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Results for 'long term conditions'

Results 1 - 10 of 20

ConnectWELL

ConnectWELL

Introducing ConnectWELL - a social prescribing service – initially funded and piloted in 2014 by NHS Rugby CCG, which aims to improve health and wellbeing for patients and clients. ConnectWELL provides Health Professionals with just one, straightforward referral route to the many Voluntary and Community Sector organisations, groups and activities that can address underlying societal causes, manage or prevent compounding factors of ill-health. ConnectWELL has over 900 organisations and activities, ranging from Carers’ support, community groups, disability services, Faith / Religious / Cultural Activities, Housing / Homelessness Support, Mentoring, Music Groups, and volunteering opportunities.

Ways to Wellbeing

York Council for Voluntary Service

Ways to Wellbeing York is a social prescribing service which aims to improve health and wellbeing through working with people referred by GPs to identify their needs and identify local services offering non-medical interventions which may be able to help. The pilot which started in 2016 offers a whole system approach to wellbeing, enabling people attending their GP to be referred to a range of support providing by over 40 voluntary and community services in the city. The service is hosted by York CVS and funded by the City Council and currently offers access to social prescription referrals through four surgeries in York based in areas of greater deprivation. The longer term aim if funding is secured is to provide a city-wide service with a target of 1,000 referrals.

ExtraCare's Wellbeing Programme

The ExtraCare Charitable Trust

ExtraCare’s Wellbeing Programme was developed in 2002, in partnership with older people who live at ExtraCare’s Schemes and Villages. The concept was launched following a survey, which highlighted that 75% of residents at one location had not accessed any health screening via their GPs or the NHS. A pilot screening scheme subsequently identified 122 previously undetected conditions amongst a population of just 136, highlighting a clear need for the Programme.

Care Homes Reading Project

University of Exeter

The Exeter Care Homes Reading Project began in the English Department at Exeter University in October 2011. Pioneered by Dr Johanna Harris and strongly supported by the student-led English Society, the Project quickly became one of the University’s most successful student volunteer initiatives. The project aim is to strengthen links between young adults and older people, and to promote understanding, recognising that positive intergenerational relationships are key to a healthy community. Through a shared love of stories and poems, the conversations they spark and the human emotions they speak of and into, common ground is found.

Policy briefing: music, singing and wellbeing in adults with diagnosed conditions or dementia

WHAT WORKS WELLBEING
2016

Drawing on the available evidence, this briefing examines what music and singing interventions work to improve wellbeing of adults living with diagnosed conditions or dementia. While there is ample evidence looking at the impact of music and singing on clinical outcomes such as pain management, coping with hospitalisation, coping with symptoms and managing symptoms of dementia, this new evidence focuses on wellbeing for those living with diagnosed conditions or dementia. Specifically, it focuses on self-reported measures of quality of life; life satisfaction; and anxiety or depression. The paper suggests that there is strong evidence that brief music therapy is an effective intervention to support wellbeing of palliative care patients in hospital settings and initial evidence that music therapy can contribute to improved spiritual wellbeing in hospice patients. There is strong evidence targeted, culturally relevant music interventions can decrease depression in nursing students in a college environment and initial evidence that music therapy can alleviate anxiety in undergraduate students. There is promising evidence that targeted, culturally relevant music and singing interventions can enhance mental wellbeing and decrease depression in older people with chronic conditions in residential and community settings and initial evidence that participation in individual personalised music listening sessions can reduce anxiety and/or depression in nursing home residents with dementia and that listening to music may enhance overall wellbeing for adults with dementia. There is initial evidence that participation in extended community singing programmes can improve quality of life and social and emotional wellbeing in adults living with chronic conditions.

Review of the grey literature: music, singing and wellbeing

DAYKIN Norma, et al
2016

This report reviews evidence from the grey literature on wellbeing outcomes for music and singing for adults. The evidence was received through a call for evidence placed on the What Works Wellbeing website in 2016. A total of 51 reports were received, of which 32 met the inclusion criteria. These included: 12 reports on music and singing interventions with healthy adults; 12 reports on participants with a range of diagnosed conditions including COPD, Parkinson’s, stroke and mental health conditions; and eight reports on participants living with dementia. An additional five unpublished PhDs were also identified. The report summarises the evaluation methods used in the projects; quantitative and qualitative wellbeing outcomes identified; and process evaluations carried out. The review found evidence of improved mental wellbeing in evaluations of two singing interventions for people in the community experiencing, or at risk of, mental health problems. Two studies of music interventions for older participants in hospital also reported improvements in observed wellbeing. Qualitative findings also suggest that participants involved in singing and music projects report positive outcomes such as improved mood, purpose and social interaction. Adults with dementia also experienced increased engagement, relaxation, and better connection with others. Key issues reported from process evaluations included: barriers to activity, such as lack of accessible transport; institutional barriers, particularly in care home settings where projects rely on the support of care staff and managers. Limitations of the evidence are also briefly discussed.

Does integrated care reduce hospital activity for patients with chronic diseases? An umbrella review of systematic reviews

DAMERY Sarah, FLANAGAN Sarah, COMBES Gill
2016

Objective: To summarise the evidence regarding the effectiveness of integrated care interventions in reducing hospital activity. Design: Umbrella review of systematic reviews and meta-analyses. Setting: Interventions must have delivered care crossing the boundary between at least two health and/or social care settings. Participants: Adult patients with one or more chronic diseases. Data sources: MEDLINE, Embase, ASSIA, PsycINFO, HMIC, CINAHL, Cochrane Library (HTA database,DARE, Cochrane Database of Systematic Reviews), EPPI-Centre, TRIP, HEED, manual screening of references. Outcome measures: Any measure of hospital admission or readmission, length of stay (LoS), accident and emergency use, healthcare costs. Results: 50 reviews were included. Interventions focused on case management (n=8), chronic care model (CCM) (n=9), discharge management (n=15), complex interventions (n=3), multidisciplinary teams (MDT) (n=10) and self-management (n=5). 29 reviews reported statistically significant improvements in at least one outcome. 11/21 reviews reported significantly reduced emergency admissions (15–50%); 11/24 showed significant reductions in all-cause (10–30%) or condition-specific (15–50%) readmissions; 9/16 reported LoS reductions of 1–7 days and 4/9 showed significantly lower A&E use (30–40%). 10/25 reviews reported significant cost reductions but provided little robust evidence. Effective interventions included discharge management with post-discharge support, MDT care with teams that include condition-specific expertise, specialist nurses and/or pharmacists and self-management as an adjunct to broader interventions. Interventions were most effective when targeting single conditions such as heart failure, and when care was provided in patients’ homes. Conclusions: Although all outcomes showed some significant reductions, and a number of potentially effective interventions were found, interventions rarely demonstrated unequivocally positive effects. Despite the centrality of integrated care to current policy, questions remain about whether the magnitude of potentially achievable gains is enough to satisfy national targets for reductions in hospital activity.

Helping people look after themselves: a guide on self care

LOCAL GOVERNMENT ASSOCIATION
2016

Brings together eight case studies which show how local authorities in England are involved in a range of innovative schemes to encourage self-care and self-management of long term conditions. The case studies covering both rural and urban environments and with varying levels of deprivation and affluence. The examples include: a network of integrated teams to work with residents at risk; development of a website to help people with long-term conditions to become more involved in self-care; a hotline to promote health lifestyles and self-care, linking people with local services in the local authority, NHS and voluntary sector; a programme to tackle loneliness and social isolation in older people, improve health and wellbeing; Nottingham’s ‘super’ self-care pilot, which includes social prescribing and care navigators; and work in Kirklees which is encouraging the self-management of long term conditions through education, technology, exercise and one-on-one help.

Boilers on Prescription - Gentoo and Sunderland CCG

Gentoo

“Great Homes- Strong Communities - Inspired People” is Gentoo’s vision statement and this ethos can be seen through the concept of 'Boilers on Prescription', bringing warmth and well being into people's homes.

Making progress on personal and joined up support: report of a roundtable discussion. Implementing the NICE guideline on older people with social care needs and multiple long-term conditions (NG22)

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
2016

This report summarises discussions from a roundtable event attended by older people and carer representatives, practitioners, providers and commissioners to identify how the NICE guideline on supporting older people with multiple long-term conditions and their carers could best be used and implemented. It also sets out practical examples, actions and ideas to help improve local practice. Small groups discussed how the guideline can help achieve three priorities that the Guideline Committee identified as most important for potential impact and the likely significant challenges. These were: empowering older people and carers; empowering health and social care practitioners; and integration of different care and support options to enable person-centred care. Suggested actions and practice examples in each of the three priority areas.

Results 1 - 10 of 20

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