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Here’s Looking at You:
The NHS and the VCS
       Lin O’Hara
   Involve North East
      6 March 2013
NHS Reform:
 Winners and Losers in the Voluntary Sector

‘The largest and most vibrant social enterprise
sector in the world’
? ‘No decision about me without me’: What do
  patients and health service users expect?
? What do GPs think of the VCS in Newcastle?
? What are the expectations (and experiences to date)
  of VCS providers in Newcastle?
Choice and Control
      Patients, Carers and the Public
 Delighted. Good to see doctors using local
  groups and charities
 I have used charities in the past and they have
  been very good
 If it was best for me, why not? And if it was
  quicker than an NHS service, all the better
 Great, as opposed to the private sector
 Great as long as they were not expecting the
  charity to do it free
 Disgusted because why should charities do the
  work of the NHS?!
 Charities are there to support, not provide
  treatment. The NHS shouldn’t pile
  responsibility on to volunteers
The view from the surgery
Do you think the VCS has a role to play in your practice?
                                                            83.9%
Would you consider working with VCS organisations in the future?

                                                     87.1%
Do you know enough about the VCS to be able to work with them
now?
                                                     6.5%
Do you know how/where to find out more about the VCS in Newcastle?

                                                            25.8%
Past Experience
Have you worked with VCS organisations in your practice?
                         Number             %
      Yes                   17             54.8
      No                    12             38.7
      Don’t know            2               6.5
Did the practice pay?
                         Number             %
      Yes                   7              28.0
      No                    15             60.0
      Don’t know            3              12.0
Feedback
• Excellent, brilliant, invaluable . . .
• The practice and patients loved it. It’s a shame
  the funding ran out
• Fine as far as I know, never heard much back
• As far as we are aware, really good

Would you use them again?
Yes                                       100%
How would you like to find out more about
     the VCS and what it can offer?

                        Number of    % of respondents
                       respondents
Online directory            20             39.0
Leaflet in the post        12              23.0
Face to face meeting       12              23.0
‘Speed dating’ event       8               15.0
Telephone call             0                0
Any other suggestions?
• Information at Clinical Commissioning Group 'time out'
  events
• We hold short weekly education meetings in the
  Practice. And the consortium holds longer quarterly
  meetings. It would be useful to hear from
  organisations at those meetings
• It would be good to arrange for voluntary
  organisations to come to our regular practice
  meetings. Three practices meet on Friday lunchtimes
The other side of the coin:
     VCS experiences
Participants
• 31 organisations
• 25 currently receiving PCT funding
• Mixture of local, national, regional focus
• 12 currently working with GP practices in
  Newcastle
• None receiving payment from GP practices
Negotiations

• We spoke at one of their regular sessions, and they
  were very enthusiastic – but then you come away
  and you don’t hear anything afterwards

• Still in negotiations but it’s all dependent on funding!

• A Practice Manager approached us, but although we
  were interested nothing developed from the GP side
For example . . .
‘We were approached by a practice a few months ago and
we went out to talk to them and they were very
interested . . .
. . . but they didn’t have any money . . .
. . . we could have worked together to put in a funding bid
somewhere
. . . but then I’d have used one of my potential funding
sources for something that’s not essential to my
organisation.’
What could the NHS do?
• Be clear about the outcomes needed –
  including ‘soft’ outcomes
• Proportionate way to identify, evaluate and
  commission smaller providers
• ‘Joined up’ processes and systems with City
  Council
• Consider grant aid to replace some PCT
  funding
What could the VCS do?
• ‘We should cost out the true cost of our services
  so they know, each time we have an intervention
  with a young person or an adult, how much the
  true cost is’
• Report back on referrals: what was done, what its
  effect was, what resources were involved. Raise
  awareness
• Work with GPs to develop a common template
  for describing organisations and their work and
  its impact
NESTA
Newcastle West CCG: One-year funding for social
prescribing project with VCS
‘The CCG will continue to work with the voluntary
sector through Newcastle CVS and Involve North East
to further improve partnerships and e.g. to consider
how to take forward specific recommendations in
recently commissioned reports’
And finally . . .

Don’t all rush at once . . .
One stop shop: central, independent conduit for
information between the voluntary and
statutory sectors
The reports
                      “My Body, My Life”
Views of patients, carers and the public in Newcastle upon Tyne

            “Time and People that we don’t have”
             Views of GPs in Newcastle upon Tyne

                    Here’s Looking at You
    Reflections from the Voluntary and Community Sector

              NHS change: Winners and losers?
                     Summary report

                  www.resourcebank.org.uk

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Involve ne for case kent

  • 1. Here’s Looking at You: The NHS and the VCS Lin O’Hara Involve North East 6 March 2013
  • 2. NHS Reform: Winners and Losers in the Voluntary Sector ‘The largest and most vibrant social enterprise sector in the world’ ? ‘No decision about me without me’: What do patients and health service users expect? ? What do GPs think of the VCS in Newcastle? ? What are the expectations (and experiences to date) of VCS providers in Newcastle?
  • 3. Choice and Control Patients, Carers and the Public  Delighted. Good to see doctors using local groups and charities  I have used charities in the past and they have been very good  If it was best for me, why not? And if it was quicker than an NHS service, all the better  Great, as opposed to the private sector
  • 4.  Great as long as they were not expecting the charity to do it free  Disgusted because why should charities do the work of the NHS?!  Charities are there to support, not provide treatment. The NHS shouldn’t pile responsibility on to volunteers
  • 5. The view from the surgery Do you think the VCS has a role to play in your practice? 83.9% Would you consider working with VCS organisations in the future? 87.1% Do you know enough about the VCS to be able to work with them now? 6.5% Do you know how/where to find out more about the VCS in Newcastle? 25.8%
  • 6. Past Experience Have you worked with VCS organisations in your practice? Number % Yes 17 54.8 No 12 38.7 Don’t know 2 6.5 Did the practice pay? Number % Yes 7 28.0 No 15 60.0 Don’t know 3 12.0
  • 7. Feedback • Excellent, brilliant, invaluable . . . • The practice and patients loved it. It’s a shame the funding ran out • Fine as far as I know, never heard much back • As far as we are aware, really good Would you use them again? Yes 100%
  • 8. How would you like to find out more about the VCS and what it can offer? Number of % of respondents respondents Online directory 20 39.0 Leaflet in the post 12 23.0 Face to face meeting 12 23.0 ‘Speed dating’ event 8 15.0 Telephone call 0 0
  • 9. Any other suggestions? • Information at Clinical Commissioning Group 'time out' events • We hold short weekly education meetings in the Practice. And the consortium holds longer quarterly meetings. It would be useful to hear from organisations at those meetings • It would be good to arrange for voluntary organisations to come to our regular practice meetings. Three practices meet on Friday lunchtimes
  • 10. The other side of the coin: VCS experiences
  • 11. Participants • 31 organisations • 25 currently receiving PCT funding • Mixture of local, national, regional focus • 12 currently working with GP practices in Newcastle • None receiving payment from GP practices
  • 12. Negotiations • We spoke at one of their regular sessions, and they were very enthusiastic – but then you come away and you don’t hear anything afterwards • Still in negotiations but it’s all dependent on funding! • A Practice Manager approached us, but although we were interested nothing developed from the GP side
  • 13. For example . . . ‘We were approached by a practice a few months ago and we went out to talk to them and they were very interested . . . . . . but they didn’t have any money . . . . . . we could have worked together to put in a funding bid somewhere . . . but then I’d have used one of my potential funding sources for something that’s not essential to my organisation.’
  • 14. What could the NHS do? • Be clear about the outcomes needed – including ‘soft’ outcomes • Proportionate way to identify, evaluate and commission smaller providers • ‘Joined up’ processes and systems with City Council • Consider grant aid to replace some PCT funding
  • 15. What could the VCS do? • ‘We should cost out the true cost of our services so they know, each time we have an intervention with a young person or an adult, how much the true cost is’ • Report back on referrals: what was done, what its effect was, what resources were involved. Raise awareness • Work with GPs to develop a common template for describing organisations and their work and its impact
  • 16. NESTA Newcastle West CCG: One-year funding for social prescribing project with VCS ‘The CCG will continue to work with the voluntary sector through Newcastle CVS and Involve North East to further improve partnerships and e.g. to consider how to take forward specific recommendations in recently commissioned reports’
  • 17. And finally . . . Don’t all rush at once . . . One stop shop: central, independent conduit for information between the voluntary and statutory sectors
  • 18. The reports “My Body, My Life” Views of patients, carers and the public in Newcastle upon Tyne “Time and People that we don’t have” Views of GPs in Newcastle upon Tyne Here’s Looking at You Reflections from the Voluntary and Community Sector NHS change: Winners and losers? Summary report www.resourcebank.org.uk