Month: March 2019

Integrated Plus Service – evidencing the value of social prescribing for people living in Dudley borough

Kate 1 Comment

image

During late 2018, Dudley CVS appointed an external consultant, David Waterfall, to work alongside the team to collate and analyse data regarding the Integrated Plus social prescribing service, and to use this information to produce an evidence-led evaluation report.

Dudley CVS has been delivering a social prescribing service for the nearly 5 years. In early 2014, Dudley CVS with support from Dudley Clinical Commissioning Group (Dudley CCG), identified an opportunity to develop and deliver an innovative, flexible and complementary service called ‘Integrated Plus’.

The service was set up to trial a different approach to supporting people in their own homes to ensure the non-clinical needs of patients are taken into account at the GP-led Multi-Disciplinary Team meetings (MDTs) established in 2014. Integrated Plus offers 1-2-1 social prescribing support to patients aged 16 and over who are:

  • At high risk of hospital admission;
  • Frequently visiting their GP;
  • Vulnerable and in need on non-clinical, social support.

Key findings from the report:

  • 2,720 out of 3,756 clients have connected with the service during September 2014 – August 2018.
  • In terms of a typical patient referral to Integrated Plus; 60% are aged 64 and over, 37% are aged between 24 – 63, 58% are female, 71% have no caring responsibility, 25% are referred due to feeling isolated, 17% because of a long term health condition and 16% due to feeling that they have mild to moderate depression. There is a high correlation between clients feeling isolated and feeling that they have mild to moderate depression.
  • 94% of clients rate the service as 4 or 5 stars (out of 5), 96% consider Integrated Plus has had an impact on them (of which 28% consider this to be significant), and 79% feel that Integrated Plus has helped connect them to services and activities suitable to their needs.

 Performance

Following Integrated Plus, client change for each of the seven core outcomes was:

  • Finance; an 81% reduction in those patients that were not managing, and also an increase of 48% for those who were managing. The greatest enhancement in an indicator was “I have enough money to meet basic needs”
  • Physical Health; an 82% reduction in those patients that were not managing, and also an increase of 29% for those who were managing. The greatest enhancement in an indicator was “I am managing long term conditions well”.
  • Mental Health; an 76% reduction in those patients that were not managing, and also an increase of 58% for those who were managing. The greatest enhancement in an indicator was “Feeling optimistic about the future”
  • Social Contact; an 80% reduction in those patients that were not managing, and also an increase of 35% for those who were managing. The greatest enhancement in an indicator was ““I regularly have face to face social contact with people who are not family members”
  • Housing; an 82% reduction in patients that were not managing, and also an increase of 24% for those who were managing. The greatest enhancement in an indicator was “I feel able to keep up with my rent”
  • Safety; an 83% reduction in those patients that were not managing, and also an increase of 24% for those who were managing. The greatest enhancement in an indicator was “I feel I have people I can contact”.
  • Learning; an 72% reduction in those patients that were not managing, and also an increase of 10% for those who were managing. The greatest enhancement in an indicator was “I feel happy in my retirement”

In broader terms, following the intervention 46% fewer clients report poor quality of life, and 45% fewer clients report poor wellbeing.

  • For hospital data, there are significant reductions in A&E attendance after Integrated Plus with a 14% reduction after 6 months, increasing to a 17% reduction after 12 months. Regarding inpatient admissions, after Integrated Plus there is a 14% reduction after 6 months, increasing to a 15% reduction after 12 months. In terms of hospital cost avoidance, data shows £751,400 for reductions in Inpatients, and £58,305 in reduced A&E admissions; totaling £809,705
  • For GP data, of the 43 surgeries engaged; 34 had a decrease in surgery consultations, 21 had a decrease in telephone consultations, and 26 had a decrease in home visits. In terms of GP cost avoidance, data shows £73,115 in fewer GP Consultations, and £16,400 for fewer GP Home Visits; totaling £89,915. The surgery with the greatest extent of cost avoidance was Wychbury Medical Centre/Cradley Road Medical Practice, with a cost avoidance of £11,135 (from 306 referrals, of which 189 supported)
  • Through surveying of GPs, 100% of surgeries rated Integrated Plus as good or excellent, and 89% felt that the Link Officers added value to the current Multi-Disciplinary Team meetings. All surgeries agreed that Integrated Plus had helped to reduce inappropriate GP consultations, and most surgeries felt that “Reduces isolation and loneliness” was a key benefit for patients. Wider benefits included, “Our main Link Officer has an excellent rapport with our patients, nothing is too much trouble for him and he is literally only a phone call away. He attends all MTD meetings and has good input from the patients he sees.”

For more information you can read the full report here:

For more information, please contact Kate Green. Tel: 01384 573381.

Email: buildingblocks@dudleycvs.org.uk

Hearts and Crafts: A lifeline for people in Sedgley

Becky 6 Comments

Hearts and Crafts group based in Sedgley is a social group where people can take part in a range of arts and crafts activities in a welcoming and supportive environment. It’s a place where people can learn new skills from their peers, share knowledge and get creative! Perhaps more importantly, it’s a place that nurtures people as well as their creativity.

I was introduced to Hearts and Crafts by my colleague Georgia, who through her role as Integrated Plus Link Support Worker has referred people to this group as a way of helping them to be more connected in their local community. The group has been running for 4 years, and it’s co-ordinated by a team that shares all the practical tasks. In fact, it’s become so popular that they’ve set up another session on the same day so that more people can attend and take part in comfort. There were at least 25 people when I paid the group a visit recently as part of the work I’m doing with Age UK Dudley. The knitting table was particularly busy!

At Hearts and Crafts, there are opportunities to take part in a range of creative activities. There’s a table for knitting, needlework and crochet, a table dedicated to papercrafts and another table for painting. People are free to choose to do as much or as little as they please and as I chatted to some of the members it became clear that Hearts and Crafts was less about what they did and more about the friendships that have been made there.

One lady didn’t find it easy to be among new people or in new situations. She was introduced to the group after someone struck up conversation with her at a party where she didn’t know many people. That one connection led her to tentatively joining the group. Now she’s a regular and gets involved in the papercrafts, chatting to her new friends and helping each other to design cards. She told me that this is the only place she goes, so she really looks forward to it every week. She walks there and she’s certain going to Hearts and Crafts gives her purpose and keeps her fit and active.

Over on the knitting table, participants were making all kinds of things for themselves and for others, sharing skills and encouraging each other. I was told that one of the participants who was knitting with such dexterity was recovering from a stroke. It was obvious how much people value Hearts and Crafts as participants told me that attending had given them a sense of purpose.

On the busy painting table, people of all abilities were trying out working with watercolours and acrylic. A gentleman was helping two people who had come for the first time, reassuring them that the worst that could happen was that their paintings might end up in the bin! By the end of the session, the two people had painted beautiful landscapes and they were looking forward to coming again. It’s that kind of welcome and encouragement that has made Hearts and Crafts so popular.
When I asked the gentleman about his painting, he told me that he’d been to a class in the 1990s and realised it was harder than it looked at first. But he persevered and now helps his wife to decorate cards that she makes. He loves painting and told me that he can forget all of his troubles by becoming immersed in his creativity. He comes to Hearts and Crafts specifically to help others to get the same benefits.

Another lady told me that Hearts and Crafts was her lifeline, especially after she’d been through a difficult period in her life. She was full of admiration for the team members who make Hearts and Crafts happen every week. She said that the team got upset when the group was so big that team members couldn’t get around to everyone to have a conversation with them; that was the reason for setting up another session later that day. It felt like the team has really fostered a sense of belonging and family as I was told that the team members would text people if the session had to be cancelled to save them setting out; whenever anyone missed a week, someone would be in touch to check everything was ok. It’s the kind of belonging that would help anyone feel connected and wanted.

Capturing the character of amazing local volunteers

Eileen 1 Comment

At the start of 2018 DCVS was invited to assist Midland Film And Art, a collection of artists, craft workers, writers, performers and film producers, who were applying to the Arts Council (England) for funding towards a Character Portraits Project. The idea for the project was to create 24 real-life portraits of volunteers from across Dudley and Sandwell in recognition of what volunteers do to help their local communities.

DCVS agreed to support the project and put forward the names of 12 Dudley volunteers, including our Chairman, Mike Abrahams.  The artists taking part included writers and actors, and all went through an application and selection process.

The project application was approved by Arts Council (England) and this wonderful project commenced.

The Dudley borough volunteers who had been nominated were celebrated in variety of creative formats including the written word, sculpture, portraits in oils, felt and graphite, and even a mutoscope!  MFAA recorded films to record the process for each piece of art and these are available on our YouTube Channel if you would like to watch them.

On 12th April we will be holding a celebration event where family and friends of the subjects, plus the artists and supporters involved from MFAA will have a final opportunity to see the original pieces. The Mayor of Dudley, Cllr Alan Taylor, will be presenting the originals to the subjects for them to keep.  Local art lovers are most welcome to pop in and see these amazing pieces for themselves between 3 and 4 pm on Friday 12th April, in the main hall at DY1 Venue, Stafford Street, Dudley DY1 1RT.

However, this will not be the last time you get to see these pieces as we have plans to convert images of the artwork onto canvas prints for public display, and for them to tour the borough displayed in various locations so everyone can enjoy them.

Over the next few months we will be sharing pictures of these wonderful creative pieces individually and telling you the stories behind these amazing volunteers who are featured in them.

One of the portraits will be on display in the café at DY1 Venue from 15th April until 30th June 2019.  Steve Mukanovic (Ford) passed away in late December and was a well-known local volunteer, who had also volunteered as a minibus driver for Dudley CVS.  As he had so many friends, Dudley CVS thought it would be appropriate for his portrait to be displayed in the café so that friends and family could pop in for a cuppa and reflect on their much loved friend and relative.  The portrait will hopefully be going to a permanent home where he volunteered for over 30 years, but we wanted to share this beautiful piece of art with the world before it goes to its final location.

Darren McDermott [by Peter Lopeman]
Steve Waltho [by Gerry Stokes]
Steve Ford by Wozart
Kerry Davies [by Natalie Brooks]
Karl Denning by Ed Cartwright
Camilla Phillipa by Steve Wright
Rick Sanders poem about Mike Abrahams
Gurchuran Singh Bedi by Alex Maczkowski
Mike Abrahams [by Steve Grigg]
Malcolm Lindsay by Richard Noble
Guy Holness [by Martyn Harris]
Dr Brian Dakin’s poem about Karl Denning
Jane Clarke by Ken Tomlinson
Ceri Davies [by Keith Turley]

Celebrating Integrated Plus as part of International Social Prescribing Day – Connecting and supporting for wellbeing and a sense of purpose

Kate 1 Comment

 

Dudley CVS has been delivering a social prescribing service for the nearly 5 years. In early 2014, Dudley CVS with support from Dudley Clinical Commissioning Group (Dudley CCG), identified an opportunity to develop and deliver an innovative, flexible and complementary service called ‘Integrated Plus’.

The service was set up to trial a different approach to supporting people in their own homes to ensure the non-clinical needs of patients are taken into account at the GP-led Multi-Disciplinary Team meetings (MDTs) established in 2014. Integrated Plus offers 1-2-1 social prescribing support to patients aged 16 and over who are:

  • At high risk of hospital admission
  • Frequently visiting their GP
  • Vulnerable and in need on non-clinical, social support

Our support is about enabling and facilitating connections with others, nurturing new friendships and helping people to find purpose in their lives. We focus on the whole person’s needs whatever they might be, to jointly find solutions to challenges faced. Our approach is about spending quality time with people, actively listening to their needs, goals and aspirations. We explore what is important to the person and help them to identify, amplify and reflect on their strengths, passions and skills. 99% of people we have connected with stated that spending quality time with them actively listening and exploring what they want to achieve as the most valuable component of our service.

Other key facts and stats

  • 4,326 referrals from GPs and at the MDT meetings. Of 4,326 we have connected with 3,132 people.
  • 81% reduction change in people that were not managing in the areas of finances but who are now getting appropriate support or now managing ok
  • 82% reduction change in people that were not managing their physical health but who are now getting support or now managing ok
  • 80% reduction change in people that were isolated and lonely but who are now accessing services/activities or no longer feel isolated or lonely
  • 8,719 outward referrals to organisations, 60% to the voluntary sector
  • Avoidable A&E attendances have reduced by 17% over a 12 month period after Integrated Plus interventions, cost avoidance totalling £58,305
  • Avoidable hospital admissions have reduced by 15% over a 12 month period after Integrated Plus interventions, cost avoidance totalling £751,400
  • Overall GP consultations have reduced by 15%, cost avoidance totalling £73,115

image 10

Karen supported to find time for herself and regain her confidence

Karen was referred to Integrated Plus by her GP. She was diagnosed with depression and finding life difficult to cope with.  Karen is selfless and spends most of her time caring for others.  She has caring responsibilities for her mother, an aunt and a son who is disabled.  Despite her busy schedule, Karen is regarded as being positive and upbeat about herself and her life but while looking after everybody else her own mental health was deteriorating and she became unwell.

When Karen met the Locality Link Officer for Stourbridge, Wollescote and Lye she said she felt “Lost and exhausted and didn’t know what to do.” The Link Officer listened to Karen and discussed options for her to have some time concentrating on herself, regaining her confidence and doing something she would find helpful and worthwhile.  The Link Officer asked Karen what hobbies and interests she had and if she would like to do some activities. Karen said yes and the Link Officer agreed to accompany her to her first activity until she felt comfortable with her surroundings.  They went to the University of the 3rd Age in Stourbridge (U3A) and Karen enjoyed it and settled in a lot quicker than she thought she would.

Karen now has the confidence to attend on her own and has been to the U3A several times and is going to join the group as a member. She is looking forward to enrolling on a diverse programme of classes in the New Year, including, lace making, walking and tap dancing. She was surprised and pleased to find that the lace making course is taught by a neighbour and this has rekindled their friendship.

The Link Support Worker met Karen a couple of months later to do a follow up review and she said her mental health has significantly improved and that she is feeling much better. Karen has also grown in confidence and has attended some Carers Coffee Mornings and said this has been important in reducing the isolation and loneliness felt by many carers.

Karen has reconnected with neighbours and her wider community and has made new friends since being referred to Integrated Plus. She said she was very grateful for the “…impartial support from Integrated Plus.”  And without this support she said she would probably be “sat at home rocking back and forth in her chair not knowing what to do next.” With support from Integrated Plus and Karen’s desire to make changes she is looking forward to the future with renewed confidence and hope.

For more information contact: Kate Green. Email: buildingblocks@dudleycvs.org.uk