LWS Case Studies

Healthy Weight

2022 Case studies

Case study ‘TD’

Male, aged 76 years
Accessed Living Well Sefton partner, Feelgood Factory on doctor’s advice
Completed the LWS Lifestyle Assessment and took steps to make changes

Background

TD attended Feelgood Factory to enquire about Clinical Pilates
It was recommended he attended by his GP due to an ongoing back injury
He had also seen the advertisements for LWS Lifestyle Assessments

Support given

TD first came to the Feelgood Factory to enquire about the clinical Pilates class, as his Doctor had recommended he started to attend the classes regularly. He had seen the advert for the LWS Lifestyle assessments and decided to book on as he felt other aspects of his health needed to be addressed also.

At the first meeting with the team he was supported through completing the assessment and was in good physical health, other than his injury, but felt his main priority was his mental wellbeing and his diet. The team helped him to look at goals and he agreed to continue to attend Pilates for his bad back and attend the ‘Think Differently, Cope Differently’ (TDCD) course.

He then completed the WEMWBS and discussed ways to increase his score in the next two weeks with the team.

TD continued to attend Pilates and felt quite positive as it reduced his pain and made him feel like he was doing something to get better.

At the second meeting TD reported feeling better and being more positive. He was due to attend the ‘TDCD’ course the following week, so decided to concentrate on improving his diet to make it healthier and balanced. He agreed a new goal – that TD would try to follow the ‘Eat Well Plate’ to ensure he was eating less salt and sugar; he recorded what he ate each week and it was discussed at the next and following meetings.

TD continued to engage with the service for 6 weeks and feels he has achieved quite a lot. He now exercises regularly, going for long walks and continues to attend Pilates.

“I have followed the healthy eating advice, have lost weight and feel much better.”


Partner: N/A Active client: N	Sex: Male Age: 57 Postcode: L37

Client background
Including reason for accessing service (mental health, being active, stopping smoking, debt issues, eating healthy, making friends, etc)
Client came into the service asking for support around low level mental health and weight management. Client attended TDCD course and as a result of attending the former expressed an interest in attending Weigh Forward.
Support given

Client attended Weigh Forward course in the summer of 2022.Client was not at the time quite ready to fully engage with follow up calls but did manage to attend all of the course sessions saying that they appreciated the sessions.Encouraged the client with various resources including information on ultra-processed foods, the concept of food as the key for good physical health, benefits of cooking from scratch plus the benefits of hydration and increased activity – this was all well received by the client who was thankful for the information
Outcomes

Received a Christmas card from client saying:“Once able to put all the information into action, I have, so far, lost 15 kg – weighing in at 88.9 kg this morning. So, thank you again. Your course has positive long-term benefits too!”

Sex: Male Age: 57 Postcode: L37
Partner: N/A Active client: N

Client background

Client came into the service asking for support around low level mental health and weight management. Client attended TDCD course and as a result of attending the former expressed an interest in attending Weigh Forward.
Support given

Client attended Weigh Forward course in the summer of 2022.Client was not at the time quite ready to fully engage with follow up calls but did manage to attend all of the course sessions saying that they appreciated the sessions.Encouraged the client with various resources including information on ultra-processed foods, the concept of food as the key for good physical health, benefits of cooking from scratch plus the benefits of hydration and increased activity – this was all well received by the client who was thankful for the information
Outcomes

Received a Christmas card from client saying:“Once able to put all the information into action, I have, so far, lost 15 kg – weighing in at 88.9 kg this morning. So, thank you again. Your course has positive long-term benefits too!”

Case study for Q3 : Date Nov 2022 Theme: Obesity
Partner: Feelgood Factory Active client: Yes	Sex: Male Age: 37 Postcode: L4 5TX

Client background
Including reason for accessing service (mental health, being active, stopping smoking, debt issues, eating healthy, making friends, etc)
Stephen is a 37 year old taxi driver that contacted FGF after completing the Weigh Forward course at Active Sefton.
Support given
Type of support given to client (a brief outline of the help you gave your client. Eg, Fred was having difficulty with his social housing provider so I contacted them on numerous occasions to resolve his issue of repairs)
His main concern was embracing a healthier diet that mainly consisted of junk food and how he could address his weight. I introduced him to the Food Matters (Low fat cooking courses) and chatted to him about his current diet and discussed the obstacles that existed for him about making positive changes. He described himself as a fussy eater, however he agreed that avoiding foods that he perceived as unpalatable is not the same as eating and trying the foods. He readily agreed to try things he hadn’t tried before with an open mind.
Outcomes
Describe the outcomes of your support. What difference has it made to the client? How has their life been improved as a result of your help? Were they signposted on to another partner? Try to include a quote from the client by asking them what difference your support has made to them.
As promised Stephen tried all the dishes that he produced the results of which were mixed but overall positive. The most important thing he said was that he wasn’t frightened of trying new things and preparing food has given him so much confidence. He has started inviting friends and family round for dinner that he has made and is understandably delighted with this. He has also agreed to come along to Health Cooking course to increase his knowledge and skills and attend Walking Football with his free passes.

Case study for Q3 : Date 11^th January 2023 Theme: Obesity
Partner: Feelgood Factory Active client: Yes	Sex: Female Age: 41 Postcode: L30

Client background

Lindsey is a 41 year old, part-time shop worker and mother of 3. She contacted FGF after seeing our Food Matters publicity on our website. She wanted to lose weight in order as part of a healthier lifestyle. She agreed to complete a UC and as part of her agreed goals, she joined and completed the Weigh Forward course at Active Sefton after which she attended the Cook and Eat Low Fat cooking classes. She also agreed to attend TDCD to address her anxiety and stress concerns.
Support given

Her main concern was weight loss and how it can be a factor to poor physical health and how she felt about herself. I introduced her to the programme, Food Matters, (Cook and Eat Low fat cooking course and Weigh Forward) and looked at any obstacles that existed for her about making positive changes. Whilst talking Lindsey often spoke about cooking for her now adult boys was her concern, however she agreed that their choices might not always be compatible with a healthier diet and, as adults, they can make their own choices around diet but it may be useful to discuss your plans to have a healthier diet. She agreed that this was a good idea. She also discussed how her anxiety and stress might be an obstacle and that she has a tendency to over think trivial things. I introduced the TDCD programme and how this might help her address her stress and anxiety. She readily agreed to attend the next course.
Outcomes

Lindsey completed the Weigh Forward course at NAC and found it most useful in identifying ways to make healthier choices. She finished the Cook and Eat sessions, tried dishes and ingredients that she had never tried before there was mixed reactions on occasion mainly when she reverted to how her boys probably would not eat the dish. Here she quickly checked herself realising that she was repeating an obstacle she had previously identified. Lindsey commented, “that the whole experience was brilliant. It was an eye opener and it was the first time she had an opportunity to look at her diet and her relationship with food in this much detail…” She has since joined Slimming World and is attending regular Line Dancing after finishing her 5-week free voucher incentive. She also would like to attend FGF new Food Matters Programme in May. Lindsey, as promised, attended and finished TDCD. During a general catch up and chat she has attributed the programme to her taking on a new volunteering opportunity on her day off and “she has been able to address her over thinking by putting herself first now that her boys are older…”

Mental Health

2022 Case studies

Partner: Citizens Advice Sefton Active client: Y	Client no: Sex: Male Age: 37 Postcode:
Client background
This client was referred to me by the Feelgood Factory. It had been suggested they would benefit from participating in the Think Differently Cope Differently program. This they agreed to and we commenced the sessions in February via zoom. The client was able to speak openly in regards the personal issues they were experiencing at that point and at here we were able to grasp specific areas of what we would work together on that could help them improve their Health and Well Being. When we commenced our sessions, the client was off work suffering from acute stress and anxiety issues. Their self confidence had gone and they were becoming withdrawn and uncomfortable mixing with others socially and professionally.
Support given
Then main areas within the TDCD program were identifying the benefits of the 5 Ways To Wellbeing and where they felt they themselves were either adhering to or areas they felt they needed to address and improve. They were able to identify the benefits of this and we were able to look at how they would go about making positive changes as well and targets that were achievable for them. Another key area was identifying positive and negative influences in their lives that provide a major impact on their wellbeing. In the case of negatives they were able to grasp the importance of taking control of their life again – thus improving their self confidence and ability to change their decision making for the better. As the sessions progressed I was able to get them to review their progress and identify areas they felt the program was relating to them personally in their own words. As the sessions ran, the client showed that the learning outcomes were being achieved and each session they were able to explain those improvements and it became clear they were benefiting from the sessions.
Outcomes
As the program drew to its conclusion, the weekly WEMWEBS questionnaire showed the significant improvements they were feeing. Their answers became more positive and hence their number rating changed. During our time working together, the client was in the process of having a job interview for a role that he felt would really help improve his current outlook. However, he was unsuccessful and when I was told this I feared this may take him a step back. However, they took a completely different approach to the news. In turn, they had been offered a different part time role which would tap into their creative talents and this really lifted t to the. The outcome is, they now have two part time roles that they have identified do not impact on their quality of life and stated their Work Life Balance was paramount their improved outlook on life. A telling statement made by them to me was that “Without doing this program I feel I would not have been able to act in this way and would have felt I had been rejected and fell backwards again. Here I was able to be very philosophical about the situation and for a change, took positives out of it instead of the negatives of old I would have felt”. When we came to our final session, they stated that, in engaging with me throughout the program they felt that the best thing was “I had someone to guide me through each step and I felt I really had a positive mentor”. They were clear that their health had much improved” and concluded that “My sessions were always positive and beneficial to me and my mental health “. Since were finished the TDCD program the client has successfully returned to their job and also commenced in their secondary career. I will be still their to support them over the coming months in a periodic manner where we will have continued zoom chats on bi monthly occasions. They also know that if they did need me again for support to contact me.


Partner: Brighter Living Partnership Active client: Yes	Sex: Female Age: 56 Postcode: PR9

Client background
Including reason for accessing service (mental health, being active, stopping smoking, debt issues, eating healthy, making friends, etc)
Client was referred to LWS through the SPLW service. Client was struggling with her mental health and coping with her adult daughters’ alcohol and drug dependency. This was leaving client feeling extremely low, and anxious. On our second meeting client was crying in the car park over something that happened recently.
Support given

Client was offered, and accepted, a place on the Think Differently: Cope differently course. When I met with client she said she hoped to learn some coping techniques and life strategies for managing better.
Outcomes

Client describes TDCD as having changed her life. She states “It has given me new skills in how to deal with my emotions”. Client also told me “other people have noticed a change in me and my mental health”. Client described an incident that happened last week when her daughter took some money out of the car. Client told me this would previously have resulted in her feeling anxious and angry, however since the course she felt calmer about this and would make sure she didn’t leave money in her car again so neither she, or her daughter, were “in that position again”. Client has recently set a new goal, which is to volunteer at the Cosy Café and starts in January.

Partner: BLP Active client: Y	Client no: 47203 Sex: M Age: 41 Postcode: PR8 6XL
Please include a case study here, including as much information as possible around the support given to the person and the difference it has made to them, whether that is increased confidence, improved wellbeing, better mobility, renewed interest in old or new hobbies, reduction in medication, less visits to GP, making a meal from scratch etc.
Client background
Including reason for accessing service (mental health, being active, stopping smoking, debt issues, eating healthy, making friends, etc)
Client was referred to BLP from the Social Prescribing team. He has some health concerns at the moment, both physically and mentally and is looking for ways to be more active, and also to be more sociable and connect with his peers to help with his mental health and sense of belonging.
Support given
Type of support given to client (a brief outline of the help you gave your client. Eg, Fred was having difficulty with his social housing provider so I contacted them on numerous occasions to resolve his issue of repairs)
Client came into the community café to meet with me and do a universal consultation to identify the areas he would particularly like to work on and to set himself some goals to work towards. He struggled a bit with identifying goals so we just set one and suggested we can work on that over the next 12 weeks. He was particularly interested ion the gardening and men’s shed as he likes crafting and making things, and being hands-on. He also identified that he needs to eat better as he’s been diagnosed with type 2 diabetes.
Outcomes
Describe the outcomes of your support. What difference has it made to the client? How has their life been improved as a result of your help? Were they signposted on to another partner? Try to include a quote from the client by asking them what difference your support has made to them.
Client has attended 2 cooking sessions and is keen to do more in 2023. We discussed our Weigh Forward program but decided it would be best for him to seek specialist support from the nutritionist given his recent diagnosis. He has started attending the men’s shed, and we’ve also discussed him leading a craft-type session next year to show some of his woodwork engraving that he enjoys.

Case study Rose

Woman, aged 64 years
Accessed Living Well Sefton partner, May Logan of own accord after seeing a social media advert
Attended several classes under the LWS umbrella

Background

Rose attended the May Logan Centre of her own accord after her sister saw an advert on social media for the outdoor fitness class
Rose had been in a very long relationship with a domestic violence situation
She was then in an isolated situation when lockdown happened and wanted to improve her fitness, eat healthier and meet people

Support given

Rose has attended the outdoor fitness class ‘Not Boot Camp’ regularly since May 2022. Her confidence grew and she is a very valued member of our class, as she was extremely supportive and encouraging to new members, very active in the class Whatsapp group and always giving a warm welcome to new people.

She had a few phone calls with the team away from class, completed a food diary and looked at a couple of small changes she could make to her diet.

Rose now has a Gym membership. She went for the induction in a group and then attended with one of the other members of the fitness class a few times, before now attending the gym on her own. She is enjoying her visits.

She said she has more self -confidence now. She has lost weight, feels fitter is a lot more active and is eating healthier. She has also been out socially in the evening for the first time since leaving her husband with some of the ladies from the fitness class.

Active Sefton will contact Rose to see if they have any other services she might be interested in and they will contact her before the end of her free pass, with a possibility of an extension if it has been useful and helpful to her.

“I have benefited greatly in so many different areas. I have gained more confidence in meeting and talking to people. I now have better understanding of how exercise and a healthy lifestyle impacts on my health and well-being. I am much more active now during the week and my diet has improved since joining. I have much more energy and feel my life is moving away from what it was before (I was an evening couch potato that loved crisps and Kitkats watching tv). It’s not just an exercise class as you have helped me with meal ideas and nutrition. We have all become good friends and stay in touch with each other through the week. We encourage each other and are there to lift each other up. Your enthusiasm for an active lifestyle is contagious and you always make the sessions fun and interesting. I really look forward to coming along. Thank you also for all your care, advice, and empathy with other things that have been going on in my life. I am in a much better place now.”

“The support I received was excellent I am now more aware about the choices I make regarding food and I have increased the amount of exercise I take.”

Case study Maria Lee

Woman, aged 61 years
Accessed Living Well Sefton partner, May Logan, after a staff member engaged with her on an organised walk
Attended several classes under the LWS umbrella

Background

Maria Lee attended a health walk at The Leonards where staff from May Logan taught attendees to Nordic Walk
Maria is out of work and her family highly depend on her
When engaging with the staff it became apparent she was feeling low, stressed and was concerned about her drinking habits
On the walk she showed signs of being interested in the ‘Think Differently, Cope Differently’ (TDCD) course

Support given

Maria came on the Think Differently Cope differently course at The Leonards, after attending a Health Walk at the same location, where she expressed concerns for her mental and physical health. On the course she had a goal of exercising more and eating more healthily.

Maria joined the Friday fitness class at Bootle Leisure centre, then later in North Park. She also continued to go to the health walk every week, as well as attending The Women’s Space at The Leonards where she had her blood pressure taken. All these steps encouraged her to continue with the changes she was making.

The team further referred Maria to The CAB for advice regarding her being off work, her payments and what she was entitled to. They managed to sort out her money for her, which she said helped a great deal with her stress levels and low mood.

During her various sessions and meetings, Maria was given details regarding an anti-inflammatory diet, which she took on the suggestions of and started to add into her diet lots of healthy items. After a month of these new changes, the team measured Maria and she had lost 4 inches.

Maria now attends regularly the Tuesday Walk, the Friday Fitness class, does exercise videos at home and also adds in extra movement when she is in the kitchen and on a walk due to suggestions from her time in the groups. She is going to The Women’s Space, the community lunch and is meeting another lady from the ‘TDCD’ group to go to church together. She also attends the weekly Social Group set up for all the clients from the ‘TDCD’ course.

Maria is very supportive of others in all the groups she is in and is an excellent role model as she has followed advice, made changes and really made a big difference in how she is feeling. She has something on every day and her family now know she can still help them, but around her own activities, whereas before they continuously expected Maria to be there all the time. She said she knows between all the mentors and St. Leonards she has support there for herself.

“I feel on top of the world. I thought I had loads of confidence, but didn’t realise that was only when I was in work. When I was at work I played that role and met and knew lots of people. When I left work I felt lost and my drinking got out of hand. I didn’t have any confidence.

Now I am being myself and have found my confidence and if I hadn’t done the ‘TDCD’ course I would have been stuck in the rut. Meeting genuine people where I could be myself. I have never gone to an exercise class ever. I wouldn’t have thought of it. Now I am encouraging others. It has given me more confidence to be me as myself and not in my job role. When the fitness class moved outside I thought I am not doing that!! Now I prefer it!

As well as the fitness class I am also doing the exercise videos through the week and socialising more. I am eating more healthy and I am not having a problem controlling drink. People keep commenting that I look really well. I am still meeting the group from the TDCD, keeping in touch with them all and we pick up on how each other are feeling and are supportive of each other. I am also confident to be on my own and also be me.”

Case study Bill

Male, aged 81 years, retired
Accessed Living Well Sefton partner, Feelgood Factory of own accord
Attended a class under the LWS umbrella

Background

TA attended Feelgood Factory of his own accord
Before lockdown he was a very active person, he kept active during lockdowns but was missing the social side of things
After lockdowns Bill was involved in an RTA which had left him shook up and having to rest

Support given

Bill is retired and prior to lockdown was a very active person, who volunteered at a community garden, was a Sefton walk leader and walked on other days with Men on Track.

During lockdown Bill was walking everyday with his wife, but was missing the day-to-day social interaction and engagement with others. After lockdown Bill was involved with a RTA and was badly shook up and out of action for a few weeks.

The team had a number of conversations with Bill and they were concerned with his general health and that he may have been doing too much – particularly after his accident. They arranged support for Bill through Active Sefton to get him help leading the Sefton walks and also advised Bill to attend yoga to help improve his fitness in a gentle way. It was suggested he leave the other walking for the time being and postpone his return to community garden – which he agreed.

When the Sefton walks are resumed Bill will have a partner to support him on leading the walks. He is really enjoying the yoga and attends regularly. Thanks to this support he now feels able to start going to community garden once a week again.

“I feel a lot better and re-energised.”


Partner: May Logan Active client: Y	Sex F Age: 61 Postcode: L20

Client background

The client is 61 years old, I first met the client when she was feeling extremely low, her drinking was out of hand and was very stressed and the client showed an interested in the Think Differently Cope differently course.
Support given

The client came on the Think Differently Cope differently course, on the course she had a goal of exercising more and eating more healthily. Next the client joined the Friday fitness, she gradually built up her fitness and continued to go to the walk every week. She has also joined the women’s space, here she has had her blood pressure taken and this has encouraged her to continue with the changes she was making. A referral to the CAB for advice has also been made, this has supported the client to manage her finances. The client has also been given details regarding an anti-inflammatory diet and has took on the suggestions and started to add into her diet lots of healthy items.
Outcomes

The client now regularly attends the Tuesday Walk, the Friday fitness class, and she does my exercise videos at home adding in extra movement when she is in the kitchen and when she is on a walk. She is going to the women’s space, the community lunch, she is meeting another lady from the TDCD group and going to church together. She is attending every week the social group set up for all the clients from the TDCD course. This has really widened her social network, enabling her to make friends. Comments from the client: “I feel on top of the world” “I am confident to be on my own & be me” “I am eating healthier & able to control my drinking” “if I hadn’t done the TDCD course I would have been stuck in the rut”

Partner: May Logan Active client: Y	Sex: male Age: 42 Postcode: L21

Client background

Barry has a number of health issues caused by a ‘whipple procedure’ – removed pancreas, gallbladder, spleen due to benign tumours, leaving Barry diabetic overnight. He also has angina. This all caused Barry’s mental health to suffer dramatically and also meant he could not return to work which resulted in his life completely changing.
Support given

I met with Barry when was he was at his lowest, there was a lot going on physically/mentally, he felt he couldn’t cope and felt his life had fell apart. He had no confidence, no self-esteem and couldn’t see a way out of the darkness he was in. On our first meeting Barry was really nervous at first but soon relaxed. I created a safe space for Barry to open up and feel comfortable to talk to me, I just listened. I praised him on seeking help and pointed out this is the most important step. He told me everything about his current lifestyle, his mindset, his family life, what he enjoys and what’s happened in the past that has led to this referral. I was very empathetic towards Barry and made him feel safe to open up, and that is ok to have emotions and feelings. This is something he struggled with, he doesn’t open up to people as he feels he is a burden. I explained sometimes it’s easier to talk to someone who is not emotionally involved, and I will be that person when he needs it. Barry appreciated this and said he feels comfortable to do so. I set Barry small but achievable goals every week starting by journaling his feelings and being honest with himself, becoming aware of his thoughts and how to deal with them in a positive way. We started to develop his morning routine, planning his day, going out for walks on his own to sort his thoughts out, read self-help books, planning some time each day for himself and listen to what he needs that day in that moment (me time). Over the weeks a lot started to change for Barry. He started smiling and laughing in our sessions and felt a lot lighter. I invited Barry on a group walk to the beach I had planned, he was unsure, but he gave it a go and loved it. He started going the beach on his own with a coffee and listening to music which helped him feel good. I encouraged him to start a walking group with St Leonards which he did! We explored ways he could release anger in a healthy way before it gets too much and learning to recognise it before it does. I asked Barry to start exploring hobbies or projects that he can go to when he needs to focus on something and encouraged his to tap into creativity. He started an art project and can spend hours on it, he loves painting and creating, something he has never explored. Barry also started baking; all of these things are his tools he uses when he needs to come back into the present moment. He loves gardening and has started to do all the jobs he’s never got around to doing. He has also started helping neighbours with jobs as it makes him happy helping others. I have attended all of Barry’s occupational capability meetings with him for support which have been extremely emotional for him to come to terms that he cannot return to work, and it’s been very hard for him to accept.
Outcomes

This has been a very gradual process and it’s been very hard for Barry to adapt to life. All the inner work and small steps he has done over the last few months has had a huge positive impact on his life and he is a completely different person from when we first met. He is more positive, engaging and is opening up to new learning and activities. He has recently applied for an allotment and is looking forward to starting a new project for himself. When I first met Barry, I asked him to set some goals for the next few months which he did and has actioned every one of them. He told me he has set himself a particular goal and will let me know when the time is right. Comments from Barry: “Hollie has put a lot of time and effort in to my sessions as she always has plans and ideas ready and always goes the extra mile” Hollie is a credit to your organisation and I cannot thank her enough, I know you know I really appreciate it” “If Hollie ever needed someone to speak to a group about my experience and the help I have received and how it has changed my life, I would really love to do something like this to help others”

About the client

Age: 68 Sex: Female Post Code: PR9

How did the client hear about the service?

Via Sefton Carers Centre

Presenting issues

R is a carer for her adult son, who has a diagnosis of autism. Her son finds it difficult to express him emotions and can feel overwhelmed and have meltdowns. R experiences anxiety, depression, and panic attacks. She can struggle because she gets little respite from her caring role and is not supported by her husband. She feels isolated and trapped. She used to care for both her parents, but they have now passed away.

Actions taken by mentor R received a carers assessment, which enabled her to express how she felt about her caring role. It was recognised that R has little time for herself, which is impacting on her emotional wellbeing. R was referred to the Older Carers Project at the Carers Centre to access arts and crafts groups. R was referred to the Think Differently, Cope Differently course at the Carers Centre. R was advised about and applied for a Carers Emergency Card, to give her peace of mind when out of the house. Information was given about the Life Rooms in Southport for both R and her son. A grant was applied for so that R could access holistic therapies to lower her stress levels.

Outcomes– what difference have we made to the client?

R is now registered with the Carers Centre and aware of the services here and how to access them. R is also aware of the Life Rooms services in Southport. R had a carers assessment, which identified support available and gave her the chance to be heard, which she said was important to her. R is able to have time to herself to access holistic therapies and improve her wellbeing. R was an active participant in the Think Differently, Cope Differently course, in which she learnt coping mechanisms and identified changes she would like to make in her life.

Partner: Feelgood Factory Active client: Y / N: No	Sex: M / F: Male Age: 80 Postcode: L23

Client background, including reason for accessing service (mental health, being active, stopping smoking, debt issues, eating healthy, making friends, etc)
I was initially contacted by the client’s daughter by e-mail, who lives in Australia. She informed me that her mother died that previous week, and that while all the family where feeling the loss, her dad (in GB), was particularly finding it difficult. She had found our service on the internet and she was enquiring about services for her dad and specifically, for his bereavement. She went on to describe her dad as a “real man’s man”, and didn’t believe he would go for a ‘mixed group’. I informed her about our ‘one to one bereavement support service’ and she felt this may be more appropriate for him. Throughout our correspondence, it appeared that this option was still a long shot, as she described her dad as not being a person who would usually discuss or show his feelings and emotions. Despite this, I was given permission to contact Mr P and arrange a suitable appointment date for our first session.
Type of support given to client (a brief outline of the help you gave your client. Eg, Fred was having difficulty with his social housing provider so I contacted them on numerous occasions to resolve his issue of repairs)
To his credit, Mr P attended the first session and we were able to start discussing his reaction to his loss and throughout the subsequent sessions he was able to allow himself to become tearful and upset while discussing his late wife and that this was ok and safe to do during the sessions. He also realised what a relief it was being able to talk to someone about his loss where he felt there was no danger of being judged i.e. ‘being weak’ or ‘losing it’. As the sessions progressed, Mr P was able to identify aspects of his daily living that needed attention e.g. his diet and losing weight. He informed me that he had always been able to cook, but had neglected it of late. He informed me that he had started to “think more creatively” in the kitchen while cooking for one. Mr P also began to understand that while he may continue to grieve and that some days will be better than others, he could accept and begin to be able to manage this reality.
Describe the outcomes of your support. What difference has it made to the client? How has their life been improved as a result of your help? Were they signposted on to another partner? Try to include a quote from the client by asking them what difference your support has made to them.
At the final session, Mr P felt he had benefitted from the sessions and that they had enabled him to ‘navigate’ (ex-Merchant Navy) through a difficult period in his life and that there was a future to be involved with. His gratitude with the service also took the form of a financial donation towards the Feelgood’s services, which was gratefully accepted. Sometime following his last session, I received an e-mail from his daughter in Australia, which I shall quote: “I just wanted to say thank you for the bereavement work you did recently with my Dad, Mr P. I was very proud of him for attending your sessions as it was way out of his comfort zone. You helped him immensely through a really tough period in his life. You must be a great bloke for him to feel comfortable enough to open up and to keep coming back for the duration. Thank you again for the support you gave him”. In relation to managing his weight loss, he gave me permission to refer him to the ‘Weigh Forward’ programme.

Mental Health

2023 Case studies

About the client

Age: 78 Sex: M Post Code: PR8

How did the client hear about the service?

Self-referral to Sefton Carers Centre

Presenting issues

J cares for his wife who has dementia. He meets all of her care needs without any external support. He has an adult son who lives at home, but he works full time so is not available during the working week to help or to provide replacement care. J is under investigation himself for liver cancer and has to attend hospital on a frequent basis for tests. He contacted the Carers Centre for advice regarding care for his wife while he attends his own appointments, as he was not able to take her with him and she could not be left alone at home.

Actions taken by mentor

J was registered with the Carers Centre, and he was given advice and support around arranging replacement care for his wife. He was able to make arrangements at short notice with a local day centre for his wife to spend the day there while he attended hospital for his upcoming appointment; without this he would not have been able to keep his appointment. He has completed an application form for a Carers Emergency Card, and he was also sent a form to complete an emergency plan, both of which will provide him with peace of mind. J was also referred to the LWS service for ongoing support and to complete a carers assessment.

Outcomes– what difference have we made to the client?

J was provided with support that enabled him to attend his own hospital appointments. He was given peace of mind with the reassurance that he could contact the Carers Centre for advice and support given the very uncertain situation he is facing regarding his own health, and he has been able to put a plan in place in the event of an emergency arising. J will also have the opportunity to discuss his caring role in more detail when his carers assessment is completed to find out whether any additional support can be offered.

About the client

Age: 64 Sex: Female Post Code: L38

How did the client hear about the service?

L is an existing client of the Carers Centre, and she was referred to LWS by the carers support worker who completed her carers assessment.

Presenting issues

L cares for her husband who has terminal cancer, he also has scoliosis of his neck and spine causing problems with his mobility. L provides 24/7 care, as her husband will not accept help from a care agency, she subsequently finds that each day is structured and extremely restricted. L also has her own ill health, which impacts on her ability to cope with her caring role. She does not have family support and she has few friends. She rarely gets time to herself, and she feels isolated. She is finding her situation very distressing, and she finds it particularly difficult emotionally to deal with her husband’s terminal diagnosis.

Actions taken by mentor

As a result of her carers assessment L was awarded a one-off carers direct payment to fund a swimming membership at Victoria Leisure Centre in Southport. She was also referred to the Think Differently, Cope Differently course, at the Carers Centre.

Outcomes– what difference have we made to the client?

L enjoys going to the Leisure Centre, and she has fed back to us that swimming has helped her physical health, as she has seen an improvement in her own conditions. It also helps her mental wellbeing, as she has met people who have become acquaintances and they chat and laugh together. L attended the Think Differently, Cope Differently course. She fully engaged and fed back that the part of the course she enjoyed most was finding that other people were experiencing similar feelings and issues as her. She left the course with a resolve to take more care of herself.

Case study for Q4 Theme: Mental Health
Partner: N/A Active client: Y	Client no: 48415 Sex: Male Age: 60 Postcode: PR9

Client background

Client has a background of mental health issues. They were particularly isolated and struggled connecting with others prior to coming to the centre. Initially referred into the service via the Social Prescriber Link worker attached to a local surgery.
Support given

Client was referred into the Men’s group at the community centre and has enjoyed the activities and the chat Client was referred into the Poetry group out in the local community Client attended Brighter Connections – new social group started two months ago and is planning to continue with their attendance Client has benefited from an occasional telephone check-in over recent weeks since being referredOngoing work with the client remains as they would like to do some volunteering if the right opportunity presents itself
Outcomes

Client has fed back that they feel that their life has changed for the better since coming to the community centre and they enjoy attending the sessions at the poetry group and the men’s group. Client enjoys poetry and the connection with others in the group but is hesitant re writing poetry at the moment. Client feels welcome and feels that it has made a difference to their health and their life in general since coming along.

Case study for Q4 – March 2023 Theme: Mental Health
Partner: BLP Active client: N	Client no: 43641 Sex: F Age: 54 Postcode: PR9

Client background

Client was a long-time attendee of activities at the community centre and has been struggling with her anxiety levels and resilience.
Support given

Client attended the 5-week TDCD course and really opened up and connected with others on the course. She was able to offer insight into her own worries and experiences with low mood and anxiety, and reported to me that it was really helpful being able to listen to other people’s experiences, which has helped reassure her that she’s not alone. She also started attending a craft group that we run, that she’s previously attended but stopped because of her anxiety levels.
Outcomes

Client reported feeling much more positive at the end of the 5 week sessions, and has had an increase in her scores on both the UC and ONS. She has now moved out of area to be nearer family but we completed these over the phone, and discussed moving forward and carrying on the self-work started during the course. Client feels confident in accessing similar support for peer network and activities in her new place of residence.

Community Resiliance

Case studies 2022

Partner: Citizens Advice Sefton Active client: Y	Sex: M Age: 45 Postcode: L21
Please include a case study here, including as much information as possible around the support given to the person and the difference it has ade to them, whether that is increased confidence, improved wellbeing, better mobility, renewed interest in old or new hobbies, reduction in medication, less visits to GP, making a meal from scratch etc.
Client background, including reason for accessing service (mental health, being active, stopping smoking, debt issues, eating healthy, making friends, etc)
Client was referred into the service for advice around benefits and debt. Client was struggling with poor mental health, in particular PTSD. Client lives alone in a housing association rented property and was struggling to manage his bills and budgeting. Client was unable to manage these issues alone without support.
Type of support given to client (a brief outline of the help you gave your client. Eg, Fred was having difficulty with his social housing provider so I contacted them on numerous occasions to resolve his issue of repairs)
We assisted client with a claim for Personal Independence Payment (PIP) disability benefit. The claim was refused. We assisted with requesting a Mandatory Reconsideration of the decision. Again this was refused. We assisted the client to appeal this decision to an Independent Tribunal. During the appeal process, we helped the client to obtain medical evidence to support his appeal, assessed the evidence and submitted this to Her Majesty’s Courts and Tribunals service (HMCTS). In preparation for the face to face appeal hearing, we advised client about what to expect and the questions he would be asked by the Judge, Doctor and Disability Expert. We also prepared a written submission for the panel outlining the reasons for entitlement.
Describe the outcomes of your support. What difference has it made to the client? How has their life been improved as a result of your help? Were they signposted on to another partner? Try to include a quote from the client by asking them what difference your support has made to them.
After 2 years of working on this case, we attended the appeal hearing with the client. The client was awarded Personal Independence Payment (PIP) Standard Rate Daily Living and Standard Rate Mobility from 16/01/2020 to 31/05/2023. Client received a back payment of approximately £10,000 and awarded £87.35 per week equating to a 4 weekly payment of £349.40 until at least 31/05/2023. Client was extremely happy with the outcome and said he would not have been able to do this without our support. Client also felt reassured that he was actually “believed” which he has struggled with over the years. Client says he would be able to pay off any outstanding debts and do up his flat which would both, in turn help with his mental health.

Partner: Citizens Advice Sefton Active client: Y	Sex: M Age: 30 Postcode: L20
Client background
Client came to us for assistance with a number of benefit advice issues. Client has severe health conditions and struggles with his mobility and completing daily tasks. Client is also socially isolated and struggles with his mental health. Client is originally from Iraq and does not speak English. Client applied for PIP May 2020 and in December 2020 his claim was refused after scoring zero points on both Daily Living and Mobility components of PIP. Cl in receipt of Universal Credit (UC) and was sent a UC50 work capability assessment form which had been completed in July 2021. Some seven months later he had still not had the Work Capability Assessment (WCA) and in the meantime he was sanctioned for failure to attend a Jobcentre appointment, despite being physically and mentally unwell and having language difficulties.
Support given
Note that we used language line for all interactions with client ad third parties Assistance with Appeal of PIP decision We assisted client with submitting appeal against the decision and then obtaining further medical evidence from client’s social worker and social prescriber in support of the appeal. We made a written submission for the court and represented client at the Tribunal hearing. Challenging UC sanction and application for a hardship payment. As client had been sanctioned he did not receive any UC for February 2022 and only £49 for March 2022. We assisted client to submit a Mandatory Reconsideration of the sanction and also to apply for 2 hardship payments of £161. We also provided a food voucher. Assistance re WCA of UC. We contacted UC and client’s work coach to arrange for a WCA assessment to be carried out. A face to face assessment was then arranged. We submitted further medical evidence and supporting letters to Bootle Medical Assessment services and checked they had the completed UC50 form
Outcomes
Following telephone appeal tribunal, the appeal was upheld and client was awarded Standard Rate Daily Living of PIP (£60 a week).The award was from 6 May 2020 to 5th May 2023 and arrears will be approximately £5940. As a result of the supporting evidence we submitted, client was contacted by Medical Assessment Services and informed he did not need to attend the telephone assessment. Client then had a letter attached to his UC Journal this letter stated that he had been awarded Limited Capability for Work Related Activity ( LCWRA) and so will get an extra £343 a month and he will not have to attend any more Jobcentre appointments or undertake any work-related activity with threat of sanction also removed. Client struggles to get out due to his mobility and cannot attend appointments unless he travels in a taxi. He now does not need to attend the Jobcentre something that is difficult and extremely stressful for him. Client has the LCWRA element of UC and Standard Rate Daily Living of PIP and so he is now £603.63 a month better off. This means that where he was struggling to pay for food and utilities etc he is now better able to manage. Cl can also afford the taxi fares to get to his medical appointments and he will also be able to pay for the care he needs with his daily tasks. Improved finances will hopefully help with stressors to his mental health. We have not had the outcome of the challenge to the UC sanction as yet, but we anticipate a positive outcome and client to be reimbursed all the monies for the two months in question.

Provider: Sefton CVS / Seaforth and Litherland PCN Active client: YES	Client no: 996 Sex: M Age: 52 Postcode: L21
Jeff was referred to the service 15.3.21. He had been homeless during covid and had been moved into a local hotel. One Vision Housing had then rehoused him in a flat in Litherland. Jeff has advanced COPD and was not coping well with the move. He began to experience antisocial behaviour from an upstairs neighbour almost immediately on moving in. This escalated over a 12-month period and included incidents such as lit fireworks through the letter box, a dead rat nailed to his door, cutting his tv aerial etc. Jeff’s ill health meant he could not/did not retaliate and was left feeling very vulnerable. Jeff was very depressed after having spent several years homeless, he had hoped this would be his forever home. He was not engaging with health services as he could not focus his energies on himself. Initially we worked together to reinstate Jeff’s benefits which had been stopped. He had also never applied for PIP which he was entitled to. Along with a support worker from One Vision Housing whom I worked alongside, we worked on helping Jeff get settled in his home. Support to apply for ELAS from the council – basic household items, bed, microwave etc.Applied to CVS charity Provident for a washing machineFunding for paint via One Vision Housing. Jeff has experienced a great deal of trauma in his life and is a former drug user. He lost his son and brother to murder a few years ago, and experienced a difficult childhood. It became clear as time moved on that Jeff was not going to get relief from the ASB he was experiencing. As a former offender and drug user, Jeff was known to the police and felt because of this he did not get their support. Despite the nature of the harassment, Jeff’s neighbour was never arrested or questioned, even following the firework attack which was extremely shocking. I helped Jeff get reinstated on Property pool. The police and his housing officer supplied supporting letters to help him move up a band. I worked to get the support of Jeff’s housing officer in terms of finding him a property to move to. Normal rules are that a tenant needs to have been in their property for 12 months before they can arrange a move or get onto Property Pool. We were able to get Jeff on to the housing lists sooner due to the disturbances he was being subjected to. As Jeff had a dog, this limited him even further in the property search. The following support was put in place Referral to adult social care – care package in place for help around the homeReferral to occupational health for assessmentSupporting reports from Occ.Health and Adult Social Care for Property Pool and One Vision HousingAwarded high rate PIP in December 2021 – prior to this, Jeff had to choose whether to ‘heat or eat’ on a very low incomeReferred for talking therapy via Reach Men’s Services (eventually withdrew as found this too traumatic)Lifeline installed for safety as Jeff has falls/passes out from lack of oxygenFood bank parcels were a regular item for Jeff as he was on such a low incomeSupport with debts via CAB and St Leonards (energy related) In late 2021, Jeff’s physical health became very poor. He was admitted to hospital for several weeks to recover. Jeff had initially refused to go to hospital as he had nowhere to take his dog. I worked in partnership with a local animal rescue charity to provide urgent boarding for the dog. Jeff was only able to afford this as he had been awarded PIP. Without this, he would have had to give up his dog for adoption. Jeff was finally allocated a bungalow with a garden for the dog, and moved in January 2022. He is in the process of arranging decorating and purchasing furniture. Assisted Jeff with packing and moving as his COPD has progressed so much he finds it difficult to stand and even make a simple cup of tea, without losing his breath. Jeff felt so uncomfortable in his last property that he did not settle or make it homely as he felt it was so unsafe. He tells me he feels a weight has been lifted from him and he can now try to live his life happily. Jeff did return to drug use in 2021 as he felt his life was so unbearable. Since then he has been working with ‘We Are with You’ and made his GP aware so he could access support. I am currently helping Jeff set up his new home, which includes setting up bills and energy accounts; arranging further personal support at home to reflect his changing needs; applied for a new oven from a charity; referred for dental work to local surgery. Jeff is now engaging well with health services as he recognises that he needs the help. He is hopeful for the future and planning on finally taking his driving test so he can use a mobility car to get around. We are working towards Jeff engaging more with community services to reduce his isolation.
Housing Case – referred March 2021 Sue lives in a privately rented 3 bed property which she formerly shared with her father, who passed away around 18 months ago. Sue had given up her job to care for her father and had done so for around 4 years before he passed away. They were isolated together all through covid. JD needs to move to a smaller property as she cannot afford the ‘bedroom tax’ top up, which is £275 per month on top of the rent. When her father passed away, she registered for Property pool and began packing up the house, as she assumed she would be moving soon. JD’s income was so low when she referred to the social prescribing service, she was living in one room and choosing between heating and eating, and using candles for light. Costs: Rent £675 UC pay £399 towards rent Top up £275 Leaving Sue c£30 to live on per week. Assisted Sue with applying for discretionary housing payments via the CAB which she received for 6 months and then reapplied. She has reapplied again but this has dropped down to £50 per month. Supported Sue to appeal to Property Pool – Band moved from D-C. Have re-appealed on the basis of financial hardship and mental health issues to ask for Band to be raised to a B – Sue is effectively agoraphobic, having left the house only a handful of times in the last 2 years. Sue also has a dog which makes the pool of properties available much smaller, as many 1 beds/flats will not allow pets. Supported Sue to apply for PIP alongside the CAB. Sue has just been awarded PIP which included a back payment. She has used this to pay her rent arrears and top up. She is unlikely to be eligible for any more DHP payments. Although the PIP award has taken away some of the stress for Sue, she is unsure how long she will be able to juggle payments for the large top up. The increase in energy bills due in April is also a huge concern for her. I will be continuing to support Sue through this.

Partner: Brighter Living Active client: HL	Sex: F Age: 31 years old Postcode: PR9
Please include a case study here, including as much information as possible around the support given to the person and the difference it has made to them, whether that is increased confidence, improved wellbeing, better mobility, renewed interest in old or new hobbies, reduction in medication, less visits to GP, making a meal from scratch etc.
Client background
HC was referred to BLP from her GP in June last year. She needed help and support to reduce stress and anxiety. HC is partially blind and has a guide dog. HC was a bit reluctant at the start but opened up after few sessions. She spoke about her alcohol addiction and asked for help. She also mentioned that during lockdown, she lost many friends due to the closure of venues where she used to meet people. She felt isolated and started drinking. At that time, we were limited to what we could offer HC. I made a referral to Ambition Sefton and I was meeting her once a week for a walk and a chat. Few weeks later, she joined the walking group. She came every Wednesday to the Hesketh park and enjoyed meeting new people, she was also lucky to be re-united with an old friend that also attended the walking group. When we resumed face to face group session. She signed up for TDCD course. She attended the five sessions and her participation was great. She really enjoyed the course! After the course ended, she expressed that she was feeling in a great place, she felt more relaxed, positive and optimistic about the future. She even told me that she met a new boyfriend and could not be any happier. She felt she didn’t need anymore support and was grateful for our help.
Support given
A referral to Ambition Sefton. One to one well being support to reduce stress and anxiety, encourage her to engage in groups. Think differently, cope differently course to learn how to manage stress and anxiety. joining groups to make new friends and be active. HC attended walking group and craft group.
Outcomes
HC moved to a new home with her boyfriend. HC doesn’t call her GP regularly anymore. HC expressed that she feels relaxed, optimistic, in control of her drinking and in a better place.

Community Resiliance

Case studies 2023

About the client

Client number: 47256 Age: 78 Sex: M Post Code: PR8

How did the client hear about the service?

Self-referral to Sefton Carers Centre

Presenting issues

Actions taken by mentor

Outcomes– what difference have we made to the client?

Partner: CAS
Active client: Y / N – Closed
Client no: CL-114099328
Sex: M / F
Age: 42
Postcode: PR9

Client background, including reason for accessing service (mental health, being active, stopping smoking, debt issues, eating healthy, making friends, etc)

Cl was referred to service following poor physical and mental health and for advice about challenging a Personal Independence Payment (PIP) decision. Client was refused PIP Daily Living Component and refused PIP Mobility Component, but could not challenge the decision herself.

Type of support given to client (a brief outline of the help you gave your client. Eg, Fred was having difficulty with his social housing provider so I contacted them on numerous occasions to resolve his issue of repairs)

We advised the client about her time limits, appeals process and what to expect. We advised the client that she would need medical evidence to support her appeal. We assisted client to obtain medical evidence and submit this to Her Majesty’s Courts and Tribunals Service. We advised client what to expect at the appeal hearing and who would be present. We prepared the client giving sample questions. We prepared a written submission for the appeal hearing outlining our reasons for appealing. We attended the appeal hearing at Her Majesty’s Courts and Tribunals Service with the client.

Describe the outcomes of your support. What difference has it made to the client? How has their life been improved as a result of your help? Were they signposted on to another partner? Try to include a quote from the client by asking them what difference your support has made to them.

We won the appeal. The client was awarded PIP Standard Rate Daily Living from 22/03/2021 to 21/03/2026 and awarded PIP Enhanced Rate Mobility from 22/03/2021 to 21/03/2026. The client’s PIP score went from 0 points to 24 points. Following the tribunal, the client received a backdated payment of £11,196.80 and will receive an additional £505.40 ever 4 weeks until her claim is re-assessed in 2026. This will in turn help the client to live more independently.

“Thank you so much for everything Holly.”

Case study for Q3: December 2022
Theme: Mental health and Community Resourcefulness
Partner: BLP
Active client: Y

Client no: 47203
Sex: M
Age: 41
Postcode: PR8

Client background
Including reason for accessing service (mental health, being active, stopping smoking, debt issues, eating healthy, making friends, etc)
Client was referred to BLP from the Social Prescribing team.
He has some health concerns at the moment, both physically and mentally and is looking for ways to be more active, and also to be more sociable and connect with his peers to help with his mental health and sense of belonging.

Support given

Client came into the community café to meet with me and do a universal consultation to identify the areas he would particularly like to work on and to set himself some goals to work towards.
He struggled a bit with identifying goals so we just set one and suggested we can work on that over the next 12 weeks.

He was particularly interested in the gardening and men’s shed as he likes crafting and making things, and being hands-on.

He also identified that he needs to eat better as he’s been diagnosed with type 2 diabetes.

Outcomes

Client has attended 2 cooking sessions and is keen to do more in 2023. We discussed our Weigh Forward program but decided it would be best for him to seek specialist support from the nutritionist given his recent diagnosis.

He has started attending the men’s shed, and we’ve also discussed him leading a craft-type session next year to show some of his woodwork engraving that he enjoys.

Case study for Q4: March 2023
Theme: Community Resourcefulness

Partner: Brighter Living Partnership

Active client: No

Client no: 32053
Sex: F
Age: 56
Postcode: PR9

Client background
JL has previously been a case study for improving her mental health, following completing of TDCD last year. JL has family issues, with a daughter who has drug addiction and child custody issues. This has left JL feeling anxious, depressed and, at times, suicidal.
Support given
JL came along to TDCD and was a valuable member of the group. JL then showed an interest in volunteering so I gave her support with starting this process as she signed up to be a volunteer with us.
Outcomes
JL has been volunteering in our Warm Space (Cosy Café). JL has really enjoyed this, taking a leading role in the kitchen, but also in providing a warm welcome to the guests and initiating games such as bingo and dominoes with attendees.
JL has described to me a recent interaction at Cosy Café that meant a lot to her. A new attendee began to talk to her about his mental health problems and JL felt able to empathise with him, and share parts of her story and, more importantly, her journey to well-being. JL felt this was helpful to them both and she was proud of being able to help.

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