Results for 'primary care'
Results 1 - 7 of 7
POLLEY M., et al
This paper critically appraises the current evidence as to whether social prescribing reduces the demand for health services and is cost effective. It draws on the results of a systematic review of online databases which identified 94 reports, 14 of which met the selection criteria. They included studies on the effect of social prescribing on demand for general practice, the effect on attendance at accident and emergency (A&E) and value for money and social return on investment assessments. The evidence broadly supports the potential for social prescribing to reduce demand on primary and secondary care, however, the quality of the evidence is weak. It also identifies encouraging evidence that social prescribing delivers cost savings to the health service, but this is not proven or fully quantified. In conclusion, the paper looks at the possible reasons for the growth in scale and scope of social prescribing across the UK and makes recommendations for more evaluations of on-going projects to assess the effectiveness of social prescribing.
PARKINSON Andy, BUTTRICK Jamie
Evidence review, undertaken through a joint project between the Low Commission and the Advice Services Alliance, to examine the impact of social welfare advice services on health outcomes. The review outlines key findings from 140 research studies and also provides an overview of 58 integrated health and welfare advice services. Advice services covered in the review included those providing advice on debts, welfare benefits, housing, employment and discrimination advice. The results of the evidence review are discussed across the following areas: health inequalities; debt and mental health; primary care; secondary and tertiary care, including mental health services. The analysis finds that welfare advice provided in health context results in better individual health and well-being and lower demand for health services. Positive effects on health and welbeing include: lower stress and anxiety, better sleeping patterns, more effective use of medication, smoking cessation, and improved diet and physical activity. It shows how the right welfare advice in the right place produces real benefits for patient health especially where advice services work directly with the NHS and care providers, and presents evidence to show that early and effective advice provision reduces demand on the NHS. It provides recommendations for NHS, Local Authority Commissioners, Health and Wellbeing Boards, and the advice sector for the use welfare advice services to improve health outcomes, address health inequalities and reduce demand on the NHS.
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.
A guide for primary care commissioners in NHS England and Clinical Commissioning Groups (CCGs) on how to involve patients, service users, carers and the public in the commissioning of primary care services. This includes involving throughout the commissioning process in the planning, policy making, buying and monitoring primary care services such as general practice, community pharmacy, dental, and eye health services. The Framework looks at how NHS England involves people in commissioning at national and local levels; co-commissoning with CCGs; and individual responsibilities as a policy or commissioning manager in primary care. It also includes short case study examples, provides details of additional sources of information, and key partner organisations and networks with an interest in public participation. It has been co-designed with members of the Working Group for Patient and Public Participation in Primary Care Commissioning and also incorporates feedback received from key stakeholders. The document will also be of interest to patients and the public, the voluntary sector, and providers of health and social care services. It is designed to be read with the NHS England Patient and Public Participation Policy and the Statement of Arrangements and Guidance on Patient and Public Participation in Commissioning.
UNIVERSITY OF YORK. Centre for Reviews and Dissemination
Summarises the findings of a rapid appraisal of available evidence on the effectiveness of social prescribing. Social prescribing is a way of linking patients in primary care with sources of support within the community, and can be used to improve health and wellbeing. For the review searches were conducted on the databases: DARE, Cochrane Database of Systematic Reviews and NHS EED for relevant systematic reviews and economic evaluations. Additional searches were also carried out on MEDLINE, ASSIA, Social Policy and Practice, NICE, SCIE and NHS. Very little good quality evidence was identified. Most available evidence described evaluations of pilot projects but failed to provide sufficient detail to judge either success or value for money. The briefing calls for better evaluation of new schemes. It recommends that evaluation should be of a comparative design; examine for whom and how well a scheme works; the effect it has and its costs.
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
Summarises selected new evidence published since the original literature search was conducted for the NICE guidance 16 Occupational therapy and physical activity interventions to promote the mental health wellbeing of older people in primary care and residential care (2008). A search was conducted for new evidence from 1 June 2011 to 28 July 2014 and a total of 8,973 pieces of evidence were initially identified. The 21 most relevant references underwent a critical appraisal process and then were reviewed by an Evidence Update Advisory Group, which advised on the final list of 6 items selected for the Evidence Update. The update provides detailed commentaries on the new evidence focussing on the following themes: occupational interventions, physical activity, walking schemes, and training. It also highlights evidence uncertainties identified.
SEABROOKE Viniti, MILNE Alisoun
Purpose: This study aims to systematically evaluate the impact and effectiveness of two early intervention services in NW Kent.
Design/methodology/approach: Data were gathered via evaluation questionnaires for both projects; these included quantitative post-intervention data and qualitative comments. Data on referrals to secondary care and a specialist third sector organisation were also collected for the primary care project.
Findings: Findings from the primary care project indicate that targeting a specific age cohort of patients can be effective in terms of: early identification of dementia-related concerns, the provision of support, appropriate referrals to secondary care, and increased referrals to a third sector dementia service. At the end of the project most practitioners felt they were better informed about dementia, more committed to facilitating early diagnosis, and had gained confidence in using a screening tool (the General Practitioner Assessment of Cognition Test). Evidence from evaluating the Carers Group suggests that attendance helped members manage emotional difficulties, increased understanding of dementia, and enhanced coping skills. They also felt less isolated and knew how to access support services.
Practical implications: The projects offer two models of intervention: how a proactive third sector agency can work with primary care professionals to enhance commitment to dementia case finding and the provision of group support to relatives of those in receipt of a recent dementia diagnosis.
Originality/value: The study provides insights into early intervention in dementia care how to evaluate impact of effectiveness.
Results 1 - 7 of 7