with the natural world. Our work is grounded in the evidence-based understanding that nature can be a powerful tool for clinical recovery and psychological resilience.

It is esFmated that 1 in 6 adults in England[1] have experienced a 'common mental disorder' and an esFmated 40% of GP appointments now relate to mental health concerns.[2] This growing demand is placing immense pressure on already stretched services. Among young people, the situaFon is parFcularly alarming, with an esFmated 20% having a probable mental health condiFon in 2023[1 ] and more than 65% of those referred for mental health support waiFng over a year to be seen. There has never been a greater need for mental health intervenFons and recovery tools that are both effecFve and economical, and that can be accessed by as many people as possible. As demand for support conFnues to rise, it is essenFal to idenFfy and implement approaches that can alleviate pressure on exisFng services whilst delivering measurable improvements in wellbeing.

A substantial body of scientific evidence demonstrates the physiological and psychological benefits of engagement with the natural environment. Among the many reported outcomes, contact with nature has been shown to reduce stress, alleviate symptoms of depression and anxiety, enhance mood and overall wellbeing, restore attention and increase cognitive function, lower blood-pressure, increase heart rate variability and boost immune functioning. These findings provide a robust foundation for nature-based interventions as an effective means of supporting mental health and promoting recovery.

We developed our ‘Nature PrescripGon’ as a structured clinical programme, led by psychologists, delivered by volunteers, and built around nature’s restoraFve power. Clients with a wide range of mental health challenges are referred to us directly by their GPs. Over the course of a ten-week prescripFon, they receive psychological consultaFon from one of our chartered psychologists and are matched with one of our dedicated volunteer Dose of Nature Guides. Clients meet with their Guides on a weekly basis in natural environments that are easily

accessible to them. Through educaFon, experienFal acFviFes, and pracFcal and moFvaFonal support, their Guide encourages them to spend more Fme outside, and to foster a greater connecFon with the natural world, inspiring sustainable lifestyle changes that have a significant and lasFng impact on wellbeing.

Recognising the importance of access to ongoing support in reducing the likelihood of relapse, Dose of Nature also offers a range of nature-based groups that remain available to all clients on a drop-in basis, for an unlimited period of time.

Our model represents a posiFve, hopeful and outwardlooking approach to mental health.

And it works.

higher than those achieved through comparable NHS mental health intervenFons, such as CogniFve Behavioural Therapy (CBT). As a result of their nature prescripFon, many clients reduce, and frequently cease, their medicaFon, and report significant lifestyle changes including returning to work or education, undertaking voluntary roles, or pursuing new training. Furthermore, our focus on developing new habits, independent of the person delivering the programme, means clients have in nature a resource that is free, effective, and accessible, and will be with them for the rest of their lives.

1 House of Commons Library (2024), Mental health staFsFcs: prevalence, services and funding in England.

2 Mind (2018), GP Mental Health Training Survey Summary.

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Our Model

A Dose of Nature PrescripFon

A Dose of Nature Prescription is a clinically informed mental health intervention that harnesses the scientifically proven benefits of nature to improve psychological wellbeing. It is led by chartered psychologists and delivered by trained and supervised volunteers.

We deliver our Nature Prescriptions to people referred directly by their GP or mental health professional with a broad range of difficulties, including depression, anxiety, trauma, stress, bereavement, and addiction.

Through an integrated approach combining psychoeducation, experiential engagement with nature, and practical and motivational support, we encourage a greater connection with the natural environment and inspire lifestyle changes that have a significant and lasting impact on mental wellbeing.

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Client referred by Assessment 8 weekly meeFngs Review with Ongoing
GP or other with Dose of in nature with a access to
Dose of Nature
mental health Nature dedicated Dose of outdoor group
Psychologist
professional Psychologist Nature Guide acFviFes
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Following their assessment, clients are carefully matched with a specially trained Dose of Nature volunteer Guide. Although our Guides are not therapists, they are all compassionate, kind and patient individuals with strong interpersonal skills and a passion for nature. They are trained by Dose of Nature Psychologists in the science underpinning the mental health benefits of engaging with nature and employ a range of experiential techniques to encourage a greater connection with the natural world.

For a period of 8 weeks, client and Guide meet weekly, one-to-one, in natural spaces near to the client’s home, such as public parks, gardens, and riversides. Clients learn simple, evidence-based practices to strengthen their connection with nature. Our Guides tailor each prescription to the unique needs and preferences of individual clients and receive clientspecific supervision from our psychologists over the course of each Nature Prescription.

Recognising the importance of access to ongoing support, we also offer a wide range of nature-based group activities, which remain available to our clients on a drop-in basis, for an unlimited amount of time. These include a wide range of activities to suit individual preferences, including arts in nature, creative writing, knitting and nattering, singing in nature, bird watching, walking groups, qigong, tennis, kayaking and yoga.

As a result of our Nature Prescriptions, many clients reduce, and frequently cease, medication, and make significant lifestyle changes such as returning to work or university, finding a job, doing voluntary work, or undertaking new training. Furthermore, with a focus on developing new habits, independent of the person delivering the programme, clients have a life-long resource in nature that is free, accessible, and sustainable.

Many clients also report improvements in their physical health, adopting healthier lifestyles such as eating more healthily, exercising more regularly, and reducing unhealthy habits such as smoking and excessive alcohol consumption.

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Clinical Results

Our clinical results continue to demonstrate the effectiveness of our intervention as a genuine alternative to medication and traditional psychological therapies.

We collect and analyse performance data using the Patient Health Questionnaire for depression (PHQ-9) and the Generalised Anxiety Disorder scale for anxiety (GAD7), allowing us to compare our efficacy rates with NHS Talking Therapies, and primarily Cognitive Behavioural Therapy (CBT).

Our 2024-25 results, collected within the framework of a Randomised Control Trial (RCT) conducted in collaboration with the London School of Economics, indicate adult recovery rates of 64% and reliably improved rates of 86% . These outcomes are significantly higher than those reported by NHS Talking Therapies in their most recent full-year data (recovery rates of 50% and reliably improved rates of 67%).

Whilst GPs initially referred their patients with mild to moderate mental health difficulties to our service, they are now referring many of their patients who have complex and severe mental health challenges, reflecting the increasing confidence and trust they place in Dose of Nature. In 2024-25, the average baseline score for our clients was 15.5 on the 27-point PHQ-9 scale for depression and 13.0 on the 21-point GAD-7 scale for anxiety. These averages are substantially above the established clinical thresholds for ‘caseness’ - 10 on the PHQ-9 and 8 on the GAD-7, respectively.

Given the severity and complexity of many of our clients’ needs, we are particularly proud of the mean reductions in scores we achieve. The mean reduction on the PHQ-9 scale was 9.0 points, compared with 5.7 reported by NHS Talking Therapies, whilst the mean reduction on the GAD-7 scale was 7.9 points, compared with 5.3 achieved within NHS services.[3]

All adults Recovery rate
Dose of Nature Prescription 64%
NHS Talking Therapies3 50%
All adults Reliable improvement
Dose of Nature Prescription 86%
NHS Talking Therapies3 67%

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Clinical threshold
Clinical threshold
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All adults PHQ-9 reduction GAD-7 reduction
Nature Prescription 9.0 7.9
NHS Talking Therapies1
5.7
5.3

3 NHS Digital (2024), NHS Talking Therapies, for anxiety and depression, Annual reports, 2023-24

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Demand for our services has continued to increase substantially. In 2024-25 we received over 800 referrals from 167 GPs across 88 GP practices in the London Boroughs of Richmond and Kingston and the Guildford area, representing a marked increase from 635 referrals in 2023-24.

To meet this growing demand, we continued to expand our service in 2024-25, supporting an increasing number of people. In addition to those we help through our nature-based groups and preventative wellbeing workshops, in 2024-25, 459 individuals struggling with their mental health engaged in our Dose of Nature Prescription Programme . To date we have delivered over 1,500 Nature Prescriptions in our six years of operation since 2019.

The vast majority of people who start our programme remain engaged with it, reporting meaningful improvements in their mental health and a renewed sense of positivity and hope that connection with nature brings. This is reflected in our high completion rate : 89%[†] of those who started a Nature Prescription completed the full 10-week programme , compared with 55% among NHS Talking Therapies. Furthermore, many clients continue to attend our group activities on an ongoing basis (see page 13).

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459
Dose of Nature
PrescripFons
in 24/25
167
GPs referred to
us in 24/25
89%
compleFon rate
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Out of every single mental health interven3on I have ever received, what I have found at DoN has been the most effec3ve at actually improving my quality of life and helping me to heal .” Noor, 34, referred for anxiety and low mood

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Current Research

Contributing to the growing body of research evidencing the mental health and wellbeing benefits of engaging with nature in an important aspect of our work.

LSE Randomised Control Trial

In Autumn 2022, we were pleased to be approached by the London School of Economics and Political Science (LSE) with a proposal to evaluate the Dose of Nature Prescription Programme. Dr Kate Laffan and Dr Christian Krekel, both Assistant Professors in Behavioural Science, are conducting a Randomised Controlled Trial (RCT) to evaluate the wellbeing impacts of our Nature Prescriptions as well as their influence on proenvironmental behaviours.

This study is particularly significant as the first RCT to assess the efficacy of a nature-based intervention delivered as a GP-referred treatment for mental health.

An Interim Report, released in February 2025, and presented at the International Conference on Environmental Psychology (ICEP) in Vilnius, Lithuania, identified clinically substantive improvements on standardised measures of depression (PHQ-9) and anxiety (GAD-7). We anticipate completing data collection in 2025 and look forward to the full publication of the study’s findings in the New Year.

King’s College Research

Dr Cat Huckle, our Lead Psychologist in Guildford, has coauthored a systematic review of nature-based interventions for neurological disorders with researchers from King’s College London, which is currently under peer review prior to publication.

EvaluaFon of our Young People’s

Programme

A recent evaluation of our Young People’s Programme, conducted as part of a master’s degree at Goldsmith’s, University of London, examined how clients aged 15-25 perceive the impact of their Dose of Nature Prescription on their mental health and wellbeing. The young people involved in the evaluation reported reductions in anxiety, and enhanced mood, alongside improvements in their relationships, with themselves, with others, and with the natural world, through strengthened connections in each case.

Therapists’ Experiences of Delivering TradiFonal Therapy and Nature PrescripFons.

As part of an MA in Integrative Counselling and Psychotherapy at the University of Roehampton, one of our Dose of Nature Guides undertook a comparative study with professional therapists, exploring their experiences of delivering both traditional talking therapy and nature prescriptions. Participants were asked to reflect on whether a nature prescription could be as effective in treating anxiety and depression as conventional talking therapies delivered in a clinical setting.

Therapists with experience of both approaches reported that nature-based interventions can indeed be equally beneficial for many clients. They highlighted that being in natural environments can reduce stress, improve emotional wellbeing, and encourage meaningful therapeutic engagement.

Doctoral Theses

A number of trainee psychologists at Surrey and City St George’s Universities are making the Dose of Nature programme the subject of their doctoral research projects. One study is examining the representation of different demographics within our client population, compared with the local population, while another is exploring the experiences of volunteering as a Dose of Nature Guide. A third is exploring the influence of engaging with a Dose of Nature Prescription on feelings of loneliness.

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Demographics

Our Nature PrescripGons are for everyone: they are accessed by, and work effecGvely across, all demographics.

Given the historical reFcence of men to seek treatment for mental health issues,[4] it is encouraging to see that 31% of our clients were male in 2024-25, which matches the gender split in NHS Talking Therapies[5] and is close to the gender split in the prevalence of mental health disorders in England.[6] 89% of men and 88% of women who started a Nature PrescripFon went on to complete the full programme, showing that men engage with us just as readily as women do.

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Prefer not to say
1%
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Furthermore, our Nature PrescripFons are for men and women : the 2024-25 recovery rate was 64% for men and 65% for women. Of course, our service is open to all genders, and we are pleased to be helping double the number of transgender and non-binary people year-onyear.

the age distribuFon of our operaFng areas,[7] showing that people of all ages readily engage with our Nature PrescripGons. Furthermore, we are pleased that in the second year of our Young People’s Programme (see page 16) 98 people aged 25 and under engaged in a Nature PrescripFon.

Client Ethnicity

clients are an ethnically diverse group, with slightly higher representaFon from ethnic minoriFes than the areas we operate in.[5]

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Black, Black British, Mixed or Multiple Ethnic Groups
Caribbean or African 7%
4%
Asian or Asian British
11%
White or White British
78%
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Approximately 14% of our clients are unemployed and 42% have a gross household income below £21,000 per year. This is despite the fact that the London Boroughs of Richmond and Kingston, and Surrey County, are among the more affluent areas of the country with unemployment rates of around 4%.[8] These figures highlight how people who are unemployed or are on low incomes are disproporFonately affected by mental health difficulFes.[9] We are therefore parFcularly pleased that our Nature PrescripFons have helped a significant number of our clients return to work or study.

“AAer my experience with Dose of Nature, my confidence increased to such an extent that I went on to get a wonderful job - something I'm not sure I would have been able to do without my Nature Prescrip3on.”

Alice, referred to DoN for anxiety and low mood 69%

Loneliness and social isolaFon are major risk factors for mental ill health, and individuals living alone are parFcularly suscepFble to feeling lonely. It is therefore perhaps unsurprising that 69% of our clients are single, divorced, separated, or widowed . One of the ways our programme supports clients is by fostering connecFons, both with the natural world and with other people. Our clients onen tell us how much they appreciate that their Guides are volunteers who offer their support and Fme freely, listening and relaFng to them on an equal fooFng. Clients can conFnue to aoend our groups (see page 13) indefinitely and onen form lasFng friendships with others they meet through group acFviFes and social gatherings.

8 ONS (2023), How life has changed in Richmond upon Thames: Census 2021 and How life has changed in Surrey Heath: Census 2021

9 hops://www.mentalhealth.org.uk/explore-mental-health/staFsFcs/poverty-staFsFcs

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GPs

According to GPs surveyed by Mind, ‘Mental health issues are esGmated to be a factor in up to 40% of GP appointments’.[10]

which is placing increasing pressure on GPs and NHS mental health services.

It is therefore not surprising that demand for our service conFnues to rise. In the 2024-25 financial year, we received over 800 referrals from 88 GP surgeries and other mental health services across South-West London and Surrey, up from 635 referrals in the previous year.

GPs value our unique nature-based model, which is overseen by chartered psychologists, and gives them confidence that Dose of Nature can provide safe, evidenced-based treatment for all their paFents, including those most vulnerable with complex mental health needs. GPs regularly tell us of the profound improvements they have seen in their paFents as a result of a Nature PrescripFon.

Awareness of our work conFnues to grow. In 2024-25, 136 new GPs and mental health professionals referred clients to us for the first Fme, and since we began operaFng, we have now received referrals from 133 GP pracFces and other mental health services.

I have been a doctor for 21 years and I can honestly say I have not come across a mental health ini3a3ve that has come close to being as useful as Dose of Nature has to my pa3ents.

Dr Lisa Wray, GP at Richmond Lock Surgery

10 Mind (2018), GP Mental Health Training Survey Summary

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What our referring GPs say

There’s a woman in her 40s, who has had a miserable life a7er trauma and medical problems. She is neurodiverse so finds accessing some services difficult. She used to come in several @mes a month and it made my heart sink as there was liCle to offer. She has been greatly helped by Dose of Nature and now wants to coach other women in a similar situa@on, and rarely now aCends Surgery .”

demands, with marked anxiety, poor func@oning. She now walks in with a smile, head held high, has wriCen a poem for a na@onal compe@@on a7er her input with Dose of Nature and is a calmer, happier person and able to con@nue her caring role .”

Dr Lisa Wray, Richmond Lock Surgery, Twickenham

“I have been referring to Dose of Nature for a number of years. Pa@ents who have struggled with a wide range of mental health related illnesses from anxiety and depression to bereavement and substance misuse. They have o7en tried conven@onal NHS treatments and have con@nued to struggle. Dose of Nature has provided a genuine alterna@ve and some of my pa@ents have told me it has literally saved their lives. I cannot pay the service a higher compliment.”

Dr Faisal Islam, Cross Deep Surgery, Twickenham

“We are living in a @me of huge mental health challenge through the cost of living crisis, employment fragility, worsening physical health and local authority financial challenge in support services. GPs are seeing large numbers of people needing help and Dose of Nature has become a key organisa@on alongside (or as an alterna@ve to) tradi@onal psychological therapy and medica@on.”

Malden

“I have referred mul@ple pa@ents all of whom have benefited greatly from the interac@ons with volunteers and later group sessions. These are o7en pa@ents with severe mental health and social issues who find it hard to engage/get appropriate support from local mental health services.”

Dr Claire Sillitoe, Parkshot Medical Centre, Richmond

through connec@on with the natural world. This charity encourages and teaches people to do just that which improves their mental health and gives them tools to cope with future difficul@es.”

Dr Elizabeth Hockney, Essex House Surgery, Barnes

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Our Volunteer Guides

Our Dose of Nature Guides are a vital part of our model. In 2024-25, we had 82 acGve Guides working across the Boroughs of Richmond and Kingston and 37 working in and around Guildford.

They generously give their Fme, energy, and compassion to make a real difference to people’s lives. Many of our clients tell us how much they appreciate the fact that our Dose of Nature Guides are volunteers who freely offer their support, moFvated by a genuine desire to help.

In addiFon to helping make our Nature PrescripFons a lowcost intervenFon, our volunteers root our model in the local community. By supporFng fellow residents within their own area, they help build connecFons, trust, and a stronger sense of belonging.

of them have no former therapeuFc experience but they are all warm, compassionate, and non-judgemental. Following our applicaFon and recruitment process they complete a two-day training course with our chartered psychologists, as well as addiFonal online safeguarding training and DBS checks. Our training course covers the science that underpins our model, our processes and safeguarding procedures, and a wide variety of experienFal tools to help people connect with nature. All guides conFnue to aoend ongoing monthly training sessions and regular supervision throughout their Fme with Dose of Nature.

Our volunteer Guides come from a broad range of backgrounds and bring their own style and experience to each Nature PrescripFon. What unites our community is our shared love of nature and our understanding of its many benefits for health and wellbeing.

“The combina3on of compassion, professionalism, and nature-based support offered by Dose of Nature is truly life-changing.”

“Since becoming a volunteer Guide with Dose of Nature, I have witnessed the incredible impact this charity has had. The combina3on of compassion, professionalism, and nature-based support is truly life-changing. I have seen individuals arrive withdrawn and anxious, and slowly, through 3me spent outdoors with caring guidance, begin to reconnect with themselves, others, and the world around them.”

Clive, Dose of Nature Guide

“I’ve been a Guide with Dose of Nature since its incep3on, and it is without doubt one of the greatest things I have ever done. Dose of Nature exists to help and to make life beQer for clients, but also for the people who volunteer and get involved on every level.”

Alex, Dose of Nature Guide

Jamilla, Dose of Nature Guide

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Our Groups

Our, nature-based acGvity groups are an essenGal element of our programme. Our outdoor groups provide opportuniGes for people to conGnue connecGng with nature, and with each other, beyond the end of their individual nature prescripGon for as long as they choose. This unlimited ongoing support helps sustain recovery and build a sense of community and belonging.

We run a wide range of free, weekly groups at each hub, all year round, and in all weathers, led by our marvellous volunteers. Our groups operate on a drop-in basis, allowing clients to join as many sessions as they like, as onen as they like, and for as long as they like. Our groups are not therapy groups, but provide conFnuing opportuniFes to parFcipate in nature-based acFviFes, within a safe and supporFve environment, fostering connecFons with both nature and other people.

Our groups include nature-based creaFve wriFng, birdwatching, art in nature, nature cran sessions, natureinspired poetry, outdoor mindfulness sessions, nature photography, knisng and naoering in nature, conservaFon work, outdoor yoga, qigong, tennis classes, kayaking, and group walks.

“I don't do well with endings and goodbyes. And oAen the way things work, like say counselling, or an 8-week programme, it had an inevitable ending, and it was hard for me to deal with that - it brings on things like rejec3on, abandonment.

But Dose of Nature is like ‘You don't have to go anywhere, you are allowed to go to our groups whenever you want’. I was like ‘Really?’

And it’s turned from me being the client into me volunteering and seeing both sides. I feel helpful when I speak to new clients that come to the groups, because I know how it feels to come to a group without knowing anyone.

So, it's reassuring just knowing that Dose of Nature are s3ll going to be there for you and that it's a growing community, I'm like, I don't want this to stop.”

Adam, 43

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2024-25 Highlights in Guildford from Lead Psychologist, Dr Cat Huckle

Dapdune Wharf is located in the heart of Guildford, tucked behind Surrey Cricket Club, where our team works out of an idyllic cooage within the beauFful NaFonal Trust estate.

Over the past year, Dose of Nature Guildford has conFnued to grow in both impact and reach, with inspiring successes and some welcome challenges that reflect our momentum. We exceeded our goal of launching three new nature-based groups, proudly running four, thanks in part to the recruitment and training of 21 new volunteer Guides. This has helped us respond to growing demand and strengthen our presence in the local community.

Our partnership with Farncombe Community Garden now provides another nurturing locaFon for assessments. We were honoured to be named Charity of the Year by Guildford Golf Club, and thanks to increased NaFonal Trust visitor footall following their refurbishment, our visibility has never been higher. Our team has also grown - we’ve recently welcomed an operaFons assistant and an addiFonal psychologist to meet rising need.

Funding from Surrey Council is helping us support clients at risk of homelessness, and our partnerships with GPs conFnue to expand, resulFng in increasing referral numbers.

Our fantasFc new therapeuFc garden (pictured opposite) is the result of a collaboraFon with RHS Garden Wisley. Created by students on the Level 4 Diploma in HorFculture PracFce, the garden balances structure, serenity, and sensory richness to support mental wellbeing.

Dose of Nature’s work was formally recognised in the House of Commons through an Early Day MoFon (EDM 1698), tabled by Zoë Franklin, MP for Guildford. The moFon highlights the lasFng impact our work has had on the mental wellbeing of local residents, relieving financial pressure on primary care services in the area.

With success comes challenge. Growing demand can lead to longer waits and pressure on group spaces. Balancing quality support with Fmely access is our next big focus - but with conFnued collaboraFon, and the incredible support of our community, we are opFmisFc and excited to help even more people improve their mental health through engagement with nature.

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2024-25 Highlights in Kew

Whilst our base in Kew is Pensford Field, the beauFful small nature reserve in the heart of a residenFal community, our Nature PrescripFons conFnue to take place in the public parks, gardens, and riversides throughout the boroughs of Richmond and Kingston.

Over the past year, we have trained 30 new volunteer Guides to support clients across the boroughs of Richmond and Kingston, as our referral numbers conFnue to grow, and we support more people year-on-year. To meet rising demand, we also hired an addiFonal psychologist in 2024.

Our thriving programme of volunteer-led groups has included special events such as a bank holiday dawn chorus walk, a creaFve crans workshop for young people at Easter, and parFcipaFon in the RSPB Big Garden Birdwatch at Pensford Field in January.

We have delivered a number of wellbeing workshops to community groups including Achieving for Children’s Leaving Care TransiFons Team, who support young people leaving care transiFon to living independently, EAL Friendship Group, who support isolated women with limited English, LVA Trust, who provide relaFonship, sex, and health educaFon (RSHE) to schools and communiFes, and SPEAR, who support people facing homelessness.

We have also been spreading the word about our programme for young people across our community and have presented stalls at Richmond College and Roehampton University events to mark World Mental Health Day and World Mental Health Awareness Week.

model at the annual Counselling Psychology Conference in Glasgow in the summer, where fellow psychologists were excited to learn about the benefits of integraFng nature into their pracFce.

We are pleased to be progressing with data collecFon for a substanFal randomised controlled trial, in partnership with the London School of Economics, to evaluate the effecFveness of our programme, as well as examining its impact on pro-environmental behaviours. The preliminary findings of this study were presented at the International Conference on Environmental Psychology (ICEP) in Vilnius, Lithuania. We look forward to sharing more from the full evaluaFon in due course.

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Young People’s Programme

Today’s young people struggle more with their mental health than any other age group in the UK.

people in England aged between 8 and 25 years had a probable mental health disorder in 2023”.[11]

The most recent Children’s Mental Health Services Report found that 64% of NHS referrals were sFll waiFng for mental health support at the end of the year or had their referral closed before accessing support.[12]

Meanwhile, RSPB research suggests that only 21% of 8-12 year olds are “connected to nature” and idenFfied young people as experiencing the lowest measure of nature relatedness, dropping from a peak in 4-year-olds to the lowest recorded figures for 15- to 17-year-olds.

In other words, today’s young people have the poorest mental health of any age group in the UK and, at the same Fme, feel the least connected to nature.

And yet…

“My nature prescrip3on gave me hope for the rest of the week.”

Jen, 16

11 NHS England (2023), Mental Health of Children and Young People in England, 2023

Our work with young people

Our Nature Prescriptions take young people (aged 16 and over) away from screens, decrease anxiety, improve mood, and build resilience, confidence, and self-esteem. Through a wide range of fun, interesting, and forwardlooking practices, they inspire lifestyle changes that create long-lasting effects on mental health and wellbeing. With minimal waiting lists, high engagement rates and impressive outcome measures, they have been well received by young people and GPs alike. We receive referrals from statutory services, including Child and Adolescent Mental Health Services (CAMHS) and other teams within Achieving for Children and Southwest London and St George's NHS Trust, as well as schools, colleges, universities and other organisations within the voluntary sector.

In the year 2024/25, we:

12 Children’s Commissioner (2025), Children’s mental health services, 2023-24

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School-based intervenFons

We have long considered a schools-based intervention to have huge potential, with schools playing a central role in the network of support for young people.

Recently, we ran a pilot programme at Christ’s School, a local state comprehensive in Richmond, designed to bring the proven benefits of nature directly into the school environment. The pilot reached 180 Year 8 students (aged 12-13), who completed a four-week course during their regular PSHE lessons. Throughout the programme, students learned practical tools to manage stress, anxiety, and emotional challenges.

The materials we developed for the programme included outdoor activities, group discussions, a series of original animated short films, and a comprehensive training manual to support the teachers delivering the course.

“I realised that I overthink things and now I use nature to ground me... I also use nature as a break from my work, and I then feel refreshed and produce beQer quality work”

Ali, 17

We also developed a six-week ‘Nature for Wellbeing’ course, delivered by our psychologists to 14 students from Years 7-10 (aged 11-16) who had been identified as needing additional support. This pilot provided focused and intensive psychoeducation to small groups of students on the mental health benefits of nature, and the results were measured using questionnaires completed at the start and the end of the programme.

The results were hugely encouraging: 85% of students reported improvements in their mental wellbeing, based on the Short Warwick–Edinburgh Mental Well-being Scale (SWEMWBS). All students reported spending more time in nature, and 83% felt more connected to the natural world.

These outcomes were achieved in just six weekly sessions, highlighting the potential impact on children’s mental health if such a programme were implemented nationally as part of the school curriculum.

The programme is overseen by Dr Georgina Gould, our Clinical Lead, who has extensive experience working with young people, including many years in Child and Adolescent Mental Health Services (CAMHS).

----- Start of picture text -----
85% 83%
of students’ mental felt more connected
health improved to nature
All students
started spending
more Fme in
nature
----- End of picture text -----

“I used to have panic aQacks, but Dose of Nature has helped me relieve so much stress. I am much happier and more confident.” Holly, 16

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In the Media

This year was highly successful for raising awareness of our charity and the mental health benefits of nature. Dose of Nature was featured in major naGonal newspapers and magazines, including the Financial Times, The Times, The Guardian, The Independent, and the Psychologies magazine , as well as on broadcast media such as Voice of Islam Radio, BBC Radio Surrey, and BBC Radio Sussex.

The Financial Times

An arFcle in the Financial Times highlighted the impact of Dose of Nature, noFng that our programme has “consistently outperformed equivalent NHS intervenFons”, even for those with more severe or complex needs. The piece also observed that our intervenFon is “demonstrably easing strain on the NHS”, whilst remaining remarkably

The Times

evidence behind the mental health benefits of nature, including how some of nature’s ‘acFve ingredients’ can sFmulate the parasympatheFc nervous system, helping us to ‘rest and digest’.

Our CEO, Dr Alison Greenwood, also shared pracFcal ways to engage with these acFve ingredients, from observing fractals, which increase alpha waves in the brain, promoFng a “wakefully relaxed state”, to running our hands through soil and breathing in mycobacterium vaccae, which can increase our capacity to manage stress.

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Wellbeing Workshops

In addiFon to supporFng those experiencing mental health difficulFes, we are commioed to spreading awareness of the wellbeing benefits of engaging with nature to the wider populaFon.

Our wellbeing workshops combine educaFon on the robust science behind nature’s benefits with pracFcal and enjoyable nature-based acFviFes. ParFcipants learn how nature can be used to build resilience, manage emoFons, reduce stress and anxiety, and boost mood. Our workshops inspire lifestyle changes, encouraging people to adopt nature as a free, accessible, and sustainable resource for wellbeing.

Each year, we run workshops for a wide range of voluntary, community and social enterprise groups. Past workshops have included groups of teachers, carers, firefighters, paramedics, refugees, charity workers, health professionals, the homeless, college students, young parents, and older adults.

This year we hosted workshops for employees from Achieving for Children, a social enterprise providing children’s services, the RHS Community Outreach team, an NHS Talking Therapies Service, teams from both Richmond and Kingston CAMHS (Children and Adolescent Mental Health Services), GP surgeries in Guildford, and teams from the Counter-terrorism Police, and Government security services.

We also aoend wellbeing days at local colleges and universiFes, to raise awareness among young people about nature’s benefits, and explain how our nature prescripFons can provide effecFve, free and sustainable support for anyone struggling with their mental health.

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Funders and Supporters

income rose to £452,244, a 62% increase from the previous year.

We are a small charity, and every donaGon is both hugely appreciated and highly impaciul. Our income comes from three main sources: statutory funding (both NHS and local authority), charitable trusts and foundaGons, and individual donaGons.

The breakdown of our sources of income is as follows.

----- Start of picture text -----
Belvedere Trust
Maingot Trust
----- End of picture text -----

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AdministraFve Details, Structure, Financial Review, Future Plans and Public Benefit

Dose of Nature is a Charitable Incorporated OrganisaFon ('CIO').

51 Gloucester Road, Richmond, Surrey TW9 3BT

Chief ExecuGve:

Dr Alison Greenwood, DPsych

Independent Examiner:

Kevin Fisher BA, FCA, CTA Kingston Burrowes Audit Ltd, 308 Ewell Rd, Surbiton, Surrey KT6 7AL

Board of Trustees:

Sir Mark Rowley (Chair) Ms Meena Bond Ms Kerry Godden Ms Amelia Gosal Dr Faisal Islam Dr Amelia Kidd Professor MarFn Milton Mr Toby Seth

Charity registraFon number: 1181216

Structure, Governance and Management

The governing document of the CIO adopts the 'AssociaFon' Model ConsFtuFon, as registered with the ChariFes Commission on 17 December 2018. During the period under review, the day-to-day acFviFes of the charity were delivered by a team of five psychologists and an operaFons team consisFng of seven members of staff, led by Chief ExecuFve Dr Alison Greenwood. In addiFon to those paid members of staff, the charity has over 100 volunteer Dose of Nature Guides, all of whom have received enhanced DBS checks, completed a full training programme, including safeguarding, and conFnue to receive regular supervision and ongoing training from Dose of Nature psychologists. The trustees named above ensure the charity carries out its purposes for the public benefit, providing strategic and financial oversight.

Financial review

The year to 31 March 2025 was the sixth full year of acFviFes and has seen the charity expand its operaFons, as described more fully in this Annual Report. At the end of March 2025, the charity has total funds of £133,119, an increase of £37,157 on the 31 March 2024 posiFon. Income for the year to March 2025 totalled £452,244 (2024: £278,527). The trustees recognise the need for a coherent policy on the level of reserves held. The aim of the trustees is to build a level of reserves which will enable a proporFon to be set aside in a Designated Fund, to meet financial obligaFons to employees and any others, in the unlikely event of the charity ceasing to exist. At the end of this current year the Designated Fund stands at £48,000. The goal remains to build the fund to approximate three months of commioed operaFng cash outlows of the charity.

Future Plans

people access the mental health benefits of nature. The growth will be closely monitored by the trustees, to ensure that at all Fmes the charity is operaFng within the constraints of its available resources and funding.

published by the Commission in exercising their powers or duFes.

Signed on behalf of the trustees: Sir Mark Rowley Chair Date:

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Statement of Financial Activities for the Year Ended 31 March 2025

Unrestricted Designated Restricted
funds funds funds Mar 25
Mar 24
Notes £ £ £ £ £
Income from:
Donations and grants 2 142,940 - 306,973 449,913 276,075
A1
Charitable activities 3 2,331 - - 2,331 2,452
A2
Total 145,271 - 306,973 452,244
278,527
Expenditure on:
Raising funds (8,050) - - (8,050) -
B1
Charitable activities 4 (124,864) - (282,173) (407,037) (348,670)
B2
Other - - - - -
B3
Total (132,914) - (282,173) (415,087) (348,670)
Net income/(expenditure) 12,357 - 24,800 37,157
(70,143)
Transfers between funds - - - - -
Net movement in funds 12,357 - 24,800 37,157
(70,143)
Reconciliation of funds:
E
Total funds brought forward 10,462 48,000 37,500 95,962 166,105
22,819 48,000 62,300 133,119 95,962
Total funds carried forward

All income and expenditure is derived from continuing activities. There were no recognised gains or losses for the current period other than those included in the Statement of Financial Activities.

The notes on pages 25 to 30 form part of these Financial Statements.

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Balance Sheet as at 31 March 2025

Notes
Fixed assets
7
Current assets:
Debtors
8
Cash at bank and in hand
9
Total current assets
Liabilities:
Creditors: amounts falling due within one year
10
Net current assets
Net assets
The funds of the charity:
Restricted funds
12
Unrestricted funds
13
Designated funds
14
Total charity funds
Mar 25
£
-
18,174
131,482
149,656
(16,537)
133,119
133,119
62,300
22,819
48,000
133,119
Mar 24
£
-
29,363
69,853
99,216
(3,254)
95,962
95,962
37,500
10,462
48,000
95,962

The Financial Statements were approved on 24 November 2025 and signed on behalf of the trustees by:

Sir Mark Rowley Trustee

The notes on pages 25 to 30 form part of these Financial Statements.

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Statement of Cashflows for the year ended 31 March 2025

Net income/(expenditure)
(Increase)/decrease in debtors
(Decrease)/increase in creditors
Net cash provided by operating activities
Cash and cash equivalents
At start of period
At 31 March
Mar 25
£
37,157
11,189
13,284
61,629
69,853
131,482
Mar 24
£
(70,143)
10,648
2,662
(56,833)
126,686
69,853

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Notes to the Financial Statements for the year ended 31 March 2025

1. AccounGng policies

General informa@on and basis of prepara@on

Dose of Nature is a Charitable Incorporated OrganisaFon and a registered charity, number 1181216. The financial statements have been prepared in accordance with AccounFng and ReporFng by ChariFes.

Recommended PracFce applicable to chariFes preparing their accounts in accordance with the Financial ReporFng Standard applicable in the UK (FRS102) issued October 2019, the Financial ReporFng Standard applicable in the UK, The ChariFes Act 2011, and UK Generally Accepted PracFce.

below. These policies have been consistently applied.

Income recogni@on

Expenditure recogni@on

Expenditure is recognised once there is a legal or construcFve obligaFon to make a payment to a third party, it is probable that seolement will be required and that the amount can be measured reliably.

Expenditure is allocated to each acFvity where the costs relate directly to that acFvity. Support costs, including governance costs, that do not relate directly to any acFvity are apporFoned to each acFvity on

Expenditure is included under the following headings:

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Notes to the Financial Statements for the year ended 31 March 2025

1. Accounting policies (continued)

Fund accounting

Unrestricted general funds are those which are freely available for use in furtherance of the objects of the charity. Designated funds are unrestricted funds set aside by the trustees for particular purposes. Restricted funds can only be used in accordance with the wishes of the donor or have been raised for a particular purpose.

Pension costs

The charity operates a defined contribution pension scheme. Contributions payable to the scheme are charged to the Statement of Financial Activities in the year to which they relate.

2. Income from donations and grants

2. Income from donations and grants
Restricted grants:
NHS SW London ICB
HighwayOne
Hampton Fuel Allotments
Garfield Weston Foundation
LBRUT: Richmond Voluntary Fund
Lottery Main Grants
Prudence Trust
Chimo Trust
Surrey CC
Total restricted grants
Unrestricted donations:
Richmond Parish Lands
Maingot Trust
Barnes Fund
Spotify
Kew Fete
Chilworth PCC
St Anne's Kew
St Luke's Kew
South West Surrey
John Lewis
Hampton Riverside Trust
Insurance Guild
University of Surrey
Other
Mayor's Office
Private donors
Total unrestricted donations
Total income from donations and grants
Mar 25
£
74,400
20,000
33,483
30,000
29,490
19,600
50,000
50,000
-
306,973
40,000
-
-
9,050
1,250
296
1,000
-
500
-
-
-
4,242
7,000
300
79,302
142,940
449,913
Mar 24
£
-
-
-
-
-
-
50,000
50,000
45,832
145,832
40,000
15,000
10,000
-
-
-
1,000
2,000
-
2,502
250
4,017
-
-
-
55,474
130,243
276,075

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Notes to the Financial Statements for the year ended 31 March 2025

3. Income from charitable activities

Workshops, lectures and seminars:
South West London & St Georges Mental Health NHS Trust
Richmond CAMHS
Voluntary Action
Royal Horticultural Society
A Little Dose of Nature
Other income
Total income from charitable activities
Mar 25
£
-
200
1,000
350
-
781
2,331
Mar 24
£
200
-
-
-
1,600
652
2,452

All of the £2,331 recognised in the year ended March 2025 (2024: £2,452) related to unrestricted funds.

4. Expenditure on charitable activities

Cost of providing programmes and workshops which promote and develop
the mental health benefits of engaging with the natural world
Mar 25
£
407,037
Mar 24
£
348,670

Of the £407,037 expenditure in the year to March 2025 (2024: £348,670), £124,864 (2024: £153,238) was charged to unrestricted funds and £282,173 (2024: £195,432) was charged to restricted funds.

Expenditure on charitable activities is comprised of direct costs and support costs, as follows:

Direct costs

Included within expenditure on charitable activities are direct costs as follows:

Wages and salaries
Other direct costs
Total direct costs
Mar 25
£
325,556
47,884
373,440
Mar 24
£
297,454
32,093
329,547

Support costs

Included within expenditure on charitable activities are support costs as follows:

Premises
Office costs
Governance costs: Independent Examiner's fee
Governance costs: other
Total support costs
Mar 25
£
16,337
13,473
2,520
1,267
33,597
Mar 24
£
5,760
9,598
2,520
1,245
19,123

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Notes to the Financial Statements for the year ended 31 March 2025

5. Related party disclosures

During the year there were no payments made to trustees in respect of expenses or fees.

In the year to March 2025 unrestricted donations from related parties totalled £44,600 (2024: £38,395).

6. Staff costs

Total staff costs for the period excluding employer's national insurance were £303,276 (2024: £271,103). Social security costs for the year were £30,330 (2024: £26,351), the charity having taken advantage of the Employment Allowance scheme made available by HMRC.

The charity had 11 employees at the start of the current period (full and part time), and 11 at the end (full and part time).

The charity operates a defined contribution pension scheme. Contributions by the charity into the scheme during the year totalled £8,162 (2024: £7,072).

None of the Trustees or members of the Management Committee received any emoluments during the year. One employee received total employee benefits (excluding employer's national insurance and employer pension contributions) of more than £60,000 during the year to March 2025 (2024: none). Total employee benefits received by key management amounted to £71,305 (2024: £65,728). Under FRS102, employee benefits includes gross salary, benefits in kind, employer’s national insurance and employers pension contributions.

Average monthly number of staff in the year ended March 2025 was 10 (2024: 9).

7. Tangible fixed assets

The charity employed no fixed assets in the year under review.

8. Debtors

Gift Aid recoverable
Other debtors
9. Cash at bank
Bank current account
10. Creditors: amounts falling due within one year
Sundry creditors and accruals
Mar 25
£
18,174
-
18,174
Mar 25
£
131,482
Mar 25
£
16,537
Mar 24
£
8,650
20,713
29,363
Mar 24
£
69,853
Mar 24
£
3,254

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Notes to the Financial Statements for the year ended 31 March 2025

11. Operating lease commitments

The charity has entered into no material, non-cancellable operating leases.

12. Restricted funds

12. Restricted funds
NHS SW London CCG
HighwayOne
Hampton Fuel Allotments
Garfield Weston Foundation
LBRUT: Richmond Voluntary Fund
Lottery Main Grants
Prudence Trust
Chimo Trust
Total
NHS SW London CCG
Surrey CC
Prudence Trust
Chimo Trust
Total
Balance
at 1 April
Transfers
between
2024
Income
Expenditure
funds
£
£
£
-
74,400
(49,600)
-
-
20,000
(20,000)
-
-
33,483
(33,483)
-
-
30,000
(30,000)
-
-
29,490
(29,490)
-
-
19,600
(19600)
-
37,500
50,000
(50,000)
-
-
50,000
(50,000)
-
37,500
306,973
(282,173)
-
Balance
at 1 April
Transfers
between
2023
Income
Expenditure
funds
£
£
£
49,600
-
(49,600)
-
-
45,832
(45,832)
-
37,500
50,000
(50,000)
-
-
50,000
(50,000)
-
87,100
145,832
(195,432)
-
Balance at
31 March
2025
£
24,800
-
-
-
-
-
37,500
-
62,300
Balance at
31 March
2024
£
-
-
37,500
-
37,500

Restricted funds are held on trust to be applied to specific purposes. Regular reports are made to the fund providers as to how those funds are applied.

NHS SW London CCG - Provision of Nature Prescriptions to the Boroughs of Richmond and Kingston HighwayOne - Provision of Nature Prescriptions

Hampton Fuel Allotments - Provision of Nature Prescriptions to Hampton postcode areas Garfield Weston Foundation - Provision of Nature Prescriptions

LBRUT: Richmond Voluntary Fund - Provision of Nature Prescriptions to the Borough of Richmond Lottery Main Grants – Provision of activities related to Nature Prescriptions at our Guildford location Surrey CC - Provision of Nature Prescriptions to the Guildford area

Prudence Trust - Provision of Nature Prescriptions to young people aged 16-25

Chimo Trust - Provision of Nature Prescriptions to young people aged 16-25; funding research into the efficacy of Nature Prescriptions

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Notes to the Financial Statements for the year ended 31 March 2025

13. Unrestricted funds

13. Unrestricted funds

Unrestricted funds
Designated funds (Note 14)

Unrestricted funds
Designated funds (Note 14)
14. Designated funds
Wind-down costs
15. Analysis of Net Assets between funds
March 2025
Current assets
Current liabiliFes
Balance at
1 April
2024
Income
£
£
10,462
145,271
48,000
-
Expenditure
£

(132,914)

-
Transfers
between
funds
£
-

-
-
Transfers
between
funds
£
-

-
-
Mar 25
£
48,000
Restricted
Funds
Mar 25
£

62,300
-

62,300
Balance at
31 March
2025
£
22,819
48,000
58,462
145,271

(132,914)
70,819
Balance at
1 April
2023
Income
£
£
31,005
132,695
48,000
-
Expenditure
£

(153,238)

-
Balance at
31 March
2024
£
10,462
48,000
79,005
278,527

(348,670)
58,462
Unrestricted
Funds
Mar 25
£
87,356
(16,537)
Mar 24
£
48,000
Total Funds
Mar 25
£
149,656
(16,537)
70,819 133,119
ComparaFve informaFon for the analysis of net assets between funds in the previous year is as follows: ComparaFve informaFon for the analysis of net assets between funds in the previous year is as follows: ComparaFve informaFon for the analysis of net assets between funds in the previous year is as follows:
Unrestricted Restricted Total Funds
Funds Funds
Mar 24 Mar 24 Mar 24
March 2024 £ £
£
61,716 37,500 99,216
Current assets (3,254) - (3,254)
Current liabiliFes
58,462 37,500 95,962

16. ConGngent assets

Grant funding awarded at 31 March 2025 but not yet received amounts to £50,000 (2024: £250,000).

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INDEPENDENT EXAMINER’S REPORT TO THE TRUSTEES OF

DOSE OF NATURE

I report to the charity trustees on my examination of the accounts of the company for the year ended 31 March 2025 which are set out on pages 22 to 30.

Responsibilities and basis of report

As the charity’s trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (‘the Act’).

I report in respect of my examination of the charity’s accounts carried out under section 145 of the Act. In carrying out my examination I have followed the Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act.

Independent examiner's statement

Since the charity’s gross income exceeded £250,000 your examiner must be a member of a body listed in section 145 of the 2011 Act. I confirm that I am qualified to undertake the examination because I am a member of ICAEW, which is one of the listed bodies.

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

  1. accounting records were not kept in respect of the charity as required by section 130 of the Act; or 2. the accounts do not accord with those records; or

  2. the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair view’ which is not a matter considered as part of an independent examination.

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

Kevin Fisher BA FCA CTA ℅ Kingston Burrowes Audit Limited 308 Ewell Road Surbiton Surrey KT6 7AL

2026

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