on wheels to meet changing needs Katherine Marwood Head of - PowerPoint PPT Presentation

Hertfordshire Independent Living Service Developing meals on wheels to meet changing needs Katherine Marwood Head of Operations Hertfordshire Independent Living Service (HILS)

Agenda • Who we are • What we do • Our growth • Our challenges • Our approach • Our success • Our future

From small beginnings… • Est. 2007 • 7 staff • 200 clients • 2 vehicles • 1 site • 5 days a week

… to today • 200 staff • 5,000 clients • 500,000 meals • 67 vehicles • 5 units across 4 sites • 7 days a week • 365 days a year

Challenges Initial: • Corporate structure • Charitable or social objectives • Contracts, cash flow, VAT • Governance • TUPE; culture • Early crisis Ongoing: • 365 day operations • Capacity < need • Image & communication • Health and social care silos • Economic / political environment

Positive outcomes Every £1 invested in HILS’ 97% feel meal service generates more 87% feel independent healthier £5.28 of social value 84% feel 93% feel less happier lonely 76% visit 80% their GP recovered less more quickly from illness or 92% feel difficulty better nourished 97% say 88% worry family have less about greater peace injury of mind

More than just meals 11,000 clients

Becoming a diverse and sustainable business A person’s A business’ wellbeing: wellbeing • Common objectives Social • Common purpose • Common assets Psychological Health

Our approach to nutrition & wider wellbeing • Identify and address the causes of malnutrition • Menu development • Bespoke menus • Training and development • Nutrition & wellbeing checks

Nutrition & wellbeing checks  Use of national tools e.g. MUST  Consider swallow issues and texture needs  Eating patterns  Mental health issues  Finance concerns  Loneliness and isolation  Memory concerns  Support  Mobility and falls  Hearing and eyesight  Hydration  Continence concerns

Success factors • Values: right people • Culture: honesty and integrity • Relationships - partners • Adaptive model • Innovation; experimentation • Cross-utilise assets and financial/human resources • Hard work breeds success • Passion to change the world

What next? • Measure our outcomes • Demonstrate the impact of prevention • Expand our services and income streams • Diversify what we offer • Re-model to meet local need

What next? • Challenge assumptions • Develop long term solutions • Work across boundaries • Ensure that services are adapting

Conclusions • Become indispensable • Do things better • Challenge the status quo • Change the world

www.hertsindependentliving.org Any questions?