Rotary in Cumbria & Lancashire First Response Global Grant Project

District 1190 Community First Response Global Grant Project | 1
Implementation – Community Health Mela

Community First Response
A Global Grant Funded Project
PDG Kevin Walsh, Rotary in Cumbria & Lancashire
November 2016 – Slideshare Version
I wish to tell you the story of Our Community First Response
Project and will cover
How it came about
Why we decided that it needed to be funded by a Global Grant
What we have done
And some lessons we have learnt along the way.

The Initial Idea

AN OPPORTUNITY TO MAKE A DIFFERENCE
As I prepared for
being District
Governor for
Cumbria &
Lancashire in
2013/14 I knew
that during the
year I didn't just
want to gather
funds for a local
or international
community.
I wanted to make
sure that clubs left
a legacy for their
own communities.
I also wanted to
make sure that
they were more
aware of and
positive about our
own Rotary
Foundation
But how might this
be achieved?

Living and working in a mainly Rural part of the country I am acutely aware of
the need to make sure that we do everything we can to get help to those in
need as quickly as possible

Initially I went to our local mountain rescue teams many of whom suggested that defibrillators would be of great use,
alongside some other more expensive items of lifesaving equipment.

The leader of
Cumbria CC,
my former
employer, then
approached me
to see if we
could help with
his vision of
installing 100
public access
defibrillators in
100 days.
A task that
even a well run
authority would
find somewhat
daunting!

The North
West
Ambulance
service was
the next stop
and their
comment was
that we need
as many
Community
Public Access
Defibrillators
as we can get
to support
local First
Responder
teams both in
isolated rural
communities
and in
congested city
centers.

So what might such a project really look like. How much might it cost?
What support would there be from clubs in the district?
In truth, the potential scope was as big as we wanted it to be.
The usual fund raising for a DG project could be between £15 and 30k. This
would buy some kit for the rescue teams and around 10 Community Public
Access Defibrillators However even if only 30% of clubs wanted their
communities to get involved then the budget could be in the region of £45,000.

There were many Positive indicators
Many Clubs were already engaged with installing equipment
in their communities
We already had several Community Partners including
Parish and town councils, NHS professionals etc.
We were helping with Stroke Awareness Day and
Community Health Melas (Fairs)
But how to ensure we had adequate funding……………..

The Global Grant Application
A global grant was not the first thing that came to mind, but the more we
thought about the need to provide this lifesaving equipment in our
communities the more it seemed appropriate to invite our Rotary
Foundation to consider a bid for funds to come into the UK rather than
overseas.

HOW TO MAKE THE CASH AVAILABLE
Challenges
1/3 of pre match funds have to be from another country
DDF needs to be agreed
The project has to be sustainable
There needs to be an element of community involvement / engagement
Community Partners need to be fully engaged
Need to know how you are going to measure success
But …..
We need to make sure the technicalities of the grant process could be overcome.
The experience we had gained with District 1070 in managing a Global Grant in Mali during the Future Vision Pilot phase was invaluable.
But we still need to consider where our support was going to come from; how the project was to be managed in the long term and what our
success criteria were

The international funding came from former matching grant and scholarship partners in
Bangalore and Japan.
And, luckily, our friends across the border in Scotland are already independent as far as
Rotary is concerned so a very positive decision on the donation of DDF from the Scottish
SE and Border District (on a quid pro quo basis) gave us the confidence to move forward.

The Final Bid – Funding
Club Donations - £12,688 50% TRF Match £ 6,344 = £19,032
District DDF - £12,200 100% TRF Match £12,200 = £24,400
International DDF - £10,675 100% TRF Match £10,675 = £21,350
approx. £64,782
A 5 to 1 match
The resulting bid provide a five to one match on original club donations.
Since increased to around 6 :1 with other funding streams being made
available during the life of the project.

The Final Bid – Budget
Capital Investment
 Search & Rescue Teams - £15,000
 Community Defibrillators - £30,000
Community Involvement
 Health Melas - £12,000
 Training - £ 3,600
The Final Bid
In order to satisfy the community activity aspects of the grant to sit alongside the capital
expenditure we included for training in the use of the Automatic Defibrillators and the
development of the concept of community health fairs
Memorandum of Understanding were also agreed with the key partners these included
 Community Defibrillators - Northwest Ambulance Service
 Health Fairs or Melas - National Forum for Health & Wellbeing

The Agreed Funding
Request was £64,782 @0.61 £/$ Rate $106,200
TRF agreement $106,905 @0.59 £/$ Rate £63,074
Plus other donations £13,674
£76,748
Timescales
DRFC Agreements March ’14
Primary Contact Authorisations June ‘14
Funds available August ‘14
The Bid was authorized by our Rotary partners in
June 2014 and we had the cash in the bank by
August 2014
We have been busy spending it for the past two
years. And here’s how

Implementing the Project - Outcomes

Implementation – Mountain Rescue Teams
Each of the Mountain Rescue Teams in Lancashire
were presented with Defibrillators including one that
was only the size of a Samsung galaxy and could fit
inside the pocket of a cave rescue team member as
they crawl through tight spaces to rescue people.

Implementation – Mountain Rescue Teams
In Cumbria the Lake District Teams have more demanding
requirements and we supplied two Autopulse machines which
automatically provide chest compressions to a victim on a
stretcher.

Implementation – Community Public Access Defibrillators
We have now supported 35 Community Public Access Defibrillators. All
shown on the map of Cumbria & Lancashire
By working with local community groups, many of whom secured some of
the funds locally we have made the Global Grant funds go further than
expected. Here are some examples
Some are managed by local First Responder Teams

Some are in isolated communities, this one is cut off at every high tide.

Others are on Church Halls and looked after by the local community

Village Halls and Parish Councils are involved

Local Businesses, some of whom are Rotarians themselves got on
board and of course the Rotary Foundation has a mention on each
housing unit

And we’ve
supported
innovation
with this site
on a Golf
Course
without
access to
mains power.
Heating to the
housing unit is
managed by
solar and
wind power –
the site will
definitely get
plenty of the
latter.

Training is a key
element for
sustainability and
community
support.
Its been
encouraging to
hear about many
clubs taking up
the CPR and AED
training even if
they are not
getting directly
involved in
supporting one in
their own
community.

Grange over Sands Club has arranged several public training events in recent
years making sure that many more people know how to undertake potentially
life saving interventions in their local community

Where Community Access Defibrillators have been installed we have
worked with the local Ambulance Service to ensure that people who
use or manage the host site have been given appropriate training

Implementation – Community Public Access Defibrillators, Sustainability
Sustainability of the Community Public Access Defibrillators is important.
They are not replaced by North West Ambulance Service but the community
sponsor and host site agree to manage and maintain into the future including
their eventual replacement. Some sponsors are local Rotary Clubs, others
being community centers and parish councils.
We are also recommending hosts sign up to governance provided by
Community Heartbeat Trust - This community ownership allows Rotary to
quietly and safely move away from the project when appropriate to do so.

Implementation – Community Health Mela (Carlisle)
Alongside this capital investment we have also taken the opportunity to
develop our relationship with National Forum for Health & Wellbeing and
do what we can to develop the concept of Community Health Fairs.
Here’s an explanation of what this aspect of the project is all about
The Community Health Mela (or Fair) is a friendly, festival with entertainment and
activities.
The day will be centred on a series of “Streets” set up in the City Centre. These
“Streets” will allow a wide range of Health & Wellbeing activities to take place under
the following headings
•Health Advice and support (both statutory and non-statutory)
•Listening Therapies
•Complementary Therapies
•Healthy Food and Cooking
•Gardening
•Exercise
•Entertainment and Music
A key element of the day will be the “Health Olympics”. An opportunity for visitors to
have a Health MOT with appropriate advice and signposting.
We will be working with local groups and organisations in the weeks before the event
to encourage involvement including work with local schools.
We will also work with several local sports/exercise groups to arrange for a number of
activities to be scheduled during the day. These could be fun runs, cycle rides or
walks.
The event will allow all visitors to have a family day out to enjoy, learn and pick
up useful tips to lead a healthy, enjoyable and long life.

The Health
Mela we ran in
Carlisle funded
in part by the
Global Grant
was very well
received.
These events
are, in part,
aimed at
getting to those
sections of
society who do
not go to their
GPs or the
NHS.

It took a lot of work
to arrange making
sure that the local
statutory and
volunteer
communities were
as involved as
much as possible.
Due to the
December 2015
floods we had to
spend more than
expected on the
hire of Gazebos –
we were successful
in obtaining a grant
from our local
Community
Foundation to help
with this.
Expanding the
reach of the project
and setting the
scene for future
years.

We included Health
MOT’s blood tests and
standard BMI and Blood
pressure screening – but
we imported our team
from Lancashire.
These Health MOT’s are
a key part of the Health
Mela. Typically we are
finding that between 30
& 40% of those seen are
referred to their doctors.
Particularly for High
Cholesterol or potential
diabetic conditions.
One of the key lessons
we are learning is that
we need to help increase
the capacity to do this
valuable community work
using local professionals
and trainees.

And of course as
with all Rotary
Projects we must
make sure that
everyone has the
opportunity to have
fun
Local Commercial
Radio hosted the
event for us,
schools danced
and laughter
therapists
performed.

Implementing the Project - Publicity

Implementation – Publicity
In this specific case we were pleased to receive a Cardiac
Smart Award on two occasions from NWAS attending
regional events to receive the award

We also attended,
at the invitation of
NW Ambulance
Service, and added
our signature to a
list in the House of
Commons
encouraging the
Government to
make CPR & AED
training mandatory
in schools

We’ve also had several TV and Radio appearances during the life of the
project and are preparing something for the end of the project.

Implementation – Publicity, Rotary Showcase
The project also features on the Rotary Showcase, a
feature of the RI web site that is probably underused but
a great tool to share experiences with the rest of the
Rotary world and the general public

Implementation – Publicity, Rotary Showcase
It also helps with
the issue of
identifying the
hidden value of
our work – the
dedicated man-
hours that we all
put in but don’t
always tell people
About
These figures are
only guestimates
but latest update
suggests nearer
1200 hours and
53 volunteers
with some
$43,000 of club
or community
donations

Implementation – Publicity, Social Media
We all know that Social Media can sometimes be a curse, but used in the right
way can help raise awareness and promote the good causes we all want to
get involved in.
Here we see examples of Facebook posts from the carlisle Health Mela

Implementation – Publicity, Social Media #carlislehealthmela
And here promotional activity on Twitter in advance of the event in
Carlisle. Note these were not just from ourselves but from many of
those taking part on the day.
Encouraged by the use of an appropriate Hashtag

We had plenty of positive coverage on all social media channels during
and after the event

A key part of any grant process is measuring success and
reviewing the process.
We held a review meeting with Carlisle City Council following
the successful Mela in the City. This has resulted in the
development of a positive dialogue about where we go next –
what legacy will be available by this part of the Global Grant
Project.
I’m pleased to say that we will be jointly promoting an event with
the city council in May 2017

Feedback & Reports

Outputs / Outcomes
MRT Equipment (£19,220)
Lancashire
Cumbria
Community Public Access Defibrillators (£39,600)
35 Communities supported
 Many more trained people in our communities
Community Health Melas (£16,000)
2 held in new areas of region
Over 100 people through MOTs
Over 30% referred to Doctors
So what have we achieved
The Mountain Rescue Teams have more and better
equipment.
35 communities have been supported with Community
Public Access Defibrillators and there are more trained
people in our communities
We have held 2 community health Melas in new areas of
the District and are planning a third
More importantly we have started a debate about how
these community led events can benefit the local NHS and
how they can be more integrated into local provision
The fact that we had signed up MOU’s with NWAS and
NFHW has helped keep a positive dialogue with these
organisations.
Rotarians are now influencing how the Health Fair concept
can be grown outside of its south Lancashire roots

REPORTING
Reports need to be regular
At least annually to TRF and
Sponsors
District Foundation Committee
at least twice a year
To Clubs at District Council
Meetings and available on-line
We need to be transparent and
seen to be accountable
By reporting in this way we have kept the project and
the support given by our Rotary Foundation in front of
Clubs in the District.
Thanks have to go to the DG team for encouraging
the continuity of the project and reporting beyond by
2013/14 year.

Lessons Learnt

LESSONS LEARNT – Using Foundation Grants here in the UK
Many people, say that Charity should start at home and Rotary certainly did that in the beginning with the public toilets in Chicago
As our organisation grew we quite rightly supported the less advantaged in our world.
When I was in San Diegio in January 2013 my colleague from Bangalore said to me “If we can help you in any way do please ask “ – so we did.
Some parts of the so called developing world are starting to be able spread their new found wealth outside. And I have to say that some parts of the
so called developed world are looking distinctly shaky.
By working together with Rotarians around the word, we can make a difference wherever the need is found. – At home or abroad

LESSONS LEARNT – The Global Grant Process
Using the Grant
Flexibility is available – just ask
and report fully
Include an element for
Administrative and Travel
Expenses
Managing the Grant
Ensure you have a (Pro) Active
Team around you
Project Plans are only a starting
point ……..
The Rotary Foundation grants teams are very thorough in how they support us. And increasingly the Cadre of Foundation
Grant experts is being used to help the development of projects.
But your initial plan is only a starting point, don’t be concerned if you need to change the detail – but make sure that you explain
the what and the why. We should also note that the flexibility of what we can do within the 6 areas of focus is guided only by
our own innovation.

LESSONS LEARNT – Project Vision to Implementaion
Patience is a Virtue
Community based Capacity
Building takes time
The NHS is a difficult nut to
crack
Would I do it again ?
Yes – because we must always
try and convert our visions into
reality
We must always try and convert our Visions into Reality.
Facing up to the difficulties and using our vocational skills and contacts to make a difference
For me this is what Rotary is all about.
And specifically our Rotary Foundation – the vision of being able to do good in the world and bring peace to troubled areas

LESSONS LEARNT – Project Vision to Implementation
Specifically in relation to our project it is clear that we now have a number
of positive building blocks in place.

We are still being asked if we have funding to provide Community Public
Access Defibrillators – a project that Clubs now have a template for to use in
the future

Rotary Grants need not be the
end of a project but a way of
making something happen.
We reviewed the Carlisle Health
Mela in July and had some very
positive comments from all
partners.
There is a keen interest in how
the Health Mela concept can be
developed into the future –
without the funding provided by
Rotary.
We are also talking to the Rotary
Action Group involved with
Family Health Days across the
world to see if we can work
together to develop the concept.

You all know that Rotarians have big hearts, we support
communities across the globe in so many different ways.
Our Rotary Foundation can help us and I would encourage
you all to contribute and make the most of this, our own
Charity.

Rotary in Cumbria & Lancashire First Response Global Grant Project

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