Results for 'prevention'
Final evaluation of the Reducing Social Isolation and Loneliness Grant programme, designed to encourage the voluntary and community sector (VCS) to develop innovative approaches to reduce social isolation and loneliness amongst Manchester residents aged 50 plus. The programme was commissioned and funded by North, Central and South Manchester Clinical Commissioning Groups (CCGs), and administered and managed by Manchester Community Central (Macc). It awarded nine large (£10,000-£50,000) and eighteen small grants (less than £10,000) to local VCS organisations across Manchester's three Clinical Commissioning Group areas. This report provides an overview of the programme and discusses evidence of impact in the following areas: reducing social isolation and loneliness; improving confidence and independence; and improving health, wellbeing and quality of life. It also looks at learning from the project around identifying socially isolated and lonely people and engaging with, and retaining, people's involvement in initiatives. The evaluation reported increased social connections, with almost all respondents (97 per cent) meeting new people through the project; the creation of new friendships; increased quality of life; and improvements in self-reported health. It demonstrates that VCS-led model are capable of delivering desired outcomes and also highlights the importance of effective partnership arrangements between VCS umbrella organisations and CCG funders. Individual case studies showcasing learning and impact evidence from the individual projects are included in the appendices.
APTELIGEN, et al
An evaluation of Prevention Matters, a whole county change programme designed to facilitate access to frontline community services and groups in Buckinghamshire. The programme targets those whose needs are below the substantial need threshold for adult social care, building on a referral system, rather than on direct support. Fourteen Community Practice Workers (CPWs) are aligned to the seven GP localities in Buckinghamshire, and lead on the referral process, from first contact with the users to final review and exit. The CPWs are supported by seven Community Links Officers who ensure that the necessary resources are available in the community to meet users’ needs, including identification of opportunities to build new capacity. A wide network of frontline community services and groups provides direct face-to-face support to users through activities such as befriending, transport, fitness, and lunch clubs. The evaluation found that the potential to maintain independence and delay access to adult social care may be less than originally intended as a result of the complexity of the needs and frailty of some programme users. Nonetheless, nearly half of all programme users reported improvement in their satisfaction with the level of social contact they had and a third of programme users reported that their quality of life was better at the review stage compared to the time of their baseline assessment. In addition, the evaluation concluded that the programme has been particularly successful at facilitating access to information. The analysis indicates that the benefits associated with the programme are £1,000 per user per year, including the value of the improvements in health suggested by the impact evaluation (£500), and estimated spill-over effects on the need for informal social care (£492). The report also highlights the positive impact on organisations and systems, and increased volunteering capacity and sets out a series of recommendations to strengthen the delivery of the programme.
LOCAL GOVERNMENT ASSOCIATION
Drawing on information from six case studies, this report makes the case for greater engagement of public health in supporting integration across local government and the NHS. It identifies two reasons for public health to be involved in integration: the skills, capacity and expertise public health teams can bring, and the potential of integration for improving health and wellbeing. The report explores four areas in which public health involvement in integration has been found to make the greatest impact: collaborative systems leadership, a population approach, a focus on prevention and developing outcomes. A short self-assessment tool is also included which can be used for areas to consider the extent of public health involvement in integration in their own area. The case studies come from Doncaster, Hertfordshire, London Borough of Richmond, Somerset, Wakefield and Worcestershire.
SLAY Julia, ELLIS-PETERSEN Madeleine
Drawing the experiences from two pilot sites in Kent and Gloucestershire, this report aims to help commissioners of public services understand how they can improve outcomes for people and communities through closer integration of arts and cultural into public services. As part of the Cultural Commissioning Programme (CCP), New Economics Foundation worked with NHS and local authority partners in Kent and Gloucestershire over an 18 month period. This report brings together examples, case studies, templates and resources that share the successes of, and challenges faced by, the commissioners in the two pilot site. As part of the project the NHS Gloucestershire Clinical Commissioning Group has funded nine projects that are applying arts and culture across a range of clinical pathways including cancer, mental health and diabetes. They are also exploring how arts and cultural activities can be aligned with the county wide social prescribing scheme. Services developed in Kent include community-based mental health service which includes formal arts and cultural organisations, such as local museums and theatres, as well as smaller, informal arts and cultural groups, such as reading groups and dance classes. Kent County Council has also been involving arts and cultural organisations in their early help and preventative service worth around £8 million. Recommendations for other commissioners include: raising awareness within public services bodies of the benefits of working with arts and cultural providers; building provider capacity and knowledge; involving the arts and cultural sector in market engagement; improving procurement processes; and improving monitoring and evaluation processes.
FACULTY OF PUBLIC HEALTH, MENTAL HEALTH FOUNDATION
This report looks at what can be done individually and collectively to improve the mental health of individuals, families and communities and prevent mental health problems using a public health approach. The report aims to encourage proportionate use of universal services with a focus on the promotion of mental wellbeing and on high level support for those at risk of poor mental health and mental health problems, complementing recovery and prevention approaches. Section one maps out why mental health is an important, highlights its economic and social costs and examines why it is often overlooked. Section two outlines the risk and protective factors through the life course from the early years, to adulthood and later-life. It also looks at the risk and protective factors across communities, for example in the home, education and work settings, and the effects of the built environment and neighbourhoods. Section three addresses approaches and interventions to improve mental health at different stages of the life course and in different settings. Section four offers a practical guide to enable practitioners to support their own mental wellbeing. Case studies of innovative public mental health programmes and projects being run across the UK are included throughout. Annex A includes a list of initiatives received as entries for the Faculty of Public Health public mental health award, 10 of which are included in the report as case examples.
CAMPAIGN TO END LONELINESS
A guide to help commissioners and service providers to develop ways of identifying older people experiencing loneliness or who are at risk of being lonely. Section one identifies methods of identifying older people who may be at risk of loneliness. These include top down approaches which use available data and data mapping to identifying geographical areas likely to contain more people at risk; and bottom up approaches, which draw on the local knowledge and capacity of communities to identify and engage with older people experiencing loneliness in their area. Section two illustrates how these different methods can be used and provides case studies to show how they have been used successfully by other organisations. Section three provides advice to help staff and volunteers to speak to people at risk of loneliness in a way that can bring about positive change. It shows the importance of using empathy, openness and respect when holding conversations and also taking a problem-solving approach to help people identify and plan their own solutions. Each section includes summary learning points and provides advice to help providers and commissioners to help change their ways of working. The report makes 10 key recommendations for service providers and commissioners.
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.
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
FIELD Olivia, CARTER Chloe
Explores the extent to which local authorities and health and wellbeing boards across England recognise and prioritise the Care Act’s understanding of prevention. The study reviewed joint health and wellbeing strategies for the third year in a row, and made a Freedom of Information (FOI) request of all English local authorities to examine whether, and in which context, prevention was mentioned in the HWBs relevant documentation and how local authorities were implementing Section 2 of the Care Act. The Freedom of Information (FOI) responses indicate that local authorities are engaging with the Care Act’s triple definition of prevention, but this terminology has yet to be embraced by health and wellbeing boards. Both the FOI responses and joint health and wellbeing strategy review indicate that prevention is a key consideration in local decision making, including commissioning. However, while the review of joint health and wellbeing strategies indicates an improved understanding of prevention, tertiary types of prevention are still not being emphasised as much as primary and secondary prevention. In some cases, they are forgotten altogether. Many health and wellbeing boards are yet to place importance on preventative measures that could stop the deterioration or reoccurrence of a health or social care-related crisis by providing lower-level support. FOI responses and joint health and wellbeing strategies also emphasise the practical difficulties of shifting resources away from crisis intervention to prevention, especially in the current economic climate.
This report explores the evidence base around effective and cost-effective preventative services and the role that they can play in supporting older people’s independence, health and wellbeing. It looks at the available evidence to support the benefits of preventative services in mitigating social inclusion and loneliness and improving physical health. It also highlights evidence on the effectiveness of information, advice and signposting in helping people access preventative services and the benefits of providing practical interventions such as minor housing repairs. It considers a wide range of primary and secondary preventative services, including: health screening, vaccinations, day services, reablement, and care coordination and management. It then outlines two teritary prevention services which aim to prevent imminent admission to acute health settings. These are community based rapid response services and ambulatory emergency care units, which operation within the secondary care environment. The report then highlights gaps in the evidence base and and looks at what is needed to develop preventative services to achieve health and independent ageing by 2013. It looks at the changes needed in service funding and commissioning, the balance between individual responsibility and organisational support, and how preventative services should be implemented.