Results for 'evaluation'
SEMPLE Amy, WILLIS Elizabeth, de WAAL Hugo
Reports on a study using Social Return on Investment (SROI) analysis to examine the impact and social value of peer support groups as an intervention for people with dementia. Three peer support groups in South London participated in the study. A separate SROI analysis was carried out for each individual group to find out what people valued about the groups and how they helped them. The report presents the outcomes for each group, the indicators for evidencing these outcomes and the quality and duration of outcomes experienced. It then provides detail on the methodology used to calculate the impact and the social return on investment. Overall, the study found that peer support groups provide positive outcomes for people with dementia, their carers and the volunteers who support the groups. The benefits of participating in peer support groups included: reduced isolation and loneliness; increased stimulation, including mental stimulation; and increased wellbeing. Carers experienced a reduction in carer stress, carer burden and reduction in the feeling of loneliness. Volunteers had an increased sense of wellbeing through their engagement with the group, improved knowledge of dementia and gained transferrable skills. Overall the study found that for every pound (£) of investment the social value created by the three groups evaluated ranged from £1.17 to £5.18.
WATSON Pat, SHUCKSMITH Janet
The Community Agents Project, a programme jointly funded through health and adult social care services, is an innovative approach to meeting the social needs of the elderly and vulnerable population. Community agents act as a one-stop shop, signposting people to the appropriate service that meets their needs. This could be an organisation or voluntary group that can help with shopping, arrange transport to the GP surgery or hospital appointments, help to complete forms, offer encouragement to maintain a care plan, organise a befriender, accompany to a local social activity or signposting to other agencies. The project has received a total of 486 referrals across the borough of Redcar & Cleveland for the period September 2014-September 2015, generating positive outcomes in the following areas: maintaining independence; faster discharge from hospital; reducing admissions to hospital; reducing isolation; improved financial status; appropriate use of health and social services; cost saving; and increases in community capacity. The report estimates a social return on investment of £3.29 for every £1 invested in the Community Agents Project.
This report outlines the progress made in implementing Local Area Coordination in England and Wales between 2012 and 2015. This intervention aims to reduce demand for health and social care by intentionally working to support individuals, families, carers and communities to stay strong, diverting people from formal services wherever possible through sustainable, local, flexible individual and community solutions. The report, which include examples of implementation, stories of success and data describing the improved outcomes and efficiency, suggests that early development sites are demonstrating significant improvements in the quality of people's lives while also providing savings to public services. The stories in this report illustrate how Local Area Coordination: builds individual, family and community resilience; reduces demand for services; reduces isolation and loneliness; increases choice, control and contribution; builds inclusion and citizenship; is a catalyst for reform; and simplifies the system for local people. The report concludes with the suggestion that the strength of Local Area Coordination rests in its ability to act as a single, local, accessible point of contact - simplifying the system, reducing duplication and focusing on strength, inclusion, leadership and citizenship for all.
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.
CLIFFORD Paul, et al
This summary report describes the findings of a project evaluating the potential cost savings arising from the use of telecare. Another aim was to develop a methodology that will support routine evaluation and comparison of the cost-effectiveness of local telecare implementations. Evaluation was made of the suitability of telecare for 50 clients for whom Overview Assessments had been completed by FACE Recording & Measuring Systems Ltd. Where telecare appeared suitable, the social care costs of meeting the client’s needs before and after provision of telecare were estimated. Estimates were also made of the total savings achievable by the deployment of telecare. Out of the 50 cases, 33 were identified as potentially benefitting from telecare. The average weekly cost of telecare was £6.25, compared to £167 for the average weekly care package for the sample pre-telecare. The results confirmed previous studies showing that very substantial savings are achievable through the widespread targeted use of telecare. Potential savings lie in the range of £3m to £7.8m for a typical council, or 7.4-19.4% of total older people’s social care budget.
CENTRE FOR SOCIAL JUSTICE
An evaluation of the Silver Line helpline and befriending service which was set up in response to loneliness and isolation of older people in the UK. The service has been piloted in the North West of the UK, and in the Isle of Man since the end of November 2012 and provides a helpline offering information, referrals to other organisations and someone to talk to 24 hours a day. The evaluation included a literature review, interviews by phone and in person, and fieldwork in the three call centres. The results found that the service was fulfilling its three key objectives of providing a referral service, delivering a befriending service to combat loneliness, and to help identify those who are vulnerable and may be suffering abuse or neglect. The evalution also highlights the skills and values that staff and volunteers considered to be essential when operating the service. Key recommendations for the future included extending the pilot across the country through partnership.
HATAMIAN Areenay, PEARMAIN Daniel, GOLDEN Sarah
The Active at 60 Community Agents programme was a Department for Work and Pensions fund to encourage community groups and their volunteers to help people approaching and post retirement (particularly those at risk of social isolation and loneliness in later life) to stay or become active and positively engaged with society. It was launched in March 2011 and ran until December 2011. This evaluation of the programme included surveys and interviews with local funders, group leaders, community agents (volunteers whose role aimed to empower and support older people to become and/or stay active) and older people. The report describes the background and methodology of the study and presents the findings, covering the role of Community Agents, reaching and engaging older people, what groups did with the funding, what difference the programme made to older people who took part and wider benefits, the legacy of the programme, and the role of local funders and programme management. It also discusses how far the programme achieved its aims and sets out key lessons learned.
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.
KNAPP Martin, et al
This study provides economic evidence to support the case for investing in effective, recovery-focused services for people with schizophrenia and psychosis. Drawing on a wide range of data, it sets out the evidence for the cost-effectiveness for a range of interventions and service. Those discussed are: Early Detection (ED) services; Early Intervention (EI) teams; Individual Placement and Support (IPS); Family therapy; Criminal justice liaison and diversion; Physical health promotion, including health behaviours; Supported housing; Crisis Resolution and Home Treatment (CRHT) teams; Crisis houses; Peer support; Self-management; Cognitive Behavioural Therapy (CBT); Anti-stigma and discrimination campaigns; Personal Budgets (PBs); and Welfare advice. For each intervention the report provides information on the context, the nature of the intervention, the evidence on effectiveness and cost-effectiveness, and the policy and practice implications. The report finds evidence to suggest that all of the interventions contribute to recovery outcomes, reduced costs and/or better value for money. Examples of the savings incurred through particular interventions are also included. The study was undertaken by a team from the Personal Social Services Research Unit (PSSRU), at the London School of Economics and Political Science (LSE), the Centre for Mental Health, and the Centre for the Economics of Mental and Physical Health (CEMPH) at King’s College London.
BARDSLEY Martin, et al
Over the last five years the Nuffield Trust has undertaken evaluations of over 30 different community-based interventions. In many cases the authors have been tasked with identifying whether service changes have led to a reduction in emergency admissions and the associated cost to the NHS. Using these indicators, the results have been almost overwhelmingly negative. The one exception was Marie Curie Nursing Services for terminally ill patients. In this paper the authors outline the main community-based interventions they have evaluated and their impact, and identify nine points that may help those designing, implementing and evaluating such interventions in future. The paper could provide useful learning for the new health and social care integration ‘pioneer’ sites that will be appointed by the Department of Health by September 2013.