The transformation of health and social care services can be enhanced by partnerships between commissioners, providers and socially motivated investors, particularly when developing community, primary care and preventative services.
Social Finance brings the range of experience and capacity required to develop such partnerships, underpinned by our vision to improve people’s health and wellbeing through better community-based services, supported by social investment.
We are currently working across a number of issue areas to help develop and implement new models of care, including: better end of life care, dementia care, primary care, health and employment, and alternatives to residential care for those with learning and physical disabilities.
For more information on our projects please see below.
A closer look at loneliness
Measuring loneliness as part of Reconnections
Writing the next chapter of health and employment
Investing in Shared Lives
Investing to tackle loneliness: a discussion paper
Interim Evaluation of the Reconnections Social Impact Bond.
The Care and Wellbeing Fund
The Care and Wellbeing Fund was established to develop and scale community-based services to improve health and wellbeing across the country, particularly for those suffering from long term conditi..
The need for health and care services in the community is expected to increase significantly over the next 10 years. The number of over 65s will rise from approximately 10 million people in 2010 to 16 million people in 2030, with over half of people over 70 living with long term health conditions. There are currently 2.5 million people living with cancer today. Alongside this, spending for health and care services has been severely reduced, with many services curtailed and an estimated £30billion funding gap emerging by the end of the decade.
The Care and Wellbeing Fund launched with £12 million of investment from Big Society Capital and Macmillan Cancer Support. The fund will be used to develop and scale new and existing community care services for people affected by cancer and other long term conditions. Its first investment will tackle loneliness and social isolation in Worcestershire. As the need for funding increases and government budgets become increasingly stretched, it is essential to develop new and innovative approaches to meet future challenges. Although there is support for integrating acute and community care, organisations presently lack investment to bring services to development or scale in the community. The Care and Wellbeing Fund will encourage commissioners and voluntary organisations to focus on delivering better outcomes in health and social care, and will provide the financial support and advice needed to make these a reality.
The first investment of the Care & Wellbeing Fund (£350,000) is into a new programme tackling loneliness and isolation in Worcestershire. Loneliness is a key determinant of health and wellbeing amongst the older population and is an issue that affects more than one in five people living with cancer in the UK. The intervention will be offered to 3,000 people and will be delivered by Age UK Herefordshire and Worcestershire, together with local voluntary and community organisations. Further investments will be made in 2016 and beyond.
The Shared Lives Incubator
Supporting the national expansion of Shared Lives, a community based form of social care in which individuals share their family and community life with someone in need of care support. With Commun..
Shared Lives is an alternative to home care and care homes for people in need of support
Many of the most vulnerable people in society need care and support services. Despite this crucial role, many social care services are failing to support the most vulnerable to lead fulsome and fulfilling lives. When well implemented, Shared Lives can deliver high-quality care which is less expensive than traditional residential care settings. However, growing Shared Lives services is challenging for commissioners and providers.
Social Investment and expert support from Community Catalyst will enable Shared Lives schemes to overcome common barriers they have faced to growing to enable more vulnerable adults to be supported in Shared Lives arrangements.
The first two Shared Lives investments have been made in Manchester and Lambeth .
“A measurable increase in Shared Lives services could mark a shift in our approach to public service provision which may be as profound as the shift in our perception of citizen rights that led to the founding of modern public services a generation ago” Paul Buddery, Partner, RSA 2020 Public Services
Salford Health Matters
Social Finance helped the highly regarded social enterprise Salford Health Matters to shape its growth plans and explore investor appetite to provide social investment to scale its impact. The work..
Scaling outstanding primary care practice in Salford
The NHS faces significant operational and financial challenges due in part to rising demand for health services and a delivery model that has focused on care in acute settings. Radically developing primary care is providers is key to establishing a new model of care: one which helps people to prevent and better manage long-term health conditions, improves the co-ordination of care, treats them closer to home and improves value for money.
Social Finance worked with Salford Health Matters to develop new business models and identify potential investment into primary care services.
The project has demonstrated the financial benefits of scaling the scope and scale of primary care, to reinforce the social case. Salford Health Matters has firmed up its growth plans and developed a model which could be replicated in other practices across the country.
Health and Employment Partnerships
Social Finance has developed a new platform to co-commission health and employment services in partnership with a range of potential commissioning partners. HEP is a wholly-owned social purpose com..
Scaling high-quality services that span the traditional boundaries of health and employment provision
There are 4.8 million people with a health condition or disability who are not in work. Up to 90% of people with mental health issues want to work, yet only 37% have a job. For people with severe mental health issues, the employment rate is just 7% and existing employment programmes have had limited impact.
As an initial project, HEP has partnered with five local commissioners to secure £1.3m of outcomes-based “top-up” funding from Cabinet Office to develop Individual Placement and Support (IPS) services for people with severe mental illness. IPS is a “place then train” supported employment intervention, where employment specialists aim to work at pace with service users to get all those who want to work into competitive employment by providing time unlimited, individualised support as part of the mental health team. International Randomised Control Trial studies have indicated that IPS users achieve twice as many jobs outcomes versus control groups, and jobs achieved were better-paid and lasted longer than those achieved through alternative interventions. IPS also had a positive impact on users’ recovery from mental illness.
The first services will commence at the end of 2015, with other areas rolling out IPS in 2016.
“Between 10 and 16 per cent of people with a mental health condition, excluding depression, are in employment. However, between 86 and 90 per cent of this group want to work… Meaningful work is integral to recovery.” – NHS Outcomes Framework
Reconnections Social Impact Bond
Social Finance and Age UK Herefordshire and Worcestershire have designed a Social Impact Bond to tackle loneliness across Worcestershire. The Social Impact Bond has been commissioned by Worcestersh..
Reducing loneliness amongst older people by connecting them to their communities
The number of over 65 year olds is expected to grow by 5.5 million over the next 20 years. Enabling the growing population of older people to stay healthy longer, and reduce periods of ill-health and disability will be a challenge for Britain over the coming years. Loneliness is a key determinant of health and wellbeing amongst the older population and seriously affects one in ten older people.
Reconnections provides a tailored, 1:1 support for clients to help them identify, articulate and overcome the cause of their loneliness. Clients will be partnered with a local volunteer who will support them to carry out activities of their choice, such as exercise classes, a bereavement support group or a befriending scheme. The goal is to build clients’ confidence and their ability to maintain formal and informal links with the community in the long term, tackling loneliness in a sustainable way.
Reconnections seeks to support over 3,000 people to reduce their levels of loneliness and improve their health and wellbeing between 2015 and 2017.
“Mounting evidence shows loneliness has a serious impact on our mental and physical health – which in turn can lead to greater reliance on health and social care services – making it an issue we can ill-afford to ignore.” – Caroline Abrahams, Charity Director at Age UK
End of Life Social Impact Bond
Social Finance, together with Marie Curie Cancer Care, have developed a new model for delivering End of Life Care to better meet the needs and preferences of patients...
Improving patient and carer experience of end of life
Across the UK, more people die in hospital than in the community. However, evidence shows that the majority of people would prefer to die at home, with appropriate care and support in place. Hospital care is expensive and provides poor patient experience: solutions that better align the reality of care with patient preferences could deliver value for money for commissioners.
Social investment in End of Life Care could provide funding and a focus on patient and carer outcomes to enable greater quality or care. Social Finance has built a flexible model that could be adapted to local commissioner needs. At the core of the model is a rapid response nursing service that will support patients in their own homes.
The Social Impact Bond will seek to improve the quality of care and experience of patients and their families at the end of life by enabling patients to die in their usual place of residence and reducing the number of emergency hospital admissions in the last month of life.