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All research records related prevention examples and research

Results 191 - 200 of 334

Safely home: what happens when people leave hospital and care settings?

HEALTHWATCH ENGLAND
2015

Presents the findings from an inquiry into the emotional and physical impact of hospital discharge. With the help of 101 local Healthwatch, the enquiry panel heard from over 3,000 people who shared their stories about their experiences of the discharge process, focusing in particular on older people, homeless people, and people with mental health conditions. The findings reveal that there are five core reasons people feel their departure is not handled properly: people are experiencing delays and a lack of co-ordination between different services; they are feeling left without the services and support they need after discharge; they feel stigmatised and discriminated against and that they are not treated with appropriate respect because of their conditions and circumstances; they feel they are not involved in decisions about their care or given the information they need; and they feel that their full range of needs is not considered. The report includes examples of good practice and initiatives and projects designed to help older people, homeless people, and people with mental health conditions resolve the difficulties they experience during the discharge process.

Dementia friendly communities: guidance for councils

LOCAL GOVERNMENT ASSOCIATION, INNOVATIONS IN DEMENTIA
2015

This guidance looks at current best practice and learning in the creation of dementia friendly communities, how it fits within the broader policy landscape, and what actions councils can take, and are already taking in supporting people with dementia by creating local dementia friendly communities. It illustrates how simple changes to existing services, and awareness raising for those who come into day-to-day contact with people with dementia such as staff working in libraries or in leisure centres, can help people with dementia feel more confident and welcome in using council services. The guide looks at what a dementia friendly community is, why dementia is a key issue for councils and the role councils can play. It then presents a framework to help develop to plan, develop and assess the dementia friendliness of any community, organisation or process. The framework covers five domains: the voices of people with dementia and their supporters, the place, the people, resources, and networks. For each domain information is included on: the background to the issue, key actions that councils can take to make this happen, and examples or case studies of existing practice. The guide for those who have a role in leading, planning, commissioning and delivering public services; including health and wellbeing boards, and those responsible for health and social care services.

All our futures: housing for ageing

HOUSING AND AGEING ALLIANCE
2015

This report summarises the key messages from the 2015 Housing and Ageing Summit where leading figures from the sectors came together to map out the actions required to address the critical issue of housing for an ageing population. It was agreed that: housing is fundamental to dignity and security in older age; it underpins health and wellbeing; it is the foundation of a sustainable NHS and social care system and needs to be an equal part of the integration agenda; at a time of unprecedented demographic change, housing, planning, health and social care must all systematically address population ageing; housing plays a critical role in the UK economy - older people live in a third of all homes and are the major driver of household growth.

A call to action: commissioning for prevention

NHS ENGLAND
2013

This document sets out a framework intended to help clinical commissioning groups think about how to commission for effective prevention. Commissioning for prevention is one potentially transformative change that CCGs can make, together with Health and Wellbeing Boards and their other local partners. The paper argues that whether on grounds of health need, cost or public expectations the case for developing a wellness rather than solely an illness service is compelling. This can be achieved by effectively commissioning for prevention through the following steps: analysing the most important health problems at population level; working together with partners and the community, setting common goals or priorities; identifying high-impact prevention programmes focused on the top causes of premature mortality and chronic disability; planning the resource profile needed to deliver prevention goals; and measuring impact and experimenting rapidly.

Collaborative research between Aston Research Centre for Healthy Ageing (ARCHA) and the ExtraCare Charitable Trust: the final report

HOLLAND Carol, et al
2015

Report presenting findings from a longitudinal study to evaluate whether the ExtraCare Charitable Trust housing approach provides positive outcomes for healthy ageing which also results in health and social care cost savings. For the study 162 volunteer new residents were assessed prior to moving into ExtraCare accommodation in the 14 locations on their health, illness, well-being and level of activity. They were then assessed on the same measures at 6, 12 and 18 months after entry. Residents were compared against 39 control participants. The main focuse was to measure health, illness, well-being, activity and personal perceptions .Qualitative data were also collected through focus groups, interviews, and case studies to gather residents views and perceptions. Statistical modelling was used to identify the most important factors in predicting outcome measures of cost. Key findings identified: significant saving for NHS budgets, with total NHS costs reducing by 38% over a 12-month period for residents in the sample; a reduction in the duration of unplanned hospital stays; potential savings in the cost of social care; improvements in residents who were designated as in a 'pre-frail' state on entry to ExtraCare housing; and improvements in residents psychological wellbeing, memory and social interaction.

The NHS in 2030: a vision of a people-powered, knowledge-powered health system

BLAND Jessica
2015

This report explores four big ways that knowledge power and people power will affect the NHS in 2030 and the wider health system, through precision medicine, new forms of health data, people–powered health, and the use of behavioural insights. Section 1, in particular, concentrates on where new kinds of medical information about individuals will come from, as well as how it is interpreted in stratified care. Section 2 moves onto people managing their own health information and new digital platforms for supporting patient–led research and care. Section 3 looks at the possibility of a social movement for health: people being trusted to have a more active role in their own health and to look after others, supported by the NHS, as well as people supporting health services. Section 4 explores how insights into human behaviours can help redesign health services, products and treatments in a way that reflects better how people live their lives and make choices. This is followed by a summary of how these developments will change the function of the NHS. The final sections focus on the challenges involved in getting to the best version of this future and ideas for how these changes can be supported today. Concentrating on the widest gaps between these ideas and current policy, the conclusion includes four proposals that would support new functions in the health system. These are: developing digital platforms and widely agreed protocols for developing new kinds of health knowledge; creating prototypes for health data sharing that concentrate on understanding emerging attitudes to digital privacy; establishing an institution that supports and evaluates people powered health research; and creating a central institution to set standards and mandate processes that will maximise the clinical and research value of large genomic and other data sets as they become available.

Growing older together: the development and promotion of resident-led models of housing with care for older people: a programme of work being undertaken by the Housing LIN (Learning and Improvement Network)

HOUSING LEARNING AND IMPROVEMENT NETWORK
2015

This practice briefing outlines the work being undertaken to capture examples of practice of resident-led housing for older people, building on the 2013 report ‘Growing older together: the case for housing that is shaped and controlled by older people’. This key area of work recognises that there is a need to increase the supply of housing suitable for older people and ensure that the offer of new housing options and choices prove attractive to a new generation of older people with changing priorities and higher expectations. The work programme will comprise several elements, including: an overall report, covering a broad range of examples; liaison with community-led housing organisations, older people’s representative forums/networks and other interested parties; and a spring conference for 2016.

Powerful people: reinforcing the power of citizens and communities in health and care: report

MUIR Rick, QUILTER-PINNER Harry
2015

This report argues that giving citizens greater control over their health and care can both promote the redesign of services, so that they are developed around citizens needs and aspirations, and also save money by supporting people to manage their conditions themselves. The report begins by looking at what empowerment in health and care means and the benefits it can bring in terms of autonomy, better health outcomes, patient satisfaction, and reductions in cost. It then describes previous programmes and initiatives which aimed to give citizens and communities greater power and why these approaches have not been entirely successful. It then describes five models of care which actively empower citizens and communities and address the deficiencies of previous initiatives. The models described are: social prescribing; brokerage and integration; peer support; asset-based community development; and technology-enabled care plans, which provide people with the tools to better manage their condition themselves. The final chapter identifies five enablers of systems change to help encourage the development and wider adoption of these new models of care: finance, devolving power and integration, recruitment and training workforce, the adoption new technology, empowering citizens to have greater control of their health and care.

Co-producing approaches to the management of dementia through social prescribing

BAKER Keith, IRVING Adele
2016

A promising approach to the management of dementia is ‘social prescribing’. Social prescribing is a form of ‘co-production’ that involves linking patients with non-clinical activities, typically delivered by voluntary and community groups, in an effort to improve their sense of well-being. The success of social prescribing depends upon the ability of boundary-spanning individuals within service delivery organizations to develop referral pathways and collaborative relationships through ‘networks’. This article examines the operation of a pilot social prescribing programme in the North East of England, targeted at older people with early onset dementia and depression, at risk of social isolation. It is argued that the scheme was not sustained, in part, because the institutional logics that governed the actions of key boundary-spanning individuals militated against the collaboration necessary to support co-production.

Care Act: assessment and eligibility: strengths-based approaches

SOCIAL CARE INSTITUTE FOR EXCELLENCE
2015

This guide summarises the process and the key elements to consider in relation to using a strengths-based approach. Sections provide information on what a strength-based approach is; the information practitioners need to carry out an assessment; using strength-based mapping; and key factors that make a good assessment. It also looks at how local authorities can extend the use of the strengths-based approach from assessments to meeting needs and provides a summary of core local authority duties in relation to conducting a strengths-based approach. It should be read in conjunction with the Care and Support (Assessment) Regulations 2014 and Chapter 6 of the 'Care and support statutory guidance', published by the Department of Health.

Results 191 - 200 of 334

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