Results for 'user views'
Evaluation of the Wigan Community Link Worker (CLW) service, which was set up as a pilot in 2015 to improve the health and wellbeing of local people by helping them to access community based support and activities. It also helps those referred to use their skills and experience through volunteering. The evaluation, commissioned by Wigan Borough CCG and Wigan Council, aims to gain a better understanding of how the service is working, who is using it and what difference it is making to clients and referring services. The evaluation draws on an analysis of referral data, case studies and qualitative interviews with commissioners, people running services, patients, community link workers and representatives of voluntary and community organisations. Findings report high levels of commitment to the service from stakeholders, with health and care professionals valuing the service and promoting it to colleagues and clients. A total of 784 clients were supported between January 2015 and March 2016. Over half of these clients were over 55, with social isolation and mental health issues the most recurrent presenting issues, along with benefits and financial advice. The service is also used by number of carers. Client stories suggest that CLWs help them to feel supported and able to contribute in their community. The evaluation also found anecdotal evidence of reduced pressure on mainstream services. Recommendations include that the service retains it wide referral and low threshold for access; development of the skills of CLWs as relational workers through peer support and reflective practice; and enlists CLWs, clients and health professionals in co-designing and co-producing the service in the future.
COLLEY Kathryn, et al
Scottish research study to examine the barriers preventing older people, including older people with long-term health conditions and disabilities, from accessing outdoor recreation opportunities. The research involved two stages: an investigation of the spatial distribution of older people using small-scale geographical units and semi-structured interviews with 27 older people across three case study sites of varying levels of urbanity and access to different types of green/blue natural resources. Results from the spatial distribution analysis found that remote areas and isolated small towns had higher concentrations of older people and older people with health problems or disabilities. It also identifies that the negative impacts on the well-being and resilience of local communities are also likely to be stronger in remote areas, with challenges in accessing medical and care facilities. The case study work found the barriers to participation in outdoor recreation by older people are multiple and inter-related. Key categories of barriers identified in the interviews were: poor health and (im)mobility; lack of or reduced social connections; fragility and vulnerability; lack of motivation and time commitments; safety; and weather and season. Key implications for policy and practice identified from the research include: for interventions to address the multiple and interrelated barriers preventing older people from participating in outdoor recreation, using integrated and holistic approaches involving different organisations; for ‘green prescribing’ by doctors and medical professionals to be integrated with existing initiatives (eg walking groups) which offer opportunities for overcoming social and motivational barriers; and for interventions to identify ways of providing transport access to outdoor spaces to older people.
Describes the journey taken over the last year by the integrated care pioneers. The 25 pioneer sites are developing and testing new and different ways of joining up health and social care services across England, utilising the expertise of the voluntary and community sector, with the aim of improving care, quality and effectiveness of services being provided. The report describes the progress, challenges and lessons learnt across the pioneers. A number of key themes have emerged, including: population segmentation to determine people’s characteristics, their needs and care demands; using the experience of people; providing proactive care; providing integrated care services; supporting integration through using shared care records; using technology to support different access points; analysing impacts through data; and removing financial disincentives. Also included within the report are pioneers’ stories which describe the core elements of their care models and showcase how these are impacting real people.
et al, NHS ENGLAND
This quick guide provides ideas and practical tips to commissioners and providers on how to improve hospital discharge for people with care home places or packages of care at home. The guide identifies areas for improvement, setting out checklist actions for local health economies to consider and examples of practical solutions and links to resources. The areas identified are: culture of collaboration between care sector, NHS and social care; improving communication; clarity on information sharing and information governance; difficulties with achieving the ‘home before lunch’ ambition; assessments undertaken in hospital leading to ‘deconditioning’ and longer, unnecessary hospital stays; delays to discharge due to awaiting for assessment; capacity of community-based services; and patient experience and involvement.
HEALTHWATCH BRADFORD AND DISTRICT
Summarises the findings of a study of people’s experiences of receiving care services in their home. The report is based on 240 responses from older people or their carers. It shows that: people value their home care service and recognise its importance in keeping them as independent as possible and enabling them to live at home; many respondents raised concerns about rushed visits, unpredictable and variable timings of care and missed visits; nearly half of respondents felt there was insufficient time and/or carers’ approach or skill level resulted in care needs not being met; service users rated the attitude and approach of staff overall as good and felt they were treated with dignity and respect but a high number of respondents made reference to poor communication and poor attitude of some care staff; there was a high recognition of lack of skills and training among some care staff; many respondents highlighted the need for the same care workers to visit regularly; overall support and effectiveness from the service generally received positive commentary. The report sets out recommendations for both home care providers and Bradford Council, calling for more choice, flexibility and a person centred approach that promotes the well-being and independence of individuals.
Presents the findings from an inquiry into the emotional and physical impact of hospital discharge. With the help of 101 local Healthwatch, the enquiry panel heard from over 3,000 people who shared their stories about their experiences of the discharge process, focusing in particular on older people, homeless people, and people with mental health conditions. The findings reveal that there are five core reasons people feel their departure is not handled properly: people are experiencing delays and a lack of co-ordination between different services; they are feeling left without the services and support they need after discharge; they feel stigmatised and discriminated against and that they are not treated with appropriate respect because of their conditions and circumstances; they feel they are not involved in decisions about their care or given the information they need; and they feel that their full range of needs is not considered. The report includes examples of good practice and initiatives and projects designed to help older people, homeless people, and people with mental health conditions resolve the difficulties they experience during the discharge process.
This report focusses on meeting the needs of working-age disabled adults as health and social care services are increasing integrated. It provides an empirical evidence base to demonstrate how whole person care (which is about making the connections between physical health, mental health and social care services) can be used to effectively meet these needs. The report also draws on the findings of a focus group with 12 disabled adults and carers on desired outcomes from the integration of health and social care services. Interviews with social care and voluntary sector professionals, commissioners and local authority policy to see if they are willing to include working-age disabled adults' needs in plans for future integration. The report looks at how working-age disabled adults have different needs and outcomes from older people and identifies the health inequalities they face in day-to-day life. Ten dimensions of health inequality are identified including housing, employment, financial security and quality of life. The report makes seven recommendations to inform the service response, including: taking a long term view of managing long-term conditions, viewing whole person care as a 10-year journey with matched by stable funding; debates on funding gap in social care should give consideration to the needs of working-age disabled adults; shifting resources from case management to community coordinated care to support prevention and providing a single point of contact for health and social care needs; service integration should take place across a much wider range of services to meet the needs of disabled people.
Examines older people’s expectations from their housing and housing providers and the choices the UK housing market currently offers older and vulnerable people, and explores innovative housing and care solutions that could meet the demands of an ageing population and more widely support people with other social needs. The study drew on both quantitative surveys and qualitative interviews undertaken in previous research to establish what older groups need and expect from the housing market, and then used statistical methods to create a clear picture of the housing that older people inhabit now and the choices that the English housing market offers to them. Having established that the market presents only a limited range of options to older people, the research explored the international literature to identify different models of housing and support, focusing on countries that face similar demographic challenges. The report considers ideas that could potentially be adopted in England and adapted to an English housing and health context. A number of options were tested with two focus groups, involving over-55s and over-65s. Finally, based on the information drawn from the research, and through consultation with external experts, this report outlines a range of possible policy measures designed to ensure that the current and future stock of housing for older people is more effectively focused on supporting their health requirements.
NATIONAL VOICES, THINK LOCAL ACT PERSONAL
Describes some critical outcomes and success factors in the care, support and treatment of people who use mental health services, from their perspective. It is aimed at helping commissioners and service providers to organise person centred care and recovery oriented support for mental and physical health, and to know when they are achieving it. It offers a definition of personalised, coordinated care in mental health, agreed by people who use mental health services and people who work in health and social care; a series of ‘I statements’, expressing what personalised, coordinated care looks and feels like and some case studies of personalised, coordinated care in practice.
GREEN Geraldine, LAKEY Louise, ALZHEIMER'S SOCIETY
The National Dementia Declaration for England (2010) identified that people with dementia want to live in communities that give them choice and control over their lives, provide services and support designed around their needs, and to feel valued and understood, and part of family, community and civic life. This report provides evidence of dementia-friendly communities in England, Wales and Northern Ireland from the perspective of people affected by dementia. It uses the results of a survey of people with dementia (510 respondents) distributed by Alzheimer’s Society staff and other networks in Autumn 2012 (referred to as the DFCsurvey) to explore the barriers that people face in their community, how they would like to be engaged in their local area, and the support they need to enable them to do so. Overall, the report aims to provide guidance to areas that are looking to become dementia-friendly, and to provide extra evidence for those already committed to becoming dementia-friendly. Evidence from people with dementia and their carers is collated alongside examples of projects that are making a difference for people with dementia. This information is used both to provide a definition of a dementia-friendly community, and to suggest 10 key areas of focus for communities to consider in working to become dementia friendly. These 10 key areas are: challenge stigma and build understanding; accessible community activities; acknowledge potential; ensure an early diagnosis; practical support to enable engagement in community life; community-based solutions; consistent and reliable travel options; easy to navigate environments; and respectful and responsive businesses and services. While there are some excellent examples of communities that are adapting themselves to the needs required by dementia, many people with dementia do not feel supported and a part of their local area; and are not able to take part in activities that they enjoyed before they developed the condition. Loneliness, feeling isolated and lack of confidence were identified as major barriers.