Transcript Towards effective local delivery

Towards effective local delivery
Empowered communities and
individuals
The aim of our presentation
• To show that Assets can be far more powerful than
Deficits
• To show needs and wants can be compatible
• Fear of loss autonomy by statutory providers is
unfounded
• To demonstrate that: Resilience Co-production Assetbased – aren’t just ‘buzz-word bingo’ winning lines
This is the journey that led to the
formation of North Coast
Connection
The small village of Tongue
The community that lives there
and the
Reshaping of Community Services
How it all began
A review of Day Care Service provision (provided by
Social Work at the Kyle Centre, Tongue) during the spring
of 2011 identified 5 day care service users
Of these people assessed as requiring day care o 3 people attend for one day per week.
o One person attends for two days per week.
o One person attends once every two week
Issues
• High cost service
o 3 full time members of staff
o Dedicated minibus
• Poor uptake of service with no new service users within
last 12 months
The facts behind this
o Remote community
o Service not meeting needs
o Local economy supported by health and social care
employment
o Difficulty in providing care at home services
o Social isolation a reality
Add to that the deficit!
• Outward migration of younger people
• Increasing elderly population
• Difficulty in delivering health and social care
services: recruitment and retention of staff
• Supersparsity
• Geographic challenges
Problems and Gaps
Surely there’s some good news
Are there any Assets!!!
There’s a tucked away little building
With a rather tired interior
But an amazing view
And a truly amazing community
More about the community later
Service user consultation told us more
about the service
• 22 older people, who didn’t have a day care needs assessment,
attended the Kyle Centre regularly
• The service was highly valued and existing service users felt that
without it they would quickly become socially isolated, not be able
to access the local shops and bank etc
• That they would be less able to attend the GP, opticians, podiatrist
and nurse
• For some the provision of a cooked meal was of great importance
• That although the provision of ‘Respite’ might have appeared
minimal – this was needed by the carers
Wider community consultation showed
• Great local concern about the potential loss of services
for older people
• A strong community voice prepared to campaign and
petition on behalf of the older people
• A community with a commitment to be proactive in
looking for a solution
• A sense of value for the service and the building
So next steps
Health and Social Care
The commitment to look at new ways of delivery
and working with the community to achieve this
“Effective local delivery requires effective participatory decision-making at local levels.
This can only happen by empowering individuals and local communities”
The Marmot Review: Fair Society, Healthy Lives (2010)
The community came together
Summer 2011: the first village meeting
• 50 people attended
• They felt the building was of value to the community and
could become a centre for all ages
• There was a clear understanding of needs and list of wants:
Youth Group, Parent and Tots, Carer Support, Gardening
Group, etc
From this a working group was formed to take on
the challenge of a community response
The Working Group
• Regular meetings to explore opportunities and
develop a plan
• August 2011 the working group met with the
Director of Social Work and the Area Manager to
share their thoughts and plans
• The vision was agreed
general
community
young
people
elderly
isolated
frail
outreach
meals &
befriending
community
lunch
garden
group
Community
Hub
healthy
eating
volunteers
mental
health
service
users
new
parents
youth
cafe
parent
& tots
specific
support
groups
dementia
sufferers
& carers
substance
abusers &
families
North Coast Connection
was born
Following further public consultation North
Coast Connection was formed – a volunteer
organisation
All continued to drive forward
Reports prepared, business plans, submissions to
committees for agreement etc
Successes
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Charitable status achieved January 2012
Service Level Agreement jointly developed and signed
Budget agreed
Asset transfer agreed
April 2012
North Coast Connection opened the Kyle Centre as a
Health and Well-being Hub for the local community
o Employing 3 local people
o Partnering with the local community transport scheme
‘Transport for Tongue’ maintaining accessibility
o Partnership working with Crossroads Care ensured that
those with an assessed care need were supported and
still able to attend the new activities
The first 12 months
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More people attending core activity
100% increase
Increased attendance of those with
assessed day care need
Removing the restrictions of
registration and the ‘Social Care’
stigma made the service accessible
and acceptable
24 volunteers providing 1594 hours
of support
Secured Volunteer Action Funding to
develop the volunteers
Award winning: Patrick Brooks Award
and Saltire Awards
Development of Gardening Project
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Successful application to become a
Scottish Charitable Incorporated
Organisation
Staff, volunteer and community
learning e.g. Food Hygiene, Digital
Inclusion, Reminiscence and life story
work
Chair-based and Otago exercise
provided
Parent and Tot Group
Youth Café
Additional activity: Art Group,
Mackay Project
Funding & fundraising
Foresight Project: Asset Approach
Building well-being into lives:
• Connected - with the people around
• Be active – walk, garden, play
• Take notice – be curious. Catch sight of the beautiful
• Keeping learning – do something new, take responsibility,
rediscover something old
• Give – something to other
New Economics Foundation (Aked et al., 2008)
Connected people:
100% increase in
attendance
Community activity
Give: volunteers,
fund raisers and the
organisation
Five Actions
to Improve Well-being
Active people:
gardening, Otago,
chair-based
Building in to lives and the community
Keeping learning:
staff, volunteers,
attendees and
community
Take notice:
recognition of setting
For more info contact
Andrea Madden
email: [email protected]
Tel: 01847 611241 Mobile: 07557 197665
Dr Marion Macdougall
email: [email protected]
Tel: 01847 611392
Liz Goudie
email: [email protected]
Tel: 01847 611392