Introduce yourself and roleExplain here to provide some background for today’s eventFunded by RHIF, Welsh Government – a £1million 3 – year fund established by Minister Edwina Hart to address rural health across Wales.Around 15 projects funded to develop new and innovative models addressing rural health issues.Third sector in partnership with some of them but also 3 third sector specific projects.As coming to end of programme invited to share learning from projects across Wales. 3 events – this is one of them.Why this venue
This event has been developed in partnership with the 12 H&SC Facilitators across South Wales. These were key learning objectives we came up with.We wanted to meet the original brief from welsh government to share learning from third sector projects, but we also wanted to unpick the good practice thats happening locally across south Wales in the third sector and consider what rural means to its communities.So we are very pleased to have 10 third sector showcases today and opportunities to discuss and explore them and rurality.I was keen the event was also not just another one off opportunity, but legacy for further work within local communities. Therefore following this event we will be running a Rural Health Plan Action Learning Sets – I will share more on this in a bit.Network
Published late 2009.So I mentioned about the Rural Health Fund – this document was the strategy behind it. Set context of Rural Health in Wales and need for change. It also identified three key themes to underpin the diverse range of issues identified.Access – improving access to services across the spectrum from emergency to routine services;Integration – Integrated service models, workforce planning and systems are necessary to improve future service provision and ensure the effective use of all resources and skills within the communities;Community cohesion and engagement – This is an important resource and is of immense potential to rural and urban settings. Community cohesion, engagement and ownership needs to be a key element of service planningObviously the title of the conference, we will also be looking at these areas and what they mean to your work locally in our World Café workshops this afternoon.
Talking to Rural Research Scholar Stephanie Best to define rural for me as I was doing this presentation and I am no expert.She said ‘everyone has a different definition’…Read through Stats.But suggested that it is partly cultural and that really it is down to whether ‘someone feels they are in a rural area or not’.
In Cardiff it is sometimes easy to forget the different challenges people face accessing in their homes and communities in rural areas. However equally challenging to determine what rural means… Not powys – i.e. No District General Hospital, areas are very sparsely populated, however South Wales has very diverse geography and demographics, and access, integration and community engagement are key elements throughout:An industrial legacy with ribbon communities making access to services challenging – Take Bedlinog… public transportIn Monmouthshire challenges of working across English/Welsh border.Areas of Deprivation and poor economic activities attribute to isolation, lack of sense of community – and evidence shows lower life expectancies. – Check Prof Mansell Aylward research!
One of the learning objectives from today was to share the learning from the three third sector projects…A handout on the three projects in your packs.I wanted to share a slide highlighting all the project that third sector orgs have been involved with but won’t fit on so please visit this weblink to find out information. Interestingly Stephanie Best, mentioned to me that one of the key learning points from projects where that the ones that were multi-agency teams, involving third sector organisations, worked best.3 projects – only £4,000 funding each, however each have completed work that is now being developed further in their local areas.
Key objective of project:Identify transport needs for patients who do not qualify for non-emergency transportResources could be better utilised and patient journeys increased
Our Mid Wales Rural Health Event will continue to build on the work of this project – with a dedicated event with national organisation and action learning set to follow.
The Capable Coping Communities project aimed to improve the health and wellbeing of local people by developing their capacity to care for themselves and for others. The scheme had 2 aspects: 1. VolunteerVillage Wardens based within specified communities in Monmouthshire to engage with older people in their local communities, supporting them to access services, participate in everyday activities, to feel safe and be in touch with the world around them. 2. Dawn Patrol Scheme allowed vulnerable older people to feel safe at home and promoted young person citizenship. The scheme encourages young people to check on the welfare of older people on a daily basis whilst following their usual routes to school / college. If a problem is suspected young person informs their teacher, who notifies the dawn patrol team. They then contact the client, and take appropriate action. Unfortunately funding was not secured to sustain the projects but despite this there were positive outcomes:1 The clients receiving the support of the volunteer wardens were referred to a new befriending service – “community connections” you will hear more about this later.2. The Dawn patrol service proved difficult to implement for a number of different reasons e.g. – service provision during school holidays but again there were positive outcomes:the role of the school as part of the community was highlighted“good citizenship” was raised with children and young people
0 setting the context
Inspired access, integrationand communityengagementA Third Sector healthand social care sharingevent: South Wales
Setting the scene Sarah Lamberton National Health and Social Care Facilitator email@example.com www.wcva.org.uk 0800 2888 329 firstname.lastname@example.org
Learning objectives for theday Learn about Third Sector Rural Health Innovation Fund (RHIF) projects and their key findings Explore how this learning and third sector showcases are relevant to your own local working and rural issues in South Wales Examine opportunities, challenges and possible solutions to apply to your own working Learn about Action Learning Sets and the opportunity to participate in one Network with others
Rural Health Plan and innovation fundThree key themes:•Access•Integrated working•Community Cohesionand engagementInnovation Fund work:•Regional DevelopmentSites•Local InnovationProjects•Research and sharing
Rurality is difficult to define –‘everyone has a differentdefinition’ OCED (Organisation for Economic Co- operation and Development) uses a population threshold of fewer than 150 persons/sq km; Office of National Statistics defines populations of less than 10,000 as rural; Deep Rural Project defines places that are over thirty minutes drive time from a settlement of ten thousand people.
And what do we mean by‘Rural’… for South Wales?
RHIF projects – sharing thelearning•RHIF Summary of Reports: a newpublished Welsh Government reportfeaturing a summary of all 15 projects.•Third Sector Coordination in RuralAreas: a report highlighting the detail of thethree third sector projects and the keylearning/outcomesVisit:http://www.wcva.org.uk/images_client/publication/WTSRN%20Newsletter%20Spring%202012.pdf
CAVOProjectOutcomes New ‘pathfinder’ system revealed provision of new volunteers was unnecessary - journeys could be met through existing schemes Age Concern volunteer drivers were busier and better utilised The project encouraged effective partnership working between CAVO, HDHB, the Local Authority and Age Concern
MantellGwyneddOutcomes: Three awareness-raising events held, supported by 40 organisations with over three hundred participants Referral data collected from two voluntary organisations showed an increase in referrals during October 2010 - March 2011 on previous year Co-delivered outcomes with other RHIF project – through a Mobile Information Unit and production of a bi-lingual DVD
Outcomes: Early stages of linking grass roots activities with service planning due to increased cooperation between national agencies and local initiatives. An increase in contact by national organisations with the Health and Social Care Facilitator. This piece of work is now part of a jigsaw of information that is being fed into strategic planning in Powys Teaching Health Board
Capable CopingCommunitiesAimed to improve the health and wellbeing of local people by developing their capacity to care for themselves and for others.The scheme had 2 aspects: 1. Volunteer Village Wardens 2. Dawn Patrol Scheme
The legacy – Action LearningSets Person Action/ Problem Learning Set