EIJB Decision Day: Edinburgh’s Third Sector calls for clarity on future funding

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. ”

EIJB funding crisis: The Third Sector relationship with the EIJB

THIRD SECTOR INTERFACE BRIEFING NOTE:

The financial situation of the Edinburgh Integration Joint Board (EIJB) is very challenging. In 2025/26, the IJB seek to realise around £51m of savings. Future years will see further savings required, currently estimated to be £76m in 2026/27 and £105m in 2027/28.  

These savings will be difficult and their impact will be substantial.  So, managing change, and ensuring key services are delivered to communities will require collaboration by the IJB and city partners, including the Third Sector.

Reference Group

On November 1 2024, Third Sector representatives presented deputations to the EIJB challenging proposals around the Third Sector Grants Programme and an in-year cut (2024/2025). The IJB did not approve the proposal for the in-year cut with an alternative proposal being approved. 

Following that meeting, the IJB invited Third Sector representatives to talk through concerns and identify areas to work together. To inform those meetings, EVOC and their TSI partners collaborated with the Edinburgh Community Health Forum and representatives of other Third Sector interests across the city to create a Reference Group.

The purpose of the Reference Group is to:

  1. inform governance and city partnerships
  2. assert the value of the Sector
  3. shape investment
  4. support change
  5. distil the voices of the Third Sector to effectively represent the sector on the IJB

EIJB Engagement and Proposals

The Reference Group has rapidly considered the short-term issues around funding, and the longer-term issues of future partnership models, sharing a briefing note with the IJB on issues and options in early December. The engagement with EIJB has been positive given the difficult circumstances, and this positive engagement has resulted in an EIJB paper to the December Board which recommends:

  • That the Health Inequalities grants programme, due to end on 31 March 2025 should be extended for three months into 2025/26 which will help provide time for the organisations affected to adapt.
  • The Board support work currently underway to undertake a series of collaborative workshops which will inform some of the savings proposals and invest-to-save opportunities that will be submitted for consideration by the EIJB in March 2025.

In the current landscape this is a positive outcome for the Third Sector, informed directly by the voice, needs and priorities of the Sector.

City of Edinburgh Council Engagement and Proposals

Given the challenges to funding for the Third Sector and the impact cuts will have to the viability of Third Sector Organisations, the Reference Group have also argued the need for a cross city partnership approach to investment.

Following the November 1 EIJB meeting, the TSI wrote to the Chair of the EIJB, the Chief Executive of City of Edinburgh Council and NHS Lothian asserting the need to [a] reset investment [b] reform ways of working [c] repair relationships. In the immediate term, a key priority is to secure a commitment from City of Edinburgh to invest to mitigate the risks to critical and anchor organisations.

On December 10 the Council Policy and Sustainability Committee considered and approved a proposal that recognised that the Council may need to provide core or foundational funding to stabilise vital third sector organisations. The TSI with ECHF collaborated to present a joint deputation, welcoming the Council proposal, and offering support.

Council officers were instructed to:

  • Work on a briefing paper for the Council’s political groups on what the Third sector needs now, specifically transitional funding, medium term, ahead of the Council setting its budget in February;
  • Undertake a review of all grant funding, exploring the provision of longer term, sustainable funding;
  • Work with the Edinburgh Partnership and Third Sector to co-design solutions, and agree terms of reference for a short life group and report back to Policy and Sustainability Committee in March.

Priorities: December EIJB meeting and Future Planning

The Reference Group will continue to meet and shape the next steps. An immediate priority is to agree on Terms of Reference and confirm representatives in the Group. We will be sharing a set of proposals before Christmas for your consideration.

A strong voice is essential to shape the long-term relationship with the EIJB and in particular the workshop series in spring 2025.

The Edinburgh TSI with EVOC and others from the Reference Group will support the paper to the EIJB on December 17 on progress on the Third Sector Grants Programme and the next steps in working collaboratively with the Sector, and also with the City of Edinburgh Council.

The EIJB Paper is available here: 6.3 Third Sector Commissioning 25-26 Engagement Update.pdf

If you need any further information in advance of the IJB meeting tomorrow (Tuesday 17 December), please get in touch with us or reach out to any member of the Reference Group.

We will also provide regular briefings on progress, through the fortnightly EVOC E-news and targeted updates on key information as necessary.

Dairmaid Lawlor, TSI Chair

Save Our Care Homes: protest lobby at City Chambers tomorrow

UNISON will be holding a static lobby outside the Edinburgh City Chambers tomorrow (Tuesday 17th August) from 9.30am to coincide with the meeting of the Edinburgh Integrated Joint Board (EIJB) meeting taking place at 10am.

Although this meeting will not be making a final decision on care home closures, they will be planning to move forward with wider consultation on the issue, with the purpose of coming to a decision at a meeting in September.

It was UNISON’s quick actions that ensured the EIJB did not move forward with the proposed closures at their meeting on 22nd June 2021.

UNISON will be making a deputation to the meeting tomorrow and will be calling for:

  • the saving of our care homes;
  • meaningful engagement with the trade unions;
  • call for proper impact assessments; and
  • the need to have a wide-ranging meaningful public consultation.

UNISON want care homes to remain run by and for the public and not run by private companies for private profit.

If publicly owned and run care homes are not up to standard, then investment in adaptation, or the building of new care homes must be done to ensure that any demand can be met.

Staff in care home must be paid a decent wage, have access to developmental training and feel secure in their employment.

The lobby outside the City Chambers on Tuesday 17th August is only part of the union’s campaign to ‘Save Our Care Homes’ and UNISON plan to build to a bigger event for the September meeting.

You can sign UNISON’s petition here and click here for a link to a ready-made email to your MSP.

The Another Edinburgh is Possible campaign group is also urging the capital’s citizens to support the fight against care home closures:

‘Join the protest rally outside the City Chambers as the Edinburgh Integrated Joint Board meets on Tuesday 17th August. It’s likely that the board will hold a special meeting in September to make the decision to close 5 out of the 9 local authority care homes in Edinburgh.

‘We want to build a campaign that is so strong that when that meeting takes place the board has no option but to drop its’ closure plans. Three Edinburgh City Councillors sit on the board. We’ve written to the leaders of all five party groups on the council demanding that their group takes a clear and unambiguous public position in opposition to the closures.’

‘Devastating’: Care workers launch campaign to save Edinburgh’s council care homes

UNISON, the trade union for social care, has launched a campaign with care staff to save care council run care homes in Edinburgh. 

The campaign follows proposals put forward by Edinburgh Integrated Joint Board to close Clovenstone, Ferrylee, Ford’s Road and Jewel House Care Homes. Furthermore, Drumbrae will also close as a care home and switch to hospital-based complex clinical care.

The proposals mean large scale disruption for care residents and 270 care home posts will be deleted and a further 160 care home jobs put at risk.  

Care staff are in the process of writing to Edinburgh City Council leader councillor Adam McVey as part of UNISON’s on-going campaign to step in and save these council run care homes.

UNISON are also running an online petition to show councillors the depth of feelings of residents, staff, and those in the wider community. Over 100 people signed the petition in one day. Further campaign action and demonstrations are planned.

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Tom Connolly UNISON City of Edinburgh branch secretary said: “Closing four care homes, and changing the role of another, without proper and meaningful consultation is wrong. 

“It is devastating for care home’s residents. Its also insensitive to staff who have put the health and wellbeing of care residents before themselves and their families throughout this pandemic.  Caring for our vulnerable elderly is a vital job, care homes are essential and care staff deserve support from all of us.”

Greig Kelbie, regional organiser said: “We need the support of the Scottish Government to start planning and financing the next generation of modern fit-for-purpose care homes and Edinburgh councillors should stand up for council run care homes.

“Making these decisions without a fully costed plan on how community care and care at home would be an adequate replacement is a dangerous precedent to set.

Scotland’s care system already relies too heavily on for-profit care homes. Edinburgh can buck that trend by supporting council-run care homes that focus on providing quality care not making of money.  I urge everyone to back UNISON’s campaign to Save Our Care Homes, and sign, and leave a message, on our online petition.”

Care home staff at Fords Road

David Harrold, UNISON’S Service Conditions Convenor, met with staff from Ford’s Road Care Home yesterday and said afterwards: “Staff are united in their opposition to closures, they see no sense or long-term value in the proposals put forward by the Edinburgh Integrated Joint Board to close Clovenstone, Ferrylee, Ford’s Road and Jewel House Care Homes when it is clear there is no alternative services that can take on the responsibilities and workloads in their absence”.

The meeting at Ford’s Road Care Home was well attended with staff expressing their frustration at their employer’s attitude.

One attendee asked how he can receive the £500 government bonus last month, then be told the following that his future employment is in doubt! Another asked why councillors who have praised them throughout the pandemic and lockdown should now be so silent.

Despite this frustration their dedication to those in their care remains. UNISON ask that the public acknowledge this, by sending a clear message to both the Council and IJB that care home staff deserve better and that Edinburgh needs a viable care home system not just for today’s residents for the future generations.

UNISON’s online Edinburgh City Save our Care homes petition here:

Edinburgh City – Save Our Care Homes | Megaphone UK Edinburgh City – Save Our Care Homes | Megaphone UK

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Comments on why people have signed the online petition include:

  • Our elderly should be looked after not thrown aside where are they going to put the residents” – Tracey M.
  • My mother receives care in an Edinburgh council care home. The place and staff as fantastic. I know the confusion that is caused by moving long term residents.” – Stewart D.
  • Need council run care homes not everyone can afford private care” – Sharon S.

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