Rogistered number.. 1786914 Charfjty number: S14829 MENTAL HEALTH MATTERS (A company limited by guarantee) TRUSTEES. REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2022 ABH3VSVT 19111rd022 COMPANIES HOiJSÉ A12 mhm Armstrongwatson. mentalhealthmatters- AcCntas, Busine55 & FTrnancial Advisers
MEIITAL HEALTH MATTERS IA e¢#npany Ilmited by guavant•el CONTENTS Reference •nd •drninistraliv• dvtsils of th• CompwbyD ils Truste08 ar¥1 ¥d¥ls•rs Chairfs statement Truste•s' r•port TnNI*' responsIlIti•5 Ststemert Independent auditor'$ report on the fin¢111 st•t•m•rts statement of finanekil activtli 4-2D 21 22-25 Balance Sheet 27 ststernent of cash Ilo 28 Notes to the flnanclal statements 29-53
MENTAL HEALTH MATTERS IA company limil•d by guaAnt••l REFERENCE AND AtXllNISTRATIVE DETAILS OF THE COMPANY. ITS TRUSTEES ANO AOVISERS FOR THE YEAR ENDED 31 IAARCH 2022 TnMt•es S J Baines. Chair D M C¢)mer, Trustee G Jen5. Trustee lapp(inted 22 kne 2021) M 8cth. Tntstee lappcrfnled 22 June 20211 P Rdland, Twstee lappoinle(122 Jur 20211 J Lanham, Trustee (appointed 22 June 2021} K Evans, Tw51ee lappjinted 22 June 20211 D Oragornir. Twstee lappointed 27 September 21Y221 IA Atherton. Trustee lappoinled 27 September 20221 Company rngisternd number 1786914 Charity wegi¥tgYed numlyer 514829 Rew5teved offi¢e Avalon House Sat Catherine5 Cowt Sunderlan Tyne Wear SR5 3XJ hlel exe¢kn officer J Hughes Independ•nt auditor Amisbong Watson AJJdrt tinted Chartered Accouhtsnts Statuttyy ALKdrtors 3rd Fkr IQ Soulh Parade West Yoth5hire LS1 SQS Page 1
IIENTAL HEALTH IIAThERS (A ctyhwny limited by guarant¢l CHAIR'S STATEMENT FOR THE YEAR ENDED 31 MARCH 2022 l delighted to we5ent tsur knnua ReFrf k¢ots for 2021-22 vthith pmide a summary ol Ihe year's actiwity and details of ouf accounis for Ihis finanaal yeaT. For full detai15 of the impa¢t of our this year, see our lrnpact Report is accessibbe via this link https"IAww.mhm.ory.vkloyr4rnpac¢. Mental Heath Maitets has continued lo gr( and deveknp our 5eNces this year, incbJdThJ idening our geographical footpnnt lo new areas auoss the county. One particular gro area is our ran9e ol servi mode15 to provide 5UPPOrt and prevent rJig$ escts"cn. We have seen sbjnificant expansiw and our servbce models are attracting interest fvom commissioners and Ser¥1 partners. During the year developed an excibn9 n1 three-year strategy for 2022-2025 to cemt our 9rovrth and seTrice quality. This fc4lowed a sigNfic3nt review of the otganisation and tand. and l am grateful to the various stakeholders ccrtributed to our c(wuttab"on. incbjding staff. service users. mMISSIOners, portners. and suppliers. This prOded a perspective d the organisabon. our stsngths and oFfunItles as knell a$ area5 fu develop1. We have rewsed our On pury>ose ar E a rth¥ set of vakjes resonate th the oryanisation and continue to be embedded in e¥erylhiThJ do. Our Vigon is.. Thal everyone can access supFtfty mental to a rneanin91ts1 &"fè. in • souety free from stigma. Ovr Purpose i8.. To prOe iMo¥ative. mert4 heallh sU10T indmduals mMUn$. Our Value$ are. Compassionate.. We a compasnate to the Treeds oflhe peo tbo aecess our ser¥tces, thwr expeneftces, and their aSpiraln$. Collaborative." We believe that by ¥4rrtkng together. we achieve the best ¢yJttryne$ for indi¥iduals. communities. and $0¢ A¢countable.' We a accfjunlatle. e transpwent and tyJr5efve5 lo the highest slandarfs in every in¢era¢lion. Prc4Jd'. We are proud ot7thot stand ts-those access services. our people and dmnging es. Tr new Strategy has frxw Ihemes ad(ke55 ow thJre arntxb"¢Jn5 as a lder of rnental health service5 ané as an advocate for those rnental health needs who require access to 5UPPOrt. Our area5 01 focus indu¢e collaborab.ng expert$ ty experiencE to ensure we prwde accessie. impadid. high 4ualty and innovalwe seNce5 Ihat meet locally Identrffied needs. We also help 5h3pe fvture care and support by influenung the Iran5forrnation 01 5eNces, law • pelISed and [abased approach to deliver lrfe chwging impact whilst cthalenging stsgrna. Using thjr vce in exiemal forums. to promote mental heahh and swyrt Ihe develowent of rnenlal he81th strategy and seNces. is a vrtal aspect of our role as a charity. We ill do this through our established ne0$ to herp shape integrated wol0rceS and Ihe ol new rofes ithin the se¢tor. During thi5 year we have played an acVe rde in Ihe preparatson for the changes across health and sooal as the integrated care system5 are de¥doFed and eslat4i5hed. In ¥ariws knalions opue as a wovider. we have supported the de¥elopng Iransforrnaticffi of mMUn rnental health ser¥i¢e$. ThN% has inckned thairing the Transfonnation Leadership Board in Northumberfand as as being an ath.ve and Inder member of the new Durham MeThtal We1r4 AJlh8nce. We have 8150 rAayed a woactyve role in responthj to a varidy of consuhations. snctuding the refo ofthe Men1 Heath A¢L Our focus vththin Ihe ganiSabon is lo buthJ cr work. [deM"1vj our simegy and Values. Developi)g ure that 1$ underpinned by our values ensu can attra¢t and retin a skilled. knovAedgeabk and dee workforce for the future. that Is appr(waiety iecognised and leded. Page 2
ENTAL HEALTH IAATTERS IA ¢ornp•ny fmnitod by gnte6) CHAJFfs STATEIIEIIT ICOMTINUEDI FOR THE YEAR ENDEO 31 MARCH 2022 To maMISe our inpact in hdFing peo achieve meaninglul e5, VR are transft¥ming our internal systems and prccesses to be more USer-friend and effiaent. slrong financ4al FQ5ith?n is suppothng investrnent in digital strate9y that vthl modemise the infrastnjcture. equipmenL tool$. and re5our¢es that support hybrid WIng and new inno¥ab" mtyjels ol seNce At the start ol the year, few ol u5 have predicted the impact Ihe CorDnawnJs pandem¢ wodd cty)tinue to have throughout 2021-22. ThroughoLrt this our w)nderful 51aff ha¥e conlrnued io adapr to promde a rnnge of serwces to peoe living tAith menia healih needs. Our ExerJJb"¥e and Management Team5 worked w•ith our ernF4oyees to reSpd to changes in Go¥ernment guhlance to ensure that those neediny our help continued to get the 5UPPOrt they needed through the pro¥lon of blended seNces. This year hasny been easy. As well as the residual chalenges the pandem we connUe to experb2nce recwitrnent pres5ure5, like many proMder3 in our sector. ve atle to moty.hse se¥wal new and expanded seMce5 during this tsme. I was ddightÈd to lake rm Ihe rde of Chair of Board of Twstees In September 2021. after three years as tlustee. At the same ts"me. sevefal of J( lonstandw trusiees ft al Ihe end of their tenure. I would like lo thank Ihem for their dedicati and ccffirnitrnent lo Mentsl Heatth Matters over the years. as l am SU the charity not be in the str¢ng po1 is now thw"f C(mlmued SUFfJOrt. &"x new Irvstees were arwinted vtho bring a rafige ol skils and eXperie1e to our board. We alsts tre$hed our Artydes of Assotrats"on lo ensure that they continue to supwl effectrye govem•Ke of Mental Heth Matters a$ the Ofganisati(¥) groE and evofve5. To Supp tsjr fttus on eststrAished a Qualty and Sattyuardirwj SU0mmittee io work alOnge our currenl Audit and Risk SUOrnm111ee, wovidirKJ additC31 assurance to the 8oard, as the breadlh and rat of mcJels of service5 expand. Our time limrted steering groups also Trg ttrjether knJstees vnth relevant S.115, supporting our ExecutNe aTrJ Management teams ilh major rwk8tream5, incbJthng Ihe implementation of our WrkfOrCe and dHJita strategies. We know the nexi year 7AfjII conlinue to wovwje thallenges both IQ as a charity and servKe pro¥ider as y1 as to our serYce users. l arn confident Ihat our new strategy and our established netsvorks and relationship5 wll be fuTrJarnental to us tyJildiThJ C our strong reputab.cfi In a more cdkboratsve enwronrnent 90ing for4vard. We use thi$ to gr{ our influence and advo¢ for those expwienung mental disire5s and illness at a tirne where ambilKJUS tAans for the health and sooal Ca sector hold the Wenbal to truly transfomi xrvice5 and lackje the Inequale$ have been fvther hfjhlighted by the Covi&19 pandemi¢. S J 8aln•s Chaii of Tmstees Date." 1011112022 Page 3
ENTAL HEALTH IAATTERS IA company limil¢d by 9uarnnt••l TRUSTEES. REPORT FOR THE YEAR ENDED 31 MARCH 2022 The ffinaw staternents have been prepated in aCcordar th the accounting pokies sel out in note 1 to the finanoal statements comtty v•lh Ihe tharrfs go¥eming do¢vment, the Compans Act 2006 and 'Accounbng and Reporting by CharitEs." Staterneni of Recommended PractKe aPirable to charibes preparing their a¢¢ounts in acccrfdance wth the Financi Repothg Slandard applable ihe UK and RepuLli¢ ¢1 Ireland IFRS 1021" las amended for a¢couNing period5 commencin9 from 1st January 20191. Obi•¢iivos and acliviti•S . Publlc Ben•fft Mentsl Health Matters IMHMI e$ts ts the benefit of the Ihrough the of its see$ to ary member of the wbfi¢ vtho has a menlal or phy5ts1 health need Ihai irnpads Iheir Ellbein9. All of Ihe seThice$ pro¥K1ed by we wikn"n the aims and rtliedwes as set IYA in the Ajieks OfAs.0Tr. Throughout the AchVernents and Perfrmnce se¢b'on ol this (pages 9 - 131. have identified and evaluate¢ the benefits that gain frDm accessing our seM¢es and maxirrigng indepenLlence through seif.directed supprt This 1$ part¢ularfy relleded in our p$yd¥JogKal theTrpy seN¢es and comnwJnrtrba5ed ¥eFvice$ focusing on posfve outcome$ k indidU9. In $haping Lwr obje¢tNes for Ihe year and 819 ¢xw xb¥rts. the InJ$tee$ eonsidwed Ihe Charty CommissiC'S gLMdan¢e on pe benefi( ulthdiny ts 9uidantÈ'Public benefrt." wnThn9 2 charity IPB21'. As an organisatn * also a range of accessit4e lrterature. onhne resources and trawiiny course5 10 Cate, inforrn and guide peorle rnent and Kryxa heaAh need5. their Car$ and ne5, and th wider communty. Obl•ttives The prirnary object of the charity 15 to act for Ihe l)enefrt of the pubk. lo promote the well-being of persons vkno are experiencin9 mentsl w phycal heanh pmtyems or Illnesse$. hwver th¢)se probJem$ or illnesses have arisen, and Ihe¥ famih'es and carer5. bth UK and o¥ersea& Dwing 2021122 our focus has been on.. promsion ofhgh qvaty. seclor kath.ng strwes business developThenl and gro*th a motivated and relevanl system & pro$5 improvement During Ihe year. as ddwled In the Chwrfs ststemerrt above. * fftated an o¥ganisational strategy for 2022-25. devdoped in ¢su1t)n w1h fyjr partners. empbyees, and ih05e acces$ our $eMces. Page 4
IIENTAL HEALTH IIATTERS IA Cornwny limited by guarnnts•l TRUSTEES. REPORT ICONnwveDI FOR THE YEAR ENDED 31 MARCH 2022 StnKturei g0MIne I1 man•g•m•nt a. GeMan¢• and trust8•S MHM is a charitat4e ccmpany by guaranlee (wistralton number 17869141. incorporated in 1984 and governed by rt5 Artide5 of As5wab"on. rn05t recenty amenrjed in 2022 ¢0 prO¥e darity around recruitment of trustees. temis tsl office and the fun¢ts"oning of the Boa and ts sthcommthes. MHM is regsstered as a chanty in England and Wates (registration number 5148291. The Boa of Trustees ha8 'male re5FtyS1ty f1he StTrteg of MHM. Thè trustees, who are also the director5 fry the puwpose of company and seryed during fv year and upto date of .5 reput re.. S Bains (Chair) lapwnted as Chair28 SeOernber 2021) Ho)rth (Chairl Ifted 28 Sepiemtw 2W211 A Bri I$19ned 28 September 20211 D 8roknw I99ned 28 September 20211 N Hanns I9ed 22 June 20211 S Moorey Ire5yned 11 January 20221 D Cornel M Booih lapptsnted 22 June 20211 K Evans lappc¥nted 22 June 20211 J Horsman (appointed 22 June 2021. resgned 4 2022) G Jenn5{appOrted 22 June 20211 J Lanham lappclnted 22 June 20211 P Roljand (appointed 22 June 20211 D Dragcfflir18ppointed 27 September 2022) M Atrerton (apnted 27 September 20221 At 31 Mxrch 2022 MHM had B se9 Injstees. and at the date of sigrwng this report KIHM had 9 stNing tsustee5. 0ryanfjsaOn The Board of Trustees rneets quarterty during the year in order to en5u¥e that MHM achieves rts thaiiiable obJ"ecbves. The board's rote Mdudes strategic oversight, and monrtonng of qualty and effectivene55 of go¥eman¢e arrangements. operatyonal perfoae and financ4al performance. 8usine5s plans, budgets. Ihe schedule of delegation. aThJ terrns of referer the su9MmIttee$ (Audit & Risk and Quality & Saleguardingl and Ihe Execubve Team are re¥7e*d and agreed annualty and Monitored by the Board of Trustees. The Audit & Risk Commrttee meets quarterfy and seeks asswan¢e ovef the oryanisation's financtal and 90vemance sysiems, inckjding the annual financial auditing process Ihe corporate risk framework. The finL1in9s from the tXgar¥5ati0n annual cyde of and •$surnn¢e $y3tem$ reportel to this committee. The auahty & Safeguar(lin9 Commitlee ha5 been estsblshed 5YKe the year end aF¥J rneel quarterty. Its purpose 1$ to suwort the 8oard of Trustees in dischargin9 its resFoJnsiblrbes for the s and effective (kkvery of ser¥ices and to oversee the strive for excellence and tin(S qualfy imwoven7enl. Board of TnJ$lees meeb"n99 are W ethw person LY bjsing tsne F4atrtyms. Sut0mmittee meetings are generally held or4ine. A Chief Exeujtive Officer 15 aFpointed by the trustee5 lo manage the day404ay operatM5 of the thanty. The Board ol Trustee5 ha5 SyStern5 aCe lor the dele9alion ol to the Chiel Execulive Olficer and the ExecJJtive Team. Page 5
MENTAL HEALTH MAThERS IA¢ornpany limitod by guarantee) TRUSTEES. REPORT i¢oKfiNUEDI FOR THE YEAR ENOED 31 IAARCH 2022 Stwctur•, gov•ma•K• and managorn•nt (continu Truste• in¢tion 4nd training HKI'S 8oard of Trustees 1$ made up of r¥id the sklls. competences and expeiience re4uired to govern the organsation. The trustees keep these quIrnents under in order lo ensvre 1hat Ihe organiSaon is effectivety 9ovwned. Recwthient to the charitf5 Board ol Tru5tee5 COrnFdies wth the process detailed in rt5 Arbde$ ol Assthithn. Eath year the Board of Trustees, Chief EyeDJiNe Officer and Executive Team meet Ihar charitable and company law kgal adwsor. The Ose of Ihe rneeling is to refresh tttr kncmledge of the respective dutres of . trustees and employees, and also to update them any key amendrnents in charity law and Charity Ctynmi$sion expedatiths. wlh a wew to Fthbal impacl the charitys 9o¥efftng framer The trustee5 have access to the MHM intranet and lo a r•n9e of earning, indvLlirvJ modules that are mandatory for trustees. co?ring a wge of relevant c¢xrtent indudiry organisab.on induction, mentsl health aw3rene5s, safeguardin9, informabon go¥emance. heath 8 salety. d. Related parties and cwer4lfjon )th•w oryanisaiio None ofthe trustees re¢eNes re1Tneration or other benefft from their Wa ith the dwity. cwrent tru5tee5 ha¥e connectirffis ith that fun¢Jing to MHM., the detaas are presented in note 26 on page 53. Where deusions 8re made by the Board of Truslee$ that relate ID those organisation5, the tru51ees concemed do not paityrypate in Ihe tleciw0rrnakirvj pre$$. MHM has tinUed lo knvrk ith many NHS and th.rtl sector or9anisab.rm dumg the year, and entered ir CtraS with ¥everal n•v wmissionefs. Ow commissioners are listed on page 14. MHM ha$ a vtholty owmed lrnding ujnyny. Moorpath Linrted. This subsidiary ceased its trading actiwbes in June 2013. and is cuffenuy doffrwiL e. F1$10 During the year MHM soft-unched a lundr•%ng strategy. MHM'S prnnary Sour of funding is statuic¥y funding. and the dehvwy of our ser¥#xs does nDI r donabons N public fundraisiry. However. for the wblic, donabng or fvndraigng is often seen as a p)5the way of supwlting our serwces and a$ a way of expsn9 grabtude for the SUPFQt receNed by trmselveS or a bjved one. Al lunds recewed wll be used to gJpport our charitat4e obJ"e¢ m is committed to best lundraisng and Comr"anCe vlh appropriate gwdance. and is registered wth the Fundraising RegLAator. Detai15 of our 19 fvThlraisiry are wJlabk on OUT website. https'.Itknhv.mhm.trg.ukJfvndr3ising-5tatement Dona'ons recei¥ed during Ihe year ¢olalled £44.551 12021.. £22.970 f. Pay prdlcy for m•n•gern•nt p•rswrl The trustees cOnser that key managemeth is comwised of the Ch*1 ExeartNe Officer and Executyve Team who are in charge ofdiTecbng and Ctrling, running operating Ihe tharty on a day4trday ba$i$. pay of the ExerJthive Team is annuaTry arKI nonnaly inueased in accordance average eamings. In View of the nature of the charty, the tru5tee5 benchrna against pay level$ in other or9anisab.ons ol similar size wn on a voluntary ba515. The rabo of the Chief Execub¥e Officer's rate of pay to the average rate oypay for all employees in Marth 2022 was 3.3..1 12021.. 3.3..1)- Page 6
IIENTAL HEALTH MATTERS IA company limit•d by guarant•• TRUSTEES. REPORT ICO•ITINUEDI FOR THE YEAR ENDED 31 MARCH 2022 Struclw•i gov•manc• and managwnent l¢onlinuedl g. Gender poy gap For MHM al Njril 2021 the mean gender pay gap vAs-2% I1 2020." .1%) and the med gender pay gap was 8% (Apnl 2020". 6%). PcAicies and ryocedures ensure that empknyees in directly comparable rDles are paid at Ihe same rate. The mean gap is attroutable io the fact that the management team at the rne wa$ predominantly female. and the meth.an gap is attrittht4e lo Ihe fact that male emFloyee5 are likely to be in higher paid roles than female emFloyees al presenL MHM is committed lo providing equal opportunibe5 in recwrtment and in leavning and devel¢wnenl to m3le and female empbyees and prospective employees. MHM remains alert tts bamets thai mighl affecl the balance of male and fem ernFW in exh type of fok. and is Cornmitted to addiesng those barnets rf il has the potrto do so. h. Equality MHM incorpDrates equal ¢)pporlunities thrwh¢yJt rts These wkies ensure that. in ac(x)rdance wlh bcth current legisjthn and best practice, no service user, pewn employed ty job applcant be tsated urrfavourat4y by rea ol their'wolecled characlen' as set c•Jt in the Equalty Act 2010. i. Oijabled ¢mFtyees MHM'S pclicy in relati to recruitment ol disaed pernon$ is lo wantee to Intenhthw anyte ith a disability ose ap1¢ab.0ft for a post meets the uiteria torthat post. and to aPays put in ace any reasonable adju5trnenls to ensure that appbcanls are treated fairty and Safety vrithin both the ltment process and the worknng environlnent Where emF)yees become disabled during thwr eM0Yrnent. MHM %%ill enga9e in consultation v•ith thern to delemine wknether any asOnale adiuslments can be made andlfx to Consider ary aftemab¥e rcles available. This apwoach ha5 been t$1tty throuoiout 2021122. j. EmFloyee engagement As an acuedited Invesltr in peOt. MHM bel.eves re¢ognising Peae'S skills and knoledge. and developiny its employees th¥¢yJgh kaming and development. Al emF4oyees have agreed personal developrnent an to ensure Ihal thr kaminy and dE¥dopmerrt is appropriate to both thwr role and their personal arCuMCeS. MHM uses its staff intranet to te the wjrce of al wfft>miatiLm iegarth.ng procedure. ne¥43 and other rnatters of concem to ernF4oyees. Staff are Cons by Ihew manage15 on rnattws directy affeth'ng the eMpbert tn$Uhed on annual basis through an ernployee survey that enat4es them to give their view5 anonymw5ty on matte ranging from leadefship to rewrnrds an¢ beneffts. in order to infonn organisational deveknpment. kn aetim plan ensures MHM acts on and responds to ¥ie¥45 reiVed. MHM agrees an annual busness Klah for the wJanisalion that tJemLislrates strategi¢ objecb'ves wll te achieved, helps empl¢)yees understand lthv Iheir ide and th•"r team's role contribe$. and leads to employees t3fig cwnership of Ihe persona contribulion they make towards the charrtls pertomianee. Tlus process. along Ih intranet updates and the reporting of key issues throu9h regular manager meetings. seThice team meeting5. and staff 1-1 meetirys. ensures Ihat a comrnon awareness 01 financial and economic factors affecty'n9 perfrymanrx Is a¢hieve(l. Fwther development olemthee en9agemertt is a key I$ ithin our 2022r25 str*gy. Page 7
MEIITAL HEALTH MATTERS IA cornparry limi by guarnnteel TRU5TEES' REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2022 Stru¢tW•s gov•m3n¢• and ma4l Iconlin Respm to C¢>¥.19 Thffjughout the Com&19 pandec. the prirnary fr$ ofthe Bowd ofTrustee5. Ihe Chief Executh've Officer and Ihe Executive Team has been on balanang the ab50bJte ofthe safety of wr staff and service users knith desire lo maintwn effectsve Sere debvery. MHM'S ablity to maintsin 5eNces, secure new semces and Imprnnt (lfftrent oys of w(knng during the pandemic gave MtrIM a Strong frmjndatn for 2021132 and beycffld. Through consuttats'on aTrJ collab)ration Trmth staff. we have introduced hrid modets 01)rn9 that offer grealerfiex1lty. ensurin9 our semce users have access io suFpJrt in Ihe best way for thwn. Strate9i¢ port Achlev•m•nts and perf4)mne• a. Overvi•w MHM had been due to renew ts threevv strategic in Awl 2020. Ha¥ing consklered the ur9ent need to m3nage the impad of Co¥i&19. the Boarf of Tru51ee$ and Chief ExECUtive Olficer deoded to establish an adapta140n plan for 2020r21 to guide MHM'S conbnued development ui the context of Ihe panL1emK, and subsequenlty an annual bUnesS F4an for 2021122. ilh a ¥1 to agreeing a strateg pbn for the period comrnen¢ing Apnl 2022. In implemenb.ng the annual ISinesS tAan lor2021f22. MHM conb.nved to deThvei high qualty serwces induding.. primary Ca psythobgic4 It4knn91 Iherapie5", generi¢ an¢J men4315peCIfic hougn9 prwsion (from oating suppct through to regrstered ca1., recovery and eMoYMent servKe5 linduding for people with mld to moderate afiety disorders an¢Yof dewe5sion, W term condtbon5. dual (h"awoses and a¢JdicbDnsl". safe ha¥en wovision for peot4e at risk of a mental health cjiss". 36Y2417 epkne emob"¢)r1 wpport td&ther¥py 5ervKes," and advocary, user vCe. ath"¢e and inl(maiK>n Serv$. Co"nUe io in¥esl Ime 9Jr¢¢ retain ¥#J xrwire new seryKes across Ennd, building on our strong brand lor delNering ttlgh qualty hearth and care seNce5 along%de strate9C Partner5. This has included commissffjning IndeFerKlenl wrto thjr houng and ernpk)yrnenl serwces, reSPdirj to the changing needs of peo(le in ¢Jur commkmities by defi¥ering evidence-based seNices and building ivu8ted relaknonshw5 v*ith serwce ccffirnissioner Page 8
MENTAL HEALTH MAThERS IA company Ilmlted by gwranteel TRUSTEES. REPORT ICOIITINUEDI FOR THE YEAR EIIDED 31 MARCH 2022 Strdt•glc rnport (Cl11nUdI Achiov•rn•nts and perfornnce Icontinuedl b. Achi•v¢monts •nd perform•nc• MHM eontinuts to be woud of the ddNery of nKes loeused on Ser usets. recovery and llbeing, and of Successful bJs ts new seThKes and the extenson or renthval of existing seTrices vthich all MHM to expand rts reach. MHM'S focus for 2021122 vms on.. prowsion of high qualty. sedor leading swbices business dtvdoiwnent arwj grolh a motyvated and levant w¢rtfwtt. There have been marry successes during the year, 7Mth contracts to deliver new seNce5 and rnany tsn9 conlracts ex1ended. MHM'S approach of dew%ng bE5poke delivery mc4Jd5 suited to indNKSual cornmissioners, requirernents. ts'ddirvJ for funds to delNer serve5 based on a combination of MHM s areas of sFecialism. and seeking fvnding to deliver selvices in new rnaets conbnues to pmve effectNe. MHM has fvrther 9rowm its nelrrks aTrJ partnerships. raigrs MHM'S profle and Seeking to inffluence at national levd. These netths have been wlh cw9anisation$ au0$$ health and $o¢ial care and thin the charty sector. Directors have enga9ed Th a¢tsvty at nabonal. and local Vets, partyripaty'n9 in oppthlunrties to wk t•Ath the new Iniegrated Care Syslems and Ihe tran$fomiats"on of lo1 community mental heamh Servi$. Internally inveslment In our staff resource5 has eonb"nued, adth"n9 new posts to wjanisabonal structure anil focusing en Ihe devekonI of managernent .11$. During Ihe year lo 2022". over 42,000 people accessed ourtsing therapy seNces'. our 365124n helF4ine sewbryce {Supprrt Matter51 SLVWted rlents on over 66,O¢KI calls aTrJ 2,200 web chat sessions, our employThent seM¢es helFd over 4.ODO Feople to renwi n wk. find paKI employment or ae$S training. education and ¥olunteering opprytynitie$'. our housing SeIce$ hetped $1 people INe more independenty.. over 5.400 peOe ¥*re suppmed durin9 $L8 by ow tOIor$ safe haven se5.. expanded our geographul reach into ntrw areas. Page g
IIENTAL HEALTH IIATTERS IA company limited by guarantl TRUSTEES. REPORT ICOP•TlhlUEDI FOR THE YEAR ENDED 31 MARCH 2022 Stral¢9ic report {conlinu•d Achi¢¥8monts and pertoffliw Icontinuod) Quality and Operations in 2021122 We Drked in partnership Ythh dinical commisswing groups. NHS trusts. local auth¢ie$ and voluntary sector organisations lo deliver communrty-based ernoYent SUFWt and Emt4oyment Ad¥isrKs in IAPT Ilmprowng Ac¢es5 to Psychob9tal ThErayesl wM¢es. L(g$tanding commissioners have continued to dernonstrale Iheir confidence in MHM'S empbyment seNces by awdin9 ¢ontra¢t exnyb$. and MHM has cwtynued to shtyi value of our experience of bolh ern 0rnent seThi and IAPT in hn9 C¢ynmi0ners to debver seNices to support fents th mild to moderate anxiety anwor depre$W seamless. Per$all$ed empbyment $UPFQrt to hdp them remain in. retum to or find pa#d emrAoymert The sef¥ices are ll used. delivering po&tNe otstcomes in w)rking ith pecwe. OLrtcornes indude peoF4e mowng from emF4oyment beneffts into paid emF4oyment. Main"nIng ttjrrent ernpbyment ano avoiding period of sick leave. retumin9 to fol¢MiThJ "me off sick. lookin9 for or altemative employment, and undertakiry training or vduntsry Mrrk. In addition MHM has supported employers vmh retention and to have 9ater under¥tsndir4J ofmental he•lh issues in the 4,046 PeOe were assisted to fernn in thryk. find pahl emrloyrnenl or access traiTh9. education and vdunteering oppoFbJnths lo help deveknp employablty sh15. 919 ol Ihese people mo¥ed into paid emF4oyrnent Commu rt- Commun and Perscffjali5ed Se.5 2021r22 In 2021r22 MHM'S 24n ernoty.onal Sup[ Wne. is accredited by the H4ine Pknership. expanded rt$ range of contracts and ¢ontinued to pro¥Kle 24n V•Taparound suFyort lo dients of MHM'$ trlking therapie5 and iecovery seice$. The hdFI1 wowded athie listening and direct intentIOnS to vulneraNe calr5. It atso provided a 5iThJle powrt 0fcesS seThKe for Midand5 & Eastveterans SeThice. We continueil to delNer comrnunrtbased tlbw"ng ser¥i¢es to over 1.341 dients during the year. Tht& irKluded ser¥ices across Lthtestershire and RLAland and Easington. County Dutham. providing a variety of group interventioThs. admce and drcpin session5 as as w1dal supp) We launched a ¢ommunty serwce in Knv, expanded several services iNtsaty funded through NHS Winter Resilience frJndin9. and secLKed contr¥As w commence in 202Y23 in Sdihuu, debvering enaernent drop4n services. r Pthvays grwp of seThice5 cOnnue to offw excelent Supp1. pwthng 222 people vAth advccY, or ath' and Informathr about welfare beneffts. debL hcrtNng and empbjynent t58ues. Throughout the year our safe haven seNces in Covenlry lin p8rtr)ership wth Coventy & Rugby Clinical CommiSoni9 (>oup. Devon lin partnhl Devcffi Partnership NHS Trust). Kent lin partnership v Kent & Medway Cknical Comrnissionin9 Group) and Yofx (in parfnership kmlh Tees Esk and Wear Valey NHS Foundab'on Trustl. and Covenlryl conlinued to wothde a safe place ts peo¢ in acute L1istress or at risk of a mental heatth s1$. In atldition r virtual 5afÈ haven service for IAersey Care NHS FouThdab"on Trnst SUPPC¢ted the crisi5 pathway in Harton. Warrin9ton. KnoleY and St. Helens. These ser¥Kes offed support in a non- cThni¢al Setn9 to S.496 peotle expeFienrar3 anx*ty distres$ or at risk of seif-harm or suicttje. A$ an Illu$trab"on ofmpact. ewaluab'on ofthe OevM swvice shmd thal the ¥errice had kmented 124 and 255 inadents ofsew-harm in 2021n2. During the year c4ntracts Secured to ¢cffimence in 2022r23 frrf a new habw in Ea Berksh"re and a new Page 10
ENTAL HEALTH IIATfER8 IA company limiled by guawantwl TRUSTEES. REPORT {COIITINUEDI FOR THE YEAR ENoeD 31 IIARCH 2022 Strategic pOrt Icontinuedl h1Ments and perfonnanc• Icontinuedl virtual haven in sundtha & South T)megde. mm 2021r22 The aim continues to be io ensu that thereVer FWt4e thoge acr%ssing ¢Jur housing seNces live as iTrJependenly a5 they are able to. ithin their Wl cwrnynity. During the year to March 2022, continued to )rk Service users to support their recovery. Proding accommoda'on and support to 51 dnIs. r registered seN¢e'$ Care Quality Commi8sion r¥thn9. a¥Yar(led in 2022, i$"g00(1". During the year we estsbli$hed a Nab"onal Hthjsing Manager rt c(MThniswoned an inLlependent review of our seM¢es to explo our strengths and hi9M9ht opptrtyrt"eS to innovate our models of support. Folwng this vIeW. a decsyty) was made to YMih(haw exksbng servKes and on the ol dispetsed and uisis housing. Talkin Mattets- Taln ies Ser¥Ke5 in 2021r12 TImg1ul 2021r22 MHM ctind lo be a lapJe national Flder of IAPT ser¥ices, dthered both ' partnership NHS ndItiOn trusts and as a leaj ccythkn.. Tdking Matters Northurntwland.. MHM remain$ the wme Cctor for thi$ seThi¢e. wAih a su ontractor Sundertand Counselling SeNce lryovkJin9 Step 2 therapy and counsellingl. In rts seventh year ofdeli¥ery, the ser¥Ke had over 6.0ts) peopk enterin9 treatwt. met the nab.onal 18 waibng list target and by the year entl. xhved the nab.onal recovery tar9et of 50%. Tal'n9 Matters seft.. 2021122 was the first fijl year Of delNery for Ihis seN¢e. MHM delryers this service as a sole prowller. induding therapy at ep$ 24. The seN¢e had over 3.800 people entering treatment and met Ihe natsonal 18 TAeek waityng k.st throughout the year. Talking Matters warringt.. MHM, as prime delivered therapy at Steps 24 and clinical govemance. MHM a150 WContraded addibLYal wo¥}On on behalfof Warringlon Chnical Commissioning Group ihrough Making Space (for cornputuised COgn"ve behaviwral thernpyl and St J05eph's Famty Centre (for counsdling, COUFles' therapy and 3nger management). The service had ov•r 3.400 Fe0 entering trealmert mel Ihe nalional tsryets for Wan9 time5 and conbnued its in the natial prc43r8mme of IAPT expansion t0 long ierm conditions and medicalty syrnptom vdvernent [eXplaIned Staffordthre and Sloke-on-Trenl Wellbeing Ser¥e. In cc4laborati ¥4ilh lead provider Midknnds Partnership NHS Foundatson Trust IMPFTI an¢ olher partners. MHM continued to deliver step 2 $eThice$ in four loc4ds. Over 13.900 pec entered treatment in the year. The 0Very faie for the seNce exced the nabwal target. Dutharn ard Darfington Talking Changes" IIHM Yas a SU1cOntractOr to Tees, Esk and Wearvalleys NHS Trust ITEWV) provhling the1ast5. rnanagent and a(kniThistration. Over 14.700 people entered treatment in the year. Waitirvj times ts Ihe serbryr are ilhin nalbywl largets JFKI Ihe recovery rate exceeds Ihe national targeL Page11
MENTAL HEALTH MATTeRS IA conwry limlt•d by guamn8} TRUSTEES. REPORT ICONnNueDI FOR THE YEAR ENDED 31 IAARCH 2022 str•¢ r•port (continued) Achio¥emgnts ¥n41 wrfofflianc• IMrrtlnLdl (L Dwelowwrt in 2021r22 blHM's de¥ebwnenl team leads on the genwation of business Opptytututies, tendwins for new contract5 and tents"On Df eSting contracts. on relationship devekynent and co]borab.1)rn an¢J M enharring MHM'S profile. During Ihe year lo March 2022.. Our mernberthp of The NHS CederallOn and their Mental HeaTh Neh%rk proded us Vth opportynitie$ to feeL1 into the Thtiiie paper on Refomiin9 the Mental Heath Act and the opportunty to Bbout tsjr safe havens mtyjd ai their annu Conferee. In August 2021. Ined ourffirsi fe4mal alliarKe, in County Dutham. bringing tO9ether knoedge. skills. antl $oUrCes IOT Ihe benefft 01k peOe. In yo, we re pleased to become membw5 ofthe York ConsOrtM ofvduntary. Ccnmunity and Social Enterprise (VCSEI. In Northumberfand, we chared the Ccrfnnwnty Menlal Heamh Transformation Leadetshy Board. cornprisng of VUntary Care Partners. Local ALthority. and representation from the NHS. Thi5 c(Alaborati¢Jfi ensures Ihai supwt modds (levebped in partnership th yowders [h various background5 and ExPenCes. As an aclive rnember of The Asswatson for Mentsl Heatth Pmidets, tontinued tts work elosely ryth range of memÈers on a ba$ to add$$ varityJs thalknges and cyportunities al a sector TIMS has Induded shanng ¢)ur perspecbves in relab.tri to ftrture IrklOrCe requirements and thereby infwnin9 NHS England & NHS lryovernent, Heatth Education England. of SeMce5. Local Govemrnent AsslabonS * the Department also alotd Us to comment On and irthence vinter arrtj from the menlal speak level. pjanning, Association of Directors of Health and Soryal Care. It health reeds perspective. Our Exe¢utsve Team also hew to inlhJence thrwgh menthrslwp of Ihe Socaa C¥e for Menlal Heatth and Wellbeing Pc4w & Oversight Group 7thich reFths to the Department of Heath and So¢pal Care. This indude5 help¥ng to inform worits and the rde of sooal Ca in the transformab.on of communrty mental healih 5eThices. The de¥doprnent team also led cffl a wew of MHM'$ Ixan¢Jing. induding engagement with a lde range of stakeholders. a vw to $imF4rfyry the txanding and ensvrittg that r( elfectsvety 5WPJrt5 the 2022125 organisational strategy. Pag• 12
MENTAL HEALTH MATfERS IA company limlt•d by 9uranlel TRUSTEES. REPORT ICONTINUEOI FOR THE YEAR ENDED 31 MARCH 2022 Str•te9ic report (connued A¢hi•v•m•nts arml pvrfoThanc• Icontinu•dl . Flnanco & coryMatO Services in 2021r22 MHM central semces provide an Tnfrastnjcture and go¥emance framev+Ofk for the organtsation. These seM¢e5 have an extensive porlldio ol buyness suppcrt acbwbes cornwsiny ol qualrty and compliance, ky)ard support, finance, human resources. learniTrJ and deve1cent. and procedurnl re¥thv. heatth and safety, info¥mation technc4ogy and infcrnation governare. These luncbons Ie iYoU1 tC4Jether in a single directofate duriw the we¥ious year. and a new business SLVWt team was established, prowding me robusi 5UPPOrt for Ihe vthole ganis31)n. tJring the year to March 2022 ourfinance and CErfate ser¥ices team.. SLwssttJty retained Ihe CHAS he4lh and satsty acuedw. prepared to Srn MHM'S annual NHS Data Sewnty and Proteth( Tort assessmerrt by Ihe 2022 deadline.. trained managers MHM'S risk Manag1 framemyk and imt4eMd a rfal for Servi risk registers". delivered 138 training sessths to over 1,180 peo&le, enth.hg a better Understanding of mentsl hea#h and tllbeing and equipping FeoF4e hdp otheffs in need of svppM- sesgms included Mentsl Heamh First d. Youth Mental Health First Aid, &Jicide Prevenb"on and Traurna-lnforrned Approach", and prepared to conduct an annual employee Satisfaction survey in spring 2Q22. had a 45% response le. The resulis sh0%4Ed that s13ff are engaged and rItiVated to delryer the very best service lo dienls and are proud to w)rk MHM. and wowdeé constructive tsedbatk ab¢yJtways inl)ith MHM can further irnprove communication and managemenL Page 13
ENTAL HEALTTrI mAERs IA company lknitsd by guarnntee) TRUSTEES. REPORT (CONTINUED) FOR THE YEAR EIIDED 31 IIARCH 2022 Strategic rnwt Icontinu•dl Commi¥sionw8. fwMl•r8 and cultomern MHM grateftty acknoledges the funding wovK1ed for its 2021r22 services by the foloing comrnissioners, organi53tions and w5tomers'. Cornbal Stress Comwall Partnership NHS FovndaboTr Tntst Coventry & WarwGkshire Partnership NHS Trust Curntsria Northumberlznd Tyne & Wear NHS Fod Tryst Devon Partnership NHS TnJ51 Dutham County Crxmc Gateshead Coun Gloucestershire Heahh & Care NHS Ffjundati Trusl Health Education England Herefordshire & W¢xceStershe Health & ca NHS TrL Hertfordshire Partnership NHS Fowidab"on Trust Kathn Homes Knu4V51ey Coullul LcestershIre County Counol Lincthshire Partnership NHS Foundalvi Trust Livewell Southwest Making Space Mersey ca NHS Fwndation Tntst Middlesbrough CouThal Midlands Partnership NHS FOld8b TnBt Newcas¢ Cty Council NHS County Outham CCG NHS Co¥enlry & Warwickshire CCG N4S East Leicestetshire & Rul1• CCG NHS Kent & Medway CCG NHS Northumtrtand CCG NHS South sert CCG NHS South Tyneside CCG NHS Southport & Foffnby CCG NHS Warringim CCG Norfolk & Sulfolk NHS Foundation TFUSt Oxford Health NHS Foundab"on Twst Penderels Trust RmmC0 Feaovohip Ruand Counal Shaw Tw$t Scojlh Tyneside Coun¢ Sport England Tees Esk & Wearvaws NHS Foundat Trust University ol Manchester Wwwck$hire County Cojncal HM also 9ratefvlty ackncthledges the 9enerS lorth.ons provhled 2021r22 by The MasonK Charilable Found?on and The Freddie Green & Chantat Foundall. ¥$ ¥*1 as a number of indmduals and other organisats"s. Page 14
IAENTAL HEALTH MAER$ ' IA cornpany limited lry guarnntee TRUSTEES. REPORT ICONTINUEDI FOR THE YEAR ENDED 31 IAARCH 2022 Stralegic report Icontinu•d) Rlsk M•nagemtnt IAHM has a ¢(prehenSIve risk management framevth in ace. and the trustees the executNe team maintain a ¢ontinuous review of the risks the ¢hanty may face and the system5 and procedures to rninirnise any Potents impact on the charity should those risks materialise. MHM ha5 rewewEd the risks lo achievement 01 it5 5tr3teyic ¢JbJeCtiV durvry the year lo ensure Ihey are fiY integrated Into the risk asses5rnent, managemeni and mgatiOn prt¢edure$. Risks are assessed wlhin the follow'ng areas. straLeg impa¢ market. cornmissioners. dierts. third party reliance. legaVTe9uk3w, reputation. financial. IT. information governare. 3nd d'mate ChangelenrOnrnenlal. The Audit 8 RBk Comrnrtlee, compri%n9 suilabty qualiffied and experiencil Iwsiees. meels Ir tsme5 per year, and receives portS from senior managemert The committee's rernit 1$ to prode assurance to the board that there a effecb.ve sy3lems in place lor ffinaroal awj lder govemance. indwling risk management and eompliance wth all aspetts ofthe law, relevart re9atr"ons, and good pra¢ti¢e. In a¢"0n. splfi¢ a8$ of risk to the chamy are monitcrfed by Ihe full Board ol Trustees, irtluth.ng conyderats.on Cf the issue$ relate(I to rdentificab"on. m1b"gatTr artl eh"rnats ot Ihe risk. The key ri5k5 facng the charity moThtored aThJ apFYoprialety rnib"gated during the yEar. Page 15
MENTAL HEALTH IAATTERS IA company Ilmit•d ty 0nt+81 TRUSTEES. REPORT ICONTINUEDI FOR THE YEAR ENDEO 31 MARCH 2022 Strat•glc r•port (eontinued intipal R•sks and Uncertainties The Changes undew to mental heath ttffimisoning. vAth IhE Jvent of Integrated Care Systems la$ advocated by Ihe NHS Long Term Plan m order to tegrate semces rnore comwehen5iYdy into the wider health sy3tem ano tg gwe better. more ined up carel and the tranSfrnation of ¢ommunrty mental health seNJces are intended to improve care for seNce users. bjt they also present risks which MHM must manage dosely. MHM aims to ¢tyue to influence and shape ftrture commisoning ansj available sOUrce Ihrough our nettrking and aL1vo¢acy al local and nalonal levd5, and antiapates bwng in a posibofv to be $pLse lo th• In¢ased demalld lof health servKes and to Ihe Chge5 in ¢unmiwoniNJ. The primpal risks and uncertainties faciThJ the charty are Ce$#1e[ed to be.. Attraction, retention, and devdoprtwl of an indusr¥e and diverse ?Aty1rfOr to ensure have the light s11$ In the right ace at the nght the to tleliver our straiegy- A Talent AcqUitiOn Lead has lIe1j to lead on MHM'5 aFvoach to Iks risk. A PeOe stregy has been devek)ped and be irnplernented to estsbh'sh MHM as an employer of th01." to attract and retsin $kiMed and pualrfied siaff." to enwe, deveSJp. rnobvate and empower our wKrkfoe. to ensu that staff vftllbw.ng is at the lorefront of deOn makin9'. an¢J to promote workforce diversity. IAHK4 has increased fleble trtys of %btth"ng p)st-Cowd 19. iThSuding hybnd wtylaceihome V4YJrkin9 apwopriate. Add.(mIal resouree witP#"n ihe peOt & Organi5ational DeVepmenl team has been depbyed to Supwt implementab.on of the People strategy. and resource requirements a kepl under ¢tristanl rewew in order to best meet the Tecruitment challenge5 W1h1n the se¢tw. Changes in the commissnIng enmronment an(1 Ihe need to ensurelhat tontmiue to be abbe to fvhThl our comrn15sioner proF4)sition and our serw¢e stsndards- Cr cC¥nrniSOner pOsItion and SeCe stsndards a central to the Contract rnobdisation process, and specific risks are InItored 1lY through our a55uTrnce proces5 lor new contract5. Ihen through crthct rnana9ement and monrtoring of KPI5. Ongoing elOpment of our management, our and ganisatIOnal infraStrtUre is focused on the need to cfjnlinue to deliver cc¥)ssterLy olcorrtl manwrt and in1kr and respond transformabon of ¢tymmunrty rnen heath semces. Our IT transfrAmats"on programme indudes a data workstream thich aims to delNer rn0 accurate & bmety data to enhance both reportirq to cornmwoners an(1 abdty lo assess & respond to issues wising ¥rilhin swvices. to the Our ot4ig3tion4 duty of care and Safeguardi 9"ty"e$ to dnts and Ihe importance of mainlaiThng high 4uahty, safe standards in wr sen dehvery- Our service5 have Ell-developed relationship5 l¢xal agenues respon$ibihty for safeguarding and care, wt have pole$ and w0re$ In F4a¢ f¢r safe and effe¢b"ve with dienls, and for reporting, recording and responding to inadents. indLJding safeguarding intidents". and ouv staff are prowded wilh induction. rnzndatory and role speafic trainirrtj. aThJ oThJ(¥ng Staff de¥ekprnent lorthe re5ponsibdibes of each posl and our trystee$ weive apyowate the5her trairung. A Qulty & Safe9uarding Comftwt¢ee has been estathed nce the year end to prowde board- scnrtiny of$ risk. and thi$ wnmrttee's wrxkwil be ¢JeVe1t during 2022-23. MHM have securetl the invc4vement of an extemal wbiect maiter expert to gjpport the organi5aticn in atson to its Safe9ard*)9 respMsb.l"t$. A CtrProdu¢ti Strale9yYAiII be de¥eW 2022123 to en5ufE Sulfrt dienl ertrjagerwt an¢J feedback. Ensumg that IT 5y5tem5 5urpJl are effective aThJ not compromise or di5ryPt the atslity to deh'ver seM¢e$ safely and effethbtty, or we¥ent or delay the transformation of proce$ge$ set out In 2022-25 Strategy. We have a third party managed ser¥ice wowjer in F4. ¥Alh arolate aCcrtation, IS027001 and Cyber Essen.45 Ffv5. to ensure that our IT a Sere and SIb"ent Page 16
MENTAL HEALTH IIATTERS {A company limit¢d by gu•r4nl••l TRUSTEES. REPORT ICONTINUEOI FOR THE YEAR ENDED 31 RCH 2022 Strategtc pOrt Icontinuedl IT ary3ryernts are covered by our Busine55 ctinUitY Plan and Disaer RecDvwy Plan, and we have proven a"ty ts acecffjmodate remote workn"ng. IT audit and strategic revtewwas caFTred in late 2020. leadIj io the development of an IT Transforniab"on Pwramme has begun,. this wll review and Improve cuThent systems., supporl document and emted best praclice fty MHM wocesses.. enatje 8cce5$ to the right data for the rigm peCe at Ihe right trme,. and SUF•Ort a mo¥e to clrJJd systems. Financial review •. FlbMncl•l Ywi•w MHM prinapal funding sources are shovm in note 4 lo the ffiTraal 5taternen There ha5 been 3 21% increase in incomin9 resources for Ihe year. due to new seN¢es in tak'n9 therawes and cornmunty support and to expansion gf e$ng ernF4oyment and tJknng therapie$ se. The £956,368 surF4Js generated for the year relkcts: the in incoming resuvr¢es. Lirgely on block-fundeil cMlracts- 2021r22 was Ihe first full year ol the Talkin9 Matters Sefton IAPT seNce. add.(al fvn¢J"ng vas awarded by other IAPT commissioners. and Ihefe was ¢ongdeTable grovrth fft our commwty sCeS." rigorws ¢entrol of costs." and consideraue staff cost sa¥ings a5 a regJlt of reuuitsn&M chalenges- however. vacancies leaLI to essufe on our colleague5 to be abre lo delwer seY¥i¢es effe¢twety. Where appb"¢able, we have engaged agwcy staff to fill some ¥acarKies. The People 51ralegy described above is irrtended to migate challenge. Ihi5 Induded in the surF4u5 generated in the year IS LMU5ed fun(lirvJ categorised as rethicted ts use in aecordanee %ith the cornrnissionerfs intenlions in firture yea. This alnts to £44.435. During the year, trustee5 made the decision to leave the TPT Re'reffn1 SduiKms Fension sctteme wth effect from 30 September 2021. As a resutt, the estimated exit debt of £400.268 has been thjlly prowded for wthin these xcounls. There remains uncertainty about Ihe final et debl. due to a review of the apF4ication of rules by the adminislrator of this muhi-empkyer scheme. for the scheme trustee is seeking court direction. Possible addrtI0n costs cannot be cabjated at Ihis tmne. MHM'S aéwsors Indi¢e Ihat these Will not be mrial. The soft launch of MHM'5 hJvJTrisng straiegy during 2021122 VAS restyJrted by our Intem team, vAth no material costs forfiJndratsing acDvibes. Govemance costs amount to le5S than 0.5% of endItu. polen. bad det4s amnIg to £24.024 *re enIffd at 31 Marth 2022. and has been rnade for Ihis amount. All other outslwjding det4$ are c4)ns(lered reeTable. The cash position has remained healthy thrrAJghoLrt the al. The trease against Ihe prior year is due to the expansion of seFvKes described above. Cash balances ¢"ne to be monrtore(I to ensure that Ihey are adequate to SUPPDrt ihe tharrtls airns and oty"ecbves, lunds are hekl on nolice thp05rt5 bthen not re4uired for short terni casM¢y•4. and it is intended to Lmdts1ake more woactrve in¥estrnent of cash balancLs during 2022r23. MHM's'overall tsInesS risy is das5thd by a kathn9 independenl credit monitorin9 8gency as l(M risk. ajor faclors h.kety to aftect the ffinan¢Jal pos0 of the chanty in 2022r23 are MHM'S ability to design ntemporary talking therapies and S¢al care seThices that meet the requirements oleommissioners and other CU5tomer$,' to devdop and sustain strcfflg rdatscn5hips Trryth COssner5." to continve lo respond effecbvely to comrnissiormng 1fvgh w0Jer wllaboraives aThJ alliances". to continue to devebp a divetse pcflfolio of Page 17
MENTAL HEALTH MATTERS IA cornpary limited by guar•nte•l TRUSTEES. REPORT ICONTIMUEOI FOR THE YEAR ENDEO 31 MARCH 2022 funding in order tts miligate the impaLt ofwntracts zt risk. The Imstees a cwfideN of MHM'S ability io achieve these goals, SUFPOrted by CCtinUed investment in robust staff ng and infrastructu. and planning for a range of POS51ble fundin9 scenarros trn9 part of MHM'S strate9ic plannin9 in 2022123 ané beyond, particularly in [ht of cuThent economic f¢yewb"ng indudin9 Intsbon. The trustees have assessed MHM'S abilty to contfftue as a gotng eoncem by revitsMng budgets. reserve$ and cashflow forecast$. and Ihe irnpa¢t of a ran9e of possitle nariO$. This asse55menl demcfflstrated that in the w51-Case scenario. MHM rA)uld sustain rts status as a gthng contem over the next 12 months frorn the date of sign off of these financial statements. In supwt of this corKluson, financial performance in 2022123 lo date is ahead of budget. aThJ our annual tsrgEt lor net busi55 grovlth 15 on 5chedLk. b. Inv•stm•nt and Policy The Iwslee¥, ha¥in9 re9ard to the li¢JJty wuwements of deliverirrfJ the current seNces, and to the reserve policy set out below. have Operated a lcY of keeyng availatle funds in intere5t-bearing a¢Unts. and seek to dwer5ify iisk thilst achiewng the hhest P0$5Iole relvm from in¥e5bng in apwopriate institutsons. The invested fwd5 held on deposil achieved an a¥ernge of 0.1599% during the year to 31 March 2022. At the balance sheet date £1.5m was hdd in notice deposts and considerabon of fvrther interest-tearing Investments w•ll be undertaken nTr9 Ihe Jear alad. Page 18
ENTAL HEALTH MATfERS {A company Ilm6tsd by guar4nte•l TRUSTEES. REPORT ICONTINUEDI FOR THE YEAR ENDED 31 IAARCH 2022 Rts•r¥•s Pollcy •nd Gn0 Conc•m The Charty cornmissn expects trustees to de¢Kle, imFkmenl and monitor their chwiiKs re5eryes pdicy in order to cNnpty wth their 981 dub"e$ to.. ad in the interests of thwr ¢haity and rts benefiriaries.. protecl and safeguard It assets of their chaniy. act reasonable care and th"ll,' and ensyfe their charity is attountable. MHM iwstees review MHM'S pohcy on reser¥es held by the charity * 1235t annuaty in order to enwre that rt ccffiplies wilh these Charity Commission requirernenls. suppcts the achievement of MHM'5 Strateg objectives. and remains apwcyriate for the economic en¥ironmenL the heajth and $ocial care sectors, and olher rele¥¥nt factors atteth.ng MHM'S ath.vth The tnJslees COgnise Ihat reserves a requi ordw to. meet the continuing financial cornmitments of ¢JelweMg commissioned seMce$ to beneficiaries, inchAing the need for In9 caplal so that liablities incuThed can be met a5 they fall due," and Invest in the developrnent of fath1"e$. semtes te$S processes as necessary to ensu that MHM 18 compliant %b7th regula requirements. awres to develop and embed best wactice in it5 Wdy5 of working. and is ae to sPOnd to Slxh new bUneSS oppcfftunibes as are Mlentified. The finarKial obligatn3 aSsoctel ith IAHM'S commissioned tend to be aigned Tih the lunding of Ih¢)se ser¥i¢es. However rt is important for MHM to hdd elVeS to cover finanaal oblig8tior¢5 that are not 1CoY funded. in order Ihat those oWigabws can conb.nue to be met rf unforeseen rir¢umstsnce$ lead to a redu¢bon In mc¢Jning resources. The trustee$ befieve that free resÈNe$ are required to cover $ix months of projected central and infraSlructu costs. F4us an addonal alowan¢e agreed annualW in order to be in a po$rti¢ to fund devekjpment acbvrty as the heed anses, induding investb71 in faclrties aThJ adoption of best pracD"ce systems and Kwocedures wthin the fields olhealth soual ca. Ftrthe year 2022r23 the amount of frte reserves required Is assessed by Ihe trustees as £2,200,CKIO. This level of reserves allow5 6 rnonths of central office costs (Induding enhar cenlral tspatity to sup1 ganIsatal grovrth). 11 also allcwts for infrastruciure developmert MHM total reserves at 31 March 2022 allnt to £4.730.063 and consist of. restricted fvnds {su4'e¢# to spe(Jfic terns) of £549.809 (see note 181. unre51ricted funds of £4.180.254 (see note 181. From unresln.cted fvnds. the trustees have degwated an an¥>wrt of£760.330 to meet indilIVe fviure costs of Ihe IT transl0mlatn programme. General hJnd$ therefore arnount to £3,419.924. After deductiny fixed assets arxl invesbxents tot41in9 £264.848. the vah of free reseNes available is £3,155.076. exceeding Ihe uld value. Complkince vlth thi% reserves pc1• %bill be monrtertd on an tr4Jcrfng basis by the Audrt & Risk Commrtlee, whKh will repryt any n(TrcomF4ian to Ihe Board of Trustees M order that any coTheclwe actKn required can be agreed. The trustees ha¥e conSided budgets to Marth 2023 and cashluw forets to December 2023. As noted above, MHM incoming resources have grtr¢m dunrtg the year. Costs remain under Ca1 revw, and the trustees believe that the level of reseNes awlable fc 2022r23 and 202Y24 is sufficient. and the net curfenl 355etS and cash lkny ol the chanty ale 3t yjth a level. that the chanty is abbE to opeTrte for the loreseeatle firture, and that the 9Thng concern basis is appropnate for these anCIal statements. Cbse monitoring of reserves. along th levant scenario klanning. ill continue in order to ensu th MHM'8 financial slrenglh is maintained. The degree of certainty over futu fvnL1ing streams wll be kept under rewew. and the trusiees intend that MHM wll continue to posthn rtsew as a pro¥vJer and parther of Choice, able to meet the 0pp0rtunrtS presented by ccffjmi55ionEr5 to meet the expected incleased demand for mental health services, and to adaF4 delvery mcthls to offer t*Jed senrice5 feaiure both thgital and facraCe deli¥ery. Page 19
MENTAL HEALTH MATTERS IA company limil•d by guardnt••l TRUSTEES. REPORY {CONTINUEDI FOR THE YEAR ENDED 31 MARCH 2022 d. Plan5 for fuiwe wiods A¥ notsd atove. Ihe Iwstees aged to establish a ne strate9t rAaTh for the year5 commencing April 2022. MHM'S pn"onlies for2022-2025, a$ set rArt in "5 new orgarw5atal stiategy. 3re.' CwDduceO Higwuaty SeNces- We Cdlatrrate those wth lived expenen¢e to ¢elNer awR5$ible. impacirul, high qualrty and innovative services that meet the needs of indiwdual$. their families. carers and coMmunes. Engaged & Am'tIOUS Workforce. We ill develop a Fe0P rAlture underp by tr¥8Je3. that altrads, develops. revArds retains a sknlled. knothlgeatk aThJ di¥erse lor¢e. shang Future Care & Supwt- We ill inftuence and drive the transltymab.on of care and support. thmugh a hoh"5tic and kxany trilo¢ approath that tJelNers lrfe char#Jing impacL Transfowmin9 How We W<yk- We enwre that wr ryocesses, ieds 8knJ resourtes are efvent, sirTyle and user-fnendty, lo increase our •th, iyiaywn15• our Iiiwaci and help Ire peoF4e 19 ¥hve nwningfvl li¥e$. Dl$closur• ol infonnation to alItOr Eath of the persons we Twstees at ltte tN"s Trustees. iepNI is ¥proved has ttlnfimied Ihat.. 50 far as that Twstee is awdre. Ihue no le¥ •Jdrt infomwthx of the duntable etsmpanls authtor Is unaware, aThJ that Trustee ha5 taken au Ihe steps thai tyjght lo have been taken as a Trustee in Order lo be aware of any rdevant a1 infryrnan aNJ trj estat4sh that Ihe thanith ¢ompanls auditor 15 8re of that infomation. Auditor The aLtditor, Armstrong Watson Audrt Limrted. indKated hi$ vAlliryness to conthnue in office. The designated Trustee5 wll propose a rn0.0n reappn)ng fv avthtor at a meets"n9 ofthe Twstees. AFw¥ed ty order ofthè rne1th ofthe bo ofTrustee¥ on 10111r2022 signed their behalf S J 8aines (Chair of Trustees) Page 20
MENTAL HEALTH MATTERS IA ¢tynp•ry limil¢d by guarantee) STATEMENT OF TRUSTEES. RESPONS181LmES FOR THE YEAR ENDEO 31 MARCH 2022 The Tnjstees lfio are also the directo ol the Company the purposes ot company lawl are ponble lor preparing the Trus1. rep)rt induding the StrgiG repryt and the fmancwl Statements in accordance vthh applicable law and UThted lth"ngdom Acrthnbng StaThJards (United JQngdorn Generalty Aeeepted Aeeounting Pra¢ty¢el. Company law re¢wires the Tru5tee5 to wepare financial Statements for each financwl year. Under company law, the Twslees rnust not aFprove the finanriaf $laternents unless they are Sab5r that they yive a true and faT ew of Ihe state cl affairs ot tre Company and of rts irKoming resources and apph"catr)n ¢f SourCes. induding income 2nd expenditure. for thal pÈnod_ In weparing these finanual siztement5, the Trustee5 are required select suitat4e accounting pditie5 and Ihen appty th congslenty.. observe the melhods and wnople$ olthe Charib"e5 SORP IFRS 1021., rnake Judgments and accounbng estimates that are reasonable and mident", slate whether apphcalAe UK Attounting Standards IFRS 1021 have been Ikd. subjecl to any matenal departu$ dClosed and exrA8ined the financial statements.. prepare the finanual statements on the CaeM basis ueSS rt is inapyopnate to presume that the Company vill conbnue in business. The Trustees 8fe rewsitle for keeping adewe accounting records that are sufficient to show and explain Ihe Company's transaaions and disck)se reascfiable accuracy at any time the financizl posrtion of the Company and enatyk them to ensure that the finarKial stsiements comth 1th the Companies Act 2006. They a also rew)ngtAe for safeguarding ¢he assets ol the Ccffipany and hence for taking reasonable steps for the preventson anLI detedw of fraud and olher iwulth. The tnjstees are re5pJnst4e lor the mainnanCe arhj pitegnty of the eoyjraie and finanoal iThfomiatk)n induded on Ihe charitable ccffjapny'5 b$"le. Legislalion in Ihe United "AgdoM govenng the PparatIOn and dissernination offinancial ststernents may drfter from legislation in ctheriurisdKbC5. AFyoved by orderof the members ofthe board ofTrustees on 1011 Ir2022 aTrJ gned it5 beha SaLb S J 8•lngs (Chair olTru$teesl Page 21
MENTAL HEALTH MATTERS IA cornpary limitsd by guarantsei INDEPENDENT Au0OR's REFY)RT TO THE MEMBERS OF MENTAL HEALTH MATTERS Qplnlon We have audrted Il financial statements of Mental Health IAatters (the'chaiitatrAe companll forthe year ended 31 March 2022 ¥¥hich comprise the Staiement of financaal aclmties. the Balance Sheei. the Statement of cash Ilows and the related notes. dudin9 a summary of si9nthcant accoLmb"ng pclioes. The finanDal repong frarnework that ha5 been aPpld in their pparati is applble law and Unrted Kingdorn Aceounting standard5, Induding Finanaal RwbrJ Stsndar(1 102 Tr Finonual Repotyng Standard ar•"¢atle in the UK and RepulAK of Ird8TrJ' Iunrted Kingdom Genernlty AccepteL1 A¢counts"ng Pracbcel. In our 0Pmn the financial slatemEntS". give a tnR and fair of the stsle of the tharilable cornpanls affair5 as at 31 M¥ch 2022 and of its incomiry resources and applicab.( of Ou•s, idIng ts cOrne and expenditure for the year then ended.. have been perfy Fryared in acwdwce ith United thgd(ffl Genety Accepted Accounb"ng Practi.. and have been prepared accOrdMt the WrentS olthe Crynpanie5 Act 2006. Basi$ for oplnlon We conduded our aUdt in accordance wth In1em"¢a Stsndarfs on Au"n9 IUK) IISAS IUK)) and amlicable law. Our respOnbil.11eS under those standards are luther described in the Auditovs respongbilthes for Ihe audit of the finanaal slaternents secbon of our report. We a independent of the eharrtable cornpany in acCdanCe th the elhKal requirernent$ Ihat are rdevant to our audrt ol the finanaal Sialernents in the United Kingdom. induding the Financial Reportin9 Countifs Ethical Standard, aTrJ have Iu11eé other ethical res51b1tIeS in accorijance Ihese requirements. We believe tr1 the audrt evidence have oblaineil is sufficienl and aFvroyiale to mde a basis ftr our Condu$i4)n5 relatlng tg golng ¢onc•m In auditiry Ihe f statements, 7At have conchjded thai the Tnttes. 4bSe of the goiry concern basis ol accolmting in the pParab0n of Ihe finantsal statemenis 15 appropnate. 8aserf on the work have performed, we not identified any rnalen uncertainties rejating to events or CondOn5 that. dMdua1IY or colkthety. may cast sKJnifficant doubt on the charitat4e ccmpanl5 ability to continue 35 a going conwn for a n0d of at leasi rthe mcrths trom Ihe finantsaS statemenls are authorised for i$$ue. Our re$ponsibilth"es and the respsitI"l"ts ol Tru5tee5 *ith respect to gory cce are dewil>ed in the relevant se¢tN)n5 of th15 rep1. Pzge 22
MENTAL HEALTH TTERs IA cornpany lirnited lly grantee) INDEPENDENT AUOITOR'S REPORT TO THE MEMBERS OF MENTAL HEALTH MATTERS {CONTINUED} Ofvr Infomiation The other information compnses the infonnation induded in the Annual report clher than the finanaal statements and wr Audito¢s part Ihereon. The Trustees a PDn$ib1e frK the other information contained wthin the Ann repcrft. Our opini¢n C the ffinancial $iatements does not cover the other infomiation and, except to ihe extent ctheNise exp&"uty ststed in our repjrt, v th) exwess any fom of assurance condu5ion thereDn. Our Te5pCfflb11ty is lo read Ihe other inf0mlan and. in doing so, cOnder whether the other information is materially inconsistent the financial slatements or our knrththdge otrrtained in the cr5e of the audrt, or othemse appears to be matenalty miss12ted. If idenbfy such material Inconstenc1es c appawt material misstatements. we a required to detemiine ttethei this gNes rise to a material misststemenl in Ihe finanLyal ststernents themselves. 11. based on the have perfOr1LI. we condude Ihat Ihere is a material nysststemenl ofthis other inftyma1n. are wuiyed to report that fact. We have nothing to reKXi M thi5 regwd. l>Jinion w other matters PS¢111)ed ty the Companl•s Act 2006 In our opirHon. based on the wowk undertaken in the COLW5e ofthe authi" the ln10rrnat given in Ihe Twstees, rew including Ihe Strategic report the ffinanual year lor which the finanual statements are prep3red 15 con5i5tent financial 5tatemenls. Ihe Trustees. reprAt and the strateg rep(t ha¥e been Prepa in accovdance applicab legal requirements. MattÈrn On V•thi¢h am requiTrd to Trport by excepti In the light of our knrthledge and underslanding of the thantat4e company and rts environment obtained tn the ccur5e ol Ihe audrt. we have not idenbfied matena misstatements in the Twstees. report includin9 the Strategic report. We have nothing to wort in respect of Ihe ftloing mattets wi relation Companies Act 2006 requires us to port to you rf. in our cyni¢)n- adeqvate accoU"fig records not been kept. or reiwns adequate for our art have not been received from tmanches not $•led by us". or the financ431 statements are not in agreement Ihe xwir"ry ¢1$ and retums: certain disdosures of TN5tee5' rernuneraton 5Feofied by law are nol made,. c have nol leVed au the In1¢xmats exp¥ tAt require for tyjr aud Regponsibilities of trlee9 As explained more fulty in the Twstees, resptsnsitx.l.es staternenL the Trustees on paye 21 Iwhts a also the directors of the charitable company lor the purpose5 of company law> zre responsible for the preparation of the nancial statements and for being 5ats5ffied that they g¥ve a true fair ew, and SLKh intemal control as Ihe Trustees deterrTMne is necessary to enat4e the weparatw of fina statements Ihal are free from rnaterial rnisstatement. due to fraud w error. In preparing the financial statements. the Trustees are re¥&ble for a5se5sns the tharrtable company abilty to ¢onb"nue as a g¢ing concern, disdosng. a5 applKatAe. matter5 related to going concem and using the goirs concem basis of arxwnbng unless the Twustees ether inlend to liqubjate the tharitable cornpany or to cease OFerations, or have no reabsbc mative trJt to do so. Pe 23
IIE14TAL HEALTH MAThERS IA company lirn•ted by guarnnteel INDEPENDENT AUtXTOR'S REPORT TO THE MEMBERS OF MENTAL HEALVH AIATTERS (CONTINUEOI Auditorfs responsibiliti9$ for the audil of the fmancial 51atom Our objectives are to obtsin wsonle assurance aboui Trhthether the finarwaal Statements as e vthde are free frcm material misslatement. thether to fraud or error. ond to issue an Auditorf$ repyt that includes our opinion. Reasonable assuran is a high level of assUnCe. but 1$ not a guarantee that an audrt conducted in accordance wlh ISAS IUKI will always dete a maten misststement %bthen rt exis¢s. Misstatements can arise Iroffl fraud or error and are Considered rnateriol if. Inta1fy ( in ¢he aggregate. tw could reasonatly be eMFCted to in1en the economic derasions of users t¥ken on the ba$ of these finanual statements. lThegulaiibe$. mdLK1ing Iraud. a inslances of nowompliance laws and re$allOnS. We éesign procedures in line 1th our resw$i1e$, 0uu1 above. to detect Mate mis$tatement5 in respect ol irregularit'es. Induding fraud. The extent to procedure5 are capabbe ol deteding irregulanb"es, including fraud ts detailed below". . We obtained an understanding trf Im ar regulab"¢wts that affect Ihe company, lor#Jsiry on those thal ha dired effect on the finanual statements or that had a lundamental effert on It5 oper3tion5. Key laws and regulations Ihatwe Klenlified induded the UK cryro3n5 Acl. tax and ocojpatna healh and ernOyMent legislab"on. . We enquired ofthe director5. rewed cfft5prythnce wih HMRC rew•¥ed director5 meet¥ig minutes fw ewdence ol nCOMpce wlh la¥A aKI regulabcffls. We a150 Cold5 the directors have s place to ensure comphance. . We gained an Understand¥ of the that the direclcrf5 ha¥e In ace to pent and detect fraud. We enquired ofthe direct5 abrmjt 3ny in¢Jdences offraud that had tsken Fe during the accounting period. . The risk offraud and noTrcornF4iance wih I¥5 and reguLitions aThJ fRud was dixussed 1th1n the audrt tsam and le5t5 were planned and perforry1 to address these risks. We idenbfied the potential for fraj in the following areas. revenue recogn0 and management override of contrds. . We rewewed f nancial slaiernents disdosures aTrJ te#ed lo supptyting documentslion lo assess rpIlan with relevanl lavE and reg1dais d15DJ55ed above. . We enquired ofthe and thisty5 atsrt acaual and Fthlbal Irtw'on and daims. . We performed ana.¢21 prrU¥eS to identsfy any unusual or unexpeLed relabwships th might indicats risk5 of matewia nNs5taternent th to f. . In addressing Ihe risk of fraud due to management o¥errKlÈ of intemal controls we tested the appropriateness oljoumal entries and assessed %%ttether the iud9ements malle in makn'ng accountmg estimates We Indicatsve potentwl bias. Due to the inherent limrtth"¢Th of an audié. Ihere 1$ an unabTrdat4e nsk that may ftot have detected some materia misstatements in the finanaal statements. even Ilx)vgh have property planned and performed ow audit in accordance audrting stsndarfs. For examK4e. as Vth any audrt, Ihere remained a higher risk of non detection of irregularils, as these may invthe collusion. forgery. intemal omissi¢)ns, MisrepSen18tiOns. or the override of intemal ¢ontrols. We are not respongbye for prevenbng fvaud or non CDmpliance iih law5 and regulats'ons ant1 cann be expected to detect al fraud and hon CornFan¢t ilh lavS and ogUlatTr5. A lurthei desuipknn of ow re5Fthskn"&k5 fDr the of the financial statements 15 localed on the Financial Reporbng CtyJntsl'$ r(e at". kjaudrtorye sitX"les. Tht¥ dewptr'on fomis part of ow Auditor's reF*JrL Page 24
MENTAL HEALTH MAThERS IA company &mit•d ty gw¥nt••l INDEPE14DENT AUIXTOR'S REPORT TO THE IAEMBERS OF MEPITAL HEALTH MAThERS ICONTINUEDI ils• of our r•p This pct is made solely to Ihe thaiiiaLlÈ companys membets. as a boty, in a¢¢or¢Jance with Chapter 3 of Part 16 of the Companies Aci 2006. Our work h35 been undertaken so that might state to the chantsble cornpany'5 rnernber5 Ih05e matter5 are required 10 Stale to them in an Avditorf5 report and for no other puryjose. To the fullest extent pernrtted by tsw. do r1 accept w assume responssi11ty to anyone other than the thantsble c¢rnpany and its membern. a$ a body. fw Qur audil VvrK for this report. or for the opinion$ we have formed. R055 Pr•ston (Senior 5taluiwy a110) for and on behawof Amistrong wats Audit knmit•d Charte AOuntants & Ststiiw Avdi 3rd Flc¢Jr 10 Soulh Parnde Leeds We Yowkshire LS15QS D*e'. 1811112022 Page 26
MENTAL HEALTH MAThERS IA compary lirnilÈd by 9uarnnt••l STATEMENT OF FINANGIAL ACTMnES ONCORPORATING INCOME ANO EXPENDrruRE ACGOUNTI FOR THE YEAR ENDED 31 MARCH 2022 Lknwestricted R•stri¢tod funds 2022 Tol•l fvnts 2D22 Total funds 2021 2022 (Mne fyonb: Donabons aTrJ lega Charitable acb'vities Investments Olher inccme 44.570 20.572.649 2.341 44,578 21.461,199 2.341 23,008 17,776,519 (2811 10,275 088,550 Totsl In¢orn• 20,619,568 888.5S0 2f.508.118 17,809,S21 Exp•ndlturF on: Charitable actibibes 19.021.836 729.914 20J51.750 17.536,L)Lkl Total expendliure 19.821.136 729.914 20,551.750 7T,536.000 Net In¢te Tran51ers betsbEen fijnds 797.732 113.114 151,636 1113,114) 956.368 273.521 18 Net rno¥em•nt In funds 910,846 4S,522 956,368 273,521 ROn¢111411on of fvnds.. Total fvnd5 brought forY4rd Net movement in fjjnds 3.269.408 910,846 504,287 45.522 3.n3.695 956 J68 3,500, 174 273.521 Totsl fvnd5 carTied fonHrd 4,180.254 549,809 4.730,063 3, 773,695 The SlatempJt of financ4al acliw.ts incAes all gains fv)sses rewjnwl in the year. The te$ on pages 29 to 53 form part ofthese finGla1 stateme. Page 26
IIENTAL HEALTh MATTERS IA company lirniled by guarant••l REGISTERED NUMBER= 1786914 BALANCE SHEET AS AT 31 MARCH 2022 2022 2021 Flxtd assets Intangible assets Tangible assets In¥esbnents 12 13 14 46,280 218,$67 225377 225378 Currnnt assets Debtors Cash at bank and in hand 15 3.508,270 4.784.743 3,308, 197 4, 136.639 8293.013 7.444.836 Credrtots". amounts falh'ng due Ymthin ¢me year 16 13,827.7981 (3,751,838) Net ¢wrent assels 4A65.215 3,692.998 Totsl aysets less cU•t liabilitl•s 4.730.063 3,918,376 Crtditors". amounts falling due aftw mo than one )ar 17 (144,681) Totsl net 4,730,063 3.773,695 Charfty fund Restrided fvnds Unre51ncled fvnds 504.287 Desgnatsd fttnds General fund5 760.3x1 3N19.$24 638,343 2,631,065 Totsl W$"¢te0 lunds 18 4.180.254 3.269.408 Total funds 4.730.063 3. 773,695 The Trustee5 atkn¢Mledge their responsibilth.es lty comth'rg ith Ihe requirement5 of Ihe ALI respect lo aOUntsng records and preparation offfinanual statements. The finanaal statemerts ere appro¥ed and authorised lor issue by Ihe Tnjstees on 1011112022 and $vJned on Iheir beha by.. S J Balnes Ichair of Tw51ee51 The notes on pages 29 to $3 fcrfm part of Ihese fina131 stalement& Page 27
MENTAL HEALTH mAERs IA cornpany lirnited by gu•ranteel STATEMENT OF CASH FLOWS FOR THE YEAR ENDEO 31 MARCH 2022 2022 2021 Cash Ilows frorn activilie . Net $h used in OFerab'n9 actml 21 790,224 l.(M4. 715 Cash Ilows from in¥•sting activities Purchase of tanwbie fixed assets Purchase of Inlangitle assets Interest received 195,2181 149,2451 1341 (167, 106) (281J Net cash used in in¥estin9 actl¥llles 1142,1201 1167,3871 Change kn ush •nd ¢a$h •ty¥¥al•nts in th• y•ar Cash and cash equivafents atthe begnmg of the year 648.104 4.1.83$ 177,328 3,259,311 Cash and cash equi¥thnts attr end of the ye•r 22 4.784.743 4. 136.639 The n¢)les on pages 29 19 53 lo part ofthese finail ststements Page 28
IAENTAL HEALTH MATTERS IA company lirnit•d by guarantee) NOTES TO THE FIP4ANCIAL STATEMENTS FOR THE YEAR ENDED 31 ¥AR¢H Z022 General infonnation Menlal Heafth Matters (the 'tharilae comparf is a tharitable company limrted by guarantee. incolporatefl in Eand and Wales. The re9i5tered office Avn HJ$e, St Calherine's Court. Sunderfand. Tyne Wear. SR5 3XJ. The chanty exists ior the benefft of the put4¢ thrtyJ#t the vows1 ol is seryices to any rnernber of th• publK has rnenlal or Ftys'cal heafth needs. Acc0thon9 pofKles 2.1 Ba¥15 01 prepalon of finantial stat•m•nts The finanoal statements have been prepared ui accordance wth the Charities SORP IFFIS 1021 . countiry and Rep)rting by Chath5". Staternent of Recornmended Prne apPIalle to ¢hanb"es prepanng their a¢Unts in aTonCe ith the Finanual Repong Standard applicable In the UK and Republ¢ of Irdand IFRS 1021 leffeclive 1 January 20191, the FInCIal RepDrting Stsndard applicaNe in the UK and Republi¢ of Ireland IFRS 1021 and the cPanieS Act 2006. èlental Health Matters rneet$ the defiNttr)n of a benefrt entity under FRS 102. Assets and Irdbilibes a mitY rewnised at cost or transacthon vaue unless otheIse staled in the relevant accounb.ng pc4w. The financ $eMentS a prepareil in steffing. ¥h"th is the thmclional rJJThenw of the tharity. Mcmtary amounts in these knarKial stalernents rtnded lo newest £. These accourts set out the resuris of the charitsble MpanY onty. The tru$tees consider Ihal the charity5 subsh4réry is not matwial to the group and so no ¢wsoholation accounis have been prepareed in cOrdanCe ith exempkn under seciion 405 ofthe Cornpanies 2.2 Company status The cornpany Is a company limrted by guarantee. The members of tr cornpary are the Trustee8 named on page 1. In Ihe event of the cornpany teiTrJ %bDund up. the liabilty in Spect of the 9uaranlee 1$ Iimrted to £1 per member of the company. The trustee5 are directors for the purpose$ of Ihe Companies Act 2006. At 31 March 2022 there 8 mernber512021. nine members). 2.3 Going concern FRS102 requi5 that. rf appropriate. the Charitys financial statet5 are prepared on going ¢on¢em bass. mean$ thar Ihe or9anisabon is able to operate frx the foreseeable future on the bags of kno and sOnab pr¢iecled resour¢e$. Cash fflow forecasts have been prepared covering 12 months from the date of approval of the finanaal statements. Forecast5 indicate that adequate cash and reser¥es be awlaile throughout the perio(l un(ler rewew. %b•th no financing reguired. There 3re no rnaterial uncertainties in respect of Ihe charitls abilty to conty'nue as a going concem. Con5equenty, the trustees believe thai the chanty is placed to manage its risks successfuny and thus have athpted the 9 corKem ba%s. Page 29
IENTAL HEALTh MAThERS IA ¢omp•ny lirnit¢d by guwant•el NOTES TO THE HIIANCIAL STATEIIENTS FOR THE YEAR ENDED 31 MARCH 2022 Accounting policies {¢Mtinued> 2A Incorn¢ Incoming resources are recognised in the Statement of Ftnanaal ActivTties the charity has ernent lo the fvnd$'. any condOnS atthed to the rtemlsl of lTr¢ne have been met.. il obable that the inccAne ill be rewved. aN¢ the amount ¢an be nwsLed "aWy. Grants and ¢ontra¢ted fundin9 Grants and CCtracted ftsnéing. In(ng ¢aptsl 9rwts forts purchase of tangible fixed assets. are recognised in fvll in the Ststement of Financial Arfivrt in the year whth they become recewable. Ihlhefe Ihe tondrtions of receipt have not yet been mel. tre incorne is transferred to deferred income in the balance sheet and recognd in the stateThnt of fiTranryal actmties in a fviure accounting Feno(l. Rental and support in¢<ffie ftent and support tn¢ce 15 rerM$ed in fijll in the Statement of Finwcial Activ"e$ in the year ¥thich rt is recvatAe, net of any prowsion frjr •nears. whe Trt and 5UPPOrt IoMe is ceiVed in advance lor a fvture accounts'ng penod. the Income is deferred and included in nts in advance and recogn15ed in the Stalement ol Firbaro4 Admlw in a future a¢mt9 period Intornst Yeceivable Interest on funds herd on deposfL 15 iKIed then receivatk and the wnounl can te measured ty the Charty.. this is normally n(thalion ofthe threst pai¢J or payat4e by the bank. IS ExpeThliluv• Expenditure is recognvsed orKe Ihere is a legal or constructive (k"gab"on to make a payment lo a third paty", rt 15 probat4e that 5etdement il be reqLred". and the aM¢t rlf the obligatitin can be measured reTra. ExpenLliiure is al ¢on5Klered as expenrtU thantatAe actmties. and is subdivjded into Ihe fwr mwn actiwties of Ihe Charity bng employment seN¢es. community support and per50naJised sennces. SerVS and lalknn9 therawes seNice$. Costs of charitable vibes comprise * costs incwre(l in the pursurt of the chwitaL4e cje¢ts of the charity. These ¢osts indude both the direct costs of provith"n9 Serv[ to the chantys benefiCries and an apporbonment of supptyt and 9o¥ernance cos Support costs cornprise the central management and support seNces. They have been apporboned betsveen charitabk a"treS as shown in note 7. tya on Ihe woptyb.on ol income %%ithin each tharrtable activity. Govemance costs comprise all in Cneon with Ihe strategic management of the charity and omF4iznce Ibilh consbtub.onal and statutLYy wuirements. Speific costs en a particular chantab activty a Indje as such. Sha govemanee ¢ost$ a appornoned based ¢)n bme spent a¢ros# each charitable actswty. They have been aFQOrtioned beb4Een tharilable acbvities as Sho in note Expenditure on charlble ad*v.e$ i8 InCurd M directy Undertang the further the Company's obje¢b"ves. as a$ any assoualed SUFWt costs. l expendrture is N)dusive ol iTheuvwable VAT. Page 30
IAENTAL HEALTh WATTERS (A cornpany limtted by guaranleel 14OTES TO THE FINAPKIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2022 Accounting poli¢i•s Icontinu8d) 2.6 Taxallon The Cornpany is con&defed to pass the tests set tyjt in Paragraph 1 SthedLrfe 6 of the Finance Acl 201 O and there1e rt rneels the defin"on of a thantable company for UK cor.¢ tax poSeS. Accordiffjty. the Company is potenb.alty exempt from tsxation in spect of incorne or Capital gaiThs receved wthin categories covered by Chapter 3 Part 11 of the CorpoTation Tax Act 2010 or section 256 of Ihe Taxafron of Charyeatrle Gain5 ALI 1992. to the exlent Ihat such income or gains are applied exdu&vety to tharitable pvry>oses. 2.7 Intsngil)le •ssets •mortisation Intangible assels eosb.ng E1.orJ) ty mtye we captshsed re¢o9nised ¥then future econrffii¢ beneffts are probaNe and the cosi W¥Ue olthe asset can be measured reliabty. Intangit4t assets are 1nffjj.ty retoynised * cosL After cOgnlIn, the cost model. intangible a55et5 a measured at cost le55 actsJmdated •hOfy"sation and any accumub•ted impairnient losse5. AJncrfbsation F5 Fxowded on inlaThJiLqe assets at rale5 cakuL3ted to le off the cosl of each asset on a straight-hne basis its e)pected useful lrfe. AJncbsation is pyomded rffi the folbMA"n9 b¥.. Cornwler sofvare 25 % straryht line rangll)l• (ld ¥ss•ts •nd derm¢l•Von Tangible fixed assets costing £1.000 more are caprtalised and wognise(I vthen fuiure economi benefits are probable and the cost ¢y value of the asset Can be measured rekabty. Tangible fixed as5et5 are inrtialty recoynised at cost. After TErognib"on, under the cost model. tangible fixe¢J assets are measured ai COSI less accumulated depieuats.on and any accumula¢ed impairrnent losses. AJI costs in¢JJrred to bmg a n91te fixed asset into its intended wort(ing Cond0 Should te inchjded in the measurunent of cost. At e3ch reporling date Ihe Company a55e55es whether thwe is any indicalion of inyairment. If such indication e515, the recover3ble arnount of the a55et is detelmined to be ihe higher of its fair value less Costs to sell and ts vlue in use. An irnpaiment is reccJnised %there the carryng amount Page 31
IIENTAL HEALTH IIATTERS IA company limited by guarant•e NOTES TO THE HNANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2022 A¢c4)unllng poll¢i•s leontinue 18 Tangible fixed assels nd d•prnciation Ic¢xrtinUl oepreua.0n is carged so 35 to alle the o)st of gle fixed assets le their residual Val overtheir estimated usefvl fives, . DepreciatTr is pro¥ided on fC&y bages. Leasehobj property improveThwt$ Fixtrres. fumrture equiprnent Ccfflpvter eqwFffient - 21YA trj 33% straiglrt hne - 20% to 33% straMJht line 21N to 33% straight line Th? 355ets' residu values. ¢jepc48tKYn rnethods a and a"u$ted wospecti¥dy rf appropriate. or rf there ts an indicab.on of a 9gnffiunt thange sin¢e the last worting dale. Gaffls and losses on di$SsIS are detemmned by ¢omparin9 the woceeds vAlh the carrwThJ amounl d are recognised in the Statement of financial acb"vilies. 2.9 Inv•sknents Fixed a55et inve51ments a form of financial instrument and a reco9nised at tWr transaction cost and subsequenlfy measured al fait vaue al the Balance sheet de. unless the value cannoi be measured reliabty in case rt is measured at cost less impaiThent. Investment gain5 and hJ5ses. whelher reali5ed or unreahsed. a Combin yesented as 'Gain{LO$Se$l on inve5tmerts' in the Slatement of finanryal a¢b"iritses. Inve5trnents sub¢811es are valued at cost kss impawmenL 2.10 D¢btors Trade and olher debtors are recrynised at the settlement amount after any trdde discwnl ollered. Prepayrnents a vued at the arnot kYepaKI net of any trade dtscounls due. 2.11 Cash at banlE and In hand Cash at bank hwd indudes cash and short-terni hNJhty IAuid invesknents a short malurty of three months ¢y k5s frtyn Ihe date of aCquNli t¥ I)Ing of Ihe deposit or similar accounL 2.12 Lfjabililles and pro¥1$1$ hties we recognised when Itwe is an ¢Ji4gab"on at the Balance sheet date a$ a re5uIi of a past event, it is probable that a transfer of e¢Mornic benetrt vrill be required in sewement, the amount ofthe seiuemeni can be ests"md teliabty. Liabe$ are rewnised at Ihe amrrtjnt thai the Company afv'opate5 it ill pay to 5ettbe the debt or the amounl rt has CeiVed a$ a(Ivanced payrnent5 for the gotras or see$ it must prowde. Pro¥isws arE mea*ired at best esth.mate of the amDunts required to settle Ihe cl>liga.on. Whe the effect of the b.me value ol money 1$ material, Ihe promsim is based on the present value of those arnounis. discounted ai the prfrx tlisctsunt rnte th3t relkcts the risks Specific to the hability. The unwnding of Ihe discounl 15 recognwd in the Stslemenl offfinarKaal xtswb.es as a finance cost. Page 32
MENTAL HEALTH MATfERS (A cornry hmll•d by grants•) IIOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2022 Aecounting polici•s leontinued) 2.13 Flnancial Instr1MNts The Company orfy has financial assets and finanual h"ab"1"t$ of a kind Ihat qualify as basic finanryal instruments. BaC finaal instruntS are InallY recognise¢ al transaction value and sub5equenty rneasured at their 5elUement vthe ith Ihe ex¢epb"on of bank loans are sub5equenlly measured at arnOrted cost kFsing the effectNe Inte5t meihod. 2.14 Operating leases Th• tharfty as • l•ss•• Rentsls pah1 under cyerabng leases are thwged to the Statement of finawal activrfies on a straight4ine basis over the lease tem). The Charity 15 3 10550r Rental incorne frorn a55et5 leased undef opuing Se$ is TeroyTM$ed on a Straht h'ne basis over the terrn ol the lease. 2.15 P•nsions The charity participale5 in multnproYer penson schem?5 lor Its ernphyee5. FDr both scherne5, contributn5 are recogni5ed as Inco and exFenditure in Ihe period to Vthh they late as lh 15 insulfvent infwma1l avaiw to use defined beneffit aCCOLmtirwJ. Where apicable. a liability is recognised for contribulions arigng from an agreement wlh the rnu". ernpbyer plan th delennines hrmt ihe tharity ill fuThl a deficL COntritrcft5 are discounted, at a rate ac¢orfing lo FRS102. Ihey are not expected lo be setded ¥tholy wthin 12 months of the penod end. The uninth"nq of Ihe disnt rale 1$ recogntsed as a finan cost. 1.16 Fund accoUnn9 General lurN1s are unre8trithd fd9 TAtiich are avalawe for ¢J5e at the th.5¢Yeti of t1 Trustees furtherance of the gen obJecb¥es of Ihe Company and ¥thi¢h ha¥e not been destgnate(I for other purposes. Oe5ignaiefl lund5 ccrfnpri5e unr1cle tund5 Ihal have been set aside by the Trustees for parbcular Ose$. The aim and use of ead) deggnaied fvnd is sei Lwt in the notes to the ffinancial ststements. Restricted funds are fvnd5 ich are to be used in xcordarKe wilh specific $triCtionS imposel by th)n5 or thich have been raised by the Company fry particular Pur>Se5. The $1S of raising and •Jministering SLtch fiJnds are charged agwn5t the speoft fund. The arn and use of eaeh restrieted fvn(l is set out in the notes to the finan¢K81 statements. Investment income. gains and losses a allocate(I to the apwopriate I. Page 33
¥eNTAL HEALTH MATTERS {A compary limit8d by guarantl NOTES TO ThE FINANCIAL STATEPIJENTS FOR THE YEAR ENDED 31 MARCH 2022 Judgement in •pplying 4¢¢ounting WI¢1 and key $our¢es of est#hation un¢ert•tnty The weparab.th of these ffinan(ial thments rewwe managemert kn make Judsements, e$iimates and assumptions that affect Ihe appltakn of pt"(ies reported amrAtnts of assels Irdb"hb"es, income and expense5. Jud9Èrnent and estirnates a evknted and are based on hisloncal aTrJ other factors, indudin9 exteclakns ol firture events Ihat are bee¥ed to be reasmabje under th¢ ciroJmstsnces. The chanty makes estimates conctm1 the future. The relting aceounling estimate$ will, by definib"<m. sel¢Jorn equal ihe related aLtyal regjks. cntr.cal xctsJntiNJ esb"mates assumpb. IIIUMful •¢ontynl¢ Il¥•s of tsngiNe assets The annual deyeoakn dorge for ible a&5ets 15 sensrtl to change5 in the estimated usefvl e¢wory¥c live5 anLI rt¥dU values of Ihe asset5. The usefvl econornic INes and regdual values are r assessed annualy. They are amended necessary to refiect current e5tirnates, based on tethnc4ogical advancement, luture investrnents. economic utilwlon and the phC31 condiiicffi of the asset& See note 13 for ¢alTrg amount of the property, planl and equipmenl and 2.8 for the User eeon¢%nic lives fereath clas5 of asset& lill D•t•Th•ning th• •xit va& lor cornfflilrn•n15 to a defined bOfft pwwion Scheme liability cakulation of exil vakR for comrnrtrts to a defined benefit Pens scheme habilty is svbjtttsve, due to the ethrnation uncertainty a5SK43ted with Ihe cttoi¢e of acbjarial 95SLrnpbons used to deterrnine the overafl defined benefit pension scheme liability. Management uses an external a¢tLJarial expert to perform Ihe calculaticffi. Page 34
IIENTAL HEALTH MAThERS IA company limitsd by gu•rnnts•) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 IIARCH 2022 Incom• from chariialJl• activities Talking Services t SeThi¢es Services Therapies Total 2021 2022 funtji Olhei incorne 4,097.605 2.209.256 182,746 13.621.189 20.110.796 16, 183,841 87 74 214 384553 L7 403 1593677 4482 158 1364266Y 21461 199 17776518 Analysls by fund UnrestrKled fvnds 3,749.734 Restricied funtjs aLL4 Totsl 2.268.381 1.039.489 13.515.045 20.572.649 L3 1039489 13642669 21461199 For the year ended 31 March 2021 Unrestricted fijnds 2,500,685 720 000 1.798,899 1.1(*,916 11.378,429 106313 165 276 16, 784,929 Restricted funds Total 3 220 685 1 905212 1 106916 11543705 Grants and contracted flmdin 2022 2Q21 Local authoiily fundin9 Health auth¢xty and NHS tru51 frJnding Other thantyes & trusts Client dired payments Housing assouzbons Central Govemment funth.ng 1.149.862 19.773,851 457.056 9,038 64,137 7.255 809,922 14.995.821 377,442 656 21.461.199 76, 183,841 weslment income Unrèstricted Totsl funds 2022 Tofal lunds 2021 2022 Bank Inte$t 2,341 2.341 1281) The Income from investrnents was £2,341 (2021" £128111. Page 35
MENTAL HEALTH MATTERS {A ¢omp•ny brnit•d by guara11) NOTES TO THE FIT4ANCIAL STATEAIENTS FOR THE YEAR ENDED 31 IAARCH 2022 Anafy5is of exwnditiwe on charilal*e activlti•s Comrnuiwty Ernpknym•nt Housing Talking SeThicas SeThic•s Services Therapies Ti>tsl 2022 Total 2021 Stsff salary costs Other staff costs Payments to subcontracts Prowty costs Other operal cos15 2.230.567 420.083 1.420.713 10.583 423.532 346.123 7.692,579 11.767,391 10,095,298 1,203,645 1.980A34 1,381,689 129.092 269.730 11,250 26.863 1.396,101 487.914 1 3643 1,883.938 1.048.809 832. 179 264.302 194,472 39.433 98.692 845.472 1.17C069 1,207.642 Depreciation and aMOrnsatn 47 6S 503 44 1.508,950 1,136.870 11,673,044 17.576.649 15,440,290 3.257.785 Share of support sts (see note 71 Share of governan costs (see note 71 Toial 538.764 249.546 18B,013 1,929.570 2.905,893 2,020, 130 12 832 4478 3 809 381 1764 438 1 329 361 13 648 570 20 SSI 7SO 17 536 0 Anatysls by furnl unStride hJnd$ 3.234.505 1.737.024 1.329.361 13,520,916 19.821,836 729 Total Forthe year ended 31 March 2021 Unrestrided funds 2.305.370 1,620,931 1.275.911 11.529.735 27 16,737,947 Totsl 36 Paye 36
IIENTAL HEALTH MATTERS IA compqny limited by gMTrnt••l IIOTES TO THE HNANCIAL STATEMENTS FOR THE YEAR EIIDED 31 AIARCH 2022 Support costs Supp¢rft Governance 2022 2021 staff salary Costs Other staff usts Prtspe costs other ope19 costs Depreuation and amortisati Legal lees Staff $ts Ptofesonal fees 1.457.222 4&S,640 81,179 831,924 41.774 27.154 1.457,222 466.640 81.179 831.924 41,774 27.154 43,104 19.155 6.030 878,613 258, 165 63, 133 752,521 42,048 25,651 49.374 21.600 4.606 43.104 19,155 6,030 920 Office costs Tnjstee meetings 71 Anknd as Chaiitable actie& 893 2 975 102 209 77 Nel rnovefflent in lundB Net vernent in fid$ is Staled after ¢haryir¥Jll¢YedthThJl: 202Z 2021 Deweciatson of fP•¥ned langibbe fixed asset5 Amortisab"on of in¢angiile assets Operating lease charge5- eqIneTht Operating tharyes. land ané I'r 102.025 2.965 9.642 614.909 77.547 4.045 10,424 630.388 Auditorfs remurraT10n 2022 2021 Fee5 payat4e to Ihe Ccffipanls audilr*for the audii ofthe Compan5 annual accounts 13.995 18,OC Fee5 payable to Ihe Comp8nls authtor in respect cl.. All non•audrt sefvtes not incbjded above 3.750 Page 37
IAENTAL HEALTH IAATTERS {A comp•ry lirniied by guarnnte•l MOTES TO THE FINANCIAL STATEPAENTS FOR THE YEAR ENDED 31 IIARCM 2022 1ts. Staff costs 2022 2021 Wages and salarye5 security costs ctriPts.0 te ¢JeffiThed con1n.#>Th pensim sdn 11.483,181 1.083,853 700.682 9.76Q.002 901,523 361,760 13.267.716 11.023.285 Termination beneffts relatsng to the reporhng wod total £18,488 12021.. £34,206I This tomprises payrnents in lieu ofTh)tice, ac£nd holiday entthment and ccffipensation payments. Ex-gratia payments relating to the reprxbng peiKd total £6,911 {2021.. £5601. The average number of persons emFW by the CDmpany duriThJ the arAs as fdltywè.. 2022 2021 .No. Ernploent SeIte$ Communrty supp)rt and per8.$e ser4ices Housng services Talking therapvès seN¢es Administration and 5uppryI 47 93 24 209 28 233 The average headcwnt expressed a5 frJ14ime ewNIts ¥vds: 2022 2021 Ernpbyment 5er¥ice5 Comrnunty suppjrt arKI personzh'sed seThic Housin9 ser¥i¢es Talknfig thee5 serwtes Adrnlnbstratsr and suppr1 49 70 17 216 26 399 354 Pa9e 38
IIENTAL HEALTH MAThERS IA eompany limii•d by warnntetl NOTES TO THE F114AMCIAL STATEMEIITS FOR THE YEAR ENOED 31 IAARCH 2022 Staff costs Icontinuedl The number ol emptyes empw benefits (exdlbjg ernOyer pension costs) exceede £80,000 ¥AS'. 2022 2021 In Ihe £60.001 - E70.0ty) In Ihe band £80,001- £90.OCKI Reffluneration of key monagernent perJorw*l The key management personnel of the charrty compn5e the chief execubve officer and Ihe execthe team. The remuneration of key management personnel is as fc4lrMs.' 2022 2021 Aggregate ¢ompen¥atyon 480.132 46&303 Page 39
IAENTAL HEALTH MATfERS IA comp•ry lirnited by gntI¢l MOTES TO THE FINA14CIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2022 11. Tr•$. r•mvn¢r•tityi and ewns•s The trustees re¢eNed no remurttt"on ring the year12021. £n no tW5tses ceiVed payThent foT professional Nother services $UPFld to the chaihty P021.. £1. DuriNJ the ytar ended 31 ma 2Q22, no Trustee expenses have been wKurred {2021- £NIL). Insurance 1$ prOVed to pre¢l the d)arrty frorn hjss WTsing from Ihe neglect or defaults of ts trustee5, employees or agents. Prerniwis paNI during the year arnounted to £11.051 12021." £8.5011. 12. Intsn91l ass•ts Cornputer Cost At 1 2021 Addttso 523.396 49.245 At 31 Marth 2022 572,641 AM0$0110n At l Ayl 2021 Charge for the year 523,396 2.965 At 31 Marth 2022 526.361 N•t book ¥alu• At 31 March 2022 46,280 At 31 MaRJ 2021 The 8mcrflisation charye lor the yyar is recDw8ed wthin eywiditwe on Chanlable actNit*s. There are contractual comriknents to acqu gible assets at 31 U•r¢h 202212021.. £riD. Page 40
MENTAL HEALTH MAThERS IA Conwry limit•d by gu•rnrrt••l NOTES TO THE FINAIICIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2022 13. TangilJl• fixed amets Long4emi loasehold FIxr•S and Comwr fftlings •quipm•nt Total Cost or valuation At 1 Apn"12021 Addth'ons 44746 326,906 43.8S2 759.107 51.364 1.129.759 95,216 At 31 Marth 2022 43,746 370,7S1 810.471 1.224.975 Depreciation Al 1 April 2021 Charge for the yEar 301919 11201 561,381 87.740 904383 102.025 At 31 Marth 2022 41167 315.120 649.121 1,OD6.408 Ngt book val At 31 Marth 2022 1.579 638 161,350 218,567 At 31 Alarch 2tr21 3.663 23.987 197.726 225,376 Page 41
IIENTAL HEALTH MATTERS IA cornpany lim•td lry guarantee) NOTES TO THE HNAIICIAL STATEPAENTS FOR THE YEAR ENOEO 31 MARCH 2022 14. Fixed assel investments Inveslments in subsidiary companias Costor valuation At 1 Aprl 2021 fv131 March 2022 Net book Value At 31 Marth 2022 At31 ma 2021 Prin¢lp•l $ubsldlaps The lolknwng was a $th"ary Ln1ertth"ng of Ihe c¢>y." Name P1PaI activity Holdlng MoNpark tsmrted Domiaftt comapny 10Q% 15. Debiovs 2022 2027 Due ithin or y••r Trade tleb AmnIS o*Ed by grP undertakrys Other debtors Prepayments and acuued income other deblor arrea15 2.545.140 2,727 15,157 926.68fj 11,560 2,235089 2,727 6.619 1.040,030 23, 132 3,508,270 3,308, 197 Page 42
IIE14TAL HEALTH MATTERS IA lirnited by guarante81 IIOTES TO THE FINANCIAL STATEMEIITS FOR THE YEAR ENOED 31 MARCH 2022 1& Cre(klors: Amounts falling due *ithin one year 2022 2021 Trade ¢rt0 Other taxation and socaal srity Defeffed inccffie Olher ¢reditor arrears Oiher creditors and accruals Prow51 for pension Corthttn5 432.800 291.791 2.OSO.176 16.910 561.949 474,163 273.868 246,876 2.407.767 8,7 S09.299 305,272 3.827.794 3, 751.838 2022 2021 Deferred ineorne at 1 Awil Resources ¢elerred during the year Amounts released t¥ preNTOUS periods 2,407,767 12.283.726) 1,92ffj,137 2, 170, 163 {708.904J 946,508 0gferr•d incorn• at 31 PAav¢h 2.OSO.178 2,407,76T 17. Crethtovs: Amounts lalllng dwe after more than one year 2022 2021 Provish?n for pension conln'bui•) 144,681 Page 43
MENTAL HEALTH MATTeRS IA company Ilmited by gtsarantwl 140TES TO THE FIIIANCIAL STATEIAENTS FOR THE YEAR ENDED 31 IAARCH 2022 ststemeot ol funds ststement of fvnds- ¢urr•nt year Balance al 31 March 2022 Balance at 1 Awil 2021 Transfers iThlout Incryno Expen(kture unre$¢t•d lunds Degiqnat¢d fvnds OesvJnale(I fur#Ys 121.987 760.330 Genernl lunds Gener4 funts 2.631,065 20.619.S68 119.821,8361 18.8731 3.419.924 Totsl Unrestricted lunds 3,269.4118 20.619.568 119.821.8361 113,114 4,180,254 Restr5clod fimds Cenlral Em[ent ser¥ices Cemmunty SUPPOrt atsj pers¢)na115ed seNce5 Tkn'ng therapies ser¥ices 137.773 111.185 111741) 125,032 82,272 2•,502 127.4151 184.gS6 100.373 731424 127,624 IS74.87SI 1127.6241 342,SOS 1100,373) 504.287 88B.550 (729,9141 549,809 Totsl otfunds 3.774695 Z1.$08.118 120,5$1,750) 4,730,063 Page44
ENTAL HEALTH WITTERS IA company lirnited by guarantee) NOTES TO THE FINANCIAL STATEIIE14TS FOR THE YEAR ENOED 31 MARCH 2022 Statement olfunds (continued) restlicted frJnd5 General fund5 are 'Free reserve5, after allov+ing for desgnated fvtKIs. From unre$tricled funds. the Iru$tees have rnade the folowng designatson". An arnnt of £760.330 to meet proiecled ftrture costs as a re$t ofthe trusiees. ¢ornThl lo an IT transformation wo9ramme ecision fun The balance carried foward represeNs restn.cted income on prcie¢ts to l)e expended in fulure period5. The fund$ are sumrnansed on the bags of the chwtsble a¢lMty Into tthi¢h each projed fals. The restricled fijnds categorwd as Supp)rt repre5enl a legacy rttewed in 2CQ7. The Strictl0 15 that the funds mu51 be used to 5UPPOrt peOe sch0oFthnla. The funds are hdd in cash at bank and 7AiII onty be appSed 4¥hen relevant have been identified. The restricted funds categorised as Employment Ser¥ices and Cornmunrty support and pwsonalised $eNces resutt from income on funded pyoiects exceeding expendrture. These ftd5 are held as festricted because the is an expecwon that the exces5 wll be recouped by Ihe lundu5, there 15 a quirement of the fvnding that rt is understood that MHM ill cary over any underspend identified from the weOU$ fiE)anoal year or rt is the Chanty's understaTrJiry of the commis&onerf5 Intenbons. These funds are aLso held in tash at ban In the year ended 31 March 2021. the restricted hJn¢Js cate9orised ?5 Talknng theraFrfes servicès related to ftJr¥Jing granted $pe¢th¢ty kn expansion associated vAth an estsng IAPT servi. The funds re required by the funder to be used other purposes and *re 1me{l dn9 2021122. Page 45
EIITAL HEALTH MATTERS IA company limotsd by guarant•el NOTES TO THE FIPIANCIAL STATEMENTS FOR THE YEAR ENDED 31 IMACH 2022 18. Statement of fvnds Iconlinued) Statement of 1MI$- Fyior y••r BalanLY at 31 March 2021 B31anc8 al Transfers l Aprf 2020 Income Expend#u Unve$tri¢ted funds Designated lunds Designated lunds 923.357 (285014) 638,343 General fvnds General fimds 2.2450.066 16.817.932 (16. 731.9471 285,014 2,631,065 Total Unr•stsici•d fwK15 3.183.423 16.817,932 (16,731,947J 3,269,408 R•5tricted IwMI8 137,773 T8.563 137, 773 81, 185 EmF4oyrnent seNces Communty support and personalised seN¢e$ Talking therapie5 swbice5 106,313 (103,691) 42 1rt).373 720.C09 165.276 (535.086) (165.276) 184,956 100.373 316.751 991.589 (804,0531 504,287 Total of funds 3,, 174 17,809,521 (17.536.LXXI) 3,773,695 Pa9e 46
MENTAL HEALTH IJIATTERS {A company limtt•d by 9u•rnnl••l 140TES TO THE FINANCIAL STATEMENTS FI)R THE YEAR ENDED 31 MARCH 2022 19. SLvnmary offw Sthimary olfunts. eumintytrar Balanc• at 31 March 2022 Balan¢e •t 1 April 2021 Transfers inlo kn¢om* Expendiiure Designated funds General fvnds Restricted fvnds 631,343 121.987 760.330 2.631,065 20.619.568 119,821,1136 {11,8731 3A19,924 SM287 888.$50 1729.9141 1113,1141 549,809 3.773.695 21,508.118 120,$51,7501 4.730.063 Summary of lund5- prlor year Balance al 31 Marc 2021 Bala? at l Apnl 2020 Transfe IncL¥ne Expendrtu De54nated fur$ General fku Restricted ld$ 921357 2.260.066 16.817.932 116. 731,9471 31fj.751 991.589 f804.0531 {285.014J 285.014 638.343 2,631,065 504,287 3,590.174 17,809,521 {l7.536,cj 3,773.695 Page 47
IIENTAL HEALTH IIAITERS IA company lirnit•d guarantee) IIOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2022 20. Anatysis of nel assets beiwn lunds Anaty$l$ of nel 4s9•1s b¢twn lunds. ¢wrerf y•ar UM•*tri¢t•d Restrfj¢ted funds funds 2022 2022 Totsl Yunds 2022 Tangitye fixed assets Intangible fixed assets Fixed 3ssel investffrts 218,567 46,280 218,567 46.280 Cwrent assels C1t9 due wIn (e y 7,743,204 13,827,798) 549.809 8.293.013 13,827.798} Totsl 4.180,254 549,809 4.730.063 unr9s10rf Roted fvnds funds 2021 2021 Totsl funds 2Q21 Tangible fixed assets Fixed asset investmewts Current assets Credrtors due wilhin e y Creditrys due in more than one 225,376 225.376 940,519 (3.751.838) (144,681) ,287 7,444,836 (3.751,838) (144,681) Total 3.269,407 594.287 3,773,694 Page 48
MENTAL HEALTH ThERs IA compary limlt•d by 9ux•nteel NOTES TO ThE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH X122 21. Roconciliation of net movement in funds to net cash Ilt)w from operating aeti¥tt•es 2022 2021 Net Inco for the year {as per Slatement of Fwncial Adr¥iDesl 956.368 273,521 Adjuslrnents for: Depretiatic and wnp3wrnent oftang** fixed 355ets morti5abon and impawmwrt of intangit4e assets Investrnenl income recognised in $weIrt d fjnantsal adi¥ry"bes De¢reasellincrea$e} in debt$ Inueasel{deueasel in ttedit¢WS Increaselldecreasel in deferred income 1fj2,02S 2.965 12,341) 1200.0731 288.869 1357.5891 77,547 281 T,883 443.834 23T,604 N•t ¢a$h provided by owating a¢tivill•s 790,224 l.Q44. 715 22. Anatysls of cash •nd ¢•sh equl¥•lents 2022 2021 Cash in han¢J 4.784743 4, 136,639 Total cash and cash eqwvalents 4,764,743 4, 136.639 23. Anatysls of changes In n•t debt At 1 AFXII 2021 Cash Ilo At 31 Mar¢h 2022 Cash at bank and in hand 4.136,639 6.104 4,784,743 4,136.639 648.104 4,764,743 Page 49
ENTAL HEALTh MATTERS IA Compl limlt•d by w•Trnl¥el IIOTES TO THE FINANCIAL STATEPIENTS FOR THE YEAR ENDED 31 MARCH 2022 24. Pension cofflfflilrnents Oefin•d ¢rJthbutlon $ch•m• The thariiat4e company operates a deffined tritiOn PenSn stheme. The assets of the scheme are held separalety from those of the gr(¥Jp an independenty administe knd. The Fension cost charge repfesents contri1tr¢$ payable by the grp to Ihe fvnd and amwnted 10 £302,927 12021.. £47.811) re payable to the fijnd at balance sheet date and are iNauded In rJeditors. £19,619 12021.. É47.811} still Outs&thng att ye¥ end. Defined b•nefft schemes The charity partipate[l twrt) MUMPloYer pension plans, being TPT Retireftnt Solub"ons' GrtA Plan (formerly Ihe Penyons Tru.$ GrovAh Flan) and Ihe NHS Penwn Scheme. The assets of the sthemes are Wd separniety from those olthe ¢harity in independenlty administered ftJnd$. The COnthbuns payat4e by Ihe chan.ty chw uKome e¥peThJrture amounted io.. 2022 2021 The Gro Plan NHS pensi Scheffe 1,708 160.723 208.248 93.920 162.431 302, 168 Expendrture C pensIc$ is alted to seNce line acujrding lo staff ltyne. Costs are SF4it beer& reslricted and unrestricted base(l upon yoJe¢t sFecnlc cost accwntiry. C¢)trityJtsons totsllin9 £54.20D 12021.. £107,801) payabfe io the funds at Ihe year eryl and are inded in crediiors. Page 50
MENTAL HEALTH MATfERS IA comp/ny Ilmlt•d ty gu•rant••l NOTES TO THE FIIIAMCIAL STATEMENTS FOR THE YEAR ENDED 31 klARCH 2022 NHS Ptnslon Scheme The NHS penSn Scheme Ilhe Scheme) is an unfunded. mvlb"mF4oyer deffined benefil scheme that covers NHS employers. General Praclices and other alknEd under the direction ofthe Secretary of State, in England Wths. The scheme is not deygned to be run in a way that would enab participating bodies to idenbfy sha of Ihe undetying Scheme assets and I'th'lities. Therefore, tht Scheme is aecounied for as if rt vme a tjefined C(thut1( heMe. the cost to the chanty ol participating in the Scheme 15 taken as equa io Ihe ttribUtIonS payabl2 to the Scheme for the accounting perioj. At the balance 5heel date Ihere we 33 adNe rnernbers of the Stherne empw by the charity. The Scheme is not open lo n•¥ ernployee5 unless Ihty ae traTherred uThJer TUPE a9MentS from an NHS FouThJation TrusL The Scheme has a number of drfferent benefft strucbjres. For the 1995 section annual peftsions are normalty based on 118Qlh ol the best of Ihe last 3 years. Pensionab pay for each year ol serwce," for the 2008 sedion anrtual pen$ons a nomially based on 1160th of the avera9e of the best three consecutiv? years, pensonabte pay in the ffinal ten years of servrce for each year of seN¢e". for the 2015 section, Is a career average revaued ewAngs sche. antxJ4 pensHJns a based on 1154th of eath yearfs pensicfiat4e pay. Mernbers of the 1995 secbon nmaly rectv a bjmp sum on tr"reme of three bme5 their wnual pension. Klernbers of the 2008 and 2015 section5 receive a rnP Sum which may be a maximum 0125% of the ¥ue of thÉYr pension at retirnent, their choice 5ubsequenty affecting the ve1 ofannual pension d(te. In al cases. the lump sum avatst4e is subject to a maximum amwni peimitted uThJer HMRC rules. Annual increases a apF4ieil to pengon payments al rate5 defined bythe Pensions Ilnueasel Act 1971. and a based on Changes in Ihe COnsuThr Pfi'ce Index in the rnonth5 ending 30 September in the pou$ calen¢ar year. On death, a pensiw of 37.5% or 33.75% of Ihe mernberfs Fension 15 nCalY payable tD th suNNing spwse, ¢ivd pather or nLyrinated pather. The percentage payable depends on ether the member was In Ihe 1995. 2008 2015 sec. In additi. exh SertK WgvKles for a lump sum payable on death. The Sdme 1$ subjeci to a full actuard valualion every four years. and an FRS102 acntin9 vaknation every year. At Ihe condusTh of 2016 fijll ¥uaiion 5theme actuary reponed that employer contributicfis shOd increase lo 20.6% from 14.3% from Awl 2019. In adlliti. employer$ are wuired to pay a scheme administration levy of 0.08% of penslealle pay. For the 2019- 20. 2020- 21 and 2021 - 22 scheme year5, emthr5 tre respon%tle for Pang 14.38% of contriKrtKJns. %bith Ihe remaining 6.3% bwng fvnded ¢entrally. The valuabon of s¢heme &at4Ity in aordanCe ilh FRS102 is carried annualty by the Scheme Actuary. The late$t assessment ol the Iiat#'lthes of the Scheme 15 contained in the Scheme Actuary report, which fomis part ofthe NHS Pension Scheme Annual Accounts, wblished anaNy. These accounts can be vieed on NHS Penyons bgte. TPT Retirwnent so110n$. Gra Plan TPT Retirernent Sc4utions' Grrhth Pjan I'the Plan'l funded and was not contracted out of the slate $¢herne. contribub.ons Pa inlo Ihe Plan up to and incluthng September 2001 re e¢nverted to tjefineil . arnovnts of pension pay3t4e from Nonnal Reb"reThnt Oaie. From odober 2001 conthbutitins invested in pefsonal funds ¥thich have a pIlo1 guarantee and are wn¥erted to pension on retsment. wther within the Plan or bythe wrchase of an annuty. For conln'bution5 from Noverr>er 2012 the capital guarantee vras removed. It ts not possible in the normal te of events 10 thnbfy ol vndety"n9 assets liabilties belonging lo individual parbapatsng employ5. The Plan is a mDM¢)Yer scheme. vknere the assets are crminge for inveslmenl purposes. and beneffts are Pa out of Ihe Plan'5 total assets. Therefore, the Plan is accounted a$ rf a defined contr*rttkn scheme. Ihe cost to the charity of Page $1
ENTAL HEALTH IAATTERS {A company Illed Iy 9uarant¢el NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2022 parbapating in the Plan is taken as equal to the conthbubons payable to the Plan for the accfjunting period. The 1$ a p)tenlial debt on the wnF4Jyer that be le¥ied by Ihe knJ$lee of the Flan in the eve of the employer ceasing to particapate in Ihe PLan or the Pian winding tjp. The debt for the Han as a thole is caltsJlated by comparing the liat4Jits fcrf the Plan Icakulaled on a bLryouI ba515 i.e. the cost of securing guaranteed beneffts by pUrchan9 annuty pdKies from an insurer, plus an alware for expenses) the assets ol Ihe Plan If the liabi&b"es exceed assets the is a debt. The leawryj employe¢s share of Ihe debt 1$ Ihe of Plan's liatrfThty attrl>utable to emF4oyment ¥Mh ¢he 8Ving ernOyer rnpared io the total amount of Ihe Plan's INblities (relating io emF4oyment the wrrenty partiopating ernployer51. The leaving emF4oye¢s debt therefore Indudes share of any an. Iwts"fits"es In of pre¥US parc4patsng employers. The amount of the debt therefore depends on many fadors iludIng to1 Han liabikties. PLqn Investment perf0Mnce. the liabihbes in respect of rAJrrenl and ernOYees of th¢ emF4oyer. financial CondOn$ at the time of the cessab.fm e¥eni and insuCe buy-OLrt mwket. The amrrtrts of debt thtrefNe be volde overts"me. Wnen an emkJyer v•llKlrx from a {Y¢r deffined benefrt pension stheme is in deft. Ihe p1¢Y is required by to pay ts share of the defi¢it. on a Staory ba5 IknoTr as the buoul basis). The Plan is a Yast man standing- muWnpl¢)yer scheme. This mean5 that if v•ithdrawing ernployer 15 unable to pay its debt on the liab.lty 1$ shared arnongst the remaininy emF4oyw5. The partiupating emF4oyers are IeI0[eJoinIty and severalty abse for the deficit in Ihe Han. Lhjring 2021122 the trustees refUIty condered wos and cons of opting to wthdraw from the TPT Rets"rernent SO"0nS' Groth Plan stheme anLI decided to dts %wth effect frorn 30 September 2021. At the bance theet date thefe O acbve members of Ihe Plan ernoYed by the chanty. The ¢harity no knnger offers membership of Ihe Han to ts emF4oyees. The charity has been nobfied by TPT Reb"rement solu15 of the e51irnated employer debt as a of the decision to thdraW from Ihe Plan. based the financral position of the Plan as at 30 September 2021. Based M this infwnthn, the esbmated ernF4oyer debt of the Chafity at 30 Septemtr 2021 is £400.268. Thts amount been pded in lum at 31 Marth 2022 and ts inckKled in ¢ts$. There are potenba additional liaknkbes assooated an ongtyng review ofthe way in lCh changes to benefits have been irnp4ernented. The Scherne Trustee Is seeking ¢OUrt direthons on hcrw to Intere1 rules. Unla this matter 1$ re50hed. rt is not posgt4e to assess any degree of certainty th¢ likeh"hi>od or value of additKJnal h'able$. Hwwer. Ihe truslees dD not expect these to be rnaterial. Page 52
MEIITAL HEALTH IAATfERS IA cornpany limit•d by gurnntee) NOTES TO ThE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 IAARCH 2022 Operating lease cornmitrn•nts The ¢h¥ity as a k59ee.' At 31 Marth 2022 the Company had cNnmrtmwts to me future minimurn lea5È PaentS der canceuable cperating leases as fdlthtys." 2022 2021 Wrtlwn 1 year Betren 1 and S ye 312.721 245.321 350.014 372.600 SS8.049 722,614 The tharity as a lessor. The chaity has a larye number of ten¢Y agreements tenants ubliwNJ the services of the charity. The lease a9reements ha¥e ¥arw"ng ternis. h(Me¥er all lease5 are cJKdlalle as Ihe intentKJn ol the tharity 15 that tenants vacate premises ¢tKe they are recovered. At Ihe yeai end, the chanty had rLC* curaS ¥Ath tenants under nO[CanCelL1ts1e er3. IEase$. Related p•rty tr¥nsa¢lion8 During the year Ihe Chanty entered into transactn5 with the lollrrmry Telated parties P Rnd. trustee. is emphyed as a programrne lead for Healih Educabon England. prowdes funding ts dinical trairS in lalking therapy serwces, and J Lanham. trustee, vthose husband Is ernF4oyed by Combat Slre55 UK, the chwity has a o)nlra¢t for ¢ommunity support servi% Neither related party has had any wNofvernent in Ihe delNery of the seryices nor have they had any vofvement in deugon makn"n9 th relabw to the contracts in question. In the pnor year, Ihe charity uwtinued to th in a itynt arrangemenl with Sundertand Counselling Servite and Efficacy Lirnrted to provide mentsl heatth s•Mces lo Ntythumbertand Clinical cCrnI551Dnlng Group until August 2020. The pricf yew expendth in the joint arwL9ement is detailed below. The income generated by MHM in the y from eath of these contractud arran9emenls wilh related parties 1$ a$ follows.. 2022 2021 Healih Education England Combat Stress Sunderland Counselling SeNce Efficaty knrnrted 143.489 249.992 1.047,521 514756 393,481 1.563.277 Page 53