ITEM 17 Community Solutions Update
North Lanarkshire Council · 27 September 2023
Back to Health and Social Care Integration Joint Board — 27 September 2023 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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1 REPORT Item No: 17 SUBJECT: Community Solutions Update TO: Integration Joint Board Lead Officer for Report: Maddy Halliday, CEO, Voluntary Action North Lanarkshire Author(s) of Report Maddy Halliday, CEO; Nick Brown and Thomas Moan Senior Managers Community Solutions - Voluntary Action North Lanarkshire DATE: 27 September 2023 1. PURPOSE OF REPORT To provide an update on the Community Solutions Programme including a summary annual report for 2022-23. This paper is coming to the IJB for: For approval ☐ For endorsement ☐ To note ☒ 2. ROUTE TO THE BOARD This paper has been: Prepared By: ☒ Reviewed By: ☐ Endorsed By: ☐
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2 3. RECOMMENDATIONS IJB members comment and note the contents of this report and appendices. 4. VARIATIONS TO DIRECTIONS? Yes ☐ No ☒ N/A ☐ 5. BACKGROUND/SUMMARY OF KEY ISSUES 5.1 This report provides an update of the Community Solutions programme progress and achievements for 2022-23, including a summary report on the reach and impact of funded projects during this period (See Appendix One). 5.2 As can be seen in Appendix One, during 2022-23, 233 unique projects were funded which collectively supported 43,100 individuals, achieving positive outcomes for the majority. This was achieved with a total of £3.1 million in funding awards to 98 community and voluntary sector organistions. 5.3 In addition, the following work was achieved during 2022-23. Development and agreement of the new, Community Solutions Strategy and Investment Plan 2022-25. (Will be available to download from the new Community Solutions website from Oct. 2023.) Development and agreement of a proposal for a Community Solutions Improving Lives pilot initiative (ILI) (see further information on new Community Solutions website from Oct. 2023.) with implementation in phases from April-autumn 2023 for delivery for two years. , which will support the following. o Piloting of the “three conversations” approach to assisting people in the community with health and related challenges to access community supports provided by the community and voluntary sector (CVS) and access appropriate formal support if needed. This will include supporting people affected by cancer in collaboration with MacMillan which is providing part-funding. o Building capacity of local CVS organisations generally through provision of support and guidance from Voluntary Action North Lanarkshire, the six Community Solutions Locality Hosts and other sources.
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3 o Increasing the amount of funding available to the six Community Solutions Locality Consortia to award to CVS organisations through the rough the Community Solutions (Improving Lives) Local Activity Fund. Review and improvement of the Community Solutions Performance Management, Evaluation, Learning and Improvement Framework and supporting resources, including online surveys for funded projects and preparation of an introductory-level online Evaluation Toolkit. (See new Community Solutions website from Oct. 2023 for more details.) 6. CONCLUSIONS During 2022-23, Community Solutions funded projects delivered vital support to 43,100 people in North Lanarkshire which helped them to improve their health and wellbeing. The programme’s partnership working was also strengthened, helping us to achieve more; govern the programme effectively and plan our exciting ILI initiative. 7. IMPLICATIONS In addition to supporting delivery of our HSCNL’s Commissioning Plan, the Community Solutions programme plays a vital role in supporting delivery of the Plan for North Lanarkshire and six Local Outcome Improvement Plans (LOIPs). 7.1 NATIONAL OUTCOMES Link(s) to National Health and Wellbeing Outcomes People are able to look after and improve their own health and wellbeing and live in good health for longer ☒ People, including those with disabilities or long-term conditions, or who are frail, are able to live, as far as reasonably practicable, independently and at home or in a homely setting in their community ☒ People who use Health and Social Care Services have positive experiences of those services, and have dignity respected ☒ Health and Social Care Services are centred on helping to maintain or improve the quality of life of people who use those services ☒ Health and Social Care Services contribute to reducing health inequalities ☒ People who use Health and Social Care Services are safe from harm ☒ People who work in Health and Social Care Services feel engaged with the work they do and are supported to continuously improve the information, support, care and treatment they provide ☒ Resources are used effectively and efficiently in the provision of Health and Social Care Services ☒
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4 7.2 ASSOCIATED MEASURE(S) 7.3 FINANCIAL This paper has been reviewed by Finance: Yes ☐ No ☒ N/A ☐ 7.4 RISK ASSESSMENT/RISK MANAGEMENT Relevant Risk Register Details Current Risk Level Risk Owner Community and Voluntary Sector funding insufficient and insecure High ?? 7.5 ENGAGEMENT & PARTICPATION Please tick the engagement and participation objectives that link(s) with this piece of work and provide further details regarding the engagement and participation that was undertaken. Objectives Further Details ☒ Involve stakeholders in the development work aimed at achieving the national outcomes Community Solutions supports engagement of the key stakeholders as follows. 1. Service Users and Carers: ongoing engagement with service users and carers regarding their needs, priorities, views and experiences is supported by CS funded projects, Locality Hosts and consortia and informs design of projects and services.
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5 2. Community and Voluntary Sector (CVS) funded projects: are actively involved in designing, delivering and evaluating CS funded projects/services. 3. CVS generally: VANL supports CVS capacity building and engagement in the CS programme, including representation on HSCNL SLT, PFA and IJB the six CVS Locality Hosts support CVS engagement in the programme in their locality, including participation in Locality Consortia Locality hosts and other CVS orgs are involved in development of (Improving Lives) Locality Development Plans and management of Local Activity Funds (LAF) through Locality Consortia Locality Hosts and Consortia are represented on the CS Governance Group. ☒ Provide stakeholders with information on how to get involved. The Community Solutions programme provides information to stakeholders about involvement opportunities through: Funded projects Locality Hosts Locality Consortia VANL – including a regular online CS bulletin HSCNL structures The new CS website to be launched in Sept. 2023 will assist further.
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6 ☒ Ensure a diverse range of engagement and participation and opportunities are in place to suit different needs. Engagement opportunities in the programme are diverse and include those offered through funded projects, locality hosts and consortia and VANL. These include direct engagement with service users and carers about their views and needs; public consultation through surveys and focus groups; participatory events. ☒ Measure how well we involve community stakeholders in the planning, design and delivery of our services CVS organisations applying for funding through Community Solutions need to indicate in their application how they have to date and/or will involve community stakeholders in design and delivery of their projects. The Locality Consortia need to set out in the Locality Development Plans how they are and will continue to support community engagement. ☒ Provide regular feedback on how stakeholder engagement and participation is shaping and influencing service development and delivery. From 2023 projects receiving funding through Community Solutions are asked to provide information about their support for service user, carer and public engagement in informing services. ☒ Provide support to enable stakeholder representatives to participate meaningfully and confidently at meetings VANL staff support CVS engagement and representation in locality and NL-wide partnership meetings of HSCNL and through Community Planning. ☒ Develop participation guidelines to ensure a common understanding and set of expectations for both stakeholders and partnership staff. VANL staff support development of participation guidance, understanding and expectations for the Community Solutions Programme and more widely through Community Planning, along with CVS and public sector colleagues. ☒ Support engagement planning and participation in localities, taking account of Community Solutions Locality Hosts and Consortia members support engagement planning at locality
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7 7.6 INEQUALITIES & FAIRER SCOTLAND DUTY EQIA Completed & Fairer Scotland Impact Assessment Form Completed and attached to report: Yes ☐ No ☒ N/A ☐ EQIA added to website: Yes / Date added ☐ No ☒ N/A ☐ 8. BACKGROUND PAPERS The following information are attached to this report and will also be available online through the new Community Solutions website in October 2023. Community Solutions Programme Briefing Community Solutions Logic Model 9. APPENDICES 2022-23 Annual Report Summary CHIEF ACCOUNTABLE OFFICER (or Depute) Members seeking further information about any aspect of this report, please contact the following: maddy.halliday@vanl.co.uk 7 other engagement activity and local plans across the Community Planning Partnership level. Locality Hosts are required to support links between Community Solutions and community planning, complemented by VANL staff.
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8 Direction from North Lanarkshire Integration Joint Board (IJB) 1 Reference Number 2 Report Title 3 Date direction issued by IJB 4 Date from which direction takes effect 5 Direction to: 6 Does this direction supersede, revise or revoke a previous direction – if yes, include reference number(s) 7 Functions covered by direction 8 Full text of direction 9 Budget allocated by Integration Joint Board to carry out direction 10 Performance Management / Governance arrangements 11 Date direction will be reviewed
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9 21/07/2023 Community Solutions Programme Logic Model 1 4.4 Increased capacity and effectiveness of wider CVS 2.4 Performance Management, Evaluation, Learning and Improvement (PMELI) Support 4.3 Improvements to CS Funds and overall programme 3.3 New Evidence and Learning 2.3 Capacity Building 1.3 Funds 4.2 For funded projects/organisations 3.2 Improving Lives Locality Development Plans and Locality Activity Funding awards 2.2 Locality Stakeholder Engagement 1.2 Strategy, Plans and Tools 4.1 For people receiving support 3.1 Services and support to local people and communities 2.1 Funding Development and Management 1.1 Existing Evidence on What Works and data on Needs and Priorities 4. Outcomes 3. Outputs 2. Processes 1. Inputs The Community Solutions Programme: Summary Logic Model See Community Solutions and VANL Working Together for a Better North Lanarkshire Websites 4.5 Improvements to health and social care services/system and community planning 2.5 Representation and Influencing
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10 21/07/2023 2.4 PMELI Support tools and guidance – provided by VANL to funded projects 1.3 Funds 1.2.1 Provided by funders through VANL 1.2.2 Supported by funding agreements/SLAs between VANL and funders 2. Processes 1. Inputs The Community Solutions Programme: Logic Model See Community Solutions and VANL Working Together for a Better North Lanarkshire Websites 2.1 Funding Development and Management 2.1.1 NL Wide: development facilitated by VANL with funders, partners and stakeholders; management provided by VANL 2.1.2 Locality Action Fund– development and management led by Locality Consortia and Hosts with support from VANL 2.2 Locality Stakeholder Engagement – led by Locality Hosts and Consortia with support from VANL (SH = residents, service users, carers, CVS, public sector) 2.3 Capacity Building 2.3.1 General CVS – provided by VANL (see organisational review guidance) and Locality Hosts • CVS Children, Young People and Family CVS support orgs – provided by VANL and Locality Hosts • • Carers – provided by NL Carers Together and Network Volunteering - provided by VANL with partners and CVS 1.2 Strategy, Plans and Tools 1.1.1 CS Strategy and Investment Plan: developed collaboratively with co-ordination from VANL (supports delivery of HSCNL Commissioning Plan; Plan for North Lanarkshire and Local Outcome Improvement Plans (LOIPS) 1.1.2 Delivery Schedule – prepared and managed by VANL 1.1.3 Performance, Evaluation, Learning and Improvement (PMELI) Framework – developed collaboratively with co-ordination from VANL 1.1.4 PMELI resources - developed and managed by VANL 1.1 Existing Evidence and What Works, Needs and Priorities Including carer and user views 2.5 Representation and Influencing through - Heath and Social Care NL; Children’s Services Partnership; Community Planning – North Lanarkshire Partnership (NLP)
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11 4.1 For people receiving support: • Improved mental and physical health • People feel more connected, included and safe • People feel more informed and aware 4. Outcomes 3. Outputs The Community Solutions Programme: Logic Model See Community Solutions and VANL Working Together for a Better North Lanarkshire Websites 4.2 For funded projects/organisations: • increased capacity and effectiveness • matched/additional funding • improved services 4.3 Improvements to CS Funds and overall programme 3.1 Services and support to local people and communities - provided by funded projects 3.2 Improving Lives Locality Development Plans and Locality Activity Funds - Plans developed by Locality Consortia and Hosts informed by community engagement - plans guide management of LAF and support delivery of CS Strategy, HSCNL Commissioning Plan and LOIPS 4.4 Increased capacity and effectiveness of wider CVS
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12 21/07/2023 Community Solutions Programme Logic Model 3 3.3 New Evidence and Learning - generated through funded projects and programme processes 3.2.1 data gathered by funded projects 3.2.2 data analysis undertaken by VANL 3.2.3 learning and improvement events – organised by VANL for funded projects and others 3.2.4 Learning and Impact Reports for each fund and overall Programme – prepared by VANL 4.5 Improvements to health and social care services/system and community planning
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13 1 Community Solutions Achievements 2022-23
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14 Programme Funding Summary The Community Solutions programme manages a number of funding streams from a variety of funders to provide grant funding to the Community and Voluntary Sector. Anticipatory Care £40k Carer Breather £248k Home Visiting & Befriending £195k Community Transport £72k Locality Host Fund 6 CVS Anchor Organisations 6 x £40k Programme Delivery £300k Thematic Funding £2.2 Million 10 Thematic Funds Capacity Building £208k 2 proj deli Total Funding: £3.1 Million 33 ects vered by 98 CVS Organisations Carers £40k Carers Network £40k Children and Young People & Families £30k CVS General £60k Locality Activity Funds 6 x £30k 66 projects funded £995k Community Mental Health and Wellbeing Fund was paid in March 2023, however, it is for project delivery in 2023-24. Reporting and outcomes will follow in 23-24 report. Volunteering £38k Hospital Discharge £77.5k Physical Activities £40k CYP Community Mental Health & Wellbeing£465k Substance Misuse Fund £50k Community Mental Health & Wellbeing£955k Support in the Right Direction £100k
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15 Summary of Unique Individuals Supported and Services Provided through the Community Solutions Programme 22-23 Carers support sitter service, wellbeing therapies and breaks Community engagement projects Outdoor activities Community cafes and lunch clubs Physical activity and exercise Befriending Mental health and wellbeing support and holistic therapies Bereavement and grief support Support and Services Provided Arts, play and drama Healthy eating, nutrition and cooking classes 43,100 unique individuals supported
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16 Summary of Reported Outcomes for Services Provided Through the Community Solutions Programme 2022-23 u 14,007 people felt more connected, included and safe people have improved health and wellbeing people felt more informed and aware 4,215 children, young people or families’ health and wellbeing was improved families relationships were strengthened children young people and families have become more resilient 3,364 carers felt more informed and aware 3,770 carers health and wellbeing was improved 2,027 carers were more able to have a life outside of caring 16,050 8,422 941 1,141 n
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17 Community Solutions Programme Overview 2023 Programme Overview 2023
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18 Introducing Community Solutions Community Solutions is a successful, cross-sector health and social care investment and improvement programme for North Lanarkshire, established in 2012, which is improving people’s health, wellbeing, quality of life and equality by investing in community-led initiatives which build community, family and individual strengths and resources - with a focus on prevention and early intervention. Community Solutions Programme Overview 2023
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19 ntegrated approach lutions Programme integrated approach , quality of life and sing: ical health and eir connection. omic, and fluences on health, quality and the actions these. rview 2023 Community Solutions Approach Holistic and i The Community So takes a holistic and to health, wellbeing equality encompas • Mental and phys wellbeing and th • The social, econ environmental in wellbeing, and e needed to tackle Community Solutions Programme Ove
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20 Strategic investment approach Community Solutions takes a strategic investment approach which prioritises the following in line with HSCNL’s ambitions. • Investment in health improvement, prevention, and early intervention activities, which reduce inequalities and protect human rights • Investment in crisis and ongoing support, with a focus on recovery and re-enablement, self-directed support, and self-management. • Cost-effective, community-based support and services provided by CVS organisations • Capacity building within the CVS and wider community by supporting key CVS ‘anchor’ organisations and volunteering to build the community infrastructure and capacity to support provision of good community-based support over time. Community Solutions Programme Overview 2023
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21 ues nity Solutions also takes a sed approach. he person at the centre of ce, helping them to live life and supporting their ghts by: Programme Overview 2023 Val Commu value-ba Placing t the servi their best human ri Community Solutions
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22 Collaborative working and co-production To achieve goals and improvements where we develop equal relationships between people who use services and people who provide services – with support provided ‘with people’ rather than ‘to them’. This means involving local people - including those receiving support - and service providers in the CVS and statutory sectors to facilitate a positive and participatory cycle of planning, delivery, evaluation, learning and continuous improvement. Community Solutions Programme Overview 2023
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23 ality Community Solutions Governance & Management Community Solutions is governed through a “triple-lock” approach and supported and managed at both loc and North Lanarkshire wide levels. Community Solutions Programme Overview 2023
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24 y Community Solutions and Community Planning Links Community Solutions is governed through a “triple-lock” approach and supported and managed at both localit and North Lanarkshire wide levels. Community Solutions Programme Overview 2023
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25 Performance Management, Evaluation, Learning and Improvement Framework Overview The new Community Solutions (CS) Performance Management, Evaluation, Learning and Improvement (PMELI) Framework was launched in April 2023. The new Framework, which was approved by the CS Governance Group in November 2022, supports the following: Community Solutions Programme Overview 2023
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26 Community Solutions Programme Overview 2023
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27 mmunity Solutions Achievements 2022-23 mme funding summary rogramme Overview 2023 Co Progra Community Solutions P
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28 Provided through the Community Solutions Programme 2022-23 Summary of Unique Individuals Supported and Services Community Solutions Programme Overview 2023
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29 Summary of Reported Outcomes for Services Provided Through the Community Solutions Programme 2022-23 Community Solutions Programme Overview 2023
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30 Community Solutions Custodian Funds Summary Fund Title Fund Purpose Fund Launched Awards Made Funded Projects Delivery Funder Cancer Screening Inequalities Fund To encourage and improve uptake of cervical and breast screening within Airdrie and Bellshill localities due to very low uptake levels in those areas. February 2023 May 2023 Jun 23 - Jun 24 NHS Lanarkshire Carer Breather Phase 2 To enable community and voluntary organisations which receive funding through this scheme to enhance and extend regular and locally based support for carers January 2023 (Phase 2) March 2023 Apr 23 - Mar 25 Health and Social Care North Lanarkshire Carer Network Phase 2 Facilitation of the North Lanarkshire Carers’ Support Network March 2023 March 2023 Apr 23 - Mar 24 Health and Social Care North Lanarkshire Children and Young People Mental Health and Wellbeing Fund Phase 3 To enable funded projects to work with schools to deliver tailored support to children and young people (age range of 5-24 & up to 26 for care experienced young people) in their local communities. May 2022 Ongoing Jun 22 - Apr 23 Aug 22 - Jun 23 Scot Govt via North Lanarkshire Council Children and Young People Mental Health and Wellbeing Fund Phase 4 To enable funded projects to work with schools to deliver tailored support to children and young people (age range of 5-24 & up to 26 for care experienced young people) in their local communities. May 2023 Ongoing Jun 23 - Apr 24 Aug 23 - Jun 24 Scot Govt via North Lanarkshire Council Community Mental Health and Wellbeing Fund Phase 1 To enable funded projects to deliver a wide variety of community-based mental health and wellbeing supports Nov 2021 March 2022 Apr 22 - Mar 23 Scottish Government Community Mental Health and Wellbeing Fund Phase 2 To enable funded projects to deliver a wide variety of community-based mental health and wellbeing supports Nov 2022 March 2023 Apr 23 - Mar 24 Scottish Government Hospital Discharge Fund (Core) To support patients and their carers around hospital discharge, signposting to immediate and longer-term sources of community support April 2020 April 2020 Ongoing from Apr 20 Health and Social Care North Lanarkshire Hospital Discharge Fund (Extension) To support patients and their carers around hospital discharge, signposting to immediate and longer-term sources of community support September 2021 September 2021 Ongoing from September 2021 Health and Social Care North Lanarkshire Community Solutions Programme Overview 2023
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31 Fund Title Fund Purpose Fund Launched Awards Made Funded Projects Delivery Funder Improving Cancer Journeys To support the employment of a number of Community Connector posts to pilot “three conversations” and deliver other prevention and early intervention projects TBC TBC TBC Health and Social Care North Lanarkshire Improving Lives Initiative To enable 6 Locality Host organisations to improve engagement with their local CVS, support the work of new Community Connector posts and strengthen links with Community Planning Summer 2023 Autumn 2023 Autumn 2023 - Autumn 2025 Health and Social Care North Lanarkshire Locality Health and Care Activity Fund To provide small grants to community groups and voluntary organisations to deliver a new or improved activity to improve local wellbeing Ongoing since 2012 Recurrent Funding Ongoing Health and Social Care North Lanarkshire Locality Hosting To enable 6 Locality Host organisations to act as principle local point of contact for all Community Solutions related activity Ongoing since 2012 Recurrent Funding Ongoing Health and Social Care North Lanarkshire Positive Smoke Free Role Models To enable 6 Locality Host organisations to carry out health promotion activities targetted at smoking reduction/cessation Spring 2021 Spring 2021 Spring 2021 - Sept 2023 (delivery impacted by COVID 2020-22) NHS Lanarkshire Social Prescribing To improve processes and networks to make social prescribing more efficient and capable of effectively linking people with the appropriate services to live independent lives. Autumn 2022 TBC TBC NHS Charities Together Substance Misuse Fund To enable funded projects to support individuals and families to overcome some of the challenges they face in their life, while living with the impact of substance misuse in our communities. January 2023 TBC TBC North Lanarkshire Alcohol and Drug Partnership Support in the Right Direction People and carers who are assessed as not requiring an SDS budget feel empowered and positive about their futures and able to work towards leading healthier more independent lives. April 2019 March 2023 (extension funding) Apr 23 - Apr 24 (extension funding) Scot Govt via Inspiring Scotland Thematic Funds (Under Review) To enable funded CVS organisations to deliver activities addressing identifed needs under agreed Themes Ongoing since 2012 Recurrent Funding (under review) Ongoing Health and Social Care North Lanarkshire Community Solutions Programme Overview 2023
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32 Community Solutions Programme Overview 2023 Thanks Any questions? For more information visit: www. Email: info@communtysolutions@vanl.co.uk