1. VCSE SPoC social prescribing and beyond
Neil Cleeveley
Chief Executive
NAVCA
@NAVCA_Neil

2. 200 members ….national body of local ‘infrastructure charities’ NAVCA…
Supporting 160,000 local groups

3. UK Voluntary sector 162,000 charities 827,000 employees 15 million
volunteer regularly
£43.8bn income
£12.2bn GVA
Source: NCVO Civil Society Almanac 2016

4. The problem
June 2014 – Reducing Winter Pressures Fund – “Winter Hotspots” project July 2015 – Cabinet Office, DH & NHS England ‘Systems resilience - Lessons Learned’ workshop Key message: navigating local VCSE not easy – requires systematic engagement Nuffield Trust ‘single point of access’ can help “Make use of existing local infrastructure to coordinate with the VCS in both health and social care. Where this is absent, make long-term investments in infrastructure and capacity building.” Untapped Potential by NPC for Richmond Group
Why?
How could we help create a more resilient system?
Part of the answer is more engaged and resilient communities – people helping each other
But the local VCSE is diffuse
Navigation takes time – credibility & trust vital

5. The problems……………

6. What can it offer? Real time map of community resources……
What’s out there?
How can it help?
Single point of:
access
communication
contact
commissioning
development
SPOC needs to be all these things
Contact – who is out there and how can they help?
Access – referral as part of care pathway
Commissioning – micro commissioning; performance & contract management
Communication – two-way: community voices to decision-makers; messages/feedback to local people
…..and how to find the right one

7. How can it help? Alleviate pressure Create delivery partnerships
Offer person centred support
Nurture social capital
Support self care
Promote volunteering
Reduce isolation
Mutual health-creating communities
Connect local partners
Build new capacity
Provide broad social support to accelerate discharge
Promote prevention – peers supporting healthier behaviour
Reduce re-admission
Links to Personal Health Budgets

8. Rotherham approach to SP
Track record and relationship with CCG
Conduit to wider Voluntary and Community Sector
One contract/accountable body
Added value/ripple effect
GPS NEEDING ONE POINT OF REFERRAL
Estimated 1382 voluntary and community organisations in Rotherham
There are 49,000 volunteers.
The Sector works across all ages/ geographical communities/ communities of interest/ areas of work
64% improve peoples mental well being
61% address the needs of the most disadvantaged
53% increase peoples skills
49% help people feel they belong to the their neighbourhood
Support VCS own delivery & sustainability, Use their contribution in service transformation, Provide significant additional value and Improve outcomes for Individuals/ Communities
Slide courtesy of VAR

9. Benefits? Inpatient admissions reduced by 21%
A&E attendance reduced by as much as 20%
Outpatient appointments reduced by as much as 21%
ROI could reach £3.38 per pound.
Even with 33% pa drop-off – ROI of £1.41 for each £1 invested
Real beneficiaries are local people: patients & volunteers
ROI £3.38 if the benefits being achieved by the end of the pilot are sustained over a five year period
Slide courtesy of VAR – evaluation by CRESR, Sheffield Hallam University

10. What might it look like?
Local health and care system – National partners –
Wider public sector
CCG
Alignment & integration
Hospital to care
PHB
Engagement
GP/SP
SPoC
Trust, credibility & confidence
Assessment
Co-ordination & support
Streamlined systems
Menu of options
Local
group
Local
group
Local
group
Local
group
Local
group
Commissioners’ trust;
Understand & reflect local needs, assets & resources;
Honest broker;
Lead improvement & innovation;
Social value;
Co-production;
Tackle inequalities;
Voices of most vulnerable & underrepresented
Single local body/Collective;
Contract lead – management & reporting
Network;
Accountable;
Develop and support community capacity;
Build social capital - ABCD
Local people and communities
Volunteers

11. Underpinning principles……….
Committed to the local area, but connected regionally
Trusted by commissioners & local VCSE
Facilitate co-production
Foster collaboration with and across local VCSE
Build community capacity to respond
Understand community needs and assets
Make sure vulnerable & underrepresented voices heard
Help address health inequalities
Help VCSE adapt, innovate & improve
Promote equality & diversity
Examples:
Rotherham
Hackney
Dudley MCP (multi-speciality community provider)

12. VCSE SPoC social prescribing and beyond
Neil Cleeveley
Chief Executive
NAVCA
@NAVCA_Neil