Towards effective local delivery
description
Transcript of 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 Asset-based – 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
• 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 thiso 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
Issues
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
CommunityHub
specificsupportgroups
healthyeating
youth cafe
outreach meals &
befriending
communitylunch
parent & tots
volunteers
gardengroup
generalcommunity
elderlyisolated
frail
young people
new parents
mentalhealthserviceusers
dementia sufferers & carers
substance abusers &
families
transport gard
en
North Coast Connectionwas 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 • 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 oPartnering with the local community transport scheme
‘Transport for Tongue’ maintaining accessibilityoPartnership 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 • 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
• 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
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)
Five Actions to Improve Well-being
Building in to lives and the community
Take notice: recognition of setting
Keeping learning: staff, volunteers,
attendees and community
Connected people: 100% increase in
attendance Community activity
Give: volunteers, fund raisers and the
organisation
Active people: gardening, Otago,
chair-based
For more info contact Andrea Maddenemail: [email protected] Tel: 01847 611241 Mobile: 07557 197665
Dr Marion Macdougall email: [email protected]: 01847 611392
Liz Goudie email: [email protected]: 01847 611392