Performance report to Board 2010 sv

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Together we are better

Corporate

Performance report to Board Start

Occupational Activities and Employment, Social Inclusion

2009 - 2010

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FOREWORD

This performance report gives an overview

of the Start team’s work this year.

The multi-disciplinary team of ten have

continued to work hard to develop aspects

of the service, to make improvements where

opportunities arise, to listen to user feedback and act on it, to shape the service

to fulfill Trust objectives, to work in

partnership with other sectors, and to give the best possible experience to users.

I hope you will agree that the quality of work has been high. This is only possible

because of the range and depth of skills

within the team, and the fact that each

person is motivated to do the best they can within the service.

Wendy Teall Start Lead Artist

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CONTENTS

Page 3 Start’s work in the context of the

Trust’s business plan.

Pages 8 The service user experience in

the context of the Foresight

Report’s Five Ways to Wellbeing

Pages 13 Gallery of projects in the studios

and with external partners

Pages 17 Service data

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ACKNOWLEDGEMENTS

Thankyou to the following people who have given permission for their artwork and their

designs to be published:

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Thanks to our models, and to our photographer Cathy Fortune for all the studio shots

Many thanks to the Start team for all their

excellent and hard work: Juliette Angus, Judith

Atkin, Rachel Cooke, Pat Culbert, Jill Cunningham, Tamzin Forster, Cathy Fortune,

Paul Rippon, Annie Tortora-Cailey

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Will Nuttall

Gayle Horrocks

S. Pound

M. Maynard Amgad Hagsharfi

Vivien

Tricia June

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Linden Marsh Lucilla Jones

Tim Cooke

Kasthoory Karen Burch

Chris Connell

Glenda Cox

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Start’s contribution to the Trust annual business plan priorities:

Strategy

Creative recoveries

Start has continued, this year, to be involved in

building services that meet the Government’s call for

greater preventative strategies in the population.

Recently the Department of Health commissioned

Start to create an online version of its successful model of working with art to protect and build

wellbeing. We will be working closely with service

users in the development and design of the website,

as they have significant knowledge that will help the public to look after their wellbeing. In addition, the

website will enable the user voice to play a part in

tackling stigma and misinformation about mental health.

Meanwhile, Start’s popular online creativity and wellbeing resources continue to enjoy use across the

world. For example, Create Space, a workbook of

wellbeing exercises, has been downloaded over 100

times this year by people from afar afield as Singapore, the USA and Canada.

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Draft ideas for web pages about body language

You can read more about the public health

promotion work that Start service users are

involved in on page 11.

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Prevention and promotion

Within the service, our strategy has been to focus

more closely on how to enable prevention and health promotion within users’ lives. We have

been evolving a toolkit approach to the journey

through Start, aiming to build independence and facilitate more effective recovery.

Users now have a wider range of supportive tools at their fingertips to help them reflect on and

evidence their personal progress, to make their

achievements visible, and to help them feel

empowered to reach their own goals. These include diary sheets, WEMWBS questionnaires

(Warwick and Edinburgh Mental Wellbeing Scale -

see page 4), aspiration and goal sheets, homework projects Occupational Therapy

strategies and mindfulness skills (see page 8).

A toolkit within the service is all very well, but what

happens when a user leaves? To address this

concern, we also work carefully with users during

their time within the service, to help them increase awareness of their own skills and knowledge

around self-care and wellbeing strategies.

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Added to this, we are now developing

Recovery Packs that users will be able to take

away with them and use time and time again.!

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Partnerships

Delivering service excellence through

partnerships is a significant part of the picture at

Start. See pages 13 and 14 for more about the projects delivered this year.

Manchester Art Gallery

One exciting partnership we are currently

involved in is the exploration of body language

and its impacts on wellbeing, through the study of

paintings at Manchester Art Gallery. A group of service users and members of the public are

working with the Start photographic artist to

create a new interpretive display at the gallery, which will explore the body language in 50

artworks to be hung in the foyer.

On page 9 you can read a little more about how

our work with the cultural sector helps service

users to reconnect with their communities.

The Warwick and Edinburgh Mental Wellbeing Scale (WEMWBS)

WEMWBS is the validated outcome measure employed by Start to enable users to plot their

own wellbeing as they progress through Start.

With permission from the WEMWBS authors, we

have been using WEMWBS for almost three years. Start Occupational Therapist Juliette

Angus has recently carried out an audit of the first

nine months of use. She explains:

“In auditing the use of WEMWBS we found an

excellent picture emerging, with three quarters of service users showing improved scores in their

wellbeing, especially in the areas of improving

confidence, building social skills, learning skills,

and exploring interests. These areas accord with goals set by the majority of users when they

come into the service, showing a good match

between aspirations and personal outcomes from being at Start.

“More than this, it has become obvious that the employment of WEMWBS has really helped

users develop insight into mood management, as

they can see, through their three-monthly

WEMWBS questionnaires, their own fluctuations in mood.

“They say they have been enabled to understand patterns and how to temper these. This has been a

thoroughly useful exercise and WEMWBS has

been an exciting improvement in Start’s services.”!

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Lancaster University

A PHD student is working in partnership with

us to analyse and evaluate the model of

practice at Start, to help us become more aware of ways to shape and improve the

service in the future. She plans to disseminate

findings through written publications and

conference presentations.

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“The chance to shadow

others has helped me

develop more insight into practice within the team,

very useful.”

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Engagement

Staff engagement

Staff at Start have been engaged this year in practice

development in a number of ways.

• Consistent review, goal setting, user feedback

and rotation processes across the studios to assure service quality throughout departments

• SMART goal setting training

• Mental health training from visiting Psychiatrist on placement at Start

• Practice sharing across the team through

professional discussion groups, team teaching

and shadowing opportunities • Embedding of wellbeing themes throughout

studio work

• Discussion slots in team meetings about local, regional and national mental health themes to

raise awareness of the ‘Bigger Picture’

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User engagement

The Start team have continued to work hard to engage service users in discussions and feedback

about their experiences within the service. Interesting

and useful stories from Start users have been shared,

throughout the year, with the Board and other teams, to highlight positive practice or users’ suggestions for

improvements.

Because of Start’s track record at gaining user

feedback, the Trust asked Start, working with sister

arts service Studio One, to create a calendar for 2011 based on the recovery experiences of users

within the Trust.

The calendar shows six Recipes for a Good Mood, a popular exercise developed in Start’s animation

studio. The calendar has been sent out to all

Foundation Trust members and we hope will provide a mood-boost every time someone reads the

imaginative and delightful recipes.

The Trust have also asked Start to work on a User

Consultation exercise in the new year, which we

have titled In My Shoes, and this will result in quotes,

creative writing and artworks reflecting on experiences within the Trust’s services.

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Staff members’ comments:

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“The professional practice

sharing has helped me come up with new ideas, and to

feel less isolated.”

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“The Bigger Picture

discussions have been really, really helpful in connecting the

team to an evidence base that

can inform and improve our

work.”

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Delivery

We aim to achieve good quality service delivery

at Start, so when Trust Director of Nursing Adrian Childs asked if he could bring a VIP

visitor round to see our work, we were delighted

to say yes.

Steve Shrubb, Director of the Mental Health

Network for the NHS Confederation, was

interested in the unusual delivery model at Start, where creative activities focus users on

developing wellbeing and self-care strategies.

Steve noted that the many ways Start

evidences progress to each service user,

through diaries, reviews, goals and WEMWBS, is a key part of this model, saying:

“Evidencing progress frequently, like you do, is

one of the biggest reasons I think your service works so well for those using it.”

Steve, who is from a Cognitive Behaviour Therapy background, was fascinated by the way

the workshops at Start help users to link feelings

and thoughts together, to explore emotional literacy and to find practical strategies for living

life well, all through their creative studies. He

commended the use of research such as the

Foresight report to underpin this work, and also the way the service works with a holistic

wellbeing approach.

“You are taking people out of the medical model

but you work with it when users need you to.

This is quite unique. Being part of the NHS is important - whilst you are providing non-clinical

interventions for the most part, you can provide

quality and governance assurance too. I would

like to see more services like Start operating in the NHS.”

A visiting Psychiatrist

This year we have had the exciting experience

of hosting a student placement for Clinical

Psychiatrist Howard Waring, who is studying for a BA (Hons) in Art at Salford University.

Howard worked closely with Start photographic

artist Cathy Fortune, observing and supporting the delivery of a gallery-based course studying

body language and wellbeing, and involving art

appreciation and photographic technique.

Howard was “intrigued and impressed” by the

Start approach, describing it as “a unique

approach…a means of altering perceptions of the patient in terms of their self-perceived skill

base, and by the use of educational

techniques, leads patients to the achievement

of learning outcomes and skills.”

Howard went on to say:

“This very special formula…combining

assessment of abilities and needs, sound

educational practice and selection of creative tasks…is what makes the service so specially

interesting and useful for users... I believe the

model offered is unique and valuable, and

this may lead Start to become a training centre both for Trusts wishing to replicate the

service, but also for the development of

transferable skills to users.”

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Governance & quality

The Start team aim to keep abreast of, and act on research that informs our field. When the 2008

Foresight report ‘Mental Capacity and Wellbeing’

was published, we were in the midst of creating the ‘Held’ exhibition. We felt the report offered an

unparalleled opportunity to reach the public with

simple mental wellbeing messages, through its now

well-known health campaign Five Ways to Wellbeing (see box to right).

Over 400 scientists contributed to the findings of the report, which shows that doing five key things a day

protects and builds our mental health. We decided

to use these findings to create a Wellbeing Wheel for the public, as part of the ‘Held’ exhibition. So

popular is this wheel that it has had to be repaired

several times, but it is still going strong as ‘Held’

tours the region.

More on the work we are doing with the Five Ways to Wellbeing in the user experience stories below

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Added to this, we are now using the Five Ways to Wellbeing to inform the work in the studios at Start.

All studios work with these and other wellbeing

messages to help service users understand the

benefits of creative activity and how it can assist self-care. Read more on pages 15 and 16.

What users say about the wellbeing themes at Start:

“The idea of the five a day psychological diet is a strong one…it has been of great help”

“Having this structure and discipline within the work is good… I am learning to find new ways of

coping… everything about Start is relaxed and yet

focused”

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Research can also come from within a service,

and this year has seen an important report completed about the Start service’s

effectiveness

The ‘Held’ project, a four year making and

exhibition project about self-care, has led to the

publication of our report ‘Staying Ahead’. This details all the improvements made to the Start

service as a result of the project, which was

evaluated largely through feedback from the

50 + service users who took part. The report can be downloaded at www.startmc.org.uk

Start gathers feedback on service effectiveness from users regularly, through

• weekly diaries reflecting on experiences in the studios

• discussions and feedback forms

following special projects

• three-monthly personal meetings with users to review their studies and goals

• WEMWBS (read more about our audit

report of the first nine months of usage on page 4)

Trust Chief Executive Jackie Daniel complimented the team on the report, saying:

“I enjoyed reading the report which provides a

wealth of rich evidence to support the fact that this project made a real difference to people’s

lives and their wellbeing. Producing this report,

and documenting the journey is a credit to all those involved... I would encourage you to

share the findings widely.”

Foresight report:

Five Ways to

Wellbeing

Keep learning

Take notice

Connect

Give

Be active

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Take notice

Recently Start Occupational Therapist Juliette Angus

attended training in Mindfulness Practice. Juliette explains:

“Mindfulness is based on Buddhist meditation, and uses the

senses to bring us into the present moment. Research says it helps wellbeing, and so I was keen to train in it so that I could

use the techniques at Start.”

The trial of Mindfulness at Start’s gallery and museum

courses proved successful, as we could tell from participant

feedback.

Participants said:

“The mindfulness exercises have given me a really useful tool to unwind”

“I have been able to recognise that it is important to take time out to appreciate your surroundings, and lock

onto the feeling of peacefulness and embrace it…”

Taking our lead from this feedback, we now offer service

users the chance to regularly experience Mindfulness in

selected sessions and projects, and to try it out at home in

their homestudy exercises (see page 12). We’ve also found that mindfulness compliments studio activities well. Start art

tutor Jude Atkin says:

“I’ve found the mindfulness exercises get people set for their

session, helping them to settle and concentrate. It’s

especially effective at complementing and supporting observational drawing Both processes – mindfulness and

observational drawing - make us more alert to our

surroundings, one process enhances the other.”

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Five ways to wellbeing and the user experience at Start

I can try mindfulness to help my wellbeing

“I have used the mindfulness

techniques to get over anxiety problems”

“My mood has

seen an improvement and I have become less

negative…I can conquer my

paranoid thoughts”

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Connect

We are proud to have achieved a number of connections with

mainstream settings this year, to help users bridge the gap

between mental health services and their local communities.

This year, we have been running a number of inclusive

courses in mainstream settings, in partnership with the

cultural sector. These coursesoffer places to Start service users and members of the public, and they are designed to

re-connect users to life in the community, with all the support

that is needed to build confidence and success.

Course participants benefit from learning in the inspiring and

inclusive surroundings of galleries and museums, from being

able to use the fantastic collections on display and behind the scenes, and from learning direct from the expert curators on

hand at these settings.

Courses this year:

• Autumn Leaves textiles course at the Whitworth Art Gallery

• Say it with ceramics and print course at the

Manchester Art Gallery and the Manchester Museum

• Health Rocks at the Manchester Museum

• Unspoken at Manchester Art Gallery

The inclusive courses all have strong wellbeing themes, and

participants undertake WEMWBS* questionnaires at the

start and finish of study. Scores show good improvements in wellbeing as a result of the courses. For example, in the

Say it with course, participant questionnaires showed a 16%

improvement in wellbeing, in just 12 weeks.

Read more about the inclusive courses on page 13.

*Warwick and Edinburgh Mental Wellbeing Scale

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I can try inclusive courses in mainstream settings

“I now think the gallery is

here to help…”

“I’ll take a sense of wellbeing from this course, and

a sense of endless

possibilities”

“The course was like a journey of recovery. It gave me a sense of purpose and enhanced my

health and wellbeing.”

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Keep learning

Giving users the tools to fully understand how

creative activity can help them manage health and

wellbeing is an important part of our work at Start.

In the last year we have developed a number of tools to

improve this understanding for users. These include more

user friendly SMART goal-setting sheets, more effectively-focused review feedback and simpler diary

sheets, the introduction of personal aspiration sheets,

and the use of wellbeing handouts.

Anthony* found one of the wellbeing handouts from his

tutor to be of real practical help to him.

Anthony was feeling bad when he woke up, and though

he was due to attend his inclusive photographic course at

Manchester Art Gallery, run by Start and the gallery, he decided he felt too bad to go.

Then he picked up the wellbeing handout Cathy Fortune, Start photographic tutor, had given him, This handout

showed Anthony how creative activity can lift our mood

and make us more resilient to stress. It talked about the Five Ways to Wellbeing identified in the 2008 Foresight

report, and gave information about how the photographic

session would include activities related to the Five Ways

to Wellbeing. Anthony felt encouraged to come out to the gallery group after all, and not only that, he was

motivated to walk there, as the handout also described

how being physically active can raise mood.

“I felt better by the end of the group, and was glad I made

the effort”, said Anthony.

*Not user’s real name

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I can develop tools to support my wellbeing

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Give

People who use our services have recovery expertise and

stories to share, which could help others in a similar position, but often there are no easy ways to share that information.

Added to that, with the stigma that still surrounds mental health issues, it can feel intimidating to be identified as an expert by

experience.

Through work we do at Start, we provide effective and safe routes for service users to share their expertise and

knowledge with the public – this is through our exhibitions

programme, our website and our public wellbeing resources.

This year has seen the ‘Held’ exhibition go on tour to several

venues, taking its wellbeing and recovery messages to a wide audience beyond Manchester.

Keeper of Art Vanessa Mitchell, Blackburn Art Gallery,

commented:

“Held was a well-thought out exhibition which presented our

audience with the idea that they held the key to their mental wellbeing in their hands. We had nearly 7000 visitors to the

exhibition, and the high number of responses to our wellbeing

wall demonstrates how engaged they were.”

Locally, Start users have exhibited at Manchester Art

Gallery, the Manchester Museum, and the Whitworth Art Gallery, and have enjoyed the chance to share

positive wellbeing messages with the public.

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I can give wellbeing help to the public

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Service users have also helped to produce a Wellbeing trail leaflet for the Manchester Museum. Launched in November

2010, the Health Rocks trail leaflet encourages visitors to

think about wellbeing themes whilst enjoying the exhibits in

the museum.

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Be active

When service users attend Start, they often say that their mood

improves during the session, and for some hours afterwards. But

the service can mostly offer only one session a week, despite requests for more.

So the team at Start asked the question ‘What can we do to

help?’

We decided to trial homestudy, with the aim of enabling service users to enjoy the benefits of creativity throughout their week.

Service users are given small homestudy exercises to try out on

their own. They are then encouraged to bring back the results to their class for feedback. Exercises involve a technique already

covered in a session so that users have the know–how to tackle

the task set. The idea of homework is to encourage:

• skills and confidence to develop • a feeling of achievement through independent effort

• the notion of the value of creativity in everyday life

Jill Cunningham, Start’s textile tutor, was the first to pilot homestudy as part of a recent course run at the local Whitworth

Art Gallery.

She explains: “At first people were wary and a little anxious, but as the course progressed, and participants found themselves

receiving encouragement and praise when homework was shown

at the start of each new class, enthusiasm built.”

The results were clear – self–confidence developed and there was a real sense of pride in what had been accomplished by

personal, independent effort. “I was surprised that I was able to

achieve a piece of work which I was proud of” explained one user.

There is now great interest in the ‘homework spot’. Most users

say their opinion of homework has changed since giving it a try, and they are finding the wellbeing benefits well worth the effort

they are putting in.


I can gain more confidence through trying homestudy

“I use the homework

exercises to focus my

thoughts when confused.”

“I’m enthralled by

homework!”

“I had positive feelings and felt absorbed. Time passes quickly

and it is relaxing.”

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Project gallery Inclusive projects in focus

Start Lead Artist Wendy Teall spoke recently at the Breakthrough conference ‘Moving Further

Forward’, about the way the Start model supports

users to focus on and improve their own self-help skills.

Opening the conference Mike Farrar, CEO of NHS North West, signaled his support for this very

aspect of arts for health.

“I am absolutely behind arts in health. I don’t need data to know it works. Looking at the therapeutic

context, this is how to help people feel valued.

Service users have assets and resources and arts for health starts to help people draw out their own

assets and be seen, and see themselves, as

valuable”

Enabling people and changing the way they

perceive themselves is something Start aims to do

in all its work. Inclusive courses, that offer the chance to study alongside members of the public

in gallery settings, are especially effective in

building confidence and making people aware of their own skills in coping with new situations.

This year we have offered 24 places to Start users

on inclusive courses in galleries and museums.

Say it with

Say it with, a wellbeing, ceramics, creative writing

and art appreciation course running at Manchester Art Gallery this year, resulted in an

exhibition at the gallery and some positive

learning and wellbeing outcomes for participants. !

On our inclusive courses, everyone fills in

WEMWBS forms at the beginning and end of

the course, and on this course 10 out of 12 completed two WEMWBS questionnaires.

Comparing their average scores shows a 16%

improvement in wellbeing in just 12 weeks, a really great result.

This is what participants, who were from Start

and older age LGB group Out in the City said:

“Doing the course taught me I can combat my

social anxiety”

“My mood has seen an improvement and I have

become less negative”

“I’ll take a sense of well being from this course,

and the sense of endless possibilities and hope”!

Health Rocks

Running at the Manchester Museum, Health

Rocks took a look at the beautiful fossils and

minerals collections, using them as a springboard for a course of creative and

wellbeing exercises.

All but one WEMWBS average score showed improvement by the end of the course, and

participants were delighted to have felt the

benefits.

“I’ve learned to encapsulate more good things

in my life”

“The course was like a journey of recovery. It

gave me a sense of purpose and enhanced my health and well being”

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“It was thrilling to have the talks, and see and

hold fossils not normally seen by the general public”

“As a result of the course I am feeling more

relaxed and confident to go to new places. My mind is clearer and I think more positively”

This course led participants to design and mount an exhibition at the Museum and to

produce a family-friendly wellbeing trail leaflet of

creative and mindfulness-style exercises.

Autumn Leaves

This textile course, for Trust service users and

members of the public, ran at the Whitworth Art Gallery in winter 2009-10.

The course offered participants an exclusive chance to go behind the scenes, view priceless

textiles from the historical collections, listen to

curators, learn drawing, painting, stitching and felting techniques, and make an artwork.

The textile panels were exhibited at the Whitworth Art Gallery for two months.

This is what one of the participants said:

“Being involved in creative activity is very important

to me; it literally brings a bit of colour into my life,

and is something different to the ordinary and mundane. It helps me to face up to challenges, and

explore other ways of doing things”!

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Unspoken

Currently underway, this exciting course in

photography, art appreciation and body language at Manchester Art Gallery offers

service users and members of the public a

chance to enjoy creative classes, mindfulness, art lectures, and working with actors and

professional portrait photographers. The course

will lead to a new interpretive display at the

Gallery exploring the body language in 50 artworks, to be hung in the gallery foyer.

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Project gallery In the studios

All the studios at Start work with wellbeing

themes, whilst also helping users to develop

their interest and skills in art and gardening. Studios offer 12 and 24 week rotations,

depending on needs identified and goals set.

In textiles, users explore the forming and

voicing of opinions, and the important skill of decision-making, through the designing and

creation of a number of stitched and decorated

samples and a finished wall panel.

In mixed media and mosaic users can explore their interests, express their likes and identify self-

care skills through mixed media projects leading

to collage samples and a finished mixed media/

mosaic piece.!

In photography, personal strengths and

preferences, mood and self-expression can be explored through dark room techniques,

portraiture and location work. Trust Chief

Executive Jackie Daniel has been joining in with

some of the sessions in this department, and fed back that she thought the sessions ‘wonderful’.

She added:

“Having the chance to informally be with service users and hear and understand their issues was

great. The photography tuition is fantastic…a

very skilful approach which works really well and keeps group members all at different stages

engaged for the full session.”

Ceramics offers the experience of

incremental learning, one skill building on another in a series of short projects. The

projects aim to develop independence as

early as possible, to allow users to access the

ceramics studio at times outside of sessions, if they wish to.

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In painting and drawing, inventive and creative projects encourage observing and

connecting with the world around us, whilst

also enabling the acquisition of traditional and

experimental drawing and painting skills.!

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In Horticulture, users are working with the ideas of connecting, being observant, being

health aware and learning skills to apply at

home through growing nutritious vegetables

and helping to manage the grounds at High Elms. In Horticulture too, there are a number

of stepping stones to moving on, through

allotment groups across the city supported by Start, and links with the BITE project, with

Heaton Park and Hulme Garden Centre.!

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Occupational Therapy at Start provides a strong

complement to the studio work, with additional support available to help users move forward, to

develop self care skills and build the confidence

to take their next steps on from Start.

The Start Occupational Therapist (OT) holds a

popular College and Learning Opportunities

Clinic every summer to help users find the right opportunity for them. In this way we have helped

a number of users into Adult Education this year.

A jobs clinic is the next plan for Start, jointly organized by the Start OT with the Trust’s

Individual Placement and Support Employment

Service.!

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Animation uses the five ways to wellbeing

to link together a range of introductory animation exercises, leading to the creation

of a Recipe for a Good Mood animation and

a sketchbook of ideas.

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Outcomes for current Service Users

at Start Nov 2009 - Oct 2010

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'+,$;%+F-%+E%")$"%

V9>$..%%

1;F*"8+9%

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Service data

KQ%

LPQ%

OKQ%

IQ% IQ%

Outcome of Initial Interviews

W$-%-+%$9#"#$%

19#"#$;%

37#96+/-$;%$./$><$)$%

X+-%)$";(%-+%$9#"#$%

X+-%79-$)$/-$;%

REFERRALS

Start received 63 Referrals to the service in the last year, resulting in 35

new starters (55.6%)

50 of the 63 people referred were offered an initial interview to assess

need for a service.

!

13 people have not been assessed. Reasons below:

!

MQ%

HOQ%

HOQ%

OJQ%

OJQ%

Referrals to Start:

No initial interview:

Reasons for non assessment

S9"66)+6)7"-$%)$E$))".%

X+-%"//$//$;Y/7#96+/-$;%

$./$><$)$%

X+-%R//$//$;Y*.7$9-%9+-%

)$";(%

X+-%"//$//$;Y*.7$9-%9+-%

79-$)$/-$;%

R//$//B$9-/%79%-<$%/(/-$B%

!"#$%OM%

! !

"*!

!

!

Service data

LENGTH OF TIME IN SERVICE

Average for the year 17.8 months

!

P%

J%

OP%

OJ%

&P%

!"#$%&'()'#

(!*+,'

#(!*+'

Start Membership Nov 2009 - Oct

2010 Length of time at Start since the

introduction of the system of Rotations

REVOLVING DOOR DATA

(CLIENTS WHO HAVE BEEN DISCHARGED FROM THE SERVICE AND

HAVE SUBSEQUENTLY RE ENGAGED IN THE LAST FIVE YEARS)

9 clients have re engaged with the service since their discharge in the last

five year period.

55% of those clients who have re engaged are current members.

The current membership comprises of 8.19% of clients who have re

engaged in the last five years

!

!"#$%ON%

! !

#+!

!

Service data

KNQ%

PQ%&Q%

OQ%

OQ%&Q%

HQ%&Q%

LQ%

PQ%&Q%

HQ%

JQ% HQ%

START SERVICE USERS

November 2009 - October 2010

R%

2%

?%

T%

1%

Z%

[%

'%

X%

X\%

!%

AMIGOS Ethnicity coding A White: British

B White: Irish

C White: Any other White background

D Mixed: White and Black Caribbean

E Mixed: White and Black African

F Mixed: White and Asian

G Mixed: Any other mixed background

H Asian or Asian British: Indian

J Asian or Asian British: Pakistani

K Asian or Asian British: Bangladeshi

L Asian or Asian British: Any other Asian background

M Black or Black British: Caribbean

N Black or Black British: African

P Black or Black British: Any other Black background

Q Not Asked

R Other Ethnic Groups: Chinese

S Other Ethnic Groups: Any other ethnic group

W Client declined

!

Ethnicity as coded on AMIGOS

!"#$%&P%

! !

#"!

!

'".$%

JLQ%

]$B".$%

IHQ%

START SERVICE USERS


PQ%

OPQ%

&PQ%

HPQ%

IPQ%

OM%^%&J% &J%^%HJ% HJ%^%IJ% IJ%^%JJ% JJ%^%KJ% KJ_%

-./0.1234.'56'7./809.':7./7'

;<%'

START MEMBERSHIP


P%

JP%

OPP%

XC\DZ% 3CVDZ% ?1XD\R`%

-./0.1234.'56',./890.'"7./7'

=503>92?'

START SERVICE USERS


Service users by Age

!

Service users by Gender

!

Service users by Locality

!

Service data

!"#$%&O%

! !

##!

!

!

!

!

!

WEMWBS Audit

results showing

improvements in

scores across

statements A-N

First nine months

of use

2009-2010

WEMWBS audit data

!"#$%&&%

Performance report to Board 2010 sv

Documents

Transcript of Performance report to Board 2010 sv