“Bravery is seeking help for PTSD...” Hugh, former Explosive Ordnance Disposal Engineer
2010 Annual Review Year ending 31st March 2010
Going Forward
Combat Stress: The story so far 2
1919
1920
1927
1945
1951
1953
1983
1985
1996
2000
2003
The Enemy Within Appeal launches Early success for Combat Stress’s biggest fundraising campaign yet
2003 Operation Telic Iraq Deployment
HRH The Prince of Wales becomes Patron Provides new status to Combat Stress
2001 Afghanistan Deployment
Head office relocated Now based at Tyrwhitt House, Leatherhead
1998 Sierra Leone Deployment
Audley Court opens in Shropshire New residential facility serves Wales and Northern England
1990 First Gulf War
1992 Balkans Deployment
Hollybush House opens in Ayrshire Combat Stress’s first residential treatment facility in Scotland
Belfast office opens
1982 Falklands Conflict
1973 Honduras Deployment
1969 Northern Ireland Deployment
At Combat Stress our primary aim is to provide prompt and suitable clinical care and support to Veterans with psychological injuries. To achieve this we offer courses of residential treatment at our short-stay centres in Ayrshire, Shropshire and Surrey, alongside a programme of long-term care through our new Community Outreach teams that are currently being established. Through this two-pronged approach we hope to offer the best and most flexible range of treatments possible, and in doing so improve both early diagnosis rates and treatment quality, as well as reduce the stigma of such ailments. In addition, we strive to increase awareness of military-related psychological injury, including Post Traumatic Stress Disorder, in both the public at large and affected members of the Armed Forces.
1956 The Suez Crisis
At Combat Stress we believe it is the responsibility of all societies to look after their wounded – and the families of their wounded, too. Government certainly has a central role to play in this, but we think it should not be the duty of Government alone. Rather, care for our Veterans is the obligation of every citizen whose freedom and success depends upon the peace and security of their country. The guiding vision of Combat Stress is that all Veterans suffering from psychological wounds deserve access to prompt, specialised and appropriate treatment, care and support, delivered by qualified and understanding professionals. Combat Stress is already recognised nationally and internationally as a Centre of Excellence in the diagnosis, treatment and management of Service-related mental ill-health, and is currently consolidating its position as the leading provider of such treatment to Veterans in the United Kingdom. We believe that by working in tandem with the Ministry of Defence, the National Health Service and the Armed Forces, we can develop and sustain a regime of care that is well placed to prepare personnel for the impact of trauma, identify symptoms as early as possible, and initiate suitable treatment where needed.
Manchester office opens
Combat Stress was founded in 1919, shortly after WW1, and has a 90-year history of caring for the mental health of Veterans across the UK, and of providing support to their families. Just as our Armed Forces continue to engage in conflicts across the globe, so we retain our commitment to continuing and developing this crucial work. Over the years nearly 100,000 Veterans have benefited from our support, and with the Armed Forces so committed this number will only rise. While our Service men and women strive to bring resolution and stability to the troubled areas of the world, we similarly work to provide the right mental health treatment to all those Veterans and Reservists who require it.
1950 The Battle of Inchon, Korea
What we do
Glasgow office opens
What we believe
1948 Malaya Deployment
1939-1945 World War II
Who we are
Tyrwhitt House in Leatherhead is acquired Surrey base becomes a residential treatment facility
An ‘industrial colony’ is established This provides better wages and funds to support Veterans
Chief Executive: Wing Commander David Hill
Our first facilities are opened We start with a Central London office and a recuperative home in Putney
Wing Commander David Hill, Chief Executive of Combat Stress, outlines the challenges ahead, and the innovative ways in which the charity is repositioning itself to face them…
The past year has been a vital one for Combat Stress, as we have set about reshaping our organisation to enable it to cope with a changing military and political landscape. The biggest challenge we have had to face, of course, is that increasing levels of demand for our services continue unabated. Total referrals to Combat Stress last year were over 1,300, meaning they are now up 72% over the last five years – and with no sign of decline. The problem for the charity is clear: how do we meet current and projected levels of demand while avoiding lengthy waiting lists? To achieve this we have had to rethink our offering. Thus 2010 sees Combat Stress undertake one of the biggest periods of growth and reorganisation in its history. Central to this is that we are transforming how we deliver clinical services. Instead of relying on one model alone – treating troubled Veterans through admission to one of our well-established, highly effective shortstay residential treatment centres – we are now gearing up to deliver clinical services in the community, too. It is with our new Community Outreach teams in mind that we launched The Enemy Within Appeal this year, the biggest fundraising drive in our history. You can find out more about both these initiatives in the pages ahead. These are testing times, both for the Veterans we serve and Combat Stress as a whole, but we have never been better placed to confront them.
Launch of the Ex-Servicemen’s Welfare Society One year after the Armistice ends WW1, the charity now known as Combat Stress is formed
The world is changing, and so must we
2010 3
’09
43.3
The year in review
So, what is Post Traumatic Stress Disorder (PTSD)? PTSD is a severe anxiety disorder, capable of overwhelming an individual’s ability to cope. It can develop after exposure to any potentially psychologically traumatic event, often but not always involving risk to life, either that of the individual or of colleagues. Whilst relatively rare, it is however most strongly associated in the public mind with the mental issues facing many ex-Service personnel. A complex and debilitating disorder, PTSD has been referred to in the past by many names, including ‘shell shock’. But with its current title has come increased understanding, and a more sophisticated range of treatments.
2009 was a huge year for Combat Stress. Not only did we launch The Enemy Within Appeal, our biggest campaign ever, but we also started to rearrange the way we do things…
D
uring 2009 Combat Stress has grown from being a respected and well-established – but essentially rather small and specialist – charity into an organisation with far-reaching impact. This has been driven by a combination of increased demand for our services and our desire to both improve our offering and raise the profile of these problems. Campaigns such as The Enemy Within Appeal have helped fund this vital increase in service provision, while a changed political agenda and increased media coverage have highlighted our work yet further. Politically, we now have a strategic partnership with the Ministry of Defence and the Department of Health that allows us to help shape future services for Veterans. This is an important step, as it creates an equal partnership between two Government departments and Combat Stress, giving us a voice within Central Government.
The average age of a Veteran being treated by Combat Stress
Where They Served Here is how the Veterans we treat served our country
The Enemy Within: Our biggest ever appeal Launched by HRH The Prince of Wales at St. James’s Palace on 11 March 2010, The Enemy Within Appeal is the biggest in the charity’s history, with a massive £30m target. This money is vital for the establishment of our 14 multi-disciplinary Community Outreach teams. The appeal has benefited from increased media exposure through an important ongoing partnership with The Daily Telegraph, allied to our first TV and poster advertising campaign.
7.7% Royal Air Force
7.4% Royal Navy
81.5% Army
2.8% 0.6% Royal Merchant Marines Navy
Generation gap
103
Our oldest Veteran currently being treated
20
Our youngest Veteran currently being treated
Hard-hitting advertising campaign: Raises awareness of the psychological burden of combat 4
5
’10
10.9
The year in review
Veteran experience: Hugh, Gulf War and Bosnia Hugh joined the Royal Engineers at 16 as a Combat Engineer, and after the Gulf War was posted to a highly specialised bomb disposal unit in the Explosive Ordnance Disposal regiment. But it was in Bosnia in 1996 that Hugh first started to find that experiences like walking up to dead bodies, or being dropped out of a helicopter into a minefield, were really playing on his mind. One day in Bosnia he witnessed a car crash and went to help the driver. While he was patching up the man’s arm, “the guy put a pistol to my head and said in broken English, ‘Eff off back to England. We don’t want you here.’” Then Hugh saw that the car was full of guns. He walked back to his vehicle, all the time expecting the back of his head and face to explode. That night Hugh had a quiet breakdown and was never the same again. Medically discharged from the Army, Hugh attempted suicide at work and saw his marriage fail; after smashing up his workplace and breaking his boss’s fingers over a wage dispute he was diagnosed with Minor Adjustment Disorder, then, years later, with PTSD. “Combat Stress has saved me from killing myself,” Hugh now says. “Life is not perfect, but the therapy has taught me how to minimise the flashbacks. When things get too much, I’m now very good at saying to myself, ‘You’re in a house in Essex, you are not in Bosnia’.”
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“Life is not perfect, but the therapy has taught me how to minimise the flashbacks”
The early part of 2010 has been an incredibly exciting period for Combat Stress, with many of our new Community Outreach teams already active in different parts of the country.
W
ith increased financial support from The Enemy Within Appeal we have been able to deploy six of the 14 Community Outreach teams we intend to establish. These teams are fully recruited, functional and operating. “It’s a great start, but we now need to secure funding for the remaining eight, to enable us to develop this important community service further,” says Paula Smyth, Director of Operations. “With an increasingly young Veteran pool the importance of a community model is that it enables early identification of problems, prompt access to assessment and treatment closer to home. This early intervention and stepped-care model will also ensure that admission to one of our short-stay treatment centres remains available to those who need it most without delay.”
The average length of service (in years) of a Combat Stress Veteran (they tend to be career Service personnel)
Big numbers
£2.8m
Cost of running Tyrwhitt House treatment centre for a year
Meet our Community Outreach teams The new Community Outreach teams will integrate with our three shortstay residential treatment centres to bring increased levels of care to those Veterans who have previously been a challenge to reach, either through pressure on beds, geographical remoteness, occupational or domestic circumstances or because their needs are better met on an out-patient basis. Each team will consist of a regional welfare officer, a welfare support team member, a clinical psychiatric nurse and a therapist, with access to a regional psychiatrist or psychologist as required.
Warrior women
3% 97% The percentage of female Veterans being treated by Combat Stress
£240k Cost of running the Scotland East Community Outreach team for a year
24 Hours per day that a new Department of Health-sponsored Veterans helpline will be open for business
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Recent Success Stories: how Combat Stress makes a difference It is not just Combat Stress and the services it offers that are changing, it is also Government’s approach to the whole issue of Veterans’ health and well-being, whether physical or psychological.
“T
he future will see us all working much more closely in order to collectively ensure we meet the mental health needs of Veterans,” says Combat Stress Chief Executive David Hill. “This means that closer relationships will need to be developed between Combat Stress and other service providers, most notably the NHS, with whom we are already working closely in Scotland.
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In order for this partnership to be extended, the Department of Health awarded Combat Stress £140,000 to embed one of its mental health nurses in each of seven NHS Trusts throughout England. More recently, the Department of Health has pledged a further £2m to enable Combat Stress to establish a 24-hour telephone hotline, improve GP training and education in terms of military-related mental ill-health, and further extend the number of Combat Stress mental health nurses within NHS Trusts.” All at Combat Stress see this as a real turning point – particularly in the current economic climate, where funding for anything new is so hard to secure.
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Veteran experience: Simon, Bosnia and Iraq
years
The average delay between a Veteran leaving the Armed Forces and seeking help from Combat Stress (long enough for any underlying psychological injuries to be exacerbated)
Service Charities: Major Partners
Amazing upgrades to the three Combat Stress treatment centres in 2010 During the last year or so, all three of the Combat Stress regional treatment centres, at Hollybush House in Ayrshire, Audley Court in Shropshire and Tyrwhitt House in Surrey, have had significant upgrades – with all the work at Audley Court taking place in the past 12 months. The Shropshire centre now has a new reception area and gymnasium/fitness suite. Meanwhile, at Tyrwhitt House, an extremely generous £3.5m donation from the Help for Heroes charity has allowed us to make substantial upgrades, all of them designed to significantly improve the help we can give to Veterans in need, particularly those from the most recent conflicts. The official opening is likely to be in October.
Royal British Legion will fund three Community Outreach teams for three years RAF Benevolent Fund will fund one Community Outreach team for three years ABF The Soldier’s Charity will fund one Community Outreach team for three years Help for Heroes donated £3.5m to allow for a new building and facility upgrades at Tyrwhitt House
“I know for a fact that if I hadn’t found Combat Stress I wouldn’t be here today”
Simon joined the Royal Regiment of Fusiliers at 15, and was posted to Bosnia twice, in 1995 and 1997. Things he saw there have never left him. He’d often be asked to dig up mass graves so the bodies could be examined by uN teams; other times he’d go on patrol and come across bodies that had been tortured and killed, and just left there. Then, in 2003, he was posted to Iraq. Caught up in a ‘blue on blue’ situation on entering Basra – “one of our tanks shot at another by mistake; I saw the explosion 50 metres away, but we had to carry on and couldn’t assist” – Simon had to listen to the screams and calls for medics over the radio as he advanced. Other incidents from this time have also stayed with him, many that he’s reluctant to talk about even today. Leaving the Army the following year he found himself short tempered, snappy and drinking far too much. He had flashbacks and recurrent nightmares, mostly about the Bosnian war graves. Referred to Combat Stress by his GP, Simon was diagnosed with PTSD in 2009, and his treatment sessions have now begun; finally he’s getting some normality back into this life. “I know for a fact that if I hadn’t found [Combat Stress] I wouldn’t be here today,” he says.
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Veteran experience: ‘Paul’, Iraq Paul [not his real name] had what looked like a perfect life: he’d worked his way up to the role of senior manager at a global electronics company, he had a nice house, and a lovely wife and son. He was also a qualified combat medic in the TA. Called to serve in Iraq in 2003, he found himself on-call 24 hours a day, working 12-hour shifts, trying his best to save every casualty – soldiers, civilians, even Iraqi prisoners. Every day there were more bodies, more injuries, more attacks: his memories from that time will
never leave him. Once his vehicle was ambushed by sustained gunfire and three rocket-propelled grenades. Paul was convinced he would die that day. Returning to the uk, Paul wouldn’t talk about his Iraq experiences, and by 2005 had turned into, as he says, ‘a walking monster’: moody, irrational, exploding at the littlest thing. Images from Iraq would replay like a video in his head. Eventually he hit a colleague and was signed off. On Christmas Eve 2005 he had his first visit from a Welfare Officer from Combat
Stress, and “I can honestly say that I owe my life to that man,” he says. Diagnosed with severe PTSD and co-morbid depression, Paul went on to attempt suicide twice, lost his job, and was medically discharged from the TA. But his three Combat Stress treatment sessions a year provide light at the end of the tunnel. Now working part-time as a caretaker at the local community centre, he was recently asked, “When are you going to get a proper job?” Hearing that, he thought to himself, “I’m barely able to do this one.”
Setting the agenda, identifying the challenges
Our primary objectives are to...
Over the next year we will…
l Managing rising demand – we have had a 72% increase in new referrals since 2005. Recent academic evidence suggests this demand will continue.
1
1
l Reducing time gap – it takes 14 years, on average, for a Veteran to come to us for help (see page 8 for details). l Promoting greater awareness – we need to ensure that Combat Stress is fully integrated into cross-agency partnerships, allowing us to provide the best care for Veterans.
“I can honestly say that I owe my life to that man”
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l Securing funding – we need to maximise our possible income from both statutory and voluntary sources.
Create step change – establishing a modern, fully-integrated mental health service for Veterans.
2
Achieve excellence – providing effective evidencebased treatments to produce positive, lasting outcomes.
3
Secure funding – creating the right balance between State and charitable funding.
Roll out the first phase of Community Outreach, which is to have 50% of the planned teams fully operational.
2
Build a lasting partnership with the NHS – aiming to establish formal partnership arrangements with at least one NHS commissioning authority in each functioning Community Outreach region.
3
Develop a sound evidence base by capturing assessment, treatment and outcome data electronically on all Veterans in receipt of our care during the relevant reporting period.
4 5
Funding: The ongoing challenge A constant challenge, of course, is to ensure that Combat Stress can continue to fund the increasing levels of provision that are now being demanded of us. One highly positive development, for instance, is that the charity has now completed a year under contract with Government in Scotland. This arrangement has seen a portion of the Hollybush House, Ayrshire treatment centre’s in-patient provision being funded by the Scottish parliament, as is one of our Community Outreach teams in Scotland. At the end of this first 12 months, quarterly monitoring has shown how effective the use of these public funds has been, and we’re hopeful that a similar model may become common practice in other parts of the UK.
Raise £8.93m towards The Enemy Within Appeal target.
Submit National Specialist Commissioning bid with the aim of funding short-stay treatment for Veterans with the most complex needs.
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Successes this financial year During 2009/10 the following success milestones were achieved…
1 2
Strategic partnership established with Ministry of Defence and the Department of Health. J oint partnership with the Royal British Legion in the Department of Health’s ‘Third Sector Strategic Partner Programme’.
3 4 5 6 7 8 9
Successful launch of The Enemy Within Appeal.
Secured media partnership agreement with The Daily Telegraph.
Contract started (1 April 2009) between Scottish Government and Hollybush House. Scottish Government agrees to fund one Community Outreach team in Scotland.
Six Community Outreach teams funded and now fully functioning.
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Increased media coverage (print only) equivalent to £3.5m of advertising. Tyrwhitt House and Audley Court score ‘Excellent’ with The Care Quality Commission. Hollybush House awarded similar rating by The Care Commission for Scotland.
How your support can make a difference…
109.5k
£
Covers the annual cost of a bed in one of our short-stay treatment centres
52.5k
£
Delivers our Community Outreach service nationwide for one week
12.6k
£
Funds a Veteran’s annual treatment and care at one of our short-stay treatment centres
5.4k
£
Funds 12 ‘Just for Us’ support group meetings for partners, carers and loved ones
2.1k
£
Buys a week of diagnosis and assessment at one of our short-stay treatment centres
A Sustainable Future We are constantly thrilled and impressed by the efforts of our supporters to raise money for Combat Stress. Due to increasing demand for our services from; l the growing number of potential Veterans l a desire to intervene earlier l the need to reduce the 14-year time gap, Combat Stress has had to transform its services to make them more responsive, efficient and effective. We are working hard to effect the right balance between State and charitable funding to best meet these needs. Our position in the UK as the focal point for, and leading provider of, Veterans’ mental health services is recognised by the Governments of the UK and Scotland. We are working in partnership with them to shape and deliver the best possible mental health care for Veterans. We also seek to maintain longstanding working partnerships with many Service charities. In particular, the RAF Benevolent Fund, ABF The Soldiers’ Charity and The Royal British Legion who have all made commitments to The Enemy Within Appeal, and Help For Heroes who have funded a £3.5m upgrade of Tyrwhitt House, our short-stay treatment centre in Surrey. In a wider sense we continue to be sincerely thankful and extremely grateful to all of our donors, be they institutional or individuals, but the funding requirement is not diminishing, and without your help we could not be where we are today. It is certain that we will need to continue to ask for your contributions for us to help the Veterans of tomorrow.
Veteran experience: Steve, Iraq After joining the Army at 20, Steve went to Iraq in 2003. One night, in a ‘safe area’ protected by Challenger II battle tanks, he heard an explosion on one of the tanks. Trained as a medic, Steve raced to the burning Challenger and treated two wounded survivors. But two crewmen were still missing. His boots melting, he mounted the burning vehicle and continued to search. But all he found were body parts, which he bundled up in his poncho and took to the field morgue. Later, in Basra, he was again in the wrong place at the wrong time, on this occasion chasing an armed robber. “He stopped and shot at me with his pistol,” says Steve, “but unfortunately for him he wasn’t a particularly good shot, and I was. I hit him four times. The thing that stays in my head is his puppy-dog eyes as I watched him bleeding out.” At first Steve didn’t think these incidents had affected him, but later, on holiday in Greece with the lads, he was suddenly beset by emotions. “It was like waves crashing over me,” he says. “I didn’t know if I wanted to cry, curl up in a ball, or lash out. So I went back to the hotel room and put my fist through the door.” Steve left the Services, but in civilian life things didn’t get much better until, after a fight at work and feeling suicidal, he was offered private counselling with a woman who’d worked with the emergency services. Feeling out of her depth, she put him in touch with Combat Stress.
Steve underwent Eye Movement Desensitisation & Reprocessing (EMDR) therapy, one of the most effective trauma-focussed approaches Combat Stress uses to treat PTSD. Developed in the last 20 years, EMDR often works well with Veterans who have disturbing thoughts, feelings or flashbacks. By inducing rapid eye movement while the patient reflects on the distressing event, its negative associations can be reduced. “It sounds bizarre,” Steve admits. “You think ‘how can that work?’ But it does. I did a 40-minute session for the tank incident and another one a week later for the chap dying at my feet. In under an hour you go from crying, and feeling tight in the chest, to being able to talk about it calmly.” Steve no longer has to visit Combat Stress regularly, and life is good, with a job, a steady relationship and plenty of interests. “You can never be cured,” he says, “because the things you’ve seen and done are there in your head. I like to think of memories as being like books in a library; if I feel the wrong book is falling open I can pick it up, close it and put it back on the shelf.”
“ I like to think of memories as being like books in a library; if I feel the wrong book is falling open I can pick it up, close it and put it back”
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Summarised Financial Statement
RESERVES The Society operates on the basis of a long-term commitment to Veterans. The general reserve at 31 March 2010 was £7,509,000 – equal to 8.4 months expenditure. The trustees are aware that the general reserve is not at the desired level of 18 months, but continue to address this and the operating needs of the Society through prudent financial management.
INCOMING RESOURCES In pursuing the key objective of delivering mental health care to Veterans, the Society raised funds in six major areas.
Clinical & Community Outreach services Donations & events Legacies Service charities Investment income Other
2010 £000s 4,454 5,443 1,170 1,276 195 7 12,545
2009 £000s 4,318 4,489 862 716 362 10 10,757
Income from the Veterans Agency to fund the cost of treatment and travel for qualifying war pensioners is vital to the Society and amounted to £3.1 million (2009: £4.2 million). The Scottish Government contributed £1.2 million (2009: Nil) to the cost of Veterans resident in Scotland attending Hollybush House. Resources expended No. of active Veterans registered No. of new contacts Net increase in active Veterans registered Residential treatment No. of treatment centres No. of admissions for treatment Days of treatment delivered Percentage occupancy Cost of treatment
4,381 1,303 398
3 2,581 24,087 80.5% £7,353,000
40% of the cost of treatment was met from charitable sources after taking account of funding received from the Veterans Agency, the Scottish Government, local authorities and other fees. Community Outreach services Cost of Community Outreach Services No. of regions No. of visits made to all Veterans
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£1,719,000 14 5,900
Designated reserves represent the funds invested in the fixed assets of the Society, and also include funds set aside for specific purposes. Independent Auditors’ statement to the Trustees of the Ex-Services Mental Welfare Society We have examined the summarised financial statements of the Ex-Services Mental Welfare Society. This statement is made solely to the Trustees of the Society, as a body in accordance with the terms of our engagement. Our work has been undertaken so that we might state to the Trustees those matters we have agreed to state to them in this statement, and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the Trustees of the Society for our work, for this statement, or for the opinions we have formed. Respective responsibilities of Trustees and Auditors The Trustees are responsible for preparing the summarised financial statements in accordance with the recommendations of the charity’s Statement of Recommended Practice. Our responsibility is to report to you our opinion on the consistency of the summarised financial statements and Trustees’ Annual Report. We also read the other information contained in the Annual Report and consider the implications for our report if we become aware of any apparent misstatements or material inconsistencies with the summarised financial statements. Basis of opinion We conducted our work in accordance with Bulletin 1999/6 “The auditors’ statement on the summary financial statements”, issued by the Auditing Practices Board for use in the United Kingdom. Opinion In our opinion the summarised financial statements are consistent with the full financial statements and the Trustees’ Annual Report of the Ex-Services Mental Welfare Society for the year ended 31 March 2010. Kingston Smith LLP Chartered Accountants Registered Auditors London
Statement of Financial Activities for the year ended 31 March 2010 Unrestricted Restricted Totals Totals funds funds 2010 2009 £’000s £’000s £’000s £’000s Incoming resources from generated funds: Voluntary income Donations 3,386 3,386 3,631 Legacies 1,170 1,170 862 Service charities 1,276 1,276 716 Capital appeals 1,281 1,281 313 5,832 1,281 7,113 5,522 Activities for generating funds Fundraising events and trading 776 776 545 Investment income 195 195 362 971 971 907 Incoming resources from charitable activities Clinical services 4,442 4,442 4,306 Community Outreach services 12 12 12 4,454 4,454 4,318 Other incoming resources Other income 7 7 10 7 7 10 Total incoming resources 11,264 1,281 12,545 10,757 Resources expended: Activities for generating funds Cost of generating voluntary income Fundraising trading Investment management fees
Balance Sheet at 31 March 2010 2010 2009 £’000s £’000s Fixed assets Tangible assets Investments Current assets Less current liabilities Defined Benefit Pension Scheme Asset/(Liability) Net assets Funds: Unrestricted funds General fund Investment revaluation reserve Defined benefit pension scheme surplus/(deficit) Designated funds Restricted funds Total funds
6,931 5,718 6,122 4,593 13,053 10,311 5,337 4,252 (1,397) (746) (1,088) 178 15,905 13,995
7,509 6,556 948 (1,088) 178 7,584 7,261 952 15,905 13,995
These summarised accounts are not the Society’s statutory accounts and may not contain sufficient information to allow for a full understanding of the financial affairs of the charity. For further information the full annual accounts, the Auditor’s report on these accounts and the Trustees’ annual report should be consulted. Copies of these can be obtained from the Ex-Services Mental Welfare Society, Tyrwhitt House, Oaklawn Road, Leatherhead, Surrey KT22 0BX. RAH Nunneley, Honorary Treasurer Registered Company No 256353 Registered Charity No: England & Wales 206002, Scotland SC038828
923 249 29 1,201
-
Charitable activities Clinical services 6,235 Community Outreach services 1,719 Treatment centre maintenance & improvements 789 8,743 Governance costs 133 Total resources expended 10,077 Net incoming/(outgoing) resources before transfers 1,187 Transfers between funds Net incoming resources/(resources expended) 1,187 Net gains/(losses) on investment assets 1,338 Actuarial (losses) on defined benefit pension scheme (1,567) Net movement in funds 958 Fund balances brought forward at 1 April 13,995 Fund balances carried forward at 31 March 14,953
329 329 329 952 952 952 952
923 249 29 1,201
620 131 27 778
6,235 5,855 1,719 1,240 1,118 1,267 9,072 8,362 133 216 10,406 9,356 2,139 1,401 2,139 1,401 1,338 (930) (1,567) (929) 1,910 (458) 13,995 14,453 15,905 13,995
Incoming resources
£12,545,000 43.4% Donations & events
35.4% 43.4%
35.4% Clinical & Community Outreach services
9.3%
9.3% Legacies
10.2%
10.2% Service charities
0.1% Other
1.6% Legacies
Resources expended
£10,406,000 70.8% Community Outreach services Governance
Clinical services
16.1% 11.5%
Fundraising activities
1.6%
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Patron His Royal Highness The Prince of Wales KG KT
Chairman: Major General Peter Currie CB Honorary Treasurer: Mr Richard Nunneley
We are extremely grateful to all our supporters, including:
GCB OM AK QSO PC ADC
President General Sir Reddy Watt KCB KCVO CBE
Board of Trustees Mr Robert Bieber JP Air Commodore Oliver Delany OBE MBA FCIPD FCMI FBIFM
Vice Presidents Mr Dennis Bailey Air Vice-Marshal Nigel Baldwin CB CBE General Sir Edward Burgess KCB OBE Lieutenant General Sir Roderick CordySimpson KBE CB Air Chief Marshal Sir David Cousins KCB AFC Vice Admiral Sir Geoffrey Dalton KCB Commander The Lord Effingham RN Dr Charles Goodson-Wickes DL Brigadier Charles Grant OBE General Sir Charles Huxtable KCB CBE Lieutenant General Sir John Kiszely KCB MC Dr Paddy Linehan MD BCh FRCGP MRCS DCH D(Obst) RCOG
Air Marshal Ian Macfadyen CB OBE FRAeS RAF The Lord Moonie Surgeon Captain Morgan O’Connell RN FRCPsych
The Rt. Hon. Sir Malcolm Rifkind KCMG QC Derek Twigg MP Major General Sir Evelyn Webb-Carter KCVO OBE
Air Marshal Sir Robert Wright KBE AFC FRAeS FCMI
His Grace The Duke of Westminster KG CB OBE TD DL
Mrs June Dromgoole Mrs Jenny Green OBE Ms Helen Pernelet Mr Adrian Pollitt OBE Mr Trevor Royle MA FRSE Mrs Christine Sterba Dr Suzy Walton BSc MSc PhD CDir CPsychol CSci AFBPsP FRSA
Colonel Robert Ward RM Professor Simon Wessely MA BM BCh MSc MD FRCP FRPsych F Med Sci
Executive Team Chief Executive: Wing Commander David Hill
MSc BSc (Hons)
RMN FInstLM RAF (Retd)
Director Finance & Administration: Mr Ray Salmons MSc FCIS Director Medical Services: Wing Commander Walter Busuttil MB ChB MPhil MRCGP MRCPsych
Director Strategy Policy & Performance: Lieutenant Colonel Peter Poole MBE Director Fundraising & Communications: Mr Robert Marsh BSc MSc Director of Operations: Mrs Paula Smyth Deputy Director Human Resources: Miss Natalie Styles MSc MCIPD
Combat Stress, Tyrwhitt House, Oaklawn Road, Leatherhead, Surrey KT22 0BX Registered Charity Number: 206002 Charity Number Scotland: SC 038828 Company limited by guarantee: Registration Number 256353
www.combatstress.org.uk
01372 587000