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Results for 'prevention'

Results 11 - 20 of 77

Trapped in a bubble: an investigation into triggers for loneliness in the UK

CO-OPERATIVES UK, BRITISH RED CROSS
2016

This research investigates potential triggers for loneliness across life stages, focusing on the causes, experiences and impacts of loneliness for six selected groups. It also looks at the support available for people experiencing loneliness, the services people would like, and how they would like that support to be delivered. The research focuses on: young new mums; individuals with mobility limitations; individuals with health issues; individuals who are recently divorced or separated; individuals living without children at home ('empty-nesters') and retirees; and the recently bereaved. It also draws on the views of experts and public opinion on loneliness gathered through a survey. The research found that the causes of loneliness of often complex, stemming from a combination of personal, community, and UK-wide factors. It also confirmed that people experiencing life events which can disrupt existing connections or change their role in society are at risk of loneliness. Other factors contributing to loneliness included: difficulty in accessing statutory services and support, the rapid disappearance of social spaces, and inadequate transport infrastructure. Loneliness can have physical, psychological and social impacts which can negatively impact on communities and people’s ability to connect. Experts recommend a combination of the following three models of support to tackle loneliness, depending on individual circumstances: preventative; responsive, which is shaped by the needs of those already experiencing loneliness and restorative, helping people to rebuild connections and prevent people slipping into chronic loneliness. Participants experiencing loneliness had a preference for face-to-face services, with digital services seen as important but supplementary. All those involved in the research supported the need for small, personal steps to help build community connectedness.

Integrated care for older people with frailty: innovative approaches in practice

ROYAL COLLEGE OF GENERAL PRACTITIONERS, BRITISH GERIATRICS SOCIETY
2016

Joint report showing how GPs and geriatricians are collaborating to design innovative schemes to improve the provision of integrated care for older people with frailty. The report highlights 13 case studies from across the UK which show what an integrated health and social care system looks like in practice and the positive impact it can have. The case studies are grouped into three areas: schemes to help older people remain active and independent, extending primary and community support to provide better services in the community, and integrated care to support patients in hospital. The examples cover a range of locations across the UK, including urban and rural populations, and a range of settings, including services based in the community, in GP practices, in care homes and in hospitals. Whilst the majority of the initiatives led by GPs or geriatricians, they illustrate the vital role that many other professionals play, including nurses, therapists, pharmacists and social workers. The report also outlines some common themes from the case studies, which include person-centred care, multidisciplinary working, taking a proactive approach and making use of resources in the community.

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.

Evaluation of the Reducing Social Isolation and Loneliness grant fund: evaluation final report

ROBERTS Lauren
2016

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.

Evaluation of Prevention Matters

APTELIGEN, et al
2015

An evaluation of Prevention Matters, a whole county change programme designed to facilitate access to frontline community services and groups in Buckinghamshire. The programme targets those whose needs are below the substantial need threshold for adult social care, building on a referral system, rather than on direct support. Fourteen Community Practice Workers (CPWs) are aligned to the seven GP localities in Buckinghamshire, and lead on the referral process, from first contact with the users to final review and exit. The CPWs are supported by seven Community Links Officers who ensure that the necessary resources are available in the community to meet users’ needs, including identification of opportunities to build new capacity. A wide network of frontline community services and groups provides direct face-to-face support to users through activities such as befriending, transport, fitness, and lunch clubs. The evaluation found that the potential to maintain independence and delay access to adult social care may be less than originally intended as a result of the complexity of the needs and frailty of some programme users. Nonetheless, nearly half of all programme users reported improvement in their satisfaction with the level of social contact they had and a third of programme users reported that their quality of life was better at the review stage compared to the time of their baseline assessment. In addition, the evaluation concluded that the programme has been particularly successful at facilitating access to information. The analysis indicates that the benefits associated with the programme are £1,000 per user per year, including the value of the improvements in health suggested by the impact evaluation (£500), and estimated spill-over effects on the need for informal social care (£492). The report also highlights the positive impact on organisations and systems, and increased volunteering capacity and sets out a series of recommendations to strengthen the delivery of the programme.

Public health's role in local government and NHS integration

LOCAL GOVERNMENT ASSOCIATION
2016

Drawing on information from six case studies, this report makes the case for greater engagement of public health in supporting integration across local government and the NHS. It identifies two reasons for public health to be involved in integration: the skills, capacity and expertise public health teams can bring, and the potential of integration for improving health and wellbeing. The report explores four areas in which public health involvement in integration has been found to make the greatest impact: collaborative systems leadership, a population approach, a focus on prevention and developing outcomes. A short self-assessment tool is also included which can be used for areas to consider the extent of public health involvement in integration in their own area. The case studies come from Doncaster, Hertfordshire, London Borough of Richmond, Somerset, Wakefield and Worcestershire.

The art of commissioning: how commissioners can release the potential of the arts and cultural sector

SLAY Julia, ELLIS-PETERSEN Madeleine
2016

Drawing the experiences from two pilot sites in Kent and Gloucestershire, this report aims to help commissioners of public services understand how they can improve outcomes for people and communities through closer integration of arts and cultural into public services. As part of the Cultural Commissioning Programme (CCP), New Economics Foundation worked with NHS and local authority partners in Kent and Gloucestershire over an 18 month period. This report brings together examples, case studies, templates and resources that share the successes of, and challenges faced by, the commissioners in the two pilot site. As part of the project the NHS Gloucestershire Clinical Commissioning Group has funded nine projects that are applying arts and culture across a range of clinical pathways including cancer, mental health and diabetes. They are also exploring how arts and cultural activities can be aligned with the county wide social prescribing scheme. Services developed in Kent include community-based mental health service which includes formal arts and cultural organisations, such as local museums and theatres, as well as smaller, informal arts and cultural groups, such as reading groups and dance classes. Kent County Council has also been involving arts and cultural organisations in their early help and preventative service worth around £8 million. Recommendations for other commissioners include: raising awareness within public services bodies of the benefits of working with arts and cultural providers; building provider capacity and knowledge; involving the arts and cultural sector in market engagement; improving procurement processes; and improving monitoring and evaluation processes.

Better mental health for all: a public health approach to mental health improvement

FACULTY OF PUBLIC HEALTH, MENTAL HEALTH FOUNDATION
2016

This report looks at what can be done individually and collectively to improve the mental health of individuals, families and communities and prevent mental health problems using a public health approach. The report aims to encourage proportionate use of universal services with a focus on the promotion of mental wellbeing and on high level support for those at risk of poor mental health and mental health problems, complementing recovery and prevention approaches. Section one maps out why mental health is an important, highlights its economic and social costs and examines why it is often overlooked. Section two outlines the risk and protective factors through the life course from the early years, to adulthood and later-life. It also looks at the risk and protective factors across communities, for example in the home, education and work settings, and the effects of the built environment and neighbourhoods. Section three addresses approaches and interventions to improve mental health at different stages of the life course and in different settings. Section four offers a practical guide to enable practitioners to support their own mental wellbeing. Case studies of innovative public mental health programmes and projects being run across the UK are included throughout. Annex A includes a list of initiatives received as entries for the Faculty of Public Health public mental health award, 10 of which are included in the report as case examples.

The missing million: in search of the loneliest in our communities

CAMPAIGN TO END LONELINESS
2016

A guide to help commissioners and service providers to develop ways of identifying older people experiencing loneliness or who are at risk of being lonely. Section one identifies methods of identifying older people who may be at risk of loneliness. These include top down approaches which use available data and data mapping to identifying geographical areas likely to contain more people at risk; and bottom up approaches, which draw on the local knowledge and capacity of communities to identify and engage with older people experiencing loneliness in their area. Section two illustrates how these different methods can be used and provides case studies to show how they have been used successfully by other organisations. Section three provides advice to help staff and volunteers to speak to people at risk of loneliness in a way that can bring about positive change. It shows the importance of using empathy, openness and respect when holding conversations and also taking a problem-solving approach to help people identify and plan their own solutions. Each section includes summary learning points and provides advice to help providers and commissioners to help change their ways of working. The report makes 10 key recommendations for service providers and commissioners.

The economic value of Dorset POPP services. A focus on two significant issues: malnutrition and fire safety

HARFLETT Naomi, et al
2016

An economic analysis of three schemes from Dorset Partnership for Older People Projects (POPP), focusing on their value and effectiveness in preventing malnutrition and preventing fire related injuries. Dorset POPP schemes use a community led preventative approach and aim to improve the quality of life of older people and to save money by preventing ineffective use of publicly funded services. The report uses published figures of the costs of malnutrition and the economic value of preventing fire injuries and applies the figure to contact monitoring and costs data from three of the Dorset POPP projects to provide an estimate of the potential economic value. The schemes are: the Wayfinder Programme, which provides signposting and support on services such as welfare benefits and pensions, retaining independent living, social activities, telecare and lunch clubs; the Community Initiatives Commissioning Fund (CICF), which funds initiatives identified by local people such as lunch clubs, social clubs, and neighbourcare schemes; and Safe And Independent Living (SAIL) multi-agency referral scheme, which provides a multi-agency referral approach to enabling access to signposting, support, and services. For all of the interventions included in the analysis, just a very small proportion (often less than one per cent) of the contacts or referrals made would be needed to prevent malnutrition or fire related injuries, in order to save money.

Results 11 - 20 of 77

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