Results for 'reablement'
Results 21 - 26 of 26
O'DOWD Nora Cooke, DORNING Holly
This briefing looks at trends in national measures in English community trusts to try to gain a view of quality in community services more generally. The analysis examines trends in routinely collected national quality measures in 18 community trusts in England, which account for a quarter of all community health services delivered in the NHS. Some of the key findings are: care in community trusts was predominantly delivered by professionally qualified clinical staff such as community health nurses, allied health professionals and community health visitors – staff numbers in the 18 trusts stayed roughly stable between late 2013 and 2016, although demand has almost certainly increased; these staff were roughly as satisfied with their jobs as staff in all NHS trusts, although they were less likely to recommend their trust as a place to work; the median waiting time for an outpatient appointment was three days longer in the community than across all trusts in England; patients using services offered by community trusts would generally recommend them to a friend and were less likely to experience harm compared to those using services provided by non-community trusts. The briefing concludes that the difficulties experienced in gathering useful information on community services indicate that the national lack of community data needs to be resolved before questions of quality can be meaningfully answered.
ROYAL VOLUNTARY SERVICE
Assesses the impact of home from hospital services, which focus on supporting older people in their homes following a stay in hospital and seek to reduce the likelihood that they will need to be readmitted to hospital. The report brings together the findings of a literature review (as well as discussions with relevant experts), the results of the survey of 401 people aged 75 or over who had spent at least one night in hospital on one or more occasions within the past five years, and the outputs from a cost-impact analysis using national data and results from the survey. It sets out the policy context in England, Scotland and Wales, with its focus on preventive care, better integration of health and care services, and on shifting care away from the hospital into homes and communities. It then discusses the demand drivers for these schemes, including the ageing population, the growth in hospital readmissions, and decreasing length of stay. The report examines the experiences of older people after leaving hospital, looking at admissions, discharge, need for support following discharge, and type and duration of support. It suggests that home from hospital schemes can help to improve the well-being of their users and to reduce social isolation and loneliness and the number of hospital readmissions, as well as demand for other health and care services. The results of the cost-impact analysis suggest that, were home from hospital schemes appropriately targeted and effective in addressing ‘excess admissions’, they may produce a saving for the NHS of £40.4m per year.
COPEMAN Ian, EDWARDS Margaret, PORTEUS Jeremy, HOUSING LEARNING AND IMPROVEMENT NETWORK
This report shows how housing services are helping to relieve pressure on the NHS by reducing delays in discharging people from hospital and preventing unnecessary hospital admissions. It features 12 case studies to show the positive impact these services have on people’s lives and the cost benefit to the NHS. The case studies highlight services that will benefit people most at risk of delayed discharge, such as older people, people with mental health problems and people experiencing homelessness. The case studies also demonstrate a diversity of housing and health services including: 'step down' bed services for people coming out of hospital who cannot return to their own home immediately; hospital discharge support and housing adaptation services to enable timely and appropriate transfers out of hospital and back to patients' existing homes; providing a new home for people whose existing home or lack of housing mean that they have nowhere suitable to be discharged to; and Home from Hospital services to keeping people well at home who would otherwise be at risk of being admitted or readmitted to hospital. The report also considers the impact and additional savings that could be made by housing providers if this work were to be scaled up.
This study estimates the economic benefits to commissioners of both health and social care across six British Red Cross schemes, two covering A&E hospital schemes, and four focused on community and individual resilience. Based on analysing these six schemes, BRC is found to be delivering substantial savings to health and social care commissioners, ranging from £168 to £704 per user relating to a rate of return between 40 to 280 per cent. Savings are realised through the prevention of hospital admission or reduced length of stay in hospital; reduced levels of hospital readmission; and preventing or minimising the use of expensive domiciliary and residential care. All the BRC schemes across the UK are estimated to have the potential to save commissioners £8m. This saving implies an overall return of 149 per cent on commissioner expenditure, suggesting that these schemes deliver material benefits and form a crucial element of care in the UK. In addition to savings there are a number of further benefits the schemes deliver, including service user benefits, signposting and assistance with access to additional services, reduction of social isolation and greater independence and wellbeing through the use of volunteers.
Stockton-on-Tees Borough Council
Stockton Borough Council established a Multi-Disciplinary Service (MDS) in October 2015, as part of their Better Care Fund plan. The process of designing and implementing the service was through creating a partnership with all key stakeholders in across health, social care and the voluntary sector: Hartlepool and Stockton-on-Tees CCG - Health Commissioners; Stockton-on-Tees Borough Council - Social Care; North Tees and Hartlepool FT - Acute and Community Health; Tees Esk and Wear Valleys FT - Mental Health Trust; and the Voluntary Community and Social Enterprise sector. The executive management teams of all partner organisations signed up to the MDS and have continued to support its development though regular updates at the Joint Health and Wellbeing Board.
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.
Results 21 - 26 of 26