Charity number: NIC 101247 Company number: N1022926 Derry Wcll Women Limited (A company limited by guarantee) Directors report and financial statements for the year endcd 31 March 2023 Derry Well Women Limited (A company limited by guarantee) Contents Page Legal and adininistrative infonnation Directors report 2-26 Auditors, report to the directors 27-31 Statement of financial activftties 32 BalanG¢ sheet 33 Notes to thc financial statem¢nts 34-41 Derry Well Women Limited (A company limited by guarantee) Legal and administrative information Charity number NIC 101247 XR 35546 N1022926 Company registration number Business Address 17 Queen Street Deny BT48 7EQ Registered Office 17 Queen Street Derry BT48 7EQ Dircctors Pauline McCl¢naghan (Chairperson) Philomena Mahon (Vice Chairperson) Sinead Callan (Treasurer) Mary Diamond (Secretary) Philomena M¢laugh Carolyn Jain Tara Boyle Nuala Dohcrty Paula Barr Catherine Meehan Grainne Mc Laughlin Sarah Kelly Secretary Mary Diamond Auditors McGroHty Mccafferty & Co 2 Carlisle T¢rro¢e Derry BT48 6JX Bankers Ulster Bank Ltd Da Vinci Complex Culmor¢ Road De BT48 8JB Solicitors Kelly & Corr Solicitors 65 Clarendon Street Dery BT48 7ER Derry Well Women Limited (A company limited by guarantee) Structure, Governance and Management l. Governing Documents D¢rry Well Women is a charitable cornpany limited by guarantee, incorporated on 3111 OGtober1989 and registered as a Charity with the Northern Ireland Charity Commission on 19th January 2015 Charity Number NIC 101247 (formerly regist¢r¢d with HMRC UK Charity No. XR35546). The Company was established under a Memorandum of Association which established the objects and powers of the charitable company and is governed under its Articles of Association. In the event of th¢ company boing wound up members are required to contribute an amount not exceeding £1. 2. Recruitmcnt and Appolntment of Board of Directors Tlie subscrib¢rs to tlie Memorandum of Association of the Company and such other persons as are admitted to membership in accordance with th¢ articles should be members of the company. No person shall be admitted as a member of the company unless sthe is approved by the directors. Ev¢ry p¢rson who wish¢s to b¢com¢ a member shall deliver to the company an application for memb¢rship in such fomi as th¢ directors r¢quir¢. Board Members are elected to serve for a period of up to thre¢ years after which they must b¢ re-elected at the next Annual General Meeting. Karen Meehan and Pauline Me Clenaghan are required to stand down by rotation and are putting themselves forward for re-el¢otion at th¢ AGM to be held on 22nd June 2023. Dery Well Women's charity work inevitably focuses on women's health, health promotion, health education and addressing health inequalities. Thc Board, therefore, seeks to ensure that the needs of women in relation to tlieir specific health issues are appropriately reflected and address¢d through th¢ skills, experience, and knowledge of the mcmbers. To enhance the membership, the Charity supporlod thc active participotion of its Clients and valued the input of their own experience to st¢¢r th¢ work of the Charity. Traditional skills related to healthcar¢ and child¢are are well represented on the Board, including Primary Care, R¢sear¢h, Social Work, Child Care. Heolth Visiting, Nursing and Counselling. There is a150 a generic skills base including accountancy, legal, education, policy development, child development and community development. Board members are requested to provid¢ a list of their skills (updatcd each year) and in the event of skills b¢ing lost due to retirernent, individuals are approached to offer thems¢lv¢s for el¢ction to the board. 3. Induction and Tralnlng of Board Members Board meinber5 are usually familiar with the practical work of the Charity, having been encouraged to read background infonnation on tlie Charity and by meeting with other Board members and staff. Additionally, new memb¢rs ar¢ invited to attend induction sessions whi¢h are jointly l¢d by the Chairperson and General Manager and cover.. The roles and responsibilities of board Members The main documents which set out th¢ op¢rational framework of the Charity, including: Memoranduin and Articles of Association. Resour¢ing the organi5ation and staying abreast with the current financial position as set out in the latest published accounts. Strategic Plans Eth05 of Deny Well Women Derry Well Women Policies/Procedure5 On appointment Directors ar¢ required to.. Complete a" fit and proper'declaration. Complete an Access Nl clearance check. Complete a Conflict-of-lnterest fonn. Under- take training related to designated roles i.e. Child Protection, Safeguarding Vulnerable Adults, Recruitment, Risk Management and Governance. Derry Well Women Limited (A company limited by guarantee) Annual strategic planning meetings are also held with th¢ Board staff and clients. This year Derry Well Women developed its Strategic Plan for 2023 to 2026 which will be launched at its AGM in June 2023. The specific responsibilities of the Board are to.. Fomiulate poliGi¢s and maintain an overview of organi58tional direction. Set strategic aim5 and objectives. Provide leadership mentoring and support to facilitate the implementation of aims objectives and corporate policies. Provide a lin¢ of accountability for staff casual staff and volunteors. Ensure good gov¢mance including risk management, ethical stsndards and quality assurance. A procedures manual has been produ¢¢d for the control and management of finanGial systems and procedures within the organisation. Rlsk Managemont In February 2014 the Management Board sign¢d off the revised Risk Regist¢r and Continuity Plan for 2014. This was revi¢w¢d in 2020. Phil Mahon was appointed and acts as Designated Committee Governanc¢ and Risk Assessment O￿l¢er. With the onset of Corona Virus and Covid 19 in mid- March 2020 Dery W¢ll Women was required to work to and adopt DHSS guideline5 and practice related to COVID -19 Infection Prevention and Control. All risk assessment and Healtli and Safety policies were reviewed, and new policies written to reflect social distancing and hygiene requirements. Aftermath of Coronavlru5. Thore was a reduced direct impact of Covid 19 this year with the focus primarily on meeting increased demand and relocating all s¢rvices to in house and face to face delivery. January 2023 saw the reintroductioii of open onrolment days and evening face to face counselling was offer¢d. Board Members continued to maintain a path to Change which reassured supported and guided at every level of phasing in all elements of in-hous¢ delivery. S¢vcral programm¢s specifically Yoga and Stross Managcmcnt for those living with Long Covid Gontinued via Zooin. 6. Malntaining Finanelal Stability In 202212023, the Board primarily focussed on applications to grant maklng trusts and attracting charitable giving. These initiatives have led to tho development of a new framework for the expanded delivery of our core pro8rainm¢s including the rationalisation of soin¢ s¢rviG¢s, effective partnership working to maximi5e current re50urcos, extending our services to other venues and locations, and d¢voloping our Strategic Plan for 202312026 which ensures we continue to deliver within the lirnitations of funding restraints. Significant funding was received from the National Lottery Charities Board People and Communities, BBC Children in Need, ROSA Thrive Foundation, Trusthouse Foundation, Screwfix, Halifax Foundation, Souter Trust, Pathways, Danske Bank, NIE Employe¢s Fund, Ulster Bank Employees Fund, Enkalon Foundation, Dept of Flealth through CFNI, and SJP Foundation. This effort has ensured there has b¢en minimal impact on th¢ financial slability and strengthened th¢ organisations, ability and capacity to deliver on its stated aims for the next three years. April 2022 to March 2023 saw continued delivery on our contract with the Western Health and Social Ca Trust with an overall performance of delivering health irnprovement programmes to 2609 women and children. A contract review was carried out in September 2022 with contract value receiving a 3.940/0 inflationary uplift for 22-23 to £130,792.94. Derry W¢ll Women continued delivery on our contract with the WHSCT Talking Therapies to deliver counselling to women with mild to moderate depression. This contract was worth up to £15,000 in 202212023. In March 2023 we completed OUT tliird year of three-year funding from VSS. Deny Well Women continued to receive uplifted Pathways funding through Early Years th¢ Organisation for Young Children to support the Derry Well Women Limited (A company limited by guarantee) reche A5SiStant post to March 2023. Additional funding was secured to support the capital costs of resurfacing the outdoor play area of the crech¢ and towards the erection of a new creche roof (work sclieduled for July 2023) Managing Financial Rlsks Internal control risks are minimised by the implementation of financial polici¢s and procedures for separate authorisation of all transactions and paym¢nts. Procedures ar¢ in place to ensure ¢omplianGe with health and safety of staff, volunteers, clients and visitors to th¢ c¢ntre. Our audit of accounts is carried out by independent auditors appointed through a competitive tendering process (Mc Groaty Mc Caffety & Co 202212023) and our monthly payroll is processed by a meinber of staff from firm of accountants Moore Stephens on a contractual basis overseen by our Treasurer who authorises monthly online BACS payments. 8. Organisational Structure Dery Well Women Ltd currently has a Board of12 Directors who meet at least 10 times a year and is responsible for establishing poli¢i¢s overseeing their implementation and informing the strategic direction of the organisation. At pr¢s¢nt the board has 12 members from a variety of professional and Gommunity backgrounds relevant to th¢ work of Derry Woll Women. The overall organisational structure and staff levels hav¢ b¢en addressed in a way whicli is both realistic and practical to meet the dernands it faces, and taking into considerdtion the environment ift which the organisation must now operate. A scheme of delegation is in place and day-to-day responsibility for the provision of the services rcsts with the Manager along with Programme Coordinator's and the Finance and Athninistration Officers. The Manager has responsibility for the strategic and day-to-day operdtional management of the centre. resourcing programmes. providing individual support and supervision to the staff team ensuring the team continu¢ to develop their skills and working prdCtic¢s in line with bcst practice. Slaff implement Board strategy and policies and work to clear programmes of work and job descriptions lo meet tl)¢ objectives of the organisation. Staff are directly accountable to and r¢port to the Board. Staff receive rogular line Inanagement and support and supervision provided by board officers and Manager. D¢rry Well Women operates within the NECVA cod¢ of good governance and within a framework of professional and procedural standards includin8 British Association of Counselling & Psychotherapy, PHA Standards, VSS Minimuin Standards, and DHSS&PS Nl Childminding and Day Care st￿)dards. 9. Related Parties and Policics Insofar as It is complementary to the organi5ation's objects, Derry Well Women is guid¢d by both regional (DHSS & PSNI) PHA and local (WHSCT) policy. Derry Well Women works to minimum standards a5 S¢t by PHA and BACP in relation to Gounselling and psychotherapy, complem¢ntary therapies, mental health services and DHSS&PS minimum standards in relation to Childcar¢ and PHA standards in relation to Governan¢¢ and service delivery. Dery Well Women works in partnership with statutOry> voluntary, cominunity and independent serviG¢s to facilitate referral, service development and mutU81 support systems. This year Derry Wttll Women specifically partn¢red with the Western Health and Social Care Trust, Action Cancer, Advice Northwest, Cancer Focus, SWELL, Care for Cancer Omagh, Macmillan C¢ntre, Ulster University, ecare Well, Victiins Survivors Service, Open College Network, WHSCT Psychological Hub, Altnagelvin Hospital, ROSA Thrive, Early Years the Organisation for Young Children, AlleyKat Design, Gail Slieen Social Marketing ,Corniac Russell Asset Based Community Development, Cecilia Whitehorn Cmworks, Women's Aid and VSS, to deliver soine of our projects and programmes, avail of training and share best practice. Derry Well Women co-chairs the Emotional Health & Well Being and Suicide Strategy Implementation Group and Co-chairs The Western Cancer Locality Partnership Group. Dery Well Women works with these Derry Well Women Lin]ited (A company limitcd by guarantee) organisations and other groups of women to develop and deliver locally relevant h¢alth improvement programilles. l O. Policies Flnancial Policies & Procedures Financial Statement Polic Financial S stems Procedure Polic and rocedure for Polic for Cash Handlin Procurementrrenderin Purchasin Procedure Rationales: Rent, Insurance, Ele¢tri¢ity, Telephone, Oil, Wa1 Salaries Retention of Documents Polic Staff trav¢l/mileage expenses Policy Tutor/Fa¢ilitator Travel Allowance Asset Mana ement Poli Reserves Polic Sala Review Polic Mana ement Committe¢ Manual Conflict of Interest Polic Alcohol and Dru Polic Confidentialit Polic Disci lina Polic & Procedure Dismissals Procedure Domesti¢ Viol¢nc¢ Polic ualo ortunities Polic Grievance Polic & Procedure Handlin and Assessin Criminal Conviction Information Induction for Staff and Volunteers Leave of Absence Polic Lone Worker Polic Mana in Sickness at Work Polic No Smokin Polic R¢cruitm¢nt of Focilitators Recruitment Polic & Procedure Staff D¢v¢lo ment & Trainin Polic IhThistle Blowin Polic Volunteer Polic WorklLife Balance Flexible Workin Work lace Mental Health Polic Mana in Internal Conflict Gifts and Hos italit Polic Redundan¢ Polic Evacuation Procedure Health And Safe Polic Risk Mana ¢mttnt Polic & Procedures Suicide Risk Poli and Procedures Vulnerable Adults Prot¢¢tion from Abuse Poli Safe uardin our Children and You Referrals Polic otiated Time Out Polic Com laints Polic Data Protection Polic and Procedur¢ EmaillInternet and Tele hone Polic Environmental Polic Mobile Phone Polic cash Polic & Procedure 10. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. Maiia emcnt Board Pcrsonnel Policiey I Procedure Polic & Procedure Health & Safct Counscllin and Proc¢d for Coun5ellors General Derry Well Women Limited (A company limited by guarantce) 51. 52. Publici Polic and Strate Social Media Polic Absence of Creche Coordinator Polic Accidents Prevention Re ortin Notification Polic Additional Needs Poli Admissions Polic Adverse Incident Re ortin Alle ations a ainst Staff Polic Promotin Positive Behaviour Polic Collection of Children Polic Email Internet Tele hone Polic Evacuation Procedure First Aid Food and Drink Induction for Staff and Volunteers Infection Control Line Mana ement Mana ement & Re lacement of la Mana ern¢nt of Records Polic Mana einent of Emer encies Management of Risks associated with the car¢ of individual service users Meetin Children's Individual Needs Menu Plannin Parental Cons¢nt Polic Parents Access to Records Polic Partici ation Polic Personal Care & Toiletin Photo h & Video ra Pla Polic Procedure on Staff Use of Mobile Phones Protectin Childr¢n and Workers Poli¢ Risk Polic Refer to Risk Polic in General Policies Safe uardin our Children Polic Refer to G¢n¢ral Policies Seruri of Scttin S¢ttlin in Polic s Polic Use of Student Guidance Creche S ecifie Policies 10. 12. 13. 14. 15. 16. 17. 18. 19. ui ment 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. Polic h Polic Tlie following policies were updated.. Safeguarding our Children Policy 2. Lone Worker Policy Protection from Abuse Poli¢y 4. Protect Life Policy 5. All Creche Specifi¢ Policies 6. Data Protection Policy 7. All Finance Policies Management Cominitt¢¢ Governance 11. Purpose of Derry Well Women To promote the physical and menlal health of women in Derry and surrounding area irrespective of class, race or religion by: (i) Financing and administering a centre which shall be known as The Dery Well Women which will provide premises for a range of services run by and for women. Establishing a health education programm¢ for women in the Derry area. Derry Well Women Limited (A company limited by guarantee) Our core aim is to enipower women to help us shape responses to meet their health needs, and to work in partnership with them and other agencies to deliver services which are evidenced bas¢d and rooted in best practice and address unmet need. We are advocates for a g¢nder approacli to identifying the detenninants of women's health and wellbeing, and for the need to devise cross cutting pro8rammes tailored to the characteristics of our catchment area. Our approach is underpinned by th¢ goals of: Providing a leadership focus for gender specific health car¢. Making health and social care systems work better for women. Leveraging change in policy and where and how care is provided. and Building a knowledge base to empower wom¢n in ¢hoic¢s relating to their health and wellbeing. Iv Our prograinmes addr¢ss the main causes of morbidity and mortality as identified by the Women's EU Convention - Cardiovascularlrespiratory disease, ¢an¢¢r, mental illness osteoporosis and diabetes. Our programm¢5 are developed for a range of targeted groups, including lone parents, new mothers, older women and carers. Our programmes are designed to also address unmet need including eating disorders. women wlio experience Post Traumatic Stres5 Disorder and women managing long-tenn ¢onditions. In contextualising policy to local cir¢umstan¢es and in listening to the need3 ¢xpress¢d by women th¢ services wc pi'ovide are: Counselling Mental 14ealth Improvement Programmes Carer5 Support / Self Help Promoting positive mental health and wellbeing Programmes for victimlsurvivors of traum8 Supporting Mothers and Children programmes Cancer Programmes Preventative Health Education and Lifestyl¢ Frailty Programmes addressing tho needs of women with early dementia and their carer5. Complementary Therapies and Holistic approach to h¢alth Advocacy for change and tackling inequalities. Chronic Illness Management Clinics and Screening programmes Promoting Social Inclusion Schools Education programmes Training practitioners 12. Strateglc DArection This year Derry Well Women developed its Strategi¢ Plan for 2023- 2026. This plan was developed at all leve15 of the organisation and reflects our commitment to the co-production and co-design of programmes. The current political, economic, and ¢ultural trends are harbing¢rs of a period of trunsition in society. Deny Well Women 15 also entering A poriod of transition. Th¢ ¢hallenges include retaining the learning and experience of 35 years while introducing new personnel Hnd exploring and testing n¢w ideas; Sharing the learning of our unique progran1mes for women in a society emerging from conflict. grappling with the new context while maintaining our social justice model of engagement. growing and expanding our organi5ation by increasing the ethnic div¢rsity, expanding th¢ age profile and introducing programmes for neglected areas of women's health care. To empliasise the importance of these developments which are already underway, we have entitled this tliree-year plan "Managing Transition" Derry Well Women Limited (A company limited by guarantee) Mission Derry Well Women's mission is to jointly- identify and work collaboratively to engage with the physical, physiologi¢al, social, and spiritual health needs and challenges of women of all ages from the Northwest of Ireland. We d¢liver on this mission firstly by providing a wide range of quality services based ¢xclusively on meeting WOITLen's needs and valuing their assets, using teams of health and social care professionals in collaboration with staff, volunt¢¢rs, and serviG¢ users, in a 5af¢, secure, and relaxing environment. Secoiidly, we campaign for and contribute to changes in health car¢ policy and practice. Thirdly, we embrace the WHO"Health for All" principles of equality, participation, empowerment and partnerships in achieving improved health and well.being for women, and work in partnership with a rang¢ of a8encies and cominunity bodies. Specifically, w¢ pursue wom¢n's equality and ¢mpowemient by involving our programme participants in the co- producing of relevant h¢alth programm¢s moving the participant from needs approach to a rights approaGh. Co- production of health programmes leading to Cow production of health and wellbeing 15 the social justice model which is at th¢ heart of our mission. Stratcgle Alms Flaving reflected on our mission, ethos and the conceptual framework underlying our work and having onsidered the strategic context of rapid and unpredictabl¢ change, the Board of Derry Well Women agreed five strategic aims. To continuo to provide women with a women-centred health service which will improve the Iiealth and wellbeing of women, families and community and r¢cognis¢s tho changing needs of women's health. To proinote social inclusion, to address Ii¢altli inequalities and improve health by meeting the specific health ne¢ds of women generally and specifically marginalised groups of women in¢luding woinen victims of the conflict. To further refine the conccptual fram¢work and embed the theory and practice of co-producing in the work of Derry Well Women. To continue to build and maintain a strategic complex of collaborative partnerships. To capture and share Ihe learnin8 from the work of Derry Well Women with women's health projects at hoine and abroad especially in post conflict societie5. iv. These main aims are delivered through the maintenance of modern, professional and flexible structures designed to promote women's and community's health and well-being. The main objectives and activities for the year continued to focus upon the health needs of women and children as identified through three approaches: l. Clarifying the major causes of morbidity and mortality in women which infonn departmental and governmental priorities for action. Identifying what women themselve5 s¢e as the significant personal and community health i5su¢s on whicli tliey seek support or wish to act. 3. Meeting prioriÈies described within regional and local strategies relating to promoting Iiealth and wellbeing of women and children including DHSS&PS Healtli and Well B¢ing" Delivering Together 2026" Care Matters in Northern Ireland, A Bridge to a Better Future" 2007 DHSSPSNI, "Family Matters, DHSS&PS "Making Life Better" a whole system strategic frdmework for Public Health 2013 to 2023 "Western Health and Social Care Trust Infant Mental Health Strategy" A Cancer Strategy for Northern Ireland 2022-2023",DOH "Mental Health Strategy" 2021 to 2031, DHSS&PS "Co- production Guide Connecting and Realising Value Through People" Derry Well Women Limited (A company limited by guarantee) The major causes of morbidity and mortality in women in the Western Trust area are cardiovascular disease, cancer, rcspiratory disease and mental ill health. The provislon made by Deny Well Women in Tespect of these issues in the past year is categorised under the broad headings of., Counselling including refe]Tals from the Psychological Hub and specialisms in Victims Survivors of the Troubles, Domestic Violence, Pregnancy and Childbirth Loss, Cancer and Pre and Post Termination Counselling. Support Self Help and Advocacy Integrated programmes of Car¢ and Support for Specific Groups of Women Advocating for ChangelAddressing Health Inequalities Chronic Illness Management Clinics and Screening . Promoting Social Inclusion Promoting Women and Children Programmes L¢ad Partner in Cancer Conn¢Gted Communitie5 West. 13. Public Bcncfit The direct benefits which flow from this purpose and aims include: the improved health status of wornen in geiieral and improved specific health outcomes for women; an improvement in the overall physical, mental and emotional health and wellbeing of women within th¢ geographical area of Derry and surrounding area; a reduction in social exclusion and an improvement in the h¢alth and social status of specific groups of vulnerable women; the promotion of an understanding of the gender specific health n¢eds of women and advocating for policy chango. These benefits are demonstrated by setting specific and measurable outcomes for services, by using a variety of feedback mechanisms including self- reported health improvoment assessments e.g., psychometric tests. formal auditing of services, regular independent evaluution of services and gathering both formal and informal service user feedback. This information can be found in our analysis of evaluation feedbacks. Annual Report, reports to funders, published research and servico evaluations. Risk assessment identifies mintmum risks related to the delivery of services and that mitigating controls and actions in relation to risk of malpracticelpoor quality of care, non -disolosure, staff welfare, breach of confidentiality or loss of data, human resources, misappropriation of funds and govei'nance arrangements are in place (fully outlined in the Risk R¢gist¢r and Business Continuity PlaT]) and that th¢ benefits far outweigh th¢ minimum risks. Th¢ ben¢ficiaries of this purposc are woinen living in Derry and surrounding 8reas who either self -refer or ar¢ referred with specific h¢alth illnessl issueslconcerns on to specific services and interventions. Tliere is additional benefit to health prof¢ssionals, facilitator5, therapists, and counsellors who gain skills and experience which are transferrable to other settings and are of beneflt to our ben¢fiGiaries. There is benefit to Board Meinbers which arises from a programm¢ of training in good gov¢rnan¢o, finance> personnel management, risk management. There is b¢n¢fit to staff and Board Members who can access specific 5ervice5 on an equal access basis which are provided to our beneficiaries. This b¢nefit is incidental and is necessary to ensuro the benefit is provided lo all our beneficiaries. 12. Strengtliening the Organisatlon Th¢ Strategic Plan for 2023-2026 was developed, This was achieved via l O facilitated sessions with Committ¢¢, Management and staff and service users during the period April to D¢¢¢mber 2022. Committee and Management sought input on the wider global context. Deny Well Women recorded the relevant evenls and trends in three different spatial Categories.. Ireland and Northern Ireland. United Kingdom; and European Union and the World. II. Derry Well Women Limited (A company limited by guarantee) This enabled a triple lens focus on those issues that affectcd more directly the home ground as well as admitting issues that might have a more direct impact elsewhere, but which will impact indirectly here. 2. We improved our: . Sacial media platfornis and all staff completed social m¢dia training. We r¢fr¢sh¢d our website in 2022. We extended our reach by driving brand awareness through the website. 13. Service Delivery 202212023 111202212023 we delivered servlces both In house and outreach to 2609 womcn and ehildren. These wom¢n were expectant mum5> young mothers> young women. older women. carers. women living with domestic abuse, post-natal depression, trduma, depression, anxiety, loss and b¢reav¢m¢nt, relationship issues and anxiety and depression in tli¢ aft¢rmath of the Coronavirus pandemic. These were wom¢n living with long covid, living with cliroiiic illness, livins with a cancer diagnosis, Many were in povety and faciiig a year of further hardships. All were coniinitt¢d to their own health and well-being as well as that of their children and family and viewed Derry Well Woinen as a lifeline which promoted their health and well-being, put them and thcir children first and supported them to cope, to hope to thrive. This is bom¢ out in the testimonials quotcd throughout and at the ¢nd of this report. We used a holistic approach to address all dimcnsions of women and children's well -b¢ing and considered all determinants on women's health medicine managemenL dieL physical activity, risk avoidance, preventative measurcs, lifestyle and aGtivity management, social participation and wellness as well a5 considering external factors includin8 housing and money management etc. Support5ng Women and Children Derry Well Women Creche provid¢s a safe, welconiing, inclusive. diverse environment focusing on children's mental liealth ensuring th¢ir physical, so¢ial, emotional, cognitiv¢ and motor development through plann¢d activitie5 and free play in a fun environm¢nt with stimulating resources and areas lielping the children witli social interaction, a sense of belonging and self-esteem, supporting mums enabling strong motherlchild relationship5. Creche Activities We supported children's d¢velopment through planned sessions of group activitie5, free play and themed activities such as sensory play. We purcliased indoor and outdoor resources including sensory resources, sensory tent, sensory lighting. construction area items, large hard plastic house, ball run, dance scarves, s¢nsory buddy, sensory chewable, bubble machine. Also purchased was a rang¢ of new baby resources including soft black and white floor tiles, two baby bouncers, Baby gym and Tummy time mat. Activitie5 such as messy play enabled free expression, for ¢xample, floor painting, themed tuff trays, water play. Sand play is alway8 available along with patnting easel. It has been observed that children seem to have developed a range of sensory issues post ¢ovid. Ranging from touch, mes5, noise. Staff observed many children were not playing with the sand, water or playdough and paint. Staff observed prior to covid messy a¢tiviti¢s, Sand and water were the most souglit activities by child¢en. Staff made these activities available during each session, never forcing children to participate in th¢ m¢ssy/sensory play. Children like to learn from other children and the mixed age group creche promotes this. Children are encouraged to show their artwork to their pcers and staff, staff respond praising, clapping, giving the individual a sense of pride, belonging and boosts their self-e5teem. Children are encouraged during story tim¢ to tell a story from the picture5. Rhyme time with visual aids and props along with our interactive story wall is part of our daily room plan and takes place after snack. These activitie5 help Children develop their speech, langudge and cominunication, self-thinking, imagination and promotes a sense of belonging and social interaction. io Derry Well Won]en Limited (A company limited by guarantee) Improving the Environment. The setting has been changed to a brighter, stimulating welcoming environment, with resources and visual displays tl)rougliout the setting for example the family wall displaying picture5 of children's family and themselves, help children understand, families are diverse, different sizes, different members, and communities. With the h¢lp of the children an inclusion wall display was put up and is us¢d as a visual aid talking point. Staff have dgveloped a Global Wamiing and Climate change wall display as a visual aid for children to understand, staff encourag¢ children to talk and ask open ended questions relating to simple things we can do to help chang¢ Climate change. Children helped create their "All about me book, which is kept in the story corner. Children lov¢ se¢ing themselves in photos and this helps build their s¢lf-¢st¢ein and sense of belonging. Photos of children taking part in activities are displayed tliroughout th¢ s¢tting. Photos are emailed confidentially to parents through ¢mail, so they can see what their child is doing at Creche this enabled parents to recognis¢ activities their child is able to do which ¢ncourages extended home learning and family bonding. Free play is encouraged in different areas of the setting for example the home corner can be a shop, a dentist, a hospital, a vet. staff chang¢ th¢ home corner theme based on observing individual children's likes. Our construction area promot¢s hand ¢y¢ coordination and self-thinking and social interaction, with large wooden blocks, foam blocks, wooden hospital, wooden garage, hoop stand, train track and tools. The baby corner contains titasure baskets, floor resources, black n white tummy time mat and soft floor tile5, it 15 stimulating and has low l¢vcl beams enabling cliildren to pull thems¢lves up, older children are encouraged to int¢ract with the babies, babies who have begun to get themselves into the sitting position take part in snack time secured in strapped low level seating, the seating 15 also us¢d so they can join in on table top play. Children have acce5S to outdoor play with fun stimulating inclusive resourc¢s, for ¢xample, trikes, three wheeled scooters, slide, tunnel, mud kitchen, hula Iioops and planting in trays, outdoor play is closely supervised by staff. Staff promote taking turns and shoring through planned activities. supervision, resources and encouragement. Staff plan activities and th¢ purchase of new resources through observations and children's likes and abilities. Staff work in close partnership with mums who are the primary caregivers and know their child best Mums and siblings take part in outings and fun days enabling them to interact with their child Activities were planned to be inclusive and age appropriate. We ¢elebrato cultural occasions through wall displays and visual, aids. Children picturos aro placed on the birthday wall and peers ar¢ encouraged to sing 'Happy birthday, to the birthday child. The outdoor play area has been transfornied with n¢w surfacing creating a safer, flat play space, the fence has b¢¢n painted to look like larg¢ colouring pencils and a new outdoor blaGkboard was attaGh¢d to f¢nG¢, children and mums loved the new outdoor space, mums stated you would not think it was th¢ same area" Respite A much valued aiid sought after service for impoverished, vuln¢rabl¢ children and mothers. We have developed a waiting list and each child gets a six-week session, if staff feel a child could benefit from further sessions, the child will be placed back on the waitin8 list. Due to deinand and waiting list we extended our respite in early June to: 6 children x 2 moniing sossions per week 6 children x 2 afternoon s¢ssions p¢r week With Child intake rotating ev¢ry 6 weeks, due to the high demand, mum can re- refer if she feels sh¢ and h¢r child need Inore support. Sessions are delivered within the crèche, which is a saf¢, inclusive, welcoming, nurturing environment. Staff are welcoiningy friendly, and approachabl¢ and operate an open-door policy, understanding the family's needs and Concerns, treating th¢m with respect and confidcntiality. Staff support families to the best of their ability and signpost parents to other agencies if they require additional support. Sessions are delivered indoor and outdoor with family outiiigs, planned session outings of the local area and Use of local resources, sessions and outings are planned to b¢ inclusive for all abilities and age. Our creche has been supported with 'Books Trust, this year where they provided Treasur¢ book packs for all the children attending the service, they also provide a lot of free downloadable resources online. A h¢althy snack is provided with fruit and water, or milk and sugar free yoghurt and all allergies are recorded and displayed. Snack time is made fun with Rhyme and props interdcting with the story wall. Derry Well Women Limited (A eompany limited by guarantee) Sessions are planned to help with childrcn's social/emotional, physical, cognitive and motor development with a range of activities and stimulating resources encouraging peer interaction, a sense of belonging and pride, freedoni to cxpress themselves, self-esteem, speech and language/communication and ¢mpathy towards others. All activities are inclusive and planned around the children's lik¢s. Activities include story & rhyme, music & movement, messy play, sensory play, arts and crafts, problem solving and free play. The world around us and nature. The room is planned in areas such as home corner, construction ar¢a, shop area, soft playlsensory, tabletop play, art and messy play area, small world area and role play/dress up and calming and story area. Tuff trays are used for sensory play and themes are changed regular, e.g., sand, fake grass, gulp, jclly, child friendly foam, anima15 and tractors, cars and trucks, buckets and spad¢s. Childr¢n enjoyed outdoor play with our re¢ently purchased outdoor playhous¢, ball run, and different sized balls stimulating hand/eye Coordination, sensory garden, slide, trikes, slide, see-saw and pushchairs. Children gained stronger social connections, communication, confidence, life skills, and resilience and family relations. Summer Scheme Three x one-week sessions in July/August for 04-year-olds, this keeps contact with the families and support socially for the children as pro8rainmes during the summer are very limited for this age group within the area. Se55ions w¢re planned indoor and outdoor. Outings to local parks and nature trails, family outings w¢r¢ planned. and risk assessed. Indoor sessions included messy play, arts, free play. Story days took place where a mum was invited into tell a story from a book or about her culture. We also included sensory days, rol¢ play, group activities, problem solving, and treasure hunts with magnifying gl&sses searching for bugs and hidden treasure. Sand/water play wa5 included in overyday sensory. Mums, childron and staff enjoyed a teddy bears picnics for one of our family outiiigs to coincide with the Crafy Teddies workshop where the mums and children mad¢ their own special bear. Special days were celebrated and visually displayed. All activities wero planned to be inclusive and c¢ntred on children's developmental needs and speech and cominunication. Family outings enabled families from impoverished circumstances to have a fun family outing duriiig the summer holidays. Summer Scheme Outlngs Thirty (30) Summer Scheme sessions 3 x I we¢k s¢ssions Julyl children per session Family outing via bus to Art space 2 Carnpsi¢/Eglinton 29-06-22, Family outing via bus to Art space 2 Camp5i¢/Eglinton 30-06-22, 2 staff, Crafy Teddy Workshop 12-07-22, Teddy bears picnic 14-07-22, 2 Fainily outing to Bounce House 10-08-22. Halloween Party 29-10-22 Christmas Party 14-12-22 One hundred and seventy-seven (177) parents and children attend¢d these outings. In total 94 children attended the creche this year participated and benefitt¢d from the services and programme5 we offered thi5 year. Stay and Play Progrumme We delivcred seven x 4 week Stay and Play Programmes to 99 Mums and th¢ir children. These four-week ptogramines gave parents the opportunity to explore messylsensory play with their child and gain ideas of what can be done at home to further develop play skills and begin to interact with other children. The programme made parents aware of how to develop their child's speech through concepts such as: 'commentating' wlien their child is playing, rather than asking lots of questions. Parents and children explored music and rhymes, through song and instruments. 12 Derry Well Women Limited (A company limited by guarantee) Parents and children had fun exploring physical play through using a variety of items available in the hom¢, therefore, extending play to items which are low cost or fre¢. Mothor aiid Baby Switn Programme We ran I I X 6 W¢¢k Mother and Baby Swim programm¢s for 149 mums and their babies. This was a first for us and demand was ¢nornious with 60 Mums requesting to join. They aimed to remov¢ any fears parent or Ghild may have in water and create an atmosphere of saf¢ty and fun. Tlie programme was deliv¢r¢d by a qualified and Access NL checked instruGtor and we hired our local Templemore Sports Complex. All participating babies had received th¢ir baby vaccinations. The programin¢s enabled parents to support their baby in water confidence and build on skills for gradual child l¢d submersion. Breastfeeding Support Group We delivered 41 sessions to 20 breastfeeding mums, Facilitated by a health vi51tor this group provides invaluabl¢ praGtical support and peer support to mums. Baby M2ssgge and Baby Rellexology We ran 14 programmes x 4 weeks x I hour Baby Massage Prograinmes for 109 mothers witl) their babies and 14 programmes x I hour Baby Reflexology for 103 mothors with their babies. These prograinmes lielp¢d increase long term bonding bctween mother and child as well as helping with baby. digestive issu¢s such as coli¢, r¢flux and constipation. Ante Natal Classes We ran 19 x 3 weeks antenatal Classes. The programmes aimed to support first tim¢ parents through pr¢gnancy, and prepare them for labour, birth and the ¢arly days of baby's life. It was an opportunity for pregnant mothers and their partners to gain knowledg¢ of health in pregnancy and parent education. This was a particularly well taken up s¢rvi¢e as acces5 to prenatal support was Seriously diminished over this period due to coronavirus. Three hundred and fifty-four (354) parents were support¢d to.. Think about who is there for support; complete a birth plan. become awar¢ of various birth positions; recognise the stages and signs of labour; have knowledge of pain reli¢f options available; prepare for getting to know your baby; discuss feeding options and becom¢ aware of responsive feeding. discuss b¢n¢fits and concerns regarding breastfeeding. Post Natal Depre55ion Programme (Miiidlng Mammy). We delivered 6 x 6-w¢ek prograinmes, Thirty (30) IMuins liave been attending this group facilitated by a qualified health visitor. 13 Derry Well Women Limited (A company limited by guarantee) Paediatric First Aid Two sessions for 20 mums were in responsc to demand for mothers struggling to arcess services and who wanted support in handling minor ailments at home for their ¢hildr¢n. Table to demonstrate levels ofactivity associated witli Supporting Women and Chlldren 202212023 Int¢rventioii Number of sessions per year Average Attendanco per session Numbers of womenlchildren Breast Feeding Support Grou Bab Massa Attacliment Pro rammes Mindin Mamm Grou Paediatric First Aid Nurturin ramme Famil Time Ante Natal Classes Crèclie Sta and Pla Motlier and Bab Swim I I Interventlons 41 x Weekly sessions 41 20 14 x 4-we¢k Pro 14 x 4-week Pro ramines 6 x6 weok sessions 2 sessions I x I sessions S Famil Events 19x3 weeks Dail Sessions 7 x 4-week ro I I x 6-week Total ramrnes 56 56 36 109 103 30 20 16 177 354 94 99 149 1171 20 12 35 25 rammes 57 382 28 66 730 rammes 14 14 ro rammes Gender Speeifjc Intervcntions Ther¢ is mucli evidenco to indicate the d¢tern)ining influ¢nce of women on family and community health status. We maintain and develop gender specific work which recognizes the role of women in terms of community well-being. We particularly focus on issues peculiar to women including PMS, endometri0515, p¢ri natal support (both ante- and post-natal), miscarriage, Inenopause and soxual health. Menopause Clin1¢ and Information Sessions Th¢ menopause clinic continued to provide a Inonthly telephone clinic offering iiiformation, advice and support to women exp¢riencing menopausal 5ymptorns. 51 woinen were supported this year. CBT Programme for Womcn Ilving through the Menopause One issue to einerge during the Covid 19 lockdowii was increased loneliness, isolation and struggles to cope for women wlio were peri menopausal. Whilst Deny Well Women runs a monthly clinic and telephone support servic¢ it became obvious that the one-to-one support alone was not sufficient to meet the increasing demand. So. in addition to doublins our ¢linics we engaged Dr Sandra McNeill, Consultant Obstetrician and Gynaecologist to deliver a second CB T programme for menopausal women with the &ssistance of Audrey Parke Menopause Nurse and Derry Well Women Clinician. The programme ran for six weeks. Each session introduc¢d a new topi¢ and built on'what had b¢¢n learnt during the week and in the previous session. Daily diary records were iinportant to assess, how recommended chang¢s participants had made were helping them. Homework was given ¢a¢h week and participants were asked to make individual goals for each session of the treatment. The programme addressed inenopausal symptoms, the physiology and manifestation of hot flushes, managing night sweats, the role of thouglits, feelings and behaviour. Stress management, healtliy lifestyle, problem- solving, relaxation and paced breathing with imag¢ry and goal setting were also addressed. This prograinine was attended by twelve (12) women. 14 Derry Well Women Limited (A company limited by guarantee) Sexual Health Awareness Schools Programm¢ 2022. l. St Catherines Strabane Primary School May 2022 4 sessions 63 children. 2. St Marys College Lower Sixth Health and Social Care Students on the uses and benefits of omplementary therapi¢s. Progiiancy Loss and Bereavoment Counselllng. In 202212023 14 wom¢n were supported by our pregnancy loss and bereavement service. All women ar¢ referred through tlie Childbirth and Pregnancy Loss Specialised Midwife with l¢atl¢ts also available for women to access prior to dis¢harge from h05Pital following 8 pr¢gnancy or childbirth loss. Wom¢n solf- refentd to Dery W¢ll Women to seek counselling for a specific pregnancy or childbirth loss. The benefits tliat this service has provided these women have be¢n simply invaluable in aiding their healing and recovery process. The support that women hav¢ r¢c¢ived from Derry Well Women has enabled several of them to contemplate and even enter into any futur¢ pr¢gnancies in a more positive state of mind thus reducing maternal anxiety which has be¢n shown to positively impact birth outcomes. Cost of Llvlng Resilience Programme. W¢ delivered a one-day Cost of Living Programine to 25 wom¢n'. The Cost-of-Living Resilience Workshop was dolivered on Thursday 24th Nov¢mber 2022, in respons¢ to the ost-of-living crisis, to 20 participants and foeused on Building Resilience in a Changing World by using taught techniques and methods to: Learn how to adapt and bouncc back quickly when faced with challenges. D¢velop coping mechanisin5 on how lo deal with stressful situations. Learn liow to survive and thrive through these times. Content of the Programme focused on 4 areas. Self-Awareness and Self-Regulation 2. Seif-Belief and Self-Confid¢nG¢ 3. Financial W¢llbcin8 4. Changing Habits and Behaviours Table to demonstratc levels of actlvlty associated with Gender Specifjc Interventions. 2022r2023 Int¢rvcntion Number of sessions per year Average Attendance per session Numbers of women Menopaus¢ Clinic 51 hours x Telephone and face to face Cliiiic 4 Talks 4 x 2-hour 5ession5 51 51 Meno au5e Talks Menopause Manageinent usin CBT Pregnancy Loss and Bereavement Counsellin Sexual Health Schools Pro ramme Cost of Living Resilience Pro ramme 6 Intcrventions 12 12 12 12 58 Counselling FIours 58 14 4 x 2-hour s¢ssions 31 63 2 X Sessions 25 25 Total 123 177 Chronic Illness Management Within this calegory w¢ addressed Chronic Diseases (Cancer, Respiratory, Cardiovascular, Diabetes), Mental Health (treatment and prevention of StresslD¢pression/Anxiety) and Accidents and Pain Management. 15 Derry Well Women Limited (A company limited by guarantee) The provision made by Derry Well Women in respect of these issues is complementary to a rdnge of other statutory and voluntary sector services availabl¢ to women for prevention, dctection and treatment of illnesses categorized under these three broad headings. Our specific int¢rv¢ntions across each of the thre¢ causes of Mortalitylmorbidity fall into five broad strands. Caneer Services: l. Our s¢rvices provided women with the ability to maximi5e their w¢llb¢ing and to make the best possible choices for their own health and th¢ health of their families during a time of uncertainty reduced access to health servic¢5 and isolalion and loneliness. Peer support is at the heart of all our programmes. This year Derry Well Women delivered cancer counselling to 7 women new to this service. We delivered 3 W¢ll Programmes to 40 women. W¢ delivered 86 compl¢m¢ntary therapy sessions to 45 women. 54 women are re8i5t¢r¢d on our caiic¢r support group with an average of14 attending fortnightly. Mental Health & Wellbeing Programme We also dolivered a Mental Health and Wellbeing Programme for 10 women. This was an 8-we¢k course deliver¢d to women living Wlth and/or having had a cancer diagnosis. The purpos¢ of the programrn¢ was to help improve m¢ntal health and w¢ll-b¢ing. Some of th¢ topics covered inGluded: Emotional Awareness- learning to identify and manage our emotions more ¢ffectiv¢ly Living with change and Uncertainty Identifying Support Prioritizing our lives Relationships Mindfulness Aromatherapy Enrichment session Creative Expression: journaling, art, movement to music. Additional Actlvlty Within Cancer Services Category under Cancer Connected Communities. Project Baekground Cancer Conne¢tcd Cominuniti¢s is a partnership led by Dery Well Women with Action Cancer, Advice NW, Cancer Focus, Care for Cancer, Omagh and SWELL Enniskillen. Th¢ partnersllip 15 dedicated to supporting people affectod by cancer in tho Western Trust area by connecting them to each other, to sources of support witliin their communities and to tliose who can make a differen¢¢ to how and wher¢ they I'eceive services. It is a three-year project funded by a grant of £465k from the National Lottery Community Fund and it ¢ngages rnarginali5ed groups where cancer services are limited and wher¢ th¢re are barriers to access relating to rurality, poverty, and fear. Althou&Jli they do not benefit froin the fuiiding the project also has the partnership of the WHSCT and Macmillan. This programme will ensure cancer patients take the lead in creating a change agenda to itttegrat¢ cancer care in th¢ WHSCT using coproduction and an engagement model to connect people living with cancer a¢ross communities to each otlier and organisations with the capability to improve their lives. The projcct will engage marginalised groups wliere cancer service5 are limited and barriers exist due to rurality, exclusion, fear. deliver support programmes. listen to cancer programme participants. set priorities for improved cancer services-. directly articulate priorities to service planners to influence strdtegic change. The Cancer Connected Communities Project is bas¢d on a four tier Model of engagement developed by Derry Well Women. The essence of the model is that those providing health and social care servi¢es (in this case cominunity-bas¢d support services) listen to those they are caring for throughout the caring episodes. 16 Derry Well Women Limited (A company limited by guarantee) Tier One- Provision of community programmes across this Trust area in which facilitators and care givers are gathering and recording knowledge based on client experience at the point of delivcry. Tier Tivo - Gathering S¢ssions were the partners and the W¢stem Health and Social Care Trust bring together participants and facilitators to tell us what is being experienced and what is being heard to capture the Gommon themes that would shape a change agenda. Tier Tliree - Finally at tier three the partners meet with Trust representatives and commissioners and agree actions and commitments in respect of the main themes that will then be announced at a stage 4. Ticr Four- At Ti¢r Four Partners, participants, focus group members, health s¢rvice providers and planners and other relevant agencies will attend a Commitment to Chang¢ Confer¢nc¢ to address and make public their commitments. Commitments made will be recorded and action against each one will b¢ monitored to asse55 progress which will be fed back to t1105e who participated. Pro'ect Milcstones.. A ril 2022- March 2023 Programme Delivery As of March 2023, the Can¢¢r Conn¢ct¢d Coinmunities W¢5t partnership has reached 1036 people curr¢ntly living with cancer or affected by cancer. Across the Partnership there is a range of J 6 int¢rventions tailored to meet the needs of people living with cancer. The support provided to date includes 36 thcrap¢uti¢ programmes, 352 counselling scssions, 428 Gomplom¢ntary th¢rapy s¢ssions, 58 sp¢Gifically tailor¢d welfare benefit support sessions and imany others, The profile of participants includes inen and women aged 20 to 90 coming froin Derry, Liniavady, Omagh, Enniskillen and surrounding Areas. We have people from largely rurAI &reL%, living with a disability, from single parent households; members of the LGBTQ+ community, the travelling community, Chin¢s¢, Indian and other ethnic groups. All the participants have presented with a cancer diagnosis, including those currently living with cancer, are in r¢mission or are at palliative or end of lif¢ stages. Types of cancer Include breast, bowel, anal, thyroid, ovarian, Hodgkin's Lyinphoma> prostute and brain. Traiiiing: Ilffectlve Llsteiilng for Effectlng Change (ELEC): A 2-day bespoke training programme was designed and dolivered in October 2022 for tlie facilitators, counsellors, complementary therapists, staff, and volunteers of the CCCW partnership. Th¢ purpose of th¢ training was to support th¢m in th¢ir roles to have informal conversations with a purpos¢, id¢ntify key tr¢nds and is5u¢s in cancer car¢ and how to ¢ff¢¢tiv¢ly r¢cord and feedback this inforniation to influen¢¢ ¢hang¢. Asset Based Community Dcvelopmcnt (ABCD) workshop: Cormac Russ¢ll d¢liver¢d a ABCD workshop at th¢13almoral Hotel in Belfast on 3rd February 2023. This was att¢nd¢d r¢pres¢ntativ¢s from the CCCW partnership, as well as Macmillan, WHSCT, Compassionate Communities Nl and Clarendon Medical Practice. Llstening Ear: Listening Ear trainiii8 has been scheduled for Clarondon Medical Practice and has been requested by Car¢ for Cancer, Omagh and the Macmillun Centre. Catliering Sesslons Gathering Session I: The first Gathering Session was held in the Silver Birch Hotel Omagh on 22nd November 2022. This is where the themes and trends identified so far via our Programme Delivery phase were summarised and presented to the participants in attendance. The pU￿oSe of this ¢v¢nt was to build consensus on tl)ese themes as well as identify new themes and suggest solutions or opportunities for improvement. Gathering Session 2: The second Gathering Session held in The Waterfoot Hot¢1 Derry was focused on hearing the voice of the key Cancer Care Providers Wlthin the WHSCT including the Oncology teams, MDT leads, Nursing Staff, AHP staff, Primary Care, receptionist staff, community care staff etc. 17 Derry Well Women Limited (A company limited by guarantee) Negotiating Change: This process was initiated in January 2023 and actions have already been taken to investigate ¢urr¢nt processes and dcsign solutions. Tables Éo demonstrate levels ofactivity associated wlth Mortality? Morbidity and Chroni¢ Disease Managcmcnt 202212023 Interv¢ntion Number of s¢ssions per year Average AttendanG¢ per session Numbers of I women Cancer Support Group 22x 2-hour sessions 22 14 54 Complcnientary Th¢rdPy Treatments Mental H¢alth and Well B¢in Cancer Counsollin The Well Programme for Woinen Living with Cancer 86 x l-hour treatments 86 45 9 weeks x 2 hours 10 10 147 x counsellin sessions 3 x l O-week programm¢5 147 30 40 5 Interventions Totul 294 156 M#naglng Loiig Term Condltlons Women Experienclng Long Covid We delivered 74 sessions of gentle restorative yoga for 212 women living with Long Covid an increase of 83 woinoii on last ycar. Theso wei'e women who continued to feel the dobilitating effects of Covid for betweeii twelve weeks and over a yoar beyond the initial illness. The programines were facilitat¢d by a health care prof¢5sional who herself is living with Long Covid. R¢slorative Yoga aimed to provide: a supported, calm place for participants to relax and rest. Geiitle breath awareness to support diaphragniatic breathing. Gentle seated or lying stretclies specific for muscles which may be affected by Covid. Deep i'elaxation and rest iii restora¢ive yoga to redu¢¢ stre55, iniprove fatigue levels, Irduce pain aiid iinprove sleep qualily. The following tables outline the percentug¢ iniprovement across 25 participants in levels of fatigue, pain, breathlessness, sleep and anxiety levels. Result5 for fatigue, pain, breathlessness aiid sleep relate to all 25 a55essm¢nts. Results for levels of reduction in anxiety related to only those 10. I ndometriosis Support The Endometriosis Support Group returiied to in liouse meetings on the last Tuesday of the month. They had 10 two-hour sessions with 15 woinen regisler¢d onto the group. TIIIS 5UPPOrt group enabled endoinetriosis patients to share their experiences and help others with the condition. 18 Derry Well Womcn Limited (A Company limited by guarantee) The group covered the following issues,. Pain managem¢nt Self-care Nutrition Complementary therapies Emotional Support "I would love to discuss more on pain managemenl and how lo live with o chronlc disease. I wanl us all ¢0 coine log*iher ¢0 make *ndo more aware to olhttrs and ¢ducaling iheni exaclly whal 11 Is and how lo look oul for signs andJyinpioins. I want ihe gr0￿P to be someihlng tha¢feels saf# and comfortablgfor us to share and o¢feel like we arL• beingjudged, and ihol's exactly why I love il. "Endo has been a massive pai'l ofmy life, I slarted sympioms ot age 9, and only now al 54 have I come ¢0 occepi il a&, beingparl ofmy lifejourney and noljust my life. I willparllclpalefully in onyAwareness Raitsing, Inforinalion glvlng anypro-acllonforyounger glrls lo gel a qulcker diagnosis buifor ine s'lmply having thal Iwo hours a monih to come and have a ¢uppa, lalk iflfeel Ilke il and lislen lo oihers has helpLd me enorniously. ' Table to demonstrate levels ofactivity assoelated with Managlng Long Term Condltions 202212023 Intervcntion Number of sessions per year Average Attendance per session 20 10 Numbers of ne wom¢n Gentl¢ Yo a for Lon Introduction to Yo Endoinetriosis Support Group Covid 74 xl hour sessions 32 x 1.5houT sessions l O x 2-hour sessions 74 32 io 212 42 15 3 Intervcntlons Total 269 MentRI Health and Well Being Servlces Derry Well Women provides a range of transforniative M¢ntal Wellbeing Programmes and Counselling Scrvices ensuring choice* graduated access from gentle to more challenging interventions with eacl) intervention being slrength, not deficit, based and focused on tho person not the presentin8 problem. Derry Well Women's pi'ogre5s has been marked by efforts to define a'woman Centred Approach" as an entity. All in¢ntal health improvement and well - being programm¢5 returned in house this year. Counselling Service Wo continue to offer counselling through telephone Zoom and face to face. 95 % of women are now choosing a face-to-face service which is improving their social contact post covid. This year we received 127 requests for generic counselling. Eighty-Nine (89) women have receiv¢d 998 sessions of generic counselling. The issues presented included Relationships, Isolation and Loneliness, Domestic Abuse, Bereavem¢nt and Loss, HoTnelessness, Re-location, Einployment Issu¢s, Anxiety and Depression. We are now operating with a team of fourteen counsellors of which eleven are accredited and we are currcntly recruiting to expand tlie teain. Nine counsellors hav¢ completed a twelv¢-week training programme in an ACTO IBACP approv¢d Certificate in Online Counselling a]id are now competent to work onlin¢. 19 Derry Well Women Limited (A company limited by guarantee) Psychologieal Hub Referrals 202212023. In April 2022 Dery Well Women was contracted by WHSCT to deliver counselling for women referred witli mild to moderat¢ depr¢ssion from the Psychological Hub. In 202212023 Dery Well Women received foty-nine referrals the majority of whom requested face to face counsolling. Following the re-introduction of in-house couns¢lling we provided 167 sessions of counselling to 47 clients living with mild to moderate depression and anxiety. Emotlonal Detox Emotional Detox helps women understand th¢ Goncept of an emotional detox and its benefits. It teaches how to take care of n¢gative feelings and provides a road map for living a happy, fulfill¢d life. Women learn simple. powerful techniques for letting go of negative emotions and find out how to rid of fear and stay calm and confident. 22 women completed two x 8-week programines. Ainis ofthe programme: To introduce a way of bringing peace into our liv¢s through non-VTolent communication. To enable participants to discover the language of peaceful living. To help women understand tho concept of speaking peace as taught by Ros¢nb¢r8. Benefits oftlie ProgrAmtne'. This programme was successful in that it encouraged individuals to look within for answers and listen to tlieir body dialogue. Tecognize their unhealthy coping meclianisms, and repla¢e Ihem with more healthy ones. They learnt or d¢voloped skills in medication, mindfulness, body dialoguing, conn¢cting to the self and b¢coming niorc self-aware. Coplng with Anxicty and Depression. Tliis course is designed to support woinen who may be experieiicing depr¢ssion or underlying anxiety. its aim is to teach coping skills which women affected by depressionlanxi¢ty can employ to help deal with the syinpiom5 that affect tliein personally. Information regarding complementary therapies, diet and sleep is also given. The facilitator also discusses th¢ use of prescrib¢d drugs. l O woineii attended this 6-w¢ek course. Self Esteem We delivered three x eight-week Self - Esteem programmes for 31 women. The programme addr¢ssed self- efficacy, addictive relationships, s¢lf -care positiv¢/negative self-talk and equipped participants with the nec¢ssary tools and skills to mainiain and build good self- e5t¢em. 20 Derry Well Women Limited (A company limited by guarantee) Table to demonstrate levels of Activity Associated with Mental Health 202212023 Lntervention Number of sessions per year Average Attendance per session 10 Numbers of women Coping with Anxiety and Depression I x 6-week pro8rdrnme io Emotional Detox Self Este¢m Yo I to I Counsellin I to I listenin ear Ass¢ssment Interviews 2x 8-w¢ek sessions 3 x 8-week ramm¢s 35 classes 998 counsellin hours 28 hours hel line 184x l-hour assessments 16 24 35 998 28 184 22 16 47 89 17 184 Promoting Mental Health throu hc clin 8 Interventlony 3 x 5-w¢ek Training Pro ramines Total 15 23 1306 423 Accident Prevention Young at Heart Group. The Young at Heart Group which has an enrolrnent of 54 women mcets weekly. Derry Well Woinen designed spcclflc activities to reduce loneliness. social isolation and proinote heAlth and well- being for older women by reducing isolation, in¢r¢asing social connection, uplifting mood and improving emotional health and well- being. The activities deliver¢d were co-designed with the partlcipants and were based on the issues which were raised and included the following: Chair Based Yoga funded by the WHSCT Positive Aging Grant. Podiatry Foot Clinic 147 woinen attended the monthly podiatry clinic. Table to dcmoiistrate levels of Actlvlty Associated with Accident Prevention. 202212023 Int¢rvention Nuinber of sossions per year Average Attendance per session Numbers of women PractictLI Supports in Later Life Kee in Youn At Heart Podia Foot Care Advice 2 Interventions 3 x l O-week Programmes 30 30 55 147 Total 147 177 147 202 Local li xpressed Need. Cognitive Behavioural Therapy for Everyday Use Cognitive Behavioural Therapy (CBT) is an ¢ight-week course which is aimed at women from all backgrounds and all l¢vels of education. The course is a psycho educational based course which means that it is not a therapy group as such. The main aim of the course is to provide parttcipants with the skills to deal with their emotional 21 Derry Well Women Limited (A company limited by guarantee) and psychological problems through developing an awareness of liow thelr cognitions affect their emotions and beliaviour. Cognitive behavioural therapy (CB T) has been reported to be an effective treatnient for anxiety disorders and depression in older adults, typically leading to reductions in worry, anxiety, and dcpressive symptoms (Gould et al., 2012). 24 Women attended CBT therapy this year. SlngTonicity 'SingTonicity' is an 8-week programme using an innovative approach which was d¢v¢loped in Sweden. It acknowledges that the voice is a part of the human physicality, and it becomes small, lacking in confidence and even silent wlien w¢ ar¢ traumatised or hurt or prevented from speaking out. It is a non-thr¢at¢ning, powerful way of helping people conn¢ct with their feelings, find expression and dev¢lop their confidence. 68 women attended thi5 year. Mindfulness 'Mindfulness' is an 8-week programrne which aims to benefit ¢ach woman's emotional and physical h¢alth. Mindfulne5S IS the practice of becoming more aware of the present moment rather than dwelling on the past or focusing on the future. This helps with stress mana8¢m¢nt and to prevent rumination and negative thoughts. Mindful-based therapies have been reported to b¢ effoctive treatments, ¢v¢n as an altemative to behavioural therapies (Ziegerska ¢t al., 2009) and hav¢ been found effectiv¢ to remove stress (Witkicwitz, Gr¢¢nfi¢ld & Bowen, 2013). 15 woinen attended this programrne which delivered via Zoom. Sound Meditnti nPro ramme Healing using tlie pow¢r of sound and vibration is one of the most Hncient and oldest ways of healing practi¢es in tl)e world. There aro many kinds of sound healing, but on¢ of the most ¢ffectiv¢ practised is Singing Bowl Therapy. Singing Bowls hav¢ beeii used worldwide for healin8, m¢ditation. purpose and deep breathing. This therapy is based on tlie belief that energy vibrates at different rates in th¢ body. The vibration of the bowl can have profound effects on the mind. body and spirit promoting harniony within a person's body, The vibrations balance tlie right and loft hemisphere of the brain wliich help restore your body's balanLe which in turn helps you Iieal. 16 wonien att¢iidcd Iliis 8-week progranime. Jouriiey to Injicr Pea¢e Journey to Inner Peace is a programme that introduces an alternative way of managing unhelpful patterns of behaviour and n¢galive thinking. It will li¢lp turn around th¢ alarn]ing statl5tics of anger, violen¢¢ and quiet desperation in our community / society and in their place, to plant the seeds of positive expectations, self - responsibilily, Iiigher seif-esteem and to se¢d hope. 32 womon attended over 2 x 8-week programmes. Staii'ways to Well Beijig Stairways is a program that has been created to provide peopl¢ within our communities with a toolkit to manage their ni¢nLal and emotional well-being through a Holistic, p¢rson-centered approach. We aim to guide people through the experience of the benefits of mindfulness and various Holistic therapÈe5 in order to be able deal with the everyday stresses of life in immediate and measurablc ways. 22 Derry Well Women Limited (A company limited by guarantee) Having completed the Stairways to Well-BeiT]g program participants will have learned different tools in which to evolve from old thinking habits and begin a journey of awareness of themselves breaking free froin old patterns of beliavior. Participants will have gained skills such a5. The power of thought and effectivo thought management A¢¢ommodate specific practices into daily life for the purpose of replenishing, mental, emotional and spirituul well-being. Self-love and p¢rsonal boundaries Using skills such as mindfulness, meditation & sound h¢aling, EFT (emotional freedom technique). Awar¢n¢ss of our chakras and auric fi¢ld. Working with our angels To become more visibl¢ in the world and to recognise your own uniqueness. R¢juvenate your life and nurture playfulness, light-heartedness joy and fun. 16 women attend¢d this 8-week programme. Aetions For Ha Ine Action for Happiness is an 8-week programme based on teaching people the ten keys to happier living based on th¢ latest scientific resear¢h relating to happiness. The programme kach¢s a range of CBT techniques to help people be able to put the l O k¢y areas into practice in their own lives. Th¢ theory is based on the fact that people who are happy and fulfilled in their lives are content and not suffering from distress, anxiety or depression. If we can l¢am how to promote and apply happiness in our own lives, th¢n th¢ quality of our lives will improve. 30 woinen attended this 8-week programme Table to demonstrate levels of Activity Associated with Local Expressed Need. 202212023 Intervention Number of sessions per year Average Attendance per session Numbers of women CBT for Eve Use Practitioners Trainin Mindfulness Journey to Inner Peace 3x 8week sessions 2 sessions I x8weeks 2x8w¢¢ks 24 24 10 15 32 10 Is 12 16 SingTonicity 2 x 8weeks 1x6 weeks Ix 8 weeks Ix 8 wceks Ix 8 weeks Total 22 25 68 Actions For Ha iness Stairwa to Wellbein Sound Medilation 8 ljitcrventlons 25 16 16 30 16 16 96 Summary of Servlce Provi¥ion 202212023 Total Number of Programines Interventions 43. Total Number of Sessiorts 2842 Total Number of Women children 2609 In 202212023, ther¢fore, we delivered 43 interventions within the following rang¢ of activities to 2609 women and children through 2842 sessions of delivery. Women and Children Programmes. Childcare Services and Prog17mmes including Crèche facilities. Emotional Health and Mental Well Being Programmes 23 Derry Well Women Limited (A company limited by guarantee) Cancer Programmes including the Well Programme, Complementary Therapies Support Group and counselling. Clironic Illness Management Programmes including Pain Management of Endometriosis. G¢nder Specific Programmes (Menopause Clinic. Post Natal Depression. Ante-natal & S¢xual Health Education for schools) Counselling S¢rviGes (Generic, Trauma, Cancer, Listening Ear, Pregnancy and Bereavement Loss) Practical Supports in Lat¢r Life a Health Improvement Programill¢ for women 65-90 years Three Support Groups (Breastfeeding, Cancer, Endometriosis) Clinical and Screening S¢rvices Health and Well Being and Social Support Programmes for women directly affected by The Troubles including Counselling, Complementary Therapies, Social Support Programines and Listening Ear Promotins Positive Mental Health Through Physical Activity (Cycling) Prograrnm¢s for the frail ¢lderly including Namaste. Programmes for wornen living with long covid. Health an Safet Th¢ following h¢alth and safety inspections tests and drills were carri¢d out this year l. The Fir¢ Alarni System 2. Three monthly fire point te5tS 3. Six monthly fire drills 4. Annual portable electrical equipment tests. 5. Emergency Lighting 6. Fire Equipment serviced. Financial Revlew and Princlpal Funding Sources Against the backdrop of increasingly limited resources and insecurities over funding, the organisation continues to meet financial challenge5 With a combination of sound strategic planning and financial management. The prin¢ipal funding sour¢¢s for the Charity are Gurrently by way of Service Level Agreements and conlracts witli the Westeni Health and Social Care Trust, Psychological Hub, Department for Education Northern Ireland through the Pathway Fund, the Victims Survivors Service and The National Lottery Cliarities Board. Other funders included BBC Children in Need, the Trusthou5¢ Foundation. Rosa Thrive, Souter Trust, Halifax Foundation, Daiiske Bank, Enkalon. Foundation, Thompson Trust, Screwfix, Department of Health through CFNI, Esinee Mitchell Trust th¢ SJP Foundation and WHSCT Positive Ageing. Unrestricted funding this year was raised primarily through donations. Investment Policy As th¢ availability of funds for investment does not arise such a policy does not exist at present. If the situation were to cliang¢ the company would seek professional advice. Reserves Policy Principle Building reserves and tangibl¢ assets within Derry Well Women support the overall dev¢lopm¢nt of the organisation and are an integral part of our financial planning. Unrestricted reserves ensure that we have adequate funds available for planning for growth and deal with opportunities and issues as ihey arise. Policy A policy on reserves for Derry Well Women was agreed at the 131h May 2013 and reviewed again at the September 2022 meeting of the Management Committee. 24 Derry Well Women Limited (A company limited by guarantee) Derry Well Women has a reserves policy which requires.. l. Unr¢strict¢d Reserves be vnaintained at a minimum level of £20,000 with a desired level of £40,000 which ensures that th¢ cor¢ activity of Derry Well Women could continue during a period of unforeseen difficulty for a period of two months based on the proj¢¢ted av¢ragc monthly running costs of the agency approximating £20,000 per month. 2. A proportion of these reserves have to be maintain¢d in a readily realisable fonn. The calculation of the r¢quired level of reserves is an integral part of the planning, budget and forecast cycle of Derry Well Women. It takes into aG¢ount: Risks associated with each stream of income and exp¢nditure being different from that budgeted. 2. Capacity to deliver plann¢d activity levels is maintained. 3. Services aro delivered and commitments to beneficiaries met. 4. Meeting planned or ¢m¢rgen¢y maintenance requirements to the premises in¢luding tliose conne¢t¢d with Health & Safety, Disability Access, etc. 5. Bridging finance is available to maintain k¢y posts for periods where release of funding by the funding body is delayed. The pr¢s¢nt l¢v¢l of r¢s¢rves available to the Charity not invested in fix¢d assets is £28,658. 25 Derry Well Women Limited (A company limited by guarantee) for thc year ended 31 March 2023 Responsibilities of the Board of Directors The directors are r¢sponsible for preparing th¢ Directors, Annual Rcport and th¢ financial statements in accordanc¢ with applicable law and United Kingdom Accounting Standards (Unit¢d Kingdom Generally Accepted Accounting Prdctice). Company law requires th¢ dir¢ctor5 to pr¢par¢ financial ststem¢nts for each financial year, which give a true and fair vi¢w of th¢ stat¢ of affairs of th¢ ¢haritable company and of the incoming resources and application of resources, inGluding the in¢om¢ and ¢xp¢nditure, of th¢ charitable Gompany for that period. In preparing th¢s¢ financial statements, the dir¢Gtors are r¢quir¢d to: select suitable accounting policies and apply them consistently, observ¢ th¢ methods and prin¢ipl¢s in th¢ Charities SORP 2019 (FRS 102); make judgenients and estimates that are reasonable and prudent. state whether upplicable UK Accounting Standards have been followed, subje¢t to any m&terial departures disclosed and explained in the financial statements: prepare financial statements on the going concern basis unless it is inappropriate to &ssume that the company will continue in operation. The directors are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time tho financial position of the charitable Company and enable them to ensure that the financial statem¢nts comply with the Companies Act 2006. They aro also responsible for saf¢guardin8 the assets of tho charitable company and honce for taking r¢asonabl¢ st¢ps for the prevention and detection of fraud and other irregularities. In so far as we are aware.. there is no relevant audit infonnation of which the charitable company's auditors are unaware. and the directors have taken all steps that they ought to have taken in order to make themselves aware of any relevant audit inforniation and to establish that the auditors is aware of that information. Audltors A resolution proposing that McGroaty Mccaffety & Company be reappointed as auditors of the Charity will b¢ put to the Annual General Meeting. The financial statements were approved and authorised for i55u¢ by th¢ board on 15 Jun¢ 2023 and sign¢d on Pauline Mcclen Director han Mary Dia Director 15 Junc 2023 26 Derry Well Women Limited (A company limited by guarantee) Independent auditor's report to the directors of Derry Well Women Limited Opinion We have audited the financial statements of D¢rry W¢ll Worn¢n Limited for the year ended 31st March 2023 whi¢h comprise the Statement of Finan¢ial A¢tiviti¢s, th¢ Balance Sheet and the r¢lat¢d not¢s. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice) including FRS 102 The Financial Reporting Standard applicabl¢ in the UK and Republic of Ireland This report is made solely to the charitable company's directors, as a body, in accordan¢¢ with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company's dir¢ctors tliose matters we are required to state to them in an auditorfs report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable Company and the charitable company's directors as a body, for our audit work, for this repo¢ or for the opinions we have fornied. In our opinion the financial statements.. give a true and fair view of the state of the charitable company'8 affairs as at 31 March 2023, and of its incoming resources and expenditure of resources, including its income and expenditure, for the year then ended. have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Prdctice. and - have been prepared in accordallce with the requirements of the Companies Act 2006. Basis for opinion We conducted our audit in accordance with International Standards on Auditing (UK) (ISAS (UK)) and applioable law. Our r¢sponsibilities und¢r thoso standards ar¢ furthor dos¢rib¢d in th¢ Auditor's rcsponsibiliti¢s for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC'S Ethical Standard, and we have fulfilled our oiher ethical responsibilitios in a¢cordanG¢ with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. Concluslons rolating to golng con¢¢rn In auditing the financial statements, we have concluded that the directors, us¢ of the going concern basis of accounting in the preparation of th¢ financial statements is appropriate. Based on th¢ work w¢ hav¢ p¢rformed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on th¢ charitabl8 company's ability to ¢ontinuc a5 a going Concern for a period of at least twelve months from when the financial statements are authori5ed for issue. Our responsibilities and the responsibilities of the directors with respect to going concern are described in the relevant sections of this report. 27 Derry Well Women Limited (A company limited by guarantee) Other inforniation The directors are responsible for th¢ other information. The other infomation comprises the information included in thi dir¢¢tors' annual r¢porL other than the financial statements and our auditor's report thcr¢on. Ow opinion on the financia statements does not cover other infonnation and, ¢xcept to the ext¢nt otherwise explicitly stated in our repo¢ we do no express any form of assurance conclusion thereon. In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so consid¢r whether the other inforn]ation is materially inconsi5t¢nt with the financial statements or our knowledge obtained ir th¢ audit or otherwise appears to b¢ materially misstated. If we identify such material inconsistencies or appar¢nt materia misstatements, we are required to detennin¢ whether there is a material misstatement in the financial statements or I material misstatement of the other infonnation. If, based on the work we have perform¢d, we conclude that there is E material misstatement of this other infonnation, we are required to report that fact. We have nothing to report in this regard. Opinlon on other matters prescribed by the Companies Act 2006 In our opinion based on the work undertaken in the course of the audit: tl)e information given in the directors, annual report for the financial year for which the financial statoments are prepared 1¢ consistent with tlie financial statements. and the Directors Annual Report has b¢¢n prepared in accordance with applicabl¢ l¢gal requirements. Matters on whlch wo are requlred to report by exceptlon In the light of our knowledg¢ and understanding of the charitable company and its environment obtained in the course of the audit, w¢ have not identifi¢d material misstatements in the Directors Annual Report. We Iiave nothing to report in respect of the following matters where the Companies Act 2006 requires us to report to you if, in our opinion: adequate accounting records have not been kept. or the financial statements are not in agreement with the accounting records and returns. or certain disc105ures of directors, r¢rnuneration specified by law are not mad¢; or we have not received all th¢ information and explanations we requir¢ for our audit. or tlie directors were not entitled to prepare the financial statements in accordance with the small companies regirn¢ and take advantage of the small coinpanies exemption from the requirement to prepare a strategic r¢port. 28 Derry Well Women Limited (A company limited by guarantee) Responsibilities of the directors As explained more fully in the Directors, Responsibilities Statement set out on page 26, the directors (who are also the directors of the charitable company for the purposes of Gompany law) aTe responsible for the preparation of th¢ financial statements and for being satisfied that they give a true and fair view, and for such int¢rnal ¢ontrol as th¢ directors detemiine is n¢c¢ssary to onable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. In pr¢paring the financial statements, the directors are responsible for assessing the charitabl¢ company's ability to continue a5 a going ¢onc¢m, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unl¢s$ the dir¢¢tors either intend to liquidate the charitable company or to c¢as¢ operations, or have no realisti¢ alternative but to do so. Auditor's responslbllltlos for the audlt of th¢ flnanclal statemonts Our objectives are to obtain r¢asonable a55urance about whether the financial statements as a whole are fr¢e from rnaterial misstatem¢nt, whether due to fraud or error, and to issu¢ an auditor's r¢port that includes our opinion. Reasonable assurance is a high l¢v¢l of assurance, but is not a guarantce that an audit conducted in accordance with ISA8 (UK) will always detect material misstat¢mcnt when it exists. Misstatcments can aris¢ from fraud or error and are considered material if. individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. Explanatlon as to what extent the audlt was consldered capable of detectlng Irregularitie5, including fraud. Irregulanties, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line wilh our responsibilities, outlined above, to detect Tnaterial misstatements in respect of irregularities, including fraud. However, the primary responsibility for the prevention and detection of fraud lies with management and the board of diro¢tors of the cliaritable company. Identlfylng and assesslng potentlal rlsks related to Irregularltle5 In identifying and assessing risk5 of material mi55tatement in respect of irregularities, including fraud and non-compliance with laws and regulations, we considered the following: th¢ nature of th¢ industry, s¢ctor and th¢ sp¢¢ifi¢ control ¢nvironment which it operates in; tho ¢hariti¢s own assessment of the risks that irregularities may occur, either as a result of fraud or error; r¢pr¢s¢ntations and results from our enquiries with management and the board of directors about their own identification and assessment of the risks of irregularities; enquiries of manag¢m¢nt r¢lating to cash handling, r¢vi¢wing th¢ poliGi¢s and procedures relating to cash handling and cash recognition. any matters we have identified having obtained and reviewed the Charities policies and procedures r¢lating to; * identifying and assessing if laws and regulations ar¢ compliant and wheth¢r they are aware of any instances of non-compliance. * detection and response to the risk of fraud and whether they are aware of any actual, suspected or alleged fraud instances. * the internal controls designed to mitigate risks or fraud or non-compliance with laws and regulations, and to minimis¢ risk of management overrid¢s of such Controls. all matters discussed among th¢ audit ¢ngag¢ment team regarding how and where fraud could occur and thc potential indicators of fraud. As a result of these procedures, we considered the opportunities and incentives that may exist within the charity for fraud. The audit included assessing the procedures and evaluating the cash handling procedures. In common with all audits under ISAS (UK), we are also required to perforn] specifIc procedures to respond to the risk of management override. 29 Derry Well Women Limited (A company limited by guara'ntee) We also obtained an understanding of th¢ legal and regulatory frameworks applicable to the charity and considered that the most significant are the UK Companies Act 2006, SORP 2019 (FRS 102) and Charities Art (Northern Ir¢land) 2008. Audlt responscs to rlsks identifled Our procedures to respond to risks identified includ¢d the following: reviewing the financial statement disc105u￿5, testing the relevant documentation to assess compliance with the significant laws and regulations - those described as having a direct effect on the financial statements. enquiring with manageinent and obtaining third paty confirniation from the Chariti¢s Solicitors regarding any actual or potential litigation and claims. performing analytical procedure5 to identify any unusual or unexpected relationships that may indicat¢ risks of material misstatement due to fraud. r¢ading minutes of board and management meetings. - reviewing Companies House and Charity Commission Northern Ireland correspondence, review correspond¢nce with HMRC, identifying non-compliance of specific inforniation to be disc105ed; in addressing the risk of fraud through management override of controls, testing the appropriaten¢ss of data entries and adjustments, and evaluating the rationale of any significant transactions that ar¢ unusual or outside the normal Gourse of the Cliarities objectives. We also communicated relevant identified laws Hnd regulations and potential fraud risks to all engagement team members and reinain¢d alert to any indications of fraud or noncomplianco with laws and re8ulations throughout the audit. As purt of an audit in accordance with ISAS (UK), we exerci5c professional jud8in¢nt and maintain prof¢ssional scepticisin throughout the audit. We a150: Id¢ntify and assess the risks of mat¢rial misstat¢ment of tho financial statements, whcther duo to fraud or error. d¢sign and perform audit procedurcs responsive Éo those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion, Thc risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involvo Gollusion, forg¢ry, intentional omissions, misrepr¢s¢ntations, or the override of intcrnal ¢ontrol. Obtain an understanding of internal Control relevant to the audit in order to design audit procedures that are appropriate in tlie circuinstanc¢s, but not for the purpose of expressing an opinion on the ¢ffe¢tivene5s of th¢ charitable company's internal conlrol. Evaluate the appropriateness of accounting polici¢s used and th¢ reasonableness of accounting estimates and related disclosure5 made by th¢ directors. Conclude on the appropriateness of the directors, use of the going concern basis of ￿CoUntIng and, based on the audit evidence obtained, whether a material uncertainty exists r¢lated to events or conditions that may cast significant doubt on tlie charitable company's ability to continue us a going concern. If we conclude that a material uncertainty exists, we ar¢ required to draw attention in our auditor's report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidenc¢ obtained up to the date of the auditor's report. However, future events or conditions may caust the charitable company to cease to continue as a going concern. -Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves falr presentation. We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit. 30 Derry Well Women Limited (A company Ilmited by guarantee) Patriek Mc Senlor Statutory Auditor for and on behalf of M¢Groarty Mccafferty & Co Statutory Auditor 2 Carlisle Terrace Derry BT48 6JX roar Dated: 15 June 2023 31 Derry Well Women Limited (A company limited by guarantce) Statement of financial actMVAties (incorporating the illcome and ¢xpenditure account) For the year ended 31 March 2023 Unrestrieted Restrlcted funds funds 2023 Total 2022 Total Notes Jncoming resources Incoining resources from generating funds: Voluntary income Investment income Incoming resources from Charitable activiti¢s 7.686 7,686 15,444 1,000 502,004 503,004 340,114 Total Incoming resources 8,697 502,004 510,701 355,558 Resources expended Costs of generating funds: Charitable Artivilies Goveriiance costs 21,297 508.803 3.913 530,100 3.913 356.372 3,840 Total resources expended 21,297 512,716 534,013 360,212 Net in¢omlng (outgoing) resource$ for the year 13 (12,600) (10,712) (23,312) (4,654) Transfer of Funds (8,339) (20,939) 8,339 (2,373) (23,312) (4,654) Tolal funds brought forward 191,743 7,277 199,020 203,674 Total funds carried forward 170,804 4,904 175,708 199,020 The statement of financial activities includes all gains and losse5 in the year and th¢r¢fore a separate statement of total r< gains and losses has not been prepared. All of the above amounts relate to continuing activities. 32 Derry Well Women Limited (A company limited by guarantee) Balance sheet as at 31 March 2023 2023 2022 Notes Flxed assets Tangible as5¢ts Current assets Debtors Cash at bank and in hand 147,050 152,570 10 6,108 154,070 1,854 174,664 160,178 176,518 Credltors: amounts falling due within one year (131,520) (130,068) Net current assets 28,658 46,450 Net assets 175,708 199,020 Funds Restricted income funds Unrestricted income funds 12 12 12 4,904 170,804 7,277 191.743 TotAI funds 175,708 199,020 The financial statements are prepared in accordance with the speaial provisions of Part 15 of the Companies Act 2006 aiid the Charities SORP 2019 (FRS 102). The an ial statemen were approv¢d and authorised for issue by the Board 15 June 2023 and 518ned on its behalf by Pauline Mcclen Dlrector Mary Di Dlrector mond Company Number: N1022926 33 Dcrry Well Women Limited (A company limited by guarantee) Notes to financial statements for the year ended 31 March 2023 General Information The charity is a private limited cornpany by guarant¢¢, rcgistered in Northern Ir¢land and a registered charity in Northern Ireland. The address of the registered offiG¢ is E7 Queen Street, D¢ry, B T48 7EQ. 1.1. Aecountlng convention The charity constitut¢s a public benefit entity as defined by FRSL02. The financial statements have been prepared in accordanc¢ with A¢¢ounting and Reporting by Charities: Ststernent of Recommended Practi¢¢ applicable to charities preparing their accounts in accordanc¢ with the Financial Reporting Standard applicabl¢ in the UK and Republic of Ireland Charities SORP 2019 (FRSI 02). the Companies Act 2006 and the Charitie5 A¢t (Northern Ir¢land) 2008. The financlal statements ar¢ prepared on a going concern basis under the historical cost convention, modified to included certain items at fair value. The financial statements are presented in sterling which is the functional currency of the charity. The significant llccounting policies applied in the prepar&tion of those financial statements are set out below. These policies have been consistently appli¢d to all years presented unless otherwise stated. Incoming resources All incoming resources are included in the statement of financial activities when the charity is entitled to th¢ income and the amount can bo quantified with reasonable accurdcy. The following specific policies are applied to particular categories of income: Voluntary incoine is received by way of grants, donations and gifts and in included in full in the Statement of Financial Activities when T¢c¢ivable. 1.3. Resources expended Expenditure is r¢cognised on an accrual basis as a liability is incurred. Expenditure includes any VAT which cannot be fully recovered, and is reported as part of the expenditure to which it relates. 1.4. Tangible fixed assets and dopreclatlon Tangible fixed assets ar¢ stated at cost less accumulated depr¢¢iation. D¢pre¢iation is provided at rate5 calculated to write off the cost residual value of each asset over its expected useful life, as follows: Buildings Fixture & fittings Equipinent 2¥0 Straight Line IO% Straight Line 20% Straight Line Buildings are not depreciated as per the directors. Debtors & Creditors Debtors and creditors with no stated interest rate and receivable or payable wlthin one yeat ar¢ recorded at transaction price. Any losses arising from impairn]ent are recognised in expenditure. 1.6. Cash at bank and in hand Cash and cash equivalents include cash at bank and in hand. 34 Derry Wcll Women Limited (A company limited by guarantee) Notes to financial statements for the year ended 31 March 2023 1,7. Defincd contrlbutlon pension schemes Th¢ pension costs charged in th¢ financial statements represent th¢ Gontribution payable by the charity during the year. 1.8. fiorelgn Currencies Monetary assets and liabilities denominated in forcign currencies are translated into sterling at the rat¢5 of exchange prevailing at th¢ accounting date. Transactions in for¢ign currencies are recorded at the date of the transactions. All diff¢rences are taken to the stat¢m¢nt of financial activities. Voluntary Income Unrestrl¢ted funds 2023 Total 2022 Total Donations Sundry Income The Cathedral Church of St Anne 3,76E 3,925 3,761 3,925 12,260 2,734 450 7.686 7,686 15.444 Inv¢stment Incomc Unrestrlcted funds 2023 Total 2022 Total Bank interest receivable 35 Derry Well Women Limited (A company limited by guarantee) Notes to financial statements for the year ended 31 March 2023 Incoming resources from charitydble activltles Unrestrleted Restrlcted funds runds 2023 Total 2022 Total Western Health and Social Care Trust National Lottery Community Fund HDHWILLS WHSCTITalking Therapies Trusthouse Foundation Enkalon Trueinark Wesleyan ROSA Smallwood Tes¢0 Groundwork Souter Trust Positive Ageing SJP Foundation Community Foundation DOH Cancer Fund NIE Network Ulster Bank Danske Bank Victims Survivors Service Thompson Trust Halifax Foundation Pathway Fund BBC Children In Need 130,793 169,255 500 6,615 19,455 208 130,793 169,255 500 6,615 19,455 208 125,835 38,402 3,208 11.884 500 3,994 6,724 12,972 1,000 4,200 12,287 12,287 480 1,750 3.618 480 1,750 3.618 1.000 2,100 3,000 112,844 500 2,584 15.000 21,015 1,000 2.100 3,000 112,844 500 2,584 15,000 21,015 104,016 100 5,000 15,000 7,279 1,000 502,004 503,004 340,114 Re5trleted fi unds Funds received which ar¢ ear marked by the funder for specfiG purposes. Such purposes ar¢ within th¢ overall aims of the organisation. Unrestricted Funds Funds which ar¢ expendable at the discr¢tion of the company in furherance of the aims of the charity. In additions funds May be held in ord¢r to finance capital investnlent and working capital. 36 Derry Well Women Limited (A company limited by guarantee) Notes to financial statements for the year ended 31 March 2023 Costs of generatlng funds:. Unrestrieted Restrlcted ExpenditureExpendituro 2023 Total 2022 Total Charltablc Activities Salari¢s & Wa8es Imploy¢r's NIC Pension costs Rent Rates & water charges Light & heat Repairs & maintenance Insurance Establjshment - otlier Publications & advertising Travel & subslstence Professional fces Telephone Office expenses - other Core programme costs Cancer connected programme costs VSS programme costs Bank charges Loss on disposal Depreciation & impaiment General expenses 11,623 847 681 204,780 14,934 11,999 13,940 274 6,048 17,266 2,205 2,059 1,839 99 540 2.731 7.328 89,960 84,991 41,562 485 216,403 15,781 12,680 13,940 274 6,048 17,266 2,205 2,059 1,839 99 4,680 2,731 8,911 89,960 84,991 41,562 485 52 6,113 2,021 152,974 8,852 10,335 11,920 259 4,482 8,531 2,155 2,573 1,057 49 4,822 2,445 9,206 71,976 14.636 41,946 387 4,140 1,583 52 2,371 3,742 2,021 6,413 1,354 21,297 508,803 530,100 356,372 Governance Costs Total Total Auditors remuneration 3,913 3,840 Nct outgoing resources for the year 2023 2022 Net outgoing resources is stated after charging: Depreciation and other amounts written off tangible fixed assets Auditors, r¢mun¢rdtion 6,113 3,913 6,413 3,840 37 Derry Well Women Limited (A company limited by guarantee) Notcs to financial statements for thc ycar ended 31 March 2023 Employees I mployment costs 2023 2022 Wages and salaries Social security costs Pension costs 216,403 15,781 12,680 152,974 8,852 10,335 244,864 172,161 No employee receives emoluments of mor¢ than £60,000 (2022: None) The company operates a Defined Contribution pension sGheme. 2023 2022 Dcfined contribution schemo 12,680 10,335 The average monthly numbers of employees (ex¢ludin8 the Irustees) during the year, calculated on the basis of full time equivalents, was as follows: 2023 Number 2022 Number Taxation The charity's activities fall within the ¢x¢mptions afforded by tlie provisions of the Incoine and Corporation Taxes Act 1988 or $256 of the Taxation of Chargeable Gains Act 1992 to tlie extent that these are applied to its chargeable objects. Accordingly, there is no taxation ¢harge in these a¢counts. 38 Derry Well Women Limited (A company limited by guarantee) Notes to financial statements for the year ¢nded 31 March 2023 Lond and bulldlngsFlxtures and freehold Flttlngs Equipment Tangible flxcd assets Total Cost At l April 2022 Additions Disposals 150,000 34,391 35,108 645 (260) 219,499 645 (260) At 31 March 2023 150,000 34,391 35,493 219,884 Depreclation At l April 2022 Charge for the year On disposals 6,000 3,000 34,391 26,538 3,113 (208) 66,929 6,113 (208) At 31 March 2023 9,000 34,391 29,443 72,834 Net book values At 31 March 2023 141.000 6,050 147.050 At 31 March 2022 144,000 8,570 152,570 10. Debtors 2023 2022 Other D¢btors & Prepayments 6,108 1,854 11. Credltors: amounts falllng due within one year 2023 2022 Trade cr¢ditors Other creditors Accruals and deferred incorne 11,008 438 120,074 8.417 121,651 131,520 130,068 39 Derry Well Women Limited (A company limited by guarantee) Notes to financial statements for the year ended 31 March 2023 12. Analysis of net assets between funds Unrcstricted Restricted funds funds Total funds Fund balances at 31 March 2023 as represented by: Tangible fixed assets Current assets Current liabilities & Deferred Income 142,146 28,658 4,904 147,050 131,520 160,178 (131,520) (131,520) 4,904 175,708 170,804 13. Movements In Funds At l April Incoming Outgoing 2022 resources resources At 31 March 2023 Transfers Restrlcted funds; Funds 7,277 502.004 (512,716) 8.339 4,904 Total resti'icted funds 7,277 502.004 (512,716) 8,339 4,904 Unrestrlcted funds: Gencral funds 191,743 8.697 (21.297) (21.297) (8,339) (8.339) 170,804 Total unrestricted funds 191,743 8.697 170,804 199,020 510,701 (534,013) 175,708 Purposes of Restrlcted Funds Restricted grants awarded to the charity are provided to cover the core objects as explained in the directors report. 14. ReIated party transactions There were no related paty transactions during the year. 15. Company Ilmited by guarantee Derry Well Women Limited is a company limited by gurantee and accordingly doe5 not have a share capital. Every member of the company undertakes to contribute such amount as may be requir¢s not exceeding £1 to the assets of the charitable company, in the event of it being wound up. 40 Derry Well Women Limited (A company limited by guarantee) Notes to financial statements for the year ended 31 March 2023 16. Controlling Interest Controlling interest rests with the board of directors. 17. Post Balance Slieet ovents No significant events have taken place sinc¢ the year end that would result in adjustments to 2023 financial information or inclusion of a note th¢reto. 41