Working towards Healthier Communities
Transcription
Working towards Healthier Communities
Working towards Healthier Communities Case studies of voluntary groups working towards a healthier Durham and Chester-le-Street October 2013 Chester-le-Street and District CVS and Volunteer Bureau Durham and Chester-le-Street Health Network 1 Forward In June 2013 Durham and Chester-le-Street Health Network agreed to commission a small project to showcase the activity of local voluntary and community organisations who contribute to the Health and Wellbeing agenda. These case studies are a mere snapshot of the wide range of organisations who are actively supporting some of our most disengaged and disadvantaged communities. These case studies are just the surface of an incredible breadth, depth and diversity of community action that contributes to physical and mental health, which supports children and young people, older people and families, that seeks to tackle inequality and enable self respect, dignity and resilience. We are acutely aware of the economic environment in which these case studies have been captured, a time when public sector services are being withdrawn and the demands upon financially fragile VCS has never been so great. A week in the VCS can be a long time and its fortunes are ever changing. What we have captured today may not be sustainable tomorrow and we know that some organisations are close to closure. For many of the beneficiaries of those charities, this may be their last “safety net” and whilst many would survive without that support, the quality of their lives and the long term costs upon the public sector will be much greater than had we sustained the original charity. We hope that these case studies demonstrate the cost effectiveness of a small investment, by way of savings to the public purse, the leverage achieved in “match funding”, and above all the impact upon the lives of beneficiaries. Feisal Jassat Chair of Durham and Chester-le-Street Health Network 2 Contents List of VCS groups in North Durham CCG area contributing to health …… 4 Synopsis of organisations featured in this report.……………………………15 Case Studies Aspire …………………………………………………………………………….19 Breathing Space ………………………………………………………………...24 County Durham Carers Anonymous …………………………………………..28 Drug and Alcohol Self Support…………………...........................................31 Durham and Wearside Sands …………………………………………………35 Durham Community Association ……………..............................................39 Durham County Carers Support ………………………………………………42 Durham Foodbank ……………………………………………………………...46 If U Care Share Foundation ……………………………………………………49 ME North East …………………………………………………………………...54 Chester-le-Street and Durham Mind ………….............................................59 Moving On ………………………………………………………………………..64 New Generation Brass …………………………............................................69 Pelton Community Centre ……………………………………………………...72 RSVP…….. ………………………………………………………………………75 RT Projects ..……………………………………………………………………..79 St.Margarets Centre …………………………………………………………….83 Stonham, Home Group …………………………………………………………86 Ushaw Moor 2-4 Club …………………………………………………………..89 Veterans at Ease ………………………………………………………………..91 Visual Impairment Problem Solving ………….............................................94 3 VCS groups in North Durham CCG area contributing to health and wellbeing The following is an extract from the database of Chester-le-Street and District CVS of Community Organisations working in the Health and Social Care arena. Abbey Phab Club Action for Children (Independent Visitor Project) After Adoption After Adoption Age Concern Age UK Allington House Community Association All Saints Church Alzheimers Society Durham and Chester-le-Street AMS Holidays Annfield Plain Community Association Arthritis Research Campaign Arthritis Care Ashdale Road Disabled Club Aspire Barnados Fostering and Adoption North East Beamish Open Air Museum Beanstalk (Literacy Project) Bearpark Artists Bearpark Community Association Belmont Community Association. Belmont Parish Hall Birtley Town Ladies Football Club Blind Life Durham Books on Wheels 4 Bournmoor Nursery Group Bournmoor Parish Council Bowburn Community Centre Bowburn and Parkhill Community Association Bowburn Youth Project Brancepeth Community Association Brancepeth Parish Council Brandon and Byshottles Parish Council Brandon Carrside Youth Club Brandon Village Hall Breathing Spaces British Heart Foundation British Red Cross Brockwell Centre Bullion Lane Childrens Centre Burnhope Parish Council Burnmoor Cricket Club Burnopfield Community Association Burnside Resource Centre Cassop Community Association Castleside Village Hall Association Cats Youth Theatre Centrepoint Cestria Community Housing Association Cestria U3A at Chester-le-Street Chester Moor Community Group 5 Chester West and Central Community Project Chester-le-Street Air Cadets Chester-le-Street and District CVS and Volunteer Bureau Chester-le-Street and District Welfare Committee Chester-le-Street and Durham City Mind Chester-le-Street Amateur Rowing Club Chester-le-Street Blind and Partially Sighted Club Chester-le-Street Community Association Chester-le-Street District Scouts Chester-le-Street Furniture and Fabric Recycling Chester-le-Street Heritage Group Chester-le-Street Methodist Church Chester-le-Street Rugby Club Chester-le-Street Self Help Group Chester-le-Street Youth Centre Children North East Citizens House Community Intergrated Care Contact a Family Consett and District YMCA Consett and District Self Support Consett Churches Detached Youth Project Cornerstones Centre for the Community Cosy Club County Durham Autistic Support County Durham Care 6 County Durham Carers Anonymous County Durham Furniture Self Help Scheme Coxhoe Community Partnership Coxhoe Village Hall Association Craghead and Middle Village Hall Association Craghead Development Trust Crohns and Colitis UK Crookhall Community Association Crossgate Community Partnership Croxdale Community Centre Cruse Bereavement Care CSV RSVP North East Cuthberts Ladies Group DASS Day Trippers Delves Lane Community Association Consett Depaul UK (Night-Stop North East in Durham). Derwentside Domestic Abuse Service Derwentside Mind Deter Innovations DFW Adoption Diabetes UK ( Durham Group) Dipton Community Association Disability Outlook Disabled Motorist Federation DISC Gilesgate 7 Dunelm Phab Club Durham Phab Club Durham and District Womens Cancer Support Group DASH Durham Action on Single Housing Durham Air Cadets Durham Alliance for Community Care Durham Amateur Rowing Club Durham Area Disability Leisure group Durham Cestria and Gateshead Credit Union Durham City Area Access for All Durham City Cricket Club Durham City Shopmobility Durham Christian Partnership Durham Community Association Durham Community Drop Service Durham County Badmington Association Durham County Carers Support Durham County Cricket Club Durham County Pre-school Learning Alliance Durham Deafened Support Durham Gilesgate Youth Community Centre Durham Otters Swimming Club Durham Voluntary Countryside Ranger Service Durham Wildcats Basketball Durham Wildlife Trust Edmonsley Parish Council 8 Edmonsley Village Hall Empower 2 Esh Winning Community Association Fence Houses Community association Framwellgate Moor Community Association Framwellgate Moor Parish Council Friends of Chester-le-Street Hospital and Communities Friends of Lewis School of Dance Friends of Pelaw Wood Fulforth Centre Fyndoune Community College Garden Farm and West Lane Residents Association Gateway Wheelers Gay Advice Darlington/Durham Gilesgate Community And Welfare Centre Girl Guiding Chester-le-Street Girl Guiding Durham Goals Project Grandparents Plus Grange Villa Community Enterprise Great Lumley Community Association Great Lumley Friday Club Great Lumley Parish Council Great Lumley Toddler Group Headway County Durham Hearing Dogs for Deaf People 9 Heel and Toe Helping Hands Cancer support group Hilda Park Football Club High Handenhold Allotments Association If U Care Share Independent Age Intergrating Children Kelloe Community Association Kelloe Parish Council Kimblesworth and Plawsworth Community Association Kimblesworth and Plawsworth Parish Council Langley Park and District Community Association Laurel Avenue Community Association Leadgate Community Association Liberty from Addiction Ludworth Community Association Lumley Boxing Club Lumley Football Club Lumley Parish Council MAD Productions ME North East Meadowfield Community Hall Medomsley Community Association Mencap Mental Health North East Moorside and District Community Association 10 Moving on Durham MS Society Durham and District Muggleswich Parish Council Muggleswick Parish Hall Community Association NASUWT Chester-le-Street Riverside Band National Childbirth Trust National Osteoporosis Society and Durham Support Group NEPACS Nettlesworth Aged Persons Communal Lounge Nettlesworth Youthie New Brancepeth Village Hall Association Newcastle Bank Allotment Association Newhill Allotment Association Newton Hall Community Association No Place Community Association North East Autism Society North East Disabled Motorist Club North Lodge Parish Council Northern Learning Trust Northern Pinetree Trust Opengate Mentoring Project Ouston Allotments Ouston Community Association Ouston Parish Council Ouston Villagers Association Ouston and Urpeth Conservation Volunteers 11 Park View Community Association. Pelaw View Community Group Pelton Community Association. Pelton Fell Bowling Club Pelton Fell Community Partnership Pelton Housebound Club Pelton Parish Council Perkinsville residents Association Pittington Village Hall Plawsworth and Kimblesworth Community Association Rainbow Trust Childrens Charity Rape and Sexual Abuse Counselling Service Real Lives Real Choices Relate North East Rethink Mental Illness ROC Solid Room 4 Durham Roseberry Toddler Group RT Projects Rugby League North East Sacriston Allotments Association Sacriston County Cricket Club Sacriston Community Association Sacriston Community Victoria Football Club Sacriston Everymans Club Sacriston Parish Council 12 Samaritans Scope (Chester-le-Street) Service Users Reaching Forward (SURF) Shadforth Village Hall SHAID Sherburn Hill Community Association Sherburn Hill Residents Association Shinclliffe Community Association Shincliffe Parish Council Shotley Bridge Village Hall Shotton Community Association Shotton Parish Council Society for Disabled Artists (SODA) South Moor Community Association South Pelaw Residents Association Mother and Toddler Group South Stanley Community Association South Stanley Partnership SSAFA Forces Help (Durham) St Barnabas Church Hall and Youth Project St Bedes Playgroup St Cuthberts Hospice St. Margarets Centre Stanley Community Association Stanley Town Council Stonham Housing Tanfield Lee and District Community Association 13 Tantobie Association for Sport and the Community The Central Residents Association The Dene Community Centre The Forge The Grove Community Centre The Salvation Army The Story Ladies CIC The Stroke Association The Venue Three Rivers Housing Association Unwind Pain and Stress Management Urpeth Parish Council Urpeth Residents Association Ushaw Moor Action Group Veterans at Ease Victims Support County Durham Visual Impairment Problem Solving in County Durham Visually Handicapped and Partially Sighted Club Waddington Street Centre Waldridge Fell Village Hall Waldridge Parish Council Wear Mencap Witness Support Service Witton Gilbert Community Association Witton Gilbert Mother and Toddler Group Witton Gilbert Parish Council 14 Synopsis of the Voluntary Organisations featured in this report. Empowering Women Aspire provides a safe space for women to learn and receive support. It provides a wide range of classes that enable personal development and confidence building, promotes employability and empowers women to step-up the health and wellbeing of their families and wider community. Happiness/Mindfulness Breathing Space is a holistic health and wellbeing project serving local communities, especially those at the margins of society. Based in idyllic countryside its preventative and recovery methods are designed for adults and children to experience improvements in self esteem, personal fulfilment and interpersonal relationships. Drug and Alcohol (carers) County Durham Carers Anonymous meets on a weekly basis to provide a non judgemental, confidential and supportive environment that aims to give cares hope, strength and courage. Alcohol / Self Support Durham Alcohol Self Support (DASS) offers an informal, flexible approach to the control and use of alcohol, which is a less rigid alternative to Alcoholics Anonymous with the understanding that total abstinence may not be a realistic option for everyone. Self Help Durham and Wearside Sands is a local branch of Sands the Stillbirth and Neonatal Death charity offering local support, comfort and understanding for bereaved parents and their families. Physical Activity Durham Community Association is based at Shakespeare Hall in the centre of Durham. It offers a variety of physical activities including ballroom and sequence dancing, thai chi, yoga, juggling, ladies keep fit and line dancing. Alongside the obvious health benefits of physical activity many members enjoy the social aspect of the classes. 15 Carers Durham County Carers Support aims to improve the health and wellbeing of carers by providing practical and emotional support, advice and information to carers and former carers who live in County Durham. Inequality Durham Foodbank follows the Trussell Trust model for foodbanks offering emergency food distribution to local people in crisis in order to restore dignity and revive hope. Children and Young people If U Care Share Foundation was set up by the siblings of a young man who took his own life. They want to encourage young people to share problems that trouble them. The main aims of the foundation are Prevention, Intervention and Support after Suicide. Disability ME North East aims to improve the lives of people suffering with ME and CFS, to enable them to manage their illness and help them achieve the best possible quality of life, health and wellbeing. Mental Health Chester-le-Street and Durham City Mind is a registered charity whose vision is working towards a better quality of life for everyone in Chester-le-Street and Durham City experiencing emotional distress. Young people Moving On provide advice, support and practical guidance to help young people aged 16-25 who are homeless or are at risk of becoming homeless to help them achieve independence in appropriate accommodation. Asthma New Generation Brass provides an opportunity for young people to learn brass and percussion instruments, targeting wards where children may not otherwise have the opportunity to learn a musical instrument. The group is open to all who wish to participate although there is an underlying focus on supporting those with asthma or autism. Preventative Pelton Community Centre offer a range of activities including a gym, dance classes, stop-smoking drop ins, over 60s club, parent and toddlers and much more. 16 The centre aims to be responsive to the changing needs of the community and has opened a shop selling cheap clothes and household items as well as a community café offering meals at affordable prices. Preventative RT Projects offer creative art courses to members of the local community with a range of health issues. The benefits of the art courses include improved emotional resilience achieved through a variety of factors such as meeting and socialising with others, learning and developing creative skills, receiving appropriate support in a safe environment and sharing and comparing experiences with others. Carers RSVP (Retired and Senior Volunteer Programme) recruits and supports older people into volunteering programmes. The project is volunteer focussed and led and recognises that older people have a wealth of skills and experience much needed by society. There are a range of projects across the North East although the surgery transport team, established in 2001 has a particular focus in North Durham. The scheme supports those who are unable to use public transport. Volunteers collect patients from their homes and take them to and from medical appointments. Mental Health St Margaret’s Centre supports adults of all ages with mental health and other disabilities. It provides a welcoming therapeutic environment which encourages individuals to learn new skills in a manner that helps them develop their potential and ensures that they get access to the services they need. Housing Stonham, Home Group provides specialist housing support to people who are homesless, at risk of losing their home or need support maintaining and improving their independence. They work with a variety of client groups: people with drug and/or alcohol dependency; young people, people with learning disabilities and people facing issues around domestic abuse. Staff have the expertise in working with the hardest to reach groups. Older People Ushaw Moor 2-4 club provides an opportunity for older people to come together on a weekly basis to enjoy social activities such as crafts, bingo and trips out. Members benefit from an improved quality of life and a reduced risk of social isolation. Families Veterans at Ease aims to help veterans and their families deal effectively and quickly with Post-Traumatic Stress Disorder (PTSD). The project works on the basis of veterans helping veterans. The help given allows them to understand and 17 integrate into civilian life as well as finding full time employment or volunteering opportunities where appropriate. Disability Visual Impairment Problem Solving provides support services and information for people with sight loss and their carers and families in County Durham and the surrounding areas in an effort to improve their quality of life and work towards social inclusion. Over 1,000 service users with sight loss currently receive outreach services in County Durham free of charge – information, talking newspapers, driver/escorts to eye clinics, specialist equipment demonstration/loan, befriending and telephone support. 18 ASPIRE Introduction and Brief History Date established August 2012 Aspire, Learning, Support and Wellbeing was set up after the demise of the Bridge project which had been operating for 27 years and providing services in Chester Le Street and Durham for 12 years. Aspire is celebrating the end of the first year as Winner of Cornerstone of the Community Award for Chester Le Street 2013 Mission To provide an extensive range of learning opportunities for communities across the north east through: providing mechanisms to support and enable communities to have access and to achieve supporting local families providing opportunities for the involvement of volunteers Operating Principles/Values To promote self esteem and confidence To raise the aspirations of individuals and enable them to reach their full potential. To encourage active citizenship To remove the barriers to participation Services Provided From our base in Chester-le-Street we provide training/educational opportunities, support services, health and well being initiatives, volunteering opportunities and crèche facilities to women of all ages Outreach course in Durham for women recovering from substance misuse. In reach services for women on Tunstall Ward at Lanchester Road Hospital Durham and Cherry Knowle hospital Sunderland. Externally - Health Improvement training for front line staff, volunteers and local communities in Sunderland as part of the Health Champions programme. (mixed groups) When / how often are they provided? On site provision is offered throughout the year on a termly basis 5 days per week. (Support/wellbeing services throughout the year) Weekly outreach courses in Durham 50 weeks of the year twice weekly for in reach hospital services to women with acute mental health issues Several external training packages run every month including positive practice within mental health, healthy eating, RSPH accredited health improvement. 19 How / where are they provided? From our main centre in Chester-le- Street. Durham City Outreach at local community centres/Children’s centres. Impact upon clients. (Quotes from talking boards) “Feel happier in myself” “Boosted my confidence and CV!” “Amazing support, made lots of friends” “Change your life in 10 weeks does exactly what is says on the tin” Number of service users. Over the last year 542 learning opportunities were accessed and approx 50 support opportunities were accessed on a weekly basis. 50 women also accessed our cancer awareness day. Why are the services provided? In response to need and to support local issues and the local economy. Reduce isolation Provide local service for local women Access to first step learning Access to health and well being information/signposting Information advice and guidance To offer volunteering opportunities Contribute towards the worklesness agenda and improve health Quality Assurance Aspire ensures good practice and quality of service by ensuring all staff are suitably qualified and experienced. We also adhere to external bodies quality assurance procedures i.e. New College Durham and Royal Society of Public Health as an accredited centre. We have robust systems in place to monitor and evaluate all of our provision. Evidence of need There has been a rise of 4.2% in the proportion of working age population in the AAP area claiming `out of work` benefits since 2009. There is a higher population of older women in Chester-le-Street than in other areas of England. Aspire provides services for older women. Aspire is closely aligned with key health and social care challenges. Our service users come from the most vulnerable, potentially at risk, and harder to reach groups who face many inequalities. The work of Aspire contributes to addressing the wider determinants of health. If engaged at the right time we contribute towards preventing ill health, acting as an early intervention and keeping people well. We support those with low level mental 20 health needs and also provide a pathway to community activity for women who may have had more acute mental health needs and are recovering from hospital stays. Supporting women into training helps them become more in control of their own future and makes them better equipped to access the job market. Benefits of your work to health and social care commissioners Reduce the number of hospital admissions /GP Visits. Less prescriptions required. Our services are provided at local level and are open to a wide age range of women. By raising awareness and giving people the skills to choose and promote healthy lifestyles we believe we are contributing to the prevention agenda. Working in partnership with public sector agencies i.e. mental health teams both in primary and secondary care settings, job centres, drug and alcohol teams, family support services, many of which refer to Aspire services, creates a pathway for individuals to access community based services. We support key areas of health improvement, cancer awareness, mental health, long term conditions, diabetes, CVD, education and welfare reform. All of the above have the potential to make people less reliant on traditional medical led primary care services. Benefits of your work to service users Our ethos is about encouraging and empowering. By developing self esteem and confidence services users are more able to take control of their own lives and that of their families. By providing a safe supportive environment for women we are able to encourage women to get more involved in a friendly, informal way. Women are able to ask questions, develop their knowledge and skills and become proactive in shaping and delivering further services. Currently our mature friend (support for older women) drop in group, emotional well being group and chat `n`craft group are led by volunteers with lived experience. Women develop a real sense of friendship and belonging at Aspire. This has a great impact on reducing social isolation. Other benefits The women who come to the centre feel a sense of ownership. They are able to bring their life experience which helps shape and mould the provision. We have a comprehensive training programme offering personal development, health and well being courses, IT, arts and crafts, functional skills and more. Having these skills gives women greater access to the job market. Our crèche also means women with young children can attend. Volunteering is also a key part of our work. Our approach is to offer meaningful opportunities for volunteers which not only helps with their personal development but is a great support to the project. Our trainers have significant experience in delivering health improvement courses and we are actively involved in the Cancer Champions Project. Aspire has a trained volunteer who recently planned and 21 delivered an awareness morning about the importance of cervical screening. This volunteer has now decided to go on to do a teaching certificate. Aspire will continue to support her throughout her training. Added Value 2284 volunteer hours over 10 months averaging at 53 hours per week. Approx. Income 2012/2013 (public sector contracts, grants and donations, income generation, legacies, gift aid etc.) - £150000 We have received In Kind contributions other than volunteer time from various professionals including solicitors re. employment contracts, and financial advice from business support We have 2 full time paid staff, 7 part time and 18 on a sessional basis. 50% of the women we employ live in County Durham Way ahead Short term To continue to develop our current in-house learning programme delivery through New College Durham Further develop our external training to include cancer and dementia awareness To support individuals to prevent ill-health and take control of their own health. To continue to act as a sign-posting provider To explore ways to increase our in-house health and well being offer. Secure funding for volunteer involvement Medium term Increase the offer of health and well being services and support those with long term conditions Develop a mentor service Develop a volunteer health champion model Extend our current support services (an independent report produced last year indicated an increase in the need for a confidential listening service previously delivered by trained volunteers.) Develop health and well being services to support those with long term conditions, mental health issues, health checks, signposting. Current issues for service users The need for more drop-in facilities for people with mental health issues The need for more talking treatments – less prescriptions More provision for carers including free training i.e. lifting and handling. 22 Contact details Name:- Janice Rokni Address:- Aspire House, Rear of Front Street, Chester le street, Co Durham DH3 3AW Telephone Number:- 0191 3891504 Website:-www.aspire-northeast.co.uk Email:- [email protected] 23 Breathing Space Introduction and Brief History Breathing Space became a registered charity in August 2012 and began operations led by a Project Officer in January 2013. Mission: A holistic health and wellbeing project serving local communities, especially people at the margins of society; using local community settings, including St Michael’s 800 year old church building and idyllic countryside environs for activities (Informed by Dept. of Health’s ‘Five a day for wellbeing’: Connect, Be Active, Take Notice, Keep Learning, and Give). Its recovery and preventative methods are designed for adults and children to experience improvements in selfesteem, personal fulfillment and interpersonal relationships. Operating Principles/Values: Fully inclusive, non-discriminatory, reflecting Christian principles of Love, Compassion and Service to Others. Services Provided Who are the services for? Adults and children from local communities, especially those who are potentially at risk or at the margins of society. When / how often are they provided? A variety of activities and events, some weekly, some monthly and some ‘one-off’. How / where are they provided? Activities are facilitated and led by Project Officer and/or volunteers, either in church/community centre setting or surrounding countryside (e.g. Witton Dene). Impact upon clients. Largely positive impact but too soon to quantify accurately because less than six months into operations. Number of service users. To date, footfall of 400+, including Nature Detectives (9); Woodland Wellbeing in Witton Dene (22); Arts on Prescription (9); Mindfulness Walks (15); Brownies and Guides (50 + 15 adults); Reflection Days (7); Family Fun Trail, Fulforth Dene (25); Concert (85); Open Door Programme (25); plus initial contact with groups off-site including SHAID (12), Sure-Start (8) and local school (100+). Why are the services provided? To enhance community and personal wellbeing, by facilitating unique, experiential opportunities for the acquisition and development of personal meaning, self-worth and spiritual connection, via participation in a range of group activities (utilizing Breathing Space’s distinctive local resources). Quality Assurance Broad range of Breathing Space policies and procedures inform activities designed and risk assessed by Project Officer in partnership with trustees and volunteers. Written risk assessments are completed for each activity and volunteers are carefully briefed and prepared. Volunteers and Project Officer undergo DBS checks and training where necessary (e.g. Mental Health First Aid and Environmental Education courses) aided by high skill sets of Project Officer and volunteers based on qualifications and/or expertise in related areas. 24 Evidence of need for your work Joint Strategic Needs Assessments (JSNA) for Chester-le-Street and Durham Districts have identified a wide range of local health and wellbeing needs (including mental health, e.g. suicide prevention) as supported by local Health Networks (HN) and Clinical Commissioning Groups (CCG). In 2012, Durham and Darlington PCTs also recognized the need for local health and wellbeing initiatives utilizing community assets, and financially supported the development of the Breathing Space project. The ‘County Durham Joint Health and Wellbeing Strategy 2013-2017’ and ‘North Durham CCG Clear and Credible Plan 2012/13 – 2016/17’ both reinforce the need for flexible, preventative and therapeutic interventions at a local level to reduce health inequalities and maximize quality of life and health outcomes, for a wide range of conditions in local communities, affecting both children and adults in North Durham. The current employment and economic difficulties, including high levels of personal debt and social insecurity, are relevant risk factors affecting the health and wellbeing of many in our local communities (as confirmed by GPs). Breathing Space is designed to work in partnership with other organizations to address these issues. Benefits of your work to health and social care commissioners There has been liaison with the Medical Centre and Northern Integrative Health Practice (NIHP) at Sacriston, plus participation in the Sacriston Health Fair in April 2013. A number of the ‘Woodland Wellbeing’ participants are part of a recovery programme. The Breathing Space profile has been developing and is being seen increasingly by health and social care commissioners as a positive contributor to local health and wellbeing. It is currently being considered as a potential partner organization for the care and support of people with chronic pain and will provide Health Days for County Durham and Darlington Carers. We hope also to develop our links with NHS funded Mindfulness Courses, becoming a partner organization. Benefits of your work to service users There are some early indications of improvements in social engagement, enjoyment of constructive and creative activities, enhanced self-esteem and personal confidence, development of social support networks and a reduction in social isolation (e.g. conservation work with the Cyrenians in Witton Dene and the Arts on Prescription programme at St Peter and St John’s Church, Sacriston, both facilitated and organized by Breathing Space). 25 Other benefits Environmental management and improvement work in Witton Dene; promotion of volunteering (recruitment, induction, DBS checks where appropriate, training needs assessments, preparation and training where required, deployment and monitoring etc.); reduction in social stigma of marginalized groups/individuals via their inclusion in Breathing Space activities, which are regarded positively by the local community. There has been a heartening level of enthusiasm expressed by certain groups at the prospect of interacting constructively with the local community. Added Value 20 volunteers (including nine trustees), providing approximately 60 hours per week, of volunteer time. Funding 2013 - 2015: £46,730 (project officer costs – see 1 for sources) 1 PCT Charitable Funds - £16,730; Durham Diocesan Missionary Fund - £20,000; Seedbed Trust - £5,000; Christ’s Hospital at Sherburn - £5,000. 2 £5,000 CDCF/HN funding for a range of health and wellbeing activities in Durham and Chester-le-Street; 3 £800 - Arts on Prescription funding for eight week Art programme starting June 2013; 4 £1500 in Breathing Space donations; 5 £175,000 raised for re-ordering church building to make it fit for Breathing Space activities (various grants, donations and fundraising involving local community). Totals 1-5 approx. £230,000. Part time staff 1 who lives in County Durham Way ahead Achieve greater access to re-ordered church building (e.g. new roof by midNovember 2013). Hoping to become a Mindfulness Centre and Chanting Centre (Mindfulness and Chanting groups have had taster sessions) and develop current Mindfulness Walks. Provide more conservation work and gardening activities. Develop connections with Drug and Alcohol rehabilitation services and CBT services (e.g. Talking Changes) where appropriate. Run more creative art courses. Liaise more with NIHP, CCG, Public Health and local Medical Centre/GPs (e.g. Chronic Pain and Suicide Prevention services). Develop self-esteem courses, provide regular drop-in services, and explore the possibility of a ‘Men’s Shed’ via East Durham Trust. Develop links with local schools, Guides, Brownies, Cubs, Scouts etc. (e.g. via ‘Nature Detectives’, countryside walks to Beaurepaire etc.) and consider creating singing groups for adults and children to enjoy. 26 Current issues for service users Many participants have experienced difficulty travelling to the Project (especially those with mobility problems) and some people have found it hard to make a regular commitment due to conflicting demands on their time. There is a crucial need for on-going funding of part-time (3 days per week) Breathing Space Project Officer (post January 2015). There are also needs for on-going funding of therapeutic activity programmes, plus the development of a pool of skilled volunteers, involving training in skills and knowledge. Contact details Name:- Pam Barmby Address:- St Michael and All Angels Church, Coach Lane, Witton Gilbert, Durham DH7 6SU or C/O 32 Friarside, Witton Gilbert, Durham DH7 6RY Telephone Number:- 07508 471522 or 03333 666 300 (option 3) Website:- www.durhamnorthteam.org Email:- [email protected] or [email protected] Group from Cyrenians working in Witton Dene 27 County Durham Carers Anonymous Introduction and Brief History County Durham Carers Anonymous is a self help group established in 2011/2012, formed by individuals who broke away from Liberty from Addiction. Carers Anonymous is not a registered charity, nonetheless it is governed by a written constitution and has a bank account in the name of the group which requires at least 2 signatures. Aim; To provide a safe space for individuals affected by family members who misuse drugs and/or alcohol. The group meets on a weekly basis to provide a non judgemental, confidential and supportive environment that aims to give carers hope, strength and courage. Services Provided. The group meets every Monday 7-9pm at Bullion Hall. On average the group is attended by 10 carers each week. Outside of meetings members will contact by telephone those who have been unable to attend or who are facing a particularly difficult time. The rationale for this self help group is that carers of drug/alcohol users often find themselves isolated and unable to talk to others about their circumstances. For example; J has two sons with a history of drug use, mental health problems and custodial sentences. J’s husband is seriously ill and other members of the family do not understand why J sticks by her sons. M lost two sons, who after leaving the army committed suicide. M’s daughter died as the result of long term alcohol abuse. Evidence of Need. The level of alcohol use in the area, and in particular use that is more likely to damage health including binge drinking is above the national average. Co Durham experience some of the highest rates of alcohol related hospital admissions in the UK, significantly higher than England. 28 Alcohol specific hospital admissions for young people (under 18) in County Durham are higher than anywhere else in the North East. Between 2007-2009 in County Durham 114 men and 75 women died from alcohol specific causes. (Population Health Profile. Public Health Epidemiologist Jan 2012). Problematic drug/alcohol use can have a wide range of negative impacts upon family life including, domestic violence, loss of trust due to behaviours such as theft from family members by the user, manipulative behaviour by users means that close family are often left feeling suspicious of motives. This is the only self help group for the carers of drug/alcohol users in County Durham. Benefits of work to health and social care commissioners. Living with drug/alcohol users can be highly stressful and lead to a sense of powerlessness within a relationship. The group seeks to offer a positive intervention thereby reduce the levels of depression that might otherwise be experienced. Benefits to service users. Individuals in this environment often feel very isolated. This group supports people to re-build their self confidence, their capacity to trust others, build new friendships and support networks and enable a sense of social inclusion. Added value. The group has an annual turnover of approx. £1,500 which includes room hire, public liability insurance etc. The group has recently received a grant of £1,500 from Cestria Community Housing Association to cover costs in 2013/2014. Way ahead. Promotion of this group is via posters distributed to GP surgeries, community venues and word of mouth. The maximum number of people attending self-help meetings at anyone time is 15. Above this number the group recognise that a second weekly meeting would need to be established. The majority of carers who attend are from the North Durham area. At this time the group has no plans to expand. 29 Current issues; There are no emergency detox services available. Currently all detox is based on a planned approach which can take up to 5 weeks, during this time alcohol/drug users may well have returned to old habits. The group believes that emergency detox may address the needs of users and reduce the risk of suicidal/harmful behaviour. Contact details. Please contact via: Chester-le-Street & District CVS and Volunteer Bureau The Volunteer Centre Clarence Terrace Chester-le-Street DH3 3DQ. E-Mail; [email protected] 30 Durham Alcohol Self Support Introduction Durham Alcohol Self Support (DASS) was established in March 2011. Our mission is to promote alcohol self support in County Durham. It is a peer support group for likeminded individuals with the sole objective of supporting each other in issues relating to alcohol misuse. Service Provided DASS would describe itself as a self support group and not a service provider. We offer an informal, flexible approach to the control and use of alcohol, which is a less rigid alternative to Alcoholics Anonymous as we understand that total abstinence may not be a realistic option for everyone. We offer weekly meetings at community venues plus 24/7 telephone support where necessary. Mondays Tuesdays Wednesdays Thursdays Fridays B.A.A.S.S. at The Four Clocks, Bishop Auckland DASS at Shakespeare Hall, Durham City DASS at The St Margaret’s Centre, Crossgate, Durham City DADDS at Citizens Hall, Consett NAASS at Pioneering Care Partnership, Newton Aycliffe CLASS at St Cuthbert’s Parish Hall, Chester-le-Street. We have 70+ members and a management committee made up of 5 people as well as 10 helpers. Numbers vary as the individual`s recovery progresses and they move on (or revert back to their old ways). Several of our members have found fulltime employment; others now volunteer in other organisations. Many continue to be abstinent whilst others are able to control their intake at reasonable levels. A number of our members have/are taking vocational training through community based providers. Evidence of need Northern Echo Extract - 1st June 2012 ‘Region tops national league for booze-related hospital admissions Eighty thousand people were admitted to hospital for alcohol-related reasons in the North-East last year, an annual increase of more than 7,000. The newly-released statistics mean that the region has again topped a national league for alcohol-related hospital admissions. The total North-East figure of 80,700 alcohol-related hospital admissions during 2010-11 was an increase of 7,300 on the previous year’s total. It was the highest per head of population, with 2,597 per 100,000 North-East residents needing hospital 31 treatment for alcohol-related issues compared to 1,335 admissions per 100,000 in the South.’ Benefits of your work to health and social care commissioners One of the commissioning functions is to reduce alcohol related hospital admissions in the County. DASS has been recognised by commissioners as playing an important role in the overall recovery agenda in County Durham. DASS works very closely with the Community Alcohol Service (CAS). CAS offer professional help to those in the early stages of recovery but cannot offer long term support. DASS offers the longer term follow-up and support that CAS is unable to provide but that many people desperately need in order to make a long term recovery. Benefits of your work to service users Alcohol related deaths in the north east are significantly higher than the England average; alcohol misuse is a root cause of ill health. The main consequences are; liver disease, cancer, stroke, hypertension and deaths from injuries related to alcohol accounts for around 14% of all accidental deaths. Our members have seen an improvement in their health and a reduction in the ongoing damage caused by alcohol abuse. This has in turn led to a reduction in hospital admissions and ultimately alcohol related deaths. Members also experience a better quality of life through their involvement in diversionary activities such as educational courses and fitness activities including horticultural therapy at St Margaret`s Centre and light exercise at Maiden Castle courtesy of Durham University. The recovery process often repairs much of the damage that alcohol misuse causes to family relationships. Other benefits DASS offers training courses to its members via St Margaret’s Centre. They include IT, horticultural activities and local history. It is hoped to increase the number of options depending on member’s particular interests over the forthcoming year. Reduction in alcohol abuse is normally expected to lead to a fall in crime rates and antisocial behaviour. 32 Added Value. The management committee are the only volunteers at this time. It is estimated that between them they give 200+ hours on a weekly basis. Our income is approximately £8000. As a result of receiving grants from County Durham Community Foundation and DUCKs our budget for 2013/14 is considerably higher and will enable us to set up and support our new groups. IN-kind contributions Community Alcohol Service (CAS) provide support. Durham City CVS contributed a huge amount of support until its recent closure. This included drawing up the constitution, assistance with funding applications, gaining charitable status, supply of accounting software and auditing application, driving the minibus and more. The Whitehouse (DACC) for the supply of their minibus free of charge and driver over the last twelve months. The Durham Rural County Council has recently assumed the role the responsibilities of Durham City CVS and is giving advice on funding applications. NHS – Change 4 Life Healthy Eating and Health Checks (Cholesterol BMI etc) Way ahead Open new weekly meeting venues in Easington/Peterlee and a third in Durham City. June 2013 saw the start of weekly meetings in Chester-le-Street. To continue to offer and develop a wider range of diversionary activities to fill the gap left by alcohol. The situation will be reassessed later this year particularly with the respect to the formation of new groups. Current issues for service users Particular concern has been voiced by the majority of members (but not all) of the lack of understanding and in some cases support shown by their GPs. It is also felt that alcohol abuse issues related to mental health issues, and vice versa (i.e. ‘Dual Diagnosis’) is applicable to many members but not always properly addressed by some members of the medical profession. It’s often too easy to blame everything on alcohol. 33 DASS operates on the understanding that many people benefit from support whilst making genuine efforts to overcome their alcohol problems. There is a concern that a number of support programmes which receive government funding have a condition that it is abstinence based. This excludes people who may otherwise benefit from the excellent facilities on offer. It is a policy which is not in the interest of many who are trying to control their addiction. Contact details Name:- John Soppett Telephone number:- 0191 3885673 Address:- C/o Chester-le-Street & District CVS and Volunteer Bureau The Volunteer Centre, Clarence Terrace, Chester-le-Street. DH3 3DQ Email:- [email protected] 34 Durham and Wearside Sands Introduction and Brief History Durham and Wearside Sands was established in January 2008 as a local branch of Sands, the Stillbirth and Neonatal Death Charity It was formed to offer local support for bereaved parents and their families. The group is run on a completely voluntary basis and our simple aim is to offer support, understanding, comfort and most importantly, a listening ear. At a local level we support the Aims of National Sands support anyone affected by the death of a baby; work with health professionals to improve the quality of care and services provided to bereaved parents and their families; promote changes in antenatal practice and fund research that could help to reduce the loss of babies' lives. Services Provided The death of a baby is a devastating experience. The effects of grief can be overwhelming and parents, their families and friends can be left feeling dazed, disorientated, isolated and exhausted. It can be hard to take in information, to make decisions or to imagine how you are going to cope. At Sands there are people who understand what it's like because many of us have been through this experience ourselves, and we are here to help offer support and information when you need it. We are not trained counsellors, just fellow parents that understand the sheer enormity of what has happened and hope we can help in some way either now or in the weeks or months to come. The subject of stillbirth and infant death is often thought to be taboo and it was thought that parents were best left alone. We believe that parents need an opportunity to express all of the emotions and feelings that result from the death of their child. We are there to offer support in the early hours and days as well as throughout the difficult journey that we are all travelling. We support anyone who is affected by the death of a baby including those long ago bereaved who may also require assistance in tracing a grave. We also hold adhoc support meetings for parents going through the next pregnancy. We have also held ‘Plant and Remember’ events where we sell flowers such as forget-me-nots as a fundraising event We hold a monthly support meeting (3rd Monday of the month, St Barnabas Church Hall, Bournmoor) which is very informal and provides an opportunity to share experiences. We understand that not everyone wants to talk and some prefer to just sit and listen in a "safe" environment. 35 Group discussions often split into smaller discussions and many people who attend feel a benefit from simply realising that they are not alone. People in the group are often at different stages of loss and can often offer practical suggestions of things they have done or ways that they have coped, such as investigation into their baby's death and conception following loss. There is a large range of literature and information available at the meetings which can be borrowed by group members. It is difficult to access books about babyloss in general bookstores and the library is well used. We have books to help younger children understand the loss of their sibling or relative too. Email support is also offered by our befrienders. Number of service users. Varies monthly however averages 12 All befrienders have completed 2 day Sands befriender training and some have completed basic counselling certificates and listening skills training. Befrienders also attend advanced befriender training with Sands when they have 1 years experience. Evidence of need for your work As the following facts demonstrate stillbirth and neonatal death are a harsh reality which is not going to go away overnight. As there is little or no NHS support for those affected by the loss of a child our support group and the work Sands does to reduce the risk of stillbirth and neonatal death will always be needed. 17 babies die every day in the UK (11 are stillbirths, 6 are neonatal deaths) over 6,500 baby deaths a year - the equivalent of 16 jumbo jets crashing every year with no survivors. Ten times more babies are stillborn than die of cot death every year in the UK. The stillbirth rate has remained almost unchanged for the past 10 years. (CMACE) The UK has one of the highest stillbirth rates when compared to similar high income countries. (The Lancet Medical Journal, Stillbirth Series, April 2011: Britain ranked 33rd out of 35 similar countries, i.e. second from bottom). 1 in every 200 babies is stillborn in the UK 1 in every 300 babies born in the UK dies in the first four weeks of life For over half of all stillbirths the cause remains unexplained. These babies are born perfectly formed, with no clear reason why they died. We need to understand what is causing these deaths. The majority of unexplained stillbirths are in pregnancies that were previously considered low risk. We need better ways to identify babies who are at risk. 1 in 5 stillborn babies are much smaller than they should be, yet we have no good method to detect these babies in the womb and act to deliver them before they die. Stillbirth is when a baby is born dead after 24 completed weeks of pregnancy 36 Neonatal death is when a baby is born alive but dies within the first 28 days of life Benefits of your work to health and social care commissioners We liaise with local hospitals and attend the MSLC (maternity services liaison committee) when we can. Durham Sands offer training to those who come into contact with bereaved families. There is a one day workshop which is offered to outline the Guidelines for Professionals published by Sands. UHND (University Hospital of North Durham) have had two study days and feedback has been extremely positive. We also encourage contact from students and have attended a study day at the University of Teesside. Our befrienders have also attended Health visitor meetings. We offer talks and literature to GP surgeries free of charge. Benefits of your work to service users It may be the only opportunity for them to come into contact with other bereaved parents. They can connect with others and know that they are not going through the experience alone. Sands produces literature which helps fathers, family and friends, other children, grandparents, sexual problems after stillbirth and neonatal death, returning to work for the employee, employers information to help with the return to work of an employee. We have an extensive library which users would not usually have easy access to which cover the next pregnancy, biographies, and specific conditions We can signpost users to other relevant organisations e.g. TAMBA (Twins and Multiple Birth Association) who have a bereavement service for the families of multiples, ARC (Antenatal Results and Choices) to those families who have to make heartbreaking decisions after their 20 week scan. Added Value We currently have 6 Active befrienders (including 2 male) who all live in Co Durham and regularly attend meetings and answer emails as required Our attendance on MSLC helps to update maternity services to relevant guidance and campaigns In 2012/2013 we received voluntary donations of approximately £4K. Way ahead Continue with the provision of training for midwives and staff who come into contact with bereaved families based on the Sands Guidelines for Professionals 2007. This workshop has been offered to all maternity units in our area and costs approx £400 37 Provision of training for midwives and medical photography staff to enable them to capture photographic memories confidently approx £700 To provide volunteers with appropriate training and supervision as required Continue to provide support literature to parents and medical professionals e.g. GPs, community midwives and maternity units (leaflets cost up to £1.50 each ) To initiate a support group to help bereaved families in South Durham / Teeside area as currently there is not a Sands support group between Durham and York Contact details Please contact via: Chester-le-Street & District CVS and Volunteer Bureau The Volunteer Centre Clarence Terrace Chester-le-Street DH3 3DQ Website:- www.durham-sands.org 38 Durham Community Association Introduction and Brief History Durham Community Association was established in January 1948. The aims of the association are:To promote for the benefit of the inhabitants of the Durham City area by associating with local voluntary organisations in an a common effort to advance education and to provide facilities in the interest of social welfare for recreation and leisure time with the object of improving the conditions of life. Services Provided The association provides a variety of activities including physical activities as follows:Line Dancing – Tuesday and Thursday afternoons. Ladies Keep Fit – Wednesday evening Ballroom and Sequence Dancing – Monday evening Tai Chi – Monday afternoon Jugglers – Monday morning Yoga – Tuesday morning All of the classes are well attended and attract a range of ages. Evidence of need County Durham has some of lowest physical activity participation levels in the country which is reflected in the array of health inequalities within the county. Fortunately Durham Community Association is in great demand for physical activity classes. We currently have approximately 200 people attending classes. We offer very competitive prices which is vitally important if we want to attract those people on lower incomes who would benefit the most from a more physically active lifestyle. Benefits of your work to health and social care commissioners There is evidence to suggest that physical activity can help prevent the risk of chronic disease. It is also established that those people who experience the worst health in society are likely to be the least active. Durham City District experiences inequality in health, income and access to services. The Physical Activity Strategy for County Durham aims to encourage more people to participate in regular physical activity regardless of age, gender, ability or affordability. Durham Community Association is based in Shakespeare hall in the centre of Durham and is very accessible by local transport. Apart from the obvious benefits of participating in physical activity, many of our members benefit greatly from the social aspect of the classes. There are a growing number of older people who are at risk of becoming isolated both within the city centre area as well as the 39 outlying villages. Our association offers an affordable and accessible range of activities which contribute to the health and wellbeing agenda. Benefits of your work to service users We feel it is important not only to recruit but to retain our members. To do this we offer a range of activities aimed at a variety of ages, abilities and gender. They are provided by trained staff and are carried out on a weekly basis. Most of our physical activity sessions are social; ending with a friendly cup of tea or with organised social events. Our yoga classes are particularly popular with the over 50 year olds. Feedback has highlighted how beneficial yoga is in terms of balance, strength, stamina and relaxation. These are all elements which contribute to maintaining activities of daily living. Our dance classes are important as we do not experience the high drop out rates that some exercise programmes for older people do. This is because dance is enjoyable and sociable. It is inclusive and everyone can take part. Many of our members say that it almost makes them feel young again! Other benefits Other benefits apart from those directly linked to health and wellbeing are volunteering, making a contribution to the local community in terms of supporting the CA, making friends and gaining a sense of ownership which often motivates people to become more involved. Added Value There are 26 volunteers mostly made up of group leaders from the CA who form the management committee. The annual income as on 31st December 2012 was £48,000. This included grants, awards, income from room hire, subscription and donations. Paid staff. 3 part time Way ahead As with many Voluntary organisations our main aim is to keep the organisation financially viable, maintain the building and attract more volunteers. 40 Current issues for service users Although it is apparent that organisations such as ours contribute greatly to the health and wellbeing agenda, in order to flourish and remain accessible, affordable and continue to serve our communities we rely on financial support from outside bodies. Contact details Name:- David Linley (FTTB) Address:- c/o Durham Community Association, Shakespeare Hall, North Road, Durham City. DH1 4SQ Telephone Number:- 0191 3842748 Website:- http//www.durhamca.org.uk Email:- [email protected] .uk 41 Durham County Carers Support Introduction and Brief History Durham County Carers Support began on 1st July 2012 following a merger of 5 former Carers Centres based on former local government boundaries. Each of these had been established for at least 13 years in their own right. Mission Statement Durham County Carers Support aim to improve the health and wellbeing of Carers caring for someone in County Durham by providing practical and emotional support, advice and information. Aims Identifying and engaging with hidden and hard to reach carers. Empowering carers by ensuring they have the knowledge and skills they need to make informed choices in their lives to sustain and improve their health and wellbeing and that of the person they care for. Enhancing wellbeing via effective initial assessment and individual support planning Maximising access to specialist support by effective internal and external referral Improving carer awareness and understanding of the issues amongst professionals at operational and strategic levels. Increasing independence by promoting access to self-help opportunities and skills Effective use of multi-agency working to maximise the support available. Ensuring locally accessible and outreached access to Carer Support services across County Durham. Analysing service gaps and unmet need and developing services to meet these. Ensuring our workforce is equipped with the skills needed to deliver the service in the most cost effective way through training and support. Analysing the monitoring and evaluation of the service to ensure outcomes are achieved and using this evidence to shape the on-going development of the service. 42 Services Provided We support adults who have a caring role for a relative, friend or neighbour who cannot manage without their help due to disability, illness, addiction or frailty. We operate five days a week throughout the year and offer visits and activities out of office hours. We cover every part of County Durham and the majority of our support is delivered via home visits, office visits, telephone and email contact. It is mainly one to one information and advice but we do have around 20 support groups and offer a range of courses, information events, and social activities to encourage peer support. We currently have 9655 carers registered with the service. We are a network member of the Carers Trust and abide by their quality assurance standards. Our staff are all well qualified in the fields they operate and receive ongoing training, supervision and support. We have around 100 volunteers supported by 2 Co-ordinators who offer training support and supervision to them. Evidence of need for your work At the last census in 2011 over 60,000 adults identified they had a caring role. Also many people do not realise they are carers as they see themselves as a wife, partner, son etc. There is much evidence of the need for support to ensure carers are given the information and advice they need to make informed choices and are fully involved with the care of the person they care for. The evidence shows that with this support their health and wellbeing improves and they are able to sustain their role for longer. The Carers Trust recently produced a report around commissioning carers services which demonstrates the national evidence and research. See this link http://www.carershub.org/sites/default/files/carers_hub_toolkit_for_commissioners.pd f Benefits of your work to health and social care commissioners Supporting carers is proven to improve their health and wellbeing and prevent a breakdown in the caring role. There is a huge body of evidence in the Carers Hub Toolkit see the link above. The Royal College of GPs have been working in partnership with the Carers Trust and produced research and resources that further show the benefits of support. Benefits of your work to service users We carry out outcome focussed questionnaires with carers when they first come into contact with the service and again 6 months after. These consistently show an improvement in knowledge, reduced isolation and knowing who to go to for advice. We also gather case studies and have examples of the difference we make to peoples incomes, health and wellbeing. 43 Other benefits We employ 38 staff the majority live in County Durham. We have over 100 volunteers who support us and again they are local people. We offer ongoing training, supervision and support to all of them. We are a local service that people trust and engage with often supporting the most vulnerable and hard to reach carers and their families. Added Value 115 hours volunteering per week, (including trustee time) Approximately 1 million income from all sources this year 38 paid staff, 26 full time, 32 live in County Durham. Way ahead Improve links with CCGs as 50% of our contract is with the CCG. Continue to highlight the health benefits to carers and their families of the support we offer. We currently have a Lottery bid for additional support for Parent Carers as our current contract only allows us to offer them very limited support due to funding. We are focussing on support for carers around the welfare benefit reforms as this is what they tell us they are most worried about and most need support with. In the medium term we need to look at other sources of income generation so we are not so dependent on contracts. Current issues for service users Carers need to be fully informed and involved with service delivery and developments and we can facilitate this through our service. The main issues effecting carers are around welfare reforms and changes in services. They need to be fully involved and a respected partner in the care of the person they care for. We support them to understand confidentiality issues but there are still many instances where carers need information in order to properly support their caring role. The Care Closer to Home agenda is commendable but often means the carer takes on a complex and strenuous caring role for longer and in more difficult circumstances than ever before. They need to be included in the solutions and planning of these new initiatives in order to measure the impact and find solutions to the practical issues they will face. 44 Contact details Jenni Wood, Chief Executive Durham County Carers Support Claire House Victoria Road Barnard Castle DL12 8HW 01833600570 [email protected] www.dccarers.org 45 Durham Foodbank Introduction and Brief History Durham foodbank was established in September 2011, with emergency food distribution starting in October that year. The foodbank follows the Trussell Trust model for foodbanks, aiming to provide emergency food for local people in crisis and through this restore dignity and revive hope. Durham foodbank is one of eight projects hosted by Durham Christian Partnership. Services Provided Emergency food is mostly accessed through Distribution Centres, of which there are 13 across County Durham. Both Durham and Chester-le-Street have Distribution Centres, which open for 3 sessions a week, based in churches and community centres. Foodbank users are referred by partner organisations including Citizens Advice Bureau and Job Centres. Anyone who is in a crisis situation and cannot afford food can be referred to the foodbank. Users receive enough food to last 3 days, the food in the parcel is packed to a set list that aims to be nutritionally balanced. This food acts as a short term safety net whilst a longer term solution is put in place. In June 2013, 192 people accessed the foodbank in Chester le Street and 156 people in Durham. Since starting in October 2011, over 800 people have accessed the foodbank in Chester le Street and 1880 people in Durham. Volunteers receive training and ongoing support on how to deal with different circumstances they encounter. Client experiences are monitored through feedback forms, which are also provided to referrers. Evidence of need for your work The graph below shows the increase in the number of people fed by the foodbank since October 2011. This reflects the increasing need for emergency food provision by our partner agencies. Total foodbank 1200 1000 800 600 400 Jun-13 May-13 Apr-13 Mar-13 Feb-13 Jan-13 Dec-12 Nov-12 Oct-12 Sep-12 Aug-12 Jul-12 Jun-12 May-12 Apr-12 Mar-12 Feb-12 Jan-12 Dec-11 Nov-11 0 Oct-11 200 46 Benefits of your work to health and social care commissioners Access to free, nutritionally balanced food is good for the general health and well being of service users. Benefits of your work to service users The immediate benefit for service users is the provision of emergency food allowing them to feed themselves and their families. Feedback from service users has shown that they value being listened to by volunteers at the Distribution Centres, providing them with the opportunity to unburden themselves to someone offering a listening, caring ear. Volunteers can also signpost service users to other agencies and support networks relevant to their situation. Other benefits We have a large volunteer team volunteering across the county. Within that team we have volunteers who have volunteered at the foodbank as a way of increasing their confidence, meeting new people and gaining new skills. This has had a positive impact on their general health and well being. We work closely with the probation service and housing charities who house young people recently released from prison. Emergency food provision has prevented young people from shoplifting food and risk a return to custody. Added Value We have over 200 volunteers across the County, with volunteer time ranging from 2 hours – 10 hours per week. Income for past 12 months: £7800: Grants, Area Action Partnerships (AAP), Councillors; Members Initiative Funds £6600: Fundraising £14000: Personal Donations (irregular) £2300: Regular income (personal donations) All our food is donated by members of the public – a total of 89 tonnes since 2011. Durham Christian Partnership employs 2 members of staff directly involved in the foodbank: a part time Development Worker and a full time Administrator. These members of staff spend 20% and 80% of their time on the foodbank project respectively. From September we will be employing a full time foodbank Project Manager. 47 Way ahead Plans that your group may have for the remainder of 2013/2014(short term) and 2014-2016(Medium Term) Our short term plans are to employ a foodbank Project Manager and improve the accessibility of emergency food by opening further distribution centres. Our medium term plans are to increase the quantity and quality of support, advice and signposting available at distribution centres, integrating another of Durham Christian Partnership’s projects, Durham Money Advice Centre, with the foodbank to provide service users with access to budgeting help and training. Current issues for service users that you would like commissioners to be aware of when planning future service delivery Many service users contact the foodbank having first contacted many different agencies for help and support who have referred them on to other agencies. This can result in service users being extremely anxious by the time they contact the foodbank. Contact details Name:- Naomi Stevens Address:- 3 Fram Well House, Framwellgate Peth, Durham, DH1 5SU Telephone Number:- 0191 303 7559 Website:- www.durhamfoodbank.org.uk and www.durhamcp.org.uk Email:- [email protected] 48 If U Care Share Foundation Introduction and Brief History If U Care Share Foundation (IUCSF) was set up in 2010 after the tragic death of Daniel O'Hare, aged 19 years, to suicide. Like 75% of young men that take their own lives, Daniel had no previous history of mental health problems. Originally set up by Daniels brothers Matthew & Ben and cousin Sarah (aged 10, 5 & 13 years). They wanted to encourage young people to "share" problems that troubled them, in the hope of preventing 1 family enduring a similar experience. IUCSF’s main aims are: Prevention Intervention Support after Suicide Services Provided Prevention – IUCSF deliver an Emotional and Mental Health (EAMH) workshop to Secondary schools throughout Co Durham, aimed at 14 years and above. This workshop was developed with input from a focus group made up of young people and a group of professionals (including PSHE teachers). EAMH identifies why emotional and mental health is a priority in a young person’s life, the implications of having poor mental health and the importance of seeking support before crisis. Where possible, IUCSF also signposts to support available internally and externally of the learning environment. In the past academic year, this has been delivered to 1891 young people and 69 teachers in schools in County Durham. (total of 4000 young people since its introduction in 2010). This was funded by NHS Co Durham CAMHS Commissioning Group which ceased in the new transition to Public Health. IUCSF also provided bespoke training to 180 Students from Universities throughout the area, which was funded through the Big Lottery. Intervention – IUCSF have qualified staff to deliver ASIST (Applied Suicide Intervention Skills Training) and YMHFA (Youth Mental Health First Aid) along with other bespoke training. Since March, IUCSF has delivered 10 YMHFA courses, throughout County Durham, for people who have contact with or work with young people aged 11 -18 years. Attendees learn how to spot potential triggers and how to identify a young person that may be experiencing mental health problems. 100 people have been trained and a further 4 courses are planned before the end of the year. This was funded by NHS Co Durham CAMHS Commissioning Group. Support After Suicide (SAS) - service provides one on one practical and emotional support for people affected/bereaved by suicide. In December 2012, IUCSF received SAS funding for 2 days/week for a period of one year. The total number receiving support is 21 since the service was introduced to two days a week. Previously a one day per week service supported a further 44 people over a two year period. 49 Evidence of need for your work In 2011 there were 6,045 suicides in the UK (4,552 - males and 1,493 – females). The suicide rate was significantly higher in 2011, compared with 2010 (11.8 and 11.1 deaths per 100,000 population respectively), and was the highest rate since 2004. In 2011 the suicide rate was highest in the North East at 12.9 deaths per 100,000 population. The year on year figures for Co Durham had already passed the 2012 figure for deaths in June 2012. A study in 2009 outlined that the cost to economy of one suicide to be over £1,450,000. Suicide is now the leading cause of premature death in males aged 15-35 years and 75% of these males have no prior contact with mental health services. The need to train at grass roots level in communities is needed more than ever. We do not yet know the implications of the social and economic decline. The charity sits on various committees and has representation at national level on groups such Advisory Group for National Suicide Prevention Strategy, the All Party Parliamentary Suicide Prevention Group (which meets quarterly in Westminster). It has also representation on local Prevention Task force and Children and Young Person’s Mental Health Committee for NHS Co Durham. Benefits of your work to health and social care commissioners The risk of suicide is heightened when a person has been touched by the death of a loved one to suicide. The SAS service IUCSF provides, offers support to those struggling to come to terms with the death, in a number of ways: 1:1 listening service Alternative therapies – massage therapies, boxing, gym, art-based therapies. Signposting to other agencies/organisations for specialist help Since inception the SAS service has supported 176 people at risk of suicide. The positive result from this is that they are all still living! The EAMH workshops encourage young people to talk and ‘share’ issues that may worry them while breaking down the barriers and stigma around poor mental health. IUCSF also signposts to the support networks available, encouraging the young people to seek help earlier. Intervention training provides practical training for individuals seeking to prevent the immediate risk of suicide and YMHFA is intended to save a young person’s life by recognising and acting upon indicators of mental health issues in young people. Bearing in mind the statistics given above and the overall cost of one death by suicide, the services offered by IUCSF around prevention and intervention are helping to reduce suicides and therefore costs. 50 Benefits of your work to service users IUCSF offers a unique service, specialising in suicide prevention and support. Staff/volunteers include ‘T-Shirt wearers’ (people who have been touched by suicide) and so have first-hand experience of issues and emotions these people face on a day to day basis. IUCSF has vast knowledge of suicide and the issues around it. IUCSF offer a 1:1 listening service and counselling from an external provider if required Individuals and families are seen in a friendly, calming and non-clinical environment IUCSF also offers various other services, including: Housing advice Attending inquests Signposting to various appropriate support networks Advice on inquest procedures Advocacy Supported in TAC meetings Painted scene of death within home Placed in voluntary roles Emotional support Access to printed materials: Help is at Hand, The Road Ahead Attend funerals Cookery lessons Other benefits IUCSF are based in the heart of the community, in the community centre, which means it not only supports individuals and families but it also supports the centre through the use of the gym and café for our families. A number of IUCSF fundraising events take place in the Community Centre, bringing the community together. Added Value Being a small charity 3 full time + 3 part time staff we regularly call upon a team of ad hoc volunteers/drivers. The volunteers include a very experienced and committed board of Trustees (11), some of whom have experienced a “loss by suicide”. Their skill, dedication and drive direct the charity and its members. IUCSF also has a team of 16 youth panel members, aged 14–24 years, who provide an up to date understanding of the needs of young people. The majority of IUCSF staff/volunteers/youth panel live in Co Durham 51 Service for bereavement - funded two days a week by NHS Co Durham & Darlington (approx. £155000) however the majority of funds come from the Big Lottery (for next 4 years). Each local authority contract is for one year only -two of these are coming to term and have not yet been re-commissioned. The Premier League and LFE have agreed for IUCSF to deliver the EAMH programme for the 13/14 season, providing an additional income. They also plan to develop the training that we have provided to “House Parents”. IUCSF has received support through fundraising, generally from people who have been touched by suicide, and who have engaged with IUCSF services and seen the difference. We cannot provide our service and run on private donations alone. For a two year period IUCSF ran as a constituted group on a voluntary basis however we could not have survived or developed on this basis. In kind support from a renowned North East solicitor has also proved invaluable to our charity. Way Ahead Big Lottery funding has allowed IUCSF to take work beyond Co Durham throughout the North East and to deliver services in areas that were previously untouched due to lack of funding. IUCSF has a developed a new 1 day prevention training programme which will be developed and piloted over next year, with the long term plan for delivery to “community members/champions”. It is imperative that as many people as possible become aware of the problem of suicide and through the delivery of this new training more will become confident in suicide prevention and support of people touched by it. IUCSF plans to offer bespoke suicide prevention training to adults and young people in County Durham, however funding isn’t guaranteed and we are unaware at present whether we will receive funding beyond 2014. IUCSF work in Partnership with the Premier League and League Football Education, nationally, delivering EAMH to young apprentices, who are under immense pressure to achieve at a very young age. IUCSF has worked with some of biggest Clubs including Manchester City and United and local Clubs Sunderland, Newcastle and Middlesbrough. Current issues for service users Waiting times when talking therapies are required Access issues to other therapies Transition problems from CAMHS to Adult services 52 Contact Details Shirley Smith If U Care Share Foundation Great Lumley Community Centre Front Street Great Lumley Chester le Street DH3 4JD Tel: 0191 387 5661 Website: www.ifucareshare.com Email: [email protected] 53 ME North East Introduction and Brief History ME North East became a registered charity in July 2000. From a small group of volunteers with an income of £12,000 pa we have developed a professional organisation delivering help and support to our 1750 members with an income of £145,000 pa. Our purpose is to improve the lives of people suffering with ME, to enable them to manage their illness and help them to achieve the best possible quality of life, health and well-being. We operate with the support of a formal CFS/ME medical advisory panel, with highly trained staff and excellent quality standards. Services Provided We provide a personalised service to members, all of whom have a diagnosis of ME/CFS. NHS services provide limited adult outpatient services in clinical settings, leaving those housebound severe patients without support. Durham NHS is the only locality that provides a dedicated service for young people, but with limited resources do not meet demand. We provide a full-time service, with some evening and week-end cover. We operate across the North East region and North Cumbria. We provide; a telephone helpline for members and carers, a home visiting service to identify a personal care plan to enable optimum support. Following NICE guidelines, we support members to manage their illness, health and well-being. We support and advocate with welfare benefit claims, medical assessments, appeals and tribunals. We support young people to remain in education, and liaise with schools and home education services to monitor their progress. We support the network of local self-help groups, we host conferences and workshops, and arrange regular social get-togethers for members of all ages. We provide counselling, yoga classes and therapeutic treatments. We produce regular newsletters for adults and young people, and encourage volunteering in a variety of ways to enable social inclusion, reduce isolation, and improve confidence. Regular evaluation highlights the positive impact on service users. Our recent survey showed 95% of members found our services very helpful, the support with welfare benefits being 100% supported. We have a staff team of 5 with qualifications in Occupational Therapy, Counselling, Yoga, Neuro Linguistic Programming and Welfare Benefits Advice. 54 Evidence of need Lack of understanding, the stigma attached to ME, the reluctance of GP’s to diagnose this disease, or to acknowledge its existence, together with the absence of any dedicated NHS services for this patient group led to people having to look after themselves, and to help one another. DoH prevalence rates suggest at least 12,000 people with ME in this region (2,000 are young people). ME North East were a critical partner in the planning and development of dedicated services in this region, working with NHS providers to secure pump-prime funding to establish clinical services back in 2005. Therapy services have been operating in five localities since that time. However with budgets being eroded and staff vacancies not being filled, the future of dedicated services for ME is uncertain. We have moved forward in so far as many more GP’s are now more informed and are prepared to diagnose ME/CFS. There are a number of consultants who are prepared to specialise in this area, resulting in increased demand for our help and support beyond the diagnostic and traditional treatments of pain and sleep management. We provide a one stop shop and a holistic approach based on our member’s needs and aspirations. Benefits to health and social care commissioners To date we have not formally validated the benefits of our work to health and social care commissioners. However we are aware from internal monitoring and evaluation, our support, advocacy and practical help benefits statutory care providers in a number of ways. Reduced number of emergency hospital admissions – panic and anxiety attacks occur regularly leading to people making unnecessary emergency trips to A&E. We speak to many callers in crisis and are able to reduce their fears and anxieties by talking them through their present circumstances. Notwithstanding that we would direct people to NHS services if we were unable to control the situation. Delivering our help and services undeniably reduces the number of visits to GP surgeries, as many people are presenting with symptoms common to ME, that, particularly with recently diagnosed patients can be very frightening. Our specialised CBT counselling service reduces the demand on NHS mental health services Supporting people with welfare benefit applications, medical assessments, appeals and tribunals, not only helps the individual but their carers also. This process is very stressful and can have a major health impact, particularly with ME as stress is known to exacerbate symptoms which can lead to major relapse. 55 Benefits to our service users These people have nowhere else to go. ME North East staff team provides someone to talk to who has an understanding of their condition They have someone readily available who is prepared to listen and empathise when times are tough They have someone they can talk to about the multitude of symptoms they experience – some scary and distressing. The have someone who can help with management techniques and coping strategies. They have someone who will help them with their entitlements to welfare benefits, to help complete the forms, to support and advocate through the process of medical assessments, help to gather evidence and reports to present to appeals and tribunals. Benefits to young people include, help with energy management, sleep, stress and anxiety issues. Help with schools, teachers, tutors and education welfare officers. By liaising with these people we can help young people maintain a level of mainstream education wherever possible, help to engage home tuition services where required, and help with re-integration when health improves. There are huge benefits for those who use our counselling and therapy services, engage in our social activities, get involved in volunteering and share good practice between one another. Other benefits Being unable to continue with regular life, work and activities, many of our members have taken up arts and crafts, and hidden talents have emerged. We encourage people to come together to share and show their products and this has proven to be an ideal opportunity for social interaction and continued links with one another. Added value We have approximately 40 volunteers who help in a variety of ways as and when health allows, and when need arises, averaging around 15 hours per week. Approximate income for 2012/13 - £145,000 We receive no statutory funding Main funders Children in Need and The Big Lottery Fund 70% Other smaller grants 12% 56 Sponsored events and fundraising 12% Voluntary Donations 3% Gift Aid 3% We currently have 5 staff; 3 full-time and 2 part-time. Four staff members live in Durham. We have recently secured 12 days working time from a Business Support Officer to prepare ourselves for contracting. The way ahead We continue to rely heavily on grant making trust and foundations, which has supported us since 1999. The level of funding available through this route is reducing, most especially because of the exceptionally long term support funders such as the Lottery and Children in need have provided to ME North East. We recently received a further two years funding from Children in Need but with a 30% reduction in funds from times past. Our 5 year grant from The Big Lottery expires at the end of 2013. We are in the process of applying for continuation funds for 2014-18, and as this pays for 1.2wte as well as 33% of our overheads, we are heavily reliant on success. The future is bleak. Issues Commissioners should be aware of Current issues are historical and on-going – the lack of recognition of ME/CFS, the stigma attached to this illness. Difficulties in getting help and support from busy GPs, who either won’t acknowledge the illness, or simply don’t know what to do. Recognising there is no cause, no cure, and no simple diagnostic test is problematic, and diagnosis by exclusion is usually the route GPs will take. Patients are reluctant to visit the surgery, but the symptoms presenting are often complicated and frightening. The limited therapeutic services presently available are insufficient to give on-going support and help to this patient group. 57 Contact details Jennifer Elliott, Chief Executive ME North East Bullion Hall, South Approach, Chester le Street, Durham DH2 2ES 0191 3892222 www.menortheast.org [email protected] 58 Chester-le-Street and Durham City Mind Introduction and Brief History Chester-le-Street and Durham City Mind established in 1979 is a registered charity and company limited by guarantee. Services are provided across Chester-le-Street and Durham City communities to people who are experiencing or have experienced mental distress. Our Vision We work towards a better quality of life for everyone in the Chester-le-Street and Durham City communities experiencing emotional distress. Services Provided Counselling and Psychotherapy Primary Care Counselling - Adults – from 16 years. Access all Areas Community based mentoring programme - support and mentoring to overcome isolation and mental health problems – over 1300 clients seen annually. Community Discharge Project Support to patients prior to discharge from acute psychiatric care – in partnership with TEWV NHS Foundation Trust, Greater Durham CAB and Derwentside Mind. Advice and Information Help-line open 10.00a.m. - 4.00 p.m. Monday – Thursday. months dealt with 3362 calls – In the last twelve Crisis Listening Support for those in immediate crisis, over the phone and face to face. The Haven Group Meets each Wednesday. - Resident artist supports clients - over 20 people attend aged 30- 100 years. Bereavement by Suicide Support Group Therapeutic group support from two counsellors - currently have 12 members who meet on the first Wednesday of each month. Also provide one to one therapy for those able to travel to one of our bases. Young People’s Text Helpline Service developed by young people for young people. Rapid Response Suicide Prevention Service Referral from Crisis and Access Teams for clients with suicidal ideation to a specialist counselling service. In partnership with IAPT service, Derwentside, Hartlepool and Darlington Mind organisations. 59 Education and Training Mental Health First Aid, ASIST, SafeTALK suicide prevention training and specialist designed events. All of the above therapeutic intervention services have been established as a result of in-depth analysis of need and demand. We implement robust audits of all services based on both qualitative and quantitative methodology. We ensure via our policies and procedures that all staff and volunteers meet the demanding roles required of our clients, the organisation, and our commissioners. Our quality assurance methods include: National Mind - Level II of the Mind Management in Mind Quality Standards Investor in People Approved Provider with the Mentoring and Befriending Foundation Quality standards in relation to ICT Security. Recognised by TEWV NHS Foundation Trust. Evidence of need for your work We utilise a range of methods to enable us develop our business plan and the delivery of services. These methods range from in depth research, regional and local audits and reports in relation to health and social care and of evidence-based methods. We ensure that evidence of need is collected from our clients, those of our partners and of their clients. The following provide examples of reports utilised:• • • • • • • • • County Durham Joint Commissioning Strategy for Adults with Mental Health Needs 2009-2013, Durham County Council Adults, Wellbeing and Health and NHS County Durham AAP Chester le Street and Durham City Statistical profiles County Durham Joint Strategic Needs Assessment CCG North Durham Clear and Credible Plan County Durham Partnership, County Durham Sustainable Community Strategy (SCS) 2010-2030 Durham County Council Health Improvement Plan 2010-2013 Regional Director of Public Health; North East Public Health Strategy ‘Better Health Fairer Health’ (2008) County Durham Alcohol Harm Reduction Strategy 2010/11 Annual Report of County Durham and Darlington NHS Joint Health and Well-Being Strategy Benefits of your work to health and social care commissioners The following three services provide examples of benefits:Rapid Response Service – established in 2010 this service has to date supported 385 clients throughout County Durham. The findings from exit audits show that there 60 have been no deaths from suicide throughout that period of any client engaged in the service. Counselling, Crisis Listening and Access all Areas – during 2012 we supported 2,472 clients; each client completed a Quality of Life measure (WHO Approved) clinical depression (PHQ9) and anxiety (GAD7)scales. The findings show that on exit clients were – • More hopeful for the future • Aware of community resources to help them • More able to make positive changes to their life • Less isolated • More able to manage personal difficulties The PHQ 9 Depression scale showed that on exit clients had moved from an average of 20 to 8 (severe: 20-27) The GAD 7 Anxiety scale showed that on exit clients had moved from an average of 15 to 7 (severe: 15-21) Our experience shows that many clients greatly reduce their need for GP support, including prescribing a range of drugs; clients also stop or reduce their need for contact with other statutory services. Benefits of your work to service users The following feedback has been received from clients ‘The support you have given me has been far greater than any medication’. ‘I would not have been here without all the caring, kindness and support you all gave me’. ‘Thank you for all your patience I could not have got through it without you’. ‘Your support has shown us that there is hope at the end of the tunnel’. A national survey conducted by Mind ‘Your Experience in Mind’ demonstrated that clients benefited from our services as a result of certain factors including the concept of building recovery: Finding and maintaining hope Re-establishment of a positive agenda Building a meaningful life Taking responsibility and control 61 Other benefits We maintain a stance of delivering a Recovery Model whereby our message to clients is that recovery is possible given the right support. The pathway we have developed in recovery includes our clients (or users) being given the opportunity to act as volunteers. The basis of this approach is to provide for volunteers to act as role models and motivators. Additionally we provide high quality training and support which has enabled many of our volunteers to move on to higher education or into employment. Added Value Employ 10 paid staff – 8 counsellors and 2 psychotherapists 2 specialists in business team 4 volunteer counsellors and 20 volunteers in support roles Approximately 30 volunteers. The roles of volunteers include the following:Board members Advisors Trainee counsellors Mentors/befrienders Administration ITC support Legal advice Value of volunteers £24,960.00 per year (£10.00 per hour, 50 hours per week x 50 weeks). Income Total Income £309,200 (2012/2013) Sources; NHS 45% Lottery 32% Income generation 17% Donations 2% Free professional advice 4% Way ahead Our business plan sets out our approach to the future of the charity. Key factors in maintaining the charities stability include-: Short term Generating income to establish reserves 62 Establishment of a clear short term action plan showing risk to charity and the means to mitigate risk Maintaining a quality service Developing and implementing robust methods of audit for all services to show value for money Developing staff to maintain quality service Enter into dialogue with commissioners and funders in regard to future developments Improve the newly leased property in Durham City Medium term Establish a clear action plan based on the agreed business plan in developing proposals of those services which are deemed appropriate for our community Make application to commissioners and charitable funders Continue to improve quality standards Ensure that our financial risk is mitigated and that reserves reach a level which supports future needs Ensure that dialogue with commissioners and funders is maintained Ensure that dialogue continues with our partners agencies and links with other community activities Current issues for service users The importance of maintaining a level of support from the 3 rd sector which enables users rapid access to the right support in the right place Enable mental health services to recognise the value of work, volunteering, education, housing support, benefit needs, engaging in the community and physical health The difficulty users are experiencing in regard to Welfare Reform Improving pathways into services external to Mind Involving users in decision making – the new commissioning structures appear complex and hinder opportunities Contact details Name:- Helen McCaughey – Chief Executive Address:- Chester-le-Street and Durham City Mind 27 The Close East, South Pelaw, Chester-le-Street DH9 0HN Telephone Number:Website:Email:- 0191 3883411 www.clsmind.co.uk [email protected] 63 Moving On Introduction and Brief History Moving On is based in Durham City and is a registered charity and company limited by guarantee. We provide advice, support and practical guidance to help young people aged 16-25 who are homeless or are at risk of becoming homeless to help them achieve independence in appropriate accommodation. Our aim is to break the cycle of youth homelessness in County Durham. By delivering our vision, we aim to contribute considerably to improving the health and well-being of young people so that they become less vulnerable and give them the opportunity to improve life chances. Services Provided Our services are for 16-25 year olds living in County Durham except peer education which is delivered to primary school age children from 5 upwards. Community Outreach Housing Advice - locations throughout County Durham (Monday-Friday 9-5pm) Pre-Tenancy Support - (Monday-Friday 9-5pm) Floating Support - Tenancy Support in Durham City and outlying areas (MondayFriday 9-5pm) delivered in partnership with Durham Homestay. Supports young people up to 2 years. Counselling - for 16-25 year olds (Monday 10-4pm) Homeless Peer Education Workshops - to schools and young people’s groups (As requested) Food starter packs - limited to Moving On service users (As required) Free laundry service - for Moving On service users (As required) 2012-2013 service user statistics The average time a young person is supported-10 months Advice & guidance clients- 227 Pre-Tenancy Support clients- 85 Floating Support clients- 54 Employment & training clients- 103 of which 52 secured full time employment Lifeskills & group work clients- 39 Peer Education Workshop participants- 92 Counselling clients- 10 We employ well qualified and suitably trained staff to deliver housing related services and rely on a dedicated team of experienced volunteers to support our work. We gather and monitor service user and volunteer feedback every quarter through KPI scorecard and regular service reviews and external audits to ensure quality of 64 services. We also have maintained Investors in People and Investing in Children quality standards for the last 10 years. Evidence of need We have 15 years of experience and evidence to support young people in housing need in County Durham through preventative services. Homelessness is often a hidden problem which can affect family relationships, physical and mental health and well-being which in turn has a massive cost implication on primary support services and can be reduced significantly with effective early intervention. Service user feedback and statistics from the previous year indicate the evidence of need to continue our work. Up until December 2012 we ran a Lifeskills and group work course every week aimed at teaching young people the necessary skills for independent living and engagement with sport and community involvement. We have demonstrated great successes with this preventative model over the past three years however our funding was significantly cut for the paid worker role from full to part time then further reduced so that we currently do not have the capacity to run the Lifeskills modules or deliver group work, a problem that we are hoping to rectify by actively looking to secure new sources of funding. Benefits of your work to health and social care commissioners Collaborate Durham is a partnership between Durham Action on Single Housing (DASH), Moving On, Single Homeless Action Initiative in Derwentside (SHAID) and Waddington Street Centre. The organisations have worked very closely since 2007. Our joint aim is to promote independence and well-being by providing opportunities and supporting recovery. As a partnership we are stronger working together and better able to move forward through difficult economic times and legislative changes. We want to create an environment where we can provide mutual support to each other, learn together, grow together and improve together. We believe this model is the best way forward and the benefits can be seen by Health and Social Care Commissioners through improved partnership working. We want to use our collective strength and passion to: Provide holistic services to meet the needs of individual clients who are homeless, at risk of homelessness or have a mental health problem; Be more responsive to the needs of the individual clients who access the services using the unique talents of the Collaborate Durham partners and coordinate any aspect of additional support required from other organisations; Raise awareness to tackle the stigma, discrimination, vulnerability, isolation and loneliness experienced by our service users. 65 Benefits of your work to service users Service User Story “If it wasn’t for Moving On I don’t know where I would be!” Paul left the army as the result of personal issues following a tour in Afghanistan and was left suffering from Post-Traumatic Stress Disorder, low confidence and poor communication skills. Following the breakdown of his relationship, he ended up on the streets living out of his car for a number of weeks. He came to a Moving On drop-in for housing advice; his immediate priority was to find temporary accommodation. With our guidance and support, Paul regained his self-respect, we helped secure supported accommodation with DASH and he then enrolled and completed a Prince's Trust course. Paul regularly attended Moving on Lifeskills sessions and achieved certificates in money management, cooking on a budget, confidence building, first aid and attended many social activities. Paul has also volunteered at Moving On to deliver the Peer Education programme across County Durham to tell other young people about his personal experience of homelessness. Over the course of 18 months he has seen a massive improvement in his mental health, is now socialising with new friends, enjoying life and got engaged at our Cathedral sleep out! Other benefits The young people we support often lead chaotic and traumatic lifestyles so we aim to provide guidance to support them into making positive lifestyle choices when the time is right for them. Many come to us lacking aspirations and see no means to improve their life or become involved in community projects. By accessing Moving On services they are guaranteed to receive honest and accurate advice for their circumstances and assisted to find suitable volunteering placements through links with other CVS organisations and training providers which will help them make the transition to employment or make informed choices to go back into or continue with education. By bringing a degree of stability and meaning into their lives, we have demonstrated this to have a massive impact on reducing offending/re-offending and risky behaviour of those already in the Criminal Justice System or on the verge of entering into it. Staff and volunteers have often acted as mentors to troubled young people who come to us for help and we have been able to see the benefits of this directly by lowering incidents of crime and anti-social behaviour. 66 Added Value. We invest quality time in our volunteer opportunities through dedicated role profiles for recruitment via an application and informal interview process to assess suitability. All volunteers and new Directors complete an induction programme before starting at Moving On and receive continuous support during their time with us. We currently have 5 volunteers averaging approximately six hours per week each in varied roles such as counselling, administration, finance/accounts and IT/Social Media support. The majority of our volunteers have been with us for at least two years. We have 8 Directors who oversee the governance of Moving On with a variety of experience. The organisation is funded through a mix of grants, statutory income and by fundraising through sponsorship of events such as the annual sleep out at Durham Cathedral or adopting a charity partner each year such as Sainsbury’s and Soroptimists. Income 2012/2013- £276,398 We do not access much assistance through in kind contributions although last year we applied to Akzonobel (Dulux) and were successfully chosen for our office to be decorated and new flooring donated free of charge which made a big difference and improved our welcoming environment. 6 full time paid staff Way ahead Due to a reduction in services and a change in management structure our plans for the remainder of the year are to identify a suitable bid writer to submit various applications in an attempt to secure further funding to re-start our Lifeskills/group work and recruit for a peer education coordinator to oversee the preventative education. Longer term we would like to secure and retain funding for our floating support and advice services which are essential for our service users. We would also like to explore the possibility of funding a Business Development Manager role to take Moving On forward by developing new partners and diversifying income streams and social investment models. Current issues for service users A large increase in young people coming to us with mental health issues has an impact on their ability to effectively sustain a tenancy and lead productive lives. In response we recruited a trained volunteer counsellor who has worked with 10 such young people in the past year and had some tangible positive effects on their emotional wellbeing. 67 Around 75% of the young people we support have become homeless through family relationship breakdown and we have found there is a distinct lack of family mediation services in the county to support this significant issue. In response to figures on incidents of suicide and self-harm in young males across County Durham, Collaborate Durham has responded by securing CREE funding in 4 venues through East Durham Trust on behalf of the Public Health Department to develop non clinical support group for men in North Durham based around the concept of Community Recovery. The need for this type of support in Durham is growing. Contact details Name:- Andrew Cowan Address:- 2 Red Hill Villas Durham DH1 4BA Telephone Number:- 0191 3831559 Website:- www.movingondurham.org.uk Email:- [email protected] Photo celebrating National Volunteer Week with a mixture of staff, volunteers and service users. 68 New Generation Brass Introduction and Brief History New Generation Brass was established as a registered charity in July 2007 (formerly known as Ouston, Pelton and District Brass Band). The charity seeks to provide an opportunity for children and young people aged 7-18 to learn brass and percussion instruments, targeting deprived wards where children may not otherwise have the opportunity to learn a musical instrument. The group is open to all who wish to participate although there is an underlying focus on supporting those with asthma or autism. Services Provided A paid tutor and volunteer work in the following schools West Pelton Primary School (12-1 Thursdays) Roseberry Primary school (12-1 Fridays) Roseberry Comprehensive School (9-11 Fridays) Pelton Community School (1-2 Fridays) Ouston Infants school (10.30-12 Fridays) Ouston Juniors School (3.30-4.30 Fridays) Chester-le-Street CofE School 2-3 Fridays) As well as St Pauls Church West Pelton (Monday evenings and Saturday mornings) Bronchial Boogie –Bullion Lane Surestart /one point (4-6 Mondays) this class is solely for children with asthma. In total 95 children are engaged in the programme. Both tutors hold degrees in Music and Creative Arts and a specialist nurse is attached to activities to monitor and support children with asthma and their families. Learning a musical instrument has demonstrable cognitive benefits for children including improving memory, reasoning and organisational skills. Being a member of a band fosters team building, communication and friendship.The focus on brass means that we are able to promote a sense of local heritage amongst a new generation of children. There is evidence to show that musical instruments that require breathing techniques can have a positive impact on asthma. “Inspiratory muscles can be trained to become stronger and strengthening them yields a dramatic cessation of asthma symptoms. “ Clinical Investigations, Inspiratory Muscles: Influence of Gender and Inspiratory Muscle Training on the Perception of Dyspnoea in Patients with Asthma. Paltiel Weiner 2002 cited in International Trumpet Guild 2009 Evidence of need for your work Asthma prevalence in North Durham has worse health outcomes than England and North East. (Page 115 North Durham CCG. Clear and Credible Plan 2012-2017). 69 Improving the health and reducing the number of unplanned admissions for young people with chest infections or breathing problems is identified as a CCG priority for 2013/2014. (North Durham CCG Prospectus. 23rd May 2013) Benefits of your work to health and social care commissioners Reduce the number of medical interventions including GP visits and prescriptions required by children and young people who participate and have asthma. Improved breathing techniques of all participants may increase physical activity levels and posture leading in some cases to increase in height. Reduction in rates of school absenteeism due to asthma attacks. Benefits of your work to service users Participants are taught a range of breathing exercises alongside other skills such as reading music understanding different styles of music etc. In the case of Bronchial Boogie the focus of support is the breathing exercises with more intensive monitoring and evaluation by the specialist nurse so that we can measure the impact of classes. Instruments provided in the bronchial boogie classes are geared towards need for example using miniature trumpets rather than full size. Students are encouraged to pursue excellence and to date we have supported 25 children to achieve grades 1-5 of the Associated Board of the Royal School of Music. For many children participation gives rise to confidence building, sense of achievement and a sense of belonging. For those with asthma where attacks can be debilitating this is especially important. Other benefits Participants take part in concerts in the local community including older people care homes thereby promoting better intergeneration relationships in the community and challenging negative stereotypes of young people by older residents. Added Value The organisation involves 5 volunteers with an input of approx. 25 hours per week. Based on a notional value of £12 per hour over 40 weeks per annum this equates to £13,500. Schools currently provide their facilities for free to this group which based on a 30 week year at £10 an hour room hire fee is an in-kind donation of £3,000. The group currently operates on an annual turnover of approx. £12,000 per annum most of which is generated through membership fees and grants from charitable trusts. This enables the employment of a specialist nurse and a sessional music tutor. 70 The group owns a range of brass musical instruments which are used in the above classes. These have been purchased through grants from such bodies as Coalfields Regeneration Trust and Lottery monies. Way ahead The group are currently exploring whether there are options to expand this work to include both adults with depression and adults with asthma. Current issues for service users The group would like to see sustained funding of the Bronchial Boogie classes in particular with a possible role for GP’s to refer children and young people diagnosed with asthma for support. We have struggled to evaluate the longer term effectiveness of this work because of the stop start approach to funding Contact details Name:- Norman Walker Address:- c/o Chester-le-Street & District CVS and Volunteer Bureau The Volunteer Centre Clarence Terrace Chester-le-Street DH3 3DQ Telephone Number:- 0191 3885633 Email:- [email protected] 71 Pelton Community Centre Introduction and Brief History. Pelton Community Centre opened in 1973 to facilitate educational, training and leisure activities for the people of Pelton and surrounding area. Service provided The building is open 9am - 9pm Mon-Fri 9am-3.30 Saturdays and occasional Sundays. The building is open to all ages from across the community with a particular emphasis upon those that are disadvantaged. Gym. A fully equipped gym opened in May 2012, and accessible MondaySaturday as per building opening hours. Users are supported by a team of specially trained volunteers. Room 14 is a purpose built Youth centre comprising, dance studio, hair and beauty salon, IT suite, girls room chill out area, arts and craft room and kitchen. Outdoor Play Area. - Attached to the building for use by toddlers and young children. The remainder of the building is used for a wide range of activities including; Stop Smoking drop-ins Martial art Classes Bingo Over 60’s groups Bowls Pilates Dance Classes Parent and Toddler Groups. 850 people take-up activities within the building each week. 72 Evidence of need Figures relate to the Middle Super Output Area (MSOA) Pelton and Grange Villa. Pelton and Grange Villa have relatively low life expectancies when compared to both other parts of County Durham and England. Figures for 2006-2010 Male Pelton Grange Villa 73.0. Female .. .. .. 79.8 County Durham 76.9 .. .. 80.9 England 80.9 .. 82.3 In June 2012, 6.0% of the working age population were in receipt of JSA. (compared to 3.8% for England and Wales). This was the second highest level in Chester-le-Street. 25.4% of those claimants (65 people) had been in receipt of JSA for more than 52 weeks. Fuel poverty. 22.1% of households are described as in fuel poverty in 2010. Based on Department for Education 2011 results, the MSOA has the lowest level of attainment at key stage 2 (age 10-11) in English and Maths at 65.7% compared to Chester-le-Street at 79.7%, with only 44% of students achieving 5* A – C G.C.S.E.’s (inc Maths and English) at the local secondary school, in contrast to Chester-le-Street District (65.5%). 31.5% of adults identified as obese. 29.8% of adults smoke. 31.3% of adults binge drink. 19.1% of adults eat healthily. (Source; County Durham JSNA-2011) Benefits to Commissioners Reduce the incidence of anti-social behaviour in the community and thereby the impact this has upon victims who may feel intimidated in their own homes, leading to stress and depression. Reduce the incidence of smoking and obesity. Promote self confidence, social inclusion, build skills and networks to enhance individual opportunities and employability support family life and community cohesion. 73 Benefits to Service Users. The community centre aims to be responsive to the changing needs of the local community. In response to Welfare reform the building has developed an in-house shop selling cheap clothes, toys and household items, since residents may be unable to afford bus fares into the town. The building has also opened a community café which aims to offer meals at affordable prices. Added Value. Paid staff 6.5 FTE, all of whom live within 6 miles of the Community Centre. 27 active volunteers providing approx. 105 hours of time per week. (105 x 50 weeks x £7.00) value £36,750 p.a. Income 2012/2013; £172,436. This includes income generation through room hire and fundraising events, grants from Parish Council and Charitable trusts. Way ahead. Pelton Community Centre has developed a schedule of capital works including Improved reception area Extension to the Gym Improved toilet facilities (which are now 40 years old) All of which will require additional fundraising. The centre has recently undertaken a survey of local residents and users and identified the following areas for development Adult learning/Evening classes Drug and alcohol awareness Support to individuals impacted by welfare reform, noting that families are struggling to put food on their table, manage their debts and bills as well as pass on education and knowledge to their children. Contact Clare Formeman, Centre Manager Pelton Community Association, Front Street, Pelton, DH2 1DE Telephone 0191 3700726 email; [email protected] www.peltoncommunitycentre.co.uk 74 RSVP Introduction and Brief History RSVP was established in Chester-le-Street in 1993 under the umbrella of the national body Community Service Volunteers. Retired and Senior Volunteer Programme (RSVP) recruits and supports older people into volunteering projects across the North East region with a particular focus on North Durham, Teesdale and Wear Valley. Volunteer focussed and led RSVP recognises that older people have built up skills and experience during their lifetimes which are much needed by society. School Volunteering. 181 volunteers are placed in over 100 primary schools across the region. Volunteers support young children in school curriculum activities such as ICT, gardening, literacy skills and out of school clubs such as art and crafts Knitting. 148 volunteers, mostly volunteering at home, some have joined knit and natter clubs including one in Annfield Plain, which meet weekly. Volunteers knit; blankets, baby clothes, trauma teddies which are then distributed to local retirement homes, NEPACS (North East Prison After Care Service), local dog shelters and the Salvation Army to distribute to Russia, Lithuania and Croatia, primarily to orphanages or areas struck by natural or man-made disasters. Teleconferencing Book Club. In partnership with Durham Libraries, books are delivered to housebound “volunteers” including the blind and partially sighted. Once a month a volunteer facilitator will bring a group of 6 “volunteers” together via teleconferencing to talk about the book received and agree the book for next month. 3 groups are currently operating in Derwentside, Chester-le-Street and Durham City. RSVP covers the cost of telephone bills. The book club participants also host regular events with guest authors. Telephone Befriending – All recipients are described as volunteers, many of whom are socially isolated. Region-wide, involves 47 individuals, 21 of whom are from Chester-le-Street. Friends in Deed. Volunteers visit patients in Chester-le-Street hospital who would otherwise receive no visitors. This scheme has declined in recent years due to hospital administration re police clearance and lack of support for volunteers. This is disappointing given the real impact upon health and well being that this scheme can evidence. 75 Services provided The surgery transport scheme was established in 2001 to support those who are transport disadvantaged that is no access to own transport and unable to use public transport or private hire. GP’s refer patients to the surgery transport scheme using “ambulance criteria”. 28 surgeries are involved in this scheme; Chester-le-Street, (6 GP surgeries) Deerness Valley (8 GP surgeries) Derwentside (6 GP surgeries). In Chester-le-Street, Derwentside and Durham 21 active volunteers with 3 volunteer co-ordinators provide delivery. Patients are collected from their homes and taken to medical appointments including GP’s, podiatry, nurse, dietician etc. Drivers will wait for the patient and then drive them back home. Patients are encouraged to give a donation which contributes to volunteer expenses. In 2013/2014 public health have continued the grant funding previously provided through the PCT for this project. (£50,000 pa) In 2012/2013 2357 patients were supported in North Durham with 2892 journeys (a journey is defined as to and from a medical appointment). Benefits of your work to commissioners An independent evaluation was commissioned by the PCT in 2012. The study identified that for every £1 invested in the surgery transport scheme £3 of savings are created to the NHS. (An evaluation of Two Volunteer Driver Health Appointment Schemes in County Durham, Sheila Moorcroft and Andrew Myers. Research for Tomorrow, Today August 2012) This same report identified that patients are; more likely to attend medical appointments and are less anxious knowing that transport is in place. Evidence of need GP’s make referrals based on their assessment of patient needs. 76 Benefits to service users “I am 84 and a widower living on my own. Last June I was diagnosed as having mouth cancer. I was asked by the consultant at James Cook Hospital Middlesbrough to tell him of my decision re type of treatment. My GP told me that he would make my decision known to the consultant but the day before I was due to return I had heard nothing from the hospital so I spoke to my GP who confirmed the hospital did want to see me. However, I was without transport and asked whether he could arrange something for me. He said it was late in the day but he would try. Within an hour I had a call from a member of the Surgery Transport Scheme who told me they would be picking me up the following day. It was the first time I had any knowledge of this group, although on other occasions I had had hospital drivers take me to Darlington. My treatment, starting in late September, involved attendance at James Cook 5 days a week for five weeks. I therefore approached my newly discovered driver group. They kindly set up a roster amongst themselves and in the event arrangements were made for me to be taken each of the 25 days of the course, each visit involving a round trip of 100 miles. I had appreciated that parking at the hospital was a problem and I therefore asked the Radiotherapy Departments whether they could arrange for my treatment to be scheduled for early in the day to give my volunteer drivers the best chance of finding a parking space whilst they waited for me. They kindly responded with a treatment schedule on which the appointments were mostly set for between 8.30 and 9.00 in the morning. This meant that my drivers would have to pick me up at 7.30am and indeed would have to leave their homes at around 7.15am. I therefore approached them with some trepidation, but they readily agreed to these times without reservation. In consequence I was delivered back home by 10.00 to 10.30am. I am pleased to report that I am recovering from my treatment but I have no doubt that this has been largely due to the service provided by the volunteer drivers, without whose help I have no doubt that I would have been unable to stay the course. I would like to point out that all the drivers were retired professional people whose motives were entirely altruistic. I thoroughly enjoyed their company which I looked forward to and which helped me get through the ordeal. You will appreciate that no price could be placed on this aspect. At the outset it was indicated to me that it was common for passengers to make a donation to the services, and I elected to subscribe £20 per trip. This I could afford and I wondered what happened when someone was not in my enviable position. I was told that the service to them would be unaffected. Other Benefits Volunteers in the Surgery Transport Scheme are all men, aged 50 – 89. In an independent evaluation 85% of volunteers said that they felt better in themselves as the result of volunteering, through remaining active and helping others. 77 Added Value In 2012/2013, RSVP secured a further £7,000 from charitable trusts and private donations. 21 volunteers who provide an average of 8 hours per week driver time, 50 weeks of the year. (£7,00 per hour) value; £58,800. Volunteer Coordinators (x 3) at 12 hours per week x 50 weeks per year (£9.50 per hour) £17,100. Total volunteer contribution; £75,900 per annum Events – RSVP host regular events (approx. 2 per annum) bringing clients and volunteers together. During the course of these events RSVP will promote key health and safety messages for older people such as raising awareness of door step crime. On average 60 people attend. RSVP produce 2 newsletters per year sent to 1042 volunteers and their clients. Way Ahead There are GP surgeries that would like to join this scheme however, RSVP cannot expand the scheme without additional resources. RSVP working in partnership with Chester-le-Street & District CVS and Volunteer Bureau have been funded through Health Network monies to undertake a 1 year pilot project. This offers clients of the Surgery Transport Scheme the opportunity to receive supported transport to participate in either local volunteering or social activities. This project derives from the observation that many of the Surgery transport clients have few opportunities to get out of the house other than for medical appointments. Contact details Angela Forster/Ashleigh Gibson RSVP, The Volunteer Centre, Clarence Terrace, Chester-le-Street, DH3 3DQ Telephone: 0191 389 1155 email: [email protected] 78 RT Projects Introduction and Brief History Date established; 2007 AIMS 1) The promotion, preservation and protection of good mental and emotional health through the provision of art projects and courses. 2) The advancement of education of the public in the creative and visual arts by the provision of educational courses, facilities and other support. Services Provided Our beneficiaries include people with MS, dementia, vision impairment, hearing loss, physical and mental limitations and learning disability. We also work with children, LGBT, minority ethnic and many other groups considered to be socially, or physically isolated such as carers, people in financial difficulty, and people who have been bereaved by suicide. We run various projects for various different service users; an individual will typically access our service one or two half days per week. In house projects run from our Open Art Surgery at Mill House Court, Gilesgate, Durham City. Outreach courses run from various settings across the county including care homes and community centres. Impact upon clients; Service users overcome isolation through engagement in regular social interaction, develop skills through their engagement in creative activity, have increased access to information on issues around mental health including links to other organisations and services, develop the emotional resilience to combat deteriorating mental health. Number of service users; 200 per year Quality Assurance The project team are qualified teachers and expert in a range of artistic media and have access to a wide range of technical skills. We have a proven track record of delivery for example our Art for Wellbeing programme reached 450 people between February 2010 and May 2011. 79 Evidence of need for your work The benefit of taking part in meaningful creative activity is well documented. Many research studies have found that individuals at risk of experiencing mental health problems benefit greatly from accessing activities which are carefully designed and sensitive to individual need e.g. Dept of Health ‘Mental Health, Social Inclusion and Arts: Developing the Evidence Base’ 2007, and ‘Report of the Review of Arts and Health Working Group’, 2007. Feedback from over 1,000 service users who took part in the ‘Arts for Wellbeing’ pilot programme in 2010-2011 revealed that the benefit of improved emotional resilience is achieved through a variety of factors such as meeting and socialising with others, learning and developing creative skills, receiving appropriate support in a safe environment and sharing and comparing experiences with others. We know first hand that there is a need for our provision because we have a waiting list of individuals wishing to access our services. We also have beneficiaries who have ‘moved on’ and cite our service as being integral to their ‘recovery’, as well as individuals who access our services and no longer rely on pharmaceutical treatment to control their depression and anxiety. Benefits of your work to health and social care commissioners RT Projects work addresses the mental health improvement strategy for County Durham. “Mental Health is "the emotional and spiritual resilience which enables us to enjoy life and survive pain, suffering and disappointment. It is a positive sense of wellbeing and an underlying belief in our and others' dignity and worth. It is influenced by our experience and our genetic inheritance." (World Health Organisation) Good mental health is essential in accessing the choices and support which enable us to live happy, healthy lives. Mental Health Improvement is fundamental to achieving a range of national and local health and social priorities from obesity, sexual health and teenage pregnancy, to adult skills and employability. Having good mental health is essential if our communities are to be able to access and reap the benefits from improved services in these areas.” RT Projects work incorporates the 'Five Ways to Wellbeing', a set of evidence-based actions to improve personal wellbeing the result of a research project by the New Economics Foundation, commissioned by The Foresight Mental Capital and Wellbeing project. Doing five simple actions on a regular basis can improve our mental wellbeing. These actions are: Connect, Be Active, Take Notice, Keep Learning, and Give. 80 Benefits of your work to service users Benefits to service users include: Improved emotional resilience Improved self confidence & self esteem Enable people with dementia and their care-givers to develop a new means of communication, Development of new skills Reduced dependency on pharmaceutical remedies for depression and anxiety disorders Improved access to employment opportunities, access to other local services and resources Other benefits Increased opportunities for volunteering Improved skills and confidence in assisting people with mental health problems using creative activities. Added Value We have 8 regular volunteers who each volunteer an average of 4 hours per week. Some provide one to one support for participants on creative projects and others offer skills such as administration, computer programming, graphic design, marketing etc. Approx Income 2012/2013 Grant Income Donations Sales (Artwork, Materials) Contracts Activity Fees Other Total Income £46445 £700 £1214 £4511 £1715 £393 £54978 3 part time paid staff Way ahead RT Projects is continuing with our current projects which include: ‘Men’s Shed’ which aims to directly impact upon male suicide rates in County Durham, 81 ‘Art ForMS’ to improve emotional resilience for people with multiple sclerosis and their carers, ‘Make Your Mark’ to provide an opportunity for personal expression for people with a learning disability. ‘Painting Memories’ to improve communication for people with dementia and their families. ‘Colour Your Life’ Arts on Prescription programme for County Durham. We are developing our programme to include an open access art studio to be used by service users on a drop in basis 2 days per week. Current issues for service users Many service users need the regularity and security of a permanent resource. People who access our service are experiencing very difficult life changing circumstances such as progressive illnesses or dealing with suicide of a loved one. It takes considerable time to engage in the whole process of recovery, from initially developing the confidence to actually contact the service, to then making a commitment to attend, and then overcoming the hurdle of having to talk to new people which can be overwhelmingly difficult. Developing trust in a new environment is a long process which needs to be managed sensitively and slowly. Contact details Name:- Emma Beattie Address:- The Open Art Surgery, RT Projects, 23 Mill House Court, Gilesgate, Durham, DH1 2JJ. Telephone Number:- 0191 384 9745 Website:- rtprojects.org.uk Email:- [email protected] 82 St Margaret’s Centre Introduction and Brief History St Margaret’s Centre was set up in 1991 and for over 20yrs has gone about its business unassumingly, without attracting attention. The centre supports adults of all ages with mental health and other disabilities. It provides a welcoming therapeutic environment which encourages individuals to learn new skills in a manner that helps them develop their potential and ensures that they get access to the services they need. Services Provided The overall aim is of improving the quality of people’s lives in as many ways as possible. In order to do this people need to attend to their wellbeing and welfare. We at St Margaret’s assist our service users to do this by delivering a range of interventions and activities which allow them to participate on a level suitable to their ability in order to maintain a healthy balance lifestyle. One of the key aims of the centre is to develop a therapeutic work setting which will motivate people to regain their confidence and self esteem which in turn can aid the possibility of them returning to work or proceed to further training. Our interventions include: Education/training, group activities, social activities, and individual recovery plans, one to one support, self management programmes covering areas of Anxiety, Depression and Stress. The centre has a workshop and allotment offering: furniture restoration and repair, carpentry and joinery skills, finishing and upholstery, horticulture, healthy eating, crop rotation, physical exercise. We also offer craft sessions including creative art and design, rug making and quilt making. Alongside these skills we offer volunteering opportunities, literacy and numeracy, mindfulness, information advice and guidance. The centre offers places for 30 people per day, with a dedicated professional team of 3 full time staff, 2 part time staff, along with 3 sessional workers and 9 volunteers. Evidence of need for your work There is an enormous amount of evidence relating to the state of the mental health of the population of the UK which points to the need for improvements in service and priorities. The most recently published “Policy Making Mental Health Services more Effective and Accessible” (H.M.Gov 25 March 2013 ) identified mental health as being the largest cause of disability in the UK and as a result the need to prioritise mental health putting it on par with physical health. The World Health Organisation predicts that by 2020 depression will be the second leading cause of disability worldwide and stresses the need for greater accessibility to services in particular psychological 83 therapies and, the requirement to reduce the mental health problem and make it a priority for the new National Health Service Public Health England. The government policy report “No Health without Mental Health” (2012) outlines six key strategies for better mental health, specifically that people will have a positive experience of care and support. The overall aims are twofold: - to improve the mental health and wellbeing of the population and keep people well. - to improve outcomes for people with mental health problems, through high quality services that are equally accessible to all. Benefits of your work to health and social care commissioners The Joint Strategic Needs Assessment for County Durham highlights a key action to improve mental health: “develop and implement programmes to increase resilience and wellbeing through practical support on healthy lifestyles” Quantifying the extent of mental health problems in the population is very difficult due to the complex nature of mental health and that a lot of it is hidden. It is, however, well recognised that there are a number of indicators of mental health and that certain social and health inequalities can both be the result of and can be caused by mental health problems. Many of the risk factors for mental illness are linked intrinsically to deprivation. County Durham has some of the most deprived areas and Public Health indicators suggest the North East has above average rates for: common and severe mental health problems the lowest% of people with mental health issues in employment the highest claimant rate for incapacity benefits for mental health issues (396 per 100,000 compared to 263 average for England ) St. Margaret’s centre offers a range of effective interventions and support that treat people as individuals recognising their diverse needs, encourages personal development and supports people to achieve their full potential. Benefits of your work to service users At St Margaret’s centre we provide a choice of opportunities for people with mental health and learning difficulties to access employment, training, voluntary work, community activities and mainstream further education. The programmes on offer help motivate people to regain their confidence and self esteem. The success rate depends on the capability and progression rate of the individual. The work of SMC reduces the need for admissions to hospital as well as helping with the recovery of service users currently in hospital. 84 Other benefits St Margaret’s Centre is embarking on preventative programmes aimed at primary care. These include self-management courses covering low mood, anxiety and moods swings to name just a few. We are also encouraging volunteering opportunities throughout the centre as well as community based educational courses. Added Value We currently have 9 volunteers giving an average of 60 hours over a week. There is an amount of flexibility to the commitment each volunteer makes to the service and on many occasions have given their time freely to assist in other activities around the centre. Approximate income for 2012-2013 was £220,000.00 this was made up of a SLA with the local authority, educational courses, fundraising events and donations Paid staff. 4 Full time and 2 Part time Way ahead The current plans for SMC (2013-2014) are to develop the self-management programmes. The longer term plans are to obtain a shop where we would encourage other charities to utilise the facility. Expand our training and educational programmes to the wider general public. Current issues for service users Making access to services less complicated. Reducing or eliminating the financial assessments. Contact details Rob Chatwin St Margaret’s Centre The Old School Priory Orchard Margery Lane Durham DH1 4QJ 0191 384 8100 stmargaretscentre.co.uk [email protected] 85 Stonham, Home Group Stonham provides specialist services customised to local needs. With over 500 services around the country, Stonham is England’s largest provider of housing and support, helping over 20,000 people every year. In the North of Durham, Stonham has two floating support services: Derwentside Homestay and Durham and Chester-le-Street Homestay. Stonham Durham and Chester-Le-Street Homestay works in partnership with Moving On, Dash and SHAID on behalf of Durham County Council. These services alone provide support for up to 210 clients at any one time and also offer waiting list support for those who need help/advice whilst waiting to come on to the service and also offers drop ins within Probation and Treatment Centres. The service works with people for up to two years and aims to provide a range of support services for people who are homeless, at risk of losing their home or need support maintaining and improving their independence. We work with a variety of client groups: people with drug and / or alcohol dependency; Young People, people with Learning Disabilities; people having issues around Domestic Abuse etc. We work hard to engage chaotic clients and our staff have expertise in working with the hardest to reach. Most of our work takes place within disadvantaged neighbourhoods that often display concentrations of ill health and make high demands on the resources of the NHS and other local services. With preventative work and early intervention Stonham works hard to improve the health and wellbeing of the whole area. Conditions in disadvantaged localities could include: poor housing (Homelessness, overcrowding, disrepair), high unemployment (low incomes, job insecurity, young people: not in education; employment or training- NEETS), environmental issues (Anti Social Behaviour, petty crime, pollution, noise), increase in substance misuse; poor educational levels and isolation all these could result in ill health, depression and anxiety. All of the support Stonham offers is focused around these areas and we focus on achieving positive outcomes in: Health; Housing; Finance; physical health and wellbeing, Meaningful Use of Time and Participation. An example of client support is shown below using our client Michael’s story (name changed). Michael was 35 years old and was referred into the service by Chester-Le-Street Job Centre, at which time he was street homeless. Michael had a number of support needs and he led a chaotic lifestyle because of this the assessment was completed with Michael over a period of three weeks. We worked with Michael to support him to: 86 Attend appointments with Housing Solutions. Housing had provided Michael with support previously and as he had left his last property in the area with damages; they would not offer him any further service. We sourced an application for Cestria Housing Association, Three Rivers and Durham Key Options but due to his anti social behaviour and housing history, he was suspended from all housing registers. We contacted a private Landlord who had a property available in Grange Villa. We arranged to view the property; it had carpets, blinds, a three piece suite & fridge so Michael could move in almost immediately. Michael decided to take the property. We applied for Grants and Michael was awarded money towards household items. We made arrangements to complete Housing Benefit forms to ensure that Michael could afford the property. Michael was entitled to full Housing Benefit. We wrote a supporting letter to request Housing Benefit be paid direct to the landlord. Michael continued to be chaotic and difficult to engage however we reviewed his support plan and because Michael’s housing situation was much better, he agreed to be referred into the Alcohol Team. We supported Michael with his appointments at the Alcohol Service until he was confident in attending them himself. Michael started to become less chaotic and miss fewer appointments. Michael is successfully managing his tenancy and he is attending the Alcohol service appointments as required and is now having access visits with his young son. As seen in the example above we are committed to preventing homelessness and to find innovative solutions to enable people to live independently. We support individuals by listening to clients and accumulating small changes which in turn improve the atmosphere in the neighbourhood. We offer 1 -1 support, advice and guidance as well as client involvement and group participation activities; increasing knowledge, positive wellbeing, confidence and self esteem. We refer and register clients to other services relevant to their support needs increasing health awareness and prevention, resulting in a development of people’s independent living skills which helps them to better manage their own circumstances; using primary care facilities rather than secondary. By focusing on clients holistically our support can help reduce homelessness, offending behaviour, unemployment, health inequalities, chaotic lifestyles and admissions of known individuals to hospital as well as reduced arrests related to alcohol/substance misuse. 87 Contact Zara Kelly, Senior Services Manager Home Group, Mercury House Belmont Business Park, Durham DH1 1TW Telephone; 07545733300 [email protected] www.homegroup.org.uk 88 Ushaw Moor 2-4 club Introduction and Brief History The Ushaw Moor 2-4 club was established in May 1997 in response to the need for social activities for older people in Ushaw Moor and the surrounding area. The founding members were older people themselves and part of St Joseph’s church community. The main aim of the group is to provide an opportunity for older people to come together on a weekly basis to enjoy social activities and make new friends. Services Provided The group meet in St. Josephs Church hall every Tuesday from 2 – 4pm. The group welcome people of all faiths and backgrounds. Although the members are predominantly older people this is not exclusive. There are currently 60 people regularly attending the session at which afternoon tea is provided, a game of bingo, socialising with each other and making new friends. The members make a small weekly contribution which covers room hire costs and allows for other activities such as an annual summer trip, Christmas party and occasional special events depending on available funds. Evidence of need for your work The club has been in existence for 16 years and has been popular throughout. Until recently there was a waiting list of people wanting to join however, a similar group has recently been set up which is helping to meet the need of a growing number of older people in the area. Feed back from our members highlights the importance of the group in terms of well-being and independence. Benefits of your work to health and social care commissioners Our service is aimed at any older person (over 50). We believe we are contributing to the improvement of facilities and activities for older people. We are well aware of the benefits of regular social contact both from a health and a community safety aspect. For a number of our members this is the only opportunity they have to meet with their peers and would otherwise feel isolated and lonely. Ushaw Moor, New Brancepeth, Brandon and Esh Winning are all in the top 20% IDM for health and all have a high ratio of older people, which is on the increase. Research shows that the elderly are the highest risk group for suicide, and health experts warn of the impact of mental ill health on physical well-being. It is estimated that up to 17% of elderly people living in the community suffer from depression yet most of it goes undetected and untreated. There is evidence to suggest that being involved in a social activity has a positive impact on a person’s mental health. Someone experiencing good mental health is in a better position to think about their lifestyle i.e. healthy eating, exercise, stopping smoking etc. It also impacts on the ability to remain independent for longer. 89 Benefits of your work to service users The primary benefit is to provide an outlet for older people to socialise and improve their quality of life and well-being thus keeping them from experiencing loneliness and possible depression. Our summer trip is very much appreciated. A lot of our members are not mobile and would rarely or never have the opportunity to visit places of interest in the region. Again, we provide a Christmas party which is vitally important to those members who don’t have family around during this time. Other benefits The group is run by volunteers all of whom are older people themselves. This level of involvement helps them to stay active and gain a sense of worth and place in the local community. Alongside the regular weekly session the volunteers also bake, shop, organise outings, guest speakers and parties for the benefit of the club. A user led initiative such as ours, where older people are in control, is more likely to have credibility with other older people. Being involved in our own destiny helps build a richer and more vibrant community in which older people play their full part as citizens. The group is well known in the area and has good links with the local school. The children often help at the sessions during school holidays and at harvest festival. The group has a regular visit from an Occupational therapist who assists members when necessary. Added Value There are currently 8 volunteers who between them work for 32 hours. Our income this financial year is £1231 which has been raised by membership fees and a weekly raffle. We received a grant of £800 from CDCF/Mid Durham AAP to cover the cost of our rent for 8 months. This has allowed us to spend some of our funds on a summer trip. Way ahead The group will continue to provide a weekly session as well as organise a Christmas party. Due to the grant we received this year our funds will allow us to organise a summer excursion in 2014. Current issues for service users There is a lot of evidence to support the need for locally based social groups that are accessible and relevant to elderly people. These types of groups vary in the activities they provide based on the needs and desires of the members involved. Nonetheless, they all contribute to the quality of life and well-being of older people and are in many cases an essential part of a persons ability to remain healthy, happy and independent within their own community. As we prepare for the growing number of older people living longer it is vitally important that society is ready to meet the challenges and opportunities this will bring. Contact detailsName: Joyce Scanlon Address: - c/o St Josephs RC Church Ushaw Moor Telephone Number: - 0191 373 0878 90 Veterans at Ease Introduction and Brief History Veterans at Ease was established in September 2010 Our mission is to help veterans and their families deal effectively and quickly with Post-Traumatic Stress Disorder (PTSD) Operating Principles; Veterans helping Veterans Services Provided Who are the services for? Veterans and their direct family members When / how often are they provided? 5 days per week office hours and sometimes outside these depending upon individual circumstances and needs How / where are they provided? Durham office, Jarrow Office and at Beneficiaries homes as required Impact upon clients. Very positive, and the help allows them to understand and integrate into civilian life as well as finding full time employment where appropriate. Number of service users. 55 Why are the services provided? Currently there is a specialist gap within the NHS Quality Assurance. Training of Staff with an accredited (UKCP) training organisation, plus the experience of beneficiaries as they are helped and come on board as a therapist after training. Evidence of need for your work The scale of the problem is huge. Research undertaken in 2010 by the Community Veteran Mental Health Pilot - Tees, Esk and Wear Valleys NHS Foundation Trust, found 30% or more of veterans in the North East are likely to be suffering from PTSD. A survey by Sir James Knott Trust (2011) found that 50% of veterans in the NE were suffering mental health problems. The Centre for Military Health Research, Kings College, London estimate there are 312,000 ex service personnel living in the NE - using the 30% figure this indicates 90,000+ veterans in the region suffering from PTSD. This problem obviously has a massive impact upon an even larger number of people when you take into account the veterans family members. 91 Benefits of your work to health and social care commissioners The Centre for Economic Research (2007) calculated the economic cost of adult depression and anxiety (including PTSD) as £12 billion a year – 1% of national income. Their methodology for Cost-Benefit Analysis of Psychological Therapy shows that every veteran helped off benefits and back to work provides a cost benefit to society and the exchequer of £5300. We have helped 53 veterans over the last 2 years with numbers increasing monthly as we grow. This includes family members who are able to get back into full time work because the help we have given the veteran means they no longer need to receive so much carer support. Benefits of your work to service users Freedom from mental suffering. The ability to think straight enough to gain full time employment and interact with their families again instead of “being a burden”. Being confident enough to go out into their communities and partake in local events and start new hobbies etc. Other benefits All of our beneficiaries be they veterans or family members become volunteers for the charity and some even gain full time employment with us. Added Value We have 653 volunteers including trustees. They do a variety of hours over the course of a year but on average approximately 80 hours each over the year. £125k pa from Big Lottery, approx. £20k in donations from the public and fundraising events 3 Full Time Paid staff Way ahead We are looking to expand in the North East in the short term with a longer term view of expanding outside the North East of England. 92 Current issues for service users There are a considerable number of professional services in the 3rd Sector who would welcome official recognition of the work they are doing and more financial support so that they remain at the cutting edge of providing specialist services. Contact details Name:- Garreth Murrell Address:- Alington House, 4 North Bailey, Durham, DH1 3ET Telephone Number:- 07584056181 Website:-www.veteransatease.org Email:- [email protected] From left to right John Taylor Therapist and Events Co-ordinator, Mandy Robinson Admin Officer, Garreth Murrell CEO and Founder of Veterans at Ease 93 Visual Impairment Problem Solving in County Durham Introduction Established 1987 as South Durham Society for the Visually Handicapped. Extended remit to cover the whole county as the County Durham Society for the Blind and Partially Sighted. Rebranded and incorporated as Visual Impairment Problem Solving in County Durham 2012 to provide support services and information for people with sight loss and their carers and families in County Durham and the surrounding areas in an effort to improve their quality of life and work towards social inclusion. Services provided Over 1,000 service users with sight loss currently receive outreach services in County Durham free of charge – information, talking newspapers, driver/escorts to eye clinics, specialist equipment demonstration/loan, befriending and telephone support. Talking newspapers and befriending are weekly services, telephone support is a monthly service, other services on request. In the year ending 31st March 2013, 10,368 instances of support were provided. All activities provide practical support and information to improve service users’ quality of life and work towards social inclusion, delivered by trained staff and volunteers. We are accredited by the Mentoring and Befriending Foundation and are working towards PQASSO accreditation. Evidence of need In 2012, 437 users were surveyed to check current services against need and to test development ideas. 45.6% of respondents said they would not know where else help could be sought if the charity did not exist. Prioritisation of current services was as follows, from most to least important: Providing information/signposting Free loan of audio equipment Talking Newspapers Transport to eye clinic appointments Demonstration of specialist daily living equipment Phone support Befriending Visual impairment awareness training 94 Computer mentoring was rated the least important, and given the low take up has been discontinued. We now signpost people to a local group. Benefits to Health and Social Care Commissioners Our services support the Joint Health/Wellbeing Strategy Delivery Plan 2013-2017 to improve quality of life, independence, care/support for people with long term conditions and protect vulnerable people from harm. As sight loss is predominantly age-related/degenerative, and as almost half our service users are over 80 years old, our services support North Durham Clinical Commissioning Group’s Priorities of addressing holistic needs of the changing age profile of the population, especially in the key area of mental health. There is very little other long-term support for elderly blind people in County Durham, many of whom live alone and cannot travel independently. Benefits to service users Our services fill a gap in provision in County Durham that other organisations do not provide for elderly blind people, the majority of whom have other age-related health problems/disabilities and live on low annual incomes (under £10,000). As cuts are made, personalisation and reablement introduced, services rationed and more reliance placed on signposting to internet self-help, our users are becoming even more marginalised. Information, practical help and support provided by our volunteers in the local community enable our users to remain independent, also to feel less lonely and isolated, essential to health and wellbeing. Other benefits We work to reduce our impact on the environment, by recycling, using energy efficiently, pairing local volunteers with users to reduce mileage. Staff and volunteers are fully trained by the organisation and many volunteers go on into employment, after gaining experience and confidence. Blind volunteers provide visual impairment awareness training to outside organisations, which not only raises awareness of issues affecting blind people, but also improves the confidence and self-esteem of our volunteers. These presentations also encourage people in the wider community to understand the importance of regular sight checks and the life limitations imposed by avoidable sight loss. Added value We have 83 volunteers, including trustees, who each spend an average of one or two hours a week volunteering. Our income for 2012/2013 was £215,791 which included a transfer of £115,559 from the County Durham Society for the Blind and Partially Sighted. This income also included funding from Durham County Council via a service level agreement, membership subscriptions, a small legacy, grants, 95 donations, recording income, community fundraising and gift aid. We receive free professional help and support from several voluntary sector infrastructure organisations. We have three paid staff, two full-time and one part-time, all of whom live in County Durham. Way ahead We are using reserves to ensure that we can support our service users from 1st April 2013 to 31st March 2014 due to the termination of our service level agreement with Durham County Council. We are currently reviewing our services, funding strategy, staffing levels and office location for 2014-2016. Current issues for Service Users Information should be provided in accessible format including large print, Braille and audio format. It may be necessary for a member of staff to be available to read out information, fill in forms etc. Service users’ records should be flagged to identify their special needs due to their individual sight loss and regularly reviewed to take account of the degenerative nature of sight loss. Service providers’ front line staff should be trained how to guide and direct a blind person as a minimum requirement. Contact details Linda Curtis, Chief Executive Officer, Visual Impairment Problem Solving in County Durham, 4 Red Hill Villas, Durham City DH1 4BA. 0191 386 6511 www.cdsbps.co.uk [email protected] 96 Chester-le-Street and District CVS and Volunteer Bureau About Us Chester-le-Street and District CVS and Volunteer Bureau is an umbrella body working with voluntary and community organisations to promote a strong, effective and independent voluntary sector. Contact us For more information about voluntary and community groups providing health and care services in North Durham CCG area, contact: Belinda Lowis Chief Officer [email protected] 0191 387 1192 Volunteering England Quality Accreditation Chester-le-Street & District CVS and Volunteer Bureau is a Company Limited by Guarantee, Registered in England and Wales. Company No. 4046498. Registered Charity No. 1084105. Reg Office: The Volunteer Centre, Clarence Terrace, Chester-le-Street, Co Durham. DH3 3DQ Website: www.chesterlestreetcvs.co.uk [email protected] Email: [email protected] or [email protected] 97