final mapping report rcop

Reshaping Care for Older People

Glasgow's Third Sector Mapping Report - November 2012


Glasgow's Third Sector Mapping2

Contents

Foreword

1. Introduction & Background

2. Data Capture Approach

3. Participation Rates

4. Mapping Findings

• 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 Acknowledgements

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6-7

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IamdelightedtopresentthisreportoftheinitialfindingsofGCVS’sMappingofThirdSectorOlderPeople’sServicesinGlasgow.OnbehalfofGlasgow’sThirdSectorInterface,GCVShasbeenacorepartnerandco-signatoryofGlasgow’sChangePlansince2011alongwithcolleaguesinNHSGreaterGlasgowandClyde,GlasgowCityCouncilSocialWorkDepartmentand Scottish Care (for the Independent Sector).

ReshapingCareforOlderPeople,isamajorandambitiousScottishGovernmentinitiativewhichwillseeatransformationinthewaythatolderpeople’sservicesaredeliveredacrossthecountryintheyearstocome.Theshifttowardsamorecommunity-focused,preventativeagendaisinherentintheGovernment’svisionforreshapingcarealongwithanemphasisonrecognisingthe 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 OlderPeople(RCOP)ThirdSectorReferenceGroup,whoserolewastoensureThirdSectorperspectives,experienceandknowledgewereplayedintotheChangePlanforthecity.Fromtheoutset,theReferenceGroupfeltthattheworkoftheThirdSectorintheRCOPfieldwasnotfullyunderstoodorrecognisedandsoanearlyprioritywastocaptureasfullyaspossible,informationabouttheservicestheThirdSectordeliversforandwitholderpeopleinGlasgow.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 oneanother.Theproductionofthisreportwouldnot,however,havebeenpossiblewithoutthecontribution 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 phaseoftheproject.Weareverygratefultoyouall.

IhopethereportraisesawarenessoftheimportanceandvalueoftheThirdSectorinGlasgowandincreasessignificantlythevisibilityofthesector’scontributiontoRCOP.Ialsohopeitmakesthecaseforfurtherinvestmentinthesector,toensureitsgrowthanddevelopmentinthechallengingtimesahead.Afurtherreportwillfollowthisonenextyear,buildingonthesefindingsandprovidingcasestudieswhichwilladddepthtothedetailyoureadhere.Inthemeantime,ifyouneedfurtherinformationaboutanyspecificaspectsofthereport,pleasedonothesitatetocontactus.IhopeyouwillfindthereportinvaluableinbuildinganunderstandingofwhattheThirdSectordeliversforolderpeopleinthiscityand,inthisregard,thatthereportaddssignificantvaluetothestrategicplansanddevelopmentsthatwillemergeinthemonthstocome.

With best wishes

Liz McEnteeHead of External Relations and Chair of Glasgow’s RCOP Third Sector Reference GroupGlasgow Council for the Voluntary Sector

Foreword



IntroductionGCVS,asacorepartnerinGlasgow’sThirdSectorInterface,isactivelyinvolvedinthemajorScottishGovernmentinitiativearoundReshapingCareforOlderPeople(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 (alongwithSocialWork,Health&IndependentSectorpartners)whichaimstoshiftthebalanceofcarefromacutesettingstomorecommunitybased,preventativeapproachesoverthenextfewyears.

BackgroundAcrossScotland,peoplearelivinglongerandremaining healthier into their old age. Agenerationago,theaverageScottishlifeexpectancy was 69 years for men and 75 years forwomen,butby2033itisprojectedtoriseto81 years for men and 85 years for women.

Overall,thisisgoodnewsofcoursebutanageing population can also bring its share ofissues.Weneedtoplanahead,toensurethat we have the health services and the infrastructure in place to meet the needs of an ageingpopulation.TheScottishGovernmentrecognisesthatthisisthecase,andtheyhavestated 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

Overthepastfewyears,theGovernmentconsultedwidelyandhaslookedathowhealthandcareservicescancontinuetobedelivered–andimproved-forScotland’solderpeopleoverthenexttwenty 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.



Change Fund ResearchRecognisingthesignificantlackofinformationand evidence available to strategic planning partners involved in this agenda about the nature,reach,qualityorcostofmostlocallybased services being provided across the city toolderpeoplebytheThirdSector,GCVShasundertakenandrecentlycompletedamajorpiece of research to address this.

TheThirdSectorMappingprojectwasfundedthrough the Change Fund and is crucial in presenting evidence of the contribution of the ThirdSectortothisagendainGlasgowandtomake this more visible and better understood by health planners in the city. Prior to this there have been no data sources (local or national) capableofprovidingtherequiredrangeanddepth of information.

Aims of the Third Sector MappingProject

Themappingprojectaimsto:

• scopethecurrentreachofcurrentThirdSector / civil society support services

• identifythecapacityandpotentialthatexists within the city to grow more localised,community-basedservices(communities of place and of interest)

• identifykeyopportunitiesandthreatstoplanned expansion

• captureexamplesofgoodpracticeinservice delivery and opportunities for replication

• exploreissuesrelatingtoeffectivemonitoring and evaluation

Thereportfindingswillinformourunderstandingoftherole,contributionandfuturepotentialofthe 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 PeopleinGlasgow.



Data Capture ApproachTo develop a clear vision and understanding oftherole,contributionandpotentialoftheThird Sector to fully participate in RCOP in the yearstocome,severalresearchactivitieswereundertaken:

• Interviewswithkeystakeholders

• Discussiongroupswithrelevantstrategicpartners,agenciesandnetworks

• Interviews(facetoface&telephone)withThird Sector organisations with a focus on olderpeople,theircarersorprovidersofservices.

Thequestionsusedforthemappinginterviewwere informed by:

• Stakeholderinterviews

• ThirdSectorReferenceGroup*discussion

• CapacityBuildingGroup*discussion&strategic framework development

• RCOPstakeholderevent

• LiaisonwithSocialWorkDept,GCCStrategic Review of Day Care Services

• Liaisonwithresearchersundertakingotherlocalmappings,includingDementiaServices and Housing

• ExistingInfobase(www.infobaseglasgow.org)datasetandquestionnaires

The RCOP Third Sector Mapping Survey subsequentlyincludedthefollowingsections:

1. Organisation contact & basic details2. Activity & service focus3. Service users4. Geographicallocation&reach5. Access & usage of services6. Evidencingoutcomes7. Resources & delivery costs8. Current position & interest in development9. Capacitytodevelop&supportrequired

For further information on the research resources developed please contact Samira Adris on 0141 332 2444 or at [email protected].

*TheThirdSectorReferenceGroupandCapacityBuildingGrouparegroupsestablishedtosupportthegovernancestructuresfortheChangeFundinGlasgow.



Data Capture Approach

Third Sector Participation in Mapping

234 interviews took place - capturing data on over 300 groups or organisations.

Inadditiontothedatacapturedviathemappingsurvey,weareawareofover230additional groups and organisations operating in the city that provide services with a focus on older people and / or their carers.

There 400 +additionalThirdSectororganisationsthatwhilstnotspecificallyfocussingonolderpeopleorcarers,doprovideservicesthatareavailabletoolderpeopleorcarers.Thesearereflectedintable1.

Therefore we can conclude that almost 1000 groups and organisations provide services to olderpeopleortheircarersinGlasgow.

ThesefigureshavebeentakenfromanalysisoftheInfobasedatasetandGlasgowdirectoriesoforganisationsandservices.Table1providesabreakdownofthesefiguresbyCHParea.InfobaseisaresourceownedandmanagedbyGCVSthatcomprisesdataontheactivitiesof1600ThirdSectororganisationsandcommunitygroupsinGlasgow.

Pre-populatedInfobase*AnnualAudit form is sent out with a coveringletterandflieronRCOP& the Third Sector Mapping.

Infobase Annual Postal Audit asked organisations if they currently work directly or indirectly with older peopleortheircarers,andinvitedthem to participate in mapping.

An initial call from Data Collector to schedule a face to face interview.

Email/lettersenttoconfirmthetime& location and provide additional information about the interview.

1-2 Hour face-to-face data collection interview

Follow up contact by email and telephone where required.

1.

2.

3.

4.

5.

6.

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Participation Rates Across the 3 CHPS

Understanding Non-participation

North West CHP

NorthEastCHP

SouthCHP

GreaterGlasgow

Outwith Glasgow

Unknown Total

Mapping Participant 115 84 87 7 7 1 301Non participant *1 76 43 84 17 10 1 231Non participant *2 152 88 128 23 10 9 410total 343 215 299 47 27 11 942

38

28 29

NOTE:Whilstthesurveyfindingspresentedthroughoutthisreportwillmakereferencetotheresponsesoftheinterviewedparticipants there will also be reference to Third Sector activity across the city in a range of areas beyond this.

%

%

%

128organisationsdeclinedtoparticipate,thereasonsprovidedbeing:

TheRCOPagendadidn’tfeelrelevanttothemA 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 timescalesParticipantsunabletoattendscheduledinterviewtime&didn’treschedulewithinmappingtimescalesUnable to make contact by telephone or email

Table1. Participation in interviews by CHP base & organisation focus*1Non-participantwitholderpeople/carerfocus*2non-participantwithbroaderscope

Fig 2. % of participants by CHP location

5 % of outwith

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►►

►



Third Sector Mapping Findings

Capturing the Breadth of Activity

GiventhediversityoftheThirdSector,organisationsnaturallydescribetheiractivitiesandaimsindifferentwaysresultinginasignificantchallengetocapturetheircontributiontothisagendaviaastructured 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. Someorganisationsprovidedinformationonaspecificservice,projectoractivitythattheyconsidertoberelevanttothisagenda.Wherepossiblewe’vesoughttohighlightthiswithintherecordtoenable more detailed analysis in the future. Someorganisationse.g.GOPWAhaveprovidedinformationabouttheirdifferentprojectsorclubstobecapturedasuniquesurveyrecords.Thisisveryimportantwhengeographicalcoverageofservices is being studied. Future in-depth analysis will address this. Future case studies and indepthanalysiswilladdressdataissuestoensurespecificactivities&projectsarenothiddenwithintheoverallresults.Forexample,comprehensivelistingsoforganisationsbygeographicalboundary,areaofactivity,targetgroupetcwillfactorinthisdetailwherepossible.

RCOP Awareness and Contribution

TheScottishGovernmenthavesetoutfourRCOPPathwaysthatcollectivelycontributetoacontinuum of care for older people. These are:

• Preventative and Anticipatory Care• Proactive Care and Support at Home• EffectiveCareatTimesofTransition• 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 indicatedalimitedawarenessoftheRCOPagenda,howevertheprocessofundertakingthemappingalongsidetheworkoftheThirdSectorReferenceGrouphasbeenvaluableinraisingthelevels of awareness and understanding.

29% aware of how current work contributes to RCOP pathways (85 organisations)

19%awareofcontributiontoGlasgowChangePlan

RCOP►

►



Of the 85 organisations that indicated awareness of how their current work contributes to the 4 RCOPPathways,thepercentageidentifyingwitheachoftheassociatedactivitiesarenotedinthefigurebelow.

Involvement in Activities that Contribute to RCOP Pathways

Fig3%identifiedwithpathwaysactivities

RCOP Pathways

Preventative &Anticipatory Care

67%

Proactive Care & Support at Home

42%

Effective Care at Times of Transition

39%

Hospital and CareHomes

21%

Build social networks & opportunities for participation

Earlydiagnosisof dementia

Prevention of falls and fractures

Info and support for self management & self directed support

Anticipatory care planning

Suitable and varied housing and housing support

Support for carers

Responsive,flexible,self-directed home care

Integrated case/care management

Carer support

Rapid access to equipment

Timely adaptations including housing adaptations

Tele-healthcare

Reablement & rehabilitation

Specialist clinical advice for community teams

NHS24,SASandoutofhours access ACPs

Range of intermediate care alternatives to emergency admission

Medicines management

Access to a range of housing options

Support for carers

Urgent triage to identify frail older people

Earlyassessment&rehab in appropriate specialist unit

Prevention & treatment of delirium

Effective&timelydischarge home or transfer to intermediate care

Medicine reconciliation reviews

Specialist clinical support for care homes

Caresasequalpartners

58% 14%22% 5%

16% 16% 5%2%

27% 28% 7% 5%

32% 12%8%

5%

16% 8% 11% 2%

18%8% 0%

40%8% 25%

15%



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 ReferenceGroup.Thefulllistisincludedinthesurvey.Thewordcloudbelowillustratestheactivities that organisations indicated they provide.

Current Scope & Reach of Third Sector

Fig 4 Local and citywide reach of participating organisations. Note some organisations provide services across more than 1 CHP but are not citywide

Citywide41%

South21%

NW19% NE

20%

VolunteeringSocial Clubs

Information

Signposting

Lunch ClubsAdviceLifelong learning & leisure

Befriending

Peer Support

Carer Support

Public Awareness Strategies

CommunityDevelopment

41% provide citywide coverage

Fig 4 illustrates this alongside the local CHP reach

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Fig5Wordcloudofmostcommonactivities-largertextindicatesgreaterfrequency




Fig 5 Organisations involved in volunteering activities (of 121)

Fig 7 Organisations involved in social club activities (of 135)

Fig 6 Organisations involved in information activities ( of 118)

Fig 8 Organisations involved in advice activities (of 91)

Fig 10 Organisations involved in community transport (of 56) &/ or owns bus

Citywide53%

Citywide21%

Local15%

Local10%

Local8%

Local27%

Local17%

Local17%

Local18%

Local29%

Local17%

Local19%

Local21%

Local21%

Local14%Local

27%

Local24%

Citywide55%

Citywide54%

Citywide39%

Fig 9 Organisations involved in befriending activities (of 79)

Local20% Local

19%Local16%

Citywide46%

Fig 12 Organisations involved in lunch clubs (of 104)

Local25%

Local34%

Local28%

Citywide14%

Fig 11 Organisations involved in signposting (of 115)

*Noteanumberoforganisationsprovideservicesin2CHPstherefore,theabovefigureswillamounttoover100%wherethis is the case.

Local10%

Local15%

Local17%

Citywide58%

Thefiguresbelowillustratethegeographicalreachoforganisationsinvolvedinarangeofactivities.The number of responses (out of the 301 surveys) are indicated for each.




Carer Support

24% of the 301 survey responses indicated providing some form of carer support activity

Housing

19HousingAssociationsparticipatedintheMapping-3basedintheNorthWest3,7intheNorthEastand 9 in the South.

ThisdataisincludedinthemappingfindingsandwillbeexaminedinmoredetailalongsidethemappingcurrentlybeingundertakenbyGlasgowandWestofScotlandForumofHousingAssociations(GWSFH).

Fig 13 Organisations involved in all carer activities (of 72)

Fig 15 Organisations involved in carer respite activities (of 33)

Fig 14 Organisations involved in carer support activities (of 62)

Fig 16 CHP Organisations involved in carer other activities (of 21)

Local10%

Local6%

Local11%

Local5%

Local17%

Local15%

Local15%

Local19%

Local19%

Local21%

Local18%

Local14%

Citywide57%

Citywide58%

Citywide60%

Citywide62%

21% carer support 11% carer respite 7% carer other



Current Scope & Reach of Third SectorDirect Work with Older People

92% of respondees work directly with older people40% 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

Indirect Work to Improve Quality of Life of Older People & their Carers

Direct Work with Carers of Older People

► 28% work directly with the carers of older people►12% target particular groups carers of older people

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

AwiderangeofindirectworkalsotakesplacethroughoutGlasgow’sThirdSector,withorganisations reporting involvement in:

65+

65+

30%Undertakecampaigning

41%25%

31%

Undertake community development

Undertakeorganisational development

Undertake volunteer development

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OutcomesParticipants were asked what outcomes they deliver for older people and / or carers of older people.Thefollowingoutcomesweremostfrequentlyreported:

1. Reducing social isolation 2. Improving the health & wellbeing 3. Increased community involvement4. Improved accessibility (to services)5. Increased learning & developing new skills 6. Enablingindependenceinolderperson'sownhome7. Improved safety8. Income maximisation9. Build carer capacity10. Reduce hospitalisation & care home admissions

Carer Related Outcomes Reported

Ofthecarerrelatedoutcomes,thefollowingwerehighlighted:

● Respite for carers / alleviating burden of care ● Improved relationships ● Increasing carer capacity

Participantsreportedevidencingtheseoutcomesthrougharangeofmethods,including:

● Service user feedback via surveys & anecdotal comments ● Projectstatistics,includingserviceusage ● Staff observations ● Evaluationforms ● Reviews ● Support plans ● Focus groups ● Case studies ● Consultations ● Audits ● Independent evaluations

► 41% of participants reported that they encounter problems demonstrating outcomes

Themostfrequentlycitedissuesbeing:

● A lack of time & capacity ● Difficultyexperiencedinshowingthedifferencemade(thiscouldtakeyears) ● Softoutcomesaredifficulttomonitor

Encouragingly,overhalfofparticipants,55% are interested in next stage of the mapping research that focuses on monitoring & evaluation.



Service Demand and Partnerships

► 44% report an increase in demand

Almost two thirds of participants report sign-posting or referring older people and / or carers on to other agencies and organisations.

•73%tootherThirdSectororganisations•58%toSocialWork•56%toHealth/GPs

60%reportbeinginvolvedinpartnershipworking,splitevenlybetweenformalandinformalpartnerships.

Usage & Demand of Service

► 274 organisations report receiving formal or informal referrals

► 37% Organisations reported their services being accessed via drop in

• Third Sector organisations (70%) • Social Work (52%)• Self-referrals (47%)

Ofthosereceivingreferrals,thefollowingsourceswerereported:

• GP/Health(45%)• Family / friend (37%)• Other (26%)

► 44% report an increase in demand for their services in the past year

Contributingfactorsidentifiedas:

• Increased need amongst older people• Cutstoservices&subsequentlackofsupply• Increased awareness of their service

Quantifying Service Usage Amongst Third Sector Organisations

Forsomegroupsandorganisationsitisverydifficulttoquantifythenumberofserviceusers.Thetablebelow provides an indication of the number of organisations that were able to undertake this and the weekly averageandtotalreportednumberofserviceuserswithinthespecifiedcategories.

Users who access Weekly average Total reported

Total number of people 129 27599Total number of older people 61 12423

Total number of carers 23 391Total number of older carers 10 94

► 52% report demand remaining static

Table 2. Service usage based on responses of 214 organisations

23% of organisations have waiting lists

29 organisations reported a total of 3230 older people on waiting lists



Impact of Loss of Services232participantsreportedawiderangeofanticipatedimpactsonolderpeople,theircarers,communitiesandon statutory agencies if service or activities currently provided were no longer available. The key themes thatemergedfromqualitativeresponsesareshownbelow:

Direct Impact on Older people

ImpactonOlderPeople,Carers,OtherServicesandCommunity

Potential Impact on Statutory Agencies

Increased social isolation & loneliness

Lackofinfo,advice & signposting to other services

Increased demand on public agencies

Health and wellbeing willsuffer

Alternative services would be requiredatacost

Increased likelihood of going into residential care or hospital

People will remain at home & become less active

Community would be disadvantaged if service was lost

Lossofconfidence& independence

Lossofconfidence& independence



► 48%ofthoseengagingvolunteersreportprovidingspecificvolunteeringopportunities

► 41% of all participants have potential to increase volunteer engagement

Most popular methods of volunteer recruitment

• Word of mouth 65%• Internet 35%• VolunteerCentreGlasgow31%• Via service users 28%• Leafletsorposters24%

Main reasons cited for not engaging volunteers:

• Viewthatvolunteersrequirespecialistsupport• Lack of capacity to support & manage volunteers• Issuesaroundconfidentiality

Themostfrequentlyreportedactivitiesarereflectedintheabovewordcloud-textsizeisproportionaltofrequency.

Workforce & Volunteering

68%32%

Volunteering

► 241organisationsreportatotalof7961volunteers*

198organisationsreportatotalof5157oldervolunteers*-thisequatesto65%ofallreportedvolunteers

EmployPaidStaff

RelyEntirelyonVolunteers

PaidEmployees

► 191 of the 206 organisations with paid staff estimated the number of staff that contributes towards the delivery of these services.

► Over15,000staffwereidentifiedascontributingtowardsservicedelivery(15,155) Fig17Staffingbreakdownoforganisations

85% Engage

Volunteers

32% Rely

EntirelyonVolunteers

65% EngageOlder

Volunteers

*Notethatrespondeesoftenhaddifficultyinquantifyingthenumberofvolunteersthattheyengagethereforewebelievethistobeaveryconservative estimate.

►

BefriendingSupport

Fundraising

AdminCatering

RunGroupsServing GeneralHelp

Promotion

Accounts

Advice

Drivers

Events

Cleaning

Gardening

Therapies

Training

Walking



The4MainGrantSourcesreportedbyorganisationswere:

● GlasgowCityCouncil ● ScottishGovernment ● NHSGreaterGlasgowandClyde ● Big Lottery Fund

Cost of Service Provision & Resourcing

Ofthe237replyingtothequestiononthecostofprovidingtheseservices,figure18providesabreakdown of costs by banding.

Income

Ofthe179indicatingthesourcestheysecuredincomefrom,thefollowingsourceswerereported:

<£25k £25 – 49k£50 – 99k £100 – 249k £250 – 499k £500 – 999k£1m> Unabletoquantify

££££££

£££ £££ ££££££

71%

Donations OtherMembers Contracts Rents SLAs

Grants

36% 29% 15% 11% 10% 3%

£££

In-kind

3%

41%

10%

7%

8%

16%

8%3%6%Fig 18 Cost of service provision



Current Position & Interest in Development

Figure 19 provides a breakdown of the views of organisations expressed about growth and stability.

Fig 19 Stability of organisations

59%

25%

8%5%1%2%

Organisations interested in developing their services were asked if they currently had the capacity to start undertaking these developments. Below summarises their responses:

Wethenaskedthosewhoresponded‘no’or‘maybe’tothequestionabove,whethertheycurrentlyhad the capacity to start exploring these developments. Responses are below:

► 72% of those interested in developing their services would be keen to work alongside other organisations and agencies in approaching this.

Ofthoseindicatingadesiretodevelop,anumberofareascametotheforeintermsofcarersupport. These are highlighted below:

Stable & growingStable & same level serviceStable & reduced serviceNot stable & reduced serviceUnder threat of closureDon'tidentifywithanystatement

'yes’ 42%

'yes’ 62%

'No’ 44%

'No’ 14%

'Maybe’ 14%

'Maybe’ 24%

84% Preventative & Anticipatory Care

35% Preventative & Anticipatory Care: Support for Carers

40% Proactive Care & Support at Home

19%Proactive Care & Support at Home: Carer Support

44% EffectiveCareat Times of Transition

19% EffectiveCareat Times of Transition: Support for Carers

26% Hospital & Care Home(s)

15%Hospital & Care Home(s): Carers asEqualPartners

► 50% of respondents reported an interest in developing services across the four RCOP pathways. Of the 150 interested:



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.

Additionalcapacityrequired Undertake development ExploredevelopmentMore paid staff 81% 79% More volunteers 38% 45% Larger premises 19% 29%Suitable premises 15% 29%More funding 92% 80%Organisational development 33% 24%Volunteer management 23% 17%Others 12% 6%

Current Position & Interest in Development

Table3belowshowstheadditionalcapacityorganisationsrequiredtoenablethemtostartundertaking these developments:

Top 5 Barriers to Development Reported

68% 13% 11% 9% 8%

FundingStaffingResources*Capacity Time

59% 37% 37% 36% 26% 22% 18%

Diversifying fundingDeveloping & working in concordiaStrategic planning Monitoring & evaluation Tendering & managing contractsFinancial planning GovernancesupportStakeholder managementEmploymentissuesOther issues

14% 13% 12%

Table3Additionalcapacityrequiredbyorganisationstoundertakeorexploredevelopingservices

*Theabovefiguresarebasedonqualitativeresponseswhereparticipantsreportedspecificresourceissuesorcommentedmore broadly on resources being a barrier.



Summary Overview of Third Sector & RCOP

1. Glasgow’sThirdSectorprovidesawiderangeofservicesandactivitiesdirectlytoolderpeopleandtheircarers,totallinganestimated1000organisationsandgroupsacrossthecity.Manyofthesedirectlytargetthesegroupsoraddressparticularneedswithinthem,particularlydisability,longtermconditionsandoldercarers.

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,contributorsnotedthatshouldexistingsourcesceasetoexist,thiswouldmeanincreasedsocialisolation,anxietyanddepressionandhardshipforolderpeopleinthecity-withacostlyconsequentknockoneffectonpublicservicesupportandprovision.

5. Whilstover15,000paidemployeescontributetowardsthedeliveryofThirdSectorolderpeople'sservices,oursurveyreported7961volunteerswhoprovideadditional,crucialsupportto service delivery. There is therefore at least one volunteer for every 2 paid employees supportingthesector'swork-althoughwefeelthisisanunderestimationofthetruefigure.

6. Current service provision is resourced via a range of sources that extend beyond public sector grants,contracts&SLAs,includingLotteryandtrustfunding,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 linewiththefourRCOPpathways,particularly‘Preventative&AnticipatoryCare’.ThisfitswiththestrategicaimsoftheChangePlanprogramme,togrowearlyinterventionapproachesandenable community alternatives to prevent hospital admission.

8. Currentlevelsoffunding,staffingandresourcesarereportedasthemainbarrierstodevelopment amongst Third Sector organisations.

9. FortheThirdSectortodeliverRCOP,astrategicapproachtothedevelopmentofservicesandsupportisneeded,forexample,todiversifyfunding,developconsortia,undertakestrategicplanning and develop an evidence base.

10. Supportisalsoneededtoenableorganisationstoplantheirfutureworkforce,assessskills,explore needs and develop both staff and volunteers accordingly.



Next steps

ThisinitialreportseekstoprovideanoverviewoftheThirdSectors’contributionandthenatureand reach of its involvement to the RCOP agenda and also starts to identify potential gaps in service provision.

Howeverfurtheranalysisanddatainterrogationisrequiredtoconfidentlyidentifyandunderstandapparent gaps in service provision at both an activity and geographical level. The report establishesastartingpointforthisandfurther,moredetailedcasestudieswillbeproducedinthemonths 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:

● TheRCOPCapacityBuildingGroupand&VoluntaryActionFundtoidentifyTransformationFund priorities and criteria.

● TheRCOPThirdSectorReferenceGrouptodiscussandinformThirdSectorinputtothe Joint Investment Strategy and to identify and develop appropriate support for the ThirdSectorandissuesrequiringfurtherinvestigation,e.g.workforcedevelopmentandmonitoring and evaluation.

● The RCOP Joint Research & Intelligence Team to inform Balance of Care analysis and Joint Investment Strategy.

● TheGlasgowCityCouncilSocialWorkDepartment&StrategicReviewofDayCare.

● TheOneGlasgowVulnerableOlderPeople'sWorkstream.

These discussions will consider the Third Sector data captured via the mapping alongside identifiedneedsandotherrelevantstats,e.g.populationdata.

Theorganisationlistingsandmapsdevelopedduringthiswork,alongsiderequestedbespokereportswillbemadeavailableviatheGCVSwebsite.



Acknowledgements

ThisreportwaswrittenandpreparedbyMarySinclair,SamiraAdrisandJuneMacleodfromGlasgowCouncilfortheVoluntarySector.Wegratefullyacknowledgethemanyorganisationsandgroupswhoparticipatedinthemappingandtheexpertise,inputandcommentfromthefollowing individuals who participated in the stakeholder interviews:

Third Sector Martin Johnstone - (Third Sector Interface Chair) Faith in the Community ScotlandIan Welsh - the Alliance (Formerly LTCAS)Charlie Murphy - Age Scotland UnaGillonandJimKing-VolunteerCentreGlasgowCharlie Barker - Social Care Ideas FactoryRobertaDownes-GCVS

NHS Greater Glasgow & ClydeAnn HarknessFiona MossAnna BaxendaleAlanGilmourHamish BattyeJill Carson

Glasgow City Council Social Work DeptStephenFitzpatrickAnn Cummings

final mapping report rcop

Documents

reshaping care

older peopleglasgows

independent sector

sector mapping report

current position

mapping findings

contribution activities

whoserolewastoensurethi