Supporting voluntary sector arrangements in Rhondda Cynon Taff

Transcription

1 Supporting Voluntary Action in Rhondda Cynon Taff Cefnogi Gweithredu Gwirfoddol yn Rhondda Cynon Taf Supporting voluntary sector arrangements in Rhondda Cynon Taff A report for Rhondda Cynon Taff Local Health Board Final report 20 th April 2005 Bryan Collis WCVA - 1 -

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3 Contents Page 1. Executive summary Aims Findings Recommendations 7 2. Introduction The background to the project The research plan The structure of the report Services provided by voluntary organisations in Rhondda Cynon Taff Types of services provided Funding arrangements for service provision Conclusions Mapping voluntary organisations that provide services in Rhondda Cynon Taff Organisations providing services in Rhondda Cynon Taff The contribution of voluntary organisations to health, social care and well being service provision Conclusions Prospects for expansion of voluntary sector service provision Expansion of existing services New services Areas of expansion Common barriers to expansion Conclusions and recommendations Pooled budgets in health and social care Examples and evaluation from other areas Plans for pooled budgets in Rhondda Cynon Taff Voluntary sector responses to pooled budgets Conclusions and recommendations Key findings and recommendations Health, social care and well being services provided by voluntary organisations Funding of service provision Potential for expansion Barriers to expansion Reactions to pooled budgets Recommendations Appendices: Methodology Questionnaire methodology and response rate Questionnaire Methodology for estimation of financial value of service provision Consultation meeting plans List of attendee at consultation meetings Telephone interview methodology List of organisations included in telephone interviews 66 Contents - 3 -

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5 Executive summary 1. Executive summary 1.1 Aims This project is part of the Wanless Action Plan for Rhondda Cynon Taff and has been commissioned by the Health, Social Care and Well Being Partnership Board. The project had the following aims: 1. Map voluntary organisations which provide health and social care related services in Rhondda Cynon Taff 2. Determine the nature and scope of services provided 3. Examine the potential to expand such services 4. Explore possible use of a single source of funding for NGOs 1.1 Findings 1. There are up to 304 organisations that provide services in health, social care and well-being in Rhondda Cynon Taff. This is to be set against the backdrop of over 1,500 voluntary organisations which are based in Rhondda Cynon Taff, of which 748 have an interest in some aspect of health, social care and well being. 2. The survey responses recorded 185 different services, based throughout Rhondda Cynon Taff with an estimated minimum budget of 27.3 million. 3. Of the total budget, approximately 11.6 million comes from the LHB and CBC. This shows that the voluntary sector benefits from 4.1 per cent of LHB and CBC health and social care spending, and contributes an extra 5.6 per cent of their budget from other sources. 4. At least 4933 people or three per cent of the working age population are involved in providing health, social care and well-being services through the voluntary sector. Of these people, 1277 are employees. 5. Some services are provided, in the main, by volunteers, whilst others are provided by staff. The balance varies depending on the group of people being served, and the type of service offered. 6. The services identified are fairly evenly distributed between the three areas of the Rhondda valley, Cynon valley and Pontypridd and Taff Ely. However some groups are not as well served as others, and there appear to be gaps in services for some beneficiary groups. However, it should be noted that this includes only services provided by the voluntary sector. 7. There is a lack of locally based service provision in all areas for certain groups of people. 8. These will need to be further researched, to check whether services exist which have not been identified here

6 Supporting voluntary sector arrangements 9. A large number of services dependent on one funder, and a significant number of services that have more than five different funding streams. Both of these have implications for service sustainability and management. 10. The CBC is the funder with the greatest number of interactions with service providers of all funders in the survey and is also the largest single funder. The National Lottery, Welsh Assembly Government and other voluntary organisations are also important. 11. Grants represent the major type of funding, and these often have a service level agreement associated with them. Overall, 55 per cent of funding identified was either as a grant with an SLA or as a contract. 12. There is significant potential for the expansion of current services and the initiation of new services. Respondents felt that over 60 per cent of projects had some potential for expansion, whilst nearly half of the organisations that provide services had an idea for a new service. Much of this is based on current unmet need, and the desire amongst those who replied to see the needs met. 13. There does not seem to be a particular part of Rhondda Cynon Taff, a particular service to a group of people, or a type of service provision that is more or less likely to be seen as having the potential to expand or be an area for a new service. This analysis does, however, mask particular niche needs, eg an information drop in for people with a specific health condition, or a healthy eating class in a particular community. Some needs are currently met by national or regional organisations that have little local presence. A more substantial local presence may make their work more effective. 14. There appears to be potential in providing new services in the following areas: social support for people with sensory disabilities, counselling and group support services, services which support families and services which support children. This potential needs to be confirmed by checking the local statutory and voluntary sector provision in more depth, and checking the validity of the evidence of need. 15. Barriers to the expansion of existing services and the initiation of new services include: funding, resources, volunteer issues, staff issues and problems with the planning or funding system. 16. These include a whole range of problems, from simple lack of funding or sustainable funding, to lack of a room large enough to meet in, retention of trained volunteers, to issues with the way service provision decisions are made. 17. Relationships between the voluntary sector and the LHB and CBC, whilst not perfect, have some identifiable strengths. These include some good working relationships, and a healthy level of funding from the CBC (in comparison with other local authorities). 18. There is a general feeling that there is potential for administrative saving from pooling budgets between the LHB and CBC. In addition, a clean sheet approach to procurement would allow new groups to enter the funding areana. 19. Some felt that there was a threat to current service provision, with the importance being given to the strategic plan, and the way organisations would be expected to meet those targets to receive funding

7 Executive summary 20. A number of practical issues were raised during the research, such as the timing of payments, whether there would be annual inflationary increases and what would happen if one partner s funding decreased. 1.2 Recommendations 1. A comparison of the mapping conducted in this report with a mapping of statutory or private services should be conducted, to determine the gaps which are not being met by any service. 2. The Health, Social Care and Well Being Partnership Board needs to give some clear directions as to the areas for future service development where services delivered by voluntary organisations are seen as part of the overall mixture of service provision. 3. That once priorities have been set, that these are communicated clearly to relevant partners, to enable organisations to engage where they are able and wish to in meeting the gaps in services. 4. Ensure that all new funding is capable of being incremented to take account of increasing wages. 5. That there is equal access to tendering processes for new services to all sectors. 6. The potential for administrative savings from pooling budgets will need to be checked as new arrangements are tested. 7. Assurances need to be made that pooling budgets will not lead to a loss of funding from either the LHB or the CBC. 8. Where organisations are currently receiving funding from the no pay budget from the CBC, this will need to be addressed in any pooled budget arrangements. 9. Plan an evaluation, which will include the voluntary sector, of any new funding arrangements after a particular time, make this known at the beginning of the changes, and stick to it. 10. Make sure the context of moving to pooling all of the budget for a service area is clear when involving organisations in negotiations regarding the pooling of voluntary sector related funding. 11. The perceived lack of value given to the voluntary sector by health and social care staff from public bodies is addressed by joint training, encouraging contact at a lower level of service planning and possibly staff secondment or shadowing. 12. Some priority is given to the need for good partnership working to enable ownership of the changes by the voluntary sector. 13. Continue working with voluntary organisations in planning the joint use of health facility buildings

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9 Introduction 2. Introduction 2.1 The background to the project This project is part of the Wanless Action Plan for Rhondda Cynon Taff. The Health, Social Care and Well Being Partnership Board recognised that funding relationships with the voluntary sector were ad hoc, and based more on historical relationships than the different services that are or could be provided by the voluntary sector. A review of Local Health Board (LHB) contracts was carried out in 2004, with the result that contracts were renewed for either 1 or 3 years. Spending on voluntary organisations was planned to be 990,000 in , of a total secondary care budget of 194,616, This report aims to provide background information on voluntary sector service provision in Rhondda Cynon Taff to enable the LHB to make an informed decision about which services they should engage with the voluntary sector to provide. This is being done with the expectation that some service providers that do not currently attract LHB funding may be considered for support to enable expansion to new areas or new areas of service provision. In addition, as a result of the flexibilities introduced in the 1999 Health Act and National Assembly policy, the LHB is investigating working with the Social Service Department of Rhondda Cynon Taff Count Borough Council (SSD) to commission services in health, social care and well being using pooled budgets. Initially, the services provided to elderly and disabled people are being considered, with the aim to extend to other services in due course. This report records the responses and concerns of voluntary organisations as this process is planned and initiated. 2.2 The research plan The research plan was as follows: Aims: 5. Mapping voluntary organisations which provide health and social care related services in Rhondda Cynon Taff 6. Determine the nature and scope of services provided 7. Examine the potential to expand such services 8. Explore possible use of a single source of funding for NGOs Methodology: Inception meeting with Interlink Use Interlink and WCVA databases, combined with current LHB and Local Authority funded voluntary sector providers of services to identify a list of possible service providers. Estimate about 500 groups (Aim 1) Send bilingual questionnaire (max 4 pages in each language) to all on the list to o identify those which provide services, (Aim 1) o request details of services provided, and who funds them (Aim 2) o identify desire to expand services and barriers to expansion. (Aim 3) o Identify skills needs should expansion occur (Aim 3) Follow up non-respondents by second mailing and telephone as appropriate. 1 Financial statement, Rhondda Cynon Taf Local Health Board meeting 28 July 2004: -

10 Supporting voluntary sector arrangements Prepare database of services provided and service providers, searchable by service beneficiaries, location of service delivery and type of service. (Aim 1 & 2) Invite all service providers to one or two consultation workshops, examining issues related to expansion and funding (Aim 3 & 4) Investigate examples of other authorities using Health Act 1999 to provide single source of funding for NGOs (Aim 4) Meet with major funders and funded organisations in Rhondda Cynon Taff to explore the issues and provide recommendations on option for further work. (Aim 4) Outputs and dissemination: Electronic version of agreed report in English and Welsh (Word document) Presentation to one meeting Database of results in Access 2000 to Interlink Directory of services (word document) for Interlink WCVA & Interlink to have the right to use the data for other studies and distribute the agreed report. 2.3 The structure of the report The report reflects the research aims, describing the services currently provided in Rhondda Cynon Taff (Section 3); an analysis of the organisations providing those services, including estimates of the financial and human resources involved (Section 4); an analysis of the prospects for service expansion by voluntary organisation (Section 5); and a discussion of the issues surrounding the pooling of budgets in health, social care and well being (Section 6). These are then brought together as key findings and recommendations (Section 7). To keep the main report as accessible as possible, technical details regarding the project are described in a number of appendices

11 Services provided by voluntary organisations 3. Services provided by voluntary organisations in Rhondda Cynon Taff 3.1 Types of services provided Over 180 different services have been identified. Some are generic, such as social support of elderly people, whilst others are much more specific. These have been classified using the following dimensions. Beneficiary type: People with AIDS/HIV People with addiction issues People with mental health issues People with learning difficulties People with physical disablement sensory People with physical disablement People with specific medical conditions People with general health needs (ie most of us, healthy living advice etc) Older people Children (0-16), especially those at risk or looked after Young people (16-25) Families/parents Carers Type of support Social support Advice (including advice points and help lines) Counselling (therapeutic) Advocacy (acting with or on someone s behalf) Community support (providing community facilities and regeneration projects) Leisure Group support Individual support Personal care Residential Housing Support available to carers/relatives Training Services were also coded by the age range of beneficiaries, but the analyses were not significantly different from those by beneficiary type, and so have not been included. Of the 180 services, just over half are available county wide, with an even distribution between the three main areas: the Rhondda, the Cynon Valley and Pontypridd and Taff Ely (Figure 1). The services are broken down by beneficiary type in Figure 2 and by the type of support in Figure

12 Supporting voluntary sector arrangements Figure 1: Services by area served Number of services Rhondda Cynon Taf All Total Figure 2: Services available in Rhondda Cynon Taff by beneficiary type 60 Number of services AIDS/HIV Carers Physical disability Addiction Families/parents General health Specific health Children Learning Difficulties Mental Health Older people Sensory disability Young people

13 Figure 3: Services by service type Services provided by voluntary organisations Number of services Advice Advocacy Counselling Community Group support Individual support Leisure Regeneration Personal care Residential Social support Training

14 Supporting voluntary sector arrangements Figures 4 to 6 show the services identified in each area of Rhondda Cynon Taff. These are divided into services which are whole county services and those which are sub county or local services, ie only available in one or two of the areas. It can be seen that some beneficiaries are served entirely by whole county services, whilst others are served by local services. Also, the local services are not replicated across all three areas. For instance, local children s services have been identified in the Cynon valley and Taff Ely, but not in the Rhondda. This may be due to organisations not returning questionnaires, but does give an indication of where gaps in service may be occurring. The distribution of service types between different beneficiaries is shown in Table 1. This shows that certain types of service delivery were not available to all beneficiary types. There are several observations regarding this analysis: Not all voluntary sector provided services responded to the questionnaire. This analysis gives a starting point for areas of concern, which will need to be followed up with further research. The service may, in some cases, be included in another service delivery type, eg individual support may include advocacy, but there may still be areas where gaps exist. Only voluntary sector services are included. Similar data for LHB, health trust, social services and private services should be consulted before the gaps identified can be seen as areas of need. Given these considerations, the apparent absence of leisure or social support for adults with sensory disabilities, mental health problems or addiction problems should be investigated further. Another area of concern is the apparent lack of counselling services for many beneficiary types. Figure 4: Services in the Rhondda 30 Number of services Local Whole LA 0 AIDS/HIV Carers Physical Disability Addiction Families Health - General Health - Specific Children Learning Disability Mental Health Elderly Sensory Disability Youth

15 Figure 5: Services in the Cynon Valley Services provided by voluntary organisations 40 Number of services Local Whole LA 5 0 AIDS /HIV Carers Physical Disa bility Addic tion Families Health - General Health - Spe cific Children Mental H Learning Disability ealth Elderly Sensory Disability Y outh Figure 6: Services in Taff Ely 30 Number of services Local Whole LA AIDS/HIV Carers Physical Disability Addiction Families Health - General Health - Specific Children Learning Disability Mental Health Elderly Sensory Disability Youth

16 Supporting voluntary sector arrangements Table 1: Distribution of service types between beneficiaries Commu nity Leisur e Advic e Advoc acy Group Social Individual Housing Training Counsel Pers care Resid ential Grand Total AIDS/HIV Carers 8 8 Physical Disability Addiction Families Health - General Health - Specific Children Learning Disability Mental Health Elderly Sensory Disability Youth Grand Total

17 Services provided by voluntary organisations 3.2 Funding arrangements for service provision Two thirds of the services did not comment on funding security, presumably because they do not have any or it is not an issue for the services they provide. Of those who indicated a date, three indicated some time in 2004, 23 some time in 2005, 25 some time in 2006 and six 2007 or This indicates that most are on a one or two year funding cycle, whilst a small number will soon experience difficulties. About a quarter of the services identified did not have a specified income source. For those that did specify an income source, 40% have only one funder (Figure 7), whilst almost 15% of services have four or more sources of income. Where a funding source was identified, respondents indicated 250 instances of funding. These are shown in Figure 8. This shows that Rhondda Cynon Taff CBC funds the greatest number of the services in the survey. Many organisations raise money by accepting donations, fundraising, session or membership charges (self generated). Other important funders are the Welsh Assembly Government, charitable trusts and voluntary organisations, the national lottery and the LHB. There was no reported funding from the health trusts which operate in Rhondda Cynon Taff. Of the 250 instances of funding mentioned, 234 also indicated the value of the funding. This amounted to 8.6 million, or 31 per cent of the estimate of total service budget. CBC and LHB funding identified amounted to 2.2 million and 0.6 million respectively, making 20 per cent and 61 per cent of the estimated total spend of these two bodies. The distribution of identified funding is shown in Figure 9. This shows that the CBC is the largest funder of the services in the survey, with the national lottery and European funding being the next two largest. In over 160 of the instances of funding mentioned the type of funding mechanism was identified. Of these, over 80 percent are in the form of grants. Forty percent of grants are accompanied by service level agreements (SLAs). Contract make up only 10% of reported funding arrangements, and there are a small proportion of other arrangements, including spot contracts, reimbursement for seconded staff and partnership arrangements (Figure 10). The monetary value of grants, grants with a SLA, contracts and other arrangements is also shown. Contracts account for a higher proportion of the funding than would be expected from the number of contracts, indicating that, on average, a contract is of a higher value than a grant. For individual funders, a significant proportion of funding was as payment for services (contract or grant plus SLA). It was over 90 per cent for the LHB, 67 per cent for the CBC, 32 per cent for the National Assembly and 29 per cent for other voluntary organisations

18 Supporting voluntary sector arrangements Figure 7: Number of funding sources for a service Number of projects Number of income sources Figure 8: Distribution of identified funding sources between funders Per cent CBC Self generated Welsh Assembly Voluntary org National Lottery LHB European grant Community Council other Other public body

19 Figure 9: Value of identified funding sources Services provided by voluntary organisations Per cent CBC Self generated Welsh Assembly Voluntary org National Lottery LHB European grant Community Council other Other public body Figure 10: Services funded by different mechanisms Per cent of total Grant Grant + SLA Contract Other Number Value

20 Supporting voluntary sector arrangements 3.3 Conclusions A large number of services have been identified, which cover the whole or part of Rhondda Cynon Taff. The services are fairly evenly distributed between the three areas of the Rhondda valley, Cynon valley and Pontypridd and Taff Ely. However, when the service provision is examined by beneficiary type, it appears that some groups are not as well served as others, and there appear to be some gaps in some types of services for some beneficiary groups. However, it should be noted that this includes only voluntary sector provided services that participated in the survey. The services that were identified in each area appear to cover most groups of people, but there is a lack of locally based service provision in all areas for some people. The survey has identified the following areas where there appear to be gaps: services for people with AIDS/HIV services for children sport, leisure and social groups for people with sensory disabilities, mental health problems or addiction problems advocacy support small support groups therapeutic counselling residential care These will need to be further researched, to check whether services exist which have not been identified here. With regard to funding, there are a large number of services dependent on one funder, and a significant number of services that have more than five different funding streams. Both of these have implications for service sustainability and management. The CBC is the funder with the greatest number of interactions with service providers of all funders in the survey and is also the largest single funder. The National Lottery, Welsh Assembly Government and other voluntary organisations are also important. Grants represent the major type of funding, and these often have a service level agreement associated with them. Overall, 55 per cent of funding identified was either as a grant with an SLA or as a contract

21 Services provided by voluntary organisations 4. Mapping voluntary organisations that provide services in Rhondda Cynon Taff 4.1 Organisations providing services in Rhondda Cynon Taff Recent research by WCVA indicates that there are at least 1,527 voluntary organisations based in Rhondda Cynon Taff, with a further 1,181 organisations based outside the county having some activity in Rhondda Cynon Taff 2. This includes the whole range of voluntary organisations, from community associations and local sports clubs, to the activities of large UK charities and housing associations. In terms of organisations known to have an interest in health, social care and well being, WCVA and Interlink identified 748 organisations or branches of organisations based or active in the county with some interest in health, social care and well being. This research has shown that up to 304 organisations 3 may offer some kind of service. The types of services offered have been analysed in Section 3. These organisations were categorised into a number of sub sectors. The organisations were able to belong to more than one category, and on average they belonged to two. Figure 11 shows the distribution of the service providing organisations between the different categories. It can be seen that the largest proportion of service providers have an interest in people with disabilities, followed by the elderly and children and families. At the other end of the scale, relatively few service providers have an interest in people with addiction problems or Aids. Figure 12 looks at the service providers in their areas of interest, but adds the scope of the organisation s activity. Thus, all the service providers that responded with an interest in housing operate at a local level (ie the organisation only exists at a local level, or there is a branch or project of a regional or national organisation), whilst those with an interest in AIDS all operate at a national (all Wales) level. Organisations that operate regionally operate in at least one other local authority area. Overall, 26% of service providers operate nationally, 8% regionally and 66% locally. Figure 13 shows the distribution of national, regional and local service providing organisations by their organisation income. Large organisations are either national organisations, or local organisations with large scale service provision (eg housing associations). The national organisations providing services made up 77% of reported income, regional organisations 1.5% and local organisations 21%. However, organisations in the disability field tend to be larger than those in the elderly field (Figure 14, average income of 700,000 to 116,000), due to the inclusion of old age pensioner associations in the survey. Some organisations at the national level are quite small, offering a national advice service (eg Aids organisations), rather than an intensive support service (eg Arthritis Care in Wales). 2 Essential information about the voluntary sector in Rhondda Cynon Taff: Wales voluntary sector panel survey: Report , WCVA organisations (57% of responses) reported offering some kind of service. Based on a 42.2% response rate, this indicates that up to 304 organisations may offer a service

22 Supporting voluntary sector arrangements Figure 11: Per cent of service providing organisations Per cent of service providers Physical disabilities Learning disabilities Elderly Children & Families Youth Carers Health-specific Advice Mental health Sport and leisure Housing Counselling Health-general Community regeneration Addictions AIDS Figure 12: Proportion of service providers that operate nationally, regionally or locally 100% 80% Percent 60% 40% 20% 0% Physical disabilities Learning disabilities Elderly Children & Families Youth Carers Health-specific Advice Mental health Sport and leisure Housing Counselling Health-general Community regeneration Addictions AIDS National Regional Local

23 Figure 13: Income of service providing organisations 4 Services provided by voluntary organisations 60 Number of organisations < 10,000 10,000-99, , , , , , ,999 > 1,000,000 Income band National regional Local Figure 14: Average income of service providers 1800 Average income ( 000) Health specific Housing Advice Youth Children & Families Carers Phys dis Learn dis Addiction Mental Health Community Elderly Health general AIDS Counselling of 129 service providing organisations provided an estimate of annual income Sports and leisure

24 Supporting voluntary sector arrangements 4.2 The contribution of voluntary organisations to health, social care and well being service provision Service providing organisations provided details of the services provided in Rhondda Cynon Taff. These services have been classified according to the people who benefit from the services, and the type of service provided. Two measures have been used to estimate the size or contribution of the voluntary sector to service provision: the sum of the reported budgets for the services identified and the number of people involved in delivering the services. Eighty-six services provided financial details, and the combined budgets totalled 12.7 million. If this is extrapolated to the 185 services reported, this gives an estimated total budget for the respondents of 27.3 million. Whilst this figure represents an estimate of the sample, and not the possible 304 service providing organisations, it is likely that most of the larger service providers have been captured. Therefore, the estimate of the total budget of voluntary sector provided services is at least 27.3 million. This compares with an estimated total income of the voluntary sector in Rhondda Cynon Taff of 76.5 million in and estimated annual funding from the LHB and County Borough Council funding of 11.6 million for health and social care 6. The LHB secondary care revenue budget was million for , whilst the County borough council (CBC) social services gross revenue expenditure was 87.2 million in The distribution of the estimated total budget between beneficiary groups shows that services to people with learning difficulties is the largest area of voluntary sector expenditure, making up about a third of the total. This includes supporting people services. The second largest area is general health, which includes services that are not targeted to a particular beneficiary type, such as community transport, or healthy living schemes. This makes up about a quarter of the estimated total budget. When a similar analysis of estimated total budget is conduced by the types of service provided, over half of the budget is spent on support services for individuals, with training and advice services being the next largest proportions. Much of the expenditure on services is used to employ staff, and much of the value put on voluntary sector provided services is due to the people who are involved in service delivery. It is estimated, using a similar calculation to that above for total budget, that at least 4933 people are involved in providing services. Of these, 1277 are employed, 562 full-time (Figure 15). This compares with estimates of 3,500 paid staff and 18,695 volunteers in the voluntary sector in Rhondda Cynon Taff as a whole 8. These people (4933) represent 3 per cent of the working age population 9. Health services for people in general, people with learning disabilities and people with physical disabilities have the greatest number of staff and volunteers (Table 2). The ratio of staff to volunteers varies between beneficiary groups. Services to children, people with addiction problems and people with learning difficulties are dominated by paid staff, whilst services for young people, 5 Essential information about the voluntary sector in Rhondda Cynon Taff: Wales voluntary sector panel survey: Report , WCVA Funding from RCT CBC for social services 10.6 million (Local Government Data Unit Wales website). Funding from RCT LHB is budgeted at 990,000 in (RCT LHB board papers August 2004) 7 From Assembly statistics website: 8 Essential information about the voluntary sector in Rhondda Cynon Taff: Wales voluntary sector panel survey: Report , WCVA Working age population is 165,822 (

25 Services provided by voluntary organisations older people, people with sensory disabilities or specific health problems have at least four volunteers to each member of paid staff overall. Over 40 per cent of paid staff and a third of volunteers provide individual support (Table 3). Training, personal care and advice services are the next largest groups of paid employees, whilst social support, training and advice services are the next largest volunteer numbers. Staff dominates several service areas: housing, training and personal and residential care. Other services are dominated by volunteers, particularly in leisure, social support, counselling and group support. Figure 15: People involved in service provision Number of people Trustees Volunteers FT Staff PT Staff Trainees

26 Supporting voluntary sector arrangements Table 2: Estimated number of staff and volunteers by beneficiary group Number of Staff Number of Volunteers Staff per volunteer AIDS/HIV nd 10 nd nd Carers Physical disability Addiction Families/parents General health Specific health Children Learning Difficulties Mental Health Older people Sensory disability Young people Total Table 3: Estimated number of staff and volunteers providing different types of service. Number of Staff Number of Volunteers Staff per volunteer Advice Advocacy Counselling Community Group support Housing Individual support Leisure Personal care Residential Social support Training Total nd: not determined

27 4.3 Conclusions Services provided by voluntary organisations There are up to 304 organisations that provide services in health, social care and well-being in Rhondda Cynon Taff. These are made up of locally based organisations, and those that have a wider geographical area of operation and work with a wide range of communities of place or interest. Organisations working with different groups of people often have a particular profile in terms of the types of organisations that exist and their area of operation. This is often due to historical reasons, and the distribution and concentration of the people they serve. Many organisations provide health, social care and well being services in addition to or as part of wider organisational aims and objectives. Therefore, estimation of the contribution of voluntary organisations to service provision has been analysed based on individual services provided by organisations. This analysis shows that a minimum estimate of the monetary value of service provision is 27.3 million. Of this, approximately 11.6 million comes from the LHB and CBC. Total LHB and CBC social care budgets are approximately million, suggesting that the voluntary sector benefits from 4.1 per cent of LHB and CBC health and social care spending, and contributes an extra 5.6 per cent of their budget from other sources. At least 4933 people or three per cent of the working age population are involved in providing health, social care and well-being services through the voluntary sector. Of these people, 1277 are employees. Some services are provided, in the main, by volunteers, whilst others are provided by staff. The balance varies depending on the group of people being served, and the type of service offered. The net has been cast wide purposely, to see the range of activity that is present. This may not all be directly analogous to the service provision of the LHB or CBC, but these services provide a network of support for those who access public services, and in many cases may prevent people from using those services by enabling elderly people to remain at home or giving support to those who would require more intensive intervention if that support were not available

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29 Services provided by voluntary organisations 5. Prospects for expansion of voluntary sector service provision 5.1 Expansion of existing services Of the 185 projects, over 120 said that there was potential for expansion, either in terms of improving the service provided, increasing the capacity of the service to meet demand or providing the service in a different location. These are shown in figures 16 to 18, in a similar format to the services in Section 3.1 to enable comparison with current service provision. In general, organisations serving all beneficiary groups were equally likely to see the potential for expansion. This was further borne out by the analysis by service type and beneficiary (Table 4). Most types of service to most groups of people saw some areas for expansion. Figure 16: Services with potential to expand by area served Number of services Rhondda Cynon Taf All Total

30 Supporting voluntary sector arrangements Figure 17: Services with potential to expand by beneficiary type Number of services AIDS/HIV Carers Physical di sability Addiction Families /parents Gene ral health Specifi c health Learning Di Children fficulties Mental Health Older people Sensory disability Youn g people Figure 18: Services with potential to expand by service type Number of services Advice Advocacy Counselling Facilities Group support Housing Individual support Leisure Regeneration Personal care Residential Social support Training

31 Table 4: Distribution of service with potential for expansion by service type and beneficiaries Services provided by voluntary organisations Commu nity Leisur e Advic e Advoc acy Group Social Individual Housing Training Counsel Pers care Resid ential Grand Total AIDS/HIV 1 1 Carers Physical Disability Addiction Families Health - General Health - Specific Children Learning Disability Mental Health Elderly Sensory Disability Youth Grand Total

32 Supporting voluntary sector arrangements 5.2 New services Fourty-seven of the responding organisations felt that they had ideas for potential new services. In total, there were 62 such ideas. Fifty of these have some statement of how the demand for the service has been determined. These are shown in figures 19 to 21, in a similar format to the services in Section 3.1 and 5.1 to enable comparison with current service provision and potential expansion. The ideas for new services appear to be fairy evenly spread, given the background distribution of services in the survey. Some beneficiaries and service types are absent, namely services for people with AIDS/HIV and housing or residential services, which require large amounts of capital. Ideas for new services appear in new areas of the beneficiary group/service type matrix (Table 5), indicating that some of the gaps identified may be able to be filled by organisations already active in Rhondda Cynon Taff. Of note are three counselling services to different groups of people, and services to families and or children. Figure 19: New service ideas by area served Number of services Rhondda Cynon Taf All Total

33 Figure 20: New service ideas by beneficiary type Services provided by voluntary organisations Number of services AIDS/HIV Carers Physical di sability Addiction Families /parents Gene ral health Specifi c health Learning Di Children fficulties Mental Health Older people Sensory disability Youn g people Figure 21: New service ideas by service type Number of services Advice Advocacy Counselling Facilities Group support Housing Individual support Leisure Regeneration Personal care Residential Social support Training

34 Supporting voluntary sector arrangements Table 5: Distribution of New service ideas, by service type and beneficiaries Commu nity Leisur e Advic e Advoc acy Group AIDS/HIV 0 Social Individual Housing Training Counsel Pers care Resid ential Grand Total Carers Physical Disability Addiction Families Health - General Health - Specific Children Learning Disability Mental Health Elderly Sensory Disability Youth Grand Total Numbers in bold indicate that no service provision for that combination of beneficiary and service type has been identified in this survey

35 Prospects for expansion 5.3 Areas of expansion Tables 6 and 7 compare the types of people served and the types of services where expansion or new services were seen as a possibility. The percentage of the services with a potential to expand or develop new services that are locally based is also shown. These show that new services for people with addiction problems and people with a sensory disability are based at a local level, where there is currently a relative lack of locally based services. On the other hand, new services for people with learning difficulties, people with a physical disability and young people are all based at an all county level. A similar analysis by service type shows that new advocacy projects are being envisioned only at the whole county level, whilst group support projects are being looked at more locally. Table 6: Service, service with potential to expand, and new services, by beneficiary group Services Potential to Expand New Total Percent local Total Percent local Total Percent local AIDS/HIV 2 0.0% 1 0.0% 0 0.0% Carers % % % Physical disability % % 2 0.0% Addiction 3 0.0% 3 0.0% % Families/parents % % % General health % % % Specific health % % % Children % % % Learning Difficulties % % 6 0.0% Mental Health % % % Older people % % % Sensory disability % % % Young people % % 3 0.0% All % % %

36 Supporting voluntary sector arrangements Table 7: Service, service with potential to expand, and new services, by type of service Services Potential to Expand New Total Percent local Total Percent local Total Percent local Advice % % % Advocacy % % 2 0.0% Counselling 1 0.0% 1 0.0% % Community % % % Group support % 3 0.0% % Housing % % 0 - Individual support % % % Leisure % % % Personal care % % % Residential % 1 0.0% 0 - Social support % % % Training % % % All % % %

37 Prospects for expansion 5.4 Common barriers to expansion Respondents were asked to record up to three barriers to expansion of an existing service or development of a new service. Overall there were over 300 records of barriers from the 184 responses with potential for expansion or new services. Figure 22 shows the distribution of responses between the main categories. Resources covered a range of comments that did not include either funding or staff issues explicitly. A common response in this category was a lack of capacity, either in terms of physical space or worker time. The systems category included references to the administration of funding, the way in which services are planned and other comments regarding the role of the CBC or other public sector organisations. Attitudes included both the attitudes of funders and the attitudes of beneficiaries, where they were seen to inhibit the potential for making things better. Competition referred to comments that indicated that the respondent felt that others were threatened by the possibility of their service expanding. There were no significant differences in the patterns of response for expansion or new services, so they are analysed together. The barriers to expansion and new service development were analysed by the intended beneficiary and service type to see if there were any patterns in particular services having particular difficulties to overcome. The results are shown in Table 8 and 9. An index of relative importance, based on the number of times a particular class of barrier was mentioned was developed. 1 is the highest level of occurrence, decreasing to 5 where there was no occurrence. It can be seen that funding is a universally important barrier, with resources being almost as uniform. Volunteering issues were important in two areas: AIDS/HIV and learning difficulties. Here there is a high ratio of staff to volunteers in the existing services, and it might be expected that volunteers may be hard to recruit. Staff issues were critical in services to families or parents. If barriers are analysed by types of service in a similar way (Table 9), it can be seen that the importance of funding as a barrier is related to service type: new ideas for group support and housing services were less affected by funding concerns. Likewise, resource issues were important in fewer service types. Volunteer issues were important for organisations that provided community facilities, whilst staff issues were important for services involving housing, counselling and personal care

38 Supporting voluntary sector arrangements Figure 22: Barriers to expansion of existing and new services Funding Resources Volunteer issues Systems New service Expansion of service Staff issues Marketing Location and transport Attitudes Training Competition Cost to service user Other Percentage of occurances

39 Prospects for expansion Table 8: Barriers by relative importance to services with a potential to expand by beneficiaries Number of Funding 11 Volunteer Staff Resources services issues issues AIDS/HIV Carers Physical disability Addiction Families/parents General health Specific health Children Learning Difficulties Mental Health Older people Sensory disability Young people Table 9: Barriers by relative importance to services with the potential to expand by service type Number of services Funding 11 Resources Volunteer issues Staff issues Regeneration Facilities Leisure Social support Advice Advocacy Group support Individual support Housing Training Counselling Personal care Residential The relative importance given to a barrier is shown in a scale from 1 = all or almost all organisations mentioned this barrier, to 5, no organisations mentioned this as a barrier

40 Supporting voluntary sector arrangements 5.5 Conclusions and recommendations There is significant potential for the expansion of current services and the initiation of new services. Respondents felt that over 60 per cent of projects had some potential for expansion, whilst nearly half of the organisations that provide services had an idea for a new service. Much of this is based on current unmet need, and the desire amongst those who replied to see the needs met. There does not seem to be a particular part of Rhondda Cynon Taff, a particular service to a group of people, or a type of service provision that is more or less likely to be seen as having the potential to expand or be an area for a new service. This analysis does, however, mask particular niche needs, eg an information drop in for people with a specific health condition, or a healthy eating class in a particular community. Some needs are currently met by national or regional organisations that have little local presence. A more substantial local presence may make their work more effective. With respect to new service ideas filling gaps in current provision, there appear to be a number of areas where this may be able to happen. This is, however, conditional on several things: Checking the provision of such services by other voluntary organisations, by asking key players in an area of service. Checking statutory service provision. Checking the validity of the evidence of need With the above caveat, areas of potential new services may be: Social support for people with sensory disabilities Counselling and group support services Services which support families Services which support children Barriers to the expansion of existing services and the initiation of new services include: Funding Resources Volunteer issues Staff issues Problems with the system(s) These include a whole range of problems, from simple lack of funding or sustainable funding, to lack of a room large enough to meet in, retention of trained volunteers, to issues with the way service provision decisions are made. Given these findings, the following are recommended: A comparison of the mapping conducted in this report with a mapping of statutory or private services should be conducted, to determine where gaps which are not being met by any service are. The Health, Social Care and Well Being Partnership Board needs to give some clear directions as to the areas for future service development where services delivered by voluntary organisations are seen as part of the overall mixture of service provision. That once priorities have been set, that these are communicated clearly to relevant partners, to enable organisations to engage where they are able and wish to in meeting the gaps in services