Innovation, Excellence and Strategic Development Fund Awards 2014-2015

Innovation Excellence and Strategic Development Fund
New Awards Meetings September 2014
INNOVATION, EXCELLENCE & SERVICE DEVELOPMENT (IESD) FUND - 2014/15
Awards Fund Year Started Organisation Name Name of Project Summary 2014-15 2015-16 2016-17
IESD
2014 VoiceAbility Advocacy Speak Out on-line - plugging the voices and views of people with Learning Disabilities into the heart of commissioning, planning and improvement. Speak-Out On-Line (SPOOL) will provide a unique platform for people to engage with/consult us as people with learning disabilities (PWLD) over local/regional and national strategies, projects and services. We will work with clients to design accessible surveys for PWLD to complete on-line/by App, as well as the resources to help people work off-line and/or in groups. Responses can be uploaded, and commented on, in a variety of formats from any participant, enabling genuine engagement and dialogue. It will enable better, richer and quicker engagement with PWLD and greater opportunities for us to improve and commission health and social care services.
£155,220
£116,840
-
IESD
2014 National Gamete Donation Trust Hub and Spoke National Sperm Bank To provide support, information and advice to gamete donors and recipients, both potential and actual, on issues relating to infertility treatment involving the use of donated sperm, eggs and embryos. To liaise with clinics, professionals and professional bodies to encourage the recruitment and retention of sperm, egg and embryo donors. To work with the media and other relevant parties to raise public awareness of the shortage of sperm, egg and embryo donors in an effort to alleviate, and ultimately eradicate, that shortage. And to manage the voluntary contact register linking donors, people conceived by donation and their siblings, ensuring that the appropriate testing, support and advice is available.
£77,000
-
-
IESD
2014 Tommy's Baby Be Smoke Free - a quit smoking service for young mums-to-be Building on Tommy's Baby Be Smoke Free pilot (Hill, 2013), we will develop a stop smoking intervention that is a) targeted specifically at young pregnant women b) non-judgemental c) convenient and cost-effective d) sustainable. The current pathway for quitting smoking is not meeting the needs of this group evidenced by the low referral rates and the high rate of young women who smoke in their pregnancies (2012 IFS). Yet babies born to mothers aged under 20 are 60% more likely to die than children born to older mothers and have a 25% greater likelihood of being born too early or too small.
£115,985
£70,935
£59,868
IESD
2014 Donor Conception Network Improving support for donor conceived children and their families by implementing a comprehensive business strategy for a small national charity For the last 5 years the Donor Conception Network has relied, in part, on funding and grants to keep itself on a sound financial footing. This one year project will review the charity’s current business model and develop a new model to ensure the charity can be self sufficient in the future without any need for external funding. A change programme will improve and modernise all aspects of its offering; develop partnerships with professionals and institutions; create new ways of generating corporate support; improve ways our membership can contribute; and at the same time put the organisation’s business model onto a sustainable footing. The Donor Conception Network addresses the information and support needs of 30,000 donor conceived children and their families and is the only national support charity in this field. The recent Nuffield Bioethics Council report made it clear that there is a state obligation to ensure this essential work continues.
£63,000
-
-
IESD
2014 NAM Publications Positive Partnership: improving the sustainability and impact of HIV information support This project will develop greater partnership between NAM and England’s HIV clinical services, improving the sustainability, impact and personalisation of HIV information support across England. The ultimate beneficiaries will be 30,000 people with diagnosed HIV. The project will develop our current resource dissemination network into a membership scheme and: ensure clinical services can access Information Standard certified resources to support patients, and secure their long-term provision; increase the personalisation of HIV information resources; increase integration between clinical services and treatment information. NAM’s resources will: support patient adherence; facilitate doctor-patient dialogue; encourage self-management; reduce use of expensive inpatient and A&E services.
£68,000
£28,500
-
IESD
2014 Penny Brohn Cancer Care The Wellness Package PBCC’s Wellness Package is designed to help improve the lives of those affected by the consequences of cancer and its treatments. The Wellness Package offers an introductory ‘Living Well' course providing: healthy eating; gentle exercise; relaxation and stress management; emotional and psychological support; help managing impact on relationships – plus ‘Follow Up’ support over 12 months with a range of services. The Wellness Package directly responds to rigorous service evaluation results [9]. The Wellness Package offers: 60 Living Well courses, 12 months Follow Up services in 5 regions, (including deprived areas), reaching 720 participants, over 18 months.
£133,577
£55,281
-
IESD
2014 Samaritans Project title Samaritans Cruse Partnership - increasing support for those bereaved by suicide This project addresses the Government’s Suicide Prevention Strategy objective to ‘better support those bereaved or affected by suicide’, increasing capacity for this vulnerable group. England suffered 4,509 suicides in 2011, each having a devastating effect on family and friends and a significant impact on their mental health. Following a successful pilot, Samaritans and Cruse, working with organisations locally, will use their expertise and complementary skills to offer tailored, facilitated support groups to improve the emotional health of those bereaved
£173,481
£170,098
£213,000

through suicide. Our evaluation shows this is achieved through the understanding, mutual support, and the safe, respectful environment the groups offer
IESD
2014 Best Beginnings From Bump to Breastfeeding: working together to improve health outcomes From Bump to Breastfeeding: working together to improve health outcomes Our DH funded “From Bump to Breastfeeding” DVD (FBTB), endorsed by UNICEF and five Royal Colleges, is associated with increased breastfeeding rates and is in the DH/Start4Life/UNICEF breastfeeding care pathway. Yet last year, less than 10% of women in England received the DVD. Working collaboratively with health and social-care professionals, commissioners and parents in localities across NE, NW and Y&H regions, we will support the commissioning and embedding of bespoke versions of FBTB. This will result in increased breastfeeding rates, improve health outcomes and associated cost savings. This has potential for sustainable, national roll-out, ensuring more families benefit from this resource.
£121,940
£124,938
-
IESD
2014 Fit for Work Team, The Bridging the Gap-Addressing the Health Barriers to Employability Building on our experience of delivering the DWP/DH Fit For Work pilot, and as a specialist provider of holistic vocational rehabilitation, we will develop our model to provide a case managed , and thus integrated, multi-agency service, to enable unemployed people with health barriers to become work ready. Our three year programme will start with delivery in specific areas of the East Midlands and North West regions, expanding across those regions in year two. During this period we will build evidence and learning for year three which will focus on national roll-out through sharing our learning /building capacity with commissioners and building capacity and capability through third sector supply chain development.
£435,220
£517,856
£477,281
IESD
2014 West Mercia Rape & Sexual Abuse Support Centre Rape Crisis Services The project will support the development of responsive models of commissioning systems and processes for the victims of rape and sexual violence: • Providing specialised rape crisis services, advice, expertise and evidence to CCGs, local authorities and stakeholders • Promoting the voice of victims, exploring how personal budgets could be used to fund services • Evidencing the effectiveness of specialised rape crisis services, demonstrating the wider social impact • Exploring innovative funding models The project will mean victims of rape and sexual violence nationally have better access to rape crisis services, with improved mental, physical and emotional health, wellbeing and quality of life.
£81,680
£82,495
£81,750
IESD
2014 Race Equality Foundation Effectively tacking violence and improving the health and care outcomes for the most vulnerable children and young people through the provision of the evidence based Strengthening Families, Strengthening Communities parent education programme in three regions across England. The 2012 DH funded review on the impact of violence on health and care outcomes identified factors that increase risk for children and young people, and also began to identify the protective factors that lower risk. By scaling-up and deploying our evidenced-based Strengthening Families, Strengthening Communities parenting programme (SFSC) that promotes the factors that lower the risk of children and young people experiencing violence, we will improve the health and care outcomes for vulnerable or disadvantaged children. We will work in Hull, Manchester and Walsall, reaching and impacting 297 parents and 624 children and young people.
£70,026
£70,552
£71,364
IESD
2014 Endometriosis UK Endometriosis Patient Support Groups alligned to Specialised Endometriosis Centres This project will recruit and train volunteers to work alongside the Specialised Endometriosis Centres set up under NHS England Specialised Commissioning activities to create patient support groups and networks. This will ensure that a continuum of care is provided something that is badly needed by women with endometriosis - a long-term serious gynaecological condition affecting around 1 in 10 pre-menopausal women for which there is no satisfactory cure. Surgical and medical treatments can provide some relief of symptoms but most women require long-term support to reach an equilibrium of self-management. Information and peer-to-peer support delivered locally can provide an integrated link with the clinical provision, supporting consultants and specialist nurses to deliver greater quality of care and reaching more women than the specialist clinic is able to cope with on their own. This support will also reduce the burden on the specialist clinic, on feeder general gynaecological departments, on GPs and on A&E services to whom women suffering debilitating symptoms associated with endometriosis often turn.
£63,686
£59,718
£65,403
IESD
2014 Care Leavers Association, The Caring For Better Health To improve the physical and mental health of care leavers of all ages by using the user voice to develop guides and resources to inform the commissioning and delivery of services. The aim is to ensure that CCGs and health professionals in a variety of contexts are more aware of the health issues facing care leavers and how to address them. This should lead to better services and better outcomes for the main beneficiaries, adult care leavers of all ages who come into contact with adult health services
£68,474
£65,851
£68,285

IESD
2014 Amateur Swimming Association, The Dementia friendly swimming The proposal is to establish a framework for delivering swimming in 3 strands- relaxation, energy and exercise to music- for those people with dementia and carers. This will be achieved by working with 2 local authorities in Year 1, 6 large authorities in Year 2 and then 100 dementia friendly pools in Year 3. In order to achieve this, the Amateur Swimming Association will work with a number of partner organisations. We plan to make the programme sustainable by working with our wide network of pool partners and by working closely with the Alzheimer's Society's dementia friendly communities. The proposal has been set up so as to be fully flexible. While the aim is establish 100 dementia friendly swimming pools in Year 3, the budget is fully flexible and can be scaled up or down according to funds available.
£319,149
£500,000
£500,000
IESD
2014 Community Catalysts CIC A Shared Lives incubator to deliver high-quality personalised outcomes for many more people, supported by social investment
The Shared Lives (SL) scheme puts potential carers through rigorous recruitment, vetting and approval to work with people who need support to deliver successful outcomes and inclusion in their life, family and friendship networks. These SL arrangements are carefully monitored and supported by the scheme which is regulated by CQC. The small size of schemes and demand on the SLI points to a lack of business development skills and expertise to drive the sustainable development and growth of SL services (while maintaining quality and ethos) combined with a lack of up-front investment for schemes to grow. The project aims to ensure that the SLI becomes a means of establishing SL arrangements at scale.
£81,765
-
-
IESD
2014 United Response Cornwall Dementia Hub
An arts/activity-based, flexible and dynamic dementia support service located in central Falmouth (Cornwall), coupled with outreach early intervention dementia support. A café focus as a primary social ‘tool’ will bring people together whilst providing person centred activities to maximise independence and promote good health, whilst minimising the deteriorating effects of dementia. An independent evaluation will drive national learning, facilitating national dementia service development.
£52,907
£68,000
£34,000
IESD
2014 CAMHS Outcomes Research Consortium Development of Outcomes-Focused Voluntary Sector Provision of Child Mental Health
To allow the organisation to provide additional regional support to enable voluntary sector providers to effectively collect and use outcome data; and for commissioners to make best use of this data to improve service provision for children and families. Consolidating and extending voluntary sector membership and extending the core team to include five regional improvement support officers based in five distinct geographic regions in order to enable voluntary sector members to become commissioning ready.
£465,365
£472,195
£482,243
IESD
2014 Cancer Research UK Oral Cancer Toolkit: A training tool to aid early detection and improved outcomes for oral cancers
Incidence rates of oral cancer have risen by a third in the last decade with 6500 cases diagnosed and 2000 deaths in 2010. Additionally, it is one of the few cancers that has a trend of increasing mortality. Outcome is greatly enhanced by early detection with prompt treatment improving two-year survival rates from less than 50 per cent at stage four to 90 per cent at stage one. This proposal aims to use the successful model of the GP Skin Cancer Toolkit developed 2011-14 under the innovation strand to create a similar toolkit for dentists and GPs covering oral cancer.
£87,153
£36,656
£16,664
IESD
2014 Centre for Mental Health Making work work: Extending Individual Placement and Support across England
Will establish Individual Placement and Support (IPS) services in 6 partnership areas (NHS Mental Health Trust and/or Local Authority), in the South East, East Midlands and Yorkshire & Humber regions, achieving paid jobs for 340 service users over the three years. The project will firmly establish the service in the 6 areas and spread knowledge and support for IPS across England, promoting ongoing availability of supported employment for anyone with a severe and enduring mental health need who would like help to gain paid employment.
£392,090
£390,137
£401,917
IESD
2014 Older People's Advocacy Alliance Older People's Cancer Voices
The organisation references DH and Macmillan evidence that states: “under-treatment of older people with cancer may be a substantial problem". The project will build relationships in 4 areas in England between CCGs and advocacy organisations supporting older people affected by cancer (OPABC). It will produce best practice guidance and cancer advocacy support standards, and involve local Compacts and Macmillan Cancer Support, enabling greater opportunities for OPABC to influence service delivery through Healthwatch and Health and Wellbeing Boards promoting equality of opportunity along the cancer pathway.
£90,607
£91,104
£92,159
IESD
2014 Royal National Institute of Blind People EIRECS - Early Intervention and Rehabilitation in Eye Care Services
This project aims to ensure that every person experiencing sight loss benefits from early access to a nationally agreed eye care pathway, promoting independence, choice and control. Working with Rehabilitation Officers and Local Authorities, it will strengthen the workforce through training and learning networks to support integrated health and care provision. By creating a sustainable model to provide practical support, it will connect blind and partially sighted people to services and commissioners to improve health and care outcomes.
£71,504
£117,147
£83,085
IESD
2014 Action on Hearing Loss Hear to Care - Improving long-term care and support for older people with hearing loss in care settings
To test out changes or improvements which can be made in mainstream longer term care settings to improve the diagnosis and management of hearing loss. The project will test out changes in differernt areas including procedures around assessment, identification and recording of hearing loss, staff training and management of hearing aids and ensuring hearing loss is identified and supported in care transitions, e.g., admission to acute care. It aims to improve the care and support provided to older people with hearing loss in care, reducing their loneliness and social isolation and improving their overall health and well-being.
£67,801
£63,575
£71,340

IESD
2014 Fair Shares Gloucestershire Neighbourhood Support and Time Banking
To pilot the creation of neighbourhood support systems (neighbours looking out for neighbours), through small clusters of time banking, supporting older people and those with long term health conditions. Beneficiaries will be matched to a neighbourhood 'buddy' (or buddies) who will offer proactive help and 'keep an eye open' in addition to reactive assignments (particularly during winter). This will test this new model of support in the Forest of Dean, replicating across the county, then nationally, reaching at least 380 people and 15 communities.
£36,568
£46,067
£48,945
IESD
2014 Action for Blind People Action Talking Therapy Network
The project will create and develop an emotional support and talking therapy network for blind and partially sighted people, their carers and families. Three key strands: i) offer a face to face counselling service combining expert staff and volunteer delivery; ii) provide all client-facing staff with 1st tier skills and appropriate tools, deliver a 2nd tier emotional support service complementary to the 3rd tier face to face counselling service; iii) equip mainstream providers of counselling with expertise in sight loss support issues via development and delivery of bespoke training resource.
£164,807
£168,601
-
IESD
2014 British Institute of Human Rights, The Care and Support: A Human Rights Approach to Advocacy
This project will build on the previously IESD-funded "Human Rights and Third Sector Health and Social Care" (innovation stream). Responding to the independent evaluation this next phase seeks to embed and sustain human rights advocacy within care by developing tailored (and nationally replicable) supports with third sector partner organisations. These will focus on helping to achieve better individual patient outcomes and broader organisational change.
£87,454
£94,469
£93,199
IESD
2014 SignHealth Improving Deaf Patients' Experience and Access Through Telecommunications Technology
The project will use telecommunications to give 680 Deaf sign-language users a much-improved patient experience and equal access to health services. Deaf patients will use innovative technology through which they can access remote interpreters almost immediately for conversations between themselves and health-care professionals (where appropriate). The project will measure the improvement to patient experience, and evaluate cost savings for the NHS. Additional benefits will include reducing health inequalities, fewer wasted appointments, improved safety through reduced risk of medical error, improved compliance with Equality Act 2010, easier and more satisfactory consultations plus improved Long Term Conditions compliance
£220,256
£221,015
£221,540
IESD
2014 Hepatitis C Trust, The South Asian Hepatitis C targeted awareness raising, testing and support program
Targeted awareness and testing events aimed at the South Asian community in mosques and other community centers, in partnership with community leaders and local health authorities. To encourage people to come forward for testing and reduce the incidence of liver disease in this group and reduce health inequality in access to services in the South Asian community.
£29,100
£32,050
£32,050
IESD
2014 Age Concern Support Services (Yorkshire & Humber) Eatwell and Livewell
Local Age UKs will work with older people identified as having nutritional issues following a MUST (Malnutrition Universal Screening Tool) assessment either in hospital or primary care. Using an outcomes tool the project will work with the older person and their carers to address the issues impacting on their diet (e.g. isolation, access to groceries, financial issues).
£54,100
£56,450
£58,800
IESD
2014
3VA
Health & Wellbeing Visit
60 Fire & Rescue Service volunteers will provide support to over 2,500 households. These volunteers will visit people at home by arrangement, to talk about their health and wellbeing including mental & physical health, social isolation, nutrition, substance use, winter warmth, communication needs, general welfare needs and health & safety (including mobility, sight issues). The scheme makes prevention and early intervention possible for the most vulnerable people
£116,256
£101,022
£78,932
IESD
2014
British Institute of Human Rights, The
Delivering Compassionate Care: Connecting Human Rights to the Front Line
The project aims to improve outcomes for patients by supporting frontline staff to deliver mental health services that respect and protect human rights. Human Rights Champions will take part in a mapping exercise where areas are identifed for improvement within a service and ways in which human rights can help address this issue. BIHR and the Human Rights Champions will co-produce a resource on human rights and mental health that supports the delivery of a follow up training addressing key issues identified during the mapping exercise.
£73,585
£82,711
£82,384

Health & Wellbeing
Visits
3VA and East Sussex Fire & Rescue
Service Community Volunteers
visiting older vulnerable people to talk
about their health & wellbeing, help
assess & understand their needs,
choose and access the local services.
Service Users
Older people in East Sussex
and Brighton & Hove who may
be vulnerable
People over 50 with disabilities
or long term conditions
People over 65
• face social exclusion
• live in communities or groups
facing health inequalities
• live alone
• are income deprived
People over 80
Key Objectives
Reduce health inequalities and increase life expectancy for vulnerable older people living in deprived
neighbourhoods
Vulnerable older people more aware of their health needs and their choices of public and community services
Through a series of home visits people will be supported to assess their own health and well-being needs and become more aware of the
options available to them in their local area and be empowered to make choices that are right for them.
Vulnerable older people taking more action to manage their health better
People will be managing their own health better to reduce preventable health conditions and avoidable deterioration of health.
Vulnerable older people more socially connected
Isolation and loneliness impacts negatively on mental health, well-being and physical health. By increasing social connectivity among
isolated older people the project will reduce the impact of this.
Delivery methods
60 trained Community Volunteers (in
teams of 2) visiting older people in
their own homes to:
 provide support to assess and
understand their own health
needs (Outcome Star)
 help access their choice of
services in the local area (direct
referrals; support to make the
first contact, behaviour change
techniques to help people
engage with available support)
Outcomes
 2,322 vulnerable older people
will be more aware of their
health needs and their
choices of local public and
community services
 1,332 people will be taking
more action to manage their
health better
 1,665 people will be more
socially connected
 More people able to live at home
longer
 Reduced visits to GPs for advice
 Reduced hospital admissions for
accidents & preventable health
conditions
Dissemination
Locally:
 Health & Wellbeing Board
 East Sussex County Council
Liaison Meeting
 ASC Partnership Boards
 Healthwatch East Sussex
We aim to have an impact nationally by
sharing learning and supporting
implementation in other areas. We will use
these channels to help achieve this:
 NAVCA & NCVO
 Chief Fire Officers Association
 South East Emergency Services
Volunteer Coordinators Forum
 South East Regional Voices
(RAISE)
thinking about
mental & physical health * nutrition *
social isolation * substance use *
winter warmth * communication
needs * mobility * general welfare *
health & safety * sight issues * …

Action for Blind People
Action for Blind People’s ‘Action Talking Therapy Network’ will create and develop an emotional support and talking therapy network for blind and partially sighted people, their carers and families.
Service Users
 Blind and partially sighted people, their carers and families
Key Objectives
 Equip Action’s client-facing staff with emotional support skills to deliver 1st tier support to people with sight loss
 Improve access to 2nd tier emotional support to people with sight loss
 Deliver a 3rd tier face to face counselling service combining expert staff and volunteer delivery
 Refer clients to mainstream counselling providers whose skills have been developed to support people newly diagnosed with sight loss
 Connect people with sight loss to the practical advice information and support provided by Action for Blind People, RNIB Group and other sight loss sector providers
Delivery methods
 Provide several tiers of emotional support via development of Action for Blind People’s internal infrastructure that functions as a stepped triage system
 Provide access to other services from Action for Blind People including the employment, housing, technology, welfare benefits and other RNIB Group services
 Develop referral routes into mainstream providers by training staff in sight loss issues
Outcomes
 Self-help - Encouraging people with sight loss to seek solutions themselves
 Value for money - Emotional support helps to significantly reduce the impact of sight loss and subsequently reduce costs to Primary and Secondary Care and Adult Social Care
 Sustainability - Mainstream providers will have the skills to support people with sight loss
 Integration - Emotional support staff will connect people with sight loss, their families and carers to networks e.g. eye clinics, opticians, GPs

Dissemination
 Provide practice-based evidence to commissioners of mental health services (e.g. Clinical Commissioning Groups)
 Share good practice within Action for Blind People using its knowledge management system
 Share good practice across therapy provider networks seeking more accessible entry to their practice for people with sight loss
 Share good practice with partners to improve access to psychological therapies

Action on Hearing Loss
Our “Hear to Care” project aims to improve long-term care and support for older people with hearing loss by testing out changes and improvements which can be made to improve the diagnosis and management of hearing loss in care settings.
Service Users
 Older people with hearing loss living in mainstream care settings
 Staff working in care settings
 Families and friends of older people living in care settings
Key Objectives
 Improve the recognition, diagnosis and management of hearing loss in mainstream care settings
 Improve communication between older people with hearing loss and carers, resulting in more personalised interaction
 Increase social interaction by older people with hearing loss in care settings and thereby reduce or prevent isolation
 Improve knowledge and skills of staff in hearing loss and hearing aid management
 Embed improvements and practical solutions into care home practices
 Disseminate the findings and practical guidance to achieve improved care for older people with hearing loss in care settings on a wider scale
Delivery methods
 Working with eight care homes, baseline benchmarking of their current approaches to managing hearing loss
 Development of outcomes framework to map outcomes achieved for stakeholders through the improvements and changes tested by the project
 Consultation with service users, care staff and family members
 Testing out and implementing practical solutions e.g. hearing screening, use of listening aids. All activities supported by our volunteers
 Training for staff on hearing loss awareness and hearing aid management
 Evaluation at each stage
 Action plan to embed changes into care homes practices
Outcomes
 Better use and improved management of hearing aids and hearing loss in care settings
 Improved communication between service users and care workers, resulting in more personalised and effective interaction
 Increased social interaction for service users and reduced isolation
 Earlier identification of hearing loss enabling appropriate support to be provided as soon as possible
Dissemination
We will produce a comprehensive guidance and toolkit for care service providers and social care commissioners to enable them to implement changes and replicate good practice from our project.
We will hold a launch event to promote the findings of our project and our toolkit and will disseminate the toolkit through our network of contacts across the care sector.
We will share our learning with the Care Quality Commission as part of our organisation’s work to encourage them to consider the needs of people with hearing loss in their standards.

EATWELL AND LIVEWELL: will work with older people with identified nutritional issues following a MUST assessment. Using an outcomes tool we will work with the older person and their carers to address the issues impacting on their diet (e.g. isolation, access to groceries, financial issues).
Service Users
 The project will work with 1040 older people across the life of the project.
 Service users will be:
o Over 50 And
o Had a MUST assessment (Malnutrition Universal Screening Tool) and diagnosed with nutritional issues OR
o Be the carer of someone who has had a MUST assessment and diagnosed with nutritional issues
 The project will recruit 96 volunteers to support the project, across the life of the project.
Key Objectives
 Establish a referral system with primary and secondary care for older people in categories 0 – 2 of the MUST assessment to the Eatwell and Livewell Service.
 Use voluntary sector staff and volunteers to repeat the MUST assessment at regular intervals
 Work with older people and their carers to understand how positive changes to their diet and nutrition can improve their overall wellbeing
 Offer a training programmes using volunteers for carers and older people on how to use the eatwell plate; choosing healthy foods and we will offer general skills in cooking; how to plan a menu for the week and what foods to buy to make the diet healthy.
 Raise awareness of malnutrition.
Delivery methods
 The service will be delivered in Doncaster, Calderdale and Kirklees.
 Working with Community Dieticians; primary care Health Champions and elderly care wards we will identify older people at risk of malnutrition through use of the MUST assessment.
 Using an outcomes assessment tool we will identify an action plan to support the older person and their carer to improve their nutritional intake.
 Using volunteers we would support the older person and their carer (if they have one) with food diaries; education programmes on food choices; simple cook and eat sessions; on-line shopping or access to groceries.
Outcomes
 Older people have improved health due to a better diet and improved nutritional intake.
 Older people have an improved quality of life
 Health resources will be used more effectively, freeing resources to be used elsewhere.
 Carers will be able to support their partner or family member in a positive way and have an improved quality of life
 Volunteers will see improvements in their employability; or empowerment or
 Using volunteers we hope to see an improvement in community resilience
Dissemination
 We will share the learning
o with Age UKs nationally (through webinars, newsletters, workshops)
o the DoH third sector strategic partners
o Through a variety of national conferences
 We will share our new pathway with service and quality improvement professionals within NHS England; through strategic, academic, regional and national networks of health commissioners and clinicians.
 We will produce case studies of the older people we work with and promote these amongst organisations
Age UK
Support Services
(Yorkshire & Humber)

Amateur Swimming Association (ASA)
To build a network of dementia friendly pools; to produce guidance for pools and those in health care provision; to develop and deliver specific qualifications as well as building a network of delivers.
Service Users
 Dementia suffers
 Dementia carers
 Swimming teachers
 Front of house facility staff
 Health trainers
Key Objectives
 Bringing together key stakeholders to lower barriers to participation and encourage swimming for older people with Dementia and their carers
 Establishing a framework for delivering swimming for those suffering from dementia and their carers
 Establish safe, supervised swimming sessions around three strands- relaxation, energy and exercise to music
 Support the governments training of one million dementia friends
 Monitor & evaluate both behaviour change and the economic & financial impact
 Develop a list of dementia friendly swimming pools
 Develop & deliver a specific dementia swimming course for deliverers
Delivery methods
 National Steering Group
 National Research Steering Group
 6 x Local Steering Groups
 Appointment of two project coordinators
 ASA divisional support through network of Aquatic Officers
 Local Authorities and Pool operators
Outcomes
 Work with 2 Local Authorities in year 1
 Work with a further 4 large Local Authorities in year 2
 100+ pools to be identified by year 3
 Training for 300 key swimming related staff & 300 front office staff over the 3 year period
 60 cascade courses to aid sustainability
 3,000 users dementia plus practical swimming experience for a further 1,500 adult carers
 Contribute to PM Dementia Challenge of 1 million Dementia Friends
Dissemination
 ASA internal and external marketing plans
 Annual seminars
 Local Swimming Action Groups
 Alzheimer’s Society
 Department of Health
 Public Health England
 County Sport Partnership Network
 Age Action Alliance & Responsibility Deal networks.
 Clinical Commissioning Group

Best Beginnings
From Bump to Breastfeeding: Working together to improve breastfeeding rates and health outcomes nationally.
Service Users
 Women, their children and families – particularly those from disadvantaged/vulnerable groups known to suffer health inequalities including young mothers/those from lower socio- economic groups where breastfeeding rates are particularly low.
Key Objectives
 Increase awareness of bespoke local versions of Best Beginnings’ From Bump to Breastfeeding DVD and other resources including the free Baby Buddy phone app as highly cost-effective interventions to augment & enhance other local breastfeeding initiatives;
 Co-develop and deliver effective plans to embed the breastfeeding resources in a multi-pronged approach to increase breastfeeding;
 Give staff vital insight into parents’ experiences to inform aspects of their practice;
 Share “rapid insights” gleaned by the evaluators in different localities
 Use the From Bump to Breastfeeding DVD and other resources to enhance staff confidence & knowledge in supporting breastfeeding;
 Ensure more women receive the DVD and other resources in the context of significant conversations at key antenatal/postnatal points in the care pathway.
Delivery methods
 Engage key stakeholders and influencers at Regional level and define locality leads (initially in three areas)
 Consult with health professionals in localities, identify their needs, showcase Best Beginnings resources including the From Bump to Breastfeeding DVD and Baby Buddy app and produce a plan
 Implement the plan including the design, creation and embedding of Best Beginnings resources, including the From Bump to Breastfeeding DVD, Baby Buddy phone app and Baby Express magazine
 Share rapid insights
 Evaluate
Outcomes
 Increase number of women and families receiving/using Best Beginnings resources related to breastfeeding
 Improve care during pregnancy/early years
 Increase knowledge/create cultural change amongst multi- disciplinary staff
 Increase awareness of health/social/economic benefits of breastfeeding amongst staff/parents
 improve physical/mental health of children through increased breastfeeding rates
 improve engagement with health/care providers
Dissemination
The cyclical nature of the project means that findings will constantly be disseminated & best practice shared across areas, raising the base-line for best breastfeeding practice. Effective practice will cascade down through consultation/workshops/training across the regions.
Best Beginnings also speaks at national conferences, addressing large audiences on effective best practice.

British Institute of Human Rights
Care and Support: A Human Rights Approach to Advocacy
This project is working with six third sector groups to ensure people with mental health and capacity issues have increased control and autonomy over treatment decisions, helping to secure dignified and respectful interactions with services.
Service Users
The project will engage directly with service users of the partner organisations via the capacity building programme. It is expected this will impact service users helping them to:
 increase control and autonomy over treatment decisions
 be treated with dignity and respect
 improve knowledge and confidence to advocate for their human rights
In addition the project resources will be widely available in hardcopy and electronic formats to increase reach among service users.
Key Objectives
 empower voluntary and community groups to support people they work with who have mental health and/or capacity issues to have increased control and autonomy over treatment decisions and be treated with dignity and respect
 enable advocacy and support organisations to embed a human rights approach across their work, particularly to support people with mental health issues and/or capacity issues.
 improve knowledge and confidence of service users to advocate for their human rights in health and care setting
 strengthen the ability of voluntary and community groups to disseminate learning on a human rights approach to advocacy and support in health and care
Delivery methods
 Network development and learning sets with human rights leads in partner groups
 One to one support for human rights leads in partners groups
 Capacity building programme, including resource tools, for staff and volunteers in partner groups
 Capacity building programme, including resource tools, for partners’ service users
 Open access learning opportunities for local third sector groups
 Dissemination, learning opportunities and forward planning for partners and local decision-makers
Outcomes
 service users are more able to challenge poor practices which pose a risk their health and wellbeing and other legally protected rights – either on their own behalf or via advocates
 Third sector groups are able to articulate service concerns using human rights based language and solutions
 Service providers become more familiar with the use of a human rights approach to advocacy and proactively respond to concerns raised
Dissemination
 An online resource hub to house and disseminate good practice and resources.
 Series of roundtables to disseminate project learning.
 BIHR has access to a range of unique dissemination avenues developed via training and consultancy services and community engagement, including our annual Human Rights Tour which reaches approximately 1000 people each year (well attended by those in the health and care fields) and a mailing list of over 5000 contacts interested in human rights in practice work and learning.

British Institute of Human Rights
Delivering Compassionate Care: Connecting Human Rights to the Front Line
Working with seven mental health services in each of the regions, this project seeks to empower staff to deliver rights respecting services for patients with mental capacity and/or health issues, who are at risk of having their dignity compromised.
Service Users
 Working with seven mental health/capacity services we anticipate reaching approximately 10,000 service users.
 The focus on frontline services and the prioritisation of training for care assistants and support workers (band 1-4 staff) means the impact on patient experience is likely to be greater,
 By reaching an additional 500 practitioners through open training courses and roundtable meetings the impact on service users more widely will be significantly higher.
Key Objectives
 To fill the gaps in accessible and accurate resources and training on how human rights relate to the delivery of compassionate care for people with mental health and/or capacity issues
 To increase the understanding of how human rights framework can assist front line care workers in making (often difficult) decisions on a day-to-day basis.
 Building the capacity of front line care staff to spot potential human rights issues and increased confidence to mitigate interference with patient’s human rights.
 Increased knowledge on where to seek advice and support.
Delivery methods
 Capacity-building and mapping events across the seven regions
 Application-based partnerships with mental health/capacity services in each region
 Specialist training with partners for up to 700 band 1-4 staff, piloting and finalisation
 Capacity-building with 70 Human Rights Champions within partner services, identification of areas for service improvement and development and piloting of practitioner resources
 Open calendar of regional training sessions and dissemination roundtables
Outcomes
This project aims to improve outcomes for patients by supporting frontline staff to deliver mental health services that respect and protect human rights. Outcomes include:
 services that involve patients in decisions about their care more effectively;
 services that are non- discriminatory and respond to patients more holistically;
 services that are more accountable with effective complaints procedures and whistle blowing policies.
Dissemination
 Series of sessions in year 1 to engage key stakeholders
 Series of learning roundtables in year 3 to share and cascade project learning.
 BIHR has access to a range of unique dissemination avenues developed through our training and consultancy services and community engagement work on human rights, including our annual Human Rights Tour (community- based workshops) which reaches approximately 1000 people each year (well attended by those working in the health and care fields) and a mailing list of over 5000 contacts interested in human rights in practice work and learning.

Cancer Research UK
Oral Cancer Toolkit: A training tool to aid early detection and improved outcomes for oral cancers
Service Users
 There are 101,594 dental care professionals registered with the General Dental Council of which nearly 40,000 are dentists. There are 40,265 registered GPs practicing in the UK. The toolkit will be made available free of charge to all of these health care professionals. We would expect to engage around 15,000 individuals over the three years of the project.
Key Objectives
 Change behaviours in the dental profession so that more dentists include a soft tissue examination as part of routine checkups.
 Increase dentists’ and GPs’ confidence in their ability to refer suspicious oral lesions to secondary care
 Increase dentists’ and GPs’ knowledge around prevention and detection of oral cancer
 Increase awareness among dentists of the two-week wait pathway and increase its use
 Increase the proportion of people referred through two-week wait who are subsequently diagnosed with oral cancer
 Encourage dental care practitioners and GPs to disseminate prevention messaging to their patients
 Encourage dentists to raise awareness among patients that they should report changes to their mouth to dentists
Delivery methods
Incidence rates of oral cancer have risen by a third in the last decade with 6500 cases diagnosed and 2000 deaths in 2010. Additionally, it is one of the few cancers that has a trend of increasing mortality. Outcome is greatly enhanced by early detection with prompt treatment improving two-year survival rates from less than 50 per cent at stage four to 90 per cent at stage one. This proposal aims to use the successful model of the GP Skin Cancer Toolkit developed 2011-14 under the innovation strand to create a similar toolkit for dentists and GPs covering oral cancer.
Outcomes
 The project aims to educate the audience in issues surrounding oral cancer so that after interacting they should be better placed to identify at risk individuals and identify the key oral changes that indicate referral. The effect of this should contribute to earlier referral of suspicious oral lesions and consequently earlier treatment. Long term, this has the potential to reduce emergency admissions; the NCIN Routes to Diagnosis (2006-2008) states that 7% of oral cancers are currently diagnosed by emergency presentation.
Dissemination
The findings of the evaluation will be shared with key stakeholders and other interested parties across oral health and cancer. We plan to publish the results of our evaluation in relevant academic journals and will also look for opportunities to disseminate learnings through conferences as we did recently for the GP Skin Cancer Toolkit at the Primary Care and Public Health conference in Birmingham. Additionally, as part of our aim to sustain the toolkit beyond the three years of funding we will be looking for opportunities to share our learnings through PR.

The Care Leavers Association
To improve the health of adults and young people who were in the care of the state as children by utilising the user voice to develop guides and resources to better inform the commissioning and delivery of services.
This will result in health professionals being more aware and informed of the heath issues facing care leavers and how to combat them. This will lead to better services and better outcomes for care leavers.
Service Users
 Adults who were in care as children (care leavers)
 Adolescents in care
Key Objectives
 Engage with CCG Development NHS England
 Identify 10 CCG’s to work with
 Mapping report of 10 CCG’s current service and resource provision
 Establish 3 User Voice Forums
 Consultation with care leavers in 10 CCG areas
 Partnership Seminars in 10 CCG areas
 Develop action plans for each area
 Co-produce resources
 Establish local participation mechanisms
Delivery methods
 Engagement
 Participation
 Co-production
 Forums
 Resource development
 Piloting and evaluaiton
Outcomes
 Increased awareness of the health needs of care leavers
 A range of resources to support commissioners
 Improved commissioning of services in relation to care leaver health
 Increased user voice participation in health services for care leavers
 Improved long term health outcomes for care leavers
Dissemination
 Disseminate amongst other CCG’s and NHS England
 Provide training and support mechanisms for other CCG’s to implement resources

Community Catalysts CIC
We are establishing an Incubator, supporting the development of Shared Lives providers through the provision of social investment and expert support. The social investment meets the upfront costs of staff needed to expand the Shared Lives scheme.
Service Users
Shared Lives is a cost-effective model of care that enables people who need support to live full lives in their community. Shared Lives carers offer a range of services from long-term accommodation and care to day support and respite. Shared Lives carers help people to develop independent living skills, friendships and roots in their community.
There are currently 9660 people supported in Shared Lives arrangements and nearly 80% of them have a learning disability. The project will extend Shared Lives to another 750 people at the end of 5 years. The project has an explicit aim of enabling people with different support needs to enjoy Shared Lives.
Key Objectives
 An Incubator Director is employed to allow the Shared Lives Incubator to quickly reach its full potential
 Social investment of £1.2m is gained in the first instance, which will allow investment in the growth of 4 or 5 Shared Lives schemes at any one time
 Local authority commissioners and Shared Lives scheme managers across England understand the role and value of the Shared Lives incubator
 Forerunner schemes identified for incubation across three local authorities have progressed into the incubator
 10 Shared Lives schemes have progressed into incubation in 5 years’ time, offering services to up to 750 new people who need help to live their life and to connect and contribute to their local community.
 Shared Lives services are used by many different kinds of people, including people with high support needs.
Delivery methods
 The Shared Lives Incubator is a partnership between Community Catalysts, Shared Lives Plus, MacIntyre and Social Finance.
 Shared Lives Plus through its membership network and through its national role helps to ensure that the role of the Shared Lives Incubator is understood and valued.
 Community Catalysts works with Social Finance to secure social investment and reports to investors through the investment committee.
 Community Catalysts works with delivery partners Social Finance and MacIntyre to provide investment and expert support to selected Shared Lives schemes, to enable their development and growth.
Outcomes
At the end of 5 years
 750 more people who need support to live their life will be living full lives in their community rather than alone or in a care home
 Over 400 people have entered self-employment as Shared Lives carers.
 There are examples of sustainable business models for independent Shared Lives schemes which can be adopted across the sector
 Savings of around £2m have been delivered for local commissioners of schemes who entered the incubator at the start of the project.
Dissemination
Community Catalysts has developed a comprehensive plan for national engagement. This consists of a series of regional targeted commissioner and scheme workshops. Engagement is made possible by Community Catalysts’ extensive local authority network and the networks and operating channels of its partners,
Shared Lives Plus plays an important role in disseminating information about the project and its outcomes to its Shared Lives members and by providing reassurance about its purpose and ethos.
The partners will also disseminate information about the project on their websites, through blogs, articles and through social media including Linked In, Facebook and twitter.

Brief summary
1 in 10 young people in the UK
are estimated to have mental
health difficulties.
CORC is a leader in developing
and promoting meaningful use of
patient reported outcome
measures (PROMS) and patient
reported experience measures
(PREMS) to underpin quality
services, providing bespoke
support, analysis and reporting to
services, with one objective to
inform commissioning decision
making to support children, young
people and families.
“CORC has been invaluable in
enabling us to consider and
demonstrate our impact ... Support
from CORC enabled us to put
improvement plans in place and we
have seen a real difference in the
impact we have with our young people
(Wendy Traynor, Young People’s
Advisory Service, Liverpool CAMHS)
Service Users
Early help for young people
with complex needs reduces
escalation of difficulties and
encourages healthy lifestyles.
Using outcome measures
effectively leads to improved
wellbeing and reduces dropout
rates.
Key Objectives
 To develop a regional field force across 5 health regions to enable voluntary sector and other
providers to more effectively collect, share, understand and use outcome data to improve the
service provision for children and families.
 To create, facilitate and support sustainable locally based learning collaborations between
commissioners and service providers of all forms to support new responsive models of
commissioning to support more personalised care.
 To ensure young people and their families’ views of progress and impact of treatment are at
the heart of decision-making within and about services.

Delivery Methods
Regional networks of
communities of practice,
supported by local champions
with close links to the CORC
central team, sustained after
end of project.
Development Outcomes
As a result of this project we
anticipate:
• Better outcomes for service
users
• Increases in the use of
outcome information
• Increase in number of
voluntary sector members
of CORC
• Better quality and
completeness in data flow
from voluntary sector to
commissioners
• New and innovative models
of responsive
commissioning
Dissemination
The CORC collaboration
covers over half of all
statutory CAMHS providers in
the UK, estimated to include
over 10,000 staff.
We will support dissemination
and embedding of key
learning and best practice
through published papers,
professional networks,
service user networks, social
media, relevant websites,
training events, and member
forums. Look out for events
on our website
www.corc.uk.net

DC Network
Improving support for donor conceived children and their families by implementing a comprehensive business strategy for a small national charity
Service Users
 Anyone considering donor conception – single women, lesbian couples, heterosexual couples, gay men
 Families with donor conceived children
 Children and adults conceived through donor conception
 Professionals working in the field – counsellors, clinicians, nurses, lawyers
Key Objectives
Understand the make-up of our membership and their needs and wishes
Engage with stakeholders
Improve efficiency
Improve the resources, support and information available to donor conception families
Develop and implement a business strategy that will sustain us in the future
Delivery methods
 Detailed survey of our membership and in-depth analysis
 Develop closer relationships with clinics, counsellors and other stakeholders
 Create a ‘corporate supporter’ package
 Widen our membership options
 Increase membership and retention
 Improve support for members
 Wider range of publications and diversify range of resources
 Wider range of workshops
 Improve the website and increase the number of online activities
Outcomes
 Thorough understanding of our service users - needs and opportunities
 Improved recording and reporting of activities/outcomes
 Increased contact and engagement and number of occasions of personal support
 Extended our reach to service more donor conception families
 Increased product range and revenue
 Developed links with ‘corporates’
 Improved online presence
 Supported people to take control of choices
 Achieved adequate reserves
Dissemination
 Feedback to other stakeholders information regarding service users and their needs
 Broaden best practice
 Details shared of new income streams identified and new products created
 Report on the financial strategies implemented and their impact

Endometriosis UK
Our project aims to achieve the following:
- To improve volunteer’s experience and increase the sustainability of volunteer-led local support services
- To implement links between specialist endometriosis services and local support groups
- To improve the patient experience and their perspective of their own care
- To increase awareness and understanding of endometriosis
Service Users
 Volunteers
 Local group members
 Endometriosis Patients
 Suspected patients – those with cause for concern
 Key stakeholders – local and national health specialists, local and national government, other bodies
Key Objectives
 Providing additional staff support for volunteers
 Increased volunteer roles and frequency of support groups
 Build relationships with existing specialist endometriosis centres and key local stakeholders
 Signpost patients to further support, information and appropriate services
 Lobby local and national health commissioners, government and other bodies to move endometriosis care up the policy agenda
Delivery methods
 Regional Development Officer in place in each region to support volunteers, build relationships with key stakeholders and seek out business development opportunities
 Participate in local events to raise awareness such as GP training events, hold local Information events
 Recruit volunteers to roles in response to local need and demands of group
 Establish new groups in response to local need
Outcomes
 More supported volunteers and strengthened support groups mean more frequent and sustainable support for group members
 More patients have access to local support services and are more informed about their healthcare choices and self- management
 Stronger links between local health services and volunteer- led groups, leading to a continuum of care for patients
Dissemination
Ongoing evaluation will take place in each locality and overall for the whole project. Findings will be disseminated to key stakeholders and throughout Endometriosis UK’s community, including our members and volunteer body.
All findings will be used to inform future business and strategy within the organisation.

Fair Shares Gloucestershire
Creating neighbourhood support systems for older people and those with long term health conditions.
Service Users
 Older people and those with long term illnesses
 Wider community members participating in the time bank
Key Objectives
 Help prepare communities for the aging population
 Rebuild the neighbourliness that communities used to be based upon
 Older people and those with long term illnesses be more independent in their community
 Build resilience of individuals and communities to prevent ill health
 To create a model of working that can be used
Delivery methods
 Working in a very localised way we will bring people together with their neighbours to create support networks
 These small networks will share practical skills through time banking to help support the vulnerable members
 A ‘buddy system’ will operate to provide pro-active support
 Training and social events will support the work of the time bank members
 We will work with existing service providers and build links with health professionals
Outcomes
 Older people and those with long term health conditions will benefit from;
-reduced isolation
-increased community connections
-increased ability to maintain well-being
-increased ability to maintain independence
-increased resilience during times when people are particularly vulnerable (eg. cold spells)
Dissemination
Our work will be disseminated through Fair Shares local and regional networks, the time banking South West network (currently being developed), the Timebanking UK networks and networks of commissioners, local authorities and partner time banks.

The Hepatitis C Trust
Targeted hepatitis C testing and
awareness events for people in
the South Asian community
Service Users
 People from the South Asian
community
 Local PHE teams in high
prevalence areas
 Hepatology units at hospitals in
high prevalence areas
Key Objectives
 Provide hepatitis C testing for people in the South Asian community
 Increase knowledge and awareness of hepatitis C within the South Asian community
 Dissemination of findings via web tool to influence national activity
Delivery methods
 33 testing and awareness events
 Good practice model via web based
learning tool
Outcomes
 Increased numbers of people
diagnosed
 Improved awareness of the
need for testing and access to
care and treatment
 Increased referrals to secondary
care
Dissemination
 Annual report available via e-update,
newsletter and web-based
learning tool
 Learning shared at relevant
conferences (EASL, BASL) and
via APPSUK and South Asian
Health Foundation

NAM Publications
To develop and implement a new business model for the delivery of high quality treatment information on HIV to clinics across England, in order to meet their patients’ needs.
Service Users
 Primary: People living with HIV
 Secondary: Nurses, pharmacists, health advisors and clinicians
Key Objectives
 To ensure the continued provision of high quality HIV treatment information to support patients attending clinical services
 To enable the England’s HIV treatment centres to adhere to NHS England’s key performance indicators around information for patients and self-management support
 To establish closer working links with clinical services and patients to ensure materials address their needs
Delivery methods
 Print
 Interactive tools
 On-line portal
 App
Outcomes
 100 clinics join membership scheme across England
 Clinic members report improved integration of NAM’s patient information resources within their services
 Reach 30,000 patients
 85% of patients feel more empowered to take decisions about their treatment and care
Dissemination
We plan to document the success of the project as, if successful, this approach could, we believe, support other information providers who are facing challenges securing income via traditional funding avenues. We participate in the Patient Information Forum, a grouping of health information providers, which provides a useful channel through which to disseminate the findings.

National Gamete Donation Trust
National Sperm Bank
Service Users
 All UK licensed fertility clinics
Key Objectives
 Co-ordinate sperm donor recruitment
 Increase availability of donor sperm for recipients
 Improve donor experience
 Provide a template for other UK licensed fertility clinics
Delivery methods
 Donors recruited from the Birmingham area.
 Spokes across England that can co- ordinate donor recruitment
 Sperm sold direct to clinics
 Financially viable within 12 months
Outcomes
 Increase in donor sperm availability
 Improvement in sample management which will increase effective use of available samples
 More recipients offered donor sperm treatments
 A national template for UK licensed fertility clinics
 A coordinated information centre about donor availability currently not present
Dissemination
Project findings will be disseminated to the Human Fertilisation and Embryology Authority, the Department of Health, the British Fertility Society, the UK licensed fertility clinics and all relevant organisations and bodies.

OPAAL:
The Older People’s Advocacy Alliance
Older People’s Cancer Voices will use filmed case studies to influence local commissioning and develop best practice guidance for advocacy organisations working with commissioners
Service Users
 Older people affected by cancer will be recruited to be the subject of filmed case studies
 Local cancer champions will be supported to get involved with local Healthwatch and thereby influence local service delivery mechanisms
 They will be encouraged to present their own filmed case studies to commissioners of cancer services
 They will have an increased profile in local decision making
 They will be recognised as contributors as well as service users
Key Objectives
 To reduce the impact of age discrimination in the provision of cancer services for older people affected by cancer
 To produce filmed case studies of older people affected by cancer talking about the positive impact of peer advocacy support on the cancer pathway
 To show case study films to commissioners of cancer services to aid the “buy in” to advocacy provision
 To develop good working relationships with local commissioners who go on to commission peer advocacy services for older people affected by cancer
 To develop best practice guidance for advocacy organisations to use in building successful relationships with commissioners of cancer and other long term health related conditions
 To support local cancer champions to create the tools to influence local service provision through participation and involvement with local Healthwatch
Delivery methods
 We will work with existing delivery partner organisations
 We will use the voices of older people affected by cancer to illustrate the value they place on peer advocacy support and the impact this can make to their lives along that cancer pathway
 We will develop relationships with commissioners of services at local level
 We will support older people affected by cancer in presenting filmed case studies to commissioners of cancer services
 We will develop best practice guidance and share this with advocacy organisations working with older people with a range of long term conditions
Outcomes
 Older people affected by cancer will feel more able to influence local cancer services
 There will be an increase in the local commissioning of peer advocacy services for older people affected by cancer along the cancer pathway
 Older people affected by cancer will be less likely to experience health inequalities during their cancer journey
 A range of filmed case studies will be available for use by the wider advocacy community
 Best practice guidance will be shared within the advocacy community
Dissemination
•We plan a number of regional dissemination events across England
•Advocacy providers as well as commissioners of services for older people with a range of long term health conditions will be invited to attend
•An external evaluation report will be published and publicised via our website, blog, Facebook page, Twitter accounts and OPAAL members bulletin
•We will use our network of contacts to increase the reach of our dissemination

The Wellness Package
The Wellness Package is designed to help improve the lives of those affected by the consequences of cancer and its treatments.
It comprises an introductory 15 hour ‘Living Well with the Impact of Cancer’ course plus ‘Follow Up’ support services over 12 months.
The Wellness Package will deliver 60 Living Well courses and 12 months Follow Up services over 18 months in five regions (London, West Midlands, Yorkshire & the Humber, South West and South Coast).
g
Making a difference
Mike Harris was just 31 when he was diagnosed with bowel cancer.
“The Living Well course helped me to take back some
control. I started to understand the importance of diet
and exercise, making lasting changes that make me
feel physically and emotionally stronger.”
Mike has recently been given the all-clear and has celebrated
his son’s first birthday.
Key Objectives
 To offer information on eating well; exercise; relaxation and stress management; emotional support; personal relationships; financial and welfare issues
 To offer people attending the Living Well course self-management tools and personalised SMART action plans
 To follow up participants to ensure good continuity of care and support
 To work collaboratively with local cancer service providers to deliver our Living Well courses in partnership through a developing network of locations in the UK
Living Well courses demonstrate how good nutrition, physical activity and lifestyle changes can make a difference to participants and their carers. The Living Well pilot was recognised by the National Cancer Survivorship Initiative and the Living Well course is a cited case study in their report ‘Living with and Beyond Cancer: Taking Action to Improve Outcomes’ (March 2013).
Services Users Impacted:
60 Living Well courses and 12 months Follow Up services (including deprived areas) will reach 720 people living with the impact of cancer.
Delivery methods
Living Well courses are modular and are delivered by accredited Facilitators and can be delivered in a range of formats.
Courses focus on six key areas:
 Healthy eating and good nutrition
 Exercise and physical activity
 Relaxation and stress management
 Emotional and psychological support
 Managing the impact on relationships, family and friends
 Financial and welfare issues
Clients are encouraged to create individual SMART action plans to help promote sustainable healthy lifestyle and support wellbeing.
Follow Up Services
After attending a course, participants are able to access Follow Up services. These comprise a series of interventions designed to help people maintain positive lifestyle changes after they have attended a Living Well course.
 Follow up phone call by our Helpline 4 - 6 weeks post Living Well course.
 40 minute telephone appointment with a Doctor and/or Nutritional Therapist.
 New online resources and services (relaxation sessions and recipes)
 Follow Up days in the region
 Ongoing information and support, along with signposting to appropriate local services.
Outcomes
 The Wellness Package will use a proven model of delivery, test a new approach, provide value for money. We shall:

 Measure the impact of the Living Well course on participants self-management e.g. good nutrition and physical activity
 Assess whether the Wellness Package has changed how and/or when patients access health services
Outcomes will include:
 Improvements to patients' wellbeing
 Reduction in the severity of patient cancer related concerns.
A rigorous, longitudinal service evaluation by the University of Westminster showed that Living Well courses make a significant improvement to the majority of our clients’ wellbeing, health related quality of life and their concerns related to their cancer and treatment. It also showed that clients sustain lifestyle changes as a result of attending a course.
Dissemination
Results will be launched at our annual National Living Well Conference. Findings will be shared with participants, local and national health providers and staff.
We shall:
 Continue to build relationships with health professionals e.g. Primary and Secondary Care clinical teams
 Engage with Public Health and Council and Community Partnerships
 Attend and exhibit at relevant events and conferences
 Engage with tumour specific support groups and our user involvement groups
 Hold market stalls at Health and Wellbeing Clinics
 Seek to publish results in peer reviewed journals

Race Equality Foundation
Tackling violence and improving the health and care outcomes for children and young people through the Strengthening Families Strengthening Communities Programme
Service Users
In each of the three project areas 33 parents and 69 children will be impacted each year. This means that in three years 297 parents and 642 children (a total of 921 service users) will have been impacted.
A diverse set of service users will be engaged through this work. Existing studies of SFSC demonstrate the programme regularly engages with parents on low incomes, fathers, lone parents, white majority and a range of black and minority ethnic parents. This work will target families where there are risk factors associated with children and young people experiencing violence such as where there is poor parental supervision, use of harsh punishments and evidence of parental conflict.
Key Objectives
 Deliver 27 SFSC programmes of 13 weeks each across Kent, Kirklees and Manchester
 Deliver SFSC to 297 parents
 Train 28 practitioners to deliver the SFSC curriculum in Kent, Kirklees and Manchester
 Encourage and build partnership work between practitioners and volunteers in the statutory and voluntary and community sectors, and across health and social care
 Evidence programme impact on reducing the risk and impact of violence in the lives of young children
 Evidence programme impact in tackling health and care inequalities
Delivery methods
Work with parents will take place through the group based SFSC programme. Each course will run for 13 weeks and parents will receive 39 hours of support. Programme delivery will include a range of methods including:
 role play
 discussion
 information provision
 small and large group activities; and
 family home activities.
Programmes will be delivered in partnership with agencies and with the engagement of key stakeholders such as health visitors, GPs, children centre and social services staff and voluntary sector organisations.
Outcomes
• At least 90% of parents from all ethnic groups will report increased confidence in their parenting abilities;
• At least 80% of parents will report an improvement in parent-child relationships;
• At least 80% of parents will report an improvement in their ability to identify and limit risk factors;
• At least 80% of parents will report decreased use of harsh discipline methods, such as shouting and physical punishment;
• At least 80% of parents will report increased positive communication methods;
• At least 70% of parents will report better knowledge of and confidence in contacting agencies for support (including police);
• At least 70% of parents will report that their children are more cooperative and confident.
Dissemination
Dissemination will be ongoing throughout the lifetime of the project.
 The advisory group will take a lead role in disseminating in Kent, Kirklees and Manchester and to key agencies such as CCGs.
 The SFSC website Strengthening Practice will publicise the work and new developments to the SFSC workforce and will be part of a social media strategy.
 Practitioner forums such as Making Research Count and the Race Equality Coalition will also be used to highlight the work and its implications.
 Programmes of work the Foundation are involved in such as Engage London and the Strategic Partners Programme will provide an opportunity to disseminate findings

RNIB
Early Intervention and rehabilitation in Eye Care Services Project
Aim :
To create an early intervention delivery model based on need that streamlines existing services that are cost effective and improves outcomes for blind and partially sighted people.
Service Users
Blind and Partially Sighted people and their carers
Professionals working with blind and partially sighted people and workforce
Commissioning bodies.
Voluntary Sector organisations supporting blind and partially sighted people
Key Objectives
 Use learning to develop a new, streamlined delivery model that includes early intervention support before a full community care assessment and cost-saving innovations such as peer support programmes
 Build a professional learning network to increase capacity, efficacy and share best practice, linking rehabilitation professionals to related fields such as OT with clear referral routes
 Equip local people with the information they need to make decisions and influence change by adding new information gathered to RNIB’s Sightline directory, extending the Sight Loss data tool and producing a tool to record and share feedback from local commissioners.
 Map rehab services and referral routes, including low vision and review current outcome monitoring and share good practice to drive up standards
 Undertake a cost benefits review on a rehabilitation service to build an understanding of how rehabilitation can save money in the long term for local authorities.
Delivery methods
 Assess current provision, to map reablement services, update ‘Sightline’ (RNIB’s online directory of services)
 Ensure evidence of effectiveness available to policy makers and commissioners for review and comment.
 Cost benefit analysis
 Gather and disseminate locality data via Sight Loss Data Tool (factual information on people living with sight loss and services)
 Establish support system for workforce, develop Training board and investigate professional registration.
 Annual conference, workshops and training for early intervention professionals.
 Develop system to gather and share commissioner feedback to wide range of stakeholders for localised influence and innovation
 Work with stakeholders to re-design new delivery model from certification to independent living
 Design and disseminate tools for influencing
Outcomes
Beneficiary outcome
B&ps people, their families and carers are able to find information they need more easily and understand how to use it for early intervention.
Professionals gain a better understanding of eye health, eye care and sight loss issues.
Stakeholder engagement and knowledge transfer outcome:
Professionals build the workforce capacity within their services to meet the needs of b&ps people.
Service design outcome:
Optimum design of services based on the sight loss pathway to deliver Seeing It My Way outcomes for b&ps people.
Sustainability Outcome:
Policy makers and professionals build the workforce capacity and services to meet the needs of b&ps people to deliver Seeing It My Way outcomes.
Dissemination
 Designing and disseminating tools for influencing – costs benefits and outcome monitoring reports, commissioner feedback.
 Annual conference: This will act as a communication channel to a wider group of professionals
 RNIB’s online Knowledge Hub for the sight loss sector will act as a central point for to share knowledge and data effectively: data blogs; online resources
 Writing articles for publications
 Professional network to bring a wider early intervention workforce together for peer learning:
 Toolkit for implementation of the sight loss pathway and workshops to co-produce guidelines for how this can be implemented in a local area
 Accessing a wide range of sight loss forums, bring the range of public, third sector and customer expertise together to influence commissioners and industry engaged in health and eye care and social care.

Samaritans and Cruse
Samaritans and Cruse will use their expertise and complementary skills to offer tailored, facilitated support groups to improve the emotional health of those bereaved through suicide.
People who are grieving because of a suicide can feel very alone, suffering from a loss they often feel others don’t understand.
They are a particularly vulnerable group which are at a higher risk of suicide themselves. These structured groups are unique, benefitting from the complementary understanding and skills of Samaritans and Cruse.
Service Users
Those bereaved through suicide.
Groups are for those over 18 only.
Key Objectives
To increase provision of tailored support for those bereaved by suicide.
To more effectively reach those bereaved by suicide.
Delivery methods
Our support groups are specifically for people that have been bereaved by suicide.
Groups run for six consecutive weeks, with each session lasting 90 minutes.
Groups are facilitated jointly by one Cruse volunteer and one Samaritans volunteer.
There is a maximum of eight people in any one group, plus the two facilitators.
Groups are mixed, including people of all ages, of both sexes, and differing experiences in terms of length of bereavement and relationship to the person who has died.
Outcomes
Improved well-being of people bereaved by suicide.
Increased skills and satisfaction levels of volunteers.
Service users find the service credible, relevant and accessible.
There are established pathways into the service from different partners.
Sustained increase in provision from Year 1.
Dissemination
The findings will be disseminated widely within both organisations, reaching over 26,000 Samaritans volunteers and 324 Cruse branches.
To ensure we reach third sector, public and private sector organisations, findings will be shared amongst suicide prevention and bereavement networks including the National Suicide Prevention Alliance, Bereavement Services Association and the National Bereavement Alliance. Articles will be written for relevant publications and presentations delivered at national and international conferences.

SignHealth
To trial a new approach to providing access to health services for Deaf people using online interpreting and tablets. Participants will be able to use the tablet/online interpreter in health settings to break down communication and access barriers.
Service Users
 Deaf people who use British Sign Language
Key Objectives
 To see what aspects of the technology bring an improvement in experience.
 To understand how the technology can best be applied (e.g. different scenarios or patient groups).
 To learn more about patient and clinician attitudes toward the use of this new technology. Do they embrace it, and they fearful?
 To gather evidence so that we (and commissioners and providers) can fully understand the benefits and potential savings of rolling out similar technology.
Delivery methods
 Rolling programme of two cohorts of people in three different parts of the country.
 Quantitative and qualitative data gathered at the start and end of each phase.
 Tablets and training issued to one group.
 Online interpreting service available for participants (8am—6pm).
Outcomes
 Improved patient experience
 Improved access
 Better management of LTCs
 Better clinician experience
 Evidence of improvements
 Evidence of cost savings
 Clearer idea of what to do next with the ‘innovation’
Dissemination
The findings will be disseminated through various channels. Hopefully there will be national coverage in specialist press. NHS providers will be targeted and the findings will be delivered to key people, e.g. equality leads. Three events will be held to assist this.
The findings will also be delivered to key departments within DH and NHSE, e.g. patient experience team.
The Deaf community will also be targeted, so end users are aware of the potential benefits. Three events will be held, as well as general communications work.

Centre for Mental Health Individual Placement and Support (IPS)
Making IPS Work
Service Users
 Making IPS Work aims to support at least 340 people into paid work
 IPS is more effective at achieving job outcomes than any other employment support method for people with severe and enduring mental health conditions
 Anyone is eligible for the service, there are no exclusions
 Direct approaches to employers find work for service users in ‘the hidden job market’
 All community services staff and all service users are encouraged to refer to the service if they would like to gain or retain employment
 Ongoing support is available for as long as it needed.
Key Objectives
 To help 340 people to find jobs which are right for them
 To implement evidence based supported employment within six partner sites: Mental Health NHS Trusts in Yorkshire, East Midlands and the South
 Recruit staff; form local employment partnerships; develop vocational strategies and facilitate planning meetings with commissioners and providers of mental health employment services
 Train a range of staff in delivery of Individual Placement and Support (IPS)
 Publicise the availability of IPS to referrers and prospective service users
 Our evaluation partner will negotiate data collection with the operational sites; gather and analyse a range of data through statistical and qualitative methods
 We will produce a full report which will act as a handbook for organisations wishing to establish an IPS service in their own areas.
Delivery methods
 Staff trained in high fidelity IPS
 Mentoring of staff in best practice
 Modelling recovery approaches in the local setting
 Co-producing policies, documents and service delivery processes with service users
 Negotiating with employers
 Promoting mental health and wellbeing at work
 Leading by example as a Mindful Employer
 Encouraging attention to employment needs at an early stage of recovery care planning
 Discussion of managing personal mental health history
 Partnership working with the local Jobcentre Plus offices
Outcomes
 The NHS Trusts will establish a new or significantly more effective IPS supported employment service in their localities
 New staff will be trained to provide IPS to high quality
 Clinical and employment staff will have a closer working relationship
 The Strategic ‘Regional Trainer’ role will create a legacy of partnership working and establish a secure employment support service
 At least 340 people will be supported into paid work of their choice.
Dissemination
 We will share success of the project with local mental health commissioners and provider organisations to contribute to a business case for ongoing resource for the IPS service.
 We will hold workshops on IPS during the third year in the North East, South West and Eastern regions
 We will make information widely available through the Centre’s website and public events.
What our partners say
“Your IPS project was fundamental in ensuring that we started the right way, recruited the right people, and worked in line with the fidelity requirements. You have been a great critical friend, challenging us when things weren’t going as well as they could.”
~ from the Centre’s impact survey

The Fit for Work Team
Bridging the Gap – addressing the health obstacles to employment
The project will deliver holistic, integrated client-centred interventions to individuals who are unemployed and have health obstacles to work to enable them to become work ready. This will be achieved by developing a more co-ordinated approach to using the third sector and other providers.
Service Users
Our service users are people who are unemployed and have health obstacles to moving closer to work. Those obstacles may be:
 Mental health including anxiety, depression and confidence building
 Physical health issues such as musculoskeletal conditions
 Condition self management
 Social issues such as debt, housing or relationships
Key Objectives
The key objectives of the project are:
 Provide vocational rehabilitation support to achieve an improvement in each client’s health status
 Clients completing the service who are either: in work, work ready, in training or volunteering
 Clients receiving an integrated service
 Engagement with potential commissioners
 Increased number of third sector organisations trained to support unemployed people with health obstacles
Delivery methods
Based in two areas in Year 1, regionally in Year 2 and with a national roll-out in Year 3
We use bio-psychosocial approach to improve clients’ health and wellbeing
We use a case managed approach with targeted clinical support and expertise
We deliver co-ordinated and integrated multiple interventions from multiple providers to deliver better outcomes
The national roll-out will disseminate evidence to support commissioning including draft service specifications and training/development for VCS providers
Outcomes
The following will demonstrate the movement of clients closer to work:
 Reducing the number of people who continue with their claim/appeal for ESA
 Improvements in clients’ health status, across a range of measures
 Moving from ESA WRAG to JSA – in other words being work- ready
 Number of clients in work, in training or volunteering
Dissemination
Our work will be independently evaluated.
We will disseminate our learning and evidence on effective models and interventions through key forums and publications
We will use our local, regional and national networks / contacts to arrange meetings with commissioners. We will build confidence in the commissioners by reporting our learning and outlining the business case.
We will develop and deliver training and development programmes for VCS providers to roll out the model

Tommy’s
Building on Tommy's Baby Be SmokeFree pilot we will develop a stop smoking intervention that is: a) targeted specifically at young pregnant women b) non-judgemental c) convenient and cost-effective d) sustainable. Current stop smoking services are not meeting the needs of this group evidenced by the low referral rates and the high rate of young women who smoke in their pregnancies. Yet babies born to mothers aged under 20 are 60% more likely to die than children born to older mothers and have a 25% greater likelihood of being born too early or too small.
Service Users
Smoking has the biggest impact on health outcomes and life expectancy - tobacco use alone increases the risk of infant mortality by 40%. Young women continue to smoke during pregnancy more than any other age group as reported in the 2012 IFS.
Stop Smoking Services are the most effective way to quit smoking and stay quit and yet these services are greatly under-utilised, especially by young women in pregnancy. By encouraging more young mothers to quit smoking, through a service delivered to suit their needs, we aim to improve the short and long term outcomes for their babies and reduce the costs of looking after mums and babies with adverse pregnancy outcomes.
Key Objectives
 Our overarching aim is to improve health and care during pregnancy by reducing smoking rates amongst young pregnant women through the development of an optimal local smoking cessation intervention.
 We want to develop this innovative intervention including a pathway to enable young pregnant women to quit smoking. We will do this in partnership with the Tobacco Control Collaborating Centre by:
- Delivering an intervention based on insights work to establish the right route for support.
- Delivering an intervention based on behaviour change evidence to ensure techniques for success are incorporated and underpin the intervention.
- Building on existing services in place (based on insights preference) to ensure the intervention is delivered by the right organisation, in the right place and at the right time for young women to engage.
Delivery methods
Phase 1: Scoping
1. Set-up: in-depth risk assessment, detailed project plan, contracts, communication and monitoring framework.
2. Recruitment of localities, engagement with SSS services & staff, midwives and FNP.
3. Qualitative research with young pregnant women who smoke.
4. Insight to get to know front-line workers, managers & commissioners within SSS, maternity and other services supporting young pregnant women within two target neighbourhoods.
Phase 2: Development
1. Development of programme.
2. Delivery of programme in Kent and Blackpool & data collection.
Phase 3: Evaluation & Dissemination
Outcomes
1. Development of an effective stop smoking intervention for young pregnant women (aged <25y) based on insights from them.
2. Evidence from two sites in Blackpool and Kent with 100 young women recruited in total.
3. An improved quit rate amongst 100 young women (verified by CO testing) compared to sites without the teenage specific service.
4. Improved pregnancy outcomes as a result of quitting smoking and staying quit (reduced premature birth rates, reduced numbers of SGA babies).
Dissemination
1. Publish a report with the findings, recommendations and a toolkit for commissioners.
2. Public health journal article and via a health professional network meetings/conferences.
3. Promotion to Tommy’s network of health professionals.
4. Collaborate with stakeholders to promote the report nationally.
5. Collaborate with Tommy’s partners to ensure wide reach across the UK.
6. Up-date Tommy’s teen pregnancy materials.
7. Co-ordinate a PR plan to industry- specific target groups

Innovation, Excellence and Strategic Development Fund Awards 2014-2015

Innovation, Excellence and Strategic Development Fund Awards 2014-2015

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Innovation, Excellence and Strategic Development Fund Awards 2014-2015