All research records related prevention examples and research
Implementation plan which outlines a roadmap for delivering the commitments made in the Five Year Forward View for Mental Health to people who use services and the public in order to improve care. It prioritises objectives for delivery by 2020/21 and is intended as a blueprint for the changes that NHS staff, other organisations and other parts of the system can make. Key principles of the plan include co-production, working in partnership with local public, private and voluntary sector organisations; early interventions and delivering person-centred care. The plan also gives a clear indication to the public and people who use services what they can expect from the NHS, and when. It also outlines future funding commitments, shows how the workforce requirements will be delivered in these priority areas, and how data and payment will support transparency. Separate sections cover: children and young people’s mental health; perinatal mental health; adult mental health – including community, acute, crisis care and secure care; mental health and justice, and suicide prevention. These individual chapters set out national-level objectives, costs and planning assumptions. Chapters also describe cross-cutting work to help sustain transformation, including testing new models of care and ensuring the health and wellbeing of the NHS workforce.
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
This report summarises discussions from a roundtable event attended by older people and carer representatives, practitioners, providers and commissioners to identify how the NICE guideline on supporting older people with multiple long-term conditions and their carers could best be used and implemented. It also sets out practical examples, actions and ideas to help improve local practice. Small groups discussed how the guideline can help achieve three priorities that the Guideline Committee identified as most important for potential impact and the likely significant challenges. These were: empowering older people and carers; empowering health and social care practitioners; and integration of different care and support options to enable person-centred care. Suggested actions and practice examples in each of the three priority areas.
LOCAL GOVERNMENT ASSOCIATION
Drawing on information from six case studies, this report makes the case for greater engagement of public health in supporting integration across local government and the NHS. It identifies two reasons for public health to be involved in integration: the skills, capacity and expertise public health teams can bring, and the potential of integration for improving health and wellbeing. The report explores four areas in which public health involvement in integration has been found to make the greatest impact: collaborative systems leadership, a population approach, a focus on prevention and developing outcomes. A short self-assessment tool is also included which can be used for areas to consider the extent of public health involvement in integration in their own area. The case studies come from Doncaster, Hertfordshire, London Borough of Richmond, Somerset, Wakefield and Worcestershire.
MENTAL HEALTH FOUNDATION
Examines how investing in building and maintaining good relationships and tackling the barriers to forming them positively impact on mental health and wellbeing. The evidence shows that people who are more socially connected to family, friends, or their community are happier, physically healthier and live longer, with fewer mental health problems than people who are less well connected. The paper looks at relationships across the life course and why they matter, focusing on children and young people, adults and later life. Higher rates of mental health problems such as depression and anxiety have been associated with loneliness, isolation and social rejection during adolescence and similarly having few close relationships has been linked to higher rates of depression and stress in older adults. The report calls on national governments, public bodies and employers to promote good relationships and tackle barriers, including mounting pressures on work–life balance and the impact of bullying and unhealthy relationships.
SLAY Julia, ELLIS-PETERSEN Madeleine
Drawing the experiences from two pilot sites in Kent and Gloucestershire, this report aims to help commissioners of public services understand how they can improve outcomes for people and communities through closer integration of arts and cultural into public services. As part of the Cultural Commissioning Programme (CCP), New Economics Foundation worked with NHS and local authority partners in Kent and Gloucestershire over an 18 month period. This report brings together examples, case studies, templates and resources that share the successes of, and challenges faced by, the commissioners in the two pilot site. As part of the project the NHS Gloucestershire Clinical Commissioning Group has funded nine projects that are applying arts and culture across a range of clinical pathways including cancer, mental health and diabetes. They are also exploring how arts and cultural activities can be aligned with the county wide social prescribing scheme. Services developed in Kent include community-based mental health service which includes formal arts and cultural organisations, such as local museums and theatres, as well as smaller, informal arts and cultural groups, such as reading groups and dance classes. Kent County Council has also been involving arts and cultural organisations in their early help and preventative service worth around £8 million. Recommendations for other commissioners include: raising awareness within public services bodies of the benefits of working with arts and cultural providers; building provider capacity and knowledge; involving the arts and cultural sector in market engagement; improving procurement processes; and improving monitoring and evaluation processes.
FACULTY OF PUBLIC HEALTH, MENTAL HEALTH FOUNDATION
This report looks at what can be done individually and collectively to improve the mental health of individuals, families and communities and prevent mental health problems using a public health approach. The report aims to encourage proportionate use of universal services with a focus on the promotion of mental wellbeing and on high level support for those at risk of poor mental health and mental health problems, complementing recovery and prevention approaches. Section one maps out why mental health is an important, highlights its economic and social costs and examines why it is often overlooked. Section two outlines the risk and protective factors through the life course from the early years, to adulthood and later-life. It also looks at the risk and protective factors across communities, for example in the home, education and work settings, and the effects of the built environment and neighbourhoods. Section three addresses approaches and interventions to improve mental health at different stages of the life course and in different settings. Section four offers a practical guide to enable practitioners to support their own mental wellbeing. Case studies of innovative public mental health programmes and projects being run across the UK are included throughout. Annex A includes a list of initiatives received as entries for the Faculty of Public Health public mental health award, 10 of which are included in the report as case examples.
CAMPAIGN TO END LONELINESS
A guide to help commissioners and service providers to develop ways of identifying older people experiencing loneliness or who are at risk of being lonely. Section one identifies methods of identifying older people who may be at risk of loneliness. These include top down approaches which use available data and data mapping to identifying geographical areas likely to contain more people at risk; and bottom up approaches, which draw on the local knowledge and capacity of communities to identify and engage with older people experiencing loneliness in their area. Section two illustrates how these different methods can be used and provides case studies to show how they have been used successfully by other organisations. Section three provides advice to help staff and volunteers to speak to people at risk of loneliness in a way that can bring about positive change. It shows the importance of using empathy, openness and respect when holding conversations and also taking a problem-solving approach to help people identify and plan their own solutions. Each section includes summary learning points and provides advice to help providers and commissioners to help change their ways of working. The report makes 10 key recommendations for service providers and commissioners.
INNOVATION UNIT, GREATER MANCHESTER PUBLIC HEALTH NETWORK
This is a practical guide for getting started and growing asset based primary care at scale. It highlights examples of asset based approaches from both within Greater Manchester and beyond. Assets can be broadly grouped into: personal assets e.g. the knowledge, skills, talents and aspirations of individuals; social assets e.g. relationships and connections that people have with their friends, family and peers; community assets e.g. voluntary sector organisations (VSO) associations, clubs and community groups; and neighbourhood assets e.g. physical places and buildings that contribute to health and wellbeing such as parks, libraries and leisure centres. Drawing on research with commissioners, GPs, the community and voluntary sector, public health professionals, patients and the general population, the guide sets out what it takes to make asset based primary care work in practice, and what it would take to adopt it, not just in isolated pockets but across a whole neighbourhood, system or region. It details the background to asset based care, presents ten case studies and makes recommendations for how to develop an asset based primary care in a locality. Key steps to developing and implementing an assets-based approach include: setting up a team to lead the work; understanding which patients to focus on; understanding and mapping the user journey; understanding which approach will work best in a community; creating a development plan for the neighbourhood team; implementing and evaluating the plan; and planning for sustainability.
NHS CONFEDERATION, et al
Joint publication from the Association of Directors of Adult Social Services, Local Government Association, NHS Clinical Commissioners and NHS Confederation which describes what a fully integrated, transformed system of health and social care should look like. Sections look at what can be achieved through integration for individuals, communities, local health wellbeing systems, and Government and national bodies; what is needed to make integration happen; what has been learnt about successful integration so far; and the issues that local and national leaders need to tackle. Drawing on a selection of evidence, reports, case studies and local experience, the document highlights three key components for effective integration. These are: shared commitments – to improving local people’s health and wellbeing, providing services around the individual, and a preventative approach; shared leadership and accountability; and shared systems – such as information and technology, payment and commissioning models, and integrated workforce planning. The final sections outline questions for local and national leaders and summarise the key components for effective integration of health and social care.
HARFLETT Naomi, et al
An economic analysis of three schemes from Dorset Partnership for Older People Projects (POPP), focusing on their value and effectiveness in preventing malnutrition and preventing fire related injuries. Dorset POPP schemes use a community led preventative approach and aim to improve the quality of life of older people and to save money by preventing ineffective use of publicly funded services. The report uses published figures of the costs of malnutrition and the economic value of preventing fire injuries and applies the figure to contact monitoring and costs data from three of the Dorset POPP projects to provide an estimate of the potential economic value. The schemes are: the Wayfinder Programme, which provides signposting and support on services such as welfare benefits and pensions, retaining independent living, social activities, telecare and lunch clubs; the Community Initiatives Commissioning Fund (CICF), which funds initiatives identified by local people such as lunch clubs, social clubs, and neighbourcare schemes; and Safe And Independent Living (SAIL) multi-agency referral scheme, which provides a multi-agency referral approach to enabling access to signposting, support, and services. For all of the interventions included in the analysis, just a very small proportion (often less than one per cent) of the contacts or referrals made would be needed to prevent malnutrition or fire related injuries, in order to save money.