Results for 'community work'
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.
An evaluation report of the Altogether Better Wellbeing 2 Programme, working with citizens and services keen to find new ways to improve the health and well-being of their local community. Through the two year programme, funded by the Big Lottery Fund, people were invited to become health champions, they were then nurtured as a group and encouraged to take action to improve local health and well-being in ways that their local NHS or statutory services wanted to support. The report finds that champions, and participants in the groups and activities that they have run, have benefited significantly from their involvement in a wide range of activities; with over 98 per cent reporting increased involvement in social activities and social groups and over 86 per cent reporting increased levels of confidence, well-being and new knowledge related to health and well-being. The NHS and statutory organisations have come to a greater recognition of the resourcefulness and generosity of the citizens who use their services. They are beginning to recognise that it is legitimate and effective for them to divert more of their time and resources into supporting volunteers who themselves support the health and well-being of their communities. This in turn raises the possibility of these organisations radically changing the way they provide services. The report concludes by arguing that the success of the approach depends critically on the quality of the working relationship between health champions and their organisation and that there are grounds for optimism, as a result of these relationships, that support for health champions will be sustainable into the long term, becoming simply ‘how we do things round here’.
Presents the findings of a forecast analysis of the social value of local area coordination in Derby. The aim of local area coordination is to support residents in the local community to ‘get a life, not a service’, empowering individuals to find community based solutions instead of relying on services. The analysis demonstrates that over the three year forecast period with 10 local area coordinators, local area coordination would deliver significant social value with up to £4 of value for every £1 invested. Further expansion of the service to 17 local area coordinators across all wards would see this value increase further with an increased number of individuals receiving the support. The report highlights that local area coordination is delivering significant benefit to individuals in the community by increasing their overall health and wellbeing. In addition, other stakeholders and the wider community also benefit from local area coordination with community groups forming to address need and benefiting from the promotion through coordinators. The report sets out key recommendations to further optimise the social value created through this service and to better capture the impact and inform future evaluations.
LANGFORD Katharine, BAECK Peter, HAMPSON Martha
Examines the constitutive elements of the ‘more than medicine’ approach, looking at social prescribing, signposting through link workers, health trainers and navigators, and community-based services. ‘More than medicine’ creates a set of tools for clinicians to use with patients to address the behavioural and social aspects of long term conditions. It connects the clinical consultation with interventions such as peer support groups, debt counselling, walking groups, befriending, one-to-one coaching and community cooking classes that help people to manage their long-term conditions and improve their health and wellbeing. These activities, places and people help service users and patients to live healthier lives, make friends and learn new skills. The report provides a description of each element of ‘more than medicine’ - social prescribing, signposting and community services - and illustrates the discussion with case studies and summaries of the evidence.
FARENDEN Clair, et al
An evaluation of the community navigation service, a one-year social prescribing pilot. The model for the pilot was based on Age UK national templates, drawing from their vast knowledge and experience of delivering other similar services across the UK. Community navigators work in GP surgeries to assess patients non-medical support needs and help them access groups, services and activities that can broadly improve their health and wellbeing. The evaluation found that navigation is effective for patients, GP surgeries and volunteers. Patients feel listened to and understood by navigators, have increased access to the right services at the right time and are able to take the next steps towards improving their health and wellbeing. GPs continue to increase referrals, are satisfied with the quality of the service and are seeing positive benefits for their patients. Navigators value their volunteering role and suggest the training and support provided by the staff team enables them to carry it out effectively. 393 patients were referred across 16 surgeries during the first 12 months of the pilot and 741 referrals were made to groups, services and activities patients would not have otherwise accessed. The service attracted a highly experienced and skilled volunteer team to carry out the community navigator role. Most navigators have a previous or current career in healthcare, social services, teaching or counselling. The evaluation examines in detail: the impact on primary and secondary care; community navigation activities, outputs and outcomes; the social value; cost-benefit analysis; lessons, challenges and successes; and risk and opportunities. A set of key recommendations derived from the learning from the pilot are included.
BAGNALL A.M., et al
This bibliography and map present the results of a scoping review undertaken as part of a national knowledge translation project ‘Working with Communities – Empowerment, Evidence and Learning’ (2014-2015), jointly funded and steered by NHS England and Public Health England (PHE). This project aimed to support better, more effective working with communities on health and wellbeing through improving access to existing evidence and learning. The first part of this report presents the bibliography, with a total of 168 publications organised into types of study/resource, whether they relate specifically to UK practice or are non-UK studies covering international research. The second part of the report describes the scoping review methods and results of the mapping, in terms of the spread of evidence resources and characteristics. In terms of the types of outcomes that were reported in the included studies, process outcomes (i.e. how an intervention was implemented) were the most frequently reported, followed by service delivery and organisational outcomes, wellbeing outcomes and health outcomes. Economic outcomes were reported in 43 studies, and outcomes relating to the social determinants of health were reported in only 41 studies. Wellbeing outcomes were slightly more likely to be reported at a community level than were health outcomes.
PERSONAL SOCIAL SERVICES RESEARCH UNIT
This briefing summarises the findings of a study to establish the costs, outputs and outcomes of a number of four best practice community capacity-building projects, especially in relation to their potential for alleviating pressures on adult social care budgets and in the context of current policy interests. All projects worked under financial uncertainties and these challenges highlighted a poor fit between third sector infrastructures and the public sector’s growing requirements for targeted, evidence-based investments. The four projects evaluated comprised support services for people with disabilities, a help-at-home scheme for older people, a training scheme to produce local health champions and a peer-support project for people with mental health issues. Such third sector approaches may postpone or replace formal social care, but projects found it difficult to meet demands for data, whether for making a business case or for the purposes of research. The study found that well-targeted schemes have the potential to produce both benefits to participants and substantial savings to public agencies. Yet the current commissioning context tends to encourage organisations to focus on established priorities rather than to develop innovative, community-based services.
An evaluation of a Skills for Care funded a programme of 12 pilot projects, across 11 organisations, for 12 months in 2013/14 designed to support the development of dementia friendly communities (DFCs), by improving community understanding and awareness of dementia and supporting people living with dementia and their carers to participate in their communities. Section 1 of the report provides an introduction both to the underlying objectives of the programme, and to the participating pilot sites. Section 2 presents an overview of the cross-cutting themes and issues identified across the sites, including motivation and engagement, working with the wider community, intergenerational aspects, engaging with GPs and the NHS, and impact and outcomes. The methodology for the evaluation included analysis of written reports; and one to one semi-structured interviews with project leads. The report highlights the importance of motivation and personal engagement as driving forces while suggesting that most projects encountered difficulties – to a greater or lesser extent – in trying to work with the wider community in developing awareness and understanding of dementia. A few of the projects were addressing intergenerational dimensions of dementia awareness and were working with schools, or were planning to develop such work. In working with a range of local partners many projects were deliberately engaging with the NHS in general and with GPs in particular to increase diagnosis rates. The report concludes that equipping people with the skills and understanding to respond to the needs of people with dementia has great potential to bring about transformational change and to enable genuine social inclusion.
COLLINS Angela B., WRIGLEY Julie
This report evaluates the overall impact of the Joseph Rowntree Foundation Neighbourhood approaches to loneliness programme. The main principles of the Neighbourhood approaches to loneliness programme are that community activities can contribute to the well-being of people at risk of, or experiencing, loneliness; that such people can play a central role in these activities; and that this involvement can also enhance community well-being. This report is based on consultation with community researchers, professional stakeholders, programme staff and community members. The report highlights that good practice requires skilled staff who are able to communicate effectively and provide pastoral support to volunteers; reveals changes in community researchers resulting from their involvement in the programme; demonstrates where there has been community impact; and shares wider lessons which can be learnt from taking a neighbourhood approach.