Agenda item

 

Hannah Thornton, Director of Services (Projects) Voluntary Action Rotherham, to present the work with the voluntary and community sector to provide a more integrated approach to care.

 

 

Hannah Thornton, Director of Services, Voluntary Action Rotherham, presented a report on the work being undertaken to further understand the role of the Voluntary Community and Social Enterprise Sector (VCSE) in contributing to the health, wellbeing and care across the Borough.

 

The following powerpoint presentation was given:-

 

Rotherham VCSE – State of the sector 2024

-        1,399 organisations – the majority of which were small (£10,000-£100,000) or micro (under £10,000 income)

-        3,388 employees worked in charities in Rotherham

-        £120M estimated contribution of employees to the economy per annum

-        6,017 people volunteered in charities in Rotherham

-        £17M estimated contribution of volunteers to the economy per annum

-        1,774 people were trustees in charities in Rotherham

-        Overall income of charities in Rotherham - £97M

-        Many organisations had a focus on diversity, equity and inclusion.  Some were specifically dedicated to serving particular groups including:-

Older people (26%)

Disabled people (21%)

People who were educationally or economically disadvantaged (14%)

Communities experiencing racial inequity (13%)

Young people (13%)

 

Connecting with People’s Health

-        Specialist and condition-specific

Condition-specific peer support, Domiciliary Care, Specialist Carers support, Palliative Care, Counselling and Therapy

-        Health creation and maintenance

Physical and mental wellbeing, family support, creative health, faith and spirituality, support for older people, nature connection, local community hubs, social connection

-        Addressing wider determinants

Learning skills and digital inclusion, information, advocacy and benefits advice

 

Connection with people where they are

-        Social-economic groups and deprivation

-        Inclusion health and vulnerable groups

-        Protected characteristics in the Equality Duty

-        Geography

 

Funding

-        Grants from Trust and foundations (31%)

-        Fees and earned income (22%)

-        Grants from the public sector (18%)

-        Contracts of service agreements (11%)

 

Primary Care – Proactive Care

-        Risk stratification of patients

Moderate to severe frailty patients with 2+ hospital admissions in the last 12 months

Diabetes and high risk of admission

Respiratory and high risk of admission

-        Rotherham Social Prescribing Service

-        Dementia Carers Resilience Service

-        Micro-Commissioned Support

 

Urgent and Emergency Care Centre

-        Identification of patients on/awaiting discharge

Integrated Discharge Team

Urgent Therapy Team

Reablement Team

Healthy Hospitals Programme

Community Hospital Admission Avoidance Team

 

Social Prescribing Community Hub Network

-        Cortonwood Comeback Centre

-        High Street Centre, Rawmarsh

-        Unity Centre, Town Centre

-        Kimberworth Park Community Partnership

-        Dinnington Area Regeneration Trust

-        The Learning Community, Dinnington

-        Treeton Village Community and Resource Centre

-        Kiveton Community Hub

-        Rawmarsh Social Prescribing Hub

 

Primary Care – Integrated Mental Health Hubs

-        Care Provision for people living with SMI

-        In the context of the CMHT this included psychosis, bipolar disorder, personality disorder diagnosis, eating disorders, severe depression and mental health rehabilitation needs

-        May be co-existing with other conditions such as frailty, cognitive impairment, neurodevelopmental conditions or substance use

 

Social Prescribing – Return on Investment

-      Sheffield Hallam University’s 4 year evaluation of the Service (published August 2024) identified

·        Reduced in-patient admissions for all patients who had been admitted to hospital more than twice in the 12 months prior to RESPS support

·        Reduced attendances at A&E for patients below the age of 80 during the 12 months following RSPS support

 

Discussion ensued with the following issues raised/clarified:-

 

·        It had helped individuals secure £1.3M in additional benefits

·        Somehow in the label “health and wellbeing” there was a need to fit in Primary Care

·        The need to include LGBTQ+

·        Need to reflect the increasing male suicide rate

·        Important to engage with the public in a non-medicalised way and in a language they would understand

·        The emphasis on the person and their journey/pathway made a big difference to service-led response

·        Collaboration was vitally important to strengthen available resources

 

Resolved:-  That the examples of partnership, integration and voluntary, community and social enterprise infrastructure be noted.