Results for 'costs'
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.
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.
KING'S FUND, LOCAL GOVERNMENT ASSOCIATION
These infographics from the King's Fund and the Local Government Association set out key facts about the public health system and the return on investment for some public health interventions. They show the changing demographics with a growing ageing population and the impact of social and behavioural determinants on people’s health. The document also highlights the costs of key health and social services and estimates the potential returns on investment on preventative interventions. For instance, Birmingham’s Be Active programme of free use of leisure centres and other initiatives returned an estimated £23 in quality of life, reduced NHS use and other gains for every £1 spent. Every £1 spent on improving homes saves the NHS £70 over 10 years. Befriending services have been estimated to pay back around £3.75 in reduced mental health service spending and improvements in health for every £1 spent. Every £1 spent on drugs treatment saves society £2.50 in reduced NHS and social care costs and reduced crime.
HOLLAND Carol, et al
Report presenting findings from a longitudinal study to evaluate whether the ExtraCare Charitable Trust housing approach provides positive outcomes for healthy ageing which also results in health and social care cost savings. For the study 162 volunteer new residents were assessed prior to moving into ExtraCare accommodation in the 14 locations on their health, illness, well-being and level of activity. They were then assessed on the same measures at 6, 12 and 18 months after entry. Residents were compared against 39 control participants. The main focuse was to measure health, illness, well-being, activity and personal perceptions .Qualitative data were also collected through focus groups, interviews, and case studies to gather residents views and perceptions. Statistical modelling was used to identify the most important factors in predicting outcome measures of cost. Key findings identified: significant saving for NHS budgets, with total NHS costs reducing by 38% over a 12-month period for residents in the sample; a reduction in the duration of unplanned hospital stays; potential savings in the cost of social care; improvements in residents who were designated as in a 'pre-frail' state on entry to ExtraCare housing; and improvements in residents psychological wellbeing, memory and social interaction.
DIXON Josie, et al
This independent economic evaluation of the British Red Cross Support at Home service focuses on four services which were found to improve outcomes in an earlier British Red Cross evaluation. The services all aim to help people to build their confidence and regain their independence during times of particular difficulty.Those evaluated were 'Next Steps', where volunteers provide home visits and monitor how people are coping following hospital discharge; 'Care in the Home' services delivered by staff and volunteers providing social visits, support and help with household tasks; and a Neighbourhood/Community service in Scotland which focused on linking people to existing services and volunteer-led services such as befriending. The final sample for this analysis consisted of a total of 52 people, the majority of who were over 65. Two outcomes were used in the economic analysis: an increased ability to manage daily activities and improved wellbeing. The evaluation identified cost savings that were related to a reduced need for formal/ informal care and general help around the home; a reduced risk of falls and malnutrition, particularly amongst those with unmet care needs; and, to a lesser degree, a reduced need for treatment of depressive symptoms. The total savings identified amounted to more than five times the cost of the service. The average cost of the intervention was £169 per person (based on the services and sample data in the Red Cross evaluation) and the identified savings came to £880 per person.
SKILLS FOR CARE
This online tool outlines the key steps of planning and implementing the impact assessment of assisted living technologies (ALT) and assistive living services (ALT). It includes practical tips, links to other sources of guidance and areas to discuss with partners. The toolkit covers designing an evaluation framework; assigning impact measures; establishing a sample of people to assess impact; establishing unit costs; developing data capture research tools; measuring return on investment; quality control; and using the findings to inform future delivery. The tool should be used in conjunction with two accompanying reports: 'Supporting commissioners of assisted living Services: stage 1: research report' and 'Commissioning assisted living technologies: guidance'.
This guide sets out the issues that need to be considered when developing a business case to invest in preventive services and to ensure that any decision are based on robust and reliable data. The guide focuses on the following arguments: the importance of 'investing to save', arguing that prevention is cheaper in the long term; promotion of service innovation; placing the focus of commissioning on outcomes rather than outputs; and managing a shift in spending from acute to prevention to reduce demand over time. The guide outlines key four activities required to build a business case: understanding needs; understanding current costs; assessing possible interventions; and deciding how to measure the value and outcome of the interventions. It also provides a summary business case for prevention and using a Social Impact Bond (SBI) to finance a business case for prevention. An example case study of making a business case for prevention services in early years services in Greater Manchester is included.
UNIVERSITY OF YORK. Social Policy Research Unit
This report provides final findings of a study conducted with ten participating councils to investigate the benefits of homecare re-ablement. The study aimed to identify features of an effective and cost efficient services; maximise outcome and duration of benefits; and to understand and reduce the demands on other formal care, including other social services. The study comprised of three groups of councils: intervention sites which were enablement staff led; intervention sites with mixed staff teams; and comparison sites where service users had not undergone a phase of home care re-ablement. The previous interim study reflected on initial findings from the intervention sites. This report also adds findings from the comparison sites and long term impact from the follow up review stage. Main findings are discussed in the areas of assessment arrangements; discharge and onward referral arrangements; key features of re-ablement services; team skill mix; staff commitment, attitude, knowledge and skill; service users and carer views; and a strong vision of the service.
SOCIAL CARE INSTITUTE FOR EXCELLENCE, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
A short briefing paper which outlines research and practice evidence about reablement and describes what is required for successful implementation. Sections cover: setting up a reablement service, tips for commissioners, key considerations in providing an efficient and cost effective service. It also presents two case examples of the impact reablement can have on the population and on local authority budgets. Links are provided to freely available evidence and information.
AL-ORAIBI Saleh, FORDHAM Ric, LAMBERT Rod
This study looked at whether new assistive technology (AT) systems in care homes for elderly residents, reduced the number of falls and demands for formal health services. The project collected retrospective data about the incidence of falls before and after AT systems were installed in two care homes in Norfolk, UK. These homes were selected purposefully because a recent assessment identified the need for upgrading their call system. They had different resident profiles regarding the prevalence of dementia. Standard incident report forms were examined for a period starting ten months before the upgrades to ten months after in Care Home 1 and from six months before to six months afterwards in Care Home 2. Overall there were 314 falls reported during the course of the study; the number reduced from 202 to 112 after the introduction of AT. The mean health care costs associated with falls in Care Home 1 were significantly reduced (more than 50%). In Care Home 2 there was no significant difference in the mean cost. The results suggest that installing an AT system in residential care homes can reduce the number of falls and health care cost in homes with a lower proportion of residents with advanced dementia compared to those with more residents with advanced dementia.