What we can achieve if we work together! Celebrating inspirational local people, groups and projects across Dudley Borough #dva19 #dvastory

Dudley CVS’s Annual General Meeting and Awards is a celebration that recognises inspirational local volunteers, people and groups who generously give their time to help make life better for others in Dudley borough. It’s also a time to reflect on some of our greatest achievements throughout the year and to spotlight some of the amazing projects, groups and individuals we have supported. It’s also a lovely opportunity to join our colleagues at the Brierley Hill Civic and showcase our wonderful venue and what it has to offer.

At this year’s event we spotlighted some of the projects, groups and individuals we have been working with during 2018-19 and shared a snapshot our annual review; how we’ve been connecting, inspiring and championing great community work across the Dudley borough. Take a look at the full annual review here: http://www.dudleycvsreview.org.uk

Last year our Carers Co-ordinator and Integrated Plus team continued to support more than 1,000 unpaid carers, people in crisis and those with complex needs. Our Integrated Plus team build a network of support around individuals, ranging from practical help, financial support and community activities to help them to become more socially connected and resilient.

During our AGM we spotlighted our work to develop the Integrated Plus High-Intensity User Service (HIU), supporting people in crisis and those with complex needs. Read more about the project on Danielle and Kelly’s blog post, “Our support to individuals all starts with a phone call and a cuppa.” https://bit.ly/2oXV5X6

Our Healthwatch Dudley colleagues shared highlights from their work last year, you’ll find their annual report here: https://bit.ly/33RAT7K

Integrated Plus, Healthwatch Dudley and our Carers team bring their different skills and experiences together in a way that benefits the sector and ultimately, the communities the sector supports.

Our work with Dudley’s Young Health Champions inspired Lauren to tackle period poverty. Her idea to make up packs now sees them distributed in all sorts of places, from family centres to schools. Lauren is making a real positive difference to the mental health of other young people https://bit.ly/2BEL7fT

We spotlighted Airtime, a weekly group for members of the community with COPD and related conditions, and our work to support the group to become independent and sustainable. Airtime was one amongst 200 hundred not-for-profits we supported last year.

We worked with Age UK Dudley to support a common aim: keeping vulnerable people connected and well. 9 groups were helped to kickstart or expand their activities with grants of between £250 and £500. Age UK funding helped Wall Heath Ladies Choir to get started and get a further grant of £3,000 https://bit.ly/31DCOeD

Our support to groups last year led to 32 successful funding applications totalling almost £2,000,000. We’ve supported groups to raise more than £11.7 million from grant funders over the past 11 years!

Our work with Dudley Voices for Choice (DVC) resulted in them being awarded a grant from the National Lottery Community Fund totalling £415,720 to maintain a regional self-advocacy network https://bit.ly/2MGZeYd

We brought together local charities CHADD, Barnardos and Phase Trust to design a service that would support vulnerable people who were involved or at risk of becoming involved in child criminal exploitation. Read more about the NAVIGATE project: https://bit.ly/2Jf3H2r

We’ve gathered local doers, creatives, makers and all kinds of people who shared an appetite nurture a culture of curiosity and kindness in Dudley town centre. https://bit.ly/361vrkQ

Our work in both Dudley and East Coseley Big Local show how we bring all sorts of people, organisations and partners together to build kinder and more connected communities.

Our Volunteer Centre helps people from all walks of life to connect with good causes and start making a difference. Last year we linked the Art Yard with incredible volunteers doing great things across Dudley borough. Artworks were created in celebration of what volunteers do to help their local communities. https://bit.ly/32C6URb

Following our AGM and highlights from 2018/19 it was time to focus on the awards part of the evening, celebrating local volunteers, people and groups who generously give their time to help make life better for others.

Listen back to the Dudley CVS Awards on Black Country Radio!

 

Deb Brownlee received the Arts and Heritage Award for her tireless work to reopen and restore St John’s Church in Kates Hill and turning it into a community hub. Deb’s nominator said “The ‘never say can’t’ attitude of this group is utterly remarkable and the obstacles they’ve had to overcome would have defeated most. Deb’s dedication is exemplary and having spent 1000s of hours on her beloved project is fully deserving of an award”.

The Sporting Champion Award was awarded to Bryn Nicholls and Briony Tonks from Oldswinford and Stourbridge Social Cricket Club. Bryn and Briony have developed a supportive and fun programme of cricket activities for disabled children and young people. Their nominator said “The needs of participants are to the forefront of Bryn and Briony, and sessions are planned and delivered so as to help all involved to develop both personal skills and social skills.”

Kyle Harper was awarded this year’s Ray McGuirk Young Volunteer of the Year Award. Kyle helped to set up All Stars Youth Club, and regularly volunteers at the club which caters for young people with special educational needs and disabilities aged 8-30 years. Kyle’s nominator said “All Stars Youth Club initially had no funding. Kyle decided to fundraise by doing a bag pack at Tesco which raised over £300. He also solely arranged a Charity Ball with singers, raffle, bingo and a disco, raising £700!”

The Business Supporting the Community Award went to Julie Bate from Amblecote Sainsburys for the dedication she has shown to local family carers and organisations that support them in Dudley borough. Julie’s nominator said “She has a social conscience and has made a real impact by helping us all to create positive spaces for people who are struggling with their caring role. She listens to people when they feel unheard, takes action and inspires others to do the same.”

Friends of Wollescote Park received the Community Champion Award for all their hard work to make the park a beautiful oasis for the community. The person who nominated Wollescote Park said “The group are really innovative and tenacious. Their exceptional commitment to involving the whole community and being inclusive is to be commended. Their project work is an inspiration for other community groups.”

Recovery Café volunteers received the Kindness and Inclusion Award. Their nominator said “All the volunteers are, or have been dealing with their own issues, whether that be mental health, addiction or financial hardship and they are all getting through it and supporting each other as well as the customers of the café.”

 

The Mark Ellerby Award for enterprise, digital and technology went to Mike Tolfree, Oliver Bennet and Callum Fowkes who are all volunteers at the Beacon Centre’s FabLab, a workshop that develops visually-impaired people’s digital manufacture skills. Their nominator said: “Mike, Oliver and Callum are hugely dedicated to the Beacon’s FabLab and their enthusiasm has been instrumental in ensuring the successful launch and 1st year of FabLab”

Their nominator said “Mike has pushed forward on an artistic level taking the quality of products to a level we didn’t expect so early on, enhancing photographic and personalised ornaments and corporate branded items such as T-shirts, keyrings and signage”

“Not only has Oliver immersed himself in smart device accessibility to help the Beacon Centre’s visually-impaired customers, he’s dedicated to 3 clients in our home visiting scheme, helping them get out and about, giving IT support & helping one to set up their own company.”

Callum’s nominator said that he “developed his knowledge of 3D printing and design for FabLab to produce bespoke items such as 3D tactile maps. These 3D maps enable visually impaired people gain a better understanding of new surroundings & environments through touch”

“Without Mike, Oliver and Callum, the Fab Lab would, quite simply, not be able to operate.”

The Gordon Lindsay Award for Long Service, is an award for special local heroes who’ve dedicated more than 20 years to their communities. This was awarded to Jillian Fielder.

Jillian has been volunteering for 35 years to help children and young people develop, either with the Boys Brigade or the toddlers group she leads. Jill’s nominator said that her Boys Brigade group “provides a safe environment where children can run off steam, be children, build their confidence and self-esteem by trying new things and discover for themselves who they are as individuals.”

Jill’s Mom & Toddler group “also provides adults with the rare opportunity of sitting and chatting with friends, which helps to reduce isolation and loneliness and encouraging people to make new friends”

And Jill’s nominator thinks Jill is so special because “She sees the hardships that some of these children are going through and strives to make a positive difference to their lives. She is a hidden gem to our community.”

This year’s event also introduced a new award Operation Santa Business with a Big Heart Award.    

Operation Santa is a local campaign, which is run by Dudley CVS. Every year donations of new toys, gifts, food etc. are collected and distributed to local voluntary and community groups who support children, young people and families in crisis within Dudley borough. This year Dudley CVS recognised two outstanding businesses that had generously supported the campaign.

The Court House in Kingswinford, provided 100 free Christmas carvery dinners for children who would otherwise not get a Christmas lunch.

Garry and Hayley Aulton behind Beer Buz, organised a reverse Santa where people brought presents, plus an auction of donated items.  This auction raised over £3500 for local children and young people this Christmas.

View the full photo gallery from the event on the #DVA19 blog

What people said:

Always a special evening … I am in awe of all the volunteers who give so much to this community

I never cease to be amazed at the wonderful work that is being carried out by our volunteers!

Kindness ♥♥

Inspired, enthused and motivated to volunteer. Thank you DCVS!

Lovely to see kind, hardworking people recognised and the difference they make.

Inspiring and humbled. Great to see people being recognised

Still lots of things to achieve but let’s hope we are on the right road to success

Proud to work in Dudley ♥

A wonderful uplifting evening

Volunteers are worth their weight in gold x

 

Airtime: A friendly space to meet other people living with COPD and related conditions

At the Dudley CVS Annual Awards and AGM this year we spotlighted some of the amazing groups and individuals we supported during 2018/19. One of those groups was Airtime, a weekly group for members of the community with COPD and related conditions, developed by Integrated Plus and Healthwatch Dudley. Our work with the group over the last year has helped them to become independent and sustainable.

Dudley now has a sustained peer support group for individuals with chronic lung conditions which helps to improve confidence and quality of life. The group have now taken on leadership responsibilities and contribute to the health and wellbeing of its members. They are now looking to expand and find others with similar conditions who may like to join their group.

Members of Airtime understand how important it is to have the opportunity to meet with others experiencing similar challenges in a safe and caring environment. One of the groups main aims is to combat the feeling of isolation by giving people a chance to meet like-minded people with similar lung conditions in social surroundings. It’s a space to relieve stress, to laugh and feel the camaraderie. You can get involved in many activities including arts and crafts, bingo and quizzes, gentle exercises such as seated yoga, tai-chi and meditation. There are informative and educational talks, films, and musical performances.

We caught up with Angela, Dave and Jean at DY1 Community Building on Stafford Street, where the group is held each Thursday from 1pm, to find out how more about their conditions, the impact that Airtime has had on their lives and their exciting plans to develop the group for the benefit of members.

 

Angela has been coming to Airtime since 2016, she has emphysema, a condition that causes shortness of breath,

“Suddenly I had somewhere to go where there were people with the same problems as me. Everybody understands how you feel and we help each other, so you’re not trying to deal with it on your own.

Airtime has given me another interest. With my husband at work all day, I was at home on my own a lot. If you’re sitting at home looking at four walls you can get quite depressed. It doesn’t start until 1, but you’ll find most people turn up in the café at 12 just to have a chat. Suddenly you are not so isolated, you’ve got a friend at the end of the phone. Your mental and physical health improves. It’s like a family.

We talk to each other in a language we can all understand. We can learn things from each other that a consultant might not talk to you about.

There is a core of 20 people that come frequently and others occasionally. It’s just good to come out, talk to somebody and have a laugh. We like the group to bring ideas forward so everyone is involved in planning what we do.

Since joining Airtime, I’ve actually gone on to join many other groups. I’m a Healthwatch Community Reporter, I’m also a part of a research group. It gives you the feeling that you count again as a person, suddenly you are not just a patient.”

The group also have a Christmas party meal with entertainment where they have a raffle to help them to raise money for the group’s activities.

 Jean has long term bronchiectasis which she developed when she was 10. “My condition is progressive, but very slowly. You can live with it, but if you get an infection it’s a struggle. You get through it, but it limits your life.

I love coming to Airtime, I’ve met some really nice people. You build some really good friendships. I met Dave at Airtime, and he’s now one of my best friends. The main thing is to get up off your settee and get out! Every Thursday, I think, it’s Airtime today, and I love it.

The respiratory nurses that come have been massively helpful, although it’s stuff we’ve all been through before, sometimes it goes out of your mind and for them to come in and refresh your memory is massively helpful.”

Dave has had Bronchiectasis for 25 years, he holds the position of Treasurer and also likes to organise quizzes for the group, “I lost my wife about 7 years ago, and when she went, I was completely lost. After 2 years of lying on the settee, I thought, I can’t carry on like this, I’ve got to do something. That’s when I found out about Airtime. For the first time I went dancing, and I met Kathy, who I’ve been with ever since. It’s given me the confidence to go out and meet new people and it’s also something to look forward to.”

The group have been running independently for 6 months now, they are planning activities and making their own decisions. Dudley CVS supported them to look at the frameworks within which they could operate, and the implications of running the group independently. Together they developed a simple constitution and elected the first committee to run the group democratically. Airtime was one amongst 200 hundred not-for-profits we supported last year.

Dave said, “Looking after Airtime now and being part of the committee has given me an extra lease in life. Now I do extra things for the group which I really enjoy. It’s brought me out of myself. Being treasurer also gives me something to do at home.

We ask new people to take a survey when they join Airtime, after 6 months we ask them to take the survey again to see if coming to the group has made a difference to their lives. Nearly everybody has commented about being able to get out of the house, most people were isolated. For some people, Airtime is the only thing they do. You can see people improving, it helps them to manage their condition.”

After our chat, we went to meet the rest of the group who were busy getting creative carving pumpkins and making Halloween crafts. The group also had a special visit from Chief Superintendent, Sally Bourner, who presented them with their Dudley CVS Spotlight certificate, a surprise for the benefit of those who weren’t present at the awards evening.

So, what can you expect if you dropped by Airtime? A warm welcome that’s for sure! A place to meet new people, take part in fun activities and listen to talks from respiratory experts and other guests. The chance to mix with other people living with respiratory conditions and to make friends. A lovely afternoon out for free with a superb supply of tea and biscuits of course!

If you are interested in joining Airtime Dudley, it’s free and runs each Thursday from 1pm – 3pm at DY1 Community Building, Stafford Street, Dudley, DY1 1RT and is open to anyone suffering from chronic lung conditions such as COPD, pulmonary fibrosis or bronchiectasis.

New members are very welcome.

For further information please feel free to contact Angela Rea angela2ree@gmail.com or Dave Taylor on axnfel@talktalk.net

Deafscope: Breaking down barriers for the Deaf community

A couple of days ago, Deb, Helena and I met with the lovely people behind Deafscope, a brand new online Deaf community directory.

Set up by Ishtiaq and Kerry, BSL communicators with first-hand experiences of the barriers faced by the Deaf community, Deafscope aims to connect the community, break down barriers and highlight the amazing Deaf-friendly and Deaf-owned businesses around the West Midlands, the UK and eventually around the world.

Bringing together Deaf-friendly and Deaf-owned businesses, services and events in one place means people will be able to see how that business or service can communicate with them along with all the other features they need to see, their location, special offers, contact details and more.Businesses can add listings to the directory to feature products, services, images, social media and website links, special offers, an introduction to their brand and more. The reviews function is designed to build a trusted source of information about accessible businesses and services.

Here’s a great example of how the Deafscope website works:

It’s not only businesses that can feature their services on Deafscope. Deaf-owned or Deaf-friendly charities, voluntary groups, nonprofits and public services such as healthcare services, can register their services, events and activities free of charge. Ishtiaq and Kerry are really keen to get networked so that the website features a whole range of services that reduce the barriers that the Deaf community can face.

And it’s not only a website that lists services, but it can give people ideas. Deaf-owned and Deaf-friendly business can inspire others to set up similar things in their own areas; did you know there’s a Deaf Gym in Bradford? There are also plans for an app and to offer practical support to the Deaf community such as helping people find jobs, training people, nurturing Deaf-owned enterprise. On top of that, being based in Lye means they can offer space, training facilities and events locally!

We’ve helped them to start networking locally and they’ll be linking with the Dudley Deaf Focus Group which is supported by Healthwatch Dudley. Deafscope is also planning a Deaf Community Day for next month. To keep informed about Deafscope, follow on social media:

Facebook: Deafscope
Twitter: @deafscope
Website: deafscope.co.uk

Healthwatch Dudley welcomes over 100 new Information Champions

During the last five years, hundreds of people from local organisations and community groups, have joined Healthwatch Dudley to network with other people in information giving roles.

Our unique training enables people to learn, share and practice how to help people to get information using trusted online resources.  In the last year alone, over 100 new Information Champions have come on board from a wide range of organisations including…

…Mary Stevens Hospice, Springs Church, Brett Young Dementia Gateway, Dudley borough Assisted Living Centres, Trading Standards, Dudley and Walsall Mental Health Partnership NHS Trust (Occupational Therapy), Barnardos, Home Instead Senior Care, Camphill Village Trust, Dudley Carers Network, YMCA, Age UK Dudey, Abberley Street Day Centre, Stonewater Housing, Solutions 4 Health, Just Straight Talk, Black Country Partnership Foundation Trust, Dudley Council Public Health, Dudley CCG, Chawn Hill Church, Victim Support, Top Church Training and Dudley Group NHS Foundation Trust, to name but a few!

Coseley Info ChampsOur network now also includes GP practice staff such as receptionists, healthcare assistants and Practice Managers, as a result of NHS England funding allocated through Dudley Clinical Commissioning Group, which has supported practice staff to become care navigators.  The idea is to help people to play a greater role in their own health and care, by being signposted to non-medical services to improve personal health, wellbeing and independence.

We are really proud that our Information Champion Network was recently recognised with a Better Connected ‘Forging a Future for All’ award by a partnership between the Dudley, Stourbridge and Halesowen News, Dudley Council and local partners, at the launch of the new vision for Dudley borough.

Lloyds Bank Access Rep Lorna tells us why she joined the Dudley Community Information Point Network

“Finding out about Healthwatch Dudley has been really interesting, as it will help me to better support my colleagues at Lloyds Bank where I am an Access Network Representative.

Lloyds Banking Group supports employees through a wide range of networks, we have ‘Rainbow’, which helps and connects our LGBTQ colleagues, ‘Breakthrough’ for women in the workplace, ‘Reach’ supporting colleagues from an ethnic minority background, ‘Family Matters’ for parents and carers and ‘Access’ supporting people with disabilities.

Lloyds Bank also has employee assistance programmes to help colleagues who are struggling.  Having a connection with Healthwatch will fit in really well as if people in our network want to share experiences of health and care with an independent body, I can now point them in the right direction.

I have been supporting colleagues as an Access Rep for ten years and finding the right information can sometimes be difficult. Often people who see me have had a recent diagnosis and where I can, I put them in touch with support groups or other people within the organisation who are in a similar situation.

I found out about Information Champion training that Healthwatch Dudley provides to help organisations, charities and groups better connect people with health and wellbeing information.

Joining the Information Champion Network will make such a difference I now have even more up to date and accurate information as well as new contacts.  Some health websites contain obsolete or inaccurate details with broken links, which can be really frustrating.  It’s been great to learn about where to find trusted health and wellbeing information on the net.

I am encouraging all of our other reps to contact their local Healthwatch and make the same links as me so we can provide even better support across the country which will help to make our network even stronger.”

Lorna Wilson, Lloyds Bank Access Network Representative

For more information or to register for free training, visit: http://healthwatchdudley.co.uk/infopoints/ or call 03000 111 001.

“It all starts with a phone call and a cuppa”

The High Intensity User (HIU) service (developed by NHS Blackpool CCG) has been rolled out across Dudley borough by the Integrated Plus social prescribing team as part of Dudley CVS. The service offers a robust way of reducing avoidable frequent user activity to 999, NHS 111, A&E, and hospital admissions, freeing up front line resources to focus on more clients and reduce costs. It uses a flexible and innovative non-clinical approach, targeting high users of services and supports the most vulnerable people within the community to flourish and find purpose in their lives.

With information given from the Blackpool HIU service, the Integrated Plus team were able to adapt the approach and develop a HIU service in Dudley, match-funded by Dudley Clinical Commissioning Group and the Department of Health.

Danielle and I (Kelly) have been working on this service from its inception in 2018.

Before taking on the role of Urgent Care Link Worker at Integrated Plus, I worked as a substance misuse worker across the Sandwell Borough for 13 years where I developed a good understanding of the skills and attributes needed to work with some of the most vulnerable and complex members of the community. Within that role, I gained experience working across the criminal justice system, child protection, safeguarding adults and children, mental and physical health and domestic abuse. Prior to this, I worked in the community as a carer for the elderly with mental health needs.

My colleague Danielle comes from a background in NHS and private mental health services. For over 10 years Danielle worked in the occupational therapy department within the male and female psychiatric rehab units, working with patients with complex mental health needs, substance misuse, and learning disabilities. From this, Danielle went into hospital discharge learning the pathway patients go through when they are being discharged from hospital and following them through the process. She was then able to use these skills to work alongside GPs in the community co-ordinating patient care, ensuring their discharge from hospital had been completed correctly and they had returned home with all relevant services in place.

In my current role in the HIU team, it all starts with a phone call, from which I am able to actively listen and find out the full extent of the problem/issues that they are facing in their lives. I like to arrange a face-to-face appointment as soon as possible to gain a better understanding of their situation. On the first visit, I try my best to make it very relaxed to allow them to tell their story.

It’s surprising how many people say after the visit it’s the first time they have been really listened to.

From here I give my direct work contact details, agree an action plan with the client and liaise with other agencies involved to ensure that a non-clinical holistic and person-centred approach is taken. The service I then provide is bespoke to that individual, for example, accompanying them to groups, shopping trips, lunch, coffee and medical appointments. I keep my approach relaxed, initially; this may start with speaking to the client two or three times a day as well as out of hours to de-escalate situations that could result in either a 999 call or an A&E attendance.

I will continue to work with a client for up to 6 months intensively with the aim that the support will come to a gradual end and the client no longer feels in crisis. At the end of the service, the client is informed that should they require any further support I would give assistance.”

One service user said,

This service, in my opinion, is vital to help other people from utter despair, I cannot explain in words what this service has done for me.

After another attempt to end it all, I was given a lifeline, introduced to my link worker from Integrated Plus, always at the end of the phone, caring and understanding, non-judgmental who listens to my every need in my recovery. My link worker takes me out for coffee and shopping and has enabled me to laugh again and understand a future without pain. I look forward to her visits helping me to feel normal again”.

If you would like to find out more about the Integrated Plus service visit www.integratedplusblog.com

Integrated Plus delivers a successful peer learning programme for staff delivering social prescribing schemes around the East and West Midlands

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During January – April 2019, Dudley CVS’s Integrated Plus service delivered a social prescribing peer learning programme for link workers around the country. The programme enabled existing link workers from across the East and West Midlands to connect with each other, share learning, successes, challenges and access training in areas such as motivational interviewing, mentoring and solution focused therapy.

25 staff from 9 organisations delivering social prescribing projects around the country attended the 10 day programme delivered over 3 months.

Participants shared that they had learnt:

  • More about what social prescribing is
  • Each other’s social prescribing models
  • Different approaches to supporting people
  • New techniques and coping strategies when working with vulnerable people

“Brilliant, invaluable, interesting and overall a fantastic and worthwhile training package” (participant who attended the programme)

“Spending time offering each other peer support has been incredibly invaluable” (participant who attended the programme)

For more information about the Integrated Plus service, please contact Kate Green on 01384 573381.

For National information and updates on social prescribing visit: https://www.socialprescribingnetwork.com/

Self-Care What’s it all about then?

Healthwatch Dudley research shows that self-care is a complex topic and what it is can be different depending, for example, on where you live, whether you have a job or not, and how old you are. We undertook work to gather people’s views on self-care to get a better understanding of what it is and how it might be supported. At the same time, we wanted to know more about how the different circumstances that people find themselves in might determine how they are able (or not) to look after themselves, stay well and get access to the care they need when they are unwell.

Choosing self-care for life

NHS England has, for some time now, been encouraging us all to choose self-care for life and suggesting how they can look after their own and their family’s physical and mental health. In turn, it wants more people to be involved in ‘Taking action for both themselves and others whilst understanding how to use health services’.[1] But, self-care can be thought about and described in different ways.

Figure 1: The self-care continuum

It can be about people, events and actions located on a self-care continuum. At one end is the responsible individual making daily choices about lifestyle, health and the management of any conditions they have. At the other end there are events like compulsory psychiatric care and treatment for major trauma or illness that is administered by professionals responsible for what happens to an individual (see Figure 1).[2]

Meanwhile, there are the wider determinants of health and wellbeing – such as where we live, the jobs we have, and how we are able to get access to good quality housing and health care services. We need to understand how the circumstances that we find ourselves in can affect our capacity to self-care (see Figure 2).[3]

Figure 2: Factors that influence an individual’s health and wellbeing

It is widely acknowledged that our opportunity for good health starts long before we need health care. And consequently, our unhealthy behaviours are most often ‘Usually not the origins of poor health but the end point of a long chain of causes and consequences in our lives’.[4] There is a strong case for thinking that responsibility for health should extend beyond the individual and the health and social care system to include the whole of society.[5]

‘We know what we should do, but we don’t always do it’

Self-care is about understanding yourself and others understanding you. However, it was remarked that ‘A lot of people want to self-care, but they can’t do it without support’. And bureaucracy and red-tape gets in the way and stops communities and individuals from taking action to do things at the local level through self-help, leisure and other social activities.

Time and effort must be given to making the most of what exists in communities already, the buildings, facilities and group activities and individuals and their knowledge, skills and talents.

At the same time, people want help and advice from well-qualified professionals who can provide them with information, where it is appropriate, on how they can best look after themselves when they feel unwell. In turn, relations work better when there are good communications that ‘Instill confidence that something can be done’, whether it is through a conversation to get advice on what to do next, help with the management of an ongoing health condition, or information on care and treatment.

There is something about our health and wellbeing that is about having control and choice over what we do and what happens to us. And sometimes we just need to slow down, listen to our body and get through the day. Understanding that there will be days when you feel down and need to deal with knocks and setbacks. Then there are the times when you need people to be around who care about you and will listen to what you have to say. Maybe we need to reflect on what is happening in our lives and ‘Identify the positives, new opportunities, new hobbies, new experiences’.

The aim must be to give people real choice over what happens regarding their self-care. And reassure them that they will be able to get access to appropriate services and professional help when they need it.

Our health and capacity to self-care can depend a lot on being surrounded by people we love and trust and ‘Being connected with others and a community’. It can also be about ‘Finding time to look after yourself, doing things you want to do, outside of busy lives at work’ and being able to express your emotions and laugh.

Policymakers and other professionals, with an interest in self-care, need to work with people, from a wide variety of backgrounds, to learn more about what it means to them and how they might be supported to do it better. We need to know what hinders or stops people from undertaking self-care activities. It might be because they are living in poor or insecure accommodation, are struggling to live on a low income, or have no family or friends nearby to offer help and support.[6] On professionals it was remarked that ‘They should come to our natural environment’ and work with people to find out what their health and wellbeing needs are and what can be done together to promote and sustain good self-care activities.

How to promote and support self-care

Have in-depth conversations with people from all types of background to get a diversity of views on self-care and wellbeing.

Develop strong relations with communities, be inquisitive, and adopt a non-judgmental approach to understanding lifestyles and aspirations.

Determine what opportunities exist for self-care and wellbeing quick wins targeting resources appropriately to achieve them.

Get the messages out on self-care, thinking about what it is and how to get help with it.

Get people involved and more in control of what happens in the area where they live and the design of services to meet jobs, environment, housing, leisure, transport, education and health needs.

Make the most of existing community strengths and bonds, buildings and facilities and people’s knowledge and skills in a place based approach to partnership working that celebrates the good things already happening in an area and identifies and deals with gaps in services and support for self-care.

Clearly identify how self-care and staying healthy, the prevention of illness, and getting access to treatment when it is needed are intimately bound together and can be part of a well thought through population and personal health and wellbeing pathways

Set out personal and collective community and organisation responsibilities for promoting, supporting and doing self-care so that it works for everyone


[1] NHS England (2018) ‘Encouraging people to choose self-care for life, https://www.england.nhs.uk/2018/11/encouraging-people-to-choose-self-care-for-life/

[2] Self Care Forum, http://www.selfcareforum.org/about-us/what-do-we-mean-by-self-care-and-why-is-good-for-people/

[3] Dahlgren G, Whitehead M. (1991) ‘Policies and Strategies to Promote Social Equity in Health’, Stockholm, Sweden: Institute for Futures Studies, https://ideas.repec.org/p/hhs/ifswps/2007_014.html

[4] Lovell, N. and Bibby, J. (2018) ‘What makes us healthy? An introduction to the social determinants of health’, The Health Foundation,  https://www.health.org.uk/publications/what-makes-us-healthy

[5] NHS England (2014) ‘The Five Year Forward View’, https://www.england.nhs.uk/five-year-forward-view/

[6] Department of Health and Social Care, ‘Prevention is better than cure: Our vision to help you live well for longer, 2018. https://www.gov.uk/government/publications/prevention-is-better-than-cure-our-vision-to-help-you-live-well-for-longer

Find out more about Healthwatch Dudley’s work and research at www.healthwatchdudley.co.uk

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

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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

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.

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

 

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

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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