What we expected to do Angus Cardiac Group (ACG) is the lead organisation in the ‘Angus Activity Programme for People with a Long-term Condition’. This funding of £19,000 per annum was awarded so that the use of volunteers to deliver seated exercise in the Angus community could be continued and this service expanded. The overall aim of our project is to improve the quality of life for people in Angus living with a long-term condition, through provision of volunteer-led seated exercise opportunities. We have identified 3 main outcomes for our work: 1. People with a long-term condition will have improved physical health 2. People with a long-term health condition will have improved mental well-being 3. Volunteers will feel valued and supported In order to achieve these outcomes, our activities include: Recruiting and developing new volunteers Providing relevant training to all volunteers Providing on-going support to volunteers Increasing the number of exercise opportunities delivered by volunteers for people with a long-term condition Developing a monitoring framework Ensuring all relevant policies and procedures are in place In addition, it was recognised that work was required to improve the referral process for people with long-term health conditions who want to access exercise opportunities available at Angus Council Leisure Centres (the BE ACTIVE….live well programme). This included the need to move to one referral form (rather than separate ones for Refer 2 Exercise and seated/circuit classes) and to ensure that the programme is promoted to both potential referrers, and participants. Time costs have also been allocated to coordinate this. What we actually did Over the last 12 months we have achieved the following: We continued to have regular volunteer management group meetings to direct our activities. The Volunteer Coordinator presents a report at each meeting to summarise activities to date There have been 39 new seated exercise participants between October 2014 and September 2015. Added to the 134 new participants reported from the previous year, this gives a total of 173 new beneficiaries since the beginning of our funding At the time of writing, we have 41 volunteers. All volunteers receive ongoing support and communication from the Volunteer Coordinator 23 groups run across Angus by our volunteers. Seated exercise is offered weekly, fortnightly, or monthly. Approximately 155 people benefitted from participating in these groups 2 referrals were received for one-to-one sessions. One participant completed all six sessions and gave a positive evaluation. The other referral completed four sessions before being hospitalised and it was agreed to end involvement. It was not possible to complete an evaluation Regular volunteer meetings for support, sharing ideas, and training. During this reporting period there have been 5 meetings/training events Christmas lunch attended by 18 volunteers, which celebrated their contribution to the project and was an opportunity to present certificates to those who had completed their GOLD Revitalyz Seated Exercise qualification In March, the Lead Respiratory Specialist Nurse, and a volunteer from Forfar Airways came to talk to the volunteers. 16 attended Two external training courses were brought to Angus in June. The first was a ‘Paths for All’ course on ‘Strength and Balance for Older People’. The second was the ‘Revitalyzer’ workshop which built upon the ‘Revitalyz’ seated exercise training which volunteers had all undergone previously. This follow-up training introduced resistance and strength exercises as a means of improving muscle strength and hence improving ability to perform activities of daily living Volunteers were asked to evaluate both courses and key points are presented below (What difference we actually made) In September, 17 volunteers attended a meeting which covered the topic of Stroke. This was led by the Senior Liaison Nurse, and the Team Leader Physiotherapist for Stroke 3 new volunteers completed Revitalyz seated exercise in August. This training was made available to us courtesy of the TEC project The Volunteer Coordinator continued to attend relevant networking opportunities, including a ‘Health & Loneliness’ workshop, and the Third Sector Conference ‘An Angus That Actively Cares’ The new ‘Refer 2 Exercise’ referral form was launched at a PLT event in November. The form is now in use across Angus and facilitates referral or self-referral into the BE ACTIVE…live well programme What difference we actually made In order to assess to what extent we were achieving our outcomes of improving physical health and mental wellbeing for participants of the volunteer led seated exercise, questionnaires were distributed (see appendix 1). 85 were returned, the key findings of which were: Asked ‘what do you like about the seated exercise programme’, comments included: ‘Meeting people and the company’ ‘Being in a group’ ‘I like the company and the music, and it is fun’ Responses to ‘What difference has the seated exercise made to you?’ included: ‘Improved and maintained mobility, flexibility, muscle tone and breathing’ ‘Made it easier to get out of a chair’ ‘It has made me more confident and go out more’ 85% who answered said that they felt better able to manage any health condition as a result of attending the seated exercise programme. 89% felt that symptoms of any health condition they had had been maintained or improved As a result of attending the programme, 83% said they felt fitter, 81% felt more mobile, and 99% said they felt happier Many participants expressed very strong positive feelings about the programme when asked how they’d feel if it ended, such as ‘It would be tragic’ and ‘Devastated, I would miss it’ It is essential to ensure volunteers receive relevant training in order to support them in their seated exercise activities. Two external courses were undertaken this year and volunteers were asked to evaluate how good these were. Strength and Balance 13 people attended this course. Participants were introduced to toolkit of 14 simple exercises aimed at promoting active ageing and reducing falls risk in older adults. All participants rated the course ‘very helpful’ when asked about the benefit of the course for their volunteering activities. Feedback included: ‘I knew nothing about strength and balance exercises so everything was great’ ‘This was extremely useful and I’ll be incorporating this into my exercise class’ ‘Great day, lots of information, presented well and demonstrated very well. Thank you.’ The Revitalyzer SPA Refresh & Resist workshop Volunteers had requested more ideas and exercises for their sessions. We decided that the new refresher training from Revitalyz would meet their needs. 15 people attended this training session. The evaluation was very positive from the volunteers. The following comments illustrate this: ‘Being reminded of some of the exercises taught previously, learning new ones to vary my routines and hearing of other people’s experiences’ ‘Training very beneficial and enjoyed meeting other volunteers. Thank you for the opportunity.’ ‘It would be good to have another refresher program somewhere down the line- say in 4/5 years’ time’ Challenges and changes One-to-One Participants There are currently eight volunteers available for placement in one-to-one settings. One-toone participants are offered an Introductory meeting (Volunteer Co-ordinator, volunteer and participant), followed by six sessions of seated exercise in their own home. Referrals have been very slow to come in with only two received before October 2015. However, four referrals have been received during October and are currently being progressed. Work is on-going with relevant potential referrers to promote this service, as it is evident that more people could benefit from exercising in their own home where they are unable to access opportunities available in the community. Data Collection We have an established data collection protocol and forms have been circulated to all volunteers, who are asked to make monthly returns on class numbers and new beneficiaries. We have an ‘Activity Information & Data Assistant’ in place to collate figures. However, not all volunteers regularly contribute their figures as required. The importance of accurate figures is of course essential in order to evidence the success of our work. However there is a balance to be struck- volunteers are committing a considerable amount of time and enthusiasm to the programme. We need to ensure that they understand the necessity of data collection, whilst also making it as easy as possible for them to report on their sessions. We will look at our protocol and make any changes necessary. Learning for the future A review of the project has recently been undertaken and it is clear from feedback from volunteers that they greatly value the quarterly meetings which have been instigated. They report that they feel well supported through information exchange, the opportunity to share good practice and to meet with other volunteers who deliver seated exercise sessions. We will therefore ensure that these meetings continue on a regular quarterly basis. How we collected the information We used two questionnaires (included in the October 2014 report) to collect information on our outcome indicators- a volunteer evaluation form, and a participant questionnaire (see appendix 1). Volunteer training was also evaluated via a questionnaire (see appendix 2). How we spent the money Details of the expenditure are included as appendix 3 (below). The actual spend for October 2014 to September 2015 was £16,403, leaving an underspend of £2,597. Due to having a small underspend from our first year of funding (£1,251), our total underspend is £3,848. The reason for our underspend is the lower than budgeted time and travel costs. Angus Cardiac Group has also been the lead on another funded project whose aim was to increase the number of people with coronary heart disease accessing physical activity opportunities in the community. This was a 2 year project funded by the Alliance which was completed at the end of September 2015. The Project Coordinator had responsibility for both projects. However, in the last year more of her time was spent on the Alliance project, hence lessening the time costs claimed from the volunteer programme. Part of the Alliance project included a ‘review’ of the BE ACTIVE..live well programme (which the volunteer programme is part of). The Volunteer Coordinator also assisted with the review and claimed time costs from the Alliance rather than the volunteer project. These factors account for the underspend on time and travel. We are confident that from October 2015 onwards, both roles will require the full budget allocation for time and travel. Appendix Appendix 1: Participant questionnaire Appendix 2: Volunteer training evaluation form Appendix 3: Budget & expenditure summary Angus Activity Programme for People with Long-term Conditions NHS Funding – Expenditure from October 2014 to 30 September 2015 Budget Income Actual £19,000 £19,000 £19,000 £1,251 £20,251 £14,177 £2,598 £10,285 £1,119 £2,075 £3,465 £0 £150 £0 £0 £0 £19,000 £0 £747 £0 £0 £787 £16,403 £0 £3,848.00 Underspend 30/09/14 Expenditure Time Travel Training & DevelopmentTraining Equipment Promotion Evaluation Documentation Administration Total Expenditure Balance Underspend @ 30/09/15 Appendix 3: Budget & expenditure summary