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Threading the Needle in Glasgow

Resources developed from this area of work:

The story of Threading the Needle in Glasgow

Reviewing the pathway

Blog: Sometimes it's the simple things that help

For more Threading the Needle resources...

Theme:  Using third sector evidence to develop Anticipatory Plans which ensure that people have control of what happens to them when their care needs increase.


To discover the role of the third sector in developing anticipatory care plans.

Who was involved

Our partners were:

  • Glasgow Health and Social Care Partnership
  • The partnership’s Anticipatory Care Team
  • Glasgow Council for Voluntary Sector (GCVS)
  • Community Connectors project (run by GCVS)
  • Voluntary Action Fund (who administer Glasgow Transformation Fund for third sector organisations on behalf of GCVS).

What we achieved

We reviewed the current pathway and identified that it was service rather than client focussed. A client focussed pathway would be more flexible and would allow:

  • People to develop their own plans
  • People to get help with parts of the process
  • Health and social care staff to initiate and complete plans

We have a better understanding of the role that the third sector can plan in anticipatory care planning. This cannot be fully achieved without further resources for the third sector and further negotiation, but steps are being taken to make the pathway more client centred.

We learnt some lessons about how to make short term projects more outcome focussed using logic models and better paperwork.

We identified the important of consulting with front line staff and patients. This helps us to understand the motivations and challenges that help and hinder this work.

As a result, the health and social care partnership are better placed to take this work forward. 

What we did

The work involved the following:

  • Sessions with Glasgow Health and Social Care Partnership Anticipatory Care Team to develop and use an evaluation
  • Giving evaluation feedback to the steering group, to decide and advice the direction of the work throughout the project plan 
  • Work with Glasgow Council for Voluntary Sector and third sector organisations to inform a person-centred pathway
  • People with long term conditions informing the content and design of the anticipatory plan pathway, and the process of information gathering. This work will be done by conducting a focus group.
  • Pulling together the learning and reporting to partners.

The story in Glasgow:

“We identified through logic modelling and process mapping that the current role for the third sector is limited. Early consultation with the third sector showed those attending our meetings were keen to play a role given the right resources and structures. They were able to identify people who could benefit, pass on useful information about the clients they worked with, and in some cases willing to complete AC plans. Overall, together they would enable the team to reach more people. The ACP team are now keen to explore how they can better work with the third sector.

The ACP team have a good evaluation plan in place that will provide good evidence for future planning. This will look at the process of supporting health staff, conclude what makes for a good plan and what helps individuals to make that plan.”

Diane Kennedy, ESS Depute Director who is working with Glasgow (Pictured above)

See what happened in Fife, North Ayrshire, Perth and Kinross by clicking on the name.

The learning from Threading the Needle has been gathered in the following learning points documents:

We need to talk about data and evidence

We need to build on outcomes

We need to understand where third sector evidence fits

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Contact Diane Kennedy

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