transforming quality through the third sector: challenging and influencing practice
DESCRIPTION
The third sector is a vital partner in delivering high quality healthcare in Scotland. Hear case studies from the Long Term Conditions Alliance Scotland which demonstrate effective partnership working between the third sector, NHSScotland and local authorities.TRANSCRIPT
Transforming Quality Through the Third Sector: Challenging and Influencing Practice
Scotland’s Third Sector
•Employs 5 % of Scotland’s workforce
•Includes around 137,000 paid staff and 1.3 million adult volunteers
•Voluntary workforce is significantly larger in Scotland than rest of the UK
•An estimated 3,600 organisations work in the field of healthcare and a further 18,450 work in social care and development
•Sector has an annual turnover of £4.4 billion – the equivalent of the Scottish tourism industry
•Funding base shifting from a reliance on grants, donation and voluntary income towards trading and public funding
•Sector pre-dates the NHS in Scotland with many organisations having been established over 100 years ago
Third Sector Activity LTCAS MEMBERS
• Chest Heart and Stroke Scotland• Diabetes UK Scotland• British Heart Foundation• Scottish Partnership for Palliative Care• Neurological Alliance• Penumbra• Epilepsy Scotland• Alzheimers Scotland• MS Society Scotland• Quarriers• Macmillan Cancer Support• Breakthrough Breast Cancer• Carers Scotland• SAMH • Voluntary Action Scotland
Public trust in the voluntary sector is high:
72 per cent of the population feels charities ‘play an essential or very important role in society today’
• Christie Commission report advocates radical shift towards new approaches to delivering public services: preventative and holistic
•Sector has a history of ‘doing things differently’: preventative, asset-based approaches such as self management, personalisation, independent living, recovery and co-production
• Sector has a key contribution to make in realising ambitions of report: drive cultural change; innovation; and ensuring people who use services are at heart of the agenda
• Sector has potential to play a greater role at strategic and delivery levels: adaptable partner offering in-depth, individualised and cost-effective services
•Sector must be an equal partner at both national and local level in order to improve quality of care, find more productive ways forward and redesign services effectively
Third Sector: Catalyst for Change
New Ways of Working
• Recognising people as assets.• Building on people’s existing capabilities.• Promoting mutuality and reciprocity.• Developing peer support networks.• Breaking down barriers between professionals and recipients.• Facilitating rather than delivering.
Nesta :Public Services Inside Out
Better Health, Better Care
‘[To]…improve the way in which we engage with children, young people and the people who care for them and ensure greater involvement of the most vulnerable and seldom heard groups.
Third Sector organisations have well established networks and connections across these communities and can play a vital role as partners in ensuring that our health services are fair for all… The value-added contribution of Scotland’s network of voluntary and community organisations is already significant, but more must be done to foster this important partnership.
NHS Boards are required to work with local Third Sector organisations to understand and develop the potential contribution they can make to improving the effectiveness of health improvement and health care planning and delivery.’
Scottish Government 2007
Healthcare Quality Strategy for NHSScotland
‘…public sector partners and the third sector have a major role to play in supporting people across Scotland in making the changes required to achieve the world-leading health and healthcare services to which we aspire.’
Vision of a high quality NHS ‘needs to be compelling to, and shared by, partners in the rest of the public sector, and in the third sector.’
Scottish Government 2010
Breakthrough Breast Cancer Service Pledge
‘My Conditions, My Terms, My Life’ Campaign:– Jean’s Film– Shazia’s Story
Strategic Review of Scottish Government Health Directorate’s Engagement with the
Third Sector
‘Third sector organisations provide services to some of the most vulnerable people in Scotland and such have an important role in delivering better outcomes for our communities, including improvements to Scotland’s healthcare needs.’
‘The third sector…can help to strike the right balance between early years, healthy lives, good care in the community and acute services. However there is currently no road map on how to effectively achieve this, which this review will address’
Scottish Government 2011
Reflections
Thistle Foundation Self Management Project –Mary DeanNHS Lothian practitioner and professional Change Champion
Questions for Discussion:
• What are the barriers to working with the third sector? What are the opportunities?
• How do you see the third sector and NHS working together to achieve the kind of cultural change envisaged in the Quality Strategy?
• How do we make sure that a few years down the line things are actually different for people using services and that the quality of their experiences and outcomes is better?
• To subscribe please email [email protected]
Contact Details
Ian WelshChief Executive of LTCAS
Audrey BirtChair of LTCAS/Director for Scotland Breakthrough Breast Cancer