Results for 'voluntary sector'
BUCKLAND Leonora, FIENNES Caroline
To investigate what may need to happen to help mental health charities make more evidence-informed decisions, this report examines how UK charities delivering mental health services currently produce, synthesise, disseminate and use evidence within their organisation. Semi-structured qualitative interviews with 12 mental health service delivery charities of varying sizes and qualitative interviews with four mental health sector experts were carried out. The project used an inclusive definition of evidence comprising: evaluation evidence, user feedback; practitioner evidence and contextual evidence (e.g., research into the prevalence or type of need). In relation to the production of evidence, the report found that mental health charities have focused primarily on producing practitioner and stakeholder evidence. Although larger charities are beginning to carry out more evaluation research, lack of resources remain a problem. It also identified little evidence produced by the charities interviewed being routinely synthesised or included in systematic reviews; weak dissemination channels; and little use of third-party evidence when making decisions. Although the number of charities interviewed was small, the report identifies some important gaps including: the need for more rigorous evaluation research about the effectiveness of charities’ interventions; the potential to make more use of existing the academic literature; and, for more evidence to be actively disseminated within the sector to enable greater learning. Recommendations to improve evidence systems are also included.
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.
INNOVATION UNIT, GREATER MANCHESTER PUBLIC HEALTH NETWORK
This is a practical guide for getting started and growing asset based primary care at scale. It highlights examples of asset based approaches from both within Greater Manchester and beyond. Assets can be broadly grouped into: personal assets e.g. the knowledge, skills, talents and aspirations of individuals; social assets e.g. relationships and connections that people have with their friends, family and peers; community assets e.g. voluntary sector organisations (VSO) associations, clubs and community groups; and neighbourhood assets e.g. physical places and buildings that contribute to health and wellbeing such as parks, libraries and leisure centres. Drawing on research with commissioners, GPs, the community and voluntary sector, public health professionals, patients and the general population, the guide sets out what it takes to make asset based primary care work in practice, and what it would take to adopt it, not just in isolated pockets but across a whole neighbourhood, system or region. It details the background to asset based care, presents ten case studies and makes recommendations for how to develop an asset based primary care in a locality. Key steps to developing and implementing an assets-based approach include: setting up a team to lead the work; understanding which patients to focus on; understanding and mapping the user journey; understanding which approach will work best in a community; creating a development plan for the neighbourhood team; implementing and evaluating the plan; and planning for sustainability.
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
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.
LOCAL GOVERNMENT ASSOCIATION
Social prescribing, sometimes called community referrals, is a way of enabling primary care services to refer patients with social, emotional or practical needs to a range of local community services and activities to improve their health and wellbeing. This publication highlights the role of local authorities in facilitating social prescribing and provides nine short case studies to show how councils are working across England.
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
This practice guideline covers approaches to involving local communities as a way of promoting health and wellbeing and reducing health inequalities. Recommendations cover: developing collaboration and partnership approaches encourage alliances between community members and statutory, community and voluntary organisations to meet local needs and priorities; involving people in peer and lay roles to represent local needs and priorities; local approaches to making community engagement an integral part of health and wellbeing initiatives; and making it as easy as possible for people to get involved. The guideline also makes recommendations for future research which include research on effectiveness and cost effectiveness; frameworks to evaluate the impact of community engagement; aspects of collaborations and partnerships that lead to improved health and wellbeing; and the effectiveness of social media for improving health and wellbeing. The guideline updates and replaces NICE guideline PH9 (published February 2008).
An evaluation report of the Altogether Better Wellbeing 2 Programme, working with citizens and services keen to find new ways to improve the health and well-being of their local community. Through the two year programme, funded by the Big Lottery Fund, people were invited to become health champions, they were then nurtured as a group and encouraged to take action to improve local health and well-being in ways that their local NHS or statutory services wanted to support. The report finds that champions, and participants in the groups and activities that they have run, have benefited significantly from their involvement in a wide range of activities; with over 98 per cent reporting increased involvement in social activities and social groups and over 86 per cent reporting increased levels of confidence, well-being and new knowledge related to health and well-being. The NHS and statutory organisations have come to a greater recognition of the resourcefulness and generosity of the citizens who use their services. They are beginning to recognise that it is legitimate and effective for them to divert more of their time and resources into supporting volunteers who themselves support the health and well-being of their communities. This in turn raises the possibility of these organisations radically changing the way they provide services. The report concludes by arguing that the success of the approach depends critically on the quality of the working relationship between health champions and their organisation and that there are grounds for optimism, as a result of these relationships, that support for health champions will be sustainable into the long term, becoming simply ‘how we do things round here’.
DAYSON Chris, BASHIR Nadia
Provides a detailed assessment of the social and economic impact of the Rotherham Social Prescribing Pilot from the perspective of key stakeholders. Social prescribing provides a way of linking patients in primary care and their carers with nonmedical sources of support within the community. Over the course of the pilot: 24 voluntary and community organisations (VCOs) received grants with a total value of just over £600,000 to deliver a menu of 31 separate social prescribing services; 1,607 patients were referred to the service, of whom 1,118 were referred on to funded VCS services; the five most common types of funded services referred to were information and advice, community activity, physical activities, befriending and enabling. The evaluation looked at the impact on the demand for hospital care and the economic and social benefits. The findings demonstrate that economic and social outcomes have been created for three main stakeholder groups: patients with LTCs and their carers, who have experienced improved mental health and greater engagement with the community; the local public sector, in particular health bodies, which have benefited from the reduced use of hospital resources; and the local voluntary and community sector, which has benefited from a catalytic investment in community level service provision.
NHS CLINICAL COMMISSIONERS
Focusing on prevention and early diagnosis, the case studies in this publication demonstrate the impact clinical commissioning groups are making in a wide range of areas including mental health care, early diagnosis of cancer and stroke prevention. They show how CCGs are taking the lead in preventing illness and the causes of ill health – and working to keep people out of hospital where possible; how they are helping to ensure that people are diagnosed earlier and given the support that they need; and they are working across boundaries to build on what people want and need to help them lead longer, healthier lives. More specifically the case studies provide examples of: working proactively with older people living with frailty; addressing preventable early deaths; supporting people to prevent and manage diabetes; reducing hospital admissions in people with COPD; managing c. difficile infections in the community; improving access to health services for homeless people; taking a strategic approach to stroke prevention; addressing early diagnosis of cancer; earlier diagnosis and prevention of HIV; improving early diagnosis and treatment of people with atrial fibrillation; working with the voluntary sector; impact of Living Well; and social prescribing to improve outcomes.