Evaluation of Rochdale Partnerships for Older People Project (POPP:Building Healthy Communities for Older People) Williamson, T, Prashar, A, Hulme, CT and Warne, AR Title Evaluation of Rochdale Partnerships for Older People Project (POPP:Building Healthy Communities for Older People) Authors Williamson, T, Prashar, A, Hulme, CT and Warne, AR Type Monograph URL This version is available at: http://usir.salford.ac.uk/id/eprint/20734/ Published Date 2009 USIR is a digital collection of the research output of the University of Salford. Where copyright permits, full text material held in the repository is made freely available online and can be read, downloaded and copied for non-commercial private study or research purposes. Please check the manuscript for any further copyright restrictions. For more information, including our policy and submission procedure, please contact the Repository Team at: [email protected]. Salford Centre for Nursing, Midwifery & Collaborative Research Evaluation of Rochdale Partnerships for Older People Project (POPP): Building Healthy Communities for Older People Tracey Williamson Arvin Prashar Claire Hulme Tony Warne July 2009 About Us We are experienced researchers with a strong emphasis on real world research that addresses the needs of practitioners, service users and health and social care organisations. The centre objectives are: To develop nursing and midwifery practice and education through collaborative research To work with other stakeholders in identifying priority areas for research, evaluation and service development To undertake research and scholarship of national and international standing We achieve these through: Collaboration with inter-agency partners in research and development of theory and practice Publication of high quality reports, papers and conference presentations Support and supervision of post-graduate study Contribution to national and international debate Research expertise includes: Children and families: evaluating services for children, women and families, preparation to work in these fields, and clinical research Developing clinical practice through research: includes research into fundamental nursing care and development of practice in key areas of need Information and evidence: develops approaches to the classification and use of nursing data, information and evidence based nursing science Professional education: includes international projects in the study of education Mental health care: focuses on research into mental health policy, education and practice, and the organisation of mental health care Older people and rehabilitation: evaluating initiatives/services aimed at older people, exploration of people’s experiences of ageing, and diversity and inclusion in later life Enterprise: We engage in project and consultancy work and evaluation projects We support new product and service initiatives in partnership with external colleagues and business communities International: We have active and extensive international links Partnerships have been forged between staff and students in Australia, Africa, USA, Russia, Malta, Finland, Holland and Germany amongst others Contact the School of Nursing: Tel: +44(0)845 234 0184 E-mail: [email protected] Contact the Salford Centre for Nursing, Midwifery and Collaborative Research: Wendy Moran Tel: +44(0)161 295 2768 E-mail: [email protected] www.ihscr.salford.ac.uk © University of Salford This report can be referenced as Williamson T, Prashar A, Hulme C, Warne A (2009) Evaluation of Rochdale Partnerships for Older People Project (POPP): Building Healthy Communities for Older People, University of Salford/University of Leeds. ISBN: 978-1-905732-78-4 1 CONTENTS ACKNOWLEDGEMENTS 9 EXECUTIVE SUMMARY 10 CHAPTER ONE: Project Background and Aims 22 Introduction 22 Rochdale POPP structure and service: The vision 22 Research aims and objectives 23 Methods 24 Overview of the report 25 CHAPTER TWO: Overview of Rochdale POPP 27 Introduction 27 Who did POPP reach? 27 How did the POPP compare with local demography? 37 What activities were POPP members referred to? 44 What services were POPP members referred to? 47 What POPP initiatives were POPP members referred to? 49 What needs did POPP identify and were those needs met? 51 How can unmet need be addressed beyond Rochdale POPP pilot? 57 Key findings 60 CHAPTER THREE: POPP Members 62 Introduction 62 Case study one 62 Case study two 68 Case study three 74 Case study four 78 Case study five 84 Case study six 90 2 Case study seven 99 Key findings 103 CHAPTER FOUR: Overview of Partnership Organisations 106 Introduction 106 Rochdale Council for Voluntary Services (Rochdale CVS) 106 Who were POPP volunteers? 107 What activities were POPP volunteers involved in? 108 Greater Manchester Passenger Transport Executive (GMPTE) 109 How many journeys did POPP transport provide? 111 Carers’ Association 114 Who did they help and support? 116 What help and support were carers given? 119 Key findings 125 CHAPTER FIVE: Devolved Decision-making: TOPPs Commissioning 128 Introduction 128 Commissioning: Heywood TOPP 130 Commissioning: Middleton TOPP 133 Commissioning: Rochdale TOPP 136 Commissioning: Pennines TOPP 139 The TOPP commissioning process 143 The role and functioning of the TOPPs 147 Key findings 155 CHAPTER SIX: Tai Chi Case Study: Costs and Effectiveness 157 Introduction 157 Background 157 Evidence on falls prevention 158 3 Tai Chi 159 Rochdale Falls Prevention Service 160 Client assessment 162 The Tai Chi programme 169 Case study 170 Findings 174 Summary 187 Qualitative results from interviews with participants 187 Summary 198 Analysis of routinely collected assessment data from Rochdale Falls Prevention Service 198 Summary 208 Discussion 209 Key findings 214 CHAPTER SEVEN: Challenges and Opportunities; Costs and Effectiveness: Volunteer Driver Scheme 218 Introduction 218 Background 218 Impact of appropriate transport provision 219 The Volunteer Driver Scheme (VDS) 221 Case study 223 Findings 226 Challenges and opportunities: Setting up the VDS 226 Potential factors which may limit VDS effectiveness 247 Potential factors which may inhibit sustainable transport solutions 249 Qualitative results from interviews with providers: Key findings 254 Volunteers 257 Qualitative results from interviews with volunteers: Key findings 263 Service users 264 Financial impact 302 4 Discussion 308 Key findings 310 CHAPTER EIGHT: The Next Step 313 Introduction 313 Findings 313 Achievement of POPP 314 Challenges of POPP 317 POPP structures, processes and outcomes 320 TOPP structures, processes and outcomes 322 Management and delivery of POPP 325 Redesign of service development and delivery 329 Impact of POPP on involvement of older people 330 Social exclusion/social isolation 331 Optimising sustainability 334 Key findings 340 CHAPTER NINE: Summary and Conclusions 343 Introduction 343 Overview of activity 343 Impact at the level of the individual 345 Partnership organisations 346 Partnership and devolved decision-making 349 Assessing the impact of commissioned activities 350 Looking back: and to the future of Rochdale POPP 354 Conclusions and recommendations 356 CHARTS Chart 2.1: Outreach worker visits by Township 28 Chart 2.2: Outreach worker visits by gender 29 Chart 2.3: White and Asian POPP Members: 5 Needs fully or partially met 34 Chart 2.4: Categories of social exclusion by outreach visits 35 Chart 2.5: Age profile of outreach visits: Rochdale Borough 36 Chart 2.6: Age profile of outreach visits 36 Chart 2.7: All Townships: Age and gender Profile 37 Chart 2.8: Heywood Township: Age and gender profile 40 Chart 2.9: Middleton Township: Age and gender profile 41 Chart 2.10: Rochdale Township: Age and gender profile 42 Chart 2.11: Pennines Township: Age and gender profile 43 Chart 2.12: Referrals to activities: All Townships 45 Chart 2.13: Onward referral to services: All Townships 48 Chart 2.14: Onward referral to POPP initiatives: All Townships 50 Chart 2.15: POPP Members in Heywood: Needs met and unmet 53 Chart 2.16: POPP Members in Middleton: Needs met and unmet 54 Chart 2.17: POPP Members in Rochdale: Needs met and unmet 55 Chart 2.18: POPP Members in Pennines: Needs met and unmet 56 Chart 4.1 Volunteering and Rochdale POPP: Age profile 108 Chart 4.2: POPP Trips: Actual and proposed 113 Chart 4.3: Volunteer Driver Scheme: Health and social trips 114 Chart 4.4 Carers registration by Township 116 Chart 4.5: Carer registration by different agencies 118 Chart 4.6: Registered carers: Age distribution 119 Chart 4.7: Carer referrals to other agencies 120 Chart 4.8: Carers accessing key services: Quarterly basis 121 Chart 6.1: Average falls risk score: Initial and follow-up 199 Chart 6.2: ID1 selected initial and follow-up falls risk scores 200 Chart 6.3: ID2 selected initial and follow-up falls risk scores 202 Chart 6.4: ID3 selected initial and follow-up falls risk scores 203 Chart 6.5: ID4 selected initial and follow-up falls risk scores 204 Chart 6.6: ID5 selected initial and follow-up falls risk scores 206 Chart 6.7: ID6 selected initial and follow-up falls risk scores 207 6 Chart 6.8: Tinetti scores: Initial and review scores for Tai Chi Group 208 TABLES Table 2.1: Ethnic populations of older people in Rochdale Borough (2001 Census) 30 Table 2.2: Ethnic composition by Borough Townships (from POPP database) 31 Table 2.3: Ethnic POPP Members needs met 34 Table 2.4 POPP Members by ethnicity needs identified and met 33 Table 2.5: Age and gender summary: Entire POPP pilot 38 Table 2.6: