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Annual Report and Financial Statements 2019 / 2020 the Maudsley Charity Is the Largest NHS Mental Health Charity in the United Kingdom

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Annual Report and Financial Statements 2019 / 2020 the Maudsley Charity Is the Largest NHS Mental Health Charity in the United Kingdom Annual Report and Financial Statements 2019 / 2020 The Maudsley Charity is the largest NHS mental health charity in the United Kingdom We back better mental health by working together with our partners, South London and Maudsley NHS Foundation Trust (SLaM) and King’s College London (KCL), two world-leading organisations, to deliver a vision that is genuinely enabling us to improve the lives of people with mental illness. Kairos Community Trust, a Maudsley Charity funded Community and Connection project. Mental Health In 2018 This means more than A snapshot of mental health in the UK provided there were 16 people per day took by the Mental Health Foundation their life 6,154 It is estimated that suicides in 10-25 times that number Great Britain. attempt suicide The UK has one of the highest 1 in 4 people experience self-harm rates mental health issues each year in Europe 1.25 million people in the UK have an eating disorder (1 in 50) and more than 1 in 7 young women(1) 30-50% Every year mental ill health costs the UK economy an of people 24% of women estimated £70bn in lost productivity at work, benefit with a severe and 13% of men payments and health care expenditure. That is more than mental illness double the cost of cancer, heart disease and stroke combined(2) also have in England are diagnosed with problems with depression in their lifetime substance use Source: Mental Health Foundation: https://mhfaengland.org/mhfa-centre/research-and-evaluation/mental-health-statistics/ (1) Micali, N. et al “The incidence of eating disorders in the UK in 200-2009: findings from the General Practice Research Database” BMJ Open (2) https://www.oecd.org/health/uk-needs-to-tackle-high-cost-of-mental-ill-health.htm 4 Maudsley Charity Annual Report and Financial Statements 2019/2020 Backing Better Mental Health 5 Mental Health Children and Young People At least one in eight Only a quarter of children or young people in children and young people the UK now have a clinically who require mental health diagnosable mental support can access the health disorder(1) services they need(2) 50% 1 in 3 An estimated one in three of all adult mental health British young people have experienced conditions are a traumatic event, and those who present before are exposed to trauma are twice as the age of 14(3) likely as their peers to have a mental health disorder(4) (1) https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-inengland/ 2017/2017 (2) https://www.parliament.uk/business/committees/committees-a-z/commons-select/public-accounts-committee/inquiries/ (3) Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. (2005). Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62 (6) pp. 593-602. (4) Lewis SJ, Arseneault L, Caspi A, Fisher HL, Matthews T, Moffitt TE, Odgers CL, Stahl D, Teng JY, Danese A. The epidemiology of trauma and post-traumatic stress disorder in a representative cohort of young people in England Visitors to Bethlem Museum of the Mind taking part in an education programme. and Wales. The Lancet Psychiatry, 2019 Maudsley Charity is the principal funder of the Museum. Backing Better Mental Health 7 Mental Health Our local area 22.1% Estimated percentage of the population in Lambeth aged 16 years and older with a common mental health disorder. This is higher than the national average(2) Nearly 67,000 patients are being Our main areas of work are in cared for - by Croydon, Lambeth, mental health Lewisham and Southwark. services - in these A total combined population of boroughs, with There are higher rates of serious mental illness in Lewisham more than 1.3m people nearly 4,000 compared to London and England as a whole(3) admissions to hospital In 2018/19 secondary mental Numbers of Roughly half of the claims for health services provided by people with employment and support allowance (ESA) South London and Maudsley NHS schizophrenia, in Southwark are related to mental health(5) Foundation Trust supported the bipolar disorder following number of people through and other direct face to face contact, emails psychoses are and telephone calls projected to Overall prevalence of serious It is estimated that increase by mental illness for the adult population almost one in five Lambeth CCG Croydon CCG 23% by 2021 in Southwark is 1.4%(6) adults in Southwark (4) in Croydon (approx. 3,800 patients) are experiencing a 321,620 264,467 common mental disorder, equating Lewisham CCG Southwark CCG (1) Southwark’s Joint Strategic Needs Assessment, 2017 to approximately (2) Public Health England, Mental Health and Wellbeing JSNA (1) 279,554 251,289 (3) Lewisham Public Mental Health and Wellbeing strategy (2016-19) 47,000 individuals (4) Croydon integrated mental health strategy for adults (2016-19) (5) NOMIS. Employment Support Allowance Claimants by Condition www.nomisweb.co.uk/ (Accessed January 2017) (6) SMI Register, Southwark General Practice; EMIS Web 2014 Extract 8 Maudsley Charity Annual Report and Financial Statements 2019/2020 Backing Better Mental Health 9 Our Impact Grants Programme Funding and Grants Number of grants Number of grants awarded to awarded in 2019-20: organisations over last five years: Total amount committed in 2019-20 26 300 Funding £4.2 million (excluding a £10m commitment to the new Pears Maudsley Centre). Support £695,000 in the Services and beneficiaries that are based in Community* the community. These are primarily voluntary Reach of our work in 2019-20 sector organisations in the four boroughs served by South London and Maudsley NHS Foundation Trust (SLaM) 2,143 41,400 6,369 Patient Welfare Visitors to the Visitors to the Improving £1,013,000 Grants awarded ORTUS Bethlem Gallery Mental Services provided by SLaM that primarily benefit current and former patients 9,293 300 Investing in £1,268,000 Visitors to the Hours of one to one support and Research* Projects that further mental health research which Bethlem Museum workshop training at Digi-Inclusion are led by academics, researchers, scientists and clinicians at SLaM and the Institute of Psychiatry, 109 Psychology & Neuroscience (IoPPN) New volunteers recruited to SLaM’s 75 youth volunteering programme Total amount funded Total amount funded Service users that over last five years: over last 10 years: Loophole Music 436 provided £13.2 million £25 million Service users who have attended workshops to Hear Us Mental Health Forums * Funding committed as part of the Community and Connection, Innovation and Improvement and Anchor Grants Programmes in 2019-20; this does not include funds committed as part of COVID-19 Emergency Grants, Ad Hoc grants or Special Purpose Funds. 10 Maudsley Charity Annual Report and Financial Statements 2019/2020 Backing Better Mental Health 11 Contents Title Page Foreword from the Chair of the Board and the Chief Executive 14 Trustees’ Annual Report 20 Objects and Strategic Aims 21 Review of Activities 22 Future Plans 72 Financial Review 74 Investments, Reserves and Risks 77 Structure, Governance and Management 84 Statement of Trustees’ Responsibilities 89 Independent Auditor’s Report 90 Consolidated Statement of Financial Activities 94 Consolidated Balance Sheet 96 Charity Balance Sheet 97 Consolidated Statement of Cash Flows 98 Notes to the Accounts 99 Pilot Tree of Life workshops at Bethlem Royal Hospital forensic services. Backing Better Mental Health 13 Foreword from the Chair of the Board and the Chief Executive As we leave the final quarter of just across our communities but from philanthropic institutions and 2019/20 we face an unprecedented with a belief that funding the right individuals, who support our vision global challenge that will impact projects here will accelerate change and share our confidence, that Foreword from on every one of us. Both the on a much larger scale. together we can transform health immediate and long-term effects We have built on our programme at a major scale. We are grateful of COVID-19 have seen us turning of activity at ORTUS, the home to them for their support and the Chair of the our attention to the needs of NHS of the Maudsley Charity, and confidence in us. staff and patients. We are beginning further developed ways to make The year finished in a very different to understand what role we play the building a centre of learning, environment to March 2019. Board and the in the coming months and years education and collaboration. We have been moved and inspired as the psychological impact of this We are proud that every year more by the rapid and generous pandemic is understood. Chief Executive staff benefit from the building and response, from those who We are aware that those people we get to experience training and have supported our emergency are trying to help could face some education in a state-of-the-art COVID-19 fundraising appeal which of the most challenging times in venue. From providing an began in March 2020. Financial their lives. As we emerge from induction space for over 900 support and donations of goods this experience, we believe our NHS staff, to delivering training and services reflected the wave of mission and relevance will be for the next generation of doctors, action across the UK to respond greater than ever. we are confident and proud that to the pressing needs of patients We continue to work closely with the building is helping to deliver on and NHS staff in the extraordinary our partners - South London and our ambitions. circumstances of 2020.
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