Results for 'health care'
Evaluation of the Tinder Foundation and NHS England Widening Digital Participation programme, which set out to improve the digital health skills of people in hard-to-reach communities in order to help them take charge of their own heath. It aimed to ensure that health inequalities resulting from digital exclusion do not become more pronounced. The programme involved: building a Digital Health Information network of local providers who provided face-to-face support to help people improve their skills; developing digital health information; supporting people to access health information online and learn how to complete digital medical transactions; and funding Innovation Pathfinder organisations to test innovative approaches to help people improve their digital health skills. This report evaluates the key figures and learning from the final year of the project and also provides a summary of the key findings across the three-year programme. It discusses the scale and impact of behaviour change on frontline services; priority audiences participating, including people with dementia and people with learning disabilities; and new models of care. The evaluation found that during the duration of the project 221,941 people were trained to use digital health resources. This has resulted in more people using the internet as their first port of call for information, and potential savings from reduced GP and A&E visits. The report estimates that the combined annual cost savings of reduced visits to GPs and A&E comes to approximately £6 millon against an NHS investment of £810,000 in year three.
PARKINSON Andy, BUTTRICK Jamie
Evidence review, undertaken through a joint project between the Low Commission and the Advice Services Alliance, to examine the impact of social welfare advice services on health outcomes. The review outlines key findings from 140 research studies and also provides an overview of 58 integrated health and welfare advice services. Advice services covered in the review included those providing advice on debts, welfare benefits, housing, employment and discrimination advice. The results of the evidence review are discussed across the following areas: health inequalities; debt and mental health; primary care; secondary and tertiary care, including mental health services. The analysis finds that welfare advice provided in health context results in better individual health and well-being and lower demand for health services. Positive effects on health and welbeing include: lower stress and anxiety, better sleeping patterns, more effective use of medication, smoking cessation, and improved diet and physical activity. It shows how the right welfare advice in the right place produces real benefits for patient health especially where advice services work directly with the NHS and care providers, and presents evidence to show that early and effective advice provision reduces demand on the NHS. It provides recommendations for NHS, Local Authority Commissioners, Health and Wellbeing Boards, and the advice sector for the use welfare advice services to improve health outcomes, address health inequalities and reduce demand on the NHS.
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.
FENDT-NEWLIN Meredith, et al
Reports on an evidence review to explore the role of UK housing interventions in supporting the mental health and wellbeing of older people and their ability to live well at home. The review was commissioned by HACT and carried out by the Social Care Workforce Research Unit at King’s College London. Part one of the report looks at what is known about UK housing interventions that aim to promote mental health and wellbeing among older people. It provides a description of the evidence and the implications for practice and commissioning under the following themes: Identification, diagnosis and management of symptoms; Environments; and Reducing social isolation and loneliness. Part two explores questions around integration and how health, housing and social care agencies are working together to support older people’s mental wellbeing. It identifies some of the barriers to effective collaboration and looks at how these might be overcome. Three key messages emerged from the review of the evidence: the need for people working in service planning and commissioning to include housing needs in the integration debate; the importance of relationships between managers and practitioners from different sectors at a local level; and the need to take a UK perspective in order to share innovation in social housing happening in different parts of the country.
GREAT BRITAIN. Department of Health, PUBLIC HEALTH ENGLAND, NHS ENGLAND
This joint review sets out the role of the voluntary, community and social enterprise (VCSE) sector in improving health, wellbeing and care outcomes and identifies how the sector can best address potential challenges and maximise opportunities. The report places wellbeing at the centre of health and care services, and making VCSE organisations an integral part of a collaborative system. It makes 28 recommendations for government, health and care system partners, funders, regulatory bodies and the VCSE sector. Chapters: explore the contribution that VCSE organisations can play in reducing the human and financial costs associated with health inequalities, often through peer- and community-led activity; the benefits of partnership working and collaboration between commissioners, VCSE organisations and individuals; the importance of evidence and impact assessment, and how both can be used more effectively in health and care services; and the importance of commissioning practice, identifying a number of key principles that should underpin the funding relationship between public sector bodies and the VCSE sector. Each chapter looks at what is needed to achieve success and includes short case studies. The final chapters discuss the role of VCSE infrastructure bodies and set out the value of the Voluntary Sector Improvement Programme and recommendations for its future focus. Recommendations include the need for health and care services to be co-produced, focussed on wellbeing and valuing individuals' and communities' capacities and for social value to become a fundamental part of health and care commissioning and service provision.
WOOD Suzanne, et al
This report explores the value of people and communities at the heart of health, in support of the NHS Five Year Forward View vision to develop a new relationship with people and communities. It seeks to bring together in one place a wide range of person- and community-centred approaches for health and wellbeing. It provides an overview of the existing evidence base with a particular focus on the potential benefits of adopting these approaches. The report suggests that there is evidence from research and practice to demonstrate the benefits of person- and community-centred approaches, across three dimensions of value: mental and physical health and wellbeing – these approaches have been shown to increase people’s self-efficacy and confidence to manage their health and care, improve health outcomes and experience, to reduce social isolation and loneliness, and build community capacity and resilience, among other outcomes; NHS sustainability – these approaches can impact how people use health and care services and can lead to reduced demand on services, particularly emergency admissions and A&E visits; and wider social outcomes: these approaches can lead to a wide range of social outcomes, from improving employment prospects and school attendance to increasing volunteering. They also can potentially contribute to reducing health inequalities for individuals and communities. The report includes an outline of the ‘Realising the Value’ programme, which is designed to develop the field of person- and community-centred approaches for health and wellbeing by building the evidence base and developing tools, resources and networks to support the spread and increase the impact of key approaches.
COMMISSION ON IMPROVING URGENT CARE FOR OLDER PEOPLE
Final report from the Commission on Improving Urgent Care for Older People which provides guidance for those involved in designing care for older people and outlines eight key principles the health and care sector can adopt to improve urgent care for older people. The Commission was established out of a concern that the care system was not meeting the needs of older people, resulting in lower quality of care, a lack of out-of-hospital services as an alternative to A&E, not enough focus on prevention and early intervention, and delayed transfers of care. It brought together a range of experts, received over 60 evidence submissions; carried out visits to sites using innovative ways to deliver care; consulted with NHS Confederation members and patient and carer groups; and commissioned an evidence review. The report draws on the evidence to look at the case for change. It then outlines eight key principles that can be used when redesigning health and social care system: start with care driven by the person’s needs and personal goals; a greater focus on proactive care; acknowledge current strains on the system and allow time to think; the importance of care co-ordination and navigation; greater use of multi-disciplinary and multi-agency teams; ensure workforce, training and core skills reflect modern day requirements; leadership should encourage us to do things differently; and metrics must truly reflect the care experience for older people. Short case studies of innovative practice are included in the report, covering acute and primary care, voluntary sector and local government partners and commissioners.
STUDDERT Jessica, STOPFORTH Sarah
This position paper sets out some of the challenges in achieving a fundamental structural shift in the health system, citing new evidence from health and local government professionals. The paper sets out the potential of reimagining health as place-based, taking an asset-based approach and focusing on shaping demands in the longer term and ultimately producing better health and wellbeing outcomes. Underpinning this approach is the recognition of the wider determinants of health, where fewer health outcomes result from clinical treatment and the majority are determined by wider factors such as lifestyle choices, the physical environment and family and social networks. Place-based health would mean reconceptualising ‘health’ from something that happens primarily within institutions, to involve all local assets and stakeholders in a shift towards something that all parts of the community, and individuals themselves, recognise and feel part of. This would mean the individual would move from being a recipient of interventions from separate institutions to being at the heart of place-based health. The paper intends to lay out the challenge for the Place-Based Health Commission, which will report in March 2016 and recommend practical steps for professionals in health and care to overcome organisational barriers – real and perceived – and make a fundamental shift towards an integrated system that puts people at the heart of it.
A short guide providing new approaches and practice examples of how Clinical Commissioning Groups and Health Wellbeing Boards can commission and support interventions which embody the principles of collaborative care, individual choice and control and patient and public participation. The six approaches presented are: Experts by experience and self-advocacy; Self-directed support and personal health budgets; Capabilities and asset-based approaches to health and care; Co-production and citizen led commissioning; Community development and building social capital; and Networked models of care. Each includes accompanying practice examples. The guide has been produced by the Inclusive Change partnership of Shared Lives Plus, Community Catalysts, In Control, Inclusion North and Inclusive Neighbourhoods.
LOCAL GOVERNMENT ASSOCIATION
This publication is a call to action to local commissioners, Government and national bodies to support health and wellbeing boards in bringing about a radical transformation in the health of local communities. It has been prepared by the Local Government Association (LGA) and NHS Clinical Commissioners (NHSCC) working jointly in consultation with members of health and wellbeing boards (HWBs) across the country. Among the essential characteristics of effective place-based boards this document highlights: shared leadership; a strategic approach; engaging with communities; and collaborative ways of working. It proposes: a national five-year funding settlement across health and care; freedom for HWBs to determine local priorities; development of a new payment system; enhanced information governance and data sharing; commitment to the principle of subsidiarity in commissioning decisions; a single national outcomes framework for health, public health and social care; and a national strategy for coordinated workforce planning and integrated workforce development across health, public health and social care.