Item 18 - Improving Cancer Journey
North Lanarkshire Council · 22 March 2023
Back to Health and Social Care Integration Joint Board — 22 March 2023 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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REPORT SUBJECT: Improving the Cancer Journey TO: Integration Joint Board Lead Officer for Report: Chief Officer Author of Report: Head of Planning, Performance and Quality Assurance DATE: 22 March 2023 1. PURPOSE OF REPORT 1.1 This paper is coming to the Committee: For approval For endorsement To note 1.2 Following a paper being presented to the IJB on the 22 June 2021 endorsing the phase 1 application to Macmillan Cancer Support to access funding of £2m to improve the cancer journey across Lanarkshire, this paper seeks agreement to Phase 2 of the application. 2. ROUTE TO THE BOARD 2.1 This paper has been: Prepared By: Head of Planning, Performance and Quality Assurance Reviewed By: HSCP CORE team Endorsed By: Chief Officer 3. RECOMMENDATIONS 3.1 The Committee is asked to: 1) Endorse the application for funding from Macmillan Cancer Support to implement Phase 2 of the Improving Cancer Journey approach in order to develop the support for people with a cancer diagnosis and those affected by a diagnosis to improve the cancer journey for individuals, their carers, their families and friends. 4. BACKGROUND/SUMMARY OF KEY ISSUES 4.1 Macmillan Cancer Support offered the Lanarkshire HSCPs funding totalling £2m to implement the Improving Cancer Journey approach. Of the £2m being provided by Macmillan Cancer Support, £1m is being provided directly by Macmillan Cancer Support and £1m is being match funded by the Scottish Government. All of the funding is being administered by Macmillan Cancer Support.
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4.2 In June 2021 the North Lanarkshire IJB endorsed Phase 1 of a two-part application to the fund to scope the local approach in partnership with VANL. 4.3 The application to the fund was seen as an opportunity to align the ICJ approach to the Community Solutions work led by VANL. Improving the journey for people with a cancer diagnosis and for those affected by a diagnosis aligns closely to Community Solutions health and social care investment programme focused on building communities where people can have full, independent lives. 4.4 A Programme Manager was jointly appointed by North Lanarkshire HSCP and the South Lanarkshire HSCP to lead on the implementation of the Improving Cancer Journey Programme across Lanarkshire. The total cost of this post was included in the South Lanarkshire HSCP application and is £0.382m over the five year period of the programme to 2026. 4.5 An ICJ Lanarkshire-strategy meeting is in place to support the vision: “Improving the cancer journey (ICJ) will work in the community- with the community, to ensure that those in Lanarkshire affected by cancer will receive information, support and care they need, efficiently, at the right time, in the right place and in the right way. It is our vision that by 2027, everyone in Lanarkshire affected by cancer is offered a personalised and supported conversation through a holistic needs assessment to identify and support their individual needs throughout their cancer journey.” 4.6 Phase 1 of the North Lanarkshire application led to the appointment of a 0.5 WTE Senior Programme Officer, to support and develop the implementation of the Improving Cancer Journey across North Lanarkshire, working closely with the Programme Manager to achieve the agreed outcomes and support the project evaluation. 4.7 It has been possible to recruit a full time Programme Manager by combining the ICJ funding and funds secured for a Social Prescribing lead. The post is held within the Community Solutions Programme through VANL. 4.8 The scoping work undertaken to support the phase 2 application includes: Extensive engagement to refresh the Community Solutions investment strategy Development of Improving Lives approach within the Community Solutions Programme including the proposals to appoint 6 community connectors funded through the HSCP Winter Planning and Enhances Social Care monies agreed through the IJB in February 2022 Learning from Support in the Right Direction connector role Learning from the First Point of Contact demonstrations work utilising the Three Conversations model Wider experience and evidence of community-based, CVS support in improving people’s health and wellbeing 4.9 It was intended that the second part of the bid be submitted to secure additional funding of £652,000 to invest in localities to further develop and expand services and support to improve the cancer journey. The second phase of the project being targeted to areas of greatest need and where maximum benefit will be secured. 4.10 The ICJ approach aligning to Community Solutions, Improving Lives will mobilise the community voice around cancer as well as wider long term conditions to complement the national approach to inclusion, promote successful engagement with more deprived communities and facilitate volunteering models.
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4.11 The Phase 2 Application outlines the resource provided by Macmillan, which is equivalent to employ 3.5 whole time equivalent staff, will be matched against the funding within the Improving Lives Initiative (ILI) of £412,800 to employ a team of 10 Community Connectors. The total funding available within ILI is just over £1million per year, with the remaining resource being used to build the local capacity of CVS supports and services across the six localities in North Lanarkshire. This will ensure everyone in North Lanarkshire diagnosed with cancer can easily access the support they need, when they need it to enable them to live as well and as independently as possible. 4.12 Macmillan are supportive of a two year application to match the timescales of the funding in place for the 6 Community Connectors given the integration of the approach. 4.13 The ICJ service will be made up of 3 WTE community connectors spread across 10 WTE staff who will support people diagnosed with cancer with their non-clinical needs utilising a holistic needs assessment discussing “what matters.” The service will be supported by a central point of administration which will triage and coordinate all referrals across the whole of Lanarkshire, thus creating a pan-Lanarkshire hub. 5. IMPLICATIONS 5.1 NATIONAL OUTCOMES This relates to all nine national outcomes 5.2 ASSOCIATED MEASURE(S) The key outputs and outcomes of the ICJ investment are detailed in the attached Macmillan Investment Application. 5.3 FINANCIAL The funding profile is detailed in the attached Application 5.4 RISK ASSESSMENT/RISK MANAGEMENT The investment opportunity is non-recurring for a fixed period of five years overall but a 2 year period in relation to Phase 2. It was therefore deemed essential that the funding opportunity enhances already embedded approaches which will be sustained into the future. 5.5 PEOPLE The impact on people affected by a cancer diagnosis and their carers will be monitored throughout the duration of the ICJ approach. 5.6 INEQUALITIES The Cancer Research UK Screening Inequalities Report Deprivation and Cancer Inequalities in Scotland was presented to the IJB PFA on the 14 February 2023 The report highlights the significant impact of deprivation on cancer incidence, diagnosis and outcomes. With NHS Lanarkshire identified as the third most deprived Health Board in Scotland, the findings of the report are highly concerning. Cancer incidence is 33% higher in the most deprived populations in Scotland in comparison to the least deprived areas. It is estimated there are around 4,900 extra cancer cases every year in Scotland attributable to deprivation, with lung cancer contributing nearly half of these. Further that cancer mortality is 74% higher in the most deprived population compared to the least deprived. This gap has narrowed slightly since the Covid-19 pandemic, which may relate to people from more deprived areas being more likely to die from Covid-19.
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The report notes that barriers to seeking help are more likely to exist for those living in more deprived communities. A range of difficulties such as getting access to an appointment, getting an appointment at a convenient time, being able to discuss health problems remotely, confidence to talk about symptoms or thinking symptoms were related to an existing condition are all significantly more prevalent in those from the most deprived communities (particularly around being able to access appointments with health professionals). This development and Phase 2 of the funding application seeks to improve access to help, advice and support across the localities of North Lanarkshire and target resources at those experiencing the highest inequality. EQIA Completed: Yes No N/A 6. BACKGROUND PAPERS None 7. APPENDICES Macmillan Investment Application (MIA) CHIEF OFFICER Members seeking further information about any aspect of this report, please contact Morag Dendy by emailing dendym@northlan.gov.uk
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Private and Confidential Subject to Contract and Written Approval of Macmillan Cancer Support Limited and Macmillan Cancer Support Trading Limited Macmillan Investment Application v6 20200310 Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. Macmillan Investment Application (MIA) Please provide the following information to allow your Investment Application for a Macmillan Intervention to be recorded and considered Investment Application is dated: 3 March 2023 Applicant (include all parties applying for the grant) Enter Partner name, address of registered head office North Lanarkshire Health and Social Care Partnership C/O Michelle Merryfield’s Office Kirklands Hospital Fallside Road Bothwell G71 8BB Registered Number if applicable – only required if partner is charity or company If more than one partner, please include details of all partners including registered number if applicable Enter Joint Working Organisation (JWO) name if any, address of registered office Registered Number if applicable – only required if JWO is charity or company Purpose of this document This document is a Macmillan Investment Application and any grant is subject always to written approval of Macmillan and the execution by all the relevant Parties of the relevant binding Grant Documents provided by Macmillan. It details the Intervention for which the Macmillan grant is being applied for. If the Grant is to be awarded you will be sent your Macmillan Special Conditions Schedule with the Macmillan Standard Grant Conditions and any relevant Annexes, which together will be the binding Grant Documents. To assist with understanding this application, terms used in this application (in capitals) shall have the meaning set out in the definition in the Macmillan Standard Grant conditions. It is important that you read the Macmillan Standard Grant Conditions when making this application to understand how it would work as all grants are subject to the Macmillan Standard Grant Conditions. By applying you are agreeing to the aforementioned framework. Please tick the box and enter name to indicate that you would be happy with the following: Commitment to provide Intervention as specified: Ross McGuffie ☐ date EITHER: Commitment to continue Intervention after funding period: Enter name ☐ date OR: Commitment to fully support the fixed term Intervention and take forward outcomes Ross McGuffie ☐ date
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Private and Confidential Subject to Contract and Written Approval of Macmillan Cancer Support Limited and Macmillan Cancer Support Trading Limited Macmillan Investment Application v6 20200310 Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. Macmillan Contact Information (Mandatory) Macmillan Intervention Lead and any successor that may be appointed by Macmillan and notified to the Partner, who is responsible for the wider relationship with the Partner Name Gordon McLean Title Strategic Partnership Manager Organisation Macmillan Cancer Support Address c/o Macmillan Cancer Support 2nd Floor Atrium Court 50 Waterloo Street Glasgow G2 6HQ Email GMcLean@macmillan.org.uk Tel No 07980 652 039 (Mandatory) Macmillan Partnership Quality Lead and any successor that may be appointed by Macmillan and notified to the Partner, who is responsible for the activity Name Joyce Dunlop Title Partnership Quality Lead Organisation Macmillan Cancer Support Address c/o Macmillan Cancer Support 2nd Floor Atrium Court 50 Waterloo Street Glasgow G2 6HQ Email JDunlop@macmillan.org.uk Tel No 07870468446 Partner Contact Information (Mandatory): Partner Intervention Lead and any successor that may be appointed by the Partner and notified to Macmillan, who is responsible for the wider relationship with Macmillan Name Morag Dendy Title Head of Planning, Performance and Quality Assurance Organisation North Lanarkshire Health and Social Care Partnership Address C/O Michelle Merryfield’s Office Kirklands Hospital Fallside Road Bothwell G71 8BB Email DendyM@northlan.gov.uk Phone No 07939284732 (Mandatory): Partner Senior Sponsor and any successor that may be appointed by the Partner and notified to Macmillan, who is responsible for the activity Name Ross McGuffie Title Chief Officer Organisation North Lanarkshire Health and Social Care Partnership Address C/O Michelle Merryfield’s Office Kirklands Hospital Fallside Road Bothwell G71 8BB Email Ross.McGuffie@lanarkshire.scot.nhs.uk Phone No 01698 752591 Ext. 402591 (Mandatory): Partner Operational Lead and any successor that may be appointed by the Partner and notified to Macmillan, who is responsible for the activity
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Private and Confidential Subject to Contract and Written Approval of Macmillan Cancer Support Limited and Macmillan Cancer Support Trading Limited Macmillan Investment Application v6 20200310 Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. Name Margaret Thomson Title Head of Health Organisation North Lanarkshire Health and Social Care Partnership Address C/O Michelle Merryfield’s Office Kirklands Hospital Fallside Road Bothwell G71 8BB Email maggs.thomson@lanarkshire.scot.nhs.uk Phone No 01698 752591 (Optional): Partner Communications Lead and any successor that may be appointed by the Partner and notified to Macmillan Name Mark Dell Title Communications Manager Organisation North Lanarkshire Health and Social Care Partnership Address C/O Michelle Merryfield’s Office Kirklands Hospital Fallside Road Bothwell G71 8BB Email Mark.Dell@lanarkshire.scot.nhs.uk Phone No 07795 602 664 (Mandatory) Partner Finance Contact and any successor that may be appointed by the Partner and notified to Macmillan. If same as above contact specify here name of contact to which this applies or re- enter below: (The Partner individual who will be sent all finance related communications. This is the person to whom the invoice for the Macmillan Licence Fee will be issued for completion and return.) Name Laura Ace Title Director of Finance Organisation NHS Lanarkshire Address NHS Lanarkshire Health Board Headquarters Kirklands Fallside Road Bothwell G71 8BB Email Laura.Ace@lanarkshire.scot.nhs.uk Phone No 01698 752 774 (Mandatory) Partner Contact for Formal Notices: and any successor that may be appointed by the Partner and notified to Macmillan. If same as above contact specify here name of contact to which this applies or re-enter below: (The Partner individual who will be sent all formal notices and other communications after the contract has been signed. He/she will also be sent the Grant Documents, therefore this person should have requisite authority/seniority and relevant levels of authorisation to sign the Grant Documents if the application is successful. This may be the same contact as the Partner Senior Sponsor) Name Ross McGuffie Title Chief Officer Organisation North Lanarkshire Health and Social Care Partnership Address C/O Michelle Merryfield’s Office Kirklands Hospital Fallside Road Bothwell G71 8BB Email Ross.McGuffie@lanarkshire.scot.nhs.uk Phone No 01698 752591 Ext. 402591
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Private and Confidential Subject to Contract and Written Approval of Macmillan Cancer Support Limited and Macmillan Cancer Support Trading Limited Macmillan Investment Application v6 20200310 Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. JWO Contact Information Please make additional copies of this box for each JWO detailed in the Applicant section JWO Contact for Formal Notices: and any successor that may be appointed by the Partner and notified to Macmillan. Name Title Organisation Address Email Phone No Cost Profile for Investment Application Application Details – Salary costs Intervention Title Band Hours WTE Post Title(s) Macmillan ICJ Community Connector Lanarkshire 4 1-40 3.5 Macmillan ICJ Project Support Officer Lanarkshire 3 1-40 0.8 Macmillan town/speciality/job 1-40 Year 1: Year 2: Year 3: Year 4: Year 5: Year 6: Macmillan’s contribution (%) 100% 100% 100% 100% Partner’s contribution (%) Matched against Improving Lives Initiative funding for Community Connectors Salary Total £314,637 - Years 1 and 2 = £273,344 - Years 3 and 4 = £41,293 Investment Period 24 months for Community Connectors and 48 Months for Project Support Officer Application Details – Non-salary costs Grant for item as specified: Year 1: Year 2: Year 3: Year 4: Year 5: Year 6: Set up costs: £7,350 N/A Description: Recruitment costs and IT Hardware Delivery costs: £19,250 £19,250 Description: Travel costs and staff support overheads Engagement costs: £8,750 £8,750 Description: Venue Costs including catering, training, support meetings and events Environment costs: Description: Non-salary Total £63,350 Investment Period 24 months Investment Application Total £377,987 - Years 1 and 2 = £336,694 - Years 3 and 4 = £41,293 Investment Period 48 months
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Private and Confidential Subject to Contract and Written Approval of Macmillan Cancer Support Limited and Macmillan Cancer Support Trading Limited Macmillan Investment Application v6 20200310 Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. PART ONE – NEED The establishment of the partnerships between Macmillan Cancer Support and Health & Social Care North Lanarkshire (HSC-NL) to implement the Improving Cancer Journey (ICJ) model will contribute to the delivery of the key objectives of the Scottish Cancer Plan and other Scottish Government strategies. The Scottish Government and Macmillan Cancer Support are also taking forward the new programme Transforming Cancer Care which will support the roll out of the ICJ model and other areas of redesign work to significantly improve the support provided to people affected by cancer. The cancer incidence rate in Lanarkshire is approximately 642 per 100,000, with the population in North Lanarkshire being 341,400 in 2021 it is estimated that there will be almost 2,200 people being diagnosed with cancer across North Lanarkshire annually. It is also estimated that 70% of people with cancer will also be experiencing at least one or more co-morbidity conditions, which is having a wider impact on informal carers, employers and the wider community. The Strategic Ambitions (Strategic Commissioning Plan 2020-23) of HSC-NL focus heavily on making sure that a whole system approach is taken and that links are strengthened between acute services, primary care and locality teams. The emphasis on designing and delivering services and supports around outcomes and what is important to individuals, families and communities will be delivered by getting the response right first time, focusing on home, ensuring that people are not in hospital any longer than is needed and of course promoting prevention and early intervention including effective screening programmes There is a strong and effective third sector interface across North Lanarkshire, Voluntary Action North Lanarkshire (VANL) which coordinates voluntary and community sector (CVS) services and support to best effect, helping people, carers and families connect with their local community and where appropriate to navigate the range of available services. With over 850 CVS organisations across North Lanarkshire, the Community Solutions Programme managed by VANL aligns its commissioning priorities with those of the Plan for North Lanarkshire and Health and Social Care North Lanarkshire and supports groups and organisations to deliver key services and supports including: befriending healthy eating physical activity transport for appointments hospital discharge support support for carers The foundation of the Community Solutions programme is the locality approach. Six well established and robust local organisations who are appointed as “locality hosts” (one per locality) who convene a group of local stakeholders: groups, organisations, statutory partners (a locality consortium). Each consortium distributes £30,000 through a Locality Activity Fund to build the capacity of the CVS organisations to provide targeted support. The Community Solutions programme also manages a number of custodian funds, which amounted to over £4million in 2022/23 to also build local capacity across North Lanarkshire. PART TWO – PURPOSE AND INTERVENTION DETAIL The funding being requested will contribute to recruiting a team of 10 Community Connectors to implement the improving lives initiative which will incorporate the ICJ model in North Lanarkshire. The service will offer people a holistic needs assessment using the Macmillan eHNA to discuss “what matters to them” at significant points of their cancer journey and will provide dedicated support to all people affected by cancer including families and carers. The resource provided by Macmillan, which is equivalent to employ 3.5 whole time equivalent staff, will be matched against the funding within the Improving Lives Initiative (ILI) of £412,800 to employ a team of 10 Community Connectors. The total funding available within ILI is just over £1million per year, with the remaining resource being used to build the local capacity of CVS supports and services across the six localities in North Lanarkshire. This will ensure everyone in North Lanarkshire
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Private and Confidential Subject to Contract and Written Approval of Macmillan Cancer Support Limited and Macmillan Cancer Support Trading Limited Macmillan Investment Application v6 20200310 Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. diagnosed with cancer can easily access the support they need, when they need it to enable them to live as well and as independently as possible. Key Outcomes of the Programme Contributing to the prevention of and early diagnosis of cancer Improved care and support for people who have a cancer diagnosis utilising the Macmillan Holistic Needs Assessment Increased support for carers/those in a caring role for people with a cancer diagnosis Tackling cancer poverty and contributing to welfare reform including accessing state benefits, grants, support with council tax and housing, assistance with fuel poverty, carer support and debt management. Improved knowledge and understanding for CVS groups and organisations about the cancer journey and the needs of individuals Increased awareness of CVS supports and services available Improve the cancer journey as part of the whole system approach Building on the Community Solutions Programme infrastructure across North Lanarkshire, including existing Macmillan Cancer support services Support data sharing agreements across partners and utilise robust research in order to evaluate outcomes to ensure longer term sustainability. Recognising the Macmillan Cancer Support findings nationally and locally to focus on the social care needs of people with cancer, this partnership is in a unique place to broker local solutions for people, their carers and communities. Creating a new normal for those affected by cancer is fraught with difficulties, as the consequences of the disease and treatment pathways not only impact on their physical condition, but also on their psychological, financial and social wellbeing. Early intervention will be promoted to reduce the stress associated with the cancer journey. Cancer services are delivered Lanarkshire wide. Clinical staff and social care staff will be key stakeholders during the consultation and engagement process. PART THREE – DELIVERY PLAN The programme will be delivered through the Community Solutions Programme, as part of the Improving Lives Initiative (ILI). The Community Solutions Programme has a robust triple-lock Governance Structure based on the involvement of local CVS organisations and statutory staff at a locality level with the engagement through local consortiums in each of the six localities across North Lanarkshire. Further scrutiny and support are provided by the Community Solutions Governance Sub-Group, which also includes statutory partners drawn from the H&SC Partnership, North Lanarkshire Council and NHS Lanarkshire. There is also representation from groups supporting service users and unpaid carers. The final level of scrutiny and support is by the Strategic Leadership Team (SLT) of HSC-NL, which is chaired by the Chief Officer of HSC-NL Ross McGuffie. Key elements of the delivery plan include the: Development of a robust and simple referral process for partners across Lanarkshire. Creation of clear pathways for people affected by cancer from diagnosis that are designed around the user and streamlined for convenience, efficiency & accessibility. Use of the Macmillan Holistic Needs Assessment, where transitions will be anticipated, planned, fully supported, coordinated and integrated from the point of a cancer diagnosis as part of the whole system approach. Establishment of access points for information and other support services that will provide advice on support, health & wellbeing and self-management. This will build on existing links in local communities and make the best use of available resources & partnerships. Access to financial and welfare benefits advice and support to help reduce poverty. Provision of support for mental health issues arising from peoples experience of cancer.
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Private and Confidential Subject to Contract and Written Approval of Macmillan Cancer Support Limited and Macmillan Cancer Support Trading Limited Macmillan Investment Application v6 20200310 Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. Help people to make lifestyle choices to aid survival and prevention of secondary occurrences. Support to assist people to return to and/or enabling independent living (including self-management) and maintaining wellbeing (including employment) or to access welfare benefits, end-of-life care and bereavement support. Development of effective data sharing agreements across partners and to utilise robust research and to evaluate outcomes to ensure longer term sustainability. Development of a new model of collaborative working within Lanarkshire which has partner and community involvement at the heart of the process. Establishment of an agreed set of outcomes and targets across the services which deliver on strategic objectives. Development of a range of training and support options to build capacity to support delivery staff. Ensure staff have access to the Macmillan Professional Knowledge & Development portal to enhance skills in supporting people with a cancer diagnosis. Identification of key partners across all sectors to support the delivery of the model. The ICJ service will be made up of 3.5 WTE community connectors spread across 10 staff who will support people diagnosed with cancer with their non-clinical needs. The service will be supported by a central point of administration which will triage and coordinate all referrals across the whole of Lanarkshire, thus creating a pan-Lanarkshire hub. The North Lanarkshire Disability Forum have already been identified as a host for 2 of the 10 Community Connectors. The six Locality Host Organisations have also been successfully selected following the recommissioning exercise and they are: West Sector Diamonds in the Community Airdrie Glenboig Development Trust Coatbridge Cornerstone House Centre The North (includes Cumbernauld, Kilsyth and The Northern Corridor) East Sector UTHEO Ltd - Orbiston Neighbourhood Centre Bellshill The Health & Wellness Hub Motherwell Getting Better Together Shotts Wishaw (includes Shotts) One for each sector will be chosen to employ 4 Community Connectors each to operate across the whole sector. The final decision on the 2 successful organisations will be made by the end of March 2023, Macmillan will be advised regarding the outcome.' PART FOUR – PROGRESS AND MEASUREMENT The Community Solutions programme has a robust monitoring and evaluation framework in place which has been developed over many years and commended by the Improvement Service (2019). The framework has recently been reviewed and revised in response to stakeholder feedback and will be applied to this work. Progress will be monitored through the Community Solutions Triple-Lock Governance System, with progress being collated and reported at a local level involving the locality consortiums in all six localities. Bi-annual progress and monitoring reports will be reviewed by the Community Solutions Governance Sub-Group and reported more formally to the Strategic Leadership Team of HSC-NL, with an annual report presented to the full North Lanarkshire Integrated Joint Board (IJB). A six-monthly update report will also be provided to the IJB Performance, Finance & Audit Committee on the implementation of the ICJ approach being delivered through the Improving Lives Initiative.
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Private and Confidential Subject to Contract and Written Approval of Macmillan Cancer Support Limited and Macmillan Cancer Support Trading Limited Macmillan Investment Application v6 20200310 Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. We will evaluate the following outcomes: 1. Improved quality of life including person-led post-treatment rehabilitation and ability to self-manage. 2. Improved outcomes for service users, carers and families. 3. Increased financial gains, reduced poverty, reduced inequality and dynamic response to housing issues. 4. Focus on preventative health. 5. Improved job satisfaction and morale within clinical staff by taking care of the non-clinical issues presented by people affected by cancer, further developing the skills and knowledge of the workforce in respect of cancer and releasing time to care. 6. Support realistic medicine. 7. Compliance with each IJB’s Strategic Commissioning Plans in particular the 9 National Health and Wellbeing Outcomes. 8. Positive Local Cancer Impact Assessments evidencing equity of provision and seamless referral systems. 9. Increased joint decision-making between key stakeholders and local communities, enhancing service integration and care co-ordination Working closely with the Macmillan Programme Manager (Improving the Cancer Journey in Lanarkshire), Donna Bruce, we will report to the Improving Cancer Journey (ICJ) Strategy Group and the ICJ Lanarkshire Operational steering group. Both groups are currently pan-Lanarkshire, but the Operational Group may align more closely to each H&SC Partnership. Qualitative information on the number of referrals received the number of Holistic Needs Assessments completed and the number of care and support plans produced will be provided by the central administrative hub, with information compared with the Engagement, Participation and Involvement (EPI) Database, which is being used by both North and South ICJ services. This will be complemented with qualitative information based on feedback from people referred to the service, clinicians referring to the service and CVS organisations providing non-clinical supports. The ICJ approach will mobilise the community voice around cancer, complement the national approach to inclusion, promote successful engagement with more deprived communities and facilitate volunteering models. The investment in the ICJ model across Lanarkshire will build on previous Macmillan investments. Over the last few years, Macmillan has invested over £2m in Lanarkshire across a number of different services including clinical, welfare benefits and Move More. Office use box Approved in principle: Yes-☐ No-☐ Date: MIL Comments: