Our Place Operational Plan Devizes, Routes Out of

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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
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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.
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 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.
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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.”
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
“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
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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”
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

“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.
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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
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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.
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 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
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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.
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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
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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
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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
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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
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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.
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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
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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?”
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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?
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