Notes from Impact chartwheel arts #cartwheelimpact 16 July 2015Manchester

Rick walker director of Chartwheel arts.

Mission

Cartwheel Arts promotes social inclusion, cohesion, diversity and regeneration through community participation in vibrant, innovative, high-quality arts projects. We use a wide range of media to initiate, and respond to, project opportunities in Rochdale and surrounding areas, as well as promoting the development of the arts and examples of good practice across the North West.

Working in collaboration with User Groups we will help to develop arts based projects that enable people to explore their creativity and talents: that instills ownership and pride: that are fun; and that leave a positive, lasting legacy.

Throughout its work Cartwheel will endeavour to offer equality of opportunity, and to treat all who work with us honestly and with respect to create arts for a reason.

30-35 projects per year, delivering social objective through the arts.Impact on individuals, stronger communities with a positive self image. Much of the work is personal, beautiful and decorative. We aim to produce participatory arts, we have circular discussions about the process and product.More need to evidence the needs we meet.

Different strands of work including: Stronger communities, tell us another one, big lottery fundedDarnhill Festival Manchester Youth and diversity, breaking down communities from different backgroundsAll well and good.People bean to be referred to cartwheel arts, funding patterns have been different tutor trust fund their core activity, they also involved in Rochdale CCG commissioning and beginning to access individual budgets.Always have access to emotional wellbeing officer, whilst having access to high quality art activity and peer learning.

Art for wellbeing funded by tutor trustLisa and Jodie, two artists working with emotional support workers, one is a councillor the other is an arts therapist.8-10 weeks project, working with people to develop animation skills to create short films.

Ver Di Gris

Working with older people working with dementia care, reminiscence and what is happening now. Using the power of the arts towards emotional engagement. Worked with arts council to develop a touring exhibition. The overall outcome weren't defined at the start. They worked with a poet to help explore what dementia is and how it impacts on the people. The narratives came from the perspectives of the individuals in terms of who they were and how they had been changed by dementia.In the film jack is the central figure who is frustrated and anxious and in the background Sharon is singing and helps soothe jack.

Amanda Sutton Venture Arts

This presentation is specific to personal experiences working in Manchester Venture Arts is a visual arts organisation that develops the creative talents and career opportunities of learning disabled people. Our vision is for learning disabled people to be valued contributions to our cultural lives as artists, workers, participants and audiences.

ValuesWe approach all our activities and services from an artist-led perspective.We provide a supportive, safe and empowering working environmentWe deliver artistic excellence, integrity and creative risk-taking.

Four StrandsParticipation and Engagement-More people with learning disabilities will have opportunities to express their unique perspective on life through making great art.Education and learning-We will increase opportunities for learning disabled people through arts education.Access and Equality- We will increase access for learning disabled people to culture and the arts though employment, training and access initiatives.Advocacy and Leadership-We will become leaders in the field of user-led learning disability Visual Art on a regional, national and international level.

Wellbeing animated viewing mental wellbeing through animationSoul journey a film exploration of dementia and ageingVenture arts created with venture arts by BBC Outreach

What we Do We deliver over 1000 professional artist-led workshops each year for people of all ages in painting, drawing , illustration, textiles, 3D, mixed media, art as environment, ceramics, photography, moving image, animation and print-making from our fully equipped studio in Hulme, Manchester an as outreach in the community, We lead workshops will over 230 people per year aged from 8 to 80. We run 60 workshops per year in schools co-facilitated by artists with learning disabilities. We create work experience placements in partnership the museums and galleries. We showcase our work experience placements in partnership with museums and galleries. We showcase our work to audiences of over 100,000 people per year in some of the regions most prestigious cultural venues. We work with over 100 volunteers and work placement per year. We showcase the work of individual learning disabled artists nationally and internationally. We maintain a well-balanced income profile with 34% of our revenue coming in though earned income (personal Budgets), the balance derives from local authorises, public funding, trusts and foundations.

Why We Do What We do

Lack of opportunity in the arts for people who have a learning disability.Lack of inclusion in cultural life for learning disabled people,Lack of opportunity in the workplace and in education.Lack of social and meaningful activity.Lack of choiceMarginalisation, stigma and bulling is on the riseCombatting isolationCuts to provision and services.

34% of total income through individual payments working to about 100,000 They provide a subsidised service which is highly personalised; with added value.Income from 2014Charge 35 per day. A council is valued at 70 per day. So it's cheaper with added value. Venture arts is a visual arts organisation that develop a the creative talents and career

How it worksOpen every week day, 9.30-3.0pm48 weeks a year15 artist participants per dayProfessional arts spaceTechnique/creative/showcasing/reflection35 a person, 1872 a yearVenture Arts Arts do not provide travel or lunch High retention

Working towards the creative case (Arts Council)

Next exhibitionsExplorations at the Lowry works involving all the young people25 July Made, natural vs manufactured at people history museumLaunch is 30th July 1-3pm

How have we done this? Delivering a programme of excellent visual arts participation and engagement work with learning disabled people across Manchester and Trafford. Achieving long term sustainability though the development of diverse and mixed income generating activities Working strategically and being a key advocate for inclusion and accessible visual arts practice. Encouraging and developing disabled artists through training and employment routes. Working effectively in partnership with the public sector, disability and arts organisations.

Our journey towards personal budgets income generation 2009 no more grant funding from commissioners 2010 change in pricing went from 3 to 35, had to stagger the payments slowly Registered as a Day Service provider- giving reassurance to care professionals and stakeholders. Subject to levels of compliance and policy not usual in an arts organisation 2011-15 gradual move, now 34% earned income from indivudals- IBs, Virtual IBs, Care packages and LA spot purchasing.

There is a large amount of policy and safe guarding in place, they provide annual spot checks to ensure they are meeting there delivery.Lack of social and meaningful activityNow full to capacity so won't gain more income than this Subject to levels of compliance and policy

All about personalisation Giving people much more choice and control over their lives

Personalisation is aboutSelf-directed support-people taking control of their own livesIt's more than moneyEstablishing new ways to offer more choice

Who is within personalisation?

Over 16 and has been assessed by social services as needing care and support services. This includesDisabled people aged 16 or over (with short or long-term needs)Disabled parents (for children services)Carers aged 16 or over (including people with Parental responsibility for a disabled child).Elderly people who need community care services.

Personal BudgetsPersonal budget is an amount of funding from adult social care that anyone aged 18 or over who is eligible for social care support can spend on the services and support they need to help them live more independently.

It can be used to buy services from both the council and other providers, mixing and matching whats available from different organisations.

Starts with strategic manager- get to know these people and get them to know the service you provide.Care managers beneath this, very difficult to get hold of, case load is really high. You can refer users for assessments to care managers.In Manchester there are brokers such as personalisation managers and day service managers.Then everybody should receive a care plan, some is a medical what needs they have, others have more detail on how to communicate and what trigger they have.

Care plansA care plan is an agreement between an individual and their health professional (and/or social services) to help the individual manage their health day-to-day. It can be a written document or something recorded in their patient notes.

It will cover areas including The goals you want to work towards, such as getting out of the house more, returning to work, or starting a hobby. The support services you want, who is in charge of providing these services, hat the support services have agreed to do and when they will do it. Emergency number and medicines An eating plan An exercise plan

Range of services 1:1/ drop-in/ group services Statutory social services The private sector The voluntary sector User Led Organisations Community groups Neighbour, family and friends

Agendas: Valuing People NowValuing people (2001)Valuing people now (2008)- Government AgendaIncluding everyone: Valuing all people/ children with learning disabilities/ Family carers and families

Having a lifeBetter health/ A home of your own/ Work, education and getting a life/ Relationships and having a family/ Parents with a learning disabilityPeople as citizensAdvocacy/ Transport/ Access t leisure services and recreational activities/ Being safe in the community and at home/ Access to justice

The opportunities

"Local authorities and their partners are expected to include leisure and social activities in developing person centred approaches and planning for people with learning disabilities and their families"(Valuing people now: chapter 4 People as Citizens, p106)

Learning disabled people will be supported to have a fulfilling life of their own, beyond services, that includes opportunities to work, study and enjoy leisure and social activities(Valuing People Now: Chapter 5: Making it Happen, p22)

The care act 2015

What does the act aim to achieve? Clearer, fairer care and support Wellbeing- physical, mental and emotional- of both the person needing care and their carer Prevention of delay of the need for care and supportPeople in control of their care. A new emphasis on wellbeing, The new statutory principle of individual welling underpins the Act, and is the driving force behind care and support.

And in the arts: the creative case for diversityArts council led initiativeDiversity and equality are crucial to the arts because they sustain, refresh, replenish and release the true potential of Englands artistic talent, regardless, of peoples background.The Creative Case builds on what we believe to be an instinctive understanding within the arts community that diversity and creativity are inherently linked. We wish to articulate an approach that encompasses the ways in which diversity has been and remains an intrinsic and dynamic part of the creative process.

From both an arts and social care point of view there is a commitment to valuing people. Now the two must work together to make lives better.

What you need to do to get Personal Budget ready

Make strong links with Care Managers and Commissioners Networks (Health, Voluntary, other stakeholders) Present to parent and Care groups Have a year long, day long package that is easy to buy Be sure of your pricing Show Impact Show personalisation of service Acknowledging its all about the individual

Ian Mellow Director of commissioning and provider managementSocial investment fund

Clinical commissioning group (CCG)Hey wood, Middleton and. Rochdale

Social investment fund Rationale

Concept was first discussed in the context of the welfare reform act CCG Governing Body commitment to act Mandate to produce an innovative outcome based annual investment programme to nurture and sustain community. Resilience and asserts Purpose to stimulate and manatee as diverse supply of third sector services aligned to CCG strategy Fundamental to developing more universal preventative services Bring new jobs and roles to the locality

Social investment m fund process Concept launched in 2013 Originally 12 month ant funding Funding criteria aligned to CCG and Public Health strategic intent Supported by robust performance monitoring framework Social investment commissioning framework developed and embedded

Social investment Fund scheme 3.2 million invested over three years44 schemes funded for 2015 Range of grants Avila lie for. Small grants to larger consortia Effective scheme ex identifies for embedding into core commissioning business Diverse and wide range of schemes including Rochdale carer's choir, hammer boxing club and cycling clubs.

Social investment fund evaluationSIF monitoring has up skilled organisations to: Develop an outcomes map for the invested projects Develop inductors of success for HMR CCG Put a financial value to outcomes Calculate a social return on investment ratio Enhance and improve stakeholder involvement Build partnerships and increase referral pathways into funded projects

Year 1 outcomes

Social Investment Fund Next Steps

Now defined as a HWBB priority Supports and enables GM Locality Plan development and opportunities for devolution Integration into health and social care system and healthy neighbourhoods approach.

Arts, Personal Budget and RecoveryNick Dixon commissioning manager Stockport MBCKar Rowson, artists and photographerArts, personal budgets and. Recovery

BackgroundMuch that was wrong including little focus on outcomes and recovery or preventionCareers in psychiatryRisk averse practice dominatedMore right place tight time, lees won't place wrong timeSolution lies in the Communities in which people live

Over timeValues based awarenessRecovery of a life, irrespective of the illnessSocial inclusion hopes and.aspirations made possiblePersonalisation choice and controlOutcomes based commissioning Coproduction and people powered healthCollaboration and redefined relationshipsSocial action people shaped places

Times are changing

Power within clinics Traditional international expert knowledge creates behaviour changes Goals are set by the clinician and success is measured by compliance with them Decisions are made by the clinicians Co-production-power shared Collaborative interactions Person is supported in defining their own goals. Success is measured by attaining those goals Meaningful choice and control Decisions are made as a service user-clinician partnership Use the assets in the system

Personalisation in social care

Launched in 2009 giving people control over their own recovery Now embedded as core offer- 587 people (218 current) Average budget per person 3.1k Average spend per person 2.7k Budget stabilised at around 600k Just 3 renewed into a 6th year Offering meaningful choice

Use of SDS

(SW/PA social workers and personal assistance)

Some of the risks The professionalising of personalisation Power in the system remains with the professionals Personal budgets used to support a maintenance approach Limited and reducing budget, new demand Recovery and self-management not prioritised Unwise choices and consequences

Kars Story

Self-directed support plan Who am I? What she likes about herself on a good and bad day What's import at to her Photography is in her heart and her therapy She found a creative way to deal with the grief of losing her best friend Led to an exhibition at arc in Stockport Stockport progress and recovery centre

Key messages Gather up evidence, narratives win hearts and mind sPeople usually know what works for them Avoid focus on the what, do focus on the why Small amounts of funding can transform lives Resilience to mental ill-health can be found in unusual places Offer choice of brokerage- aspirational support planning is key Locate personalisation in a recovery context Encourage independence and self-management Connect people to community based circles of support Grow community capacity and social action-people helping people

Health for people, by people with peoplePeople powered healthwww.nesta.org.uk/project/people-powered-health

Summary Culture change is a prerequisite Personalisation must fit within a whole system approach Address what matters. Won't what is the matter Gather evidence and build, a compelling case Capture and share stories The five ways to wellbeing Enable people eat grow and thrive