Demonstrating volunteering impactAge UK Sutton Home from Hospital Service

Jenny Kablean

Rebecca Stewart

March 20 2014

Aim and contents

Aim•Present key areas of learning

•Discuss ways to improve impact measurement

•How can we develop other measurements ?

Content •Background details•Local health economy – and working together•The targets•The outcomes•The impact•The learnings•Progression – the discussion

Background detailsAge UK Sutton Home from Hospital service

• Service details :• Home from hospital

• NHS Community Helpers• Caring Neighbour scheme

• Designed to support older people’s transition from hospital to home or to avoid admission

• Reduce demand on NHS services through prevention and readmission

• 6 - 24 month contracts

Pilot schemes to deliver a circle of support for older people in Sutton – volunteers crucial delivery element

Local health economy – working together

Good relationship with CCG in Sutton

Developed over many years

We help extend reach to older people

Currently, CCG sets brief & evidence

framework

Age UK Sutton delivers “It has been a real benefit being able to refer people to the Home from Hospital service. There are often people who don’t need social services, but do need some support, and the Home from Hospital service has filled that gap”. Referring Physiotherapist

Relationship development is vital – to understand the local priorities and develop solutions that go further, faster, to help more people

The commissioner’s perspectiveChristine Harger, Service Redesign Manager, Sutton CCG

“We look at the whole person, not just health needs, this is important, as how the person feels affects their health, affecting how & when they access the health system.

“Our aim is :

•No one should be cold

•No one should be hungry

•No one should be worried

•No one should be lonely”

Clear message for older people in Sutton - we care and we want to support you

The services

• HfH 7 day service - from 2012• Aimed at 65+, without support network• HfH Integrated within rapid response

team at St Helier Hospital• Low intensity practical support for 4

weeks following discharge

• Includes 2 weekly visits /phone calls• Community Helpers – one to one

friendship and support to re-engage with community life

• Caring Neighbours – extra support to stay well in winter

• Aim to support independence and increase resilience

• Links to ongoing ‘circle of support’

The volunteers

• 200 volunteers in Age UK Sutton

• 26,500 volunteer hours in 2013

• Wide range of roles

• Ongoing recruitment

• Careful matching

• Training and support

• 60 supporting HfH & CH

• Nearly 2,000 hours supporting HfH & CH in last 6 months alone

Volunteer-led organisations have decades of experience at being nimble – resourcing major projects quickly, to reach more of the most vulnerable

Targets

HfH:140 referrals per year

CH: 120 referrals per year

Reduced emergency department

attendance

Reduced hospital admissions

Increased wellbeing indicators

The outcomes

• 20 contacts per HFH patient• Exceeding targets• 82% of patients rated service as

good or excellent

• Sustained improvements measured via LEAF outcome scores

• Low hospital re-admissions

“Home from Hospital helped her to get her life back and settled. It was a blessing, it took the pressure off my brother who lives far away and is quite frail himself” (Mrs B).

“Having the volunteer prevented me from calling 999”

The impact

45% increase in daily activity ability scores, 3 months after using the service

The impact

>200% increase in perception of physical health wellbeing – after the 4th assessment

Key learnings

Did well :•Rapid, effective support around discharge

•Patient wellbeing, increased resilience – and significant increases in perception of wellbeing

•Across the board volunteer satisfaction anecdotes / case studies

•Satisfied customers – Commissioners and clients

Moving forward:•Renewed funding for 12 months for all 3 services

•Greater integration within Older Persons Pathway

•Target 10% reduction in 65+ admissions

•Review evaluation measures

Over to you … [discussion]

“My Nan says that a candle can light many more candles, and still stay alight. I want to be that candle lighting other candles”