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All research records related prevention examples and research

Results 131 - 140 of 328

Shared-life communities for people with a learning disability: a review of evidence

CUMELLA Stuart
2015

A review of the evidence from research about shared-life communities for people with a learning disability, summarising the results from the small number of academic studies which have attempted to measure the quality of life of people with a learning disability living in such communities. This study shows how shared-life communities facilitate a high quality of life for their residents with a learning disability and in particular: high levels of meaningful employment - residents are able to work full time in a range of unskilled and skilled work essential to the daily life and economy of the community, while also exercising choice over where they are able to work; opportunities for friendship - a shared-life communities provide a large clustering of potential friends with the opportunity to meet in workplace and informal settings, while ease of communication enables friendships to be sustained; and long-term relationships - living in extended families in a long-term social relationship with co-workers/assistants enables both groups to become familiar with each other’s pattern of communication.

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.

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.

People helping people: year two of the pioneer programme

NHS ENGLAND
2016

Describes the journey taken over the last year by the integrated care pioneers. The 25 pioneer sites are developing and testing new and different ways of joining up health and social care services across England, utilising the expertise of the voluntary and community sector, with the aim of improving care, quality and effectiveness of services being provided. The report describes the progress, challenges and lessons learnt across the pioneers. A number of key themes have emerged, including: population segmentation to determine people’s characteristics, their needs and care demands; using the experience of people; providing proactive care; providing integrated care services; supporting integration through using shared care records; using technology to support different access points; analysing impacts through data; and removing financial disincentives. Also included within the report are pioneers’ stories which describe the core elements of their care models and showcase how these are impacting real people.

Place-based health: a position paper

STUDDERT Jessica, STOPFORTH Sarah
2015

This position paper sets out some of the challenges in achieving a fundamental structural shift in the health system, citing new evidence from health and local government professionals. The paper sets out the potential of reimagining health as place-based, taking an asset-based approach and focusing on shaping demands in the longer term and ultimately producing better health and wellbeing outcomes. Underpinning this approach is the recognition of the wider determinants of health, where fewer health outcomes result from clinical treatment and the majority are determined by wider factors such as lifestyle choices, the physical environment and family and social networks. Place-based health would mean reconceptualising ‘health’ from something that happens primarily within institutions, to involve all local assets and stakeholders in a shift towards something that all parts of the community, and individuals themselves, recognise and feel part of. This would mean the individual would move from being a recipient of interventions from separate institutions to being at the heart of place-based health. The paper intends to lay out the challenge for the Place-Based Health Commission, which will report in March 2016 and recommend practical steps for professionals in health and care to overcome organisational barriers – real and perceived – and make a fundamental shift towards an integrated system that puts people at the heart of it.

The role of case studies as evidence in public health

KORJONEN Helena, et al
2016

This study uses a mixed methods approach, comprising a literature review, a content analysis of a sample of case studies and a small number of qualitative interviews on the use and usefulness of case studies, to define, explore and make recommendations around the nature and use of case studies in public health. It suggests that case studies capture local knowledge of programmes and services, and illustrate processes and outcomes that cannot be captured in other ways, and that this is what makes them valuable. The report argues that case studies would benefit from guidelines and templates to improve the format, replicability and assessment and that they would benefit from a higher rating in evidence hierarchies as they often describe complex interventions, implementation and different contexts.

Collaborative healthcare: supporting CCGs and HWBs to support integrated personal commissioning and collaborative care

INCLUSIVE CHANGE
2015

A short guide providing new approaches and practice examples of how Clinical Commissioning Groups and Health Wellbeing Boards can commission and support interventions which embody the principles of collaborative care, individual choice and control and patient and public participation. The six approaches presented are: Experts by experience and self-advocacy; Self-directed support and personal health budgets; Capabilities and asset-based approaches to health and care; Co-production and citizen led commissioning; Community development and building social capital; and Networked models of care. Each includes accompanying practice examples. The guide has been produced by the Inclusive Change partnership of Shared Lives Plus, Community Catalysts, In Control, Inclusion North and Inclusive Neighbourhoods.

Our communities, our mental health: commissioning for better public mental health

MIND
2015

This guide provides a background to public mental health, examining what it is, prevention types and risk factors, why it should be invested in and how to target interventions most effectively. The document sets out a framework of principles and good practice for designing and commissioning public mental health programmes, which include: work in partnership; understand your community and who is at high-risk; monitor and evaluate impacts; commission interventions across the life course; and address both physical and mental health. A range of practical case studies are provided to help commission successful public mental health programmes in local areas.

Improving the health and wellbeing of communities

COMMUNITY DEVELOPMENT FOUNDATION
2014

This paper is part of the ‘Tailor-made’ series, which aims to demonstrate the valuable contribution that the community sector makes to people’s lives and society as a whole. Specifically, this paper explores the significant role that community groups play in improving the health and wellbeing of communities. Key points include: the community sector is well placed to support wellness, rather than just treat illness through connecting organisations and supporting people with wider factors that affect health, including poverty, education and social isolation; the community sector has unique qualities that allow it to provide tailor-made support - they are trusted and understand the needs of their community, they can reach people that find it hard to access traditional support and they take a person-centred approach meaning they can support people’s multiple-needs; the community sector contributes significant social and economic value by improving physical and mental health, improving quality of life and reducing health inequalities.

Measuring mental wellbeing in children and young people

BRYANT Gillian, HEARD Heather, WATSON Jo
2015

This document outlines the importance of measuring mental wellbeing in children and young people. It is intended to provide guidance on the use of targeted, evidence driven intelligence and practical support to those wishing to develop local joint strategic needs assessments (JSNAs) and the evaluation of interventions which improve the mental wellbeing of children and young people. In particular, the briefing examines what children and young people’s mental wellbeing is, and why is it important; it describes some of the tools which are currently available to measure mental wellbeing and identify its determinants; it discusses risk and protective factors; and explains how using intelligence can improve children and young people’s outcomes. The technical appendix has measures to quantify mental wellbeing and its determinants, information on using the measures and links to examples of evidence based practice.

Results 131 - 140 of 328

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