Reshaping
Care for Older People Glasgow's Third Sector Mapping Report - November 2012
Reshaping Care for Older People
Contents Foreword 1. Introduction & Background
4-5
2. Data Capture Approach
6-7
3. Participation Rates
8
4. Mapping Findings
8
• • • • • • • • • •
Capturing the Breadth of Activity RCOP Awareness and Contribution Activities within RCOP Pathways Current Scope & Reach of Third Sector Outcomes Usage & Demand of Service Impact of Loss of Services Workforce & Volunteering Cost of Service Provision & Resourcing Current Position & Interest in Development
5. Next steps & recommendations
9 9 10 11-14 15 16 17 18 19 20-21 22-23
Acknowledgements
2
Glasgow's Third Sector Mapping
Reshaping Care for Older People
Foreword I am delighted to present this report of the initial findings of GCVS’s Mapping of Third Sector Older People’s Services in Glasgow. On behalf of Glasgow’s Third Sector Interface, GCVS has been a core partner and co-signatory of Glasgow’s Change Plan since 2011 along with colleagues in NHS Greater Glasgow and Clyde, Glasgow City Council Social Work Department and Scottish Care (for the Independent Sector). Reshaping Care for Older People, is a major and ambitious Scottish Government initiative which will see a transformation in the way that older people’s services are delivered across the country in the years to come. The shift towards a more community-focused, preventative agenda is inherent in the Government’s vision for reshaping care along with an emphasis on recognising the value of older people as assets rather than as a “burden” to society. Our involvement with the Change Plan early on meant that we set up a Reshaping Care for Older People (RCOP) Third Sector Reference Group, whose role was to ensure Third Sector perspectives, experience and knowledge were played in to the Change Plan for the city. From the outset, the Reference Group felt that the work of the Third Sector in the RCOP field was not fully understood or recognised and so an early priority was to capture as fully as possible, information about the services the Third Sector delivers for and with older people in Glasgow. The result is a report which evidences that the Third Sector is vital in supporting older people in this city - to thrive and live well; to stay healthy and engaged and to support and look after one another. The production of this report would not, however, have been possible without the contribution of the many people who participated in lengthy interviews over the last year. I would therefore like to thank all who devoted their time so generously throughout the research phase of the project. We are very grateful to you all. I hope the report raises awareness of the importance and value of the Third Sector in Glasgow and increases significantly the visibility of the sector’s contribution to RCOP. I also hope it makes the case for further investment in the sector, to ensure its growth and development in the challenging times ahead. A further report will follow this one next year, building on these findings and providing case studies which will add depth to the detail you read here. In the meantime, if you need further information about any specific aspects of the report, please do not hesitate to contact us. I hope you will find the report invaluable in building an understanding of what the Third Sector delivers for older people in this city and, in this regard, that the report adds significant value to the strategic plans and developments that will emerge in the months to come. With best wishes Liz McEntee Head of External Relations and Chair of Glasgow’s RCOP Third Sector Reference Group Glasgow Council for the Voluntary Sector
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Introduction GCVS, as a core partner in Glasgow’s Third Sector Interface, is actively involved in the major Scottish Government initiative around Reshaping Care for Older People (RCOP). Our main role is to ensure the engagement of the Third Sector in this initiative and to research the contribution of the sector to this agenda. We contribute to and sign off the Change Plan for the city (along with Social Work, Health & Independent Sector partners) which aims to shift the balance of care from acute settings to more community based, preventative approaches over the next few years.
Background Across Scotland, people are living longer and remaining healthier into their old age. A generation ago, the average Scottish life expectancy was 69 years for men and 75 years for women, but by 2033 it is projected to rise to 81 years for men and 85 years for women. Overall, this is good news of course but an ageing population can also bring its share of issues. We need to plan ahead, to ensure that we have the health services and the infrastructure in place to meet the needs of an ageing population. The Scottish Government recognises that this is the case, and they have stated that:
“We all need to recognise that the way the population is changing means we cannot simply stand still.” (and so) “Scotland needs to make sure we can provide services that work for older people and that the country can afford.” Scottish Government 2011
Over the past few years, the Government consulted widely and has looked at how health and care services can continue to be delivered – and improved - for Scotland’s older people over the next twenty years. The consensus that emerged is that any new approach to care for our older people should focus on preventative care and community involvement; that people need to learn how to look after their health and loosen dependence upon institutional care; and that ways need to be explored to let people stay active and engaged within their own communities.
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Change Fund Research Recognising the significant lack of information and evidence available to strategic planning partners involved in this agenda about the nature, reach, quality or cost of most locally based services being provided across the city to older people by the Third Sector, GCVS has undertaken and recently completed a major piece of research to address this. The Third Sector Mapping project was funded through the Change Fund and is crucial in presenting evidence of the contribution of the Third Sector to this agenda in Glasgow and to make this more visible and better understood by health planners in the city. Prior to this there have been no data sources (local or national) capable of providing the required range and depth of information.
Aims of the Third Sector Mapping Project The mapping project aims to: • scope the current reach of current Third Sector / civil society support services • identify the capacity and potential that exists within the city to grow more localised, community-based services (communities of place and of interest) • identify key opportunities and threats to planned expansion • capture examples of good practice in service delivery and opportunities for replication • explore issues relating to effective monitoring and evaluation The report findings will inform our understanding of the role, contribution and future potential of the Third Sector to fully participate in Reshaping Care for Older People in the years to come and enable us to contribute towards the development of the Joint Commissioning Strategy for Older People in Glasgow. 5
Glasgow's Third Sector Mapping
Reshaping Care for Older People
Data Capture Approach To develop a clear vision and understanding of the role, contribution and potential of the Third Sector to fully participate in RCOP in the years to come, several research activities were undertaken: • Interviews with key stakeholders • Discussion groups with relevant strategic partners, agencies and networks • Interviews (face to face & telephone) with Third Sector organisations with a focus on older people, their carers or providers of services. The questions used for the mapping interview were informed by: • Stakeholder interviews • Third Sector Reference Group* discussion • Capacity Building Group* discussion & strategic framework development • RCOP stakeholder event • Liaison with Social Work Dept, GCC Strategic Review of Day Care Services • Liaison with researchers undertaking other local mappings, including Dementia Services and Housing
The RCOP Third Sector Mapping Survey subsequently included the following sections: 1. 2. 3. 4. 5. 6. 7. 8. 9.
Organisation contact & basic details Activity & service focus Service users Geographical location & reach Access & usage of services Evidencing outcomes Resources & delivery costs Current position & interest in development Capacity to develop & support required
• Existing Infobase (www.infobaseglasgow.org) dataset and questionnaires
For further information on the research resources developed please contact Samira Adris on 0141 332 2444 or at samira.adris@gcvs.org.uk.
* The Third Sector Reference Group and Capacity Building Group are groups established to support the governance structures for the Change Fund in Glasgow.
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Data Capture Approach 1.
Pre-populated Infobase* Annual Audit form is sent out with a covering letter and flier on RCOP & the Third Sector Mapping.
2.
Infobase Annual Postal Audit asked organisations if they currently work directly or indirectly with older people or their carers, and invited them to participate in mapping.
3.
An initial call from Data Collector to schedule a face to face interview.
4.
Email / letter sent to confirm the time & location and provide additional information about the interview.
5.
1-2 Hour face-to-face data collection interview
6.
Follow up contact by email and telephone where required.
Third Sector Participation in Mapping ►
234 interviews took place - capturing data on over 300 groups or organisations.
►
In addition to the data captured via the mapping survey, we are aware of over 230 additional groups and organisations operating in the city that provide services with a focus on older people and / or their carers.
►
There 400 + additional Third Sector organisations that whilst not specifically focussing on older people or carers, do provide services that are available to older people or carers. These are reflected in table 1.
►
Therefore we can conclude that almost 1000 groups and organisations provide services to older people or their carers in Glasgow. These figures have been taken from analysis of the Infobase dataset and Glasgow directories of organisations and services. Table 1 provides a breakdown of these figures by CHP area. Infobase is a resource owned and managed by GCVS that comprises data on the activities of 1600 Third Sector organisations and community groups in Glasgow.
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Participation Rates Across the 3 CHPS
38 %
29
28 %
5 % of outwith
%
Fig 2. % of participants by CHP location
North West CHP
North East CHP
South CHP
Greater Glasgow
Outwith Glasgow
Unknown
Total
Mapping Participant
115
84
87
7
7
1
301
Non participant *1
76
43
84
17
10
1
231
Non participant *2
152
88
128
23
10
9
410
total
343
215
299
47
27
11
942
Table1. Participation in interviews by CHP base & organisation focus *1 Non-participant with older people/carer focus *2 non-participant with broader scope
Understanding Non-participation 128 organisations declined to participate, the reasons provided being:
► ►
The RCOP agenda didn’t feel relevant to them A lack of time to participate
A further 513 organisations were approached to participate but securing interview times was not possible due to:
► ► ►
Lack of time / staff availability within mapping timescales Participants unable to attend scheduled interview time & didn’t reschedule within mapping timescales Unable to make contact by telephone or email
NOTE: Whilst the survey findings presented throughout this report will make reference to the responses of the interviewed participants there will also be reference to Third Sector activity across the city in a range of areas beyond this.
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Third Sector Mapping Findings Capturing the Breadth of Activity Given the diversity of the Third Sector, organisations naturally describe their activities and aims in different ways resulting in a significant challenge to capture their contribution to this agenda via a structured survey. It is therefore useful to consider the following data issues. Organisations that facilitate the provision of services (e.g. neighbourhood centre) provided details of the various formal and informal groups that meet within their premises or that they coordinate to ensure effective working. In some instances we are aware that the activities of some groups are captured under one interview or hidden within this. Some organisations provided information on a specific service, project or activity that they consider to be relevant to this agenda. Where possible we’ve sought to highlight this within the record to enable more detailed analysis in the future. Some organisations e.g. GOPWA have provided information about their different projects or clubs to be captured as unique survey records. This is very important when geographical coverage of services is being studied. Future in-depth analysis will address this. Future case studies and in depth analysis will address data issues to ensure specific activities & projects are not hidden within the overall results. For example, comprehensive listings of organisations by geographical boundary, area of activity, target group etc will factor in this detail where possible.
RCOP Awareness and Contribution The Scottish Government have set out four RCOP Pathways that collectively contribute to a continuum of care for older people. These are: • • • •
Preventative and Anticipatory Care Proactive Care and Support at Home Effective Care at Times of Transition Hospital and Care Homes
We asked participants to indicate whether they were aware of their activities or services contributing towards the RCOP agenda. The initial responses during year 1 of the Change Plan indicated a limited awareness of the RCOP agenda, however the process of undertaking the mapping alongside the work of the Third Sector Reference Group has been valuable in raising the levels of awareness and understanding.
9
►
29% aware of how current work contributes to RCOP pathways (85 organisations)
►
19% aware of contribution to Glasgow Change Plan
RCOP
Glasgow's Third Sector Mapping
Reshaping Care for Older People
Involvement in Activities that Contribute to RCOP Pathways Of the 85 organisations that indicated awareness of how their current work contributes to the 4 RCOP Pathways, the percentage identifying with each of the associated activities are noted in the figure below.
RCOP Pathways Preventative & Anticipatory Care
Proactive Care & Support at Home
Effective Care at Times of Transition
Hospital and Care Homes
67%
42%
39%
21%
Build social networks & opportunities for participation
58%
Early diagnosis of dementia
16%
Responsive, flexible, self-directed home care
14%
Carer support
Info and support for self management & self directed support 32%
Rapid access to equipment
16%
Suitable and varied housing and housing support 18% Support for carers
40%
5%
Early assessment & rehab in appropriate 2% specialist unit
28%
NHS24, SAS and out of hours access ACPs 7%
Prevention & treatment of delirium 5%
12%
Range of intermediate care alternatives to 8% emergency admission
Effective & timely discharge home or transfer to intermediate care 5%
Medicines management
Medicine reconciliation reviews 2%
Timely adaptations including housing 8% adaptations Tele-healthcare
22%
Urgent triage to identify frail older people
Specialist clinical advice for community teams
Integrated case/care management 16%
Prevention of falls and fractures 27%
Anticipatory care planning
Reablement & rehabilitation
8%
5%
11% Access to a range of housing options 8%
Specialist clinical support for care homes 0%
Support for carers
Cares as equal partners
25%
15%
Fig 3 % identified with pathways activities
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Current Scope & Reach of Third Sector NW 19%
â–ş
41% provide citywide coverage
Citywide 41%
NE 20%
South 21%
Fig 4 illustrates this alongside the local CHP reach
Fig 4 Local and citywide reach of participating organisations. Note some organisations provide services across more than 1 CHP but are not citywide
Participants were presented with an extensive list of activities and asked which ones they were involved in providing. This list was developed following discussion with the Third Sector Reference Group. The full list is included in the survey. The word cloud below illustrates the activities that organisations indicated they provide.
Volunteering
Lunch Clubs
Befriending Lifelong Public Awareness learning & Strategies leisure Carer Support
Information
Social Clubs
Advice
Signposting
Community Pe Development e rS
up
po
rt
Fig 5 Wordcloud of most common activities - larger text indicates greater frequency
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Current Scope & Reach of Third Sector The figures below illustrate the geographical reach of organisations involved in a range of activities. The number of responses (out of the 301 surveys) are indicated for each.
Local 15% Citywide Local 53% 17%
Local 17%
Fig 5 Organisations involved in volunteering activities (of 121)
Local 27% Citywide 21% Local 24%
Local 29%
Fig 7 Organisations involved in social club activities (of 135)
Local 20% Citywide 46% Local 16%
Local 19%
Fig 9 Organisations involved in befriending activities (of 79)
Local 10% Citywide 58% Local 17%
Local 15%
Fig 11 Organisations involved in signposting (of 115)
Local 10% Citywide 55% Local 19%
Local 17%
Fig 6 Organisations involved in information activities ( of 118)
Local 8% Local 21%
Citywide 54%
Local 18%
Fig 8 Organisations involved in advice activities (of 91)
Local 21%
Citywide 39% Local 27%
Local 14%
Fig 10 Organisations involved in community transport (of 56) &/ or owns bus
Local 25% Citywide 14% Local 28%
Local 34%
Fig 12 Organisations involved in lunch clubs (of 104)
*Note a number of organisations provide services in 2 CHPs therefore, the above figures will amount to over 100% where this is the case.
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Current Scope & Reach of Third Sector Carer Support 24% of the 301 survey responses indicated providing some form of carer support activity 21% carer support 11% carer respite 7% carer other
Local 10% Local 19%
Citywide 57%
Local 17%
Local 18%
Fig 13 Organisations involved in all carer activities (of 72)
Local 6% Citywide Local 58% 21%
Local 11%
Local 15%
Fig 15 Organisations involved in carer respite activities (of 33)
Citywide 60%
Local 15%
Fig 14 Organisations involved in carer support activities (of 62)
Local 5% Citywide Local 62% 14%
Local 19%
Fig 16 CHP Organisations involved in carer other activities (of 21)
Housing 19 Housing Associations participated in the Mapping - 3 based in the North West 3, 7 in the North East and 9 in the South. This data is included in the mapping findings and will be examined in more detail alongside the mapping currently being undertaken by Glasgow and West of Scotland Forum of Housing Associations (GWSFH).
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Current Scope & Reach of Third Sector Direct Work with Older People ► ►
92% of respondees work directly with older people 40% target particular groups of older people Of the 120 organisations targeting particular groups: • 35% disability • 21% long term conditions • 6% ethnic background • 5% faith • 2.5% alcohol & drug addiction • 0% sexual orientation • 0% homeless
65+
Direct Work with Carers of Older People ► 28% work directly with the carers of older people ►12% target particular groups carers of older people
65+
Of the 36 organisations targeting particular groups: • 17% disability • 14% long term conditions • 14% older carers • 3% faith • 3% ethnic background • 0% sexual orientation • 0% homeless
Indirect Work to Improve Quality of Life of Older People & their Carers A wide range of indirect work also takes place throughout Glasgow’s Third Sector, with organisations reporting involvement in:
31%
30%
25%
41%
Undertake organisational development
Undertake community development
Undertake volunteer development
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Undertake campaigning
Glasgow's Third Sector Mapping
Reshaping Care for Older People Outcomes Participants were asked what outcomes they deliver for older people and / or carers of older people. The following outcomes were most frequently reported: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Reducing social isolation Improving the health & wellbeing Increased community involvement Improved accessibility (to services) Increased learning & developing new skills Enabling independence in older person's own home Improved safety Income maximisation Build carer capacity Reduce hospitalisation & care home admissions
Carer Related Outcomes Reported Of the carer related outcomes, the following were highlighted: ●● Respite for carers / alleviating burden of care ●● Improved relationships ●● Increasing carer capacity Participants reported evidencing these outcomes through a range of methods, including: ●● ●● ●● ●● ●● ●● ●● ●● ●● ●● ●●
Service user feedback via surveys & anecdotal comments Project statistics, including service usage Staff observations Evaluation forms Reviews Support plans Focus groups Case studies Consultations Audits Independent evaluations
► 41% of participants reported that they encounter problems demonstrating outcomes The most frequently cited issues being: ●● A lack of time & capacity ●● Difficulty experienced in showing the difference made (this could take years) ●● Soft outcomes are difficult to monitor Encouragingly, over half of participants, 55% are interested in next stage of the mapping research that focuses on monitoring & evaluation.
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Usage & Demand of Service ►
44% report an increase in demand for their services in the past year
Contributing factors identified as: • • •
► ►
Increased need amongst older people Cuts to services & subsequent lack of supply Increased awareness of their service
23% of organisations have waiting lists 29 organisations reported a total of 3230 older people on waiting lists
274 organisations report receiving formal or informal referrals 37% Organisations reported their services being accessed via drop in
Of those receiving referrals, the following sources were reported: • • •
• • •
Third Sector organisations (70%) Social Work (52%) Self-referrals (47%)
GP / Health (45%) Family / friend (37%) Other (26%)
Quantifying Service Usage Amongst Third Sector Organisations For some groups and organisations it is very difficult to quantify the number of service users. The table below provides an indication of the number of organisations that were able to undertake this and the weekly average and total reported number of service users within the specified categories. Users who access
Weekly average
Total reported
Total number of people
129
27599
Total number of older people
61
12423
Total number of carers
23
391
Total number of older carers
10
94
Table 2. Service usage based on responses of 214 organisations
Service Demand and Partnerships ►
44% report an increase in demand
►
52% report demand remaining static
Almost two thirds of participants report sign-posting or referring older people and / or carers on to other agencies and organisations. • 73% to other Third Sector organisations • 58% to Social Work • 56% to Health / GPs 60% report being involved in partnership working, split evenly between formal and informal partnerships.
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Impact of Loss of Services 232 participants reported a wide range of anticipated impacts on older people, their carers, communities and on statutory agencies if service or activities currently provided were no longer available. The key themes that emerged from qualitative responses are shown below:
Direct Impact on Older people Increased social isolation & loneliness
Health and wellbeing will suffer
People will remain at home & become less active
Loss of confidence & independence
Impact on Older People, Carers, Other Services and Community Lack of info, advice & signposting to other services
Alternative services would be required at a cost
Community would be disadvantaged if service was lost
Loss of confidence & independence
Potential Impact on Statutory Agencies Increased likelihood of going into residential care or hospital
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Increased demand on public agencies
Glasgow's Third Sector Mapping
Reshaping Care for Older People
Workforce & Volunteering Employ Paid Staff
Paid Employees
Rely Entirely on Volunteers
►
191 of the 206 organisations with paid staff estimated the number of staff that contributes towards the delivery of these services.
32%
68%
►
Over 15,000 staff were identified as contributing towards service delivery(15,155)
Fig 17 Staffing breakdown of organisations
Volunteering 85%
Engage Volunteers
►
32% Rely Entirely on Volunteers
65% Engage Older Volunteers
241 organisations report a total of 7961 volunteers*
report a total of 5157 older volunteers* - this ► 198 organisations equates to 65% of all reported volunteers
►
48% of those engaging volunteers report providing specific volunteering opportunities
►
41% of all participants have potential to increase volunteer engagement
Most popular methods of volunteer recruitment Word of mouth 65% Internet 35% Volunteer Centre Glasgow 31% Via service users 28% Leaflets or posters 24%
Main reasons cited for not engaging volunteers: • View that volunteers require specialist support • Lack of capacity to support & manage volunteers • Issues around confidentiality
Th
era
ter
Pr
om
ing
pie
s
Ad
min
oti
on
Walking
Run Groups Serving
Support General Help Befriending Accounts Events Tra i
Drivers
• • • • •
Ca
nin
g
Fundraising g
Cleanin
Advice Gardening
The most frequently reported activities are reflected in the above wordcloud - text size is proportional to frequency. *Note that respondees often had difficulty in quantifying the number of volunteers that they engage therefore we believe this to be a very conservative estimate.
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Glasgow's Third Sector Mapping
Reshaping Care for Older People
Cost of Service Provision & Resourcing Of the 237 replying to the question on the cost of providing these services, figure 18 provides a breakdown of costs by banding. 10%
<£25k £25 – 49k £50 – 99k £100 – 249k £250 – 499k £500 – 999k £1m> Unable to quantify
7% 41%
8%
16% 6%
3%
8%
Fig 18 Cost of service provision
Income Of the 179 indicating the sources they secured income from, the following sources were reported: £££
Grants
71%
£££
Donations
Other
36%
29%
£££
Members
£££
Contracts
15%
11%
£££
Rents
10%
£££
£££
SLAs
In-kind
3%
3%
The 4 Main Grant Sources reported by organisations were: ●● ●● ●● ●●
19
Glasgow City Council Scottish Government NHS Greater Glasgow and Clyde Big Lottery Fund
Glasgow's Third Sector Mapping
Reshaping Care for Older People
Current Position & Interest in Development Figure 19 provides a breakdown of the views of organisations expressed about growth and stability. 2%
1% 5%
Stable & growing Stable & same level service Stable & reduced service Not stable & reduced service Under threat of closure Don't identify with any statement
8%
59% 25%
Fig 19 Stability of organisations
► 50% of respondents reported an interest in developing services across the four RCOP pathways. Of the 150 interested: 84%
Preventative & Anticipatory Care
40%
Proactive Care & Support at Home
44%
Effective Care at Times of Transition
26%
Hospital & Care Home(s)
► 72% of those interested in developing their services would be keen to work alongside other organisations and agencies in approaching this.
Of those indicating a desire to develop, a number of areas came to the fore in terms of carer support. These are highlighted below: 35%
Preventative & Anticipatory Care: Support for Carers
19%
Proactive Care & Support at Home: Carer Support
19%
Effective Care at Times of Transition: Support for Carers
15%
Hospital & Care Home(s): Carers as Equal Partners
Organisations interested in developing their services were asked if they currently had the capacity to start undertaking these developments. Below summarises their responses: 'yes’ 42%
'No’ 44%
'Maybe’ 14%
We then asked those who responded ‘no’ or ‘maybe’ to the question above, whether they currently had the capacity to start exploring these developments. Responses are below: 'yes’ 62%
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'No’ 14%
'Maybe’ 24%
Glasgow's Third Sector Mapping
Reshaping Care for Older People
Current Position & Interest in Development Top 5 Barriers to Development Reported 68% 13%
Funding
11%
Resources*
9% 8%
Capacity
Staffing
Time
*The above figures are based on qualitative responses where participants reported specific resource issues or commented more broadly on resources being a barrier.
Table 3 below shows the additional capacity organisations required to enable them to start undertaking these developments: Additional capacity required More paid staff More volunteers Larger premises Suitable premises More funding Organisational development Volunteer management Others
Undertake development 81% 38% 19% 15% 92% 33% 23% 12%
Explore development 79% 45% 29% 29% 80% 24% 17% 6%
Table 3 Additional capacity required by organisations to undertake or explore developing services
Below indicates the support that would further increase capacity and enable potential expansion of services - as indicated by the 147 respondents who were interested in developing their services.
59% 37% 37% 36% 26% 22% 18% 14% 13% 12%
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Diversifying funding Developing & working in concordia Strategic planning Monitoring & evaluation Tendering & managing contracts Financial planning Governance support Stakeholder management Employment issues Other issues
Glasgow's Third Sector Mapping
Reshaping Care for Older People
Summary Overview of Third Sector & RCOP 1. Glasgowâ&#x20AC;&#x2122;s Third Sector provides a wide range of services and activities directly to older people and their carers, totalling an estimated 1000 organisations and groups across the city. Many of these directly target these groups or address particular needs within them, particularly disability, long term conditions and older carers. 2. These services and activities contribute to and deliver outcomes that are crucial in changing the balance of care; this notably includes reducing social isolation and improving health & wellbeing. 3. The Third Sector is currently experiencing increased demand for these services from older people and their carers and this trend is likely to continue. 4. Crucially, contributors noted that should existing sources cease to exist, this would mean increased social isolation, anxiety and depression and hardship for older people in the city with a costly consequent knock on effect on public service support and provision. 5. Whilst over 15,000 paid employees contribute towards the delivery of Third Sector older people's services, our survey reported 7961 volunteers who provide additional, crucial support to service delivery. There is therefore at least one volunteer for every 2 paid employees supporting the sector's work - although we feel this is an underestimation of the true figure. 6. Current service provision is resourced via a range of sources that extend beyond public sector grants, contracts & SLAs, including Lottery and trust funding, rents, membership & donations. 7. There is a growing awareness amongst the Third Sector of their current contribution towards the RCOP agenda and an interest and willingness to develop these activities and services in line with the four RCOP pathways, particularly â&#x20AC;&#x2DC;Preventative & Anticipatory Careâ&#x20AC;&#x2122;. This fits with the strategic aims of the Change Plan programme, to grow early intervention approaches and enable community alternatives to prevent hospital admission. 8. Current levels of funding, staffing and resources are reported as the main barriers to development amongst Third Sector organisations. 9. For the Third Sector to deliver RCOP, a strategic approach to the development of services and support is needed, for example, to diversify funding, develop consortia, undertake strategic planning and develop an evidence base. 10. Support is also needed to enable organisations to plan their future workforce, assess skills, explore needs and develop both staff and volunteers accordingly.
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Glasgow's Third Sector Mapping
Reshaping Care for Older People Next steps This initial report seeks to provide an overview of the Third Sectors’ contribution and the nature and reach of its involvement to the RCOP agenda and also starts to identify potential gaps in service provision. However further analysis and data interrogation is required to confidently identify and understand apparent gaps in service provision at both an activity and geographical level. The report establishes a starting point for this and further, more detailed case studies will be produced in the months to come. The research team is working with key groups and agencies to undertake further meaningful analysis that will inform key discussions and decisions on shifting the balance of care. This includes: ●● The RCOP Capacity Building Group and & Voluntary Action Fund to identify Transformation Fund priorities and criteria. ●● The RCOP Third Sector Reference Group to discuss and inform Third Sector input to the Joint Investment Strategy and to identify and develop appropriate support for the Third Sector and issues requiring further investigation, e.g. workforce development and monitoring and evaluation. ●● The RCOP Joint Research & Intelligence Team to inform Balance of Care analysis and Joint Investment Strategy. ●● The Glasgow City Council Social Work Department & Strategic Review of Day Care. ●● The One Glasgow Vulnerable Older People's Workstream. These discussions will consider the Third Sector data captured via the mapping alongside identified needs and other relevant stats, e.g. population data. The organisation listings and maps developed during this work, alongside requested bespoke reports will be made available via the GCVS website.
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Glasgow's Third Sector Mapping
Reshaping Care for Older People Acknowledgements This report was written and prepared by Mary Sinclair, Samira Adris and June Macleod from Glasgow Council for the Voluntary Sector. We gratefully acknowledge the many organisations and groups who participated in the mapping and the expertise, input and comment from the following individuals who participated in the stakeholder interviews: Third Sector Martin Johnstone - (Third Sector Interface Chair) Faith in the Community Scotland Ian Welsh - the Alliance (Formerly LTCAS) Charlie Murphy - Age Scotland Una Gillon and Jim King - Volunteer Centre Glasgow Charlie Barker - Social Care Ideas Factory Roberta Downes - GCVS NHS Greater Glasgow & Clyde Ann Harkness Fiona Moss Anna Baxendale Alan Gilmour Hamish Battye Jill Carson Glasgow City Council Social Work Dept Stephen Fitzpatrick Ann Cummings
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Glasgow's Third Sector Mapping
Reshaping Care for Older People