Results for 'social enterprises'
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This commissioners guide sets out a variety of approaches to working with the voluntary, community and social enterprise sector in order to create additional capacity for improving health and care that is person-centred and community-based. These approaches include adapting current commissioning processes, engaging the VCSE sector to develop more sustainable business models, and creating an environment within which new VCSE organisations or initiatives can be further developed and ‘spun-out’ to fill unmet needs. Based on interviews and learning from across the health and care system, the guide draws together examples of where this is already working well including examples from across London. It is particularly relevant for commissioners and service transformation and improvement leads delivering place-based care, public health and prevention, social prescribing, asset-based approaches and community development.
LOCAL GOVERNMENT ASSOCIATION, VOLUNTEERING MATTERS
A collection of case study examples which show how public health and the voluntary, community and social enterprise sector (VCSE) are working together to improve people's health and wellbeing. The case studies cover the themes of: positive partnership and engagement between public health and the VCSE sector; commissioning and new delivery models; supporting a financially sustainable future; integrating services; and community-centred approaches. Case studies include an initiative to tackle social isolation and loneliness in older people; an integrated lifestyle and wellness support services for people at the greatest risk of poor health outcomes; and lonely, and socially isolated a marginalised people. Each case study includes an overview of the service, evaluation findings where available and key learning from the initiative. Suggestions for good practice in partnership working between public health and the VCSE sector are also included.
GREAT BRITAIN. Department of Health, PUBLIC HEALTH ENGLAND, NHS ENGLAND
This joint review sets out the role of the voluntary, community and social enterprise (VCSE) sector in improving health, wellbeing and care outcomes and identifies how the sector can best address potential challenges and maximise opportunities. The report places wellbeing at the centre of health and care services, and making VCSE organisations an integral part of a collaborative system. It makes 28 recommendations for government, health and care system partners, funders, regulatory bodies and the VCSE sector. Chapters: explore the contribution that VCSE organisations can play in reducing the human and financial costs associated with health inequalities, often through peer- and community-led activity; the benefits of partnership working and collaboration between commissioners, VCSE organisations and individuals; the importance of evidence and impact assessment, and how both can be used more effectively in health and care services; and the importance of commissioning practice, identifying a number of key principles that should underpin the funding relationship between public sector bodies and the VCSE sector. Each chapter looks at what is needed to achieve success and includes short case studies. The final chapters discuss the role of VCSE infrastructure bodies and set out the value of the Voluntary Sector Improvement Programme and recommendations for its future focus. Recommendations include the need for health and care services to be co-produced, focussed on wellbeing and valuing individuals' and communities' capacities and for social value to become a fundamental part of health and care commissioning and service provision.
THOMSON Linda J., CAMIC Paul M., CHATTERJEE Helen J.
Sets the scene for the conditions under which social prescribing has arisen and considers the efficacy of different referral options. Social prescribing is a non-medical intervention linking patients with social, emotional or practical needs to a range of local, non-clinical services. The review provides definitions, models and notable examples of social prescribing schemes and assesses the means by which and the extent to which these schemes have been evaluated. Models outlined in this review include: Arts on Prescription, Books on Prescription, Education on Prescription, Exercise on Prescription, Green Gyms, Healthy Living Initiatives, Information Prescriptions, Museums on Prescription, Social Enterprise Schemes, Supported Referral, and Time Banks. The report makes recommendations for practice, policy and future research, focusing on best practice guidance for sector workers, frameworks for setting up social prescribing schemes, and methods for evaluating social prescribing schemes.
GREAT BRITAIN. Department of Health, et al
This report summarises the initial findings of a review developed in co-production with the statutory and voluntary sectors, exploring how the sector could: maximise and demonstrate its impact; build sustainability and capacity; promote equality and address health inequalities. From January to March 2015 around 4,500 people and organisations were consulted, sharing their views on the current state of the statutory and VCSE sectors, the key challenges they face, including reduced funding, and the potential of the sector, particularly in relation to equality and health inequalities, prevention and resilience, and personalisation and co-production.
Nottinghamshire County Council
Nottinghamshire County Council (NCC), in partnership with Community Catalysts CIC, have invested in and supported the growth of local micro-enterprises offering a broad range of care and support options. The aim was to ensure that local people have a high level of choice and diversity and are more likely to find support that is responsive to their personal needs. Micro-enterprises deliver care or support services with no more than five paid or unpaid full-time equivalent workers and are independent of any parent organisation.
NEEDHAM Catherine, et al
Outlines the findings of an evaluation of micro-enterprises in social care in England, which ran from 2013 to 2015. The report focuses on very small organisations, here defined as having five members of staff or fewer, which provide care and support to adults with an assessed social care need. The research design encompassed a local asset-based approach, working with co-researchers with experience of care in the three localities. Twenty seven organisations took part in the study overall, including 17 micro-providers, whose performance was compared to that of 4 small, 4 medium and 2 large providers. A total of 143 people were interviewed for the project. The study found that: micro-providers offer more personalised support than larger providers, particularly for home-based care; they deliver more valued outcomes than larger providers, in relation to helping people do more of the things they value and enjoy; they are better than larger providers at some kinds of innovation, being more flexible and able to provide support to marginalised communities; and they offer better value for money than larger providers. Factors that help micro-providers to emerge and become sustainable include: dedicated support for start-up and development, strong personal networks within a localities, and balancing good partnerships (including with local authorities) with maintaining an independent status. Inhibiting factors, on the other hand, include a reliance on self-funders and the financial fragility of the organisation. The report makes the following recommendations: commissioners should develop different approaches to enable micro-enterprises to join preferred provider lists; social care teams should promote flexible payment options for people wanting to use micro-enterprises, including direct payments; social workers and other care professionals need to be informed about micro-enterprises operating close-by so that they can refer people to them; regulators need to ensure that their processes are proportional and accessible for very small organisations; and micro-enterprises need access to dedicated start-up support, with care sector expertise, as well as ongoing support and peer networks.
Accession Social Enterprise
Accession is a social enterprise which supports adults with a range of learning and physical disabilities and long term mental health problems to find a route into employment. It runs 7 businesses across 5 sites in the borough of Ealing and offers training, voluntary positions and paid work, reinvesting income into creating more of these opportunities.
FIELDHOUSE Jon, PARMENTER Vanessa, HORTOP Alice
Purpose: The purpose of this paper is to report on an action inquiry (AI) evaluation of the Natureways project, a time-limited collaboration between an NHS Trust Vocational Service and a voluntary sector horticulture-based community interest company (CIC).
Design/methodology/approach: Natureways produced positive employment outcomes and an AI process – based on co-operative inquiry with trainees, staff, and managers – explored how these had been achieved.
Findings: Natureways’ efficacy was based on features of the setting (its supportiveness, rural location, and workplace authenticity), on its embeddedness (within local care-planning pathways, the horticultural industry, and the local community), and on effective intersectoral working. The inquiry also generated actionable learning about creative leadership and adaptability in the changing landscape of service provision, about the benefits of the CIC's small scale and business ethos, about the links between trainees’ employability, social inclusion and recovery, about horticulture as a training medium, and about the role of AI in service development.
Practical implications: The inquiry highlights how an intersectoral CIC can be an effective model for vocational rehabilitation.
Social implications: Community-embeddeness is an asset for mental health-orientated CICs, facilitating social inclusion and recovery. Social and therapeutic horticulture settings are seen to be conducive to this.
Originality/value: This case study suggests that AI methodology is not only well-suited to many practitioners’ skill sets, but its participatory ethos and focus on experiential knowledge makes it suitable for bringing a service user voice to bear on service development.
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