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Results 141 - 150 of 488

Combatting loneliness one conversation at a time: a call to action

JO COX COMMISSION ON LONELINESS
2017

This final report of the Jo Cox Loneliness Commission shares the ideas that the Commission have worked on over the past year and makes recommendations for national government. The report highlights the consequences of loneliness for individuals' wellbeing and health, and for the economic stability of wider society. It also provides individual case studies and examples of good practice initiatives to show the benefits of tackling loneliness. It identifies three key areas for government action in order to tackle loneliness: leadership - including the development of a UK wide strategy for loneliness; measuring progress - with the creation of a national indicator and development of evidence around 'what works'; and funding for communities in order to spread promising approaches and best practice.

Community development in health: a literature review


2016

This literature review offers a brief background to the current state of play in the NHS and statutory services, and ideas that services more flexible, place-based services are likely to offer more effective and efficient outcomes. It then provides an overview of the nature of community development, its relationship to community health and to enhancing the responsiveness of commissioning of services. It brings together evidence which shows how communities can be supported to develop their own strengths and their own trajectories of development. It also examines the health benefits of community engagement, and identifies the limitations of some studies and where evidence that suggests poor outcomes or risks. It looks developing a business case, and what is already known of costs and benefits of community development. It finds that although it is difficult to express costs and benefits of community development in monetary terms, some effective techniques do exist. The evidence shows that community development helps to strengthen and increase social networks and therefore build up social capital. Evidence shows that they to contribute significantly to individual and to community health and resilience. Existing data also suggests that community development in health is cost-effective and provides good value for money. The review includes definitions of community development and key related concepts, including as asset-based approaches, co-production, social networks, social capital, and community capital.

Promoting asset based approaches for health and wellbeing: exploring a theory of change and challenges in evaluation

RIPPON Simon, SOUTH Jane
2017

This project explores two key areas that are critical for moving to a more systematised approach to asset based action for health. It builds on the report ‘Head, hand and heart’, from the Health Foundation, to explore further the develop a Theory of Change for asset based approaches aligned to an asset model for health and also looks at ways of evaluating and measuring the benefits and impact of asset based approaches. Drawing on the findings from site visits, interviews and a think piece event, this report presents a new Theory of Change for asset-based working. A rapid review of published and grey literature was also conducted to map and categorise evaluate approaches and measures used in asset-based programmes. The map of literature showed that a variety of methodologies and evaluation strategies are used in asset-based practice. The report summarises the approaches across the seven broad clusters of: Asset Based Community Development; Asset Mapping; Community-based evaluation; Conceptual frameworks for measurement; Resilience; Salutogenesis; and Other. The report suggests that a high level Theory of Change that incorporates an orientation phase provides an opportunity to set out the purpose and rationale of asset based activity. This can also enable measurement and evaluation to be better defined and managed, and help local actors in articulating the benefits (or not) of asset based approaches for health.

What works in community led support? Findings and lessons from local approaches and solutions for transforming adult social care (and health) services...

BROWN Helen, et al
2017

The first evaluation report of the Community Led Support (CLS) programme, which supported nine authorities across England, Wales and Scotland to develop and implement a new model of delivering community based care and support. The findings show what can be achieved when applying core principles associated with asset based approaches. CLS involves local authorities working collaboratively with their communities, partner organisations and staff to design a health and social care service that works for everyone. Its core principles include co-production; a focus on communities; preventing crises by enabling people to get support and advice when they need it; a culture based on trust and empowerment; and treating people as equals, and building on their strengths. The evaluation found evidence that CLS resulted in better experiences and outcomes for local people, improved access to services; greater efficiencies in services; reduced waiting times and lists; increased signposting and resolution through community services; improvement in staff morale; and a potential for cost savings. Sites achieved these changes by adopting a variety of approaches to implementing CLS - from implementing CLS across an entire authority area at the same time, to implementing in one innovation site and encouraging others to adopt aspects of the service. The report identifies six priority areas for action to further develop and embed community led support over the next 12-18 months.

Comprehensive care: older people living with frailty in hospitals

NIHR DISSEMINATION CENTRE
2017

This review looks at the concept of 'frailty' in older people and what can be done to raise awareness amongst hospital staff, so that they can better identify and manage the needs of this ‘frail’ older people. It features 53 completed and ongoing studies funded by the National Institute of Health Research. The review covers four key aspects of caring for older people living with frailty in hospital: assessment; identifying and managing symptoms associated with frailty in hospital; discharge planning; and caring environments which consider the context in which inpatient diagnosis and treatment is delivered. The review highlights promising evaluations of workplace training and interventions. It also identifies a number of tools, such as the Frailty Index, that can help hospital staff to identify the severity of needs and help to provide targeted support. It also finds good evidence that the Comprehensive Geriatric Assessment (CGA) is a reliable way of diagnosing and meeting the needs of older people with input from multi-disciplinary teams. It also identifies areas where more research is needed, which include: maintaining activities of daily living for people admitted to hospital; and the effectiveness and cost-effectiveness of different models of delivering care. The review also includes a series of questions that hospital boards, staff and families can ask about the care of older people with frailty in hospitals. Summaries of the 53 studies are also included.

Community services: what do we know about quality? Briefing

O'DOWD Nora Cooke, DORNING Holly
2017

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.

Room to improve: the role of home adaptations in improving later life

CENTRE FOR AGEING BETTER
2017

This report summarises the findings from an evidence review on how home adaptations can improve later lives and provides recommendations to improve access to, and delivery of, home adaptation and repair services. It shows that both minor and major home adaptations are an effective intervention to improve outcomes for people in later life, including improved performance of everyday activities, improved mental health and preventing falls and injuries. It also identifies good evidence that greatest outcomes are achieved when individuals and families are involved in the decision-making process, and when adaptations focus on individual goals. Based on the findings, the report makes recommendations for commissioners and service provides. These include for Local Sustainability and Transformation partnerships to put in place preventative strategies to support people at risk in their home environment; for local authorities to make use of the Disabled Facilities Grant to fund both major and minor adaptations; and for local authorities to ensure people have access to information and advice on how home adaptations could benefit them, in line with the Care Act 2014.

The role of home adaptations in improving later life

POWELL Jane, et al
2017

A systematic review of evidence on the effectiveness and cost effectiveness on how home adaptations can contribute in helping older people to maintain their independence for as long as possible and what works best to improve the health and wellbeing. Conducted by a team from the University of the West of England, the review covered peer-reviewed literature and professional and practitioner-led grey literature published between 2000 and 2016. It found evidence that both minor and major home adaptations can improve outcomes for people in later life, including improved performance of everyday activities, improved mental health and preventing falls and injuries. It also identified good evidence that greatest outcomes are achieved when individuals and families are involved in the decision-making process, and when adaptations focus on individual goals. It also found strong evidence that minor home adaptations are an effective and cost-effective intervention. The report also includes analysis from the Building Research Establishment which shows that home interventions to prevent falls on stairs, can lead to savings of £1.62p for every £1 spent. Based on the findings, the report makes recommendations for commissioners and service provides. These include for Local Sustainability and Transformation partnerships to put in place preventative strategies to support people at risk in their home environment; for local authorities to make use of the Disabled Facilities Grant to fund both major and minor adaptations; and for local authorities to ensure people have access to information and advice on how home adaptations could benefit them, in line with the Care Act 2014.

The Kirklees Do Your Thing project

ALLEN Helen
2017

An evaluation of the Kirklees Do Your Thing project, delivered by Community Catalysts, to develop new innovative community-based activities for individuals with learning disabilities and/or autism. The two-year project, which employed a local catalyst, undertook a thorough community scoping exercise to identify organisations and people in Kirklees who might add value to the project; met people with a learning disability and/or autism interested in running an activity (called group leaders) and their supporters; supported group leaders to identify and connect with potential group members; identified community venues which could be used at no or little cost by group leaders to run their activities and formed strong working links with their managers; captured the journeys of the group leaders and showcased the outcomes of their work throughout the life of the project; established and strengthened a circle of formal and informal supports around each group leader to ensure the sustainability of their activity as the project came to end; and developed a set of ‘top tips’ for commissioners and other organisations keen to help other people with disabilities use their talents and interests to set up groups and make a contribution. The evaluation finds that with the right kind of help and support people with learning disabilities and/or autism will readily use their often-unappreciated gifts and talents to set up groups and activities that benefit other people. The project has also successfully challenged negative perceptions of people with learning disabilities and/or autism, helping professionals and families to recognise their strengths and gifts and the contribution they can make with the right kind of support. Key learning points include: it takes time to embed a project like this which brings radically new thinking into an area; some people prefer to work alone, and peer support groups may not work for everybody; establish the boundaries and be clear about the types of support that potential group leaders could or could not expect from the project; focus on the people who are really motivated; and work at people’s own pace.

Releasing Somerset's capacity to care: community micro-providers in Somerset. The impact and outcomes of the Community Catalysts project

COMMUNITY CATALYSTS
2017

An evaluation of the Community Catalysts project in Somerset. Community Catalysts is a social enterprise working across the UK to make sure that people who need care and support to live their lives can get help in ways, times and places that suit them, with real choice of attractive local options. In Somerset, the project aimed to increase the number of flexible, responsive, high quality local services and supports that can give people real choice and control over their care. As part of the project Community Catalysts has worked with partners to develop the Community Somerset Community Micro-enterprise Directory. The directory features 275 community-enterprises all of whom offer services linked to health, care or wellbeing. 223 offer help to older people to enable them to stay at home. 58% of these providers offer personal care services, including for people with more complex care needs. This care is often provided alongside home help, domestic and social support. 42% offer home help type services including support, companionship, domestic help, gardening, cleaning, trips out, transport. 3,500 hours of care a week are delivered by Community micro-enterprises in Somerset. Community Catalysts also undertook a survey of 45 families who have used both a micro-provider and a traditional domiciliary agency. The results showed that community micro-providers are able to deliver strong and valued outcomes for the people they support, and significantly outperform traditional domiciliary care delivery. The evaluation indicates that 32 community micro-enterprises in rural West Somerset are delivering £134,712 in annual savings. Projected across the 223 micro-enterprises supported by Community Catalysts in Somerset, the project delivers: £938,607 in annual savings; 56% of people supported use direct payments, showing £525,619 of direct and ongoing annual savings to the council.

Results 141 - 150 of 488

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