transforming self management ACG application

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Transforming Self Management in Scotland Fund – Application Form
This is the application form for the Self Management Fund which is administered by
the ALLIANCE on behalf of the Scottish Government. We are keen to hear about
your ideas and offer all applicants support throughout the funding process. We are
available to meet, chat on the phone or by email to discuss any applications, answer
any questions you may have and read through draft applications.
For support please contact:
Emma Goodlad – Grants and Impact Officer
e: emma.goodlad@alliance-scotland.org.uk
t:
0141 4040231
m:
07872149588
Kevin Geddes – Director of Development and Improvement
e: kevin.geddes@alliance-scotland.org.uk
t:
0141 4040231
m:
07545 425 605
Guidance
A guidance document is available on our website here:http://www.alliancescotland.org.uk/download/library/lib_560cc268d3d40/to help you with the application
process and details the key criteria for the Fund. Please ensure to read the
guidance carefully before completing your application.
There are threetypes of grant currently available and projects must apply for
ONE of these:
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
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Innovation – supporting ideas or approaches which are new to your
organisation or community
Development – supporting new and existing Self Management approaches in
Scotland to grow and adapt
Sustainability - supporting existing ideas to become embedded in practice in
Scotland with a strong steer towards partnership and health and social care
integration
When to submit:
The deadline for applications for this round of funding is Friday 18th December
2015 at 5pmfor work to begin in April 2016. Please submit completed applications to
fund@alliance-scotland.org.uk
Part One – Your Organisation
Organisation Name
Address
Telephone Number
Website
Address for correspondence
(if different from above)
Telephone Number
Legal status of organisation
(if a registered charity please
state charity number)
ANGUS CARDIAC GROUP (ACG)
C/O LINDA BROWN
4 DAIRY ROW
NEWTON OF STRACATHRO
BRECHIN DD9 7QQ
07725052933
www.anguscardiacgroup.co.uk
AS ABOVE
AS ABOVE
PATIENT LED SUPPORT GROUP
Main Contact
As part of the assessment process we phone all applicants to have a chat
about the application and discuss the project idea. Please provide a main
contact who has a good knowledge of the project idea and budget.
Name of main contact
Position held
Contact number
Contact email address
LINDA BROWN
PROJECT COORDINATOR
07725052933
LINDYB73@HOTMAIL.COM
Part Two – Project Details
Proposed project title
Angus Activity Programme for People
with a Long-term Condition
Type of grant applying for
(Innovation, Development or
Sustainability)
DEVELOPMENT
Amount requested
£135,295
How long will the project run for?
3 years
Will this project involve partnership
working with another organisation?
(please detail organisation)
Yes; Currently we work in partnership
with NHS Tayside (Angus)and Angus
Council. Angus Carers Centre and
Penumbra will be key partners for the
developments proposed below. For the
web based exercise component, we will
work in partnership with the University
of Glasgow.
Will any new staff be
employed/contracted to run this
project? If yes, how many?
All our previous funded projects have
involved contracting personnel as
necessary. Five core personnel(project
coordinator, marketing & promotion,
administrator, data collection, and
finance) have been costed for. In
addition, we will need hours for a
physiotherapist or exercise instructor to
support the web based exercise
described below and also hours for IT
support
Will any volunteers be involved in
this project? If yes, how many?
Yes; 3 to assist participants to start off
web-based exercise.
What area(s) of Scotland will your
project cover?
Angus
What, if any, equalities areas will
your project reach?
Age
Disability
Gender Reassignment
Sex
Sexual Orientation
Race
Religion or Belief
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☐
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Part Three – Budget
Please list what you plan touse the grant from Self Management Fund for.
Proposed
Expenditure
(please
detail)
Time costs
Travel
Training &
development
Promotion
Evaluation
Admin &
documentation
Year 1
(Apr ’16 –
Mar ’17)
Year 2
(Apr ’17 –
Mar ’18)
Year 3
(Apr ’18 –
Mar ’19)
25,942
9,549
5,526
25,942
9,549
4,289
20,190
5,832
2,586
72,074
24,930
12,401
7,850
960
1,200
6,150
960
1,200
5,650
720
1,200
19,650
2,640
3,600
48,090
36,178
135,295
51,027
Total
Expenditure
Year 4
(Apr ’19 –
Mar ’20)
Year 5
(Apr ’20 –
Mar ’21)
Total
Partnership funding is not essential, but if you have secured or have applied
for funding from other sources please detail here.
Part 4 – Project Plan
Background
Angus Activity Programme for People with a Long-term condition has a proven track record
of successful projects and has consistently demonstrated that being involved in regular
physical activity can improve people’s abilities to self manage their health conditions.
Supervised physical activity sessions led by qualified instructors are delivered within Angus
at 9 local authority venues. There are 45 classes delivered weekly. Seated exercise, aqua fit,
circuit classes, and gym-based classes are available. The programme is highly successful
with latest figures showing that there are 383 people benefiting from the programme. In the
last year (October 2014 to September 2015) there were over 27,000 attendances.
Participants, all with long term conditions, are involved in the design, delivery and evaluation
of the programme.
What we now want to do is to develop our programme in order to better meet the needs of
hard to reach groups. Namely, those with mental health conditions, unpaid carers and those
not engaged in current exercise opportunities. We want to trial the use of web-based
exercise as an alternative for those who cannot (or chose not to) access leisure centres and
as an additional exercise opportunity for those who currently participate in our programme.
In addition, we feel that there is considerable potential to further enhance self management
for people with a long-term condition by providing more targeted information, support and
education as part of our existing programme.
Aim and Outcomes
Our overall aim with this project is to increase participation in physical activity in order to
improve self management and health-related quality of life for people with a long-term
condition and their carers.
We will do this by achieving the following outcomes:
1. Increased self-esteem, and reduction in stress and anxiety in people with a diagnosed
mental health condition through participation in physical activity
2. Improved ability of participants to self manage health conditions by providing information,
education and support
3. Improved mental and physical wellbeing of unpaid carers through participation in
physical activity
4. Increased access to physical activity by piloting web-based exercise.
1. Support those with mental health conditions to access physical activity
Outcome 1 - Increased self-esteem, and reduced stress and anxiety in people with a
diagnosed mental health condition through participation in physical activity
One in four people in the UK will experience some kind of mental health problem in the
course of a year. Participation in regular physical activity can increase self-esteem and
reduce stress and anxiety. Physical activity can help play a role in preventing mental health
problems and can improve the quality of life of those experiencing mental health problems
(‘Start Active, Stay Active’, 2011).
Exercise instructors within our programme report that participants with mental health issues
are less likely to attend introductory consultations following referral, and are less likely to
maintain a programme of physical activity. We have also identified that service users
admitted to adult psychiatric wards in Angus who want to be more physically active, do not
currently receive adequate support to maintain activity following discharge.
We have worked with Penumbra (Scottish mental health charity working to improve mental
wellbeing across the nation) to consult their users about their attitudes and preferences
related to exercise and activity. From this consultation, the following issues were identified:


Lack of confidence, cost, and being self-conscious around others were cited as
barriers
‘Something tailored to my needs’, one to one sessions, smaller groups, ‘a class with
people that’s all in the same boat’, dance, and yoga were some ideas from people
about what they would like to see
We will:
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Tailor our physical activity options in response to identified needs so that what we
offer will be more person-centred, e.g. smaller group sizes, different types of activity
and appropriate levels of support
Support Penumbra’s work in promoting physical activity as part of the recovery
journey of their service users
Further improve the skills and knowledge of exercise instructors in dealing with
people experiencing mental health issues by supporting more exercise instructors to
undertake training, including Level 4 Mental Health & Physical Activity, Suicide
Awareness and WRAP training (Wellness Recovery Action Plan)
Set up a supervision group for exercise instructors within the programme, led by the
Highly Specialist Physiotherapist in mental health.
Additionally, we will:

Offer up to 12 free sessions to participants managing a mental health condition to
encourage their attendance
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Recruit participants via Penumbra, Angus Adult Mental Health Service, and general
practice
Look at ways of supporting adults to maintain their activity when they move from an
in-patient situation back into their community in order to promote social inclusion and
self management.
2. Improve self management via education, information and support for participants
with LTCs accessing physical activity
Outcome 2 - Improved ability of participants to self manage health conditions by providing
information, education and support
Providing people with relevant information, education and support is crucial for effective self
management. We know from feedback following sessions on blood pressure management
that we have undertaken during coffee time after exercise classes and at health related talks
at ACG meetings, that participants welcome the opportunity to learn more about aspects of
their health.
Clearly, one of the key areas of expertise of our exercise instructors is in promoting physical
activity in relation to health improvement, therefore, we will:
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Deliver education sessions on the promotion of physical activity in each of the 7 main
local authority leisure/sports centres where the programme is operating
Pilot the use of an ‘action plan’ to help participants increase/maintain their level of
physical activity. Our target is to reach 15 people on average in each of the 7 main
venues
Place our 8 Exercise Instructors on the Health Behaviour Change refresher course
as we recognise the need for such skills in supporting people to get and remain
physically active. These Instructors have previously attended Health Behaviour
Change initial training
Reprint the ‘BE ACTIVE….live well - Healthy Lifestyle Programme’ booklet
incorporating an ‘action plan’ (as above) and promoting all suitable physical activity
opportunities in Angus. We will ensure all current and new participants within the
programme receive a copy.
A review of our programme in September 2015 highlighted that, given appropriate time and
information, exercise instructors are in an ideal position to advertise and promote peer
support groups, condition specific courses and other self management resources available in
Angus as well as delivering crucial education sessions to their participants. We will consult
with participants to identify what information would help them to manage their specific health
conditions.
3. Support unpaid carers to access physical activity
Outcome 3 - Improved mental and physical wellbeing of unpaid carers through participation
in physical activity
‘Two thirds of older carers have long term health problems or a disability themselves. Half of
all older carers reported that their physical health had got worse in the last year and seven in
ten said caring had had a negative impact on their physical health. More than four in ten
older carers said their mental health had deteriorated over the last year’.
These stark statistics from ‘Always on Call, Always Concerned’ (The Princess Royal Trust
for Carers, 2011) illustrate why there is a need to target carers. There is a wealth of
evidence that physical activity can improve:


People’s ability to manage a long-term condition
Physical health and mental wellbeing.
Angus Carers’ Strategy 2013-16 involved carers in a series of consultation events held
across Angus. Through those consultations carers confirmed the priorities which reflected
their needs. With regard to adult carers, five priorities were identified, one of which was that:

‘Carers’ health and wellbeing is improved’
As an action point the Strategy states:
“We will work towards providing free access to leisure facilities to support carers’ health and
wellbeing”.
As a result of this consultation carers have identified physical activity as an important aspect
of maintaining health and wellbeing. This is reflected both within the local Angus Carers
Strategy and also the national ‘Caring Together: The Carers Strategy for Scotland 2010-15’.
‘Angus Carers Centre’ figures show that there are 1,960 registered carers, and that of those
699 are estimated to be managing a long-term condition themselves.
Free passes for carers to Angus Council leisure centres were available until five years ago
and at that time 445 carers were registered with that scheme. Currently there is a
concession scheme available for carers (i.e. subsidised cost of entry) but only 203 carers are
currently with this scheme. This would indicate that there are carers who would respond to
incentives and support to actively engage in exercise.
Working with Angus Carers Centre we aim to enable more carers to access physical activity
by providing support and up to 12 free sessions to encourage attendance. Our target is to
reach 150 carers over a three year period. We will work with our partners to re-establish free
passes for carers where financial constraints are a barrier to accessing physical activity. This
would create a pathway to the desired outcome of free passes for all carers at a later date.
4. Piloting web-based exercise
Outcome 4 - Increased access to physical activity by piloting web-based exercise
Angus is a rural area, and for many residents travelling to a leisure centre to participate in
physical activity is just not feasible. Others may not want to exercise in a group situation.
In order to include these hard to reach people, we have long been interested in using
technology so that people could exercise in their own homes, at a time convenient to them.
We became aware of the ‘Web based physio’ programme developed by the University of
Glasgow, initially for multiple sclerosis sufferers. Participants are given a number of
individualised exercises in their programme which they access by a unique log in. They
complete an online diary to record which exercises they have completed. A
physiotherapist/exercise professional monitors progress and adjusts the exercises
accordingly.
Although it is recognised that an internet-based approach to exercise might not suit
everyone (due to lack of, or a poor internet connection and/or poor IT knowledge) we do
believe that this is an exciting progression for our programme. It has the potential to benefit a
significant number of people and support self management on a long term basis. We will
build in IT support to help participants.
Evaluation undertaken by the University of Glasgow found that participants reported that the
website was easy to use, convenient, and motivating and would be happy to use it in the
future (Clinical Rehabilitation, April 2014). The motivating nature of recording progress and
receiving feedback is illustrated by the following quote from a participant:
‘I reported back that if something was too easy it would be adjusted for me. It was
motivational. Things that were difficult would become easier and I would report back that
they were becoming easier and then you would upscale what I had to do or the weights I had
to use. It helps’.
We feel this is an excellent opportunity for our programme. ‘Web based physio’ have very
generously offered us the use of their programme for our project. There would be no website
costs and they have agreed to meet the filming costs for any additional exercise clips we’d
like included.
Following an induction by an IT support person, we intend to use volunteers to initially assist
participants until they are confident to work on their own. We have a volunteer project
already running so have volunteers and protocols in place for working with people in their
own homes.
Over a 2 year pilot, we aim to recruit 20 people to trial this web based exercise. Potential
beneficiaries include:
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Carers (who may be unable to leave the person they are caring for)
Those with diagnosed mental health conditions
Existing participants in our programme who want to participate in additional
structured exercise at home
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People identified from rehabilitation programmes that chose not to uptake the
traditional exercise offered
Those living in remote and rural locations.
5. Monitoring and Evaluation
Success of the programme will be measured against the stated outcomes and other
performance indicators, e.g. attendance targets.
Participants will be asked for feedback on their exercise experience and its value to them.
We expect the project will:
Improve participants’ ability to self manage their health conditions, improve their confidence,
and contribute to improved physical and mental health and wellbeing. More people will be
more active due to our activities. People will have increased access to support and
information which will allow them to make better and more informed decisions related to their
health and wellbeing.
Our physical activity programme brings people with long-term conditions together- 383
people at the last count, with more people joining each week. This is a significant opportunity
to empower people to be lead partners in their own health through education and support.
We know from previous projects the difference we can make to people managing a longterm condition and we anticipate we can make that difference to the groups we now want to
target. Of the wealth of feedback we have, one participant summed up what we will work to
achieve for all those participating in our project:
‘I feel the exercise programme we are given has done an enormous good not only to my
fitness but to my wellbeing too, and my wife agrees’.
We will work to show that in Angus support for physical activity from all partners is crucial to
promoting self-management. We will continue to promote our successes within and out with
Angus.
We already have two people with long-term conditions on the Management Group who are
participants in the programme. By engaging with new partners (Angus Carers Centre and
Penumbra) we will also involve those managing a mental health condition, and those in
unpaid carer roles to inform and amend, if required, how the project is run.
Part 5 – Referees
Please provide details of two referees that we can contact who know about
and can provide support for your application. We will contact all referees
directly and cannot release funds without references returned.
Referee 1
Name
Position
Gail Smith
Interim Lead Officer/Lead Nurse, NHS
Tayside (Angus) & Lead Clinician, NHS
Tayside Stroke MCN
Address
St Margaret’s House
Orchardbank Business Park
FORFAR
DD8 1WS
01307 474 842
gailsmith@nhs.net
Telephone
Email
Referee 2
Name
Position
Address
Lynne Devine
Forfar & District SNP Councillor
Members’ Services
The Cross
FORFAR
DD8 1BX
01307 473 015
cllrdevine@angus.gov.uk
Telephone
Email
Part 6 – Signatures
I confirm that the information provided for this application is true and accurate
Name
LINDA A BROWN
Signed
Date
18/12/15
Position in Organisation
PROJECT COORDINATOR
Part 7 – Enclosures Checklist
Established organisations (running for more than 2 years)
Project Plan
x☐
Copy of governing document
x☐
Last two sets of annual accounts
(following by post)
x☐
New organisations (running for less than 2 years)
Project plan
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Copy of governing document
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Most recent bank statements (three months if possible)
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Budget plans or management accounts
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