Annual Report 2017 — 2018
Our Mission and Vision Our Mission is… To be the leading voluntary organisation in the North West providing advice and information about assistive technology (equipment and products) to help disabled and older people make more informed choices which enables easier, safer and more independent living. Our Vision is… To work for a society where disabled people and their families and carers can achieve optimum independence and self determination.
President’s Message Our 120th anniversary celebration and my Shrieval Year both straddled across 2017 and 2018. This allowed me the opportunity to work with the Disabled Living team at a number of meaningful events, literally wearing my High Sheriff’s hat! One of the events was Kidz to Adultz North at EventCity last November. What a fabulous day and what amazing people I met; exhibitors, sponsors and volunteers. The kids were a joy and my ceremonial sword was, as usual, an instant attraction! We are justly proud of our 120 year history and the launch of a permanent display at Redbank House dedicated to Disabled Living’s heritage was another memorable highlight. My year as High Sheriff was fun, sometimes exhilarating, educational and inspirational. It was a privilege to see, at first hand, the pride, passion, determination, diversity, tremendous good will and community spirit of Greater Manchester. It is what makes Greater Manchester great. It was an amazingly busy year and I couldn’t have done it without team work and the support of many people. Disabled Living, one of the longest standing charities in Manchester, is another perfect illustration of what makes Greater Manchester great and of what we can achieve when we all work together – the Board, the Management Team, the staff and the invaluable volunteers – to help real people with real needs, a task that is so incredibly worthwhile. Disabled Living’s sustained financial success over the last few years has allowed us to continually grow, to adapt and to strive to provide the very best and most up to date services, advice and support that we can.
Kui Man Gerry Yeung OBE DL—President
Chairman's Message For any organisation, no matter what sector they operate in, to survive for over 120 years is a remarkable achievement. Changes in legislation, perceptions, client requirements and technology to name a few, can cause many challenges. Anyone who has seen the series of short films, made as part of the exhibition entitled “From Donkeys to Innovators� can appreciate the many changes Disabled Living has made over the last 120 years to ensure it is able to continue to meet its objectives, not least of which is to provide help and assistance to both children and adults with disabilities. If you haven’t had a chance yet to see the films, they are still available on the website - https://www.disabledliving.co.uk/from-donkeys-to-innovators-120-years/ They make fascinating viewing and the message that clearly comes across is the gratitude, respect and warmth shown to the staff of Disabled Living by the numerous people interviewed in the films. The project would not have been possible without the support of the Heritage Lottery Fund. The launch in April was attended by the Lord Mayor of Manchester and the Ceremonial Mayor of the City of Salford as well as service users, some of whom can remember Disabled Living from over 70 years ago. A big thank you must go to everyone who attended or worked extremely hard to put the event on. I now enter my 11th year with Disabled Living and in that comparatively short time, I have seen the organisation move from one that was perilously close to closure to one that is now able to look forward to the next 120 years with optimism, enthusiasm and excitement, supported by a strong financial platform. None of this would have been possible without the supreme efforts of Debra Evans and her team, including the fantastic volunteers. It is an honour to be a small part of them and they deserve the biggest thank you of all. As always, I must thank our professional advisors, Lloyd Piggott and the trustees who give up a lot of their time and provide invaluable assistance to Debra. For a number of years now I have asked you all to consider joining Disabled Living as a trustee. Our recruitment drive has met with some success, but we are always looking to increase our numbers. Over the next 120 years there will be substantial changes to be made and problems to be solved. I have no doubt Disabled Living is more than capable of dealing with them all. It is fascinating to try and imagine what the Chairman in 2138 will be including in their report. I am sure they will be reporting continued success.
Dean Styger FCMA - Chairman
Chief Executive’s Report It has been an amazing year for Disabled Living as we celebrated 120 years of providing services. With a grant from the Heritage Lottery Fund (HLF) we were able to embark on a number of projects which highlighted the charity’s history, brought people together and most importantly ensured our current and future archive material will be preserved for future years. You will read more about our work with the HLF project later. As I have reported for many years, and this year is no exception, statutory sector services continue to face many challenges to support their clients who require health and social care services. With longer waiting lists and diminishing budgets, the demand for Disabled Living services increases. This year there has been a noticeable increase in ‘return clients’, not because their initial queries have not been dealt with, but because they can access some of our services immediately and others in a very short time frame, making our service provision more flexible. With the diverse knowledge and experience of our dedicated staff, together with how the team are positioned in the working environment provides the opportunity to deliver the most comprehensive advice to our clients. The information we provide which potentially prevents unscheduled admission to acute services or reduces people accessing statutory services is immeasurable for our organisation. However, what is measurable is the consistent gratitude we receive from clients and their families, together with the high volume of ‘very good to excellent’ in our evaluation processes. We continue to be mindful of gaps in our skill set and how this can impact on the development of our services. Initially, through our team ‘Away Days’ and Manager’s audits we have considered the transferable skills of our team and with re-organisation of roles and responsibilities, together with partnerships to outsource expertise we continue to move forward with our long term strategy. The year has not been without its challenges, some IT related projects have not gone to plan, having an impact on the development of our services. Linked to the successful implementation of the projects outcomes was the potential to reduce costs and be more efficient with staff time. Although we have not achieved our goal this year, it has made the teams more determined to find a solution and this we will do in the coming year. I would like to take this opportunity to thank all the staff, trustees, our partners and volunteers for the support they have given over the past year.
Debra Evans, Chief Executive
Equipz Equipz is Disabled Living’s service which provides occupational therapy, environmental and assistive technology assessments, together with information and advice relating to equipment and services. Our team comprises, of occupational therapists, moving and handling specialists, physiotherapists, nurses, trusted assessors and knowledgeable information co-ordinators. The team respond to enquiries throughout the UK primarily via the helpline, and provide free equipment assessments for people who can visit the Disabled Living Centre. Our services are accessed by the general public, professionals and commercial colleagues. Besides providing support to the general public, our team equally support health and social care professionals who have reached a brick wall in providing that practical solution for their clients. They look to the team who have the enviable reputation for their knowledge of information on the newest equipment in the assistive technology market. Our commercial colleagues have booked the weekly product demonstration slots at the Disabled Living Centre months in advance to be sure our team, through word of mouth, social media, newsletters and training can cascade the information to a wider audience.
During the past year the Equipz team have been working with MMU to provide an alternative to the conventional occupational therapy assessment process for equipment. The project named and trade marked RROTA – ‘Real-time Remote Occupational Therapy Assessment’ has come a long way in the past year. MMU have provided their IT expertise to ensure the assessment process can capture all the relevant information whilst ensuring face to face contact with the client, offering a very personal service. As our team have ‘soft tested’ the assessment tool at each stage of its development, we were
conscious of the need to implement a more formal robust evaluation and research programme and have partnered with the University of Salford to deliver this aspect of the project.
The aim of this project is to develop a way of making life easier for individuals, their carers and families, supporting them to remain independent at home and to reduce waiting times for occupational therapy assessments. By introducing a completely new concept we hope to develop the next generation of assessment techniques and tools to improve the individual patient experience and significantly reduce waiting times. In addition, there is no reason why the RROTA system cannot be used seven days a week over a 24 hour period, if that is what is required. RROTA has its limitations, it will not be suitable for all people, nor has it been developed to replace traditional occupational therapy assessments. Our wider team can see the tremendous opportunities RROTA can provide to work alongside existing assessment processes and to support the prevention agenda, enabling more time and resources for occupational therapists to support clients with more complex needs. The team continue with their assessment contracts and it should be highlighted they also provide the clinical expertise for delivering our training programme.
Bladder & Bowel UK Bladder and Bowel UK (BBUK) is the only charitable service in the UK supporting adults and children with bladder and bowel problems. Our helpline, managed by specialist nurses and knowledgeable information co-ordinators also provides support to health and social care professionals. The number of calls to the helpline continues to rise, with a notable increase in their complexity. The team work at the highest levels to influence the day to day changes we see in our local services. BBUK have representation on the Royal College of Nursing (RCN) Continence Forum Committee which supports nurses with education and guidance in clinical practice. Their work with NICE and NHS England continues, with all members of the team contributing their expert knowledge in order to support best practice. The changing role of the School Nurse and Health Visitor has resulted in, not only a national reduction in service provision for children with continence problems, but also in some cases, no service at all. This has made the work of BBUK’s National Project supported by Ferring Pharmaceuticals even more important in supporting service development and the implementation of NICE Guidelines and Quality Standards. Working nationally support has been provided to more than twenty CCG’s to help develop or improve community based services for children and young people with bladder and bowel problems and training has been given to over 1,200 health care professionals.
Bladder and Bowel UK have been commissioned to help transform services for children and young people with bladder and bowel problems across the whole of Northern Ireland. The aim of the project is to ensure equality and best practice across all Health Boards and to support the development of integrated paediatric continence services and the implementation of NICE
Guidelines and Quality Standards.
The team deliver a wide range of bespoke training programmes throughout the UK to the statutory, private and commercial sectors, in addition to the annual training programmes delivered in Manchester. The Paediatric and Bowel Care Special Interest Groups reached maximum delegate numbers again with the National Continence Symposium over-subscribed with 161 delegates, 35 exhibitors and a waiting list! The Symposium programme is rated as excellent with eminent speakers from around the UK, which this year included Ms Margaret Little, Consultant Urological Surgeon, Mid Cheshire Hospital NHS Foundation Trust, speaking about Male Lower Tract Symptoms, Bridget Collins, Lead Nurse at St Mark’s Hospital, London talking about Constipation and Faecal Incontinence and a thought provoking session delivered by Lauren Tulley, Principal Lawyer, Slater & Gordon (UK) LLP entitled The Law and the Nurse.
BBUK’s work with our commercial colleagues continues to increase with projects this year including work with LUCID to develop a new innovative biofeedback device. A project with Dry Like Me, investigating the European market and exploring product provision for children and young people and the development of a booklet relating to catheter care for Teleflex.
Training It has been a busy year for our highly regarded training team with 6142 people attending courses, seminars and workshops.
numbers of Trusted Assessors at their workplace locations or at Disabled Living premises. We have increased the number of courses delivered by 65%.
We continue with our strategy as highlighted last year, to concentrate on delivering mandatory training courses, particularly those related to moving and handling. This strategy has undoubtedly been key to the increase in the number of courses being delivered. Over the past year Disabled Living has been working alongside The Gaddum Centre and Manchester Carers Network to deliver short, informal moving and handling sessions for unpaid carers and families across Manchester. The sessions began with small groups of people attending Redbank House, Disabled Living’s Health & Social Care Hub for practical training on the basic principles of moving and handling. This pilot project has now developed into our training team visiting various carers groups across the City to deliver these sessions which have proved to be extremely popular. Very often families are caring for their relatives with no formal training on how to keep themselves and their loved ones safe when moving them. The sessions have highlighted many instances of controversial techniques being used putting people at risk. Unfortunately, funding limitations prevent these families from accessing adequate training so the project to develop a learning programme for families and carers with The Gaddum Centre has been invaluable. Over the next year we will be delivering regular sessions and introduce more people across Manchester to Disabled Living and the wider services we provide.
New to the training diary this year, was a Dementia workshop during which delegates experienced an eye opening and disturbing virtual experience which brought home the realities of living with Dementia. This practical element was delivered in association with Virtual Dementia Tours UK.
Disabled Living is credited with providing excellent, high quality training at affordable prices. The team work with commissioners and training leads to develop bespoke and unique Open Awards accredited training programmes to address challenges and unmet needs.
We continue to forge great relationships with many of the local authorities and NHS partners in the North West and have been training large
Kidz to Adultz Exhibitions 2017 was another very exciting and busy year for The Kidz Team - a year when Disabled Living was extremely proud to be celebrating 120 years of delivering services. This momentous occasion was celebrated at all four Kidz to Adultz events held in various locations around the UK throughout the year, namely Reading, Edinburgh, Manchester and Coventry. Unfortunately, we were unable to deliver an event in Wales this year as there was not a venue large enough with the accessibility our visitors require. Throughout the year we welcomed 11,002 visitors to the exhibitions, professionals from the statutory and private sector, parents with families and grandparents, carers and of course the children and young adults with disabilities and additional needs. By attending these events visitors were able to access the most up to date information on equipment, products and services and much more.
The ‘Funding Point’ continues to be a very popular area, particularly in view of the continued budget constraints within the statutory sector. Here visitors were able to access information on alternative funding streams for equipment, adaptations, holidays, respite breaks and much more. This year we established ‘The Disabled Living Innovation Hub’ in association with Lucid at Kidz to Adultz North, here children, young adults and their parents were able to have their say on what equipment they would like for the future. This pilot project was so well received we have now established a partnership with the charity Remap to bring the Innovation Hub to all our Kidz to Adultz events.
Our work does not stop at the end of each event! The team at Disabled Living continue to support visitors from the events through our helpline and online resources such as the Supplier Directory.
3033 visitors were also able to boost their continued professional development by attending the diverse programme of free, accredited seminars which ran alongside each exhibition. These presentations were delivered by expert speakers in their field who were also on hand throughout the day to answer any further questions from our visitors. With almost 500 exhibitors (commercial, service organisations and third sector) these events are collectively considered the largest UK exhibitions totally dedicated to children and young adults with disabilities and additional needs, their parents, carers and the professionals who support them.
Looking to the future we have some very exciting plans and projects in the pipeline. After ten very successful years of holding Kidz to Adultz South at the Rivermead Leisure Complex in Reading, we will relocate in 2018 to the new, much larger and very prestigious Farnborough International Exhibition & Conference Centre. Relocating this event will enable us to meet demand in terms of facilities and space to accommodate both our visitors and a large reserve list of exhibitors. Kidz to Adultz Wales & West will be a new addition to our events portfolio during 2018 and will be held at Thornbury Leisure Centre in Bristol. This event offers much easier access for visitors from South Gloucestershire, South Wales, and much further afield - as well as other areas of the South West Coast.
Redbank House Throughout the year, Redbank House Health and Social Care Hub was the focus of the ‘Donkeys to Innovators’ project. We saw the installation and launch of our 120 year time line and hosted various activities related to the Heritage Lottery funded project, including two events for people with dementia and their carers. The themed 1940’s and 1950’s afternoon tea parties provided the opportunity to recreate nostalgia and trigger the memories of our guests. With the most fabulous entertainment provided by the Daisy Belles and the opportunity to eat lots of cakes, our guests and staff had a wonderful time. These social events will continue after the HLF project has finished.
The demand on Redbank House facilities increases year on year, with our excellent training and meeting room facilities welcoming over 10,000 visitors during this financial year. We are delighted to announce 41% of this years clients have been new organisations hosting training and events at our vibrant facilities. Our new clients include Elite Dynamics, Pathways Associates, 3M Healthcare, Greater Manchester Youth Network, IPSEA and the National Childbirth Trust. Redbank House is a hive of activity, with events ranging from multi-sensory technology and ideas, legal training for parents and carers, filmmaking, social media and coaching workshops. Our testimonials say it all....... “I think Redbank House is a truly superb training venue, with wonderful, friendly staff! Highly recommended.” Clark Baim, National Probation Service. “Lunch was great. I would recommend this venue. Lovely space and great team to help.” National Childbirth Trust
The facilities at Redbank House have been used extensively to support the delivery of Donkeys to Innovators including open days, digitising archives and volunteer training. In addition, our flexible space became a studio to capture memories of people who had received services from Disabled Living over the years or who could provide information about our heritage. If this wasn’t enough, we do have to highlight a film that was made by a number of enthusiastic young people with disabilities who had free reign of Redbank House and its contents to make a film which highlighted their aspirations for the future whilst interviewing older people with disabilities and reflecting on how times have changed.
“Staff were really helpful all the time and were very fast replying to all of my emails prior to the date. The facilities were also great and accommodating for our training.” Amaia Perez, Brompton Bicycle Ltd The private multi-sensory rooms at Redbank House offers a unique space where clients can relax and enjoy the calming experience; this includes pieces of equipment to help clients experiment with visualisation and interaction. This year we provided 2512 sessions to our clients, many of which have been coming to the sensory rooms for over ten years. Evidence suggests the sensory environment offers wide benefits for clients including those with challenging behaviour and dementia. Angela Kirk from De Brooke Lodge Care Home stated ‘our service users Margaret and Angela who suffer from Dementia, thoroughly enjoy their sessions in the sensory rooms. Margaret said “I feel like a child again, I love it!”. This year we are delighted to welcome a new tenant to Redbank House -The Shaw Centre. The Shaw Centre was founded over 30 years ago and provides a day care service for 111 adults with learning disabilities.
Donkeys to Innovators Disabled Living was awarded a grant of £58,400 from the Heritage Lottery Fund for our ‘Donkeys to Innovators: 120 years of Disabled Living project. ‘ Almost immediately our staff and PR colleagues put out a call for anybody who had received services from Disabled Living in the past. We were particularly interested in people who accessed the charities services at White Heather and Tan-Y-Bryn in North Wales and the Children’s Orthopaedic Hospital in Marple. The information we were to gather would form the foundations for a film. The celebrations commenced in June with a 1940’s themed afternoon tea dance for people with dementia. A further tea dance was arranged later in the year with a 1950’s theme. At our Kidz to Adultz North exhibition held annually at EventCity, Manchester we wanted to recreate as many elements linked to our heritage as possible. The charity was founded initially as ‘The Band of Kindness’ to teach children to be kind to donkeys – so we had donkeys at our exhibition. In our archives we found an album of original Christmas cards from 1897 to 1939 which the charity placed in hamper bags and distributed throughout Greater Manchester, initially to disabled children and later adults. The hampers contained toys, food, clothing and books. To recreate aspects of our heritage, we ran a competition to design a Christmas card and the lucky winner received a hamper of goodies. The charity, in the early days provided equipment, so we showcased a number of old ‘disability’ vehicles and very old equipment. Filming had been underway from the commencement of the project to capture our heritage, with two of the films being showcased on the Disabled Living stand. With the support of an archivist, staff and volunteers were given training on how to catalogue and digitise all our existing archives and those for the future. As our reach to people has extended so has our archive material, with people sharing their photographs and other documents with us.
Workshops were introduced for staff and volunteers around filming and oral histories, enabling the team to gain the skills to produce short films. There were four films produced – one about the early history, two about people who had accessed services in the 1940’s – 1960’s and the final one filmed over two weekends with young people. This film focused on workshops to build their confidence and skills in front of and behind the camera, script writing, interviewing skills, deciding on content, using the camera and editing. They produced a film which was screened at the launch of the exhibition. The exhibition to showcase the permanent time-line which is on display at Redbank House was launched in April and provided an opportunity for all those involved in the project to come together to share their experiences. For the people involved in the films it was the first time they had met with people who had experienced similar circumstances as them as a child – being away from their families for many months and in some cases years. There were two events held in Marple and Abergele, North Wales to try to capture further heritage, memories and archive material, as the local community were very involved with the services of ‘The Cripples Help Society’, as it was known then. In addition, display materials relating to the Donkeys to Innovators project were on display at Central Library. Disabled Living archive materials will be deposited at Archives + in Central Library early next year for safe keeping. Although the HLF project has come to an end, in many ways it is only the beginning as people continue to contact us with their memories. During this project the team at Disabled Living have met the most amazing people with incredible and emotional stories to tell. It has been a pleasure for all our staff to work with people in the normal course of our day to day work we would not have come in contact with.
120 Years of Disabled Living
1940’s Tea Dance for People with Dementia
Digitising and Preserving our Heritage for the Future
Archives Dating Back to the Early 1900’s
Donkeys to Innovators
Children & Young People’s Christmas Card Competition Winner Izzy Peacock
Recreating Aspects of Disabled Living’s Heritage at Kidz to Adultz North 2017. You can’t have a celebration without a cake!
120 Years of Disabled Living
Filmmaking
Launch of the Permanent Exhibition to Celebrate 120 Years of Service Redbank House
Donkeys to Innovators
1950’s Tea Dance: Older People and their Carers
Open Day at Marple Local History Society
Open Day at Gwrych Castle, Abergele, North Wales
Partnerships Our longstanding partnerships continue, of which there are many including Salford Royal NHS Foundation Trust, University Hospital of South Manchester NHS Foundation Trust and Ableworld. This year we have formed several new partnerships including one with Complete Care Shop to provide our online shopping facility, making the purchase of equipment accessible to people throughout the UK, especially in rural areas.
Our social media strategy has been key to raising the profile of Disabled Living and has contributed to income generation by marketing the services we offer, such as the online shop and supplier directory. Our increased social media presence has helped Disabled Living earn a place as a Top Ten Disability Blogger.
We have totally re-designed our monthly enewsletters to make them more professional and appealing to our audience. With over 75,000 people regularly receiving our newsletter, it offers our commercial colleagues with an ideal platform to market their products. Overall, we have in excess of over 105,000 people on Disabled Living databases.
Volunteers We were delighted that Disabled Living volunteers were acknowledged and presented with a High Sheriff’s Award Certificate in recognition of their valuable contribution to services which have enhanced the life of the Greater Manchester Community. Steve Robinson from the Royal Bank of Scotland and Anne Morris from The League of Jewish Women attended the event on behalf of all our volunteers.
disabilities interviewed some of the Trustees for one of the HLF films. I would like to take this opportunity to thank David Edmondson, who has been our volunteer co-ordinator for over 15 years who will be leaving us at the end of the year.
I would like to highlight the work of Disabled Living’s Trustees who are also volunteers. Our Trustees have in-depth knowledge and experience in their field which they willingly share to support the strategic vision for our organisation. Our Trustees are involved in many of the charities projects and this year has been no exception as some young people with
Year Ahead The development of RROTA will continue this year so we can use the assessment tool for the clients who contact Disabled Living and this will form the pilot project. Running alongside will be the development of a business plan to consider a commercial strategy and the engagement of a statutory sector service to pilot the initiative in the wider market. The Kidz to Adultz exhibitions will develop within the long term strategy to expand our offering to young disabled adults. Many of the children who visited the events in the early days still visit today and we want to ensure we can provide the information and advice they require. We will launch a Kidz to Adultz hard copy magazine at Kidz to Adultz North in November, which will then be distributed as an e magazine to our databases. It is anticipated a magazine will be produced for each subsequent event, providing additional income from advertising revenue. We are often asked by people why they have not heard of Disabled Living and the services we provide, therefore we will embark on a marketing
campaign to highlight the diverse services we offer enabling people to make an informed choice. To support this objective we will commission a series of short films which showcase our services and will sit on our website. We will invest in IT in order to ensure our services are as efficient as they possibly can be. With Disabled Living providing increasing services outside of the North West it is essential our clients around the UK have good quality access to what we can offer and to ensure our systems are secure. We look forward to an eventful year.
Finance I am delighted to report another year of excellent financial performance with total income up 9%. Although income from trading activities was reduced compared to the previous year due to not being able to hold a Kidz to Adultz event in Wales, this was more than compensated for by the receipt of extraordinary legacy income of £141,646. This meant that Disabled Living was able to maintain spending on charitable services to its beneficiaries at a similar level to last year. A surplus of £116,225 was generated and the net worth of the organisation increased to over £1.766M. Whilst most of this figure is seen in the value of the building and other fixed assets, it is pleasing to see that cash balances have increased to almost £450,000 at the year-end, which serves to increase resilience against the financial risks faced by Disabled Living The challenge again for the current financial year will be to continue to grow all income streams whilst ensuring costs are controlled in order to maximise delivery of our charitable services.
Paula Brown FIFS – Honorary Treasurer
Finance
This is an extract from the full accounts, please contact Disabled Living for a full copy, if required.
Finance
This is an extract from the full accounts, please contact Disabled Living for a full copy, if required.
Throughout the year we have been supported by many friends and colleagues too numerous to mention; but a special thank you must go to: A Naughton Arthur Patchett—Autumn UK
Manchester City FC Supporters Club
B Braun
Manchester District Iron, Steel & Allied Trade Bowling Club
Sir CDR Rose
Newlife
Disabled Living Volunteers (too numerous to mention)
P Webster
Ferring Pharmaceuticals Ford & Barley Exhibitions Gerry Yeung GTC Management Helen Larkin MBE.DSG.DL Heritage Lottery Fund J.C Backhouse
P Robinson Reverend Canon Robbie Canavan
Disabled Living would like to acknowledge the following, who very kindly specified a bequest to the organisation in their wills:
A McNally I Bell J H MacFarlane J Kay M D Fenton M Hattersley R Baxendale R Devereux R E Jones W J Cripps
Royal Bank of Scotland Employees Ruth Diamond Sambro International Slater and Gordon Solicitors
K Evans League of Jewish Women Lloyd Piggott Ltd Lorraine Worsley-Carter M Woodiwiss
Disabled Living, Burrows House, 10 Priestley Rd, Wardley Industrial Estate, Worsley, Manchester, M28 2LY Tel: 0161 607 8200 Fax: 0161 607 8201 Email: info@disabledliving.co.uk Website: www.disabledliving.co.uk Established in 1897, Disabled Living is a Registered Charity No 224742