2023-03-31-accounts - Mothers For Mothers

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Mothers for Mothers

(A company limited by guarantee)

Report for the year ending 31[st] March 2023

Charity number 1185281 Company number 08764052

Report of the Trustees for the year ending 31 March 2023

The Trustees present the report for the year ended 31 March 2023. The audited financial report is presented separately.

Index

1 Reference and administrative information

2 Objectives and activities

3 Structure, governance and management

4 Achievement and performance

5 Case study

6 Ambition and long-term strategy

7 Financial review

1. Reference and Administrative Information

Company name: Mothers for Mothers

Charity registration number: 1185281 Company registration number: 08764052

Registered office and

Operational address: New Fulford Family Centre

237-239 Gatehouse Avenue Bristol BS13 9AQ

Trustees

Natalie Campbell Chair Laura Ward Vice Chair Ilona Kutrzeba Treasurer Kelly Avis-Hay Secretary Annette Lang Caroline Scrase Christy Burden Mel Lloyd Suzy Stollery Kym Birtwell-Thompson Claire Storey Nicky Pedwell Resigned Amanda Clarke Resigned

Senior Management Team

Maria Viner CEO Justine Rowe Finance Manager

Bankers: CAF Bank Ltd 25 kings Hill Avenue, Kings Hill, West Mailing, Kent, ME19 4JQ Solicitors: Orrick, Herrington & Sutcliffe, 107 Cheapside, London, EC2V 6DN

2. Objectives and activities

Purpose and Aims

Since 1981 Mothers for Mothers (Charity Commission No: 1185281) has supported families affected by maternal mental health issues across Bristol, South Gloucestershire and North Somerset. We support women and birthing people during pregnancy and until their youngest child attends school, from illness to wellness. Our services work together to provide peer support, promoting wellbeing and reducing social isolation to ensure women and children are well, enjoy healthy relationships and can engage in the wider community.

Our services are designed, developed and delivered by women with lived experience. Our staff and volunteers are women of lived experience and are passionate about the importance of the work we do and the needs of the families we work with. They are DBS checked and trained in all aspects of Maternal Mental Health (including suicide first aid, self-harm and trauma informed care), listening skills, confidentiality, safeguarding, infant feeding, prevent, infant social and emotional development, and staff receive clinical supervision according to recognised good practice.

We aim to achieve the following outcomes for the women and families we work with:

Improved confidence, resilience and relationships with children and family, leading to faster recovery.
Improving children’s emotional development by supporting Mothers to be sensitive and responsive in their relationships with their children
Reduced social isolation and improved social and support networks.
More awareness of Perinatal Mental Illness and the support available.
Improved care and services for maternal mental illness.

We are passionate about providing the right care in the right place at the right time for the families we work with; supporting families affected by perinatal mental health problems or a history of mental illness, including post-partum psychosis. Up to 20% of women experience a mental health issue during pregnancy or after giving birth[1] . Symptoms include feelings of despondency, guilt, anxiety and isolation, panic attacks and maternal Obsessive Compulsive Disorder (OCD.) Some mental health conditions are on-going, some are dormant but may exacerbate and others are new episodes. New episodes that develop during the perinatal period are most commonly depression, anxiety and posttraumatic stress disorder. Maternal mental health issues can inhibit a mother’s ability to bond with her baby and provide sensitive and responsive care, affecting the emotional, cognitive and physical development and long-term health of her children[1] . The first step to recovery is for women to recognise they are unwell and be prepared to talk about how they feel[2] . However, half of new mothers’ mental health problems do not get picked up by a health professional, and 34% of women fear their baby will be taken away if they disclose their feelings[2] . This suffering can go unnoticed and undiagnosed particularly as there may be isolation, stigma and fear around disclosure. Around 3,000 women in the Bristol area suffer from moderate to more serious Perinatal mental illness every year.[1]

The challenges faced by women experiencing maternal mental health issues are compounded by the additional burdens that are all too apparent in our local area. The effects of their illness can be worse for women who are also faced with other issues which contribute to and exacerbate their anxiety and distress. Services for women can be variable, especially for the most vulnerable and deprived

1 Perinatal Mental Health Experiences of Women and Health Professionals, Boots Family Trust Alliance, October 2013

communities. Our premises and groups are in areas of extreme deprivation, where people are most in need of our services. We are increasingly working with women and families who are experiencing issues which include domestic abuse, uncertain housing, abuse and exploitation, uncertainty about their leave to remain as well as financial hardship and food/digital poverty. This added complexity requires Mothers for Mothers staff and volunteers to be increasingly skilled and resilient in offering peer support services to these families. The robust safeguarding system that lies at the heart of all our services is essential and demonstrates the benefits that can come from good multiagency working between statutory agencies and third sector organisations.

Whenever possible we try to work with the whole family. Perinatal mental illness may lead to family disharmony, breakdown of relationships, problems bonding which can disadvantage the whole family. Our services try to minimise the disruption experienced by the family and improve family relationships. The average cost to society of one case of perinatal depression is around £74,000, of which £23,000 relates to the mother and £51,000 relates to impacts on the child. By working with women at an early stage the detrimental effect on the future wellbeing of a child is minimised.[2]

None of this would be possible without the team of dedicated and skilled volunteers who show such commitment to ensuring that peer support is available to families across the area. They not only provide the life blood of the organisation, but they remind us of our heritage as an organisation and keep us firmly rooted in the values of women of lived experience supporting other women and families.

3. Structure, governance, and management

Mothers for Mothers is a company limited by guarantee.

The nature of the governing document is Articles of Association altered by Special Resolution on 10 January 2019 and 16 July 2020.

There is a Board of Trustees made up of up to 12 women of lived experience and others who bring specific professional skills to the board.

A small staff team is led by CEO Maria Viner. Also led by Maria Viner is the team of volunteers providing the Helpline Service and some of the support services.

The Board has shown ongoing commitment to maintaining the values and ethos of the charity whilst at the same time evolving to meet the ever-changing context in which we operate.

There have been changes to the Board of Trustees in this reporting period, and thanks for donating their time, commitment, and passion for the aims of the organisation must go to those who have stepped down from their roles:

Nicky Pedwell
Amanda Clarke

2 Bristol, North Somerset and South Gloucestershire Clinical Commissioning Groups Maternity Transformation Plan 2017-2021

Thanks must also go to the new Trustees who have joined the Board this year:

Kym Birtwell-Thompson
Ilona Kutrzeba
Claire Storey

Potential trustees are identified by current trustees or the CEO dependent on their knowledge, skills and substantive role. New trustees are invited to join the board by the current board of trustees.

4. Achievements and performance

Quantitative Feedback from Service Users

Below is a range of quantitative collective feedback from people using Mothers for Mothers services. This gives an indication of service quality across the organisation.

95% of women Strongly Agreed or Agreed that as a result of using MfM service they feel more reassured about what they have been experiencing.

65% of women Strongly Agreed or Agreed that as a result of using MfM service the relationship or bond between them and their child has improved.

100% of women rated the support received from their home visitor as ‘excellent’ or ‘good’

As a result of the MBU peer support service, 100% of women rated the support received as ‘excellent’ or ‘good’.

100% of women rated their connection with their therapist as excellent or good

100% of women agreed or strongly agreed that they could better recognise their feelings and how they link to their life experience.

100% of women rated the Antenatal and Wellbeing in Pregnancy Group as Excellent/Good

92% of women feel more able to explain the way they feel and why to family members

84% of women Strongly Agreed or Agreed that as a result of using MfM service they feel more hopeful about the future.

Equality

Considering equality, diversity and inclusion across MfM services is always on the agenda, to ensure that services are appropriate and supportive to all women and birthing people. A selection of feedback from clients below indicates how MfM performed this year.

21% of Reach clients in 2022/23 were from a black or minority ethnic background. This is higher than across the local population – 7% in South Gloucestershire, 3% in North Somerset and 14% in Bristol city.

“Mothers for Mothers were alive to the fact that ethnic minority mothers are at a disadvantage in pregnancy, labour and beyond, and raised it as an issue of equality. I was signposted to research on this. All people should be treated with dignity. MfM were aware and alive to this issue which is incredibly important. Because of these conversations I have reached out to other women of colour and found similar experiences. I wonder about the statistics and the collective experiences – I feel that this could be fed back to the trusts from the safe spaces created by Mothers for Mothers, where women feel able to talk honestly about their experiences.”

13% of Reach clients in 2022/23 told us that they had a disability in addition to their mental health needs.

78% of clients surveyed about SEND support felt better able to access other services regarding the needs of their SEND child.

“[The support worker] signposts and lets me know of other organisations and their coffee mornings, and she introduces me to other people such as SEND and You.”

6% of Reach clients in 2022/23 told us that they identified as LGBTQIA+. While data on sexual minority families in BNSSG is limited, nationally in 2021 only 3.2% of people identified in this way.

Case study:

We supported C with her application for temporary accommodation through the Council and with her partner’s status as a refugee (this was successful, and they moved), we referred C to Womankind for therapy, referred the family to Incredible Kids (SEND support for her child), benefits were brought up to date (backdated money received, items from baby bank, sofa project etc were sourced).We then supported the family to get onto ‘Home Choice’ and to start bidding (antisocial issues - drug use, prostitution, etc - in and around the street where they were housed were an ongoing problem for the family and they needed to move). Supporting letters from Health Visitor, GP and school to help push up the process were collected. We also managed to arrange a holiday through the Family Holiday Association.

Impact on Mothers and Families

Reduced isolation

81% of women Strongly Agreed or Agreed that as a result of using MfM services they feel less isolated or lonely.

Early motherhood can be a uniquely isolating time, and this is exacerbated when someone is struggling with low mood, challenging life circumstances, or a mental health difficulty. Clients described the radical difference that MfM made in reducing loneliness within that perinatal context. There is a theme running through the testamonials that someone understanding from a lived experience perspective, through peer support was particularly beneficial.

“The most helpful thing is having the calls weekly knowing I have someone to talk to and look forward to being able to say how I feel”

“In a time that felt lonely and empty for myself, I was able to open up to my home visitor about how difficult I was finding things. I will always be extremely grateful for their understanding, listening and non-judgemental approach and for giving me a space in which I felt safe enough to talk.”

“Meeting other people in similar life situations and talking though our upcoming journeys together”

Increased confidence

78% of women Strongly Agreed or Agreed that as a result of using MfM service they feel more confident in parenting their child.

85% of women Strongly Agreed or Agreed that as a result of MfM they feel more confident to access other MfM services.

82% of women Strongly Agreed or Agreed that as a result of using MfM service they feel more confident to access other support if needed.

Clients described increased confidence in themselves and their parenting as a result of engaging with MfM:

“Having the calls weekly have helped me alot at first I was nervous but now I feel more confident. I am looking forward to starting counselling next month”

“Today I feel more confident, my home visitor really changed my life.”

“ The service is great and is helpful with mums who haven't got the confidence.”

This confidence translates into demonstrable improvements in health and quality of life for mothers and families:

“I’m kinder to myself as a mother. I have more confidence in myself as a mother. And I feel an overall sense that a weight has been lifted.”

“As well as helping me as a mother, the support from Mothers for Mothers has led me to seek my own referral for ASD. I am happier, more confident as a mum and more relaxed around my son. It’s really been a vital service for me.”

Increased self-care and self-knowledge

86% of women Strongly Agreed or Agreed that as a result of using MfM service they know more about what they need in their life to be well and what works for them.

72% of women Strongly Agreed or Agreed that as a result of using MfM service they give more importance and time to self care.

Client feedback emphasised the individualised nature of self-care – the fact that we are all different and what self-care looks like will be different for each of us. Clients highlighted the importance of

developing boundaries and understanding their feelings in order to acknowledge them with compassion.

“I have more boundaries, in a good way.”

“Having to talk about how I was feeling on a particular day made me confront and challenge some of my thoughts and beliefs that weren't helpful to me and revise them.” “Understanding the layers of my feelings and putting that learning to practice. The cards and images are brilliant.”

Reduced sense of stigma

95% of women Strongly Agreed or Agreed that as a result of using MfM service they feel more reassured about what they have been experiencing.

We live in a society where stigma can impact the way we live and often means that people avoid looking for support if they need it. Many mothers who experience emotional or mental health difficulties in pregnancy or postnatally can stigmatise themselves, feeling intense shame and guilt. MfM provides a powerful peer led model of work to encourage destigmatising, validating and normalising these experiences. This applies across all services.

“Being able to open up to someone about things I haven't really talked about before with anyone else.”

“Being able to discuss issues and problems that I felt I couldn't discuss with others.

Talking to my therapist helped me realise things that without therapy I would not have. Fact I was offered extra sessions and never felt rushed. Close to home which was convenient for childcare.”

“There’s such a shame attached to admitting that you need help or support, especially as a mother. Just spending time around others who are going through the same and worse that me and who have been brave enough to talk freely about it, makes me feel like I can ask for help. The volunteers are also such a big support in this: Seeing such strong, intelligent and well put together women talk openly about their own struggles really helps you to feel that it doesn’t make you weak or less of a person for needing help.”

Improved mental health symptoms

74% of women Strongly Agreed or Agreed that as a result of using MfM service they feel less stressed or anxious

77% of women Strongly Agreed or Agreed that as a result of using MfM service their general mood has improved and they have felt less depressed.

Clients believed that MfM services had prevented them from developing a mental health difficulty that they would have experienced without that support, or they believed that MfM services had stopped a pre-existing mental health difficulty from getting worse. They also felt better equipped to prevent or manage any mental health issue they might experience in future. Many felt that their days generally felt better, and they had a better understanding of their own mental health.

“So much better, massive improvement. not feeling so down these days. Ongoing support if needed.”

“I am not feeling suicidal any more. It's a work in progress, I manage the lows better and I have more ok days now.”

“Talking was so helpful, having someone who understands. how emotions can change when I do things for myself, I was given strategies to manage my emotions. less guilt in doing things for myself. Forgot who I was but feeling like myself again.”

Prevention and early intervention are two aspects of healthcare that reduce both public spending on services and unnecessary human suffering, but they are also aspects that an underfunded NHS struggles to prioritise. MfM addresses this need. There is further economic benefit when, after using MfM services, mothers are well enough to return to work.

Improved relationships with babies and children

65% of women Strongly Agreed or Agreed that as a result of using MfM service the relationship or bond between them and their child has improved.

Clients described how MfM services have helped them to be kinder and more compassionate towards themselves, linking this directly with being kinder and more compassionate towards their children. They also described how MfM services had taught practical parenting skills which they were using and found effective to connect with their children, and to support their children with their own feelings.

“She helped me get more confident to go out with kids.”

“My feelings being validated and decisions I made being respected. Having someone consistently hold a space for me to be honest and completely truthful has made me value myself more and has improved my relationships with people, including my Husband and Daughter.”

“I am able to accept myself and my past., the trauma of my child's birth and to allow myself to connect with my baby more. To also not give myself a hard time.”

“I am a calmer, gentler, less uptight and cross parent and can be a better role model to my daughter.”

“I feel I am a better mother since coming to therapy. I am kinder to myself and I cope better on the ‘difficult days’ with parenting”

“My mental health would have seriously declined without these services and my bond with my baby would have suffered. The mothers for mothers services had a hugely positive experience on my life and I cannot thank you enough.”

5. Case Study

I had experienced a 6-day long traumatic labour, my aftercare was confusing and sporadic with so many different midwives and health visitors. It dawned on me that I was not ok with myself mentally and I put my hand up to say I am suffering, I'm struggling and I'm traumatised. I had no idea what had really happened to me, what had gone wrong and why I had been treated in the way I had. I felt surrounded by negativity and judgement from my family, I felt isolated and vulnerable. I don’t even remember how I ended up in contact with Mothers for Mothers, which midwife it was that referred me or what the first contact was but I ended up with a regular support call from XX and a regular home visit from XX. The help was immediate and it became essential.

Primarily, Mothers for Mothers just listened (and that was in the form of a telephone call and a faceto-face visit). The fact that someone would come out specially to see me, to give me a forum to speak and not shut me down meant so much. I was given the opportunity to follow up on opportunities to connect with other services and to start to think about looking into the circumstances of my birth. Outside of the space held by Mothers for Mothers I felt suffocated, ignored, and invalidated. In their space there was time to just be me, to cry and say how I really felt. I was shown that there was nothing wrong with that. I was so vulnerable, so broken and you gave me so much. I felt like I was in a hole, I was trying to get out of it – crawling like a crab, and you helped me out.

The words and concepts that I didn’t necessarily understand I could work through with XX. We were able to talk about what had happened and she was able to give consideration to what could have been done differently. It meant a lot to hear that from someone as I had felt let down by. I do understand the pressure of working in that environment but there were decisions made, actions taken and words used that were not right. XX was able to tell me what to expect when I take things further with a complaint, she gave me a balanced understanding of the process and how I could go about accessing my notes. She had patience and understanding when I could not face doing it earlier and has offered support when I am ready. I know that I will have the strength to do this soon as I have been ‘seen’ through my work with MfM.

I may have been surrounded by people but I felt so alone. Mothers for Mothers always checked in when they hadn't heard from me, there was an element of seeing me as human being there. The service is professional, but I never felt that I was on a time schedule. I felt I could talk about anything, that nothing was off the table. Life is not neat, and there are all kinds of elements that contribute to a person's mental health – I was able to talk about anything withthem. Nothing was too much trouble, and the soft element of contact was what I needed - I was so very fragile. The work we did together gave me back some dignity following an experience that stripped me of it. I loved speaking to XX as she would always ask me to end on a positive and to think of something good that had happened that week – that was really helpful.

Mothers for Mothers were responsive and so built trust and a connection filling the gap between referral and the start of therapy with Vitaminds. I felt that with other services if I did not meet an extreme criterion, I would not get help – i.e., if I did not express plans for suicide I would not be taken on, Mothers for Mothers was different.

With XX I was inspired to write how I was feeling. I started to use a diary to record my thoughts and feelings no matter how strong and I learnt not to be fearful of those feelings. It was so good to have

someone actually see my baby, to witness her growth and development and to reassure me of how well I was doing. I had not had a consistent eye from any other service and having a trusted person come in and see the changes was really useful.”

Because I was listened to...

I’ve grown in confidence and finally I’m going to make the access request to get my birth
notes.
I am able to talk openly about what had happened to me.
I am getting my old self back. I have found my determination and tenacity again.

Work with Mothers for Mothers helped me to think about my treatment during my birth – I was able to consider whether I had been treated differently because of my ethnicity. Mothers for Mothers were alive to the fact that ethnic minority mothers are at a disadvantage in pregnancy, labour and beyond and raised it as an issue of equality. I was signposted to research on this. All people should be treated with dignity, MfM were aware and alive to this issue which is incredibly important. Because of these conversations I have reached out to other women of colour and found similar experiences. I wonder about the statistics and the collective experiences – I feel that this could be fed back to the trusts from the safe spaces created by Mothers for Mothers, where women feel able to talk honestly about their experiences. As an organisation keeping an eye on regular trends is a really good thing as you can feed back.

I have realised that other people have trauma (other family members for example and that this will affect how they treat me and others), I can't change other people but I can work on myself. I feel that I am on the up and I am very grateful for the service. I have a healthy daughter but I am OK with saying, ‘I am not OK’ and that’s due to being listen to without judgement (I can say I am not coping and not feel like a failure). I found my own way to parent

I am considering doing some charitable collections for Mothers for Mothers. Looking at £5 and under type sales for baby equipment and toys etc (and donating % to MfM for example). Looking to include everyone and to make things available to all. Decent quality items shouldn’t only be for certain people.

Before finding MfM I felt like I just couldn’t talk to anyone. I wasn’t being heard by professionals, and some family too. Its too hard to think about. I would have been in a more serious state of depression without MfM support I think. I may have ended up self-harming. I have tendency to scratch/itch and that could have been a lot worse. I would not have been present for my baby. Through MfM I have been able to acknowledge what has happened at my own pace. Fundamentally I have had my confidence restored.

I had to fight not to be discharged by my community midwives, I had to fight services not to be let go. With standard services you have no time to recover, it’s about survival - a battle. To have an ongoing service that does not just end arbitrarily is amazing. You have given me tools to go forward to do things myself. It helps that you are mothers yourselves. You are a real person that I am speaking to – it puts me at ease.

6. Ambition and Long-Term Strategy

Our primary objective is to maintain and develop a sustainable peer support organisation which provides high quality services to meet the emotional health needs of clients and their families from pregnancy until the youngest child reaches school age. We do this with great care, particularly focusing on authenticity, meeting our organisational aims and values, and with a great emphasis on safety and compassion, both for clients and the staff working with them.

We have begun to look at opportunities for growing the senior leadership team in the organisation, due to the increased size in team and demand, particularly due to the increased client numbers since the pandemic and more recently since the closure of another maternal mental health service in the area.

Mothers for Mothers is currently working with the Cranfield Trust to produce a new five-year strategic plan. This will help them to consider further the nature and quality of the services that they currently deliver and how these might be developed and improved in future. In light of client feedback in the full impact report for 2022-23, and particularly the challenges and limitations described above, the following recommendations are suggested for future consideration:

Pursuit of a higher level of funding to ensure consistent quality of services, reduce waiting times, improve accessibility and relieve burden on volunteers.
Exploration of how MfM might allow mothers to continue one-to-one therapeutic support beyond 12 weeks if needed.
Exploration of how MfM might enable mothers to book specific regular time slots for telephone support.
Exploration of how MfM might ensure a broader geographical spread of peer support, antenatal groups, counselling and art therapy venues.
Exploration of childcare provision for groups and one-to-one support, such as a mobile creche, childcare vouchers, or partnership with a local children’s centre or playgroup.
Exploration of approaches for combining online and face-to-face support so that mothers can access multiple forms of either, depending on individual circumstances.
A review of how support and relationships are ended when children turn four, with a view to redesigning this process.
Further training and support for volunteers around managing boundaries and witnessing trauma without a detrimental impact on their own wellbeing. This should go beyond lighttouch approaches and may require psychologist input.

These recommendations should be implemented in conversation with clients and volunteers. It is likely that further research and feedback will be needed to ascertain the best approach.

7. Financial Review

Our audited annual accounts for the reporting period are attached. Mothers for Mothers holds a general reserve to cover funding shortfalls and interruption to normal operating activities. This is included in the Financial Policy & Procedures. The level is based on 3 months' budgeted core operating costs for the following financial year, which in this reporting period is £75,000.

MOTHERS FOR MOTHERS (A Company Limtted by Guarantee) FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023 Registered Charty Number. 1185281 C(Mnpany Number: 08764052 TYRRELL PROCTER Chartered Accountants Business Advisors 113 PaT50D Strert BS3 5QH

MOTHERS FOR MOTHERS FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023 CoENTs Pa9e Company tnformation Report of the Directors and Trustees 3 Independent Examinerfs Report to the Trustees Statement of Finanaal Athities Balance Sheet Notes to the Finarrial Ststem8nts 9-12 Tnthes Only: Detsiled Income & Expenditure Account 13

MOTHERS FOR MOTHERS COMPANY INFORMATION FOR THE YEAR ENDED 31 MARCH 2023 Administrative Infonnation Ch8rhy Name.. Charity Number. 1185281 coMnY Numw. 08764052 R8gi5tgred office and Operational address.. N*w Fulford Family Cgntre 237-239 Gatthuse Avenue Bristol BS13 9AQ Diro¢lors and Tru¥tses Natalie Anne Campbell Annette Laro Laura Kathleen Ward Ilona Kutr2eba Melanie Uoyd Dr Christy BLErdan Dr Caroline Louise Scfase Kelly Jane Avis-H8y Suzanne Clare Stollery Kym Birfftll-Thompson Clwre Storey Ch•"r Vw thair Treagjrer SeLretary Accountants TYRRELL PROCTER Chartered Accountants Beaufort Hse 113 Parson Street Bristol, BS3 5QH

MOTHERS FOR MOTHERS REPORT OF THE DIRECTORS AND TRUSTEES FOR THE YEAR ENDED 31 MARCH 2023 The Trustees prent thgr dIrtOrS. repjrt and finarMI statsments for Ihe e11 31 March 2023. Trust$ Stat•m•nt Since 1981 Mothers Mothers has pted families affe¢AwJ by m8temal mentsl illnoss across Bristol, Sujth Glojceslerthire and North Somerset. We offer prt to women during pre9rncY and until thr yc4ngest thld atterJs 4)01. from i11r lo wellnes5, through our supwrt servi(s'. Reath IlplinpWrt 11$, Home Vistting. Art Psyththrapy oTrJ Cjn$81lIng. Pear Supp)rt Grouptenata Groups and SEND support. Our servi¢as are dalivered by w)men wTth Iwed experie[ of penn8t81 mentsl illn. We aim to achieve the following outcomes for the %Kmen aThJ families work wth.. . Improved ccmfidorth. resi11ce rejationships with children and faytity. leadirwJ to faster rowvery. . Improving chikFren's emotional development by supportirvJ mother3 to te serritive arKI responsive in their relatjnslpS wth their chiklren. * Reduced sw81 is(Aion 8nd imwoved social and suPrt . More awareness of perinatal rnent illness and the sJFpNt alle . Improv care and services fc maternal mental illness. During the a¢unti[yJ period, lo deliver t ave Servic Mothers for Imhers has employed 12 memtrs ol staff. othèrs for Mothers has trained 8nd supsxirted a tean d volunteers lo indude student placements. Ouring this accwnting period Mothers for Mothers has r1Ved Pro BorK) Support frun Cryanfld Trust aThJ has usad Staple Hill Family Hub for 2 hc4Jrs per week free of Funds to deliver the services are raised from slatulY fLndir@,' grants, f(wdations and trus fvndraisiw events aThJ dc#tiOns.

MOTHERS FOR MOTHERS REPORT OF THE DIRECTORS AND TRUSTEES (contlnued) FOR THE YEAR ENDED 31 MARCH 2023 StrUre. G0ManCe and eMent Mothers for Molhers began work as a ¥C4tary ganIsl( in January 1981. It was originally register as a d)arity 10 July 1992110126421. A charilabfe company limrted by gLmntee was incorwratad on 6 November 2013 on 1st Awl 2020 the charity has reslTuclured into the legal fomi of a company limf(ed by rantee arLI began to operate urKler the new clwty number. 1185281. The ori1 charity's funds and a5seis tre gifted to the SucsS( charitable (x)mp8ny whith has taken on the chwitsble activities. The final r0. F¢)%tion accounts Vre thnitted to the Charity Commi&won 23rd February 2021 The crfiginal charity numbgr 111 be doJ d( uwn 8greement by tho Charity Commi&on. The u)mpany Swds established under a Memorandum of As$i3110n vthich es¢8Nith the objects and p13 of the ch8rit8bJe company is g)vemed by its Articles of Asyjciation. In the event of the company bng Vwnd up memkrs are requir&d to conlribute an amount not exceedir¥J £1. The diredor5 of the company are alw the chari$ Injstees for the pUr[se5 of Rosponsibllitles of the Truste8S Under tharity and ts)mpany law. the TnAtees are responsib fcf weparmg fin¥la1 statements for each financial year. Yknich give a true and fair vithv of the state of affairs of the charitsble company as at th8 balan Sheet date arKJ of its irtsJmir¥J reg)urces and applir2tion of rescojrces, indudirKJ income and 8xp8nditure, the financial y. In prepariThJ these finarKial Statents. [allY acpted accounting wacti¢¢ entails that tho Iwstees.. • select suitable accounling policAes and then apply them consistently.. • make judg8ments and estimates th are resp($ble and prjen1. ' prepar& tha finanoal stateMts on the nCeM basis unkn tl 1$ inappropri8tè lo presume that the charity wll oJntinue its tiVe5. The Trust are re$wrn9b for maintsining proper aco)unting recwds dlsdose reasonable acwrdw at any time ttie fin¢Val ptiOn of the tharitable company and to enablè thém lo Sre that finaneA81 statements comply vitth the Companies Act. The Trustees are also responsi8 for safgJuardiThJ Ihe assets of the charrtable ¢ompany he for tthng reas¢)nable stgps for tho prevention and dete¢ti¢)n of fraud and other irrewlartties

MOTHERS FOR MOTHERS REPORT OF THE DIRECTORS AND TRUSTEES (contlnued) FOR THE YEAR ENDED 31 MARCH 2023 RpOnsIbIlItiS af the Directors The DI(10T$. regukqted by ¢xynpany are algJ trustees t( the wjrpws of charity law, who sèrved during the year and up to the date of this repcffl are set Iyjt on pa30 2. In aco)rdance th (mip8ny law. as the (1panY directors, we certrfy that • so far as we are aware. there bs m reant infcfflbation o* the cc#npanYs examiners are unavare., and • as tho dirtOrS of the (Kwnparry have all Ihe nsary step5 that ought to have takan in ordér to maka ours8lv&8 avAr8 of any rel8vanl information nacessary for the iThJependent examination and to esthlish that the charity'$ examiners are ware of that Informati. and . the Statem8nt of R8commeNled Pracbce fA¢rxJJntirKJ by Chartbes") have been followed, subject to any Matsri dertlaS disdoswj and ewaingj in the financaal statements. ApFwvgd by the Tru8te98 Natalie Anne CampWI Isep 21, 2021 9'.36aml Natalie Anne CaM)elL ..21.Sep.2023.................Dat

MOTHERS FOR MOTHERS INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2023 We have examined the finan0 statements set out on pagè 6. Respective responsibilities of trnstee5 ad examier Thè d)arty's trustéès arè résponsiblè for thè preparalion of a(xnts. The charity's members 0lder that an audit is Th)t reqUId for this year under tIOn 144 of Charities Act 2011 Ithe Charities A¢tl and that an ilew¥Jent ex8minab.on is nj1. It is our responsibility lo.. . examine the accounts urKler Secti 145 of Ihe Charrties Act. . to follow the procedures laid d(r•m in the gwral DI[tI(lS given by the Chartty Comrnission (under section 145(5llbl of the charib.es Act), and . to state whether parbculaT matters have come to our atttiOn. Basis of iThlependent examiner's report Our exarninalon bwds carried oul in CordarKe vrith the General DirKtions given by the Charity Commission. An examination indudes a review of the ac(yJunting r8cords kept by the charity and a comparison of the aco)unts present1 w¥th those rds. It also Incl Consideratit of any unusual it8ms or dIlOSUreS in th8 a(rA)unls. and seeknrvJ explanations from truSS o)ncemiro such matters. The woTrdures undertaken do not provide all the eVIder that would te required in an audit, . and rxjnsequentty no OnIOn is gtven as lo %thether the a¢(x)unts present a Irue and fw view and the report is limited to those malters set out in th¢ alemonE bel. This report is made to you in aCxwda ¥th the lemis our ewJemenl arK1 for no other purpose. To the fullest extent permitted by law, we do Th)t wpt or a%sL#ng reskX)nsibility to anyo other than the trustees. for our work or for this report. Ind8p8nd¢nt ¢xamiMrf$ stat¢ment In cOnntIon vAth otsr examinabon. no matter has cx)me to our attention". 1. gives us rea9)nae Cal lo believe thal in. any material reskd. wuirements.. to keep a¢wuntirYJ rec(¥ds in arx(danf Wth sedson 130 of the Charitie5 Act., and to txepare 8cxx)unts vthi¢h with the YKcx)untirrfJ rrdS and comFly with the aOLting wuirements of the Charities Act and the Regulations have not bèen met.. 2. to %thich, in my opinion, attenbon shjjld be dra in wder to wabl the accounts to be reac. a proper urKlerstandiryJ of TYRRELL PROCTER Chartered A¢cguntsnts B¢aufort House 113 PaT¥on StrEet Bristol BS3 5QH ..

MOTHERS FOR MOTHERS STATEMENT OF FINANCIAL ACTivrriES FOR THE YEAR ENDED 31 MARCH 2023 Fund5 Fund5 Funds Funds 2022 INCOME AND EXPENDrruRE: In¢ome ResourcEs'. Local Authority Gnts Fund Raising and Other Income Investment Income ststulory NHS funding Other Grants CBRE- RHS Chelsea flower show TOTAL INCOMING RESOURCES 9,456 9.456 20,090 1,&34 128,880 139.093 89.321 24,280 35 127,726 58.571 37,455 337.388 20,090 1,834 128,880 139.093 21.924 277.429 299.353 RESOURCES EXPENDED: Direct Charitable Expgnditure Management. Administration and Support ofthe Charity 82.752 30.672 192.075 274.827 30,672 197,014 10,345 TOTAL RESOURCES EXPENDED 113,424 192,075 305,499 207 359 NET INCOMING RESOURCES (91.SOO) 85,354 (6,146) 130,029 Balance of Funds- Brought Forward 136.582 159,697 296.279 166.250 Balance of Funds- Carried Forward 45.082 245,051 2.132 296,279

MOTHERS FOR MOTHERS BALANCE SHEEr AS AT 31 MARCH 2023 2023 2022 FEXED ASSETS Tangible Assets 43 57 CURRENT ASSETS Debtors Balance at Bank 40,386 255,217 899 298,980 295.603 299.879 CURRENT LIABILITIES Creditors falling due wthin one year 5,514 3,657 NET CURRE ASSETS 29),089 NET ASSETS 29J,132 296,279 Represented bw. UNRESTRICTED FUNDS GENERAL DESIGNATED - Staff contingency - 3 months running costs - Staff restructure & development RESTRICTED FUNDS 2,653 14,475 75,000 50.000 148,004 7,929 8,653 75,000 45.000 159,697 290,132 296.279 Approved by the Board of Trustees and skJned on its behalf: Chair - Treasurer )na KuI2eba Isqp 21. 3)23. 11'.42arn} 2Is82021........................21 Sep.2023 Date The notes on pages 9 to 12 fonn part of th8S8 accounts.

MOTHERS FOR MOTHERS NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023 PRINCIPAL ACCOUNTING POLICIES The principal accounting poliCS adopted in the preparatw)n of the financial statements are set out bebw arnl have remained unchanged from the prev•)us year. (al Basis of Accounting The financial statements have been prepared under the historical cost nventIOn, and in aCrdance with the Statement of Recommended Prathce. (bl Fund £countlng (i) Unrestricted funds are 8vaiLqble for use at the discTrtion of the trustees in furtherance of the general objectives of the charity. (li) Designated funds are unrestricted ndS earmarted by the Management Committee for particular purposes. {iii) Rè$lrieted funds are subje(ed to restrti*ons on their expenditure imposed by the donor or through the tem of an appeal. (¢} Incomlng Resources All inming rwdources are induded in the statement of finan(ial a(Xivilles whan the thaiity Is entitled to Ihe income and the amount can be quantird with reasonable arxuracy. The following specifr policies are applied to partiujlar tegOrieS of income. (il Voluntary income is received by Way of grants, donations and gtfts and is induded in full in the Statement of Financial ActNrbes when receivable. Grants. where entiUemer)l is not conditional on the delivery of a specific perf0rrnan by the charity, a re(fjgnised when the charity beo)mes unconditK)nally ents'tled to the grant. (1> Donated servi8 and falItieS are induded at the vakne to the ¢tharity where this n be quantrfied. (li) The value of serViS pyowded by volunteers has not been included In these acwunts. (iv) Investment income is induded when re¢xivable. {vl In)mIng resources from tharitabk? trading activty are Unted for ¥then eamed. {vi) Incomin9 resources from grants. whar8 related to perf0mnCe and specific deliverables. are accounted for as Ihe th81ity eams th& right io consider8tKsn by its perf0mnce.

MOTHERS FOR MOTHERS 10 NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31 MARCH 2023 (d) Resources Expended Expendiiure reo)gnised on an ac¢rual basis as a liabilty b incurred. Expendhure Includeg any VAT which cannot be fulty recover1. (i) Costs of generating funds comprise the (sts assoaated with attracting voluntary income and the costs of trading for fundraising purposes. (l) Charitable expenditu comprises the ctssts aSslated vAth attracting voluntary income and the costs of trading for fundraising pUOSes. (Nil Govemance costs include those costs associated with meeting the constitutional and statutory requirements of the charity and indude the audit fees and costs linked to the Strateg management of the charity. (N) All costs are allocated beeen the expenditure cxtegories of the SOFA on a basis designed to refiect the use of the resource. Costs relating to a partIlar actwity are allocated directty, Othe are appOrtned on an appropriate basis. {0} Fixod Assets Tangible fixed assgts aro written off over the expeLtsd useful lrfe of the asset, at 25% per annum on tha reduang balance basis.

MOTHERS FOR MOTHERS 11 NOTES TO THE FINANCIAL STATEMENTS (contlnued) FOR THE YEAR ENDED 31 MARCH 2023 TANGIBLE FIXED ASSETS 2023 2022 COST Balan Brought Fojward AdditKJns during the Year 6,010 6,010 6,010 6,010 DEPRECIATION Balantx Brought Forward Charge for the Year 5.953 14 5,934 19 5,967 5,953 NET BOOK VALUE CARRIED FORWARD 43 57 NET BOOK VALUE BROUGHT FORWARD 57 76 DEBTORS 2023 2022 Trade Debtors HMRC 40,386 899 40,386 899 cREDORs- FALLING DUE WITHIN ONE YEAR 2023 2022 Payroll Sundry Creditors Accruals 5.229 285 3,372 285 5.514 3.657

MOTHERS FOR MOTHERS 12 NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31 MARCH 2023 contlnued MOVEMENTS IN FUNDS Fund5 Transfer Balance 01.0&2022 Outgoing 31.032023 Restricted Funds BNSSG ICB Client Care Avon & Wiltshire MH parlneTship The national lottery RC (mm. fund Th8 national lollery awards for all Children in Need Nisbel Trust Newby Trust Garfield Weston Northw McFart2ne Walker Albert Hunt Doughty Bristol Cty Counal NHS Art PsychothePY NHS client care NHS P8èr Support NHS SEND NHS Antenatal Quartet N Somers8t Quartet resilience Quartet Express CBRE (Chelsea) 38,898 34.850 31.835 9.800 10.000 5.0 10.000 25,000 5.000 1.000 2,000 2,000 38,898 34.850 4.162 3.066 10,000 5.000 10.000 25.000 5.000 1.000 2,000 2.000 27.673 6.734 55.406 9.000 25,276 8.000 15,000 5,¢XIO 11.248 9.964 422 20.381 55,406 6.600 25276 8.000 15.000 5.000 11.248 9.964 794 20.381 2.400 5.000 4.628 Total 159,697 180.383 192,075 148.004 Unrestrlctèd Fund Deslgnaled Staff Contingency Reserve 3 months running costs Staff restructure & development Genefal Funds 8.653 75,000 45.000 7,929 5.822 14,475 75.000 50.000 2,653 5.000 (10,8221 118.970 113,424 Total 136.582 118.970 113,424 142,128 Totsl 296,279 299.353 305,499 290,132