This is a further update about Future Pathways’ fund. The fund is used to help support the people we work with. We call this our Discretionary Fund or DF for short. However, below, we will simply refer to it as ‘the fund’.
The fund is one of the different types of support that people can access from Future Pathways. It is used to support people to work towards their goals.
We wrote to everyone in active support on 23rd October about two changes to fund. Since then, the Scottish Government has offered us extra support.
Ministers are keen to sustain support for people who are registered with Future Pathways. They have listened to the views of survivors and the Alliance Leadership Team.
The Discretionary Fund is one of the types of support that can be used to help people work towards the goals in their individual support plan.
If you have any questions, you can:
We work with adults who are experiencing mental ill-health and, in some cases, additional issues that impact on their ability to live a meaningful and fulfilling lives. We are a progressive charity, and continue to maintain a position at the leading edge of mental health recovery within the Highlands of Scotland.
We work within the Recovery ethos, which supports people to live productive lives even if symptoms persist. We have a 23-bed Recovery Centre in Inverness, which provides support to supported people in 12 self-contained flats and 11 single rooms. The Recovery Centre was the first facility of this kind in Scotland.
In the community we provide Support and Care at Home services to people living in their own homes within local environs from Inverness, Invergordon, Lochaber and Caithness. Within the Inverness and Easter Ross services we also facilitate supported accommodation services covering 24 hours each day 7 days each week.
It was founded as Birchwood Highland 1987, to support the closure of Craig Dunain – one of the old-fashioned asylums outside of Inverness. The Community Care Act was looking to close these huge institutions located on the outskirts of towns and cities across Britain. The Not for Profit organisation was founded as a response to this government legislation. We started as a community-based service, moving people that had spent lots of their adult life – if not all of their adult life – in old-fashioned asylums, and moving them back into properties in the Inverness area where they could be supported in a more homelyand person-centred way aimed at enabling them to become part of their own communities.
We quickly realised how big the Highland area is! And how far people had travelled to Craig Dunain. When they were leaving, they wanted to go back to areas that they were more familiar with and may have some family connections. In response, we opened a service in Easter Ross, and then one in Lochaber.
We also opened Birchwood House at that time, which was set up to offer people who still needed 24-hour care and support with the added skills and knowledge provided by qualified nursing staff. The hope was that either they would later be able to move on to supported accommodation, or if not that they would be able to live there, but in a much smaller, more person-focused environment than the big institution. Birchwood House was updated and reopened in 2017 as The Recovery Centre, offering the opportunity for people to work toward their own personal goals by managing the symptoms they may be experiencing.
Now, we also work in Caithness offering both Support Services and Care at Home to people living in the County. We cover a huge area of the Highlands, but there are still a few gaps, just because of the size and geography of the Highlands. We continue to lobby for equality of access to services.
In Highland it’s a bit different from other areas: adult services are commissioned by NHS Highland, they are our biggest commissioners of services.
It’s usually either because someone has been or is being discharged from hospital and will need ongoing support to live as independently as possible at home. People and families come to their notice for other reasons, not necessarily just through hospital. So social work often make referrals directly.
As a service, we have to realise that people do live quite isolated lives, and access to services is hugely challenging. Over the years, living in these communities has actually become even more of a challenge, especially right now due to the cost of living crisis. Having supported staff and people using our services through covid – further isolating people – we now face the cost of living crisis. And, of course, accessing services in the Highlands comes at an additional cost.
The cost of providing services in remote areas is not really considered by Scottish Government and therefore our commissioners.
It is right now. A big project at the moment is to reach out to people in the community and find ways of how to support them, whether that be on a one-to-one basis in their own home, or as part of group, or using new technology. I guess one of the positives from covid was that we all got used to communicating using Zoom and Teams and those types of things.
NHS, of course, use a lot of these technologies for appointments, especially in remote areas. However, that does have challenges about internet access and the cost of that. It’s certainly becoming a preferred way for younger people. They have their mobile phones, but a small screen can be a challenge for older people.
We’ve recently opened a Discovery College, which works with people in the community. (Not necessarily people who have been commissioned for support, but people that are out there and don’t know where to go, or how to access services.)
People will be able to drop in and see who we are and what we’re about, and they can work on their own objectives. We’ll provide some learning courses that will be certificated, but over and above that there’ll be help to prevent isolation. Being able to come along and have a chat and a cup of tea with people who are peers. We have three Peer Support Workers who all have lived experience.
The full range. However, people who have been referred through NHS partners tend to live with significant mental ill-health: schizophrenia, personality disorder, bipolar…. but I think that what’s missing there are people who have anxiety and depression and just live with it. They never come to notice of services. The aim of the Discovery College is for people to reach out and find us.
It’s probably impossible to say, because people who live in cities have access to more services, so they’re more likely to come to the notice of those services.
And looking at it the other way, the outcome of people living with mental ill-health, or trauma, or any of these type of challenges, is that they have less life opportunities and therefore often end up in areas of deprivation and poverty. So, I think it works both ways.
I got a call from Future Pathways last year. You were looking for a provider to work with a particular individual that was being supported by staff based outside the Highland area. The individual was then offered a number of services in the area, and chose Centred as their preferred support provider.
The person, very fortunately, lives centrally and close to services. So we were able to provide support reasonably quickly, without anyone having to do lots of travelling.
Since then we’ve become an approved provider. There’s a lot of information that’s needed! All our staff are trained, and we’re fully insured. We’re registered with the Care Inspectorate, all our workers are SSSC-registered.
We’re really looking forward to working more with Future Pathways, and hopefully across the Highlands. Inverness is the main hub of need, but don’t forget that we are available to provide support from Caithness to Lochaber.
We are delighted to also be hosting a partnership event with research company Matter of Focus at 9.30am on Wednesday 8 November. Titled “Opportunities and Challenges: evaluating relational services in a partnership context”, we will share what we have learned about evaluating the relationships we build as a service.
We have found that developing trusting relationships with people we support and our partners means improved outcomes for people and services. Matter of Focus have helped us evaluate our relational approach to partnership working since 2018. This has helped us understand more about Future Pathways’ impact at scale. But it can also be challenging. Often, services have assumptions about partnership working that need to be considered and evidenced.
At this event, we will share what we have learned about how to evidence and understand our relational approach, drawing on examples from our work with people we support and partners. We will explore how this evaluation has enabled us to make decisions about refining our model of support and enhance our impact.
At this event and at our exhibition stand, we hope to highlight our work and our impact, and create connections with other services.
“Future Pathways is the first service of its kind, pioneering a relational approach to working with survivors of abuse and neglect in care. Embedding evaluation and learning into the service from the start means not only that Future Pathways are really clear that their service is effective and their work is making a difference to survivors, but has also allowed them to continually refine and innovate their approach to make the best difference possible. Matter of Focus are delighted to be working alongside an organisation with such a deep commitment to learning and improvement.’’
Ailsa Cook, Director, Matter of Focus
“We are looking forward to attending SCVO’s The Gathering 2023 as both exhibitor and as event host. Sharing our learning with others is an essential part of our work and we are delighted to be part of SCVO’s diverse and inspiring programme. We hope to spark discussion and reflection with those working across the sector, and look forward to sharing information about who we are and what we do.’’
Flora Henderson, Alliance Manager, In Care Survivors Alliance
The Gathering is the largest free voluntary sector event in the UK and it is organised by the SCVO (Scottish Council for Voluntary Organisations). This is an opportunity for Future Pathways and many other services to showcase their work and learn from others. The Gathering will take place at the EICC in Edinburgh on Tuesday 7 November and Wednesday 8 November.
We call this our Discretionary Fund or DF for short. However, below, we will simply refer to it as ‘the fund’.
The fund is one of the different types of support that people can access from Future Pathways. It is used to support people work towards their goals.
It is important that we use the fund fairly, that the fund is available to everyone, and that we can make the fund stretch as far as possible. With that in mind, we are making two changes to the fund for the purchase of items:
For requests of over £1,000, a Support Coordinator writes an application to the fund on a person’s behalf. Before these new changes take place, four weeks will be given for pending applications to be completed. ‘Pending’ means applications that have already been agreed with Support Coordinators. These must be completed before 1st December.
For applications that have not already been agreed with Support Coordinators, the new limits will apply to all new requests from 1st November.
Only in very special cases, where there is an immediate and clear need, requests outside the limits may be approved by members of the Alliance Leadership Team. The Alliance Leadership Team oversees Future Pathways.
We would rather not have to add limits to how much you can access from the fund. We know that it is an important part of support from Future Pathways. But making these changes now, helps us to make sure that:
The reason for needing to make these changes is due to a number of factors that have been impacting the fund:
Following the changes, we will review how much of the fund is spent each month. We hope that no further changes will be needed. But we might need to look again if costs continue to be higher than planned.
We know that change can be difficult. We have taken the time to really consider these changes. Our hope is that we can maintain our service in the best possible way, and with as little disruption as possible to the people we support.
The role of Future Pathways remains the same. We are here to support people with their goals and to help people work towards them.
We have sent communication to all people in active support. The information about these changes were sent via letter and / or email (depending on their communication preference). Letters were dispatched on Monday 23 October and emails were sent the same day.
57 people registered with Future Pathways.
15 people started working with a Support Coordinator.
80 people accessed support from 26 Delivery Partners.
The average age of people who registered with us was 46.
77% of people who register with us live in the Central Belt of Scotland.
We learned that most of the people we support may have a disability or a health condition.
Most of the feedback we received was positive.
Some people told us they felt listened to and able to trust the service.
On the other hand, waiting for support can make people feel frustrated, unable to progress and unimportant.
People gained access to a wide range of supports.
Accessing mental health supports and exploring creative interests were most helpful.
Someone we supported shared what is different for them:
Someone we supported shared the sense of purpose they now feel:
If you’re finding things hard, it can be good to talk to someone.
These sessions helped us to:
We found that our collaborative approach to commissioning brings trust, choice and flexibility to our outcomes-focused support. It also creates a network of support, knowledge and learning with Delivery Partners which, in turn, helps navigate complexity and offer holistic support.
We also found that our collaborative approach to commissioning can face systemic challenges. For example, inaccessible services, capacity challenges or confusion around national programmes of support can hinder the way we can work together.
We would like to thank all those who took part in the process. Their insight and feedback was invaluable.
“This Action Learning Programme helped us consolidate what we have learned about sustaining collaborative relationships with partners. This project was an opportunity to work with our partners to explore how we can enhance our approach to working together, so we can continue supporting people to work towards their personal outcomes. It highlighted the importance of building ongoing communities of practice, and of evaluating our wider impact.”
Louise Hall, Impact and Evaluation Lead, Future Pathways
“It was so helpful to better understand Delivery Partners’ experience of working with Future Pathways. For me being relatively new to my role, the voices of everyone in the group and the learning that was shared about what works, helped to shape my own approach as partner relationships lead. The opportunities for learning and improvement can’t be overestimated.”
Nell Glen, Partner Relationships Lead, Future Pathways
“People are better supported when the different parts of the system work better together. Future Pathways have shone a light on this by convening partners and exploring how the capacity within the system can be used better. This report shows that more collaborative, trauma-informed commissioning is not only necessary, it’s clearly achievable.”
Graeme Reekie, Director, The Lasting Difference
We recently published our latest impact report, Stepping Stones, and a summary version of the report. We now also have a short version of our impact report. It gives you key information from our report in just 8 pages.
The short version tells you what we learned about:
We also share the ways we would like to learn more. And how you can help us by giving feedback on our service.
Ian started making model windmills when he retired about 12 years ago. Since then, he has made around 2,500 of them! Ian explains, “It’s just something that I taught myself to do because I knew all about them after working in the bush and on farms”.
Ian was of the generations that depended on windmills more than most because he grew up in rural, remote areas. Years ago in Australia, these windmills were everywhere, even in the suburbs. It was the main way for many people to draw water up to the surface.
Talking about making his windmills, Ian shares:
Ian, who recently turned 80 but says he feels about 40, makes windmills in all different colours. He has used football colours, Irish colours, aboriginal colours (red, black and yellow), and others are silver, like windmills in the bush. Ian made one in yellow and blue which was auctioned off to raise money for Ukraine. Another he made as tall as a door which raised $1500 for kids. He even presented one to a member of the Australian parliament who came to Tuart Place and took it back to Canberra with them.
Ian’s talents extend to other models too:
And now Ian’s windmills have even travelled half-way around the world to Scotland after he very kindly made one for Future Pathways, and we love it! As Ian put it, “it’s a little bit of Ian and a little bit of Australia, in the middle of Scotland.”
Tuart Place is a support service for adults in Western Australia who were in any kind of out-of-home care when they were children. Funded by the state government, it is based in the city of Freemantle, just south of Perth. Its motto is ‘growing stronger together’, and it provides a lot of different services, including counselling, social activities, informal support groups, training courses and records tracing
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