Tuesday, 18 February 2020

Introducing our new Head of Health & Wellbeing - Clair Swales


Clair Swales recently took on a new role at Powys Association of Voluntary Organisations as Head of Health & Wellbeing after previously working as Senior Officer Community Connectors & Info Engine Wales. She originally started work at PAVO in 2016 as a Third Sector Broker & Info Engine Officer and has since overseen the development of the hugely successful Community Connectors’ team within the organisation as well as further developing the online services directory infoengine. We met up with Clair recently to find out more about her new role.

Tell us more about your new role as Head of Health & Wellbeing at PAVO

My role is to facilitate positive relationships between Powys’ Third Sector and the Public Sector in the field of health and wellbeing, enabling third sector involvement in the development of policy and partnerships, championing a joined-up approach to commissioning of services and developing and maintaining effective service user and citizen engagement.

The role incorporates supporting the Health and Wellbeing team, overseeing the work of the Community Connectors and Powys Befriending Service and contributing to the management of PAVO. I also share responsibility with the CEO for the development and delivery of infoengine.

How is the new job going so far?


I began my new post in December 2019 and the first couple of months have been very busy indeed. In January I was delighted to welcome Sharon Healey as the new Senior Officer for the Community Connectors and Powys Befriending Services. It's been fantastic to get to work more closely with a larger team of PAVO colleagues and to continue working with the sector, health and social care colleagues albeit in a new remit.

Clair (2nd from R) & PAVO colleagues saying #HelloYellow on World Mental Health Day 2019

Can you - briefly - sum up the work of the three different PAVO teams you head up - Health & Wellbeing, Community Connectors & Powys Befrienders

Health & Wellbeing - the team supports Third Sector organisations working in the health and social care fields to work closely with the Health Board, County Council and others to develop better services for Powys’ people. It provides an important mental health information service, supports the delivery of health and well-being information via various mediums, and recruits and supports citizen reps for a variety of boards, as well as facilitating networks such as the Powys Advocacy Network.

Community Connectors - The service helps people in Powys (aged 18+) and their families or carers, to access community-level services and activities that will help them maintain independent lives and which help prevent their circumstances deteriorating to a point where they might need higher level health or social care services.

Powys Befrienders Service - Powys Befriending Service helps improve the independence of people over 50 by helping maintain social networks and remain in their own homes for as long as they are able.

Clair with some of the Community Connectors

Why do you think the Community Connectors have, in such a short time, become such key players in supporting some of our most vulnerable Powys residents?

For anyone who may be vulnerable or facing a challenging time, access to the right information at the right time is essential. Often it can be a challenge to keep on top of the latest information about the support that is available. The Community Connectors have become a key link between statutory services, the client and the sector. This has been driven by the Social Services and Wellbeing Act and A Healthier Wales; and the work with the Regional Partnership Board in delivering the Health and Care Strategy for Powys.

What are the main challenges of your new role?

Juggling time and commitments! With a large team and an even larger number of meetings to attend where I represent the sector, it is always a matter of judging the best way I can support the team and the sector in the best way possible. I like the challenge though and always try to ensure that I make time for my own health and wellbeing and ensuring a good work/home life balance.

Why do you think it is crucial that there is a healthy and robust Health & Wellbeing Third Sector in Powys?

There is a huge focus on health and wellbeing at the moment and in particular early help and intervention. Statutory services have changed immensely over the years and the model for delivery, and financial capability of delivering front line services has also changed. The third sector has a crucial part to play in our communities in supporting health and wellbeing but the sector itself needs to be healthy and robust, able to adapt to change and given the freedom to deliver what truly matters to people. Funding is always a challenge but I like to challenge funding bodies such as the local authority and Welsh Government to focus on early help and prevention and how this can be funded in the third sector. Volunteers play a huge role in supporting health and wellbeing in Powys so we must do what we can to look after Powys’ volunteers.

Clair with Andrew Davies, PAVO Health & Wellbeing Participation Officer

If you could change one thing in the Third Sector Health and Wellbeing world here, what would it be?

Ooh wave my magic wand……Other than overcoming funding difficulties within the sector, I would like to see more third sector involvement in the engagement and support of children and young people. Powys’ third sector has lost a lot of capacity in the remit of delivering support for children and young people and I think it is vital we play an active part in this area of health and wellbeing, to help support children and families and play a key role in reducing and preventing issues in the future.

Charities and voluntary groups (including PAVO) increasingly work more closely with statutory providers of health services - how do you think this will affect the sector from the tiniest local groups to the national big charity players?

I think the biggest challenge here is meeting demand. The SSWB Act has a focus on support close to home but we need to ensure that support for these organisations and groups filters right down to the smallest provider. The close work with statutory partners is certainly a positive step forward but I think there needs to be greater understanding of the role of the sector, in particular the smaller groups, that the sector cannot survive on thin air and it shouldn’t be the place to cut funding.

The Social Value Forum is really starting to see small groups and charities benefit from a small amount of funding that can make a big difference in the community. Sustainability of third sector services is always an issue. Powys is heavily reliant on the outstanding work of volunteers but there is only so much volunteers can do and only so much time to give for volunteering as we all work longer. 


Sharon Healey (L)  new Senior Officer for the Community Connectors &
Powys Befriending Services with Clair

How do you see co-production* working successfully in Powys to provide quality health services for all and what is PAVO’s role in this?


We have had some really positive discussions with third sector agencies such as Credu about co-production in Powys. I feel it's really important to include the service user or community’s views to shape services and this needs to be in a constructive and positive manner. To truly enable co-production we have to break down bureaucratic barriers and this can be a big challenge when working with statutory partners as they have their statutory duties to fulfill. Remove the barriers and let the sector work together with communities to shape future services.

PAVO can play an active role in bringing people together, ensuring the citizen and sector’s voices are heard at statutory level, and influence decision making on behalf of the community and third sector. PAVO’s mission is to be a CATALYST of voluntary Action, a legitimate VOICE for the voluntary sector and a HUB of essential information. We are looking at new ways of using the Community Connectors’ community workers’ meetings to co-produce services at community based level as we know in Powys one size does not fit all. It has to come from the community.

Lots of big issues are crowding out the H & W agenda, the Big 4 of Powys’s Health & Care strategy (Cancer, Mental Health, Heart and Respiratory disease), the Loneliness and isolation strategy of the Together for Mental Health new delivery plan. What skills can your PAVO teams bring to the table?

The team has excellent communication skills and the ability to decipher vast amounts of important health and wellbeing information. Using their creative communication skills they make information regarding health policies and wellbeing initiatives easily accessible to the public, and indeed statutory and third sector colleagues. The teams do this through a variety of platforms such as the ebulletins, social media, health lift films, infoengine.wales and by working with people directly; thus meaning there is something for everyone. The team uses a variety of skills to ensure the voice of the citizen and the sector is heard at all levels of the decision making processes. We also benefit from working closely with our colleagues in the development team to support the sector to meet the challenges of an ever demanding, ever changing wellbeing environment.

Clair (2nd from L) at a patient discharge home meeting with colleagues from Third Sector,
Powys Teaching Health Board and Powys County Council

If people identify gaps in mainstream and Third Sector health and wellbeing services - where should they take that information so that the gaps can be addressed?

The Community Connectors’ case management system allows the team to record gaps and unmet need when working with clients. This has proved very useful with our work with the Social Value Forum to identify needs in communities. However this is just one way of recording information, there is a huge amount of information out there and if you speak to residents or people working in Powys communities they know where there are gaps. The challenge is recording it. The team has used the Community workers’ meetings to also record data around gaps and unmet need and if you don’t already attend one of these meetings I would encourage you to do so.

There are a couple of social prescribing pilot projects in Powys. There seems to be a greater appetite for exploring new and innovative ways to tackling some health & wellbeing issues. What are your thoughts?

Firstly I am not sure I like the terminology ‘social prescribing’. We shouldn’t have to be ‘prescribed’ community based third sector services. However people do need to know what’s available to them to support good health and wellbeing. We should encourage and support people to access community based activities where medical intervention is not required. This type of service is designed to support physical activity and promote good mental health.

Have you taken inspiration from others in the fields of health and wellbeing and / or the Third Sector, and if so, who?

I have actually taken my inspiration from my late father. He was very community minded and spent years as a Town and County Councillor always striving to make people’s lives better. Seeing him work so passionately in the community helped shape me and gave me the firm foundations to strive to deliver the very best for people in the work I do today and every day.

Tell us about some of the most rewarding work you have done at PAVO

Supporting the growth if the connector service has been very rewarding and being shortlisted for an NHS Wales award in autumn 2018 was definitely a highlight. But listening to the difference we can make to people’s lives and to the communities of Powys is always heart warming. I am very clear that without the third sector in Powys the county would be less vibrant.



When you’re not working how do you enjoy spending your time?

My spare time is undoubtedly dedicated to my family. I live with my husband (pictured above on my wedding day) and I have three children and two step children. I am normally running around with various items of sporting kit from rugby to football to horse riding gear. I am very proud of the children and enjoy being on the sidelines cheering them on. I also love cooking with my husband. That's my daily de-stress hour when I get home. I enjoy going to concerts (Bruce Springsteen has to be one of my all time favourites along with The Rolling Stones but I would love to see Sir Tom Jones in concert too). I love walking the dog and getting out into the mountains. Getting fresh air into my lungs helps me to feel grounded and reinvigorated.

BIG thanks to Clair for telling us more about her new role. If you'd like to contact Clair then you can ring 01597 822191 or email clair.swales@pavo.org.uk

*Co-production means delivering public services in an equal and reciprocal relationship between professionals, people using services, their families and their neighbours. Where activities are co‐produced in this way, both services and neighbourhoods become far more effective agents of change.

Definition developed by the New Economics Foundation (NEF) and Nesta, in partnership with the Co-production Practitioners’ Network


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