Our Place Operational Plan Devizes, Routes Out of Loneliness Context, Background and Vision Our vision is that fewer older people 65+ feel socially isolated or lonely living in the Devizes Community Area Partnership. Social isolation and loneliness is a key concern for older people both nationally and locally. Age UK recently identified that nationally, over a million older people go a month or more without seeing or speaking to anyone. A guardian article recently, titled “the age of loneliness is killing us” cited a study by Independent Age which shows that severe loneliness in England blights the lives of 700,000 men and 1.1m women over 50, and is rising with astonishing speed. Social isolation is as potent a cause of early death as smoking 15 cigarettes a day. It suggests that loneliness, is twice as deadly as obesity and that illnesses such as Dementia, high blood pressure, alcoholism and accidents, depression, paranoia, anxiety and suicide, become more prevalent when connections are cut. http://www.theguardian.com/commentisfree/2014/oct/14/age-of-loneliness-killingus Solutions for improving the health and well-being of people from marginalized and disadvantaged groups through prevention are becoming more common in commissioning strategies. Social prescribing models which link patients in primary care and their carers with non-medical sources of support within the community are increasingly making the case for investment. One such programme, Rotherham Social Prescribing Model showed the approach improved well-being with an estimated saving of between £819,000 and £920,000 and a value of volunteering of £148,000, based on the national median wage. http://www.shu.ac.uk/research/cresr/sites/shu.ac.uk/files/social-economicimpact-rotherham.pdf The ‘compression of morbidity’ hypothesis (Fries et al, 2011) argues that by delaying the onset of infirmity in old age, the lifetime burden of disease can be ‘compressed’ into a shorter time before death. The Healthy ageing agenda is gathering steam and the concept of extending the time free of disability and prevention, should be seen as a priority alongside more traditional approaches of reducing mortality and strategies dealing with chronic health issues. The Commission on the Voluntary Sector & Ageing was established by NPC and ILC-UK to consider exactly what an increase in an ageing population might look like, and how civil society should anticipate and respond to these. It looks at the future of volunteering, drawing on a series of focus groups with volunteers and a roundtable with charity volunteer managers in June and July 2014. It recognises that where charities are able to tap into this sense of well-being, volunteering can relieve some of the social pressures older people face. More people are divorcing 1 in later life, and families are increasingly dispersed. Loneliness, considered by some commentators as a serious risk to public health, is growing among the elderly. In the words of one older volunteer, volunteering provides ‘a reason for getting up in the morning, having a shower, putting your clothes on’. Its health benefits are already recognised by many of the people who already engage in it. Used effectively, volunteering can help to ensure that retirees in danger of social isolation and loneliness enjoy an active role in society instead. Some charities, including Age UK, have achieved this by encouraging and supporting its beneficiaries to become volunteers for them. This blurs the traditional line separating those who work for a charity from those whom it helps and in the process helps to ensure that some volunteers are drawn from those who know the services best. http://voluntarysectorageing.org/ Wiltshire has an aging population. Within the over 65s age group, there will be a particular increase in the number of Wiltshire residents aged >75 (+13,086), and >85 by 2021. 90% of Wiltshire is classified as rural and we know that social isolation is a key concern for older people locally. In 2012/13, the Good Neighbour Service identified 565 enquires about social isolation. A key area of concern was a lack of non-emergency passenger transport services and supported transport for those with mental or physical barriers. The Local Clinical Commissioning Group Five Year Strategic Plan aspires to create a model within which, when care is needed it can be delivered closer to home complimenting the services of health and social care with resources in the community and voluntary sector. The vision is that Health and Social Care services in Wiltshire should support and sustain independent healthy living It also identifies that: Nearly two-thirds of people admitted to hospital are over 65. Unplanned admissions for people over 65 account for nearly 70% of hospital emergency bed days. Over 65s consume the largest volume of resources per head, as well as the largest overall proportion of the CCGs resources Dementia is identified as a priority. One in 14 people over 65 have a form of dementia A key priority is increasing the proportion of older people living independently at home following discharge from hospital. The Older People Joint Strategic Assessment reveals that: The numbers of people aged 65 or over suffering from depression is expected to rise by around 15% from 8,300 to 9,600 across Wiltshire. Patients with a single long-term condition cost about £3,000 per year whilst those with three or more conditions cost nearly £8,000 per year. 2 Older people are more likely to need health and care services and nearly half of Wiltshire’s NHS financial resources (47.4%) are used by people aged over 65. Devizes Community Area The Devizes Community Area covers 216km2 of mainly rural countryside. It has one major settlement, the market town of Devizes. Whilst some villages such as the Lavingtons are large enough to have their own secondary school, most of the hinterland is small villages and farms. Key issues for the area include the number of people who are on welfare benefits, those within the community who are suffering deprivation (four Output Areas out of a total 107 in the Devizes Community Area which are among the 20% in England with the highest percentage of households experiencing three or four types of deprivation), and changes in rural facilities. Significantly for this programme, the retirement age population has increased by 1,880 persons to £7,440 an increase of 33.8% from 2001-2011. This is well above the Wiltshire average of 24.4%. The percentage of males aged 85 and over has increased much more than expected at 36.5%. The area has the fourth largest number of people aged 85 and over in Wiltshire. The % of adult social care users who have as much social contact as they would like in Devizes is (WC working on confirmation of baseline) The % of adult carers who feel they have adequate social contact (WC working on confirmation of baseline) The rate of falls and injuries for over 65s in Devizes is 1662 per 100,000 of the Devizes population, the Wiltshire figure is 1579 falls per 100,000 population. Number and percentage of patients with depression 65+ in Devizes (13/14 QOF) Crude Rate Per 1,000 Pop = 65.2 compared to Wiltshire Patients Aged 65+ with Depression (13/14 QOF) Crude Rate Per 1,000 Pop = 59.6 Through Wiltshire’s Public Health team a ‘What Matters to You’ Survey was carried out between September and December 2013 asking Wiltshire residents to comment on a range of topics that affect life where they live. The survey asked questions about residents’ local neighbourhoods, their lifestyle and health, council spending and the natural environment. Over 1 in 2 respondents (52.7%) from Devizes community area wished to do more physical activity. This is the joint third largest proportion of respondents for a community area. The Wiltshire value was 49.7%. Significantly elderly people made up 41% of total respondents “those wholly retired from work”. In comparison the Census 2011 population estimates suggest 15% of the Wiltshire population are currently retired. 3 Community Involvement and Engagement undertaken The Partnership is engaging and consulting with the community using a number of methods. 1) Reaching those hard to reach who are or who could be potential clients and who otherwise may not have a voice. In May we used a Community Organising approach to conduct listenings with older people in Devizes who had previously been supported by the Good Neighbour Service. We visited them face to face in their homes. When asked “why do you feel older people are lonely”, comments included: “Transport is a big factor in a rural area like Devizes. Lots of people here are either to elderly to drive or can’t afford to keep a car. The bus stop is quite a long way away and many can’t walk. Getting a taxi is expensive.” “Sometimes I am able to get about. No one visits me though. Not like abroad where people are comfortable just going into each others houses. No family in the area. Rely on my neighbour quite a lot - don’t like being reliant on things. I am on anti-depressants for my loneliness since my wife left. I rely on the dog for company. I’ve got nothing. No family. Nothing. Sometimes I may go for a month without seeing anyone from Somerset Care. When you get to this age you don’t feel like you have a future anymore.” “There used to be people that came round from the church to knock on the door. In the village, the vicar used to come round and say hello every now and again. This may be a good idea.” “A friend phones an elderly gentleman once a week to have a chat and check he is ok. This may help to identify any problems before they get too big or serious. Also good for the social side as well as the conversation is pre-arranged – something to look forward to.” “Nothing worse than loneliness. Neighbour is very lonely. Although she lives with her husband, he is very deaf and she finds it hard having to shout all the time. She comes round most days in the evening just to have a conversation. “She always tells me she wouldn’t know what to do if I wasn’t next door. “I have lost confidence in going out. I don’t know many people in the area. I called a couple of people from the Monday club but they never replied.” 4 “I had a cataract removed from my left eye last year and I now need my right eye doing as well. However, I don’t have anyone to take me there and pick him up as it is a long way from the bus stop to the clinic on the edge of town. Even if I did have someone to take him there, I don’t have anyone to help him put the eye-drops in three times a day. As a result I am not going to get my cataract removed. The findings from this small sample and the consultation we have conducted through the wider Good Neighbour Services reveals a need for some older people to be supported to access services. Many will feel lonely but can not resolve their situation due to poor mobility or health issues as well as mental health and confidence. In a rural county some people who don’t have their own transport find it even more difficult to access the help they need. For this reason we decided to shape our project around loneliness, harnessing volunteers, to offer companionship, to stand alongside an older person to address the barriers they have. We know that there are many routes into loneliness but few routes out. We want to increase the opportunities for social interaction, sharing of skills and experience amongst older people. Each person encouraged to bring their own talents to share for the benefit of others. Older people, their experience and skills, will be valued for the contribution they make to community life. Fewer older people will feel confused about who they can get help from and will know who to call on. We will enable older people to be part of the creation of more local activity which uses their resources, be it skills, experience or place, Through volunteers this may be supported transport to help with mobility issues, companionship to meet new people and build confidence and the creation of new inspiring places to go and meet other people. Through this approach we will ensure more older people stay healthier and happier. During November and December we will continue direct consultation and needs assessment with clients supported by Age UK Wiltshire, Wiltshire and Swindon Users Network (WSUN), Healthwatch Wiltshire and Community First through the Good Neighbour Service. Initially we will target three key areas within the Devizes Community Area; All Cannings as a small village, West Lavington as a large village and Mayenne Place, Devizes as an urban area. We will use Survey Monkey, as a repository for results collected by the range of partners. The questions will be used in the following ways: a) By the Community Organiser as a basis for a listening with a GNC client or older person in the community b) By AUKW as a survey that they can use at individual client meetings or at local day centres and lunch clubs 5 c) By Healthwatch Wiltshire as a survey that their special projects volunteers can use when they go out and talk to people in the community d) By Wiltshire & Swindon Users Network (WSUN) and their membership in the Devizes Community Area. This will establish baselines on how much say people feel in finding solutions to their own lives, the level of contact they currently have, their level of loneliness and social isolation and what would they like to do and what support do they need. This questionnaire will be used to establish a baseline and then repeated with each client after an intervention and a period of time, to show progress. This will also be set alongside the Good Neighbour Service assessment which shows levels of perceived wellbeing and general issues and support needs. We have also undertaken a series of Community organizing door knocking exercises which will continue throughout the life of the project. This reached people of all ages in their own homes and will help to identify people who can develop community led solutions I the local community through volunteering as well as reaching clients we don’t know about currently. 2) Consultation with the wider population at community events, forums and meetings In October we conducted a series of focus groups conducting group conversations. We reached eighteen people through the groups below. Friendship Club Hedges House group. West Lavington, focus group We asked: Why do you think some older people become socially isolated or lonely? What activities are already going on in the area? The full results can be seen in Appendix 1 and some key findings included: When asked, why do you think some older people become socially isolated or lonely? Replies included: Some people are unable to leave their houses/homes/rooms “That first year after bereavement is hard but the second one is where it really hits that you’re alone.” “You tell people about events and they don’t want to come” 6 “Some people get used to not going out” (they get used to their own company) “You can’t get back from town after 5pm – I haven’t been into Devizes in the evening for years!” “Hard in the villages for those people that don’t have a car” We want our project to address some of these issues to ensure that people avoid “getting into the habit of being alone” causing them to perhaps lose confidence. We want to sensitively make links with those who have been bereaved so we can ensure they don’t become emotionally and physically isolated and also tackle transport issues. We also have a number of public meetings planned including a Health and Wellbeing Fayre in November As a partnership we want to continue to explore what the perceived routes into isolation and loneliness are, strengthen the local response to solutions through social action. 3) Co-design of the programme through the partnership steering group The partnership steering group, made up of elected members, community representatives, delivery agencies and strategic managers have co-developed the Plan. This has been through a series of partnership steering groups and sub working groups. 4) Co-design of community solutions for routes out of loneliness An event is planned in February 2015. It’s primarily aim is to engage a range of stakeholders with the project, gain their insight into the issues and potential solutions and get their help in co-design of the project. It will identify and recruit volunteers to co-design community solutions to resolve social isolation and loneliness in local areas. This event workshop consultation will be repeated at least annually to celebrate successes and continue to co-design solutions and recruit new capacity. Through a Community organizing approach we will set up an older people’s research group, allowing volunteer older people to research the issues of older people i.e. them being part of their own solutions. We will involve the community through a grant giving initiative where local people can agree funding for social isolation solutions. We will use an existing mechanism for this which may be Community First’s existing Solve grant giving processes or Area Board processes. We will establish a grant pot for older peoples initiatives in the Devizes area, with a decision making panel made up of users and partners. 7 The programme will strengthen links with the Clinical Commissioning groups CCG’s .see appendix 3 showing the 20 cluster groups. Priority issues for the Community The Partnership focus As a partnership we wanted to explore how neighbourhoods can contribute to the well-being of local older people 65+ who are at risk of, or experiencing, loneliness and how community activities can play a central role to enhance an individual’s well-being. We chose the theme and approach following discussions at the first partnership steering group made up of specialist providers, where some of the issues set out above were considered and priorities discussed. The needs of individual older people, the community, desk top research such as the Joint Strategic Assessment, CCG Strategic Plan, and priorities from Health and Well Being Board, as well as the professional knowledge of the providers were all taken into account. Priorities issues for the community Leaflet drops and knocking on doors and speaking to people may help reach those that don’t get involved Schemes to involve men More events, book sharing and coffee mornings, bingo, day trips, cine club, skittles, bowls Supporting people who are recently bereaved. “That first year after a bereavement is hard but the second one is where it really hits that you’re alone.” “Some people get used to not going out” (they get used to their own company) Transport and access - “You can’t get back from town after 5pm – I haven’t been into Devizes in the evening for years!” - “Hard in the villages for those people that don’t have a car” The Our Place Approach The concept of harnessing the Community organizer approach to better support older people and as a catalyst for routes out of loneliness is a new concept for Wiltshire. The active recruitment of local people to support local solutions and establishing a framework for how they will be supported, either independently or linked to the partnership organisations and the community e.g. Parish Councils, Town Council or other agencies, will raise its own challenges around regard for safeguarding. However we believe the active promotion and a robust partnership 8 approach to developing this infrastructure and the active development of a number of partnership volunteer opportunities to support older people will significantly increase social capacity and access to very local solutions for older people in a way not tested before. The programme includes a trained Community Organizing Good Neighbour Coordinator. We have not yet secured funding post March 2015. A challenge over the next four months is to secure £55,845 a year. This new partnership will allow improved referral and identification of older people who feel isolated and who are suffering isolation, depression and other health related conditions and more effectively reach to those who really need it through the new Social Prescription Model for routes out of loneliness and better links with health care specialists and the community organizing approach. Transport solutions are a challenge in a rural county but this is crystalized further for those with limited budgets, ill health or mobility issues. For the target client group for this programme we know supported transport at flexible times is a barrier. We want to work with Devizes Link scheme and other community transport groups to improve the offer to older people, to make services more flexible than they currently are and to improve supported and non-emergency transport for those who do not meet current non-emergency scheme criteria. We will continue engagement post April 2015 through one to one listenings with GNC clients establishing: Their perception of how much say they have in their own lives and care The level of loneliness and isolation they feel pre and post intervention What solutions they think can be put in place to help them feel less lonely We will continue to communicate what we are doing and how we are responding to what people have said they need through updates on local marketing networks such a Devizes matter electronic newsletter, Community first websites and partner portals The Partnership Steering group has gathered its own professional intelligence and feedback from the community to prioritize early intervention and prevention in tackling loneliness and improving health focusing on five key themes: Harnessing a Community Organising approach to engage and empower community led solution. We know we want to match more volunteers with finding solutions for older people and this is an effective approach to inspire local action. We also want to challenge the traditional line separating those who work for a charity from those whom it helps and in the process helps to ensure that some volunteers are drawn from those who know the services best. 9 Explore and develop a Social Prescription Model for routes out of loneliness. We want to link more effectively with GP’s and other partners to better reach those who really need support. This might be those recently bereaved, who are at risk of depression or who are already on medication for this condition and who are socially isolated. Ensuring support is needs led and locally delivered to ensure those with barriers can access the support close to where they live. Evidencing the benefits of early intervention and prevention to ensure the burden of illness and ill health is reduced for the individual. This will help inform strategic partners Creating cost efficiencies through Cost Benefit Analysis to make a case for prevention programmes The key objectives in the Logic Model (appendix 2) for the programme are: Increasing routes out of loneliness Evidencing the benefits of early intervention and prevention Cost efficiencies Our Key Outputs for one year are: 20 volunteers trained 45 older people supported into social activity over 3 years 3 new community projects 36 people who are supported feel they have a say in developing their support package 40 people benefit from Community transport solutions each year 100 people through CO “Listenings” and other engagement exercises which will be available to decision makers to influence policy and services. Partnership training programme delivered for volunteers including safeguarding we will develop robust training/workshops for referral partners including Care Coordinators and volunteers including the added value of the Locality Community organising training programme We will promote services through local networks DCAP online newsletters, local events to professionals, clients and referrer. We will hold an annual celebration event to recognise volunteers supporting loneliness agenda in DCAP area. Our Key Outcomes are: 1) At least 75% (34 people supported) feel less socially isolated each year 2) At least 70% (34 people supported) feel their wellbeing is increased each year 3) 80% clients supported feel that they have a greater say in solutions 4) Partners supporting older people are more informed about the needs of individualised solutions and sources of help 10 5) More volunteers supporting older people and the economic value is understood The key Impacts are • • • • Increase in the % of adult social care users who have as much social contact as they would like in Devizes Community Area The % of adult carers who feel they have adequate social contact Decrease in the rate of falls and injuries for over 65s in (Devizes is 1662 per 100,000 of the Devizes population, the Wiltshire figure is 1579 falls per 100,000 population.) Decrease in the number and percentage of patients with depression 65+ in Devizes Community Area. 11 Service Delivery Initial Referral and identification into programme and to Community Organising GNC from a range of partners including • Care Coordinators • GP’s - Social Prescription methods • Help to Live at home teams • AUKW • Health Watch Wiltshire • Community Organising leaflet drops and door knocking Community organiser approach to volunteer development Community organising door knocking and local networking Volunteer recruitment days Placement within community Social isolation needs are assessed Home visit to explore clients experience of loneliness and what they think they could do to organisations if appropriate Older peoples focus group established Creation of new social inclusion programmes Access to grants change their situation Solutions discussed Client centred approach to solutions Baselines of perceptions established Solution found Non emergency transport/link Volunteer led activity Signposting and referral to specialist partner support – Age UK befriending, dementia support, care coordinators, CAB etc 12 The Business Case Budget The total project will cost £55,845 and includes: A full time Community Organising Good Neighbour post (TBC) £5,000 for a social inclusion grants programme (TBC) £5,000 transport fund (TBC). Salaries NI Pension Supervision/management Staff training Volunteer expenses Staff travel and subsistence Equipment purchase & maintenance Transport solutions for clients Computer Support Grants for social inclusion projects Telephone, mobile, postage, stationary, photocopying Conferences network meetings organised HR, finance rent, overheads TOTAL 20,198 1,689 1,413 6,000 400 1,200 1,200 100 5,000 100 5,000 830 1000 11,815 £55,845 Total to find – match £40,845 Match Funding Locality Year 3 funding £15,000 Set out below are the potential fundraising avenues and the income in kind from partners highlighted in red. Service Costs Confirmed Potential Fundraising Source Programme costs Good Neighbour Community Organiser & Strategic support, volunteer costs £30,845 no CCG through Better Care Plan funds or Joseph Roundtree Foundation Wiltshire Council Other appropriate 13 Transport solutions Volunteer coordinator – Link Social Isolation Grants through Area Board or Solve £5,000 no £5,000 no Trust Community Transport fund (CF) LINK grants Area Board/town council IN KIND Consultation & volunteer support £1500 (in kind) Healthwatch Wiltshire Volunteers (in kind) Befriending (TBC) £3000 Age UK Wiltshire (in kind) 20 volunteers giving 100 hours each@ £13.90 £27,800 (in kind) no The tackling isolation grants will be administered by an existing grant pot either through the Area Board or Community Firsts Solve programme. A panel made up of community representatives and local beneficiaries will approve projects and invite applications. This programme allows budgets to be aligned in way previously not achieved e.g. community transport, community organizing, good neighbor salaries and development fund for social isolation projects. Cost Benefit Analysis The Logic Model was assesses by the Panel is undertaking a robust and comprehensive CBA, resulting in the full New Economy spreadsheet to be included within the operational plan. We have been allocated some additional consultancy and made initial contact with a meeting planned with the volunteer in mid November. The Cost benefit Analysis exercise builds on the work of New Economy. Their work includes the compilation of a cost database. This unit cost database brings together more than 600 cost estimates in a single place, most of which are national costs derived from government reports and academic studies. The costs cover crime, education & skills, employment & economy, fire, health, housing and social services. The derivation of the costs and the calculations underpinning them has been quality assured by New Economy in co-operation with HM 14 Government. These costs can be used to inform proposals for the implementation of new interventions, the redesign of public services or their evaluation. Below are some costs which might apply to the programme but will be developed over the coming months. An isolation cost will be included. Average cost of service provision for adults suffering from depression and/or anxiety disorders, per person per year £956 GP - cost per hour, General Medical Services activity £125 Residential care for older people - average gross weekly expenditure per person, England £541 Nursing care for older people - average gross weekly expenditure per person £630 Average gross weekly cost of day care or day services for older people, England £134 Average gross weekly cost of home care packages for older people, England £192 Hospital day cases - average cost per episode £707 Average cost of service provision for people suffering from mental health disorders, per person per year, including dementia (all ages, including children, adolescents and adults) - total fiscal cost £2,148 Governance The project has a partnership governance structure which will steer the implementation of the operational plan. We have established a Devizes Our Place steering group to provide the governance and review structures for the project and terms of reference for the group. We have agreed the independent Chair, who represents Devizes Community Area Partnership. As the Our Place lead, Community First will manage the partnership and manage associated contract arrangements with the funding agencies, manage outcomes and financial returns. The project will be driven through the three established sub groups; routes out of loneliness, fundraising and communication and cost benefit analysis. These will feed into the full partnership group meeting which will meet at least three times a year. The governance of the grants pot will be either through Community First existing grant giving processes all fully audited as part 15 of our annual financial procedures and legal requirements or through the Area Board which falls under the governance of Wiltshire Council. We will develop monitor templates to capture information which will be reviewed by the Programme Steering Group six monthly. This will also be managed through supervision by community First through its established supervision processes. Communication to the electorate and service users Progress on the project will also be communicated to the relevant local governance groups including the Town Council, Area Boards, and DCAP Health and Wellbeing group and county wide to the Health and Wellbeing Board and partnership on which at least two partners sit. We will develop an Our Place quarterly newsletter to be sent electronically and hard copy updating on progress and good news stories. It will be included on partner websites and their own publications and we will prepare regular press releases to inform stakeholders. The Devizes Community Matters publication and other electronic publication will also support our messages. 16 IMPLEMENTATION PLAN APRIL 2015 ONWARDS: DEVIZES OUR PLACE Generate Referrals a) Attend CCG Cluster meetings b) Partner information sessions to raise the profile of the programme c) Self referral through leaflet drops April and ongoing Community Organizing Good Neighbour – Community First a) Home visit client assessment April and ongoing b) Establish baseline for perceived level of say a client feels c) Perceived level of loneliness and social interaction d) Activities a client would like to do e) Identify barriers to participating Community Organizing Good Neighbour – Community First Identify Client Needs Joint Partnership training a) CCG training b) Befriending, Age UK Wiltshire c) Healthwatch Wiltshire volunteers April 2015 Jo Whitford CCG Community Organizing Good Neighbour – Community First Lucie Woodruff – Healthwatch Ongoing Community Organizing Good Neighbour – Community First Alex north and Belinda Fowler, Lynn Gibson Volunteer identification and call to action a) Community organizing door knocking to inspire volunteers b) Volunteer recruitment campaign – Press c) Older peoples focus group established to support social action and needs assessments d) Annual celebration of volunteer contribution April/May April March Create community led solutions a) Match volunteers with appropriate Ongoing Community First 17 b) c) d) e) partners e.g. befriender AUKW, LINK Match volunteers with clients needs to develop solutions Establish grant Solve programme for social inclusion solutions Apply to transport fund for solutions identified Signpost through GNC service and all partners April Community First, Area Board, Jayne Funnel Age UK Wiltshire May Devizes Link and Liam Tatton Bennett – Community Transport Marketing and promotion a) b) c) d) e) f) g) h) a) Partners internal PR Articles in DCAP e-news CF website, e-news Press Area Boards attendance DCAP meetings Town Council CCG Cluster groups Health and wellbeing partnerships April onwards All partners Cost Benefit Analysis a) Six monthly partnership meetings to review targets September/March Lynn Gibson, Community First, Sue Odhams Wiltshire Council, Jo Whitford, CCG Governance a) Partnership steering group six monthly b) Monitoring process established Templates to capture measures created c) Sub groups quarterly • Routes out of loneliness • CBA • Marketing and fundraising April onwards All April, July, October, Dec ongoing Key Milestones year one April to September to Total 18 September March 2016 Clients identified Individual assessments Volunteers identified Volunteers matched and undertaking social action Partners access training Older people helped with transport solutions Older people supported feel less socially isolated Older people supported feel their wellbeing is increased each year 20 20 10 10 25 25 10 10 45 45 20 20 10 20 10 20 20 40 14 20 34 14 20 34 Older clients supported feel that they have a greater say in solutions 16 20 36 Adult social care users feel less isolated Falls and injuries are reduced Patients over 65 with depression are reduced 5% over 5 years 5% over 5 years 10% over 5 years Adult carers over 65 supported feel they have adequate social contact We will continue to refine the targets and monitoring processes over the coming months 19 Appendix 1 Our Place consultations – Friendship Club Hedges House group conversation No. of people: 12 Questions Why do you think some older people become socially isolated or lonely? Some people are unable to leave their houses/homes/rooms “That first year after a bereavement is hard but the second one is where it really hits that you’re alone.” “You tell people about events and they don’t want to come” “Some people get used to not going out” (they get used to their own company) “You can’t get back from town after 5pm – I haven’t been into Devizes in the evening for years!” “Hard in the villages for those people that don’t have a car” “We’ve tried everything but they don’t come downstairs” (in Hedges house) Is there anything else that we as communities can do to prevent older people becoming lonely? n/a What activities are already going on in the area? Rambling groups Coffee morning in Hedges house on Mondays Friendship club Day centre in Market Lavington Anna Grew – provides ready meals for older residents in West Lavington Good Neighbours lunch club Is there anything more that can be done? Hedges House – we have tried everything. Some people stay in their rooms and don’t ever come down. They might do if there was a carer here to help them but that costs money. “How do we get the men involved?” 20 West Lavington – focus group No. People: 6 Why do you think that some older people can become socially isolated or lonely? Chatted about a couple of people that used to attend events with friends but when those friends passed away they stopped going out. Discussed that the longer people went without attending or meeting others, the harder it got for them to start again. Impossible to change some people’s mentality – if they don’t want to go out it is hard to make them. Is there anything that we can do as a community to help prevent older people become socially isolated? Knocking on doors and speaking to people may help reach those that don’t get involved (there were offers of people coming along and doing this with me to introduce). Its hard to get the men involved. Is there anything that could be done? Bowls/ Skittles? indoor bowls/boules – could help to get men involved? Village hall would be a good venue Bus trip day – using bus passes and arranging trips on public transport (PL has been to Bournemouth on public transport) Bingo session w. coffees Cine club. There is one in Urchfont (moveola?) – also a bigger one in Devizes that we could chat with and see if there is a way of linking up. Churchill arms – book swap and coffee morning. Could put an ad in the parish mag asking for book donations or advertise Book swap (similar thing in Erlestoke – in the church) Pub may be interested. Bookshelf in Churchill – could leave all books there (chatted with Matt behind the bar) PHAB – transport, community first could help with picking people up from events? 21