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Notes from Impact chartwheel arts

#cartwheelimpact
16 July 2015
Manchester
Rick walker director of Chartwheel arts.
Mission
Cartwheel Arts promotes social inclusion, cohesion, diversity and regeneration
through community participation in vibrant, innovative, high-quality arts projects.
We use a wide range of media to initiate, and respond to, project opportunities in
Rochdale and surrounding areas, as well as promoting the development of the arts
and examples of good practice across the North West.
Working in collaboration with User Groups we will help to develop arts based
projects that enable people to explore their creativity and talents: that instills
ownership and pride: that are fun; and that leave a positive, lasting legacy.
Throughout its work Cartwheel will endeavour to offer equality of opportunity, and
to treat all who work with us honestly and with respect to create arts for a reason.
30-35 projects per year, delivering social objective through the arts.
Impact on individuals, stronger communities with a positive self image. Much of the
work is personal, beautiful and decorative. We aim to produce participatory arts,
we have circular discussions about the process and product.
More need to evidence the needs we meet.
Different strands of work including:
Stronger communities, tell us another one, big lottery funded
Darnhill Festival Manchester
Youth and diversity, breaking down communities from different backgrounds
All well and good.
People bean to be referred to cartwheel arts, funding patterns have been different
tutor trust fund their core activity, they also involved in Rochdale CCG
commissioning and beginning to access individual budgets.
Always have access to emotional wellbeing officer, whilst having access to high
quality art activity and peer learning.
Art for wellbeing funded by tutor trust

Lisa and Jodie, two artists working with emotional support workers, one is a
councillor the other is an arts therapist.
8-10 weeks project, working with people to develop animation skills to create short
films.

Ver Di Gris
Working with older people working with dementia care, reminiscence and what is
happening now. Using the power of the arts towards emotional engagement.
Worked with arts council to develop a touring exhibition. The overall outcome
weren't defined at the start. They worked with a poet to help explore what
dementia is and how it impacts on the people. The narratives came from the
perspectives of the individuals in terms of who they were and how they had been
changed by dementia.
In the film jack is the central figure who is frustrated and anxious and in the
background Sharon is singing and helps soothe jack.
Amanda Sutton Venture Arts
This presentation is specific to personal experiences working in Manchester
Venture Arts is a visual arts organisation that develops the creative talents and
career opportunities of learning disabled people. Our vision is for learning disabled
people to be valued contributions to our cultural lives as artists, workers,
participants and audiences.
Values
We approach all our activities and services from an artist-led perspective.
We provide a supportive, safe and empowering working environment
We deliver artistic excellence, integrity and creative risk-taking.
Four Strands
Participation and Engagement-More people with learning disabilities will have
opportunities to express their unique perspective on life through making great art.
Education and learning-We will increase opportunities for learning disabled people
through arts education.
Access and Equality- We will increase access for learning disabled people to
culture and the arts though employment, training and access initiatives.
Advocacy and Leadership-We will become leaders in the field of user-led learning
disability Visual Art on a regional, national and international level.

Wellbeing animated viewing mental wellbeing through animation


Soul journey a film exploration of dementia and ageing
Venture arts created with venture arts by BBC Outreach

What we Do
We deliver over 1000 professional artist-led workshops each year for
people of all ages in painting, drawing , illustration, textiles, 3D, mixed
media, art as environment, ceramics, photography, moving image,
animation and print-making from our fully equipped studio in Hulme,
Manchester an as outreach in the community,
We lead workshops will over 230 people per year aged from 8 to 80.
We run 60 workshops per year in schools co-facilitated by artists with
learning disabilities.
We create work experience placements in partnership the museums and
galleries.
We showcase our work experience placements in partnership with
museums and galleries.
We showcase our work to audiences of over 100,000 people per year in
some of the regions most prestigious cultural venues.
We work with over 100 volunteers and work placement per year.
We showcase the work of individual learning disabled artists nationally and
internationally.
We maintain a well-balanced income profile with 34% of our revenue
coming in though earned income (personal Budgets), the balance derives
from local authorises, public funding, trusts and foundations.
Why We Do What We do
Lack of opportunity in the arts for people who have a learning disability.
Lack of inclusion in cultural life for learning disabled people,
Lack of opportunity in the workplace and in education.
Lack of social and meaningful activity.
Lack of choice
Marginalisation, stigma and bulling is on the rise
Combatting isolation
Cuts to provision and services.

34% of total income through individual payments working to about 100,000


They provide a subsidised service which is highly personalised; with added value.
Income from 2014
Charge 35 per day. A council is valued at 70 per day. So it's cheaper with added
value. Venture arts is a visual arts organisation that develop a the creative talents
and career
How it works
Open every week day, 9.30-3.0pm
48 weeks a year
15 artist participants per day
Professional arts space
Technique/creative/showcasing/reflection
35 a person, 1872 a year
Venture Arts Arts do not provide travel or lunch
High retention
Working towards the creative case (Arts Council)
Next exhibitions
Explorations at the Lowry works involving all the young people
25 July Made, natural vs manufactured at people history museum
Launch is 30th July 1-3pm

How have we done this?


Delivering a programme of excellent visual arts participation and
engagement work with learning disabled people across Manchester and
Trafford.
Achieving long term sustainability though the development of diverse and
mixed income generating activities
Working strategically and being a key advocate for inclusion and accessible
visual arts practice.
Encouraging and developing disabled artists through training and
employment routes.
Working effectively in partnership with the public sector, disability and arts
organisations.
Our journey towards personal budgets income generation
2009 no more grant funding from commissioners
2010 change in pricing went from 3 to 35, had to stagger the payments
slowly
Registered as a Day Service provider- giving reassurance to care
professionals and stakeholders.
Subject to levels of compliance and policy not usual in an arts organisation
2011-15 gradual move, now 34% earned income from indivudals- IBs,
Virtual IBs, Care packages and LA spot purchasing.
There is a large amount of policy and safe guarding in place, they provide annual
spot checks to ensure they are meeting there delivery.
Lack of social and meaningful activity
Now full to capacity so won't gain more income than this
Subject to levels of compliance and policy
All about personalisation
Giving people much more choice and control over their lives
Personalisation is about
Self-directed support-people taking control of their own lives
It's more than money
Establishing new ways to offer more choice
Who is within personalisation?

Over 16 and has been assessed by social services as needing care and support
services. This includes
Disabled people aged 16 or over (with short or long-term needs)
Disabled parents (for children services)
Carers aged 16 or over (including people with
Parental responsibility for a disabled child).
Elderly people who need community care services.
Personal Budgets
Personal budget is an amount of funding from adult social care that anyone aged
18 or over who is eligible for social care support can spend on the services and
support they need to help them live more independently.

It can be used to buy services from both the council and other providers, mixing
and matching whats available from different organisations.

Starts with strategic manager- get to know these people and get them to know the
service you provide.
Care managers beneath this, very difficult to get hold of, case load is really high.
You can refer users for assessments to care managers.
In Manchester there are brokers such as personalisation managers and day
service managers.
Then everybody should receive a care plan, some is a medical what needs they
have, others have more detail on how to communicate and what trigger they have.

Care plans
A care plan is an agreement between an individual and their health professional
(and/or social services) to help the individual manage their health day-to-day. It
can be a written document or something recorded in their patient notes.

It will cover areas including


The goals you want to work towards, such as getting out of the house more,
returning to work, or starting a hobby.
The support services you want, who is in charge of providing these
services, hat the support services have agreed to do and when they will do
it.
Emergency number and medicines
An eating plan
An exercise plan

Range of services
1:1/ drop-in/ group services
Statutory social services
The private sector
The voluntary sector
User Led Organisations
Community groups
Neighbour, family and friends
Agendas: Valuing People Now
Valuing people (2001)
Valuing people now (2008)- Government Agenda
Including everyone: Valuing all people/ children with learning disabilities/ Family
carers and families
Having a life
Better health/ A home of your own/ Work, education and getting a life/
Relationships and having a family/ Parents with a learning disability
People as citizens
Advocacy/ Transport/ Access t leisure services and recreational activities/ Being
safe in the community and at home/ Access to justice
The opportunities

"Local authorities and their partners are expected to include leisure and social
activities in developing person centred approaches and planning for people with
learning disabilities and their families"
(Valuing people now: chapter 4 People as Citizens, p106)
Learning disabled people will be supported to have a fulfilling life of their own,
beyond services, that includes opportunities to work, study and enjoy leisure and
social activities
(Valuing People Now: Chapter 5: Making it Happen, p22)
The care act 2015
What does the act aim to achieve?
Clearer, fairer care and support
Wellbeing- physical, mental and emotional- of both the person needing care
and their carer
Prevention of delay of the need for care and support
People in control of their care. A new emphasis on wellbeing, The new statutory
principle of individual welling underpins the Act, and is the driving force behind
care and support.
And in the arts: the creative case for diversity
Arts council led initiative
Diversity and equality are crucial to the arts because they sustain, refresh,
replenish and release the true potential of Englands artistic talent, regardless, of
peoples background.
The Creative Case builds on what we believe to be an instinctive understanding
within the arts community that diversity and creativity are inherently linked. We
wish to articulate an approach that encompasses the ways in which diversity has
been and remains an intrinsic and dynamic part of the creative process.
From both an arts and social care point of view there is a commitment to valuing
people. Now the two must work together to make lives better.

What you need to do to get Personal Budget ready

Make strong links with Care Managers and Commissioners


Networks (Health, Voluntary, other stakeholders)
Present to parent and Care groups
Have a year long, day long package that is easy to buy
Be sure of your pricing
Show Impact
Show personalisation of service
Acknowledging its all about the individual

Ian Mellow Director of commissioning and provider management


Social investment fund
Clinical commissioning group (CCG)
Hey wood, Middleton and. Rochdale
Social investment fund Rationale

Concept was first discussed in the context of the welfare reform act
CCG Governing Body commitment to act
Mandate to produce an innovative outcome based annual investment
programme to nurture and sustain community. Resilience and asserts

Purpose to stimulate and manatee as diverse supply of third sector services


aligned to CCG strategy
Fundamental to developing more universal preventative services
Bring new jobs and roles to the locality

Social investment m fund process


Concept launched in 2013
Originally 12 month ant funding
Funding criteria aligned to CCG and Public Health strategic intent
Supported by robust performance monitoring framework
Social investment commissioning framework developed and embedded
Social investment Fund scheme
3.2 million invested over three years44 schemes funded for 2015
Range of grants Avila lie for. Small grants to larger consortia
Effective scheme ex identifies for embedding into core commissioning
business
Diverse and wide range of schemes including Rochdale carer's choir,
hammer boxing club and cycling clubs.
Social investment fund evaluation
SIF monitoring has up skilled organisations to:
Develop an outcomes map for the invested projects
Develop inductors of success for HMR CCG
Put a financial value to outcomes
Calculate a social return on investment ratio
Enhance and improve stakeholder involvement
Build partnerships and increase referral pathways into funded projects
Year 1 outcomes

Social Investment Fund Next Steps

Now defined as a HWBB priority


Supports and enables GM Locality Plan development and opportunities for
devolution
Integration into health and social care system and healthy neighbourhoods
approach.

Arts, Personal Budget and Recovery


Nick Dixon commissioning manager Stockport MBC
Kar Rowson, artists and photographer
Arts, personal budgets and. Recovery
Background
Much that was wrong including little focus on outcomes and recovery or prevention
Careers in psychiatry
Risk averse practice dominated
More right place tight time, lees won't place wrong time
Solution lies in the Communities in which people live
Over time
Values based awareness
Recovery of a life, irrespective of the illness
Social inclusion hopes and.aspirations made possible
Personalisation choice and control
Outcomes based commissioning
Coproduction and people powered health
Collaboration and redefined relationships
Social action people shaped places
Times are changing
Power within clinics
Traditional international
expert knowledge creates behaviour changes
Goals are set by the clinician and success is measured by compliance with
them
Decisions are made by the clinicians

Co-production-power shared
Collaborative interactions
Person is supported in defining their own goals. Success is measured by
attaining those goals
Meaningful choice and control
Decisions are made as a service user-clinician partnership
Use the assets in the system

Personalisation in social care

Launched in 2009 giving people control over their own recovery


Now embedded as core offer- 587 people (218 current)
Average budget per person 3.1k
Average spend per person 2.7k
Budget stabilised at around 600k
Just 3 renewed into a 6th year
Offering meaningful choice

Use of SDS

(SW/PA social workers and personal assistance)

Some of the risks


The professionalising of personalisation
Power in the system remains with the professionals
Personal budgets used to support a maintenance approach
Limited and reducing budget, new demand
Recovery and self-management not prioritised
Unwise choices and consequences
Kars Story

Self-directed support plan


Who am I? What she likes about herself on a good and bad day
What's import at to her
Photography is in her heart and her therapy
She found a creative way to deal with the grief of losing her best friend
Led to an exhibition at arc in Stockport
Stockport progress and recovery centre

Key messages
Gather up evidence, narratives win hearts and mind sPeople usually know
what works for them
Avoid focus on the what, do focus on the why
Small amounts of funding can transform lives
Resilience to mental ill-health can be found in unusual places
Offer choice of brokerage- aspirational support planning is key
Locate personalisation in a recovery context
Encourage independence and self-management
Connect people to community based circles of support
Grow community capacity and social action-people helping people
Health for people, by people with people
People powered health
www.nesta.org.uk/project/people-powered-health

Summary
Culture change is a prerequisite
Personalisation must fit within a whole system approach
Address what matters. Won't what is the matter
Gather evidence and build, a compelling case
Capture and share stories
The five ways to wellbeing
Enable people eat grow and thrive

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