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Results for 'community care'

Results 11 - 20 of 29

Social value of local area coordination in Derby: a forecast social return on investment analysis for Derby City Council

MARSH Hannah
2016

Presents the findings of a forecast analysis of the social value of local area coordination in Derby. The aim of local area coordination is to support residents in the local community to ‘get a life, not a service’, empowering individuals to find community based solutions instead of relying on services. The analysis demonstrates that over the three year forecast period with 10 local area coordinators, local area coordination would deliver significant social value with up to £4 of value for every £1 invested. Further expansion of the service to 17 local area coordinators across all wards would see this value increase further with an increased number of individuals receiving the support. The report highlights that local area coordination is delivering significant benefit to individuals in the community by increasing their overall health and wellbeing. In addition, other stakeholders and the wider community also benefit from local area coordination with community groups forming to address need and benefiting from the promotion through coordinators. The report sets out key recommendations to further optimise the social value created through this service and to better capture the impact and inform future evaluations.

Social prescribing: a review of community referral schemes

THOMSON Linda J., CAMIC Paul M., CHATTERJEE Helen J.
2015

Sets the scene for the conditions under which social prescribing has arisen and considers the efficacy of different referral options. Social prescribing is a non-medical intervention linking patients with social, emotional or practical needs to a range of local, non-clinical services. The review provides definitions, models and notable examples of social prescribing schemes and assesses the means by which and the extent to which these schemes have been evaluated. Models outlined in this review include: Arts on Prescription, Books on Prescription, Education on Prescription, Exercise on Prescription, Green Gyms, Healthy Living Initiatives, Information Prescriptions, Museums on Prescription, Social Enterprise Schemes, Supported Referral, and Time Banks. The report makes recommendations for practice, policy and future research, focusing on best practice guidance for sector workers, frameworks for setting up social prescribing schemes, and methods for evaluating social prescribing schemes.

Building the right support: a national plan to develop community services and close inpatient facilities for people with learning disability...including those with a mental health condition

NHS ENGLAND, LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
2015

Sets out a national plan to enable people with learning disabilities who display behaviour that challenges to be supported to live more independently in their local community and reduce reliance on institutional care and long stay hospitals. The plan looks at the learning from the six 'fast track' areas; describes the new services that will be needed to better support people with learning disabilities to live in the community; and outlines how transforming care partnerships (commissioning collaborations of local authorities, CCGs and NHS England partners) in health and care will need to work together to deliver these changes. Areas discussed include: the need for appropriate local housing, such as schemes where people have their own home but ready access to on-site support staff; an expansion of the use of personal budgets, enabling people and their families to plan their own care, beyond those who already have a legal right to them; for people to have access to a local care and support navigator or key worker; and investment in advocacy and advice services run by local charities and voluntary organisations. To achieve the shift from inpatient to community-based services the plan identifies three key changes: that local councils and NHS bodies will join together to deliver better and more coordinated services; pooled budgets between the NHS and local councils to ensure the right care is provided in the right place; and adoption of a new service model.

How do we develop a person-centred, community-centred workforce, to support people with long-term conditions?

COALITION FOR COLLABORATIVE CARE
2015

This discussion paper explores how to plan, develop and support an integrated workforce that routinely works in a person-centred, community-centred way. The paper focuses in four areas, looking at: mind-set challenges for person and community-centred care; the specific knowledge and skills that are needed; the importance of supportive working environments; and capacity, roles and workforce planning. The paper is intended to stimulate discussion. It briefly sets out some ideas on: the context and what we mean by person-centred, community-centred care; the workforce challenge; what is needed to create change at the local and national levels; and what action the C4CC partnership might take.

Quick guide: improving hospital discharge into the care sector

et al, NHS ENGLAND
2015

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.

Quick guide: better use of care at home

NHS ENGLAND, et al
2015

This quick guide provides case studies, ideas and practical tips to commissioners, health professionals and care providers on how to improve the relationships, processes and use of homecare and housing support to help people home from hospital. Care at home and housing support enables people to live independently and well in their preferred environment for longer, providing continuity and familiarity through frequent close contact. It plays an essential role in helping people return home, which should always be seen as the default option. The guide identifies common problems experienced and highlights good solutions which are already being implemented, that can be instigated quickly and effectively, focusing on three elements of a patient’s pathway: 1) planning for discharge home on arrival at hospital; 2) enabling people to go home with appropriate support; 3) and helping people to stay at home.

A shared life is a healthy life: how the Shared Lives model of care can improve health outcomes and support the NHS

SHARED LIVES PLUS
2015

Explains how Shared Lives schemes support people with health needs, making use of community based solutions which can be more cost effective than traditional institutional care. In Shared Lives, an adult (and sometimes a 16/17 year old) who needs support and/or accommodation moves in with or regularly visits an approved Shared Lives carer, after they have been matched for compatibility. Together they share family and community life. Half of the 12,000 UK citizens using Shared Lives are living with their carer as part of a supportive household; half visit their carer for day support or overnight breaks. Shared Lives is also used as a stepping stone for an individual to possibly become fully independent. The report demonstrates that this approach can provide care at lower cost; improves people’s health; reduces pressure on health services; and reduces inequalities in health service provision.

Getting serious about prevention: enabling people to stay out of hospital at the end of life

GREY Andrew
2015

This report sets out key steps that commissioners can take in collaboration with service providers to enable people who are approaching the end of life to avoid being admitted to hospital when this is possible and appropriate, as well as enabling those who are admitted to make a transition to a community setting quickly. The report argues that as well as reducing the costs to the NHS, enabling people to stay out of hospital at the end of life can make a significant difference to the experiences of dying people and their families. The report makes a number of recommendations for commissioners, service providers and health and social care staff, including: commissioning the increased provision of 24/7 care in community settings, through care homes and hospices, and community health and social care services that can provide care in people’s homes; commissioning anticipatory prescribing of medicines for people approaching the end of life; using available funding, through System Resilience Groups, the Better Care Fund, and Integrated Personal Commissioning, to improve co-ordination between hospitals and community settings, including hospices, for people approaching the end of life; and health and social care staff identifying carers of people who are approaching the end of life and referring them for local authority assessments.

Bibliography and map of community-centred interventions for health and wellbeing

BAGNALL A.M., et al
2015

This bibliography and map present the results of a scoping review undertaken as part of a national knowledge translation project ‘Working with Communities – Empowerment, Evidence and Learning’ (2014-2015), jointly funded and steered by NHS England and Public Health England (PHE). This project aimed to support better, more effective working with communities on health and wellbeing through improving access to existing evidence and learning. The first part of this report presents the bibliography, with a total of 168 publications organised into types of study/resource, whether they relate specifically to UK practice or are non-UK studies covering international research. The second part of the report describes the scoping review methods and results of the mapping, in terms of the spread of evidence resources and characteristics. In terms of the types of outcomes that were reported in the included studies, process outcomes (i.e. how an intervention was implemented) were the most frequently reported, followed by service delivery and organisational outcomes, wellbeing outcomes and health outcomes. Economic outcomes were reported in 43 studies, and outcomes relating to the social determinants of health were reported in only 41 studies. Wellbeing outcomes were slightly more likely to be reported at a community level than were health outcomes.

Fit for frailty: part 2: developing, commissioning and managing services for people living with frailty in community settings

BRITISH GERIATRICS SOCIETY, ROYAL COLLEGE OF GENERAL PRACTITIONERS
2015

Provides advice and guidance on the development, commissioning and management of services for people living with frailty in community settings. The first section introduces the concept of frailty and sets out the rationale for developing frailty services. The second section explores the essential characteristics of a good service. The third section considers the issue of performance and outcome measures for frailty services. The appendix to the report includes eight case studies of services which are operating in different parts of the UK. The audience for this guidance comprises GPs, geriatricians, health service managers, social service managers and commissioners of services. It is a companion report to an earlier BGS publication, Fit for Frailty Part 1 which provided advice and guidance on the care of older people living with frailty in community and outpatient settings.

Results 11 - 20 of 29

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