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Re-enabling Rural Communities:
        Understanding rural culture
for health and social care service planning

           Lindsay Haveland
    Support and Development Officer
              CTA Cymru


       Delivering social change through leadership, learning and enterprise
       Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
Cefndir CCC
   About CTA
 UK-wide charity with staff and offices in Wales

 Members include CT operators, LA’s, charities, social
  enterprises

 CT meets the travel and social needs of people who are
  disadvantaged because of age, location, mobility, income
  etc.

 In North Wales there are 21 CT operators, with 89% of
  their staff being volunteers, providing over 1m journeys p.a.


             Delivering social change through leadership, learning and enterprise
             Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
Y sector yn y Gogledd
The sector in North Wales




      Delivering social change through leadership, learning and enterprise
      Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
Y Sefyllfa Gyfredol
Current Situation
 Healthcare in NW is changing
 Consultation on Primary &
   Community Services
 Specialist services centralised into
  specified DGH
 BUT 40-50% of NW residents in
  transport poverty




               Delivering social change through leadership, learning and enterprise
               Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
Ble Nesaf?
Where Next?


 CTAW part of National Programme Board for WG NEPT
 In NW, partnership between CTA Wales, CT operators and
  BCU
 Aim of ‘mixed provision of service’ which includes CT
 X-border transport to clinic which has moved location
 CT running feeder services in rural areas to transport hubs




              Delivering social change through leadership, learning and enterprise
              Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
Edrych Ymlaen
Looking Forward




     Delivering social change through leadership, learning and enterprise
     Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
Manylion Cyswllt
 Contact Details


CTA Wales - 01745 356751 / 01792 844290
ctawales@ctauk.org
http://www.ctauk.org




       Delivering social change through leadership, learning and enterprise
       Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter

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3 lh rural enablement

  • 1. Re-enabling Rural Communities: Understanding rural culture for health and social care service planning Lindsay Haveland Support and Development Officer CTA Cymru Delivering social change through leadership, learning and enterprise Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
  • 2. Cefndir CCC About CTA  UK-wide charity with staff and offices in Wales  Members include CT operators, LA’s, charities, social enterprises  CT meets the travel and social needs of people who are disadvantaged because of age, location, mobility, income etc.  In North Wales there are 21 CT operators, with 89% of their staff being volunteers, providing over 1m journeys p.a. Delivering social change through leadership, learning and enterprise Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
  • 3. Y sector yn y Gogledd The sector in North Wales Delivering social change through leadership, learning and enterprise Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
  • 4. Y Sefyllfa Gyfredol Current Situation  Healthcare in NW is changing  Consultation on Primary & Community Services  Specialist services centralised into specified DGH  BUT 40-50% of NW residents in transport poverty Delivering social change through leadership, learning and enterprise Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
  • 5. Ble Nesaf? Where Next?  CTAW part of National Programme Board for WG NEPT  In NW, partnership between CTA Wales, CT operators and BCU  Aim of ‘mixed provision of service’ which includes CT  X-border transport to clinic which has moved location  CT running feeder services in rural areas to transport hubs Delivering social change through leadership, learning and enterprise Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
  • 6. Edrych Ymlaen Looking Forward Delivering social change through leadership, learning and enterprise Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter
  • 7. Manylion Cyswllt Contact Details CTA Wales - 01745 356751 / 01792 844290 ctawales@ctauk.org http://www.ctauk.org Delivering social change through leadership, learning and enterprise Cyflawni newid cymdeithasol drwy arweiniad, addysg a menter

Editor's Notes

  1. The aim of community transport is to help those who cannot access public or other forms of transport because of age, disability, location or poverty. The Community Transport Association, with branches in Wales, Scotland and Northern Ireland, is an umbrella body with a wide range of members from small community groups to big community transport providers operating on a very large scale.The Community Transport providers across North Wales are mostly charities or charitable trusts, some limited by guarantee. They have 378 members of staff, over 89% of them are volunteers, providing approximately one million journeys a year. The range of vehicles includes accessible and other types of minibuses, accessible people carriers, cars and at least one large bus. And that does not include volunteer drivers’ own cars.Amongst the services provided are those for education, shopping, community/social, group hire, healthcare journeys, delivery of heavy goods andvehiclehire. Non transport services include: equipment hire, dog walking, home visits and home adaptations.Some providers are very local, others cover much larger areas, locally, regionally and nationally (internationally if you count England as a foreign country!).
  2. So, what are the barriers to joined up transport across North Wales? It’s not just the obvious one of organisations which have been set up to fulfil a specific need not wanting to lose their identity by being swallowed up by a more regional provider; nor the problems around the different governance systems, not only between one CT group and another, but also between statutory funders, such as the LHB or the LAs – and they, the LAs have six different government processes anyway! It’s things like the new Disclosure and Barring system – what is a Regulated Activity, and can organisations whose generic functions fall outside that category, access the super enhanced CRB if they are actually providing a regulated activity under contract. Then are the legalities which govern CT provision and permits, not for profit, and not in partnership with a commercial organisation. But perhaps the most insidious barrier at present is the one of boundaries. Like all Third Sector organisations, we are being asked to collaborate, co-operate and combine resources across North Wales. However, the various funding streams which support that work are for “in county” provision, and Social Services which have been the major contributor for a number of our members, are now stipulating that the funding cannot be utilised for ANY healthcare journeys. Oh, for co-operation and collaboration in the higher echelons! So, Mrs Jones and two others who live in south Denbighshire travel once a month to their GP surgery for a check up. That is in south Conwy. Their LA funders say that it is quite all right for them to be taken, the driver will receive expenses BUT they cannot pick up Mrs Williams on the way, even though they pass her front door, because Mrs Williams is not a Denbighshire resident! Mrs Williams nearest “authorised” provider is over 20 miles away. And then there are the cuts to public service transport budgets………..