Results for 'models'
NHS CONFEDERATION, et al
This publication looks at what new care models are doing on prevention and what the emerging practice looks like. Key to the realisation of the Forward View vision and principles has been the development of ‘new care models’ which have prevention and public health at their heart, and are forging ahead. The new models include: integrated primary and acute care systems (PACS), multispecialty community providers (MCPs), enhanced health in care homes, urgent and emergency care, and acute care collaborations. Through a rigorous process, involving workshops and the engagement of key partners and patient representative groups, 50 new care model ‘vanguards’ were selected, taking the lead on the development and implementation of new care models. This publication looks at how five of the vanguards are addressing prevention. These are: All Together Better Sunderland (MCP); West Wakefield Health and Wellbeing (MCP); Sutton Homes of Care (enhanced health in care homes); Connecting Care – Wakefield District (enhanced health in care homes); and Solihull Together for Better Lives (urgent and emergency care). The case studies all show the importance of having as full an understanding as possible of the needs of the local population, including in some cases through risk stratification. Working across organisational and professional boundaries, and getting staff on board, involved and equipped to deliver care in new ways has also proven to be essential. Equally important is tapping into and getting the most out of the experience and skills of carers, volunteers and third sector organisations, and empowering people to ‘self-care’. At the same time, initiatives such as social prescribing have the potential to greatly improve people’s wellbeing. These case studies highlight the need to look beyond the boundaries of health and social care services to the way people actually live their lives, and tailor the support accordingly
LOCAL GOVERNMENT ASSOCIATION, INNOVATIONS IN DEMENTIA
This guidance looks at current best practice and learning in the creation of dementia friendly communities, how it fits within the broader policy landscape, and what actions councils can take, and are already taking in supporting people with dementia by creating local dementia friendly communities. It illustrates how simple changes to existing services, and awareness raising for those who come into day-to-day contact with people with dementia such as staff working in libraries or in leisure centres, can help people with dementia feel more confident and welcome in using council services. The guide looks at what a dementia friendly community is, why dementia is a key issue for councils and the role councils can play. It then presents a framework to help develop to plan, develop and assess the dementia friendliness of any community, organisation or process. The framework covers five domains: the voices of people with dementia and their supporters, the place, the people, resources, and networks. For each domain information is included on: the background to the issue, key actions that councils can take to make this happen, and examples or case studies of existing practice. The guide for those who have a role in leading, planning, commissioning and delivering public services; including health and wellbeing boards, and those responsible for health and social care services.
MUIR Rick, QUILTER-PINNER Harry
This report argues that giving citizens greater control over their health and care can both promote the redesign of services, so that they are developed around citizens needs and aspirations, and also save money by supporting people to manage their conditions themselves. The report begins by looking at what empowerment in health and care means and the benefits it can bring in terms of autonomy, better health outcomes, patient satisfaction, and reductions in cost. It then describes previous programmes and initiatives which aimed to give citizens and communities greater power and why these approaches have not been entirely successful. It then describes five models of care which actively empower citizens and communities and address the deficiencies of previous initiatives. The models described are: social prescribing; brokerage and integration; peer support; asset-based community development; and technology-enabled care plans, which provide people with the tools to better manage their condition themselves. The final chapter identifies five enablers of systems change to help encourage the development and wider adoption of these new models of care: finance, devolving power and integration, recruitment and training workforce, the adoption new technology, empowering citizens to have greater control of their health and care.
One of three handbooks to support commissioners, GP practices and community health and care professionals in planning and providing personalised care for people living with long term conditions. The handbook brings together information about multi-disciplinary and integrated teams and looks at the types of teams that need to be in place to deliver integrated healthcare. It provides definitions of multi-disciplinary and multi-agency teams and also sets out a tool, the MDT Continuum, that describes different types of care team functioning. Four models or stages of multidisciplinary teams are presented, ranging from from unidisciplinary to transdisciplinary team working. Good practice examples representing each of the stages or models. The final section provide information to help integrated commissioning. Other handbooks published separately cover risk stratification and case finding and personalised care and support planning.
An exploration of how local area coordination can support people to pursue their vision for a good life, build stronger communities and help reform care services in England and Wales. Local area coordinators, from within their own local communities, provide information, advice and support to help people to solve their own problems. Instead of focusing on deficits, they help people focus on their own vision for a good life, building on their own assets and relationships and acting as a bridge to communities. The model is built on seven key principles, which include: citizenship; relationships; information; the gifts that each member of the community can bring; expertise; leadership; and services as a back up to natural support. The report argues that local area coordination offers the chance for the whole service system to rebalance itself and to focus on local solutions and stronger communities, whilst also offering a powerful catalyst to wider social care system reform.
OXFORD BROOKES UNIVERSITY. Institute of Public Care
The case study describes the process that Wiltshire Council has used to develop its new ‘Help to Live at Home Service’ for older people and others who require help to remain at home. The approach focused on the outcomes that the older people wish to gain from social care. It involved a complete overhaul of the social care system from the role of the social worker working alongside the customer to determine the required outcomes to the role of the providers of the service who must deliver these outcomes and receive payment based on that delivery. The report aims to promote discussion about how outcomes-based, personalised support can best work in social care in England in the future.
SKILLS FOR CARE
The practice guidance has been produced to support people who have the responsibility for commissioning assisted living technology (ALT) and assisted living services (ALS). These services include : telecare; digital participation services which educate, entertain and encourage social interaction to enrich the lives of people in need of social support; and wellness services which encourage people to adopt and maintain healthy lifestyles. The guide looks at general principles, such as establishing a vision and defining the strategy; carrying out a local needs assessment; service specification and procurement; and developing systems to measure performance and impact. Although primarily developed for commissioners based in social care settings, it may also be useful for those working across housing or health services. An accompanying research report and toolkit have also been produced.
This report presents the findings of research to examine the skills and knowledge that are unique to those commissioning assisted living technologies (ALT). These technologies include : telecare; digital participation services which educate, entertain and encourage social interaction to enrich the lives of people in need of social support; and wellness services which encourage people to adopt and maintain healthy lifestyles. They are referred to collectively as assistive living services (ALS). The research methodology included desk based review of the evidence and consultation with a range of local authority commissioners in England. The report presents a summary of different commissioning models used, provides examples of good practice and what is working well, areas that need improvement and challenges facing commissioners. It also discusses workforce development issues and measuring impact.
BUCKINGHAMSHIRE COUNTY COUNCIL
Sets out a prevention-focused model of adult health and social care services which place emphasis on maintaining people’s independence and resilience; preventing deterioration into substantial or critical categories of need. The document outlines the current system challenges, the existing lack of joint working between sectors and services, a reactive approach to creating support services and networks and a lack of confidence or capacity to innovate and invest in prevention without an evidence base or business case. It then presents a framework for building the evidence for investment in prevention, proposing a measurement methodology and a definition of the target user group and of outcomes and impact. The document puts forward a new prevention-orientated service model, identifying the high‐level functions, which are shared by different agents and delivery mechanisms, on which the model rests. These are: intelligence and knowledge about the effectiveness of prevention‐related activities, bridging and building networks between formal and informal service delivery, connecting people, maximising existing resources and motivating and enabling. The document examines the core components of the model, which include an intelligence hub, a volunteer hub, community links officers, and community prevention officers. Funding and implementation considerations are also included.
MILLER Robin, et al
Purpose: The purpose of this paper is to explore the delivery of preventative services for older people from third sector organisations (TSOs) and the extent to which current commissioning arrangements enables the aspirations of policy to be achieved.
Design/methodology/approach: Semi-structured interviews with key-contacts within a sample of TSOs which had been identified by directors of Adult Social Services as delivering one of the top three preventative interventions in their local authority area.
Findings: There was evidence of considerable trust between local authorities and TSOs and as a consequence TSOs were given autonomy to develop holistic and integrated models of delivery that supported rather than diverted the TSOs’ core missions. Both sectors found it difficult to set target outcomes and connected performance frameworks for preventative services. As a consequence a major element of the commissioning cycle is not being completed and TSOs cannot be confident that they are using their resources as effectively as possible.
Research limitations/implications: This study was based in one English region, and would benefit from being extended to other English regions and home nations.
Practical implications: Universities, policy makers, commissioners and the third sector need to work together to develop common outcome frameworks for preventative services and to gather consistent data sets that can be more easily synthesised to give a “realistic” understanding of the impact of different interventions and delivery models.
Originality value: The paper contributes to the limited evidence bases of commissioning of TSOs and preventative services.