Economy

Connect4Success – a holistic approach to community resilience in Rhondda Cynon Taf

Practice Solutions is a training and consultancy organisation, providing flexible, out-of-the-box support for companies within the social care, health, voluntary and private sectors. Its aim is to help organisations to nurture well-being in their workforces and communities through implementing meaningful and sustainable change.  

Having worked with many social care businesses since 1999, Practice Solutions recognized that smaller providers often struggled with ‘back office’ functions including finance, HR, marketing or tendering. In turn this reduced their ability to secure the larger-scale contracts they needed to grow. 

This led to the idea of a localized support network for these businesses that could increase their capacity to deliver services and to win larger scale bids through providing shared ‘back-office’ functions as well as advice, support and relationship-brokering, particularly with the public sector. 

This was felt to be particularly important for those working in social care, with SMEs and micro-firms already under growing pressure and a national campaign to recruit 20,000 more carers in Wales by 2030. 

If successful, the model could then be rolled out to all those other foundational businesses that supported these, and other, service providers.  

In 2019, the Practice Solutions team received a Challenge Fund grant to test the appetite for such a model with businesses in Rhondda Cynon Taf.   

Initially focused around social care providers, the Connect4SuccessRCT project aimed to deliver a systems-wide approach to ensure that the rising care needs of the future could be met by boosting both the local care sector, and the wider foundational economy. 

The project would provide ‘back office’ support to local care sector SME’s including staff recruitment and retention advice, training to those working with vulnerable people, finance and marketing assistance and advice on tendering.  

It would also work to connect local firms with public bodies to try to ensure that more public sector contracts were awarded locally, instead of to large corporate providers.  This would include breaking down barriers to successful tendering and raising the profile of local providers to public sector audiences. 

Although the project started well with successful outreach to all parties, the impact of COVID-19 inevitably limited the ability of social care providers and public bodies to engage with it. 

In response, the project increased its focus on other foundational economy businesses that, by contributing to local community resilience, also support health and social care agendas and the community at large.  

A key tool was the Connect4SuccessRCT website that aims to allow local providers to market their services and also potentially to collaborate in order to secure and deliver large-scale public sector contracts that would otherwise be out of reach. 

To date, 54 local organisations have signed up including a radio station, cleaners, training organisations, builders, manufacturers and distributers of PPE. 

Although the pandemic caused the project’s primary audience to change, Connect4SuccessRCT has not lost sight of its original aims to support the health and care sectors nor its holistic outlook. 

 Dafydd Thomas, the project lead at Practice Solutions, explains: 

 “The model works on the basis of providing co-benefits to all parties.  Businesses are not only given support on how to tender, marketing tips, and other business advice when they join Connect4SuccessRCT but we’ll also be providing training so that their employees will be able to recognise when someone might be vulnerable, or at risk. This helps add to that business’ social impact and will ultimately help public services to intervene before the issues becomes more serious and costly.” 

This additional ‘early-warning system’ by local firms that have daily contact with large numbers of the county’s residents can not only help reduce preventable hospitalisations and suffering but it also enables the responsibility of care to be shared and grown throughout the community. 

Practice Solutions is also still working to bridge the gap between the public sector and service providers to enable greater collaboration and more public funds to be channeled through the local economy. 

Staff have been liaising with procurement officers and local authorities to understand all the elements that businesses need to successfully secure contracts. This includes updated policies, certifications and information on upcoming work and means that businesses will be more prepared to go out and get contracts even when the initial Connect4Success pilot comes to an end in March 2021. 

This work has also captured some valuable insights into how the process of tendering can be made more accessible, particularly for those who have less experience or who may not be as digitally apt.  

Practice Solutions has been able to feed back this experience to Sell2Wales, Business Wales, Rhondda Cynon Taf Country Borough Council, and other local public services to help them understand the barriers that local suppliers face.   

Dafydd Thomas went on to say “ One of the many things that the pandemic has taught us is that local services are only as good as their supply chain – think of the different challenges with supplying PPE. We want to see more local businesses supplying more services to the local public sector – providing more local jobs for people closer to home and ensuring that more public money is kept circulating at a local level.” 

The team is also building a directory of all businesses in Rhondda Cynon Taf which in time, will help the public sector procurement teams to search for specific skillsets and approach businesses that meet contract requirements.  

Although Practice Solutions believes that the pilot has proven successful, it has not been without challenges. Connections with partners were hard to forge during the peak months of the pandemic and in one case it had taken more than 9 months to just get a meeting with one of the target public bodies. Dafydd explains that “partners were simply not in a place where they could engage” despite the additional resource that projects like Connect4SuccessRCT can offer.  

Similarly, economic pressures meant that the long-term holistic outlook of the project did not appeal to some of the target SMEs and micro-firms, with businesses being much more interested in ‘help me get something now’ than what may be available in ‘some golden future.’” 

Despite these challenges, the project has proven flexible and responsive to local needs. Long-term, the organisation would like to adapt this model to become a formal membership co-operative and invite the community to be involved. In addition to the original aims of closer collaboration with the public sector, it would also connect local people with local, reputable businesses in property maintenance, transport or general support services. 

As well as helping boost the local economy, it is thought that this could particularly help the most vulnerable people in the community to live independently for longer, increasing individual well-being as well as further reducing the pressure on local health and social care providers. 

Helping Wales Lead the Way: Simply Do Ideas supports public sector innovation through the Foundational Economy Challenge Fund Grant.

Simply Do Ideas is an SME based in south Wales. Its purpose is to enable large organisations to crowdsource ideas to solve strategic organisational challenges. A key tool is its award-winning digital platform, an end-to-end innovation workflow which makes the process of managing innovation quicker, easier and more effective. It does this by enabling organisations to shape and share live, media-rich briefs in a secure portal designed to capture focused solutions from employees or external suppliers. This is known as challenge-led innovation. 

>> How Simply Do Works << 

The company recognized that the time, cost and risk typically associated with innovation are the three key barriers for most public sector organisations when developing creative and innovative solutions to their problems. Confident that their model could help, the company put forward a proposal to test their approach in the context of the social and economic challenges facing public bodies and communities in the South Wales Valleys. 

A Challenge Fund grant was awarded to build upon their earlier work in policing, advanced manufacturing and financial services to connect foundational economy challenges with crowd-sourced entrepreneurial solutions from two key stakeholder groups; the first, local colleges and universities and the second, local SMEs. 

The project was delivered in two distinct phases: 

Phase one aimed to address a shared problem between industry, education providers and their students. Time poor, risk averse employers need new ideas to survive and thrive, whilst students need access to ‘real-world’ experiences to be ready for the world of work. In the middle, further and higher education providers are tasked with heavy employability targets and stretching curriculum outcomes. 

During this phase, students from 8 colleges and universities in and around the south Wales Valleys were presented with live briefs and supported to generate innovative solutions to key marketplace challenges. The briefs came from organisations across foundational economy sectors, including those in hospitality, transport, housing and construction. 

More than 400 students engaged in these challenges, enabling the client organisations to capture early-stage ideas that could then be tested in the marketplace. At the same time, the students gained essential experience of working on a real-time business brief, something not otherwise easily accessible to them. 

As Simply Do Ideas moved into phase two of the pilot, the company turned its focus to supplier-led innovation, which encourages organisations to work with the expertise in their supplier network in order to bring new and existing products and services to market faster. In Wales the supplier network is predominantly SMEs and the company was confident that its expertise could be harnessed to help bridge the gap to the public sector. 

Choosing to focus on the healthcare sector, the company partnered with Life Sciences Hub Wales, which aims to help make Wales the place of choice for health, care and wellbeing innovation. 

Whilst working together, the need for PPE rocketed due to the coronavirus pandemic and demand on manufacturers reaching an all-time high. A rigorous procurement process put extra pressure on the Life Sciences Hub team, who were manually sifting and sorting through an unprecedented number of product and service offers from industry in order to procure the necessary supplies. 

This was the perfect opportunity for Simply Do to deploy its digital product, allowing it to co-create a customised workflow that, through automation, significantly increased the speed by which diverse providers and products could be sourced, qualified and purchased whilst maintaining a robust procurement process. 

Not only did this solve a huge time barrier for Life Sciences Hub in sourcing appropriate products but it saved time for potential suppliers who could communicate their offer more quickly and easily via the purpose-built innovation portal. Moreover, innovative new suppliers, products and services were surfaced through this streamlined, challenge-led process that may otherwise not have been. 

The output was impressive, with more than £6million of PPE products procured by the NHS from suppliers engaged on Simply Do, resulting in an approximate GVA to the Welsh economy of £34 million. NHS Shared Services also became a net-contributor of PPE to the broader, UK-Wide effort to secure PPE during the pandemic. 

In total, the Challenge Fund has enabled Simply Do Ideas to engage with more than 1,600 SMEs generating almost 1,800 ideas in response to 13 externally-sourced challenges relevant to suppliers and commissioners in the foundational economy. The organisation’s Senior Business Manager, Joseph Murphy, believes that this demonstrates that challenge-led innovation has a real contribution to make in terms of progressing the way that procurement is done in Wales. 

 “There’s an opportunity here for Wales to be a global leader. Turning our size to our advantage, we can use our close proximity to one-another, our resources and public policy to ensure that we are at the cutting-edge when it comes to solving some of the biggest challenges of our time,”

Having concluded its Challenge Fund project with resounding evidence that this model works within the public – as well as private – sector space, Simply Do Ideas is looking ahead towards a new investment stage. Its aim is to continue working creatively, between and across sectors, to further cascade the benefits of challenge-led innovation. 

Foundational Economy Community of Practice

During 2020-21, Cynnal Cymru has supported a community of practice for organisations receiving funding from the Welsh Government’s Foundational Economy Challenge Fund. Its aim is to share learning and innovation, build relationships and encourage collaboration.

The Challenge Fund aimed to support projects looking to try out new ways to address challenges – some emerging, some age-old – faced by foundational economy businesses or those relying on their services.

These included:

  • the recruitment, retention and skills of the workforce
  • the delivery structures and design of services
  • the recruitment, retention and skills of the workforce
  • the delivery structures and design of services

The aim was to explore a range of solutions that could potentially generate viable, adaptable models that could be scaled up and spread to strengthen local economies and community wealth-building.

Staring in 2019 with an initial 52 projects, it was always expected that some experiments would not succeed and conditions were made even more challenging by the impact of the pandemic.

A community of practice was also however put in place to help capture some of the rich learning and insights generated by all the projects taking part. The examples in the Case studies section of this site  give a flavour of the projects supported by the Fund – their successes, challenges and above all learning, about how best the foundational economy in their area or sector can be supported.

Foundational Economy Challenge Fund: Transforming Primary Care in Wrexham

The Community Care Collaborative (CCC) is a Community Interest Company that provides an innovative and integrated approach to healthcare in Wales.

Founded by Dr. Karen Sankey in 2018, CCC developed a very clear vision for primary care after realising that the current model was failing at several levels.

Through research and testing, it found that patients often visit a doctor with an issue that has a social or mental health basis, which it believes GPs are not equipped to deal with in the best way.

Added to this, it’s thought that the volume of patients that a GP is expected to see in a day on top of other duties such as medicines, makes it impossible to provide an adequate service to every single person.

The solution is a model which delivers “an alternative model of health, social care and wellbeing in which GPs (doctors) are able to focus on providing medical care, and where, through working collaboratively at a community level with other agencies and patients themselves, the social and emotional needs of patients are given equal priority to their medical needs”, as its mission statement shares.

“The Challenge Fund seemed to me to be very much about trying to do things differently and about taking a chance to really give something a go to find out whether it works or not.”

Before receiving a Challenge Fund grant, CCC had already secured contracts to trial this model at three GP practices in Wrexham and had been granted permission to take over its first practice in September 2019 with the second and third following in January and April 2020.

However, the Challenge Fund grant has been essential in enabling CCC to develop its ideas further and successfully set up and recruit in a vast number of different areas of health and social care over the last 12 months.

Alison Hill of Capacity Lab, who assisted in bringing the model to life said that, “The Challenge Fund seemed to me to be very much about trying to do things differently and about taking a chance to really give something a go to find out whether it works or not.”

Firstly, CCC recruited a permanent emotional wellbeing team which is present at all three practices and aims to provide a first point of contact for patients that are in need of wellbeing support directly after booking an appointment.

What commonly happens in these cases is patients are referred on to other mental health organisations and can bounce back, so a key focus of this team is to reduce onward referrals by providing services in-house such as support groups, medication reviews, memory assessments and psychotherapy.

The organisation has seen that utilising this model alone has seen onward referrals reduce by over 57% compared with the previous evaluation period (Apr-Sept 2019).

Not only does this mean that patients are being provided a more appropriate and immediate response, but the cost savings to other health and social care services are likely to be significant. A social impact evaluation of CCC’s Emotional Well-Being Team found that it had delivered social value worth more than £1million in its first 12 months to November 2020, representing a social return on investment of 6.42:1.

More important to those involved is that 33% of people supported within this model (who were asked for feedback), said that without support they may have taken their own lives, further demonstrating the positive impact that the model is having.

To support the referral process, CCC recognise that as first responders to calls, front desk staff play a vital role in the patient process so it invested in training to develop them into ‘Care Navigators’. People within this role now have the knowledge to respond to individual patient needs and signpost them towards the relevant team, rather than automatically referring them to a GP.

Due to the high level of demand during Covid-19 and the huge upheaval of a system that has been in place for years, the booking system is an area that CCC is still working to make as effective as possible through continuous testing and experimentation.

Alison says, “We tried eConsult (Lite), which didn’t work out so we changed it and adapted it…it’s improving, but that is something that we haven’t got right yet and we still need to work very much on.”

Despite the obstacles faced by the pandemic, CCC is really proud of its progress this year, although there are some areas where work still need to be done, especially in recruiting full time salaried GPs.

Although CCC has been able to employ some part time doctors, Alison explains that a huge obstacle primary care is currently facing is that many GPs are working as temporary doctors known as locums, which she says, “In terms of finances, it’s going to destroy primary care.”

As they move towards the goal of recruiting more full time GPs in 2021, the team is confident that this integrated model will prove attractive to GPs, as it gives them more opportunity to concentrate solely on medical needs and to patients as they will be able to access a much wider range of inhouse support.

As CCC looks towards the future, it will be concentrating its efforts on recruiting full time salaried GPs, and building partnerships from within the Welsh Government’s FECF Community of Practice, as well as other organisations that can help to replicate this model across Wales.

Cardiff Council Transport and Clean Air Green Paper

From January to July 2018 we worked intensively with Cardiff Council on their Transport and Clean Air Green Paper. We were tasked with conducting research to inform the drafting of the paper, and helping with consultation once it was published.

Desk-top research looked at reports compiled within the last five years, emerging trends in transport, and the activity in other cities around the world. Seminars and conferences included Cynnal Cymru’s 2016 “Future Car:diff” event, “Car Futures Wales”, and the Innovate UK “Transport Challenges” workshop. Interviews took place with Innovate UK’s Transport Systems Catapult, Arup, Jacobs, The Society of Motor Manufacturers and Traders, Living Streets, and Cardiff Civic Society.

As drafts progressed, a team of Council officers and Cynnal Cymru staff was formed under the leadership of Cabinet Member for Transport, Councillor Wild. This team began to blend existing Cardiff Council transport research and strategies with new information gleaned from the research. The team included representatives from the Transport department, Economic Development, City Services, Shared Regulatory Services, Research and Customer Services, Policy, and Operations, and was chaired by the Director of City Operations. The end result ensured innovative practices from other cities was combined with existing strategic and policy commitments and an awareness of emerging trends to meet the specific needs of Cardiff.

Following publication, we worked with the Transport Team, Customer Services, The Cardiff Research Centre and FOR Cardiff to undertake a variety of consultations events and communications. These included an event for businesses and targeted engagement of specific locations.

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