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Results for 'older people'

Results 51 - 60 of 141

Social prescribing: a review of the evidence

KINSELLA Sarah
2016

A brief review of the literature on social prescribing. Social prescribing is a way of linking primary care patients with psycho-social issues, with sources of appropriate, non-medical support in the community. Suitable referrals to social prescribing initiatives are vulnerable and at risk groups such as: people with mild to moderate depression and anxiety; low income single parents; recently bereaved older people; people with long term conditions and frequent attendees in primary and secondary care. The review highlights that prescribed activities have typically included arts and creative activities, physical activity, learning and volunteering opportunities and courses, self-care and support with practical issues such as benefits, housing, debt and employment. The evidence on the impact of social prescribing is currently limited and inconsistent. While some initiatives have shown improved outcomes for patients and potential for cost-savings (in the longer term), few have been subject to economic analysis or the kind of rigorous evaluation which would inform commissioners. The report recommends that any new, local social prescribing initiatives should aim to add to the current evidence base and conduct transparent and thorough.

Books on prescription

Warwickshire County Council

Warwickshire County Council in 2009 launched a local initiative whereby people are helped to manage a range of commonly experienced mental health problems, including depression, anxiety and stress through the prescription of accredited self-help titles, available in their local public library. Books can be prescribed by GPs or other health professionals. The scheme is entirely confidential - staff do not give out or keep information about who is borrowing the book or what it is about.

Delivering a healthier future: how CCGs are leading the way on prevention and early diagnosis

NHS CLINICAL COMMISSIONERS
2016

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.

Prevention in Bexley

London Borough of Bexley

The London Borough of Bexley is currently supporting different groups of people using a prevention approach: promoting citizenship for adults with learning disabilities; following a community-based recovery model in mental health day services and providing an integrated reablement service to enable older people to regain their independence and stay in their homes for longer.

Growing old together: sharing new ways to support older people

COMMISSION ON IMPROVING URGENT CARE FOR OLDER PEOPLE
2016

Final report from the Commission on Improving Urgent Care for Older People which provides guidance for those involved in designing care for older people and outlines eight key principles the health and care sector can adopt to improve urgent care for older people. The Commission was established out of a concern that the care system was not meeting the needs of older people, resulting in lower quality of care, a lack of out-of-hospital services as an alternative to A&E, not enough focus on prevention and early intervention, and delayed transfers of care. It brought together a range of experts, received over 60 evidence submissions; carried out visits to sites using innovative ways to deliver care; consulted with NHS Confederation members and patient and carer groups; and commissioned an evidence review. The report draws on the evidence to look at the case for change. It then outlines eight key principles that can be used when redesigning health and social care system: start with care driven by the person’s needs and personal goals; a greater focus on proactive care; acknowledge current strains on the system and allow time to think; the importance of care co-ordination and navigation; greater use of multi-disciplinary and multi-agency teams; ensure workforce, training and core skills reflect modern day requirements; leadership should encourage us to do things differently; and metrics must truly reflect the care experience for older people. Short case studies of innovative practice are included in the report, covering acute and primary care, voluntary sector and local government partners and commissioners.

Quick guide: technology in care homes

NHS ENGLAND, et al
2015

This quick guide highlights a number of case studies from around the country where technology is being used successfully to enhance the delivery of care to support independent living (telecare), to enhance the health and wellbeing information exchange between patients and professionals (telehealth) and to enhance the information exchange between professionals (telemedicine). It also includes information about secure email and collaboration. Drawing on the case studies, the guide sets out a series of top tips for developing and implementing successful technological initiatives.

Supporting the independence of older people: are councils doing enough?

THOMAS Huw Vaughan
2015

This report examines how effective councils in Wales have been in providing strategic leadership on older person’s issues. It analyses the Welsh Government’s and councils’ budgets, looking at the range and availability of preventative services across Wales, focusing on four core aspects that support older people to continue to live independently: practical support services; community based facilities; advice and information services; and housing and housing based services. The report also assesses councils’ performance management arrangements for overseeing services to older people, examining the information that is used by councils to judge performance. The review argues that Councils’ strategies and leadership focus too much on delivery of social services and do not always recognise the important contribution that other services can make in supporting and sustaining the independence of older people. Despite some innovative examples of councils supporting older people, the wider preventative services that can help reduce demand for health and social services are undervalued. A lack of data is making it difficult for councils to demonstrate the impact of their services in supporting the independence of older people, and this weakens their decision making and scrutiny when setting future priorities.

Prevention: a shared commitment: making the case for a Prevention Transformation Fund

LOCAL GOVERNMENT ASSOCIATION
2015

This document identifies and collates key pieces of evidence about the cost effectiveness of prevention in order to make the case for greater investment in prevention interventions. The report recommends that the Government should introduce a Prevention Transformation Fund, worth at least £2 billion annually. This would enable some double running of new investment in preventative services alongside ‘business as usual’ in the current system, until savings can be realised and reinvested into the system – as part of wider local prevention strategies. Based on the analysis of an extensive range of intervention case studies that have provided a net cost benefit, the report suggests that investment in prevention could yield a net return of 90 per cent.

Building community capacity: the economic case in adult social care in England

PERSONAL SOCIAL SERVICES RESEARCH UNIT
2015

This briefing summarises the findings of a study to establish the costs, outputs and outcomes of a number of four best practice community capacity-building projects, especially in relation to their potential for alleviating pressures on adult social care budgets and in the context of current policy interests. All projects worked under financial uncertainties and these challenges highlighted a poor fit between third sector infrastructures and the public sector’s growing requirements for targeted, evidence-based investments. The four projects evaluated comprised support services for people with disabilities, a help-at-home scheme for older people, a training scheme to produce local health champions and a peer-support project for people with mental health issues. Such third sector approaches may postpone or replace formal social care, but projects found it difficult to meet demands for data, whether for making a business case or for the purposes of research. The study found that well-targeted schemes have the potential to produce both benefits to participants and substantial savings to public agencies. Yet the current commissioning context tends to encourage organisations to focus on established priorities rather than to develop innovative, community-based services.

Only the lonely: a randomized controlled trial of a volunteer visiting programme for older people experiencing loneliness

LAWLOR Brian, et al
2015

Loneliness is a significant problem among older people living in Ireland. The negative effects of loneliness on physical and emotional health are well documented in the literature. This study was established in the context of a dearth of effective interventions to alleviate loneliness. A peer visiting intervention for community dwelling older adults experiencing loneliness was designed and subjected to the rigour of a randomised controlled trial. It consisted of ten home visits to the intervention participants from a volunteer, themselves an older person. The volunteer built up a rapport with the participant and encouraged them to identify a social connection they wished to establish. Several participants made new social connections outside their home while most continued to receive visits from their volunteer following the end of the study period. The main study finding was very positive. The primary outcome, loneliness, decreased in the intervention group at one month and three month follow up. Potential benefits for the volunteers were also identified, in particular a decrease in loneliness. Both participants and volunteers reported that they enjoyed the intervention. The intervention is low cost and could be incorporated into existing support services or non-government organisations caring for community dwelling older adults. It is a potentially scalable model to deal with the major societal challenge of loneliness.

Results 51 - 60 of 141

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