About us

The Care and Wellbeing Fund manages £12 million of investment from Big Society Capital and Macmillan Cancer Support.

The Fund was established to develop and scale community-based services to improve health and wellbeing across the country, particularly for those suffering from long term conditions such as cancer. This is a new means of investing in and scaling community care, and aims to create services that allow people dealing with long term health conditions to access the services they need, when and where they need them. The Fund has four key priorities:

  • Community based care
  • Integrated care
  • Better use of  informal resources
  • Prevention and wellbeing

The Fund is managed by Social Finance, a non-profit with a strong track record of delivering innovative programmes in the health and social care space.

Further information – Click to download

Partners

The fund is managed by Social Finance, a leading not for profit, social investment intermediary with a strong track record in the health and social care sector. The team has a wide range of backgrounds which include NHS senior management and central government policy experience. Over the last few years Social Finance has worked on a wide range of health and social care related projects, including designing and raising capital for new services, advising both commissioners and social enterprises, and helping to manage and evaluate the delivery of innovations.

Big Society Capital is a financial institution with a social mission, set up to build the social investment market in the UK, so that charities and social enterprises can access appropriate repayable finance to enable them to grow, become more sustainable and increase their impact on society. They have invested £6 million in the fund alongside Macmillan.

Macmillan Cancer Support aims to reach and improve the lives of everyone living with cancer in the UK. The Charity has invested £6 million into the Fund, with the aim of creating and delivering new and sustainable services in the community.

The Health Foundation, an independent charity committed to bringing about better health and health care for people in the UK, is a Development Partner - providing development funding to build the pipeline of investment opportunities.

Programmes of work

End of life care

Currently, 350,000 people with palliative care needs die each year in England, equivalent to c.1% of the population.

Each patient at the end of life should be supported to die well and in their place of choice, but currently there are challenges in delivering care that is well planned and tailored to patient’s needs.  Evidence suggests that community services can deliver better experiences for people at the end of life and prevent costly, avoidable hospital care. 

To date, we have made four end of life care investments to support the design, mobilisation and implementation of community-based projects. We use a ‘Social Impact Bond’ structure, providing the up-front funding for projects, with repayment dependent on whether outcomes improve as a consequence. We have established a social purpose company, the End of Life Care Integrator, to support these projects and share learning with the sector. You can read more about our individual end of life care investments under ‘Our Investments’.

If you would like to discuss a potential end of life care project with the Care & Wellbeing Fund, please email hello@careandwellbeingfund.co.uk.

Primary and community care and the management of long term conditions

The need for health and care services in the community is expected to increase significantly over the next 10 years.  The number of over 65s will rise from approximately 10 million people in 2010 to 16 million people in 2030, with over half of people over 70 living with long term health conditions. There will be 4 million people living with cancer.

We are therefore interested in collaborating with primary and community care organisations and projects with a very strong social ethos, which serve vulnerable groups and which can act as exemplars for strengthening more integrated and sustainable models of care provision.

The Care & Wellbeing Fund is looking to offer such providers a combination of both financial investment and business advisory support.

The Fund will tailor the structure of its investments to fit the needs of each organisation, and can consider both equity and debt (secured or unsecured) in amounts from £400,000 to over £1 million.

You can read more about our primary and community care investments to date under ‘Our Investments’.

If you believe your organisation shares our ambitions and would like to discuss a potential collaboration with the Care & Wellbeing Fund, please email hello@careandwellbeingfund.co.uk.

Information for Social Enterprises

We are committed to supporting social enterprises that are innovating within the community care space, in order to help them deliver their work. We are actively looking for impactful, scalable operations run by outstanding social enterprises, with a focus on improving health and wellbeing in the community, particularly those supporting people suffering from long-term conditions such as cancer. If you think you could be relevant for investment, please read more about our funding priorities in the downloadable document below.

What we look for in an investment – Click to download

Information for commissioners

We are looking for commissioners and other local health and care system leaders who are interested in exploring the potential for social investment to support community-based interventions. The majority of the Fund’s investments will be made into service redesign projects to drive improvements in care while delivering savings for commissioners. By working in partnership, commissioners will have access to upfront capital for developing new or adapted services, alongside sector-specific expertise in the design and implementation of new interventions, data analysis and business support.

How do commissioners work with the Fund? – Click to download

Our Investments

End of Life Care

Advance Care Planning - Haringey

This small pilot investment provides an Advance Care Planning Facilitator (ACPF) to support staff in three care homes in Haringey. The ACPF provides training to care home staff so that they can better engage with patients to collaboratively plan their end of life care. Through training and support, the facilitator helps staff complete advance care plans, which can ensure that a patient’s wishes for their care at the end of life are understood and can therefore be followed. The pilot project has successfully enabled more patients to have plans and has been associated with a reduction in unplanned hospital admissions, allowing the initial investment to be fully repaid to the Fund in summer 2019. The approach and learning is now being incorporated into a wider programme of support for care homes.

Rapid Response End of Life Care Nursing - Hillingdon

The End of Life Care Integrator is supporting Your Life Line 24/7, which provides 24/7 telephone advice and support to patients identified as having palliative care needs or who are approaching the end of their lives. The service is designed to coordinate palliative care in Hillingdon and to support patients to receive dignified end of life care at home, including rapid access to nurses who are able to visit patients in their homes and support them in crisis situations. To date, over 90% of those supported by the service have been able to die in their usual place of residence, better meeting their preferences for care at the end of life.

Tele-support for Care Homes - North West London

Care home staff can often face challenges to providing personalised, high-quality care to residents approaching the end of life. Staff may be faced with needs which they are not familiar with and homes often struggle with high staff turnover. To help address this issue in North West London, the Fund has invested into a dedicated phone and video conferencing service. This links care home staff with experienced nurses, in order to provide additional advice and support. Through better trained and supported staff, residents are able to receive better and more appropriate care in the community, and only receive hospital care when needed.

System Integration - Waltham Forest

Waltham Forest has one of the lowest rates in the country of people being supported to die in their usual place of residence. Partners in Waltham Forest have developed a vision for developing integrated end of life care, so that the system is better able to recognise patients approaching the end of life, record their wishes and provide care that enables their wishes to be met. The Fund has invested into the first step of this vision, by supporting the launch of an Enhanced Community Palliative Care Service (EPIC), which will enable more residents in Waltham Forest to have access to specialist advice and greater support in their home.

 

Community and Primary Care

Reconnections

People with the most complex needs and more severe loneliness often require more long-term support than is offered by services which focus on signposting people to activity. To address this, the Fund has invested into Reconnections, a pilot community response to loneliness in Worcestershire which works with individuals on a one-to-one basis to help them improve their confidence and connect them with the types of local activities which they are most keen to engage with. Reconnections supports people holistically, with around 150 volunteers and a small team of paid staff, aiming to reduce loneliness and improve individuals’ health and wellbeing. Over the first four years, around 1,500 older people have been supported by Reconnections and it has exceeded its expected impact on loneliness. Further pilots in other parts of the country will be launched in 2020.

Oomph!

Oomph! is a social enterprise that exists to improve the quality of life of older adults and disadvantaged members of the community. Their work targets three areas of wellbeing: physical mobility, social interactions and mental stimulation. Oomph! provides training to care home staff to run exercise classes and activities, and provides a subscription-based minibus service to allow care homes the capability to run a varied programme of out of home activities. The Fund is particularly supporting the development of the Out and About minibus service, which by summer 2019 is supporting around 425 older people a month.

Symphony Healthcare Service (SHS)

Good primary care plays a fundamental role in supporting the health and wellbeing of individuals and the population as a whole. Yet GP surgery closures across the UK have reached an all-time high, affecting an estimated half a million patients in 2018. Over the next five years it will be important to fundamentally strengthen many primary care practices; to enable people to receive a greater range of support without needing to go to hospital and to ensure that people’s needs are met in the round. This will require greater collaboration, innovation and making better use of resources.

SHS is seeking to strengthen the overall system of care in the area in which it operates (South Somerset). It is owned by the NHS, and aims to be a platform for sustainable and innovative primary care. The Fund is supporting SHS by investing in key building blocks (HR and Finance systems, timely management information, wider data analysis) to drive broader transformation, improving access to quality primary care services for the local community. 

SK Nurses

As the population becomes frailer and more people are living with multiple long-term conditions, it is vital to support district and community nursing services to be able to meet this increasing need. At the same time, however, the number of district nurses has fallen by around half over the last decade, and community nursing as a whole is under pressure.

The Fund aims to support the development of stronger neighbourhood teams of district nurses, which are better able to meet a wider range of patients’ needs, strengthening the relationship with patients rather than moving people across multiple services. The Fund has made a small seed investment into SK Nurses, a start-up social enterprise which aims to support the development of self-managing teams of community nurses, inspired by a successful Dutch model (Buurtzorg).

Our team

Clodagh Warde - Fund Director

Clodagh joined Social Finance in February 2015. She is responsible for the Care & Wellbeing Fund, working with commissioners and social enterprises to develop innovative, outcomes based services. Before joining Social Finance Clodagh worked in health, both in advisory and leadership roles in the UK and abroad. Most recently she was a Senior Adviser in NHS England, prior to which she was Managing Director of an NHS CSU (Commissioning Support Unit). She was also Deputy and Interim CEO of a large Community NHS trust (4,500 staff) where she gained valuable insights into the realities of care provision, patient experience, and system integration. Clodagh also spent three years working with a HIV/AIDS community care program in Uganda that became the first NGO to dispense ARVs (anti-retrovirals) and was recommended by President’s Bush PEPFAR (President’s Emergency Plan For AIDS Relief) fund as a model of best practice.

Clodagh started her career as a systems engineer before developing a career in banking, as an Executive Director at Goldman Sachs and Lehman Brothers. She received her MBA from Saïd Business School, Oxford University, and holds both a degree in Information Technology and an ACCA (accounting) diploma.

Rosanna Hardwick - Fund Manager

Rosanna joined the Fund team in December 2015 from Student Minds, the UK’s student mental health charity, where she worked as Charity Manager, coordinating day-to-day operations and overseeing the charity’s finances and fundraising. Prior to this she worked at Deloitte as an audit associate. She has a first class degree and Masters in Physics from the University of Oxford.

Gina Mirow – Fund Analyst

Gina joined Social Finance in 2017 and has worked within both our health and advisory teams across a range of social issues. Prior to joining Social Finance, Gina gained experience in housing and homelessness charities. She has a BA (Hons) in Philosophy and Psychology from Trinity College Dublin.

Contact us

Find us

The Care & Wellbeing Fund
Tintagel House, 92 Albert Embankment,
London SE1 7TY
 

Telephone
+44 (0) 20 3963 5151

Email
hello@careandwellbeingfund.co.uk

Talk to us