Application Number Name of organisation Service name CCG area covered Brief description 1 Cruse Bereavement Care (Craven & Bradford Area) MOSAIC II Cruse Bereavement Care, Craven & Bradford Area AWC CCG Click Here MOSAIC II All three CCGs Click Here 7 Little Lane Tai Chi Group City CCG Click Here 9 Little Lane Tai Chi Group, regular exercise for older women Relate Relationship Support Services All three CCGs & Craven Click Here All three CCGs Click Here 18 Roshni Ghar Roshni Ghar 21 Making Space 22 Bradford Counselling Services Prism Youth Project Bradford and Airedale Mental Health Advocacy Group Bradford and Airedale Mental Health Barnardo’s Bradford & Airedale Mental Health Carer Support Service Bradford Counselling Services City & Districts CCGs City & Districts CCGs Keighley and Craven All three CCGs Click Here 15 Relate Bradford, Relate Pennine, Keighley & Craven Family Action Alma Street Project (Alma Street Project) Family Action Building Bridges (Building Bridges) Family Action Children and Loss All three CCGs Click Here Breathing Spaces All three CCGs Click Here Volunteer Advocacy and Befriending All three CCGs Click Here Acute Inpatient Mental Health Advocacy Adults Barnardo’s Bradford Young Carers Service Community Support Agency – Mental Health Team Bradford BME Mental Health Involvement and Recovery Project Bradford People First Health Living Project All three CCGs Click Here All three CCGs Click Here All three CCGs Click Here All three CCGs Click Here City and Districts CCGs Click Here 5 12 14 24 26 28 33 40 Horton Housing Association 45 Sharing Voices Bradford (SVB) 46 Bradford People First (healthy living project (5 days)) Click Here Click Here Click Here 53 The Isis Project for Women and Children Limited 62 63 Domestic Violence Services Keighley MIND in Bradford 66 Barnardo’s 67 Sacar 70 84 Bradford Rape Crisis & Sexual Abuse Survivors Service Bradford Disability Services Limited Sacar 91 The Cellar Trust 92 Choice Advocacy 98 Bradford Cancer Support Girlington Community Association People First ‘Healthy Me’ Keighley & Craven Bradford Bradford Bereavement Bereavement Support Support 74 106 115 117 The Isis Project for Women and Children Limited – Mental Health/Well-being service for women (and under 5’s) DASH (Domestic Abuse Services & Health) Districts CCG Click Here All three CCGs Click Here MIND in Bradford Existing Services Wellness Recovery Action Planning with Young People experiencing mental health difficulties The Autism Health Engagement Project Rape Crisis Sexual Violence Services All three CCGs Click Here All three CCGs Click Here All three CCGs Click Here All three CCGs Click Here Ideas For All (IFA) City and Districts CCGs Click Here Autism Works All three CCGs Click Here The Cellar Trust Personal Development Programme Advocacy for Better Health Supporting People Affected by Cancer Girlington Healthy Communities Project All three CCGs Click Here All three CCGs Click Here All three CCGs Click Here City CCG Click Here AWC CCG Click Here All three CCGs Click Here Cruse Bereavement Care (Craven & Bradford Area) To continue to provide support and information to bereaved (or pre-bereavement) children, young people and adults resident in Craven and Bradford, responding to such requests in a timely, efficient and consistent way, free of charge and not time-limited to a set number of sessions. We do this through sound management, supervision and on-going training arrangements for all aspects of the work. We operate from an office base in Skipton which includes two purposeequipped counselling rooms, one of which is equipped for work with children and young people, but by arrangement with other organisations can offer suitable venues in other parts of the Area, or where necessary for the client’s needs, in their own home. The consistency and high standards of administration and record-keeping are currently secured through 21 hours per week of paid staff, but we would like to increase this by another 6 hours. Otherwise leadership and management rests with volunteers who give much time in various aspects as well as variously fulfilling the other roles of bereavement support worker, supervisor and trainer. A principle of Cruse is that volunteers not be out of pocket for the work they do so travel expenses are paid and this demand increasing resources because of the rural nature of the Craven, Airedale and Wharfedale end of our Area Mosaic ll Mosaic II supports families whose lives have been affected by sexual abuse by enabling them to gain knowledge regarding child protection procedures and obtain healthy coping strategies following the disclosure of sexual abuse within their families. We do this by offering counselling, complementary therapies, physical wellbeing sessions, support work which is offered in a variety of ways to meet the clients’ needs. We offer training and group work on various topics related to sexual abuse issues. We have found by offering holistic support to clients it supports health promotion and illness prevention as clients achieve feeling less isolated, value themselves, build self esteem and gain confidence which is conjusive to promoting self care. Clients accessing Mosaic services present with a huge variety of symptoms including; suicidal tendencies, eating disorders, depression, agoraphobia, anxiety, PTSD also many clients harm themselves as a coping mechanism to assist them in dealing with the feelings that arise from memories of sexual abuse. We believe Mosaic II are working with adults who were not able to access services as children and have now carried symptoms through into adulthood which impacts their health and well being. Mosaic is an independent registered charity clients voluntarily access our services demonstrating a desire to make improvements to their life styles. All services offered are not time limited so a client can come for as long as they feel they are gaining benefit from accessing Mosaic services we also hold an open door policy which enables clients to return to Mosaic if they wish in the future. All services offered are targeted at clients discovering how to take care of themselves and valuing themselves as individuals. Mosaic is the only service which provides support to all family members both male and female in this geographic area. Little Lane Tai Chi Group, regular exercise for older women The group would like to continue to run as an hourly exercise session, led by an experienced tutor, for 45 weeks a year, aimed at older women in the BD8 and BD9 communities and held in Little Lane Church and Community Hall (Little Lane/Duckworth Lane BD9). The project supports health care and illness prevention by regular exercise through the holistic approach of Tai Chi. The exercises improve balance and flexibility by strengthening and stretching muscles, thereby helping to prevent falls. Deep breathing practices increase lung capacity, improve stamina and resistance to respiratory infection. The regular exercise supports heart health. The group promotes self-care and improved fitness through a positive approach to mental and physical health in a friendly and sociable group. Participants are encouraged to walk to the session, to develop a daily habit of exercises using some of those practised in the group session and share concerns over, for instance, weight and general fitness. There are opportunities to share health concerns with professionals in the field, through inviting visitors to the sessions. Extra social value is added as the sessions are followed by a tea/coffee and listening opportunity in the hall, enabled by volunteers from the church, of which Tai Chi group participants may take advantage. Also, the sessions are taken to outside venues about three times a year, to emphasise the pleasure of exercise in the open air and to provide an opportunity to visit no charge leisure places in the district (e.g Tai Chi in the Mughal Gardens, Maningham Park followed by a visit to the art gallery). The grant is needed to cover tutor costs, hall rental, public liability and employer’s liability insurance. Relate Relationship Support Services Relate Bradford and Pennine, Keighley & Craven wishes to continue district wide provision of specialist counselling/therapeutic services with a relational focus, not duplicated elsewhere in the district. Offering interventions from ‘cradle to grave’ •Adult couple/ individual counselling •Psychosexual therapy •IAPT Couple Therapy for Depression (EOI to FTT, no outcome at time of this application) •Children/Young People’s Counselling •Family Counselling •Group work with a relational focus •Liaison/consultation to other professionals •Supporting clients into other relevant support/ resources •Training/retaining highly skilled therapeutic workforce •Participating in local networks, groups and boards, sharing best practice, influencing policy on family life/ relationships Our proposal is to ask the CCGs to finance the provision of 5465 sessions out of a total operational output of 7275 across all therapeutic disciplines enabling a timely response thereby, maximising the early intervention and preventative benefits of our work. Half our work will be out of work/school hours in both Relate centres and out-post facilities. Referrals have increased by 40% since end 2009/10 and are currently: 20% from GPs, School nurses/health visitors 13%, Mental Health Teams 11%, Social Workers 10%, Crisis Intervention 9%. We are aware that many of those young people who use our services surprisingly fall below CAMHS thresholds despite the fact that these cases are serious and complex; some choose not to use CAMHS. Referrals from Looked After Care and young people leaving or on edge of care are increasing. Commissions have historically helped us ensure services remain accessible to those who are disadvantaged, hardest to reach and vulnerable. This work is complex with for example 44% of referrals having client issues involving domestic abuse, 13% with known child safeguarding issues. We encounter much more of these issues from those people who self- refer and are often the first agency to hear about those at risk. Alma Street Project Funding will enable continuation and development of our existing Alma Street Project which offers therapeutic support for children who have been sexually abused. This Project provides individual therapeutic recovery work for children aged 5-17 years who have been sexually abused, which: • Gives children the opportunity to tell their stories and explore feelings such as guilt, shame, and worthlessness • Helps correct erroneous beliefs about self and others resulting from abuse • Enables identification of early warning signals, support networks, and safety strategies in order to prevent re-victimisation and promote satisfying and healthy relationships • Eliminates or reduces symptoms specific to trauma such as re-experiencing the traumatic event, avoidance and numbing, and increased anxiety and emotional arousal • Helps children to identify and learn how to regulate their emotions, manage difficult and painful feelings and develop appropriate coping strategies. It also provides education and support to non-abusing parents/carers, enabling them to: • Understand and meet the social and emotional needs of their children • Provide a stable and safe home environment where risks of re-abuse are minimised • Work on rebuilding relationships between non-abusing family members • Acknowledge their own emotional needs and explore how these might be appropriately met • Feel less isolated and stigmatised. Finally it provides consultancy to professionals, enabling them to: • Understand the social and emotional needs of children who have been sexually abused • Highlight and take action to address safeguarding issues • Plan effectively for children’s immediate and long-term needs. We take a child-centred approach and assess the full range of needs a family bring to the therapeutic process. We offer tailor-made packages of support which maximise outcomes for each child and their family. Building Bridges The Family Action Building Bridges service supports parents affected by mental health issues which are impacting on relationships with their children. The service : • provides counselling and psychological therapies • supports the engagement of service users with therapeutic work • works on relapse prevention by using volunteer befrienders • supports service user engagement with other agencies including health, social care and education • facilitates self help and peer support groups The Clinical Commissioning Group currently fund an Engagement and Assessment Worker that: • acts as the initial point of engagement facilitating access into the Building Bridges service • works from community based settings with marginalised groups of parents with mental health issues who may be out of touch with mainstream health services • undertakes holistic assessments with service users and allocates cases to volunteer counsellors and befrienders • builds and maintains referral pathways and partnership relationships between health professionals and the Building Bridges service. • carries a caseload of more complex cases where there are significant safeguarding and or issues of risk (such as multi agency involvement in child protection and CAF) The Big Lottery currently funds (until July 2016) a Volunteer Coordinator to supervise a team of volunteer counsellors and befrienders • Volunteer counsellors: work with parents to help improve emotional and mental wellbeing and to strengthen parent/child relationships • Befrienders provide one to one work and run self help /peer support groups enabling service users to: • stay engaged with the Building Bridges service and wider health services • meet identified goals, maintain positive change and prevent relapse into unhelpful/harmful behaviours • Work towards social inclusion. This service bridges the gap between adult mental health and children’s services working closely with professionals from both sectors to achieve positive outcomes for families affected by adult mental health issues. Children and loss Funding will enable continuation and development of our existing Children and Loss project which provides a therapeutic recovery service for children/young people who have experienced the death of a significant person in their lives and are struggling with the grieving process. We aim to extend our service in the financial year 2013/14 to offer therapeutic work to Looked After Children who are struggling with the of loss of their biological family as a result of their reception into care. We can offer individual therapeutic recovery sessions which help children/young people: • adjust to loss and change • share their memories • express their grief • find a narrative/tell their stories • identify coping strategies The project can also provide: • Support sessions, information and advice to parents/carers helping them to support children/young people effectively • Whole family bereavement work • Long-term work to children/young people who have complex loss and trauma issues • Consultation for professionals and community organisations which: • Provides them with an awareness of bereavement models • Assists in developing an understanding of issues affecting bereaved children/young people and their families • Helps professionals identify ways of supporting children/young people in their grief In addition the Children and Loss project will: • Run two therapeutic groups per annum to support children/ young people who are struggling with bereavement or loss in partnership with local schools and/or where appropriate youth services • Facilitate an annual event in partnership with Marie Curie bringing bereaved children/young people together to remember and celebrate the life of the person they have lost • Network with other agencies offering work with bereaved adults or services for children in other areas such as BBS, Cruise, and SOBS • Provide a holistic service, in accordance with every child matters and local safeguarding policies and procedures. Roshni Ghar Continue to promote social-inclusion through community development work. Continue to target and engage most underrepresented and marginalised BME women experiencing multiple disadvantages due to mental illness, distress, and stigma, or who are vulnerable to developing mental health problems in Keighley, who experience cultural, and language barriers, majority who speak no English at all. Continue to work with established partnerships, the female Psychiatric Ward, CMHT, CAMH, GPs, Psychological Therapies, other professionals and deliver integrated packages promoting independence through providing a safe space and a confidential one-to-one emotional support service in the heart of the community from a range of outreach venues suitable for women. To continue and achieve better health outcomes for women experiencing mental health illness, distress and stigma, or who are vulnerable to developing mental health problems through providing them with support during recovery to enable them and their carers/families to live normal lives as much as possible through providing support with personal care and health promotion. Help women and their families achieve better health outcomes through reducing social isolation, providing information and meaningful daytime activities that are service user/community led, developed and designed in consultation with them, and are culturally and socially appropriate to meet their expressed needs. Provide a fun and learning environment for women to address issues that impact on their mental health and well-being. We do this through working in partnership with other mainstream and voluntary sector agencies through using holistic approach that promotes wellbeing and recovery through participation, inclusion, choice and maximizing these women’s potential through tackling inequalities. In partnership with other agencies enable women to build confidence, self-esteem, and skills through accessing education, volunteering and employment opportunities by enhancing their financial situation and improving quality of life. Bradford & Airedale Mental Health Carer Support Service Making Space currently delivers a Mental Health Carer Support Service in Bradford & Airedale. The service provides support to carers of adults with mental health problems, enabling carers to have more choice and control over their own lives by providing them with practical and emotional support and promoting their own physical and mental wellbeing. The aim of the service is to: - Promote provision for carers in line with national objectives - Provide information about mental ill health and services - Provide information on medications and side effects - Intervene and advocate on behalf of families - Help carers gain access to the services they need - Support carers to participate in service development and planning arrangements - Provide emotional support - Support carers to develop coping strategies - Promote carers own physical and mental wellbeing - Identify and provide opportunities for carers breaks - Develop and support self-help groups, activities, individual interventions to reduce social isolation for carers - Liaise with Mental Health service providers both in statutory and voluntary sector to ensure joint working - Promote carers assessments - Provide awareness training sessions to other mental health staff anticipated to be providing referrals, to assist such staff to understand the role of the Service and how to access the Service - Work with the acute wards to target new carers - Identify “hidden carers” - Enable the experience of carers to influence service development and evaluation - Have a system of measuring outcomes for carers, which values carers’ perspectives and enables empowerment and choice - Support carers to re-enter employment, education or leisure activities - Support carers to access health services - Target the BME communities with dedicated BME workers/ Asian language speakers - Provide wellbeing and healthy living workshops Bradford Counselling Service Bradford Counselling Services is a long-established project, delivering generic counselling to people from across the 3 CCG regions. These are delivered under three sub-project headings: • Off The Record: For young people aged 18 and under on any issue • 1-2-1: For adults on any issue, including relationship counselling • The Freedom Project: For women who have experienced domestic abuse and/or violence. Most of the counselling is delivered in-house at our main address, however, we also operate a satellite service in Keighley under The Freedom Project heading, to enable women of limited means referred via Keighley Domestic Violence Service to access counselling. Prism Youth Project Breathing Spaces project is based within a holistic Inner City Farm environment in Bradford West and a Horticulture Training Centre in Keighley and works with young people and adults affected by mental health. Both sites are in areas of high social deprivation and provide a ‘greencare’ environment using eco-therapy to promote good mental and physical wellbeing. We use a range of interventions, including social and therapeutic horticulture and animal-assisted therapy in an agricultural setting. The project is promoted as volunteer opportunities to help reduce the problem of the stigma and discrimination attached to mental health that beneficiaries strive to avoid. It provides volunteering / mentoring opportunities for both young people and social excluded adults in the local diverse community who benefit from the healing and calming qualities that the outdoor environment can provide and enables those affected by mental health to break free from a clinical environment which can be oppressive to their own recovery and wellbeing. The project meets the ‘five ways to well- being’ through its programme and delivery methods offering opportunities to develop new skills and build confidence and also offers accreditation to those who chose to take this up. Young people and adults have been encouraged to volunteer on the programme for as much or as little time as they felt they could give. There is absolutely no pressure, we have found this the best approach which saw many volunteers thrive and become fully involved in the daily tasks required to run a city farm and horticulture site which also gives them a real sense of ownership. Eco therapy is free of unpleasant side-effects and offers a cost-effective and natural addition to existing treatments. Commissioned reports by mind have confirmed that participating in green exercise activities provides substantial benefits for health and wellbeing. Volunteer Advocacy and Befriending Building on and maintaining the successful volunteer advocacy project funded by the PCT, we also intend to provide volunteer befriending support to adults across the district that are socially isolated as a result of experiencing mental ill health. The project will recruit, train and support volunteers to provide quality user led advocacy and befriending. This project will consist of two parts; • Volunteer Mental Health Advocacy: This current project employs a Volunteers’ Organiser to recruit, train and support volunteers to provide advocacy support to mental health service users within hospital and community settings. After completing the training programme covering mental health awareness, boundaries, communication and advocacy skills, our volunteers shadow trained advocates until competent to take on their own caseload. Most of our volunteers have personal experience of mental health issues and their advocacy support empowers service users to have more control in their recovery and future by enabling them to express themselves, access information and services, explore choices and options, and defend and promote their rights. On-going supervision, training and support ensures that volunteer advocacy is to the same quality standard that we expect from our paid advocates. • Volunteer Befriending: Using the same principles of recruitment, training and support as above we will work with a small team of volunteers to provide a service to those who are isolated as a result of their mental ill health. Training will be tailored to the principles of Befriending, and volunteers will be matched to those in need aiming to alleviate isolation and provide assistance enabling the befriendee to move forward in their life. Partnerships will be time-limited and goal orientated to ensure there is purpose and outcome. Befrienders and befriendees will both benefit with improved life-skills, confidence and self-esteem. In this project’s previous incarnation, Befriendees often went on to become volunteer befrienders. Acute Inpatient Mental Health Advocacy Adults This project provides essential independent user led mental health advocacy to those receiving inpatient services both at Lynfield Mount Hospital and Airedale Centre for Mental Health, providing an essential safeguarding mechanism for voluntary patients who have no statutory rights under MHA / MCA. ‘Advocacy is taking action to help people say what they want, secure their rights, represent their interests and obtain services they need. Advocates and advocacy schemes work in partnership with the people they support and take their side. Advocacy promotes social inclusion, equality and social justice ‘ Advocacy Charter - Department of Health. Advocates will: •listen to the needs of the patient in a non-judgmental and respectful way •ensure a voice is given to their needs, views and wishes within their care and treatment •ensure the needs of the patient aren't over looked or ignored as a consequence of their informal status •enable people to understand their rights and choices in relation to their care • provide information about previous and future care meetings and the progress of their case •enable people to express their needs for discharge •provide appropriate information and signposting •provide an equitable and accessible service. By: •working with people as individuals to understand their situation • discussing their options •liaising with professionals and other organisations around other issues affecting their mental health e.g. physical issues or long term conditions which exacerbate mental ill health and ability to make decisions •helping them communicate with their care team • attending ward rounds and other meetings as appropriate •gathering information on their behalf •sharing information with someone at a time and in a way that is appropriate to the individual • maintaining records of advocacy involvement •maintaining a regular and physical presence on wards at both sites. Barnardo’s Bradford Young Carers Service Young carers provide care and support to a family member who have a long term physical illness, mental ill health, physical or sensory impairment or substance misuse issue. The support provided by young carers is crucial to maintain individuals in the family home. There is a significant risk that this support can have a negative impact on the long term health of the young carers. The Young Carers service works with young carers and their families to: - address any negative impact of the caring rule - support young carers to develop coping strategies to minimise any future impact of caring role - liaise with school to ensure that school understands and accommodates the young carers needs arising from their caring role - supports those cared for (usually parents) to access services including treatment services - support those cared for to access community based services - support young carers to access locally provided leisure and social activities. The service has a clear process of assessment, planning and review and adopts a whole family, outcomes based approach. The direct work involves a range of interventions - Individual work ( to young carer and parent) - Time limited group work - Mediation and advocacy Signposting and support to access other services - Parent training. Young Carers accessing support from the service report a reduction in the negative impact of the caring role ( Apr-Jun 2013 68%, JulSep 70% reported a reduction in the negative impact of the caring role) The current service supports over 250 young carers per year. The service also works with other agencies to promote early identification and intervention and has worked with mental health services, education, school nurses and substance misuse services. The service also plans to work at primary care level to increase identification and support. Horton Housing Association The proposed project is an existing community/home based support scheme that addresses our community’s mental and physical health issues. We do this by promoting independence, self care, healthy lifestyles and illness prevention through a three tier approach – • Weekly home visits by allocated support staff offering practical interventions to improve the individuals health and well-being • Provision of a crisis worker who will offer a rapid and assertive response • Develop clients to offer peer support as ‘experts by experience’. Promoting good health and well-being within their communities by integrating with existing forums and developing such groups We achieve excellent outcomes for individuals in terms of improved economic well-being, housing, educational/vocational skills, improved well-being and recovery. We provide specialist provision of bi-lingual language skills and cultural knowledge. We tackle gender and ethnicity specific health inequalities with our ability to engage directly with black, Asian and minority ethnic groups. We deliver interventions to prevent or better manage common conditions to this population, such as diabetes, heart disease, anxiety, depression, drug misuse, harmful drinking and general poor health. We understand that recovery is ‘contagious’. We will employ an Engagement Facilitator to engage ‘experts by experience’ to act as peer mentors. Peer mentors will share knowledge, experience and advice to current clients, develop community links and conduct well-being activities at heart of the specific locality. We employ a robust assessment and support planning processes, ensuring health issues are screened, assessed and addressed. We focus on access to appropriate health interventions, treatment compliance, sustainable recovery and self-care. Our outcomes, measured through our comprehensive ASPIRE quality tool, are based on the Every Child Matters indicators and the Health and Well-being Strategy Outcome monitoring tool. These outcomes are then fed back through clear monitoring systems. Bradford BME Mental Health Involvement and Recovery Project Proposal is a community development mental health project promoting Race Equality (JSNA2012 5.3.6) within mental health services, self care, integration, undertake health promotion into local communities, achieve recovery and reduce reliance on services. It will: • Identify participants with complex needs, assist with issues and support access to services thereby fostering integrated care and preventing hospitalisation • Work with 100 people living with mental health diagnosis offering 1-1 befriending and full package of complementary community based services. • Work with 170 people experiencing mental distress • Work across district with BME communities including SA, ACC, White minority (Irish), CEE, ASREF and Faith • Work across gender, age groups and LGBT individuals • Work with 70 young people providing a transition into adulthood in 9 schools • Sustain 15 culturally appropriate and accessible self help groups located within communities • Deliver 5 self care/help courses per year (min 70 people) & minimum 20 volunteers • Continue to pioneer use of media and social media formats targeting young leading to prevention and reduction of self-harm. • Develop existing partnerships with Bradford District Care Trust (BDCT), GP’S, Schools, third sector, places of worship and BME business community • Deliver additional social value e.g. volunteering, training and job experience leading people to employment and reduced hospitalisation • Support self advocacy • Develop community based ‘Listening Imam/Alima and Priest’ project. Have recruited a female Imam graduated from Cambridge Muslim College to offer pastoral support to south Asian Muslim women. • Provide support to statutory bodies undertaking research & development • Support smaller groups including ASREF that deliver support to communities • Deliver outcomes that contribute to wider health and well being e.g. gym group, walking, People in the Dales etc. • Development of mutual interest group, facilitate joined-up working and link into established planning forums • Deliver outputs/outcomes as identified in Q53 and Q54 Bradford People First Healthy Living Project The aim of the project is to: Reduce health inequalities for people with learning disabilities through self-advocacy, service-user participation and education. The project will run for 5 days per week – approx. 35 hours. The work will be carried out by up to 12 people with a learning disability, working as volunteers. They will be supported by a paid member of staff. The project will build on its existing work and partnerships with other organisations in the area, and will expand on the 3 day funding proposal also submitted. Proposed work for the project will include: •Training for people with learning disabilities, students, professionals and carers on range of health issues, including: o Annual health checks o Healthy diet and healthy heart o Cancer screening o Diabetes o Learning disability awareness and communication skills for professionals We will also focus on health issues within the ‘Transitions’ group providing service-user representation and consultation at events and meetings including: o Healthier Lives Sub-Group (Learning Disability Partnership Board) o Closing the Gap/Additional Needs (BTHNHSFT) o Involving you 3 (BDCT) • Running an annual Healthy Living Event for people with learning disabilities, professionals and carers • Providing consultation re: information and service delivery – e.g. o Easy read information o Health Improvement Action Plan o JSNA • Improving Patient Engagement and experience through: o Working with, for example, PPG’s and Involving You 3. O Establishing and implementing ways to improve service user involvement within PPG’s for people with learning disabilities • Providing feedback to existing organisations regarding the experiences of people with learning disabilities – e.g. Healthwatch The existing Healthy Living Project are registered as ‘Healthwatchers’ - Our members are quality checkers for the ‘Enter and View’ scheme. One of our members is Learning Disability Representative on Healthwatch Board. Increasing accessibility and information regarding sports services for people with learning disabilities. The Isis Project for Women and Children Limited – Mental Health/Well-Being service for women (and under 5’s) Our application for funding is to enable delivery of our gender specific service to women in recovery from mental distress, aged 18+. Our application will reflect “Full Cost Recovery” to ensure all aspects of our quality service are delivered in the same holistic, time limited interventions which reflect value for money and social inclusion in its broadest form. Our service resonates with Third Sector Grant Objectives in that we currently engage with women who may be marginalised, under-represented and stigmatised due to their mental ill health. We are located in Shipley but take referrals from all three CCG areas, and feel our service resonates with the anthem “about us but not without us” – as some of our staff team are survivors of mental distress and can empathise with our service users. We take a “hands on” approach to working with our clients. We encourage their involvement in our service when they have reached that point on their recovery journey. We continue to develop cross-sectoral partnership arrangements with other statutory and voluntary services and implement mutual referral pathways into each other’s services. Weekly input from a Health Trainer ensures women can access information and guidance in achieving personal goals around health improvement e.g. – smoking cessation and our Cook and Share sessions incorporate health eating plans to combat diabetes and heart disease. Our Partnership/mutual referral pathways ensure the correlation between mental health, homelessness and domestic abuse is acknowledged. We share fast track access into Bradford Women’s Aid/Staying Put/Rape Crisis Services. Offering Childcare is crucial. We wish to ensure that a crèche runs alongside our outputs. DASH (Domestic Abuse Services & Health) DASH (Domestic Abuse Services & Health) will provide a confidential, non-judgemental client focused individually tailored community based support service to women affected by domestic abuse. We aim to provide a holistic service offering both practical/emotional support and information at point of crisis or for longer term support. DASH will address short term crisis intervention needs initially to ensure safety and protection providing a pathway to longer term emotional support services that can focus on building self-confidence/self-esteem and resilience, breaking the cycle of abusive relationships. This specialist domestic abuse service will be delivered by experienced floating support staff with relevant languages including Urdu, Punjabi, Mirpuri, Czech, Polish & English. We will link in with and signpost to other services within the VAW sector and those of partner agencies in both the statutory and voluntary sector to create a comprehensive pathway of care from the point of contact until such time that it is felt the client is ready to move on. This promotes engagement of vulnerable clients with complex needs who will be given support to understand their options to enable them to make informed decisions. Assistance will be offered in securing safe accommodation, accessing legal help, claiming welfare benefits, dealing with immigration issues, substance misuse and mild mental health issues. DASH aims to support and empower clients in moving on from the trauma of domestic abuse enabling clients to make long lasting positive changes so they can lead independent lives free from abuse keeping themselves and their children safe hence, reducing the risk of repeat victimisation. MIND in Bradford Existing Services We wish to continue the service Mind in Bradford provides to adults with mental health problems across the Bradford District. This includes 3 evenings a week social support 5pm – 9pm for people who are isolated and whose mental health or associated behaviour precludes them from attending mainstream social venues. We also provide both a men only and a women only day time session. Within this we facilitate peer support groups to share information on staying well and managing conditions such as OCD, depression and bi-polar disorder. We also broaden people’s life skills by giving them the opportunity to work on reception, tuck shop and kitchen duties. Up to 50 people attend any one session of which at least 20% are from BME communities. We also deliver a three month rolling programme of group work which includes activities known to improve mental and emotional wellbeing, such as singing, walking, drama and art and also groups to help people manage their mental health such as Wellbeing Recovery Action Planning, Recovery Support and Mindfulness. These groups are delivered at different venues across the Bradford District. Over 250 individuals access our group work during a three month programme. Guide-Line telephone helpline has well trained paid staff & volunteers, open 12 noon to 9 pm every day. Located in Shipley, it covers Bradford Metropolitan District. We answer between seven and a half and eight thousand calls each year. We give long term & short term support by phone, support through crisis, and give information and signpost to other organisations as needed. Calls are confidential; people ring us with severe & enduring mental health conditions; suicidal thoughts; self-harm; anxiety, depression often complicated by other issues. We get calls from carers and professionals. Our email service Alex gives people an alternative way of accessing help. Wellness Recovery Action Planning with Young People experiencing mental health difficulties Wellness Recovery Action Planning is an evidenced based approach that promotes health and wellbeing by helping people in their recovery with mental health difficulties. It is applicable to all diversities as it is an individualised approach where a person writes their own recovery plan based on what they identify keeps them well in everyday life. WRAP promotes health, self management and empowers individuals to shape their experiences, achieve life goals/dreams, improving quality of life and resilience. Year One - a WRAP pilot project with Young People on a District Wide basis, including; • Training of a Barnardo’s member of staff alongside CAMHS staff to facilitate the course. • Recruiting 12 young people currently at transitional age between adult and child services and who experience mental health difficulties. • These young people will undertake a 12 week WRAP course providing them with a lifelong recovery plan. They will then attend a 5 day WRAP facilitators training course preparing them to operate as peer mentors and co-facilitate future 12 week WRAP courses to other young people across the District in Year 2. • Setting up and facilitating a peer support group where experienced young people befriend and provide ongoing preventative support to their cohort. • Benefits measured through Evaluation Research conducted by the BDCT (in kind) and disseminated. Year Two: • Professionals involved will roll out the approach across the 3 CCG areas to 12 young people in each area, with the support of the trained young people (46 young people in total across 3 areas). • Further peer support groups established in each CCCG area. • Explore continued roll out of this approach calling on other agencies to adopt this best practice, ultimately creating a tier 1 preventative level diminishing the need to use Specialist Services. The Autism Health Engagement Project This Autism specific project will improve the health and wellbeing of adults with an Autism Spectrum Condition (ASC) from the Bradford, Airedale, Wharfedale and Craven Districts. It will involve the delivery of a social skills workshop, health and wellbeing workshops (2, one for men and one for women) and a community links workshop, each delivered once a week, every week over a 2 year period from our site in the centre of Bradford. We will work with health services across the 3 CCG districts, inviting representatives to speak about various health topics, whilst also arranging supported group visits to services, in order to increase access for this client group. We will also support participants to research social opportunities within their local community and organise group visits in order to increase confidence, social inclusion and independence. The social skills training will underpin the success and sustainment of this engagement. The project will be delivered by a qualified facilitator and two skills mentors who each have an indepth understanding of ASCs through training and experience of working with adults on the Spectrum. The project will be supported by volunteers from the 3 CCG areas who will receive specialist ASC training. This project will reach and engage with this underrepresented and marginalised group to increase confidence and self-esteem, teach and further develop essential social skills such as communication and social interaction, develop awareness and understanding of their disability and health issues, increase this client group’s knowledge of what services and opportunities are available across the Bradford District, in order to increase social inclusion and improve their long term health and wellbeing. This project will not only increase the independence of participants but also that of their parents and carers, many of whom have previously received no support, thereby improving their health and wellbeing. Rape Crisis & Sexual Abuse Survivors Service Provide specialist sexual violence services both within a safe, confidential, accessible Bradford Rape Crisis Centre and in partnership with health and voluntary sector organisations in community settings. • Specialist BAME Jyoti Counselling • By Qualified BAME Rape Crisis(RC) counsellors • 880 sessions, 88 assessments per year • Target group: BAME women & girls (W&Gs) Art Therapy • Qualified RC Art therapist • 132 sessions per year • W&Gs Helpline & txt • Two experienced RC helpline workers • Mondays 11am – 2pm Fridays 1.30-4.30pm = 92 sessions per year • W&Gs & referring agencies Specialist BAME Jyoti Helpline & txt • Two experienced BAME RC helpline workers • Wednesday 1-4pm Thursdays 1-4pm = 92 sessions per year • BAME W&Gs & referring agencies Specialist BAME Jyoti Shared Support group • Qualified BAME RC Counsellor & qualified Art therapist • 45 sessions per year • BAME W&Gs RASW Shared Support group • Two qualified RC counsellors • 45 sessions per year • Refugee/ asylum seeking W&Gs Bevan Healthcare Partnership • Qualified RC counsellors • Counselling: 308 sessions & 44 assessments per year • Advocacy: 44 sessions • Drop-in support: 44 sessions • Refugee/asylum seeking women, Homeless women, Women exiting prostitution • Bradford College Partnership • Qualified RC counsellor • f2f support sessions: 44 sessions per year • Young women Naye Subah Partnership • Qualified BAME RC counsellor • f2f support sessions: 88 sessions per year •S Asian women experiencing mental health difficulties • Bradford Working Women’s Service Partnership • RC staff • Deliver sexual violence training to WWS staff • Provide consultancy for WWS staff as appropriate • Develop referral pathway • Women selling sex & Women exiting prostitution • Sexual violence workshops • RC staff • 4 workshops per year • General Public, BAME communities & Staff in agencies • Additional Option for the CCGs to consider: Core counselling service • Qualified RC counsellors • 880 sessions, 44 assessments per year • W&Gs Ideas for All (IFA) Funding will develop a recently established partnership of user led disabled people organisations that in turn will deliver a diverse range of services that will address many of the CCG Strategic Objectives including: - • Transforming planned care and long term conditions • Reducing health inequalities and increasing health promotion • Tackling health inequalities through prevention, integration and partnerships • Improving patient safety and experience, improving engagement, • Improving outcomes for people with long term conditions • Improve the well -being and health of our population. IFA partners have a proven and successful track record across the district of delivering services for disabled/vulnerable people, carers, families and the communities they are part of, including: - • Advice (Welfare Rights) • Signposting & telephone helpline • Specialised Equipment to support Independent Living • Peer Support, befriending & Self Help • Advocacy • Community Development, Engagement & Participation (Including to, hard to reach groups, communities & individuals) • Organisational and group support • Accessible Information Exchange/Sharing (Including public meetings, events, newsletters, website and social media – embracing the five principles of accessible information for disabled and vulnerable people) • Networking with Statutory Agencies and Professionals • Volunteering Opportunities - including formal & informal training & skills development. Funding will enable IFA to: - • Develop and deliver services throughout targeted communities within all three CCG areas • Build capacity • Identify, develop and make efficiency savings • Explore innovative ways of working through the appointment of a dedicated development worker IFA outcomes: - • To develop and create a local united VCS Disabled People Led organisation and social enterprise • Employment of a diverse and experienced staff team, of 8 FTE posts • Involvement and support of over thirty (30) volunteers most of whom have some form of disability or long term illness. • Training, Peer Support & Employability opportunities for volunteers and placements. • IFA Partners are Membership Infrastructure Organisations • Providing services that meet the CCGs priorities. Autism Works This project is specifically for individuals aged 18+ with an Autism Spectrum Condition (ASC) who often have a learning disability and/or mental health condition and also have various underlying health conditions as a result of their disability such as depression, anxiety, eating disorders and drug and alcohol abuse and other associated health conditions including epilepsy, dyslexia, dyspraxia. We will deliver an employment programme one day per week, 5 hours per day over 52 weeks. This will be a rolling programme and no time limits on participation, in order to meet individual needs. This will make the project as inclusive and accessible as possible for our client group. The programme will include topics such as creating a CV, job search, completion of application forms and preparation for interviews, however we will adopt an Autism specific approach thereby making this project very different to other generic mainstream or disability employment programmes. Our Workshops will be centred around essential social skills training and involve role-play, interpreting Job Descriptions/Person Specifications and matching these to the participants’ skill base, discussions around the impact work can have on a young person with an ASC and strategies to deal with these issues and also exploring skills, abilities, strengths and areas requiring support, in order to create individual ‘Work Passports’ to be taken into the workplace and shared with employers. In addition to the employment workshop, we will provide one-to-one personalised support with ‘Work Orientation’ visits, visits to external agencies such as the Job Centre, sourcing work placements, volunteering and employment opportunities, travel training, attending interviews, benefits advice, implementing individual strategies for maintaining employment and ongoing support for participants in their roles. We will also provide essential ASC Awareness training for employers and work colleagues, along with ongoing advice, support and guidance in order to support sustained employment. The Cellar Trust This programme supports individual from referral, however poorly, to where they can make choices about what comes next in their life and have capacity and ability to achieve it. Only criteria: wanting to try. Recruitment Aim: Engage with as many as possible. • Referral processed. Client contacted by phone to establish rapport/ make appointment./Aim: minimise DNA. • Majority clients have significant functional issues -service must start at their level. • Key worker conducts initial discussion ascertains client needs, familiarises with service, Informs of parameters. Checks risk issues. Gains commitment to participate. • No therapeutic work undertaken. • Service agreed with a named start date maximising chances of follow through. Service includes practical, ie. an education class or skillshop session /next appointment with worker. • Inappropriate referrals signposted to other services. Delivery/progression aim: Client control. • Modular approach facilitates bespoke packages • Service builds incrementally matches progress. Graded exposure to problems. • Max two sessions week in skillshop before adding voluntary work in community. •Education classes extra to two sessions. Numeracy, Literacy to Level 2, ITQ1 delivered by Shipley College • WRAP / Beating the Blues, therapeutic programmes and Adult Directions, guidance added as needed. • One to ones support clients in all and develops self awareness and self care through increasing awareness and better self management skills. • Progress measured and recorded through client driven five step action planning process, case notes, PHQ9 and Sunshine tool. Exits: Aim Sustain Achievement • Outputs : voluntary work in community, in house education courses, further / higher education and referral to our employment service. • Outcomes: manage mental health better / sustain improvement in functioning • Negotiated tapered support at exit ensures client sustain activity before case closed. • Link back to clinical services for clients leaving for other reasons. Advocacy for Better Health To improve the health of people with learning disabilities, autism and Asperger Syndrome through the provision of 40 hours of professional advocacy (per week). Advocates will achieve this through individual work with referred partners. Referrals can come in from any source including self referrals. Advocates ensure peoples rights to service are upheld and promote independence ,choice and control, ensuring information is accessible, the individuals voice is heard, and they are fully involved in making important decisions about their lives. The more detailed objectives of the project are: *improve access to health care-eg facilitating communications with healthcare professionals, *improve healthcare outcomes-eg ensuring joined up heath and social care agency provision *encourage healthier lifestyles *tackle the causes of poor physical and mental health including; poor or inappropriate housing, ensuring adequate personal support in the community, safeguarding, improving parenting skills and support, financial security, challenging poor practice. *Current NHS funding has also paid for 25% of the organisations core costs. This application also includes those costs which relate to management and supervision, running costs and our input to several key strategic groups such as the Adult Safeguarding Board and sub-groups, Partnership Board and sub-groups, the MCA local implementation group. Supporting People Affected by Cancer To provide emotional, psychological, social support and practical help to cope with anxiety, treatment and living with and beyond a personal diagnosis of cancer or that of a loved one. To ensure that the right support is delivered at the right time ensuring that all identified needs are met following a holistically assessment of a client’s individual needs. This assessment also enables the identification of clients who are palliative and ensures that those clients have, according to their prognosis, a timely response to their needs, access to all services and are supported holistically through illness and bereavement. Our centre provides a welcoming calm environment for all those affected by a cancer diagnosis. We will provide a listening ear, face to face and on the telephone. One to one support will enable clients to express their fears and concerns in a safe, non-clinical environment. We will also offer flexible client focused groups and classes so clients can gain mutual support from each other whilst participating in an activity to enable them to learn coping skills, keep healthy and learn new skills. We will provide information enabling clients to make informed decisions contributing to self-care, overcoming hurdles and to gain the knowledge required to help them and their families now and in the future. We also provide the practical solutions to issues and signpost to other services and support. We will visit community centres and GP practices and work in partnership with health professionals to raise awareness of cancer and to promote Cancer Support Services. To enable cancer patients and their family, if appropriate, to attend appointments at the hospital and support centre we will provide a supportive, timely, friendly, very cost effective and efficient transport service. This project funds the core of our support services and whilst enabling us to find funding for the delivery of welfare rights advice, counselling and complementary therapies by other income sources. Girlington Healthy Communities Project Girlington Healthy Community Project will have a holistic approach to address inequalities in health and work with the most deprived communities ( Health also highly deprived on a national basis) in Toller Ward – especially the Girlington Neighbourhood. We, with our partners will; 1. Educate, inform and encourage people to take better control of their own health and well-being, 2. Deliver services that enable the community to experience first hand tools to help them to do so, 3. Encourage people to get involved in volunteering and educating and informing the wider community about self-care and prevention against ill-health, 4. Develop self help groups, 5. Develop an effective referral system with GP and other health professionals, 6. Seek out isolated people and ensure that they are engaged with to tackle mild to moderate mental ill health, 7. Tackle obesity in the community. In order to achieve our objectives we will arrange; 1. Information sessions on health matters, 2. Confidence building sessions, 3. Weight management workshops, 4. Healthy eating classes to teach, children, young mums as well as older people on how to cook and eat well on a budget (because of economic deprivations and lack of disposable income / winter poverty), 5. Exercise and fitness classes, 6. Yoga and relaxation sessions, 7. Offer non- medical intervention at Local GP practices, 8. Quarterly Health Forum type of Health events for service providers and communities to get together. ‘Healthy Me’ To provide a residential model of service for young people/adults with learning disabilities using Henshaws Society for Blind People campus in Harrogate. The 5x 5 day residential will focus on teaching individuals how to shop, prepare easy and healthy meals combined with fun exercise. The rationale is by teaching individuals to shop and prepare healthier option meals this will reduce health inequalities across the district and tackle the CCG’s priorities of obesity and heart related diseases.. We will also employ a health care support worker to coordinate the residential service and provide health care training to schools and colleges across the district, focussing on Nutrition Good fat – bad fat Sugar & Salt Intake Bone Health Diabetes Epilepsy & Seizures. Bradford Bereavement Support Bradford Bereavement Support (BBS) provides a free, high quality, bereavement counselling service throughout the Bradford District to people aged 16 and over. We deliver support within the heart of the community offering social value and promoting improved mental wellbeing and selfcare. Our well-publicised self-referral process provides easy access to bereavement counselling. This accessibility seeks to engage under represented and marginalised communities: those on low incomes, vulnerable adults and those with disabilities. We work to the BACP ethical framework to ensure the safety and quality of our services, providing professional supervision and training. We are the only local, community based bereavement counselling service where Colleges of Further Education place counselling diploma students for work experience. This has proved to be an effective partnership resulting in the recruitment of high quality counsellors. Feedback from evaluation forms is excellent. Over the past two years the majority of clients reported improvement in mental health and wellbeing. We have the use of 3 well-appointed counselling rooms. The premises are accessible to those with mobility difficulties. We also have access to low cost premises city wide. Clients are assessed by our experienced assessment counsellor then allocated to one of our counsellors. Telephone counselling is available to those unable to access face to face counselling, enabling the isolated elderly, in particular, to receive appropriate support. We have 13 diploma qualified counsellors specifically trained in telephone counselling skills. The waiting list currently stands at 6 weeks - much shorter than the NHS. GPs are enabled to signpost clients for early intervention where indicated. 84% of our clients were referred by GPs during the period April 2012-March 2013. We are well established after 29 years in the Bradford district. Counselling is also, unlike that of the NHS, not time limited. Evening and weekend appointments offer maximum flexibility to clients.