It has been six weeks since the decision by the Edinburgh Integrated Joint Board (EIJB) to retain the Third Sector Grants Programme, worth £4.5 million, until the end of this financial year.
While a much-welcomed reversal of the initial proposal to pull the grant from 64 charities from January 2025, the forecasted cuts have left many of these registered charities in Edinburgh in doubt over their long-term future.
Edinburgh Community Health Forum strategic development manager Stephanie-Anne Harris, said: “Without the necessary funding, closures are inevitable. These community-led charities cannot afford to exist without long-term public funding, and the threat of this being removed is hanging over their heads, preventing future planning.
“Edinburgh Health Community Forum has heard from many member organisations that are expecting to have to start the process of shutting down in January due to the EIJB’s decision.”
One such organisation is the Murrayfield Dementia Project, which provides lunch clubs and day services for those who are elderly and frail or living with early-stage dementia.
The termination of the EIJB funding will remove this service from the 20 members who attend each week, with repercussions for their carers and families. It will also result in five members of staff being made redundant and eight voluntary opportunities being stopped.
Jenny Rowe, Project Coordinator at Murrayfield Dementia Project, said “The EIJB reprieve has only prolonged the inevitable. As a small, community organisation, we need to know whether future funding will be made available, and if not, we will be forced to close.
“The loss of vital services, such as Murrayfield Dementia Service will not only impact those who directly benefit from them. Without the support offered by Third Sector organisations, we will undoubtedly see an increased pressure on Scotland’s wider health and social care services, which are already at breaking point”.
This is exemplified in the case of Phonelink Edinburgh, a twice-daily check call service for the over 60s that offers social interaction, medication prompts, welfare and safety checks, and eating and drinking prompts.
Kellie Mercer, Manager of Phonelink Edinburgh, commented “Phonelink Edinburgh receives £89,000 in funding from the EIJB grant.
“Among other check-ins, we carry out 128 medication prompts twice daily, 7 days a week. The estimated cost for Edinburgh Health and Social Care Partnership (EHSCP) to do the same would be £256,960 – and that is without considering the other welfare and safety services Phonelink Edinburgh offers.”
A Therapy Assistant Practitioner from the Western General Hospital gave a real life example of the importance of the Phonelink Service: “A patient was medically fit for discharge but needed medication prompts to allow this to happen.
“So Phonelink was contacted by email for a twice daily medication prompt. The email was received at 3.48pm, the service set up at 4.30pm, with the patient discharged that evening, and the service started at 7.30pm.
With unprecedented budgetary challenges facing the EIJB, and the necessary shifting in strategic priorities, the cessation of the Third Sector Grants Programme may well be unavoidable.
If this is to be the case, Stephanie-Anne Harris argues for a planned transition with interim support made available:
“Sufficient time and planning must be given to avoid devastating consequences for Edinburgh’s most vulnerable citizens.
“This requires a collaborative approach, including Third Sector representatives, NHS Lothian and the City of Edinburgh Council to establish a clear timeline and secure alternative funding to prevent the immediate loss of vital services which currently benefit over 50,000 people across Edinburgh.
“Without Edinburgh charities and Third Sector organisations, the fabric of the community collapses. It is imperative that together we carve out a sustainable future for the City’s Third Sector, one that delivers high-impact services, strengthens community resilience, reduces pressure on statutory services and achieves better outcomes for Edinburgh’s most vulnerable citizens.
“We urge Edinburgh City Council and the EIJB to step up, provide clarity, and commit to funding that ensures these vital organisations can continue their essential work beyond the end of March 2025. ”