Bundle Extraordinary Public Board 23 June 2020

4.1 Hywel Dda Health Charities: Support Received March to May 2020/ Elusennau Iechyd Hywel Dda:Cefnogaeth a Dderbyniwyd rhwng Mawrth a Mai 2020Presenter: Sarah Jennings

Hywel Dda Health Charities: Support Received March to May 2020

Hywel Dda Health Charities March - May 220

4.1 Hywel Dda Health Charities: Support Received March to May 2020/ Elusennau Iechyd Hywel Dda: Cefnogaeth a Dderbyniwyd rhwng Mawrth a Mai 2020

1 Hywel Dda Health Charities: Support Received March to May 2020

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CYFARFOD BWRDD PRIFYSGOL IECHYDUNIVERSITY HEALTH BOARD MEETING

DYDDIAD Y CYFARFOD:DATE OF MEETING:

23 June 2020

TEITL YR ADRODDIAD:TITLE OF REPORT:

Hywel Dda Health Charities: Support Received March to May 2020

CYFARWYDDWR ARWEINIOL:LEAD DIRECTOR:

Sarah Jennings, Director of Partnerships and Corporate Services

SWYDDOG ADRODD:REPORTING OFFICER:

Nicola Llewelyn, Head of Hywel Dda Health Charities

Pwrpas yr Adroddiad (dewiswch fel yn addas)Purpose of the Report (select as appropriate)

Er Sicrwydd/For Assurance

ADRODDIAD SCAASBAR REPORTSefyllfa / Situation

The attached report is presented to the Corporate Trustee, to provide a summary of the support received for our official charity, Hywel Dda Health Charities, from March to May 2020.

Cefndir / Background

There has been an outpouring of support for the NHS from our local communities across mid and west Wales in response to the COVID-19 pandemic. This report provides the Corporate Trustee of Hywel Dda Health Charities, with a summary of the overwhelming support received by our charity from March to May 2020.

Asesiad / Assessment

The charity’s activities during March, April and May are described in the main body of the report and can be summarised as follows:

1. We have been overwhelmed by the generosity of our local communities and the eagerness of our public to fundraise for the NHS in new and innovative ways.

2. Our Apêl Hywel Dda NHS COVID-19 Appeal had received donations totalling £91,273 as of 11th June from the general public wanting to thank their local NHS for caring for our local communities at such unprecedented times.

3. Our charitable donations to 31st May 2020 show an increase of 95% in comparison to the same period during the previous financial year. This includes fundraising for our appeal as well as support for a wide range of hospitals, services and departments across the University Health Board.

4. Our Hywel Dda COVID-19 Patient Appeal to help make our patients more comfortable during their hospital stay received donations of 2,039 items with a value of £20,040 as well as gifts in kind with an approximate value of £20,000.

5. We have received two ‘COVID-19 urgent response’ grants from NHS Charities Together totalling £105,000 to support urgent and immediate needs that enhance the well-being of NHS staff, volunteers and patients impacted by COVID-19.

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6. Our proactive media releases have been covered consistently in all Carmarthenshire, Ceredigion and Pembrokeshire weekly and daily titles as well as receiving significant coverage in Welsh, UK and international media outlets.

7. We have had significant engagement on our Twitter and Facebook social media platforms with a notable increase in followers in recent weeks.

Argymhelliad / Recommendation

1. The Corporate Trustee is asked to NOTE the content of the report, which highlights the support received by Hywel Dda Health Charites and to EXPRESS its sincere thanks to our local communities for their generosity.

2. The Corporate Trustee is asked to ENDORSE the approach to the prioritisation and allocation of donations received to our Apêl Hywel Dda NHS COVID-19 Appeal as well as the grant funding received from NHS Charities Together.

Amcanion: (rhaid cwblhau)Objectives: (must be completed)Cyfeirnod Cofrestr Risg Datix a Sgôr Cyfredol:Datix Risk Register Reference and Score:

Not applicable for this report

Safon(au) Gofal ac Iechyd:Health and Care Standard(s):Hyperlink to NHS Wales Health & Care Standards

Governance, Leadership and AccountabilityChoose an item.Choose an item.Choose an item.

Amcanion Strategol y BIP:UHB Strategic Objectives:Hyperlink to HDdUHB Strategic Objectives

4. Improve the productivity and quality of our services using the principles of prudent health care and the opportunities to innovate and work with partners.Choose an item.Choose an item.Choose an item.

Amcanion Llesiant BIP:UHB Well-being Objectives: Hyperlink to HDdUHB Well-being Objectives Annual Report 2018-2019

10. Not ApplicableChoose an item.Choose an item.Choose an item.

Gwybodaeth Ychwanegol:Further Information:Ar sail tystiolaeth:Evidence Base:

Not Applicable

Rhestr Termau:Glossary of Terms:

Included within the body of the report

Partïon / Pwyllgorau â ymgynhorwyd ymlaen llaw y Cyfarfod Bwrdd Iechyd Prifysgol:Parties / Committees consulted prior to University Health Board:

Not Applicable

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Effaith: (rhaid cwblhau)Impact: (must be completed)Ariannol / Gwerth am Arian:Financial / Service:

Any issues are identified in the report.

Ansawdd / Gofal Claf:Quality / Patient Care:

Any issues are identified in the report.

Gweithlu:Workforce:

Any issues are identified in the report.

Risg:Risk:

Any issues are identified in the report.

Cyfreithiol:Legal:

Any issues are identified in the report.

Enw Da:Reputational:

Any issues are identified in the report.

Gyfrinachedd:Privacy:

Any issues are identified in the report.

Cydraddoldeb:Equality:

No EqIA is considered necessary for a report of this type.

1 Hywel Dda Health Charities March - May 220

Hywel Dda Health Charities

March – May 2020

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1. Introduction

There has been an outpouring of support for the NHS from our local communities across mid and west Wales in response to the COVID-19 pandemic. This report provides the Board, as Corporate Trustee of our official charity, Hywel Dda Health Charities, with a summary of the overwhelming support we have received from March to May 2020.

2. Apêl Hywel Dda NHS COVID-19 Appeal

On 30th March 2020 we launched our Apêl Hywel Dda NHS COVID-19 Appeal in response to the numerous requests we were receiving from the public wanting to thank their local NHS for caring for our local communities at such unprecedented times.

The appeal has enabled our communities to make a donation or fundraise to show their appreciation for our NHS staff and volunteers working tirelessly to care for our communities across Carmarthenshire, Ceredigion and Pembrokeshire.

The appeal quickly passed our fundraising target of £10,000 and as of 11th June has raised £91,273. We are extremely grateful for each and every donation made to the appeal to support the welfare and well-being of our NHS staff and volunteers:

4,336 individual supporters £72,073 raised by 32 individual fundraisers £16,789 direct donations £2,411 offline donations

We have been fortunate to receive significant media coverage for our appeal however one fundraiser in particular made the headlines locally, nationally and internationally with his remarkable fundraising efforts.

Mr Rhythwyn Evans from Silian, near Lampeter, was so inspired by the fundraising of army veteran Captain Sir Tom Moore that he decided to follow suit and raise money for his local NHS. Mr Evans celebrated his 91st birthday by walking round his home 91 times to raise money for our appeal. Mr Evans has raised over £44,000 to date and is pleased to have made such a significant contribution to the appeal.

We expect the appeal to reach £100,000 before the end of June and intend to close the appeal when it reaches this milestone. As the appeal has been focused on thanking our NHS staff and volunteers during the COVID-19 pandemic, we intend to replace the appeal

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with a broader ‘thank you NHS’ campaign to generate unrestricted general funds for the charity, in line with the charity’s three-year plan approved by the Corporate Trustee in March.

To mark the closure of the appeal, we are working with a local poet to thank our communities for their support in a unique way. During June, we will be inviting colleagues across the University Health Board to help us record a special thank you video message for all those who have fundraised for, and made a donation to our charity in recent weeks.

The money raised from the appeal is held within the charity’s designated general fund (T600) and consideration is currently being given to the best use of this funding to support the welfare and well-being of our NHS staff and volunteers. At the Board meeting held on 23rd May, the Director of Workforce & Organisational Development confirmed that the Organisational Development team will shortly be undertaking an engagement process across the entire workforce to establish what changes or items would make a difference to them in their working lives. The results of this engagement process will feed into discussions with the Charitable Funds Committee around the most appropriate uses of this funding, as well as other charitable funds, to support our workforce, in line with the spirit in which the donations were made.

3. Other fundraising for Hywel Dda Health Charities

We have been overwhelmed by the generosity of our local communities and the eagerness of our public to fundraise for the NHS in new and innovative ways.

Our charitable donations to 31st May 2020 show an increase of 95% in comparison to the same period during the previous financial year. This includes fundraising for our appeal as outlined above as well as in aid of wide range of hospitals, services and departments across the University Health Board.

Over 140 online fundraising pages (JustGiving and crowdfunding) created in aid of the charity during March, April and May. 2.6 challenge event encouraged the public to take on a 2.6 activity for the charity during April, from running 2.6 miles to baking 26

cakes, and raised £4,187. Worked with fellow NHS charities across Wales on the Support NHS Wales campaign which has raised £167,094. One football team and its supporters pledged to walk around the world (nearly 25,000 miles) in 70 days, to outdo Phileas Fogg who

did it in 80 days. They completed it in 37 days! Others have done virtual walks to far-flung destinations after their trips were cancelled, including Paris and the Ukraine, as well as the

12 host nations of this summer’s Euros. 20,000 of bounces on a trampoline, the equivalent of the distance to the fundraiser’s cancelled 40th wedding anniversary holiday to

Portugal.

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Marathons on treadmills and 10,000 press-ups in seven days. One of our own hospital radiographers cycled 100 miles in a day on his drive in memory of his mother. Several fundraising videos featuring clips from choir members singing at home, plus live music sessions.

A more detailed report on the charity’s financial position will be presented to the September meeting of the Charitable Funds Committee.

We have also been fortunate to receive significant media coverage for the fundraising activities that have taken place in aid of the charity however one fundraiser in particular received local and national coverage with his poignant fundraising efforts.

In early May, Gwyndaf Lewis from Efailwen, ran 50 kilometres in memory of his mother Undeg who sadly died from coronavirus. Gwyndaf chose to fundraise for the Intensive Care Unit (ICU) at Glangwili Hospital to “say thank you to the staff for the amazing dedication and care shown to my mother while she was there.” Gwyndaf raised over £37,000 for the unit and is pleased that his fundraising efforts will enable the ICU team to purchase a range of items to support patients and staff.

4. A selection of our fundraisers

Rhythwyn Evans – 91 laps around his home on his 91st birthday Gwyndaf Lewis’ 50k in memory of his mother Undeg

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Alfie Chester - aged 6 - 60 miles on his bike Lili Davies – 100 laps of her garden

Alysha Scarrott - aged 10 - a mile a day every day of lockdown

Alys Jenkins – 7 7 7 roller-skating challenge 7 miles – 7 days – aged 7

Llanelli Youth Theatre - Virtual Show - Standby Me

Gwyndaf Lewis – 50k in memory of his mother Undeg

Pendine AFC - ran and cycled 10,000 miles - EURO trail

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5. Hywel Dda COVID-19 Patient Appeal

On 8th April 2020 we launched our Hywel Dda COVID-19 Patient Appeal in conjunction with our Patient Advice and Liaison Service (PALS). As the University Health Board had stopped almost all hospital visiting to fight the spread of COVID-19, many of our patients were running out of toiletries, clean nightclothes and basic essentials.

With no visitors to bring in fresh supplies at the time, a wish list was created on Amazon to enable the public to choose from a list of items to help make our patients more comfortable during their hospital stay. We have again been overwhelmed by the generosity of our local communities and are grateful for the support we received for the appeal:

2,039 items purchased from the wish list £20,040 value of items purchased 35 in-patient wards received deliveries of patient items to date 500 patient toiletry packs donated to our field hospitals and 1,000 emergency overnight packs donated to our inpatient wards by the

Church of Jesus Christ and the Latter Day Saints 59 additional patient items donated by Keystone YFC for Withybush Hospital including a number of electronic devices 814 items of patient clothing donated by west Wales Freemasons valued at over £10,000 15 additional patient items donated by Carmarthen Lions Club

Transport company Owens Group kindly offered us warehouse space so that all items purchased by the public could be delivered safely to a central location. Thanks to support from the PALS and Welsh language team, all items purchased from our wish list were logged, sorted and packaged for distribution to our inpatient wards across Carmarthenshire, Ceredigion and Pembrokeshire from this site.

With the support of the transformation team, an ordering system was established allowing all in-patient wards (acute, community, mental health and learning disabilities) to order items for patients when required.

The wish list is no longer being actively promoted since the establishment of the new ‘Stop Drop and Go’ initiative run by PALS to support patients to receive clean laundry and belongings. The small amount of remaining stock will be distributed to our inpatient wards via the ordering system in place as and when required. Any additional items of this nature that our patients may require in the future will be fulfilled from our charitable funds.

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“Many patients have been in hospital for several weeks without any such items, and have all been very thankful. One patient stated he feels more human now he has some new pyjamas and a dressing gown.”

Occupational Therapist

“One patient, following an accident, had no toiletries or clothing. She was so appreciative of the kindness people have shown she personally wanted to say thank you”.

Ward sister

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6. Gifts in kind

During March, April and May, the University Health Board was overwhelmed by the generous offers of help and gifts in kind from the local community which has included:

Personal Protective Equipment from local businesses, schools and further education providers The sewing community providing beautiful handmade items Food, water, baked goods, chocolates and other items such as toiletries

Members of the public were asked strictly not to attend any health board sites and facilities without prior arrangement and the COVID enquiries line was advertised as the first point of contact for anyone wishing to show their support in this way.

Although the gifts were made to the University Health Board’s staff and patients, rather than to the charity, the Hywel Dda Health Charities team supported the University Health Board to provide proactive guidance to the public on what items were being sought and those that were not needed and how to donate safely.

The University Health Board actively encouraged the public to also consider other good causes from food banks to individual friends, family and neighbours who may appreciate a gift in kind such as donated items, or a home cooked meal at home.

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7. NHS Charities Together grant funding

At its meeting on 28th May, the Board was provided with a report summarising the charity’s approach to the expenditure of grant monies awarded from NHS Charities Together. An update on the current position is provided below.

7.1 Charitable Funds Committee Scheme of Delegation

At the Charitable Funds Committee meeting held on 17th March, it was agreed that the Director of Partnerships and Corporate Services, Director of Finance and Director of Nursing, Quality and Patient Experience would have authorisation to jointly agree and oversee charitable expenditure relating to COVID-19 (in particular relating to staff welfare) outside of the formal Committee meetings.

The Charitable Funds Committee’s terms of reference state that the Committee is able to approve expenditure up to £100,000 with expenditure over £100,000 requiring approval of the Corporate Trustee.

7.2 Stage 1: COVID-19 urgent response grants

Hywel Dda Health Charities has received two ‘COVID-19 urgent response’ grants from NHS Charities Together, totalling £105,000. The first instalment of £35,000 was received on 8th April 2020 and second instalment of £70,000 received on 4th May.

There is an expectation that stage 1 grants are focused on urgent and immediate needs that enhance the well-being of NHS staff, volunteers and patients impacted by COVID-19. There is a requirement that the majority of funds will be spent within 12 weeks of the grant award or confirmation given that there is a plan in place to spend and allocate these funds within that timeframe.

We have also applied for a third instalment of stage 1 grant funding of £50,000 and it is hoped that this funding will be received before the end of June.

7.3 Expenditure of stage 1 grant funding to date

An initial stage 1 COVID-19 urgent response grant of £35,000 was received on 8th April 2020. To 11th June 2020, approximately £30,000 of the first grant had been spent or committed on urgent and immediate needs identified and requested by our workforce. The expenditure of this funding was approved in early April by the executive directors with delegated authority of the Charitable Funds Committee to agree and oversee expenditure relating to COVID-19 outside of the formal Committee meetings.

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7.4 COVID-19 small grant scheme

A second stage 1 COVID-19 urgent response grant of £70,000 was received on 4th May 2020.

As only a small number of requests for funding had been received during April and early May, a small grant scheme was developed and launched to encourage colleagues to consider and apply for items that would make the biggest difference to the well-being and welfare of staff, volunteers and patients impacted by the COVID-19 pandemic.

The grant scheme invited wards, services and departments across the whole of the University Health Board to apply for a maximum of £500 for items to enhance staff and volunteer well-being as well as a maximum of £500 for items that enhance patient well-being.

To 11th June, over 270 applications to the small grant scheme totalling £210,482 have been received from across the University Health Board including acute, community, corporate, mental health and learning disabilities, primary care, public health, and support services:

196 applications to support staff well-being totaling £140,053 78 applications to support patient well-being totaling £68,670 2 applications to support patient and staff well-being totaling £1,759 £69,406 value of claims under £500 received for staff & patient well-being £141,077 value of claims over £500 received for staff & patient well-being

7.5 Allocation of stage 1: COVID-19 urgent response grant funding

A meeting was held on 2nd June for the executive directors with delegated authority of the Charitable Funds Committee to note the applications received to the small grant scheme and discuss and agree the allocation of funds from the requests received from the remaining allocation of stage 1 grant funding (c. £75,000 as of 11th June). The Director of Workforce and Organisational Development was also present to contribute to discussions.

Following discussions on the value and nature of the applications received, the availability of funding to support these requests and the principles of awarding funding, the following decisions were made:

1. To prioritise funding of staff restrooms and outside areas.

2. Main focus for funding staff nutrition/hydration requests should be areas unable to access adequate catering facilities during their working day e.g. community teams, testing teams.

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3. To approve all items in the eligible (green) section of the spreadsheet.

4. To retain a small amount of funding for future urgent COVID-19 needs e.g. to support the testing teams.

5. To forward all green items to the relevant Executive Directors, General Managers and County Directors for final approval once Finance colleagues have completed categorisation.

Although over 270 applications totalling £210,482 have been received to the small grant scheme, further analysis of these applications is being undertaken by finance colleagues to confirm the final value of applications received. This analysis will also determine eligibility based on the criteria of both the small grant scheme and the NHS Charities Together grant funding and opportunities to utilise other charitable funds for requests not directly linked to the pandemic.

When the final value of applications eligible for approval is received, a request will be made to the Charitable Funds Committee or Corporate Trustee, dependent on the value of funding, for approval of any additional charitable funds required, in excess of the £75,000 currently available. It is anticipated that request will be submitted to utilise the third instalment of stage 1 grant funding (£50,000) as well as a proportion of the Apêl Hywel Dda NHS COVID-19 Appeal to fulfil the requests submitted by UHB staff to enhance the well-being of staff, volunteers and patients impacted by the COVID-19 pandemic.

7.6 Stage 2 and 3 grant funding

NHS Charities Together is due to release additional grant funding to its member organisations however it is not yet clear when we will receive this funding or what the value of the funding will be. Each grant allocation will have a broad purpose for expenditure as follows:

7.6.1 Stage 2: Strategic integrated community and social care pathway grants

Grants to NHS charities to support their voluntary, care and hospice sector so that NHS patients can leave hospital more quickly and safely, stay or remain out of hospital. Supporting the integrated care partnerships in this way significantly reduces stress on the NHS and provides the wrap around provision for patients which is vitally needed. NHS charities are encouraged to sustain, develop or establish these partnerships (where they have not done so already) in order to fund collaborative projects.

7.6.2 Stage 3: COVID-19 recovery and post pandemic grants

Grants to NHS charities on supporting the mental health and recovery of NHS staff and volunteers. This will be in the form of grants that provide respite, rehabilitation and mental health recovery of NHS staff and their families.

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When confirmation of future funding is received, the Executive Team will be asked to identify and prioritise the range of needs across the University Health Board which can be met by the funding available. Any proposals for the allocation of this funding will be submitted for consideration by the Executive Team to the Charitable Funds Committee and/or Corporate Trustee, to endorse in line with the charity’s scheme of delegation.

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8. Media coverage

Hywel Dda Health Charities stories have been covered consistently in all Carmarthenshire, Ceredigion and Pembrokeshire weekly and daily titles as well as receiving significant coverage in Welsh, UK and international media outlets including:

BBC Radio Cymru and BBC Radio Wales

BBC Wales Today

ITV Wales

The Guardian

Heart FM

Wales Online

S4C

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9. Social media

We have had significant engagement on our Twitter and Facebook social media platforms with a notable increase followers in recent weeks:

9.1 Hywel Dda Health Charities Facebook headlines 1st March to 31st May:

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9.2 Best performing Facebook post March 2020 9.3 Best performing Facebook post April 2020

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9.4 Best performing Facebook post May 2020

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9.5 Hywel Dda Health Charities Twitter headlines 1st March to 31st May:

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