SUMMARY REPORT ABM University Health Board Health Board 24 TH NOVEMBER 2016 AGENDA ITEM: 5 (i) Subject Prepared by Approved & Presented by Purpose Voluntary Sector Funding Joanne Abbott-Davies, Asst Director of Strategy & Partnerships Siân Harrop-Griffiths, Director of Strategy Alex Howells, Chief Operating Officer This report aims to update the Board on the funding which has been made available to the voluntary sector in 2016-17, outline the range of projects which have been supported as a result and update the Board on progress with the preparation of the Strategic Framework between the Health Board and the voluntary sector as requested by the Board. Corporate Objectives Excellent Population Health Excellent Population Outcomes Sustainable & Accessible Services Strong Partnerships Decision Approval Information Other Excellent People X Effective Governance X X X X X Executive Summary Key Recommendations Note the services which have been funded via the Health Board s SLAs, the Changing for the Better Large Grant and Small Grant Schemes. Note the positive continued and strengthened partnerships with the voluntary sector which the Health Board continues to develop, in particular through the co-productive approach being taken to the development of the Strategic Framework between the Health Board and the sector and the timescales for this. For 2015-17 confirm that the voluntary sector SLAs will not be subject to any CIPs or receive any inflationary uplift.
MAIN REPORT ABM University Health Board Health Board 24 th November 2016 AGENDA ITEM: 5 (i) Subject Prepared by Approved & Presented by Voluntary Sector Funding Joanne Abbott-Davies, Assistant Director of Strategy & Partnerships Siân Harrop-Griffiths, Director of Strategy Alex Howells, Chief Operating Officer 1. PURPOSE This report aims to update the Board on how relationships with the voluntary sector have been developing, outlines the funding which has been made available to the voluntary sector in 2016-17 and details the range of projects which have been supported as a result. The paper also explains the co-productive approach being taken between the Board and the sector to develop a new strategic framework which will underpin a positive, secure and ambitious relationship between us and the sector now and for the future. 2. BACKGROUND The Health Board will remember that since 2010 work has been underway with the voluntary sector to review the existing service level agreements in place and identify what further work was required to improve relationships with the Board. Since then the Board s relationship with the sector has developed significantly and notable progress has been made which is outlined later in this report. 3. PROGRESS TO DATE Annually the Board receives a report outlining progress regarding the development of relationships with the voluntary sector and an update on Health Board funding for the sector. This report aims to update the Board on progress achieved to date in partnership with the voluntary sector, including: Involvement of the sector in all Changing for the Better strategic development events and as a matter of course in the Health Board s wide range of service planning mechanisms Regular two-way dialogue with the sector through the Regional Third Sector Health, Social Care and Wellbeing Network, with the Network being a standard engagement mechanism used by the Health Board regarding planning and service change Establishment of a selection process for the sector to nominate and elect representatives to sit on the Health Board s Commissioning Boards, strategic planning groups and Stakeholder Reference Group to ensure that representatives are there to express the views from the sector, feeding back via the Regional Network, not individual organisations Establishment of standardised Service Level Agreement (SLA) documentation and review processes across the whole Health Board; Stabilising funding for the sector by moving SLAs from short-term annual basis with late notice of funding decisions towards standard 3-year SLAs with good notice of funding decisions being given
Establishment of a fair and open process for handling the SLA review process including regular dialogue with the voluntary sector collectively as well as with individual organisations Development of standardised approach for reviewing the SLAs in a systematic and strategic way across the whole Health Board Reviewing each SLA against Health Board strategic priorities and realigning services where necessary in agreement with the voluntary organisations. Decommissioning of services where the needs of patients / carers had changed, where services weren t aligned with the Board s strategic priorities or value for money was not being achieved Agreeing that monies being allocated by the Health Board for the voluntary sector should be ring-fenced for the sector going forward Utilising monies freed up by decommissioning services to establish the Changing for the Better Large Grant Scheme which encourages voluntary sector organisations to put forward funding proposals for up to a 3 year period for projects which contribute to the Health Board s aims and objectives Agreeing with the Charitable Funds Committee that a small grants scheme can be established to support the voluntary sector with non-recurring costs. Developing a transparent process and timescales for how commissioning of future services from the voluntary sector should occur, including ensuring that services can respond quickly in future where opportunities for additional funding are identified Simplifying the arrangements for commissioning voluntary sector services so that these demonstrate effectiveness, good governance and value for money, this process is now being utilized by GP Clusters as the basis of commissioning additional services for their populations Attached as Appendices A C are reports outlining the way in which the Health Board funding for the Changing for the Better Small and Large Grants Schemes has been utilised, outlining the range and impact of these schemes. A number of these projects involve those to support people with sensory loss, and as November is It Makes Sense Sensory Loss Awareness month a short video and some experiences from patients using a few of these services will form the patient experience story for the Board to provide a focus on this. 4. OUTSTANDING ISSUES 4.1 Strategic Framework The Board when considering its approach to procurement for the voluntary sector earlier in 2016 requested that a Strategic Framework be developed with the sector which would clearly outline how the Health Board will look to work in partnership with the sector strategically going forward, and therefore reducing the uncertainty involved in taking a different approach to procurement of services from the sector. To prepare for this work a literature review has been carried out of similar frameworks elsewhere across the UK to ensure that best practice can be incorporated into the ABMU framework. The work done by Welsh Government and local government on Third Sector Schemes has also been analysed.
At the May meeting of the Regional Third Sector Health, Social Care and Wellbeing Forum it was agreed that the sector wanted to co-produce the framework rather than it being developed by the Health Board for input. As a result a workshop was held on 16 th August 2016 with a wide range of members of the forum. The discussion at the workshop and the notes were then used to develop specific timelines and discussion themes along with the literature review to discuss key components of the strategic framework. It was agreed that there should be four main chapters focusing on: Engagement and Relationships Service Delivery & Transformation Funding Volunteering A further detailed discussion was held at the Regional Third Sector Network on 12 th October 2016 which further developed and clarified the aspects within the funding and service delivery aspects. The draft Strategic Framework is therefore being produced for engagement within the Health Board and with partner organisations during November / December so that an amended version can be submitted to the Health Board for approval at its meeting in January 2017. This document will need to be iterative and will require further ongoing work to maximise its impact and further improve the relationships between the Health Board and the voluntary sector. 4.2 Funding Each year the Board agrees the approach to funding for the voluntary sector SLAs in the following year so that the relevant organisations are aware of this in advance and can plan for it. As a result the Board is asked to consider whether they will continue to adopt the approach they have used in previous years, namely that voluntary sector SLAs will not receive an inflationary uplift, but equally will not have a cost improvement target levied against them. 5. RECOMMENDATIONS The Health Board is asked to: Note the services which have been funded via the Health Board s SLAs, the Changing for the Better Large Grant and Small Grant Schemes. Note the positive continued and strengthened partnerships with the voluntary sector which the Health Board continues to develop, in particular through the coproductive approach being taken to the development of the Strategic Framework between the Health Board and the sector and the timescales for this. For 2016-17 confirm that the voluntary sector SLAs will not be subject to any CIPs or receive any inflationary uplift.
Changing for the Better Small Grant Scheme 2015-2016 Appendix A Purpose of the Report This report aims to provide an update on the outcome of the Changing for the Better Small Grant Scheme for 2015-16. Background A total of 56,000 was made available under the small grants scheme (Changing for the Better Small Grant Scheme) utilising funding from ABMU Charitable Funds. An additional 7,101.60 was made available from a previous under spend in the Charitable Funds. The Grant Scheme was open to voluntary and community groups for activities, facilities and services that were of benefit to people living in Swansea, Neath Port Talbot or Bridgend. Funded Projects 20 projects were awarded funding (a total of 62,288.43) from the Changing for the Better Small Grant Scheme. All organisations have now completed an end of grant report form and provided evidence of spend. The below is a summary of the outcomes of the funding, which are listed alphabetically by organisation for ease of reference: Age Connects Morgannwg (received 3,000) The grant was used to expand the nail cutting service into two new areas of Bridgend County these included Porthcawl and Maesteg. The nail cutting service was available to predominately older people but was available to anyone who wished to use this over the age of 18 who had difficulty cutting their own nails due to mobility problems or cognitive impairments. 380 people have benefitted from the service. Age Cymru Afan Nedd (received 2,950) The grant was used to introduce an afternoon tea dance. This enabled older people to participate in the Age Cymru Afan Nedd social activities including lunch time meals. Autism Spectrum Disorder Employment Support (ASDES) (received 6,000) The grant enabled the project to deliver a crèche to support parent/carers whose children have been newly diagnosed with Autism Spectrum Disorder to attend the invaluable Next Steps programme. Bridgend County Care & Repair ( 1,101.60) The grant was used to deliver a comprehensive Integrated Falls Training Project to a range of third sector organisations as well as support workers and carers across Bridgend County Borough. 1
Bridge Mentoring Plus (received 2,622.54) The Grant enabled the Project to purchase resources to enable 8 week healthy lifestyle courses to be run throughout the community. This included Exercise, food, health and safety, first aid, mental health, etc. Briton Ferry Health and Wellbeing Group (received 2,200) The grant was used to run weekly low level classes to individuals 60+ which included Tai Chi and Yoga. The classes enabled citizens to remain active, both physically and emotionally improving their confidence and independence whilst also acting as a social activity which reduced some people s isolation. 44 people accessed the sessions. Cardiff Institute for the Blind (received 4,610) The grant was used to engage blind and partially sighted people in a sensory garden project and give them the skills to grow and cook their own food. This was an accredited course. The project provided opportunities for participants to meet other people and form new friendships, combating the isolation and social exclusion that often accompanies sight loss. Cancer Information and Support (CISS) (received 2,500) The grant allowed CISS to employ a qualified outreach officer to work within the Bridgend County to support those affected by cancer where there was currently no service provision from CISS. Cardiff Concern Counselling Service (received 3,000) The grant was used within the Afan Valley to deliver 12 hours of counselling per week. The funding enabled the counsellors to work with 57 people in total including 27 of whom had a disability, 30 who were experiencing ill mental health and out of the 57, 15 had bereavement/suicidal issues. The project has also supported individuals with their confidence, employment, debt and family breakdowns. Cruse bereavement Care (received 6,000) The funding was used to enhance the bereavement pathway for families and friends who have experienced bereavement with the Morriston Hospital Emergency Department (ED). Cruse provided ongoing training to the British Red Cross Volunteers and staff and also the NHS staff within the ED. The project has improved the patient experience with the ED and has improved volunteer and staff skills. The Food Shed (received 6,000) The funding was used to support the pilot of a meal delivery service for older vulnerable adults across the ABMU footprint. The project developed a partnership with Parc Prison to carefully select prisoners to prepare and cook meals for the service. The project also integrated health promotion initiatives and education to the individuals they provide the meals for with the pilot phase focussing on dehydration. As a result of the grant the Food Shed Project was able to obtain match funding from Awards for all and the Coal Fields Regeneration Trust which will support with the sustainability of the project. 310 individuals have benefitted from the project thus far. 2
Gwynfi Miners Community Hall (received 2,092) The grant enabled the project to run activities which contributed to the improvement of individual s mental health through physical activities (football and netball), information and presentations which included anxiety and depression, low self esteem, self confidence and stress management. The project benefitted 381 people. Hoarding Action Group (received 3,148.80) The grant was used to fund an event at Swansea Grand Theatre, which intended to gain feedback from the community on what a project for hoarding should include. This event also intended to provide information and advice and raise awareness of the issue of hoarding amongst professionals and citizens and contribute to breaking down the stigma around the issue of hoarding.170 people attended the Hoarding Event. KPC Youth & Community (received 2,322) The Grant was used to run free exercise classes for the community. Crèche facilities were also made available to reduce barriers in attendance. Each session provided bitesize health tips to improve individual s knowledge. Neath Port Talbot Mind Association (received 2,718.07) The grant was used to run a gardening Sow and Grow project to support people experiencing emotional or mental health problems to be able to connect with nature, through therapeutic horticulture, along with supporting people to learn new skill, engage in new opportunities and build self confidence. The project also encouraged people to make better food choices through the knowledge they had learned. 72 people benefited from the project and as a result of the grant scheme the Sow and grow programme is now being supported by volunteers within Mind along with users of the service to continue in conjunction with Food and Mood Group. Penplas Family Centre (received 1,967.95) The grant was used to facilitate 2 x 12 hour paediatric first aid courses, for adults with free childcare to enable everyone to access the sessions. The First aid courses were arranged to enable parents and Carers to be educated and confident in the event their child/ren had an accident or became unwell. 21 parent/carers attended the sessions and received a HABC accredited paediatric first aid certificate. Riverside Court Coffee Club (received 1,055.47) The grant was used to provide equipment which could be used to enable individuals living in sheltered accommodation and community members to come together to reduce social isolation and provide a longer term sustainable model of activities. Talbot Community Centre ( 3,000) The grant was used to enable the Centre to buy equipment for a new kitchen. The building was gifted to the Talbot Community Centre and they used this as an opportunity to expand the service they provide to older community members to provide them nutritious meals and a means to socialise. Wales Council for deaf People (received 3,000) 3
The grant was used to establish lip reading skill sessions and support for individuals with hearing impairment throughout ABMU. 42 individuals benefited from the grant scheme and this is being continued together with the Tinnitus Support group. Y Bont ( 3,000) The grant was used to coordinate and provide a suite of specialist accredited parenting programmes for parents of children with Autism Spectrum Disorder (ASD), to enable parents and other family members to better support their child/ren and also provide increased personal skills, including confidence and self-reliance. The training provided included Early Bird, Early Bird+ to reflect needs and demands as identified. The Early Bird+ training programme was also delivered to teachers working with the children to ensure a clear understanding and consistent approach is used within the home and educational setting. 42 individuals benefitted from the training provided. Key Outcomes/Summary The 62,288.43 has had a positive impact on individuals within the ABMU area; with over 1,777 Individuals directly benefitting and/or likely to benefit from the funding (this does not include beneficiary figures for organisations that have been unable to identify how many individuals have used the service or secondary beneficiaries). The funding has also directly benefited organisations, enabling them to improve the skills of their staff and volunteers as well as providing an opportunity for organisations to increase their profile amongst their beneficiaries and the wider community. The grant scheme has also provided an opportunity for organisations and groups to pilot projects/try out new initiatives. It is worthwhile noting that a number of the projects have stated that they will continue to run their project/activities and in some cases have already sourced alternative funding to do this. This thereby suggests that the Changing for the Better Grant scheme has longer lasting effects beyond the life of the grant period. One particular project which used their initial grant to pilot a meals on wheels service (The Food Shed) in partnership with Parc Prison has gained further funding/match funding from the Awards for all (Big Lottery) and Coal Fields Regeneration Trust. The scheme now provides meals to over 200 individuals within their own homes and caters to their specific dietary requirements also including hydration as major priority and other health initiatives. Feedback from Organisations on the Grant Scheme Funding support from the Changing for the Better small grants scheme has helped us to turn our ideas (and dreams) into reality. The service has grown considerably within the past six months and we believe it will continue to grow. We have been overwhelmed with the positive impact the service has had on older and vulnerable adults, including our team of prisoners within Parc Prison. Although it has been (and 4
will continue to be) hard work, it has been an enjoyable and rewarding experience. Thank you to the Changing for the Better panel for supporting our application. (The Food Shed). As the main name on the application I felt that the process from the start to finish was straight forward and each question was detailed and set out clear. The communication from the SCVS was excellent where support was readily available if needed. We are very grateful for the funding and support we have received from the Changing for the Better Grant Scheme. It gives organisations like ourselves the opportunity to provide different activities and classes for the public. We have so much satisfaction from grants of this nature as we know we have helped so many people to make life changing steps, which will improve their Quality of life and improve their overall well being. (Gwynfi Miners Community Hall). 5
Changing for the Better Small Grant Scheme 2016-2017 Appendix B Purpose of the Paper The paper aims to provide an update on the organisations funded through the Changing for the Better Small Grant Scheme. Background A total of 50,000 was made available under the small grants scheme (Changing for the Better Small Grant Scheme) utilising funding from ABMU Charitable Funds. An additional 10,000 was made available should the panel feel projects exceeded the initial amount. The Grant Scheme was open to voluntary and community groups for activities, facilities and services that are of benefit to people living in Swansea, Neath Port Talbot or Bridgend. Funded Projects 17 projects were awarded funding (a total of 54,635.74) from the Changing for the Better Small Grant Scheme. The below is an outline of organisations which were funded, which are listed alphabetically by organisation for ease of reference: Arts Care Gofal Celf (received 6,000) ASDES (received 6,000) Asbestos Awareness& Support Cymru (received 1,125.60) British Deaf Association (received 5,446) Bulldogs (received 3,000) CETMA - IBS Support group (received 3,000) Cruse Bereavement Care (received 6,000) Discovery Student Volunteering Service (received 3,000) Gwynfi Miners Community Hall (received 1,539) Mulligan Community CIC (received 2,800) Neath Bees Knees (received 1,969.64) Neath Port Talbot Carers Centre (received 3,000) Old Mill Foundation (received 3,000) Paul Ridd Foundation (received 3,000) 1
Spirit of Llynfi Woodland Walk to Run (received 3,000) Swansea Carers Centre (received 2,131.50) Ty Elis Counselling (received 624) 2
Changing for the Better Large Grant Scheme 2016-2019 Appendix C Purpose of the Report This report aims to update members of the ABMU Health Board on the outcome of the Changing for the Better Large Grant Scheme 2016-19. This is a three year grant scheme which will be run consecutively between the funding/financial years from the 31 st March 2016 and the 1 st April 2019. Background A total of 438,000 was made available under the Large Grants Programme (Changing for the Better Grant Scheme) over a three-year period ( 146,000 per year), utilizing funding from the ABMU Third sector budget. The Grant Scheme was open to voluntary and community groups for activities, facilities and services that were of benefit to people living in Swansea, Neath Port Talbot or Bridgend. Funded Projects 14 projects were awarded funding for the first year totalling 145,941.58. Three projects out of the 14 were funded for the first year only, totalling 40,000. One project was offered funding for the first year to pilot their project ( 10,000) with an opportunity to review and evaluate this after the first year to seek further funding for the second and third year of the Large Grant Scheme. The total amount spent to date for the second year is 77,978.78 and third year is 73,705.78, this is due to increase if the third project is agreed further funding. Organisations have completed a six-month update monitoring report to date. The below is a summary of the outcomes of the funding, the amounts are total funding over the period awarded, which are listed alphabetically by organisation for ease of reference: Afan Valley Community Leisure (One Year Funding Only - received 10,000) The one-year grant will support the the costs of operating the Cymmer Leisure facility. The centre was at risk of closing and the local community have set up a company limited by guarantee to enable the community to keep it open. Bridgend Carers Centre (received 30,000) The grant will be used to increase identification of carers through GP practices and improve links with the GP surgery staff. The aim of the work is to provide improved outcomes for carers at GP surgeries by providing early intervention and a preventative service resulting in an improvement in health and wellbeing for carers. Care and Repair Western Bay (received 30,000) The grant will be used to fund a dedicated Rapid Response Adaptations Programme (RRAP) Caseworker who will be dedicated responsibility to promote the programme solely to health and social care providers. The caseworker will be embedded in 1
health service delivery points eg hospitals. The RRAP supports staff to support older people with practical aids and adaptations to support independent living. Cardiff Institute for the Blind (received 41,548) The grant will be used to deliver Falls Prevention Training throughout the BAMU footprint specifically targeted at the issues faced by blind and partially sighted people and those with dual sensory loss. The aim of the training will be to, build knowledge and understanding of what blind and partially sighted people can do to reduce their risk of falling. The training will also offer the opportunity to attendees to become volunteer ambassadors to enable people to build their skills and deliver the training themselves if they wish. Citizens Advice Bureau (One Year Funding Only - received 10,000) The grant will be used to provide and advice service within GP practices across Swansea which currently do not provide the service. The Food Shed (received 29,936.40) The grant will be used to strengthen the Foods Sheds outcomes (providing nutritious meals to older/vulnerable people throughout the community) by providing an opportunity to work with other health care providers such as dieticians and speech and language therapists to support a more nourished community. New health initiatives will be undertaken including, printed placemats: providing hints and tips, such as drinking water/cordial to reduce hydration etc. Take away soup mugs with printed labels promoting the Keep Warm this Winter/Spread the Warmth, Flu Vac, etc. Medication boxes with printed labels highlighting the importance of medicines management. Successes to date The Food Shed won Start-Up Business 2016 and Bridgend Business of the Year 2016 at the Bridgend Business Forum on Friday 23 rd September 2016. Hafal (One Year Funding Only received 20,000) The grant will be used to work in partnership with ABMU staff to support young people through their identified first episode psychosis. The project will offer a holistic approach to recovery for young people which will provide timely and effective interventions, offer interventions including CBT, early signs monitoring and family interventions. Help normalise experiences for young people at transition stage and minimise stigma, reduce depression and suicide risks. Maximise inclusion and provide access to training/work experience. Neath Port Talbot Carers Centre (received 30,000) The grant will be used to implement a Health & Wellbeing Information Programme for carers to ensure they are well equipped with the knowledge they need to improve and maintain a healthy lifestyle. 2
A Health & Wellbeing booklet will be produced in collaboration with the carers to provide hints and tips on staying healthy, reducing stress and anxiety, how to decrease isolation, healthy recipes, ways to exercise, etc. Red Café (received 12,000) The grant will be used to extend the Musical Memories Choir by starting a second choir in Central/East Swansea. The choir which is currently running in West Cross is going from strength to strength with carers and people living with dementia gaining positive outcomes, improving health both physically and mentally. The Central Choir will be open to individuals with a chronic condition and not only people who live with dementia and their carers as it has been proven that other can benefit also. Paul Popham Fund, Renal Support Wales (One Year Funding with Review - received 9,655) The grant will be used to fund a befriending service which will be a collaborative project with the Welsh Kidney Patient Association and will be run in support of Morriston Hospital Renal Unit. The befriending service will support renal patients by training befrienders to support and sign post them either by phone or face to face. Offer support groups and the opportunity for renal patients to volunteer as befrienders whilst improving the facilities and services for renal patients and their families and carers. Swansea Carers Centre (received 29,531) The grant will be used to expand the successful hospital discharge service which was piloted at Singleton Hospital and roll it out in Morriston, Cefn Coed and Gorseinon Hospitals. A Carer Support Worker will be based in the hospitals for one day per week. In addition, the Support Worker will work directly with carers and in partnership with both Primary and Community teams to raise awareness of the needs of carers. Swansea Womens Aid (received 8,479.80) The grant will be used to support young people aged 13-18 who are experiencing or at risk of experiencing mental distress and associated problems as a result of having witnessed or experienced domestic abuse. Young people will have the opportunity to attend a 12 week supported programme of training, group support and exercise related activities based on and shaped by their particular needs. Valley and Vale Community Arts (Year One Funding Only - received 6,500) The grant will be used to support the development of an ageing well centre within porthcawl. The Centre will provide health and wellbeing services and support for older people through collaborative efforts in partnership with health and the third sector. The aim of the service will be to reduce isolation and support access to services which may help to improve general health and wellbeing. Young Llynfi Ifanc Nnodfa Community Project (received 30,000) The grant will be used to support the implementation of a community based youth health advice service in the Llynfi Valley. The focus of the service will primarily be 3
around sexual health and healthy lifestyles, offering early opportunities to talk to a professional/specialist in a confidential, non judgemental way to make informed choices to reduce risks. Advice/information sessions will be available around smoking cessation, healthy eating, drug and alcohol information, etc. 4