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All research records related prevention examples and research

Results 201 - 210 of 334

Sustainability, innovation and empowerment: a five year vision for the independent social care sector

CARE ENGLAND
2015

Sets out Care England’s vision for the next five years on how the organisation and the sector plan to deal with a number of issues facing the health and social care system. The report focuses on critical areas of the current social care landscape, including: integrated and person-centred care; falling fees and local authorities’ budgetary constraints; recruitment of nurses; recruitment, pay and training of the care workforce; raising awareness of the value of the sector; the Care Quality Commission and the need for further improvement of the regulation process; learning disabilities; and dementia. The report warns of the risk of a collapse in the system if providers and commissioners do not work together and more nurses are not recruited into the independent sector.

Micro-enterprises: small enough to care?

NEEDHAM Catherine, et al
2015

Outlines the findings of an evaluation of micro-enterprises in social care in England, which ran from 2013 to 2015. The report focuses on very small organisations, here defined as having five members of staff or fewer, which provide care and support to adults with an assessed social care need. The research design encompassed a local asset-based approach, working with co-researchers with experience of care in the three localities. Twenty seven organisations took part in the study overall, including 17 micro-providers, whose performance was compared to that of 4 small, 4 medium and 2 large providers. A total of 143 people were interviewed for the project. The study found that: micro-providers offer more personalised support than larger providers, particularly for home-based care; they deliver more valued outcomes than larger providers, in relation to helping people do more of the things they value and enjoy; they are better than larger providers at some kinds of innovation, being more flexible and able to provide support to marginalised communities; and they offer better value for money than larger providers. Factors that help micro-providers to emerge and become sustainable include: dedicated support for start-up and development, strong personal networks within a localities, and balancing good partnerships (including with local authorities) with maintaining an independent status. Inhibiting factors, on the other hand, include a reliance on self-funders and the financial fragility of the organisation. The report makes the following recommendations: commissioners should develop different approaches to enable micro-enterprises to join preferred provider lists; social care teams should promote flexible payment options for people wanting to use micro-enterprises, including direct payments; social workers and other care professionals need to be informed about micro-enterprises operating close-by so that they can refer people to them; regulators need to ensure that their processes are proportional and accessible for very small organisations; and micro-enterprises need access to dedicated start-up support, with care sector expertise, as well as ongoing support and peer networks.

Social care for marginalised communities: balancing self-organisation, micro-provision and mainstream support

CARR Sarah
2014

This briefing reviews recent research on social care support provision for certain people with protected characteristics under the Equality Act 2010, who are often seldom heard in mainstream services. It draws out messages for social care micro-providers and social care commissioners, focusing on two areas: the marginalising dynamics in mainstream, statutory social care support provision for certain people with protected characteristics; and how local community, specialist or small-scale services are responding to unmet need for support and advice among marginalised groups. The majority of research identified looked at issues and experiences of black and minority ethnic (BME) communities, with a large number of studies dedicated to understanding the role of family carers, particularly from South Asian backgrounds. A smaller body of work on lesbian, gay and bisexual (LGB) older people and carers was found. Similarly, a number of research studies on support for and by refugees and asylum seekers were identified. Some research on the role of faith was also found. By comparing research findings across several groups, common issues about engagement with mainstream services and the function of community based and specialist support became apparent. The main themes and messages coming from the research for commissioners and providers focus on: strategies for responding to marginalisation from the mainstream, including assets and community mobilisation, reciprocity and social inclusion, informal networks and self-organisation; accessing and engaging with mainstream provision, highlighting issues of fear of discrimination, uniformity and homogenisation, language and communication; relationship dynamics between large, traditional mainstream and small, specialist community, including capacity building and partnerships, advocacy and accessing mainstream support, choice and voice; understanding informal support in diverse communities, in which a key role is played by culture, stigma and shame, well-being, identity and resilience, and faith; and effective approaches, including emotional and social support, and non-conventional, networked and holistic support.

Supporting influence on health and wellbeing boards: report from survey 2015

REGIONAL VOICES
2015

This report lays out the results from a survey for the voluntary and community sector (VCS), between December 2014 and January 2015, about how it is engaging with health and wellbeing boards. 119 people responded sharing their experiences from across England. While some good practice for how boards involve the VCS is emerging, some challenges remain. VCS appears to be under-utilised by local partners in health and care. Although there is considerable desire in the VCS to work with HWBs, only 22 per cent of respondents reported being able to link in with local Healthwatch or a sub-group of the HWB and around 30 per cent were able to raise issues with a VCS representative and only 9 per cent of respondents felt their organisation was linked with the work of the HWB (a reduction since the last survey). There is strong awareness that resources for local engagement are limited - with reduced capacity of local authority officers, commissioners (health and LA), the VCS and Healthwatch to work together. VCS organisations ask for clearer routes of engagement; timely involvement; and for information about developments to be shared from the board.

Fit for frailty: part 2: developing, commissioning and managing services for people living with frailty in community settings

BRITISH GERIATRICS SOCIETY, ROYAL COLLEGE OF GENERAL PRACTITIONERS
2015

Provides advice and guidance on the development, commissioning and management of services for people living with frailty in community settings. The first section introduces the concept of frailty and sets out the rationale for developing frailty services. The second section explores the essential characteristics of a good service. The third section considers the issue of performance and outcome measures for frailty services. The appendix to the report includes eight case studies of services which are operating in different parts of the UK. The audience for this guidance comprises GPs, geriatricians, health service managers, social service managers and commissioners of services. It is a companion report to an earlier BGS publication, Fit for Frailty Part 1 which provided advice and guidance on the care of older people living with frailty in community and outpatient settings.

Fit for frailty: consensus best practice guidance for the care of older people living with frailty in community and outpatient settings

TURNER Gillian
2014

The first of a two-part guidance on the recognition and management of older patients with frailty in community and outpatient settings. This guide has been produced in association with the Royal College of General Practitioners (RCGP) and Age UK and aims to be an invaluable tool for social workers, ambulance crews, carers, GPs, nurses and others working with older people in the community. The guidance will help them to recognise the condition of frailty and to increase understanding of the strategies available for managing it. In the guidelines, the British Geriatrics Society (BGS) calls for all those working with older people to be aware of, and assess for frailty. It dispels the myth that all older people are frail and that frailty is an inevitable part of age. It also highlights the fact that frailty is not static. Like other long term conditions it can fluctuate in severity.

Supporting self-management: summarising evidence from systematic reviews

NATIONAL VOICES
2014

This booklet sets out research findings of the benefits of supporting people to self-manage. It also sets out the evidence for the impact of self-management education for patients, proactive telephone and psychosocial support, home-based self-monitoring and simplified dosing strategies and information. Self-management includes all the actions taken by people to recognise, treat and manage their own healthcare independently of or in partnership with the healthcare system. People feel more confident and engaged when they are encouraged to self-manage by professionals, therefore supporting self-management is key to prioritising person-centred care. Drawing on the findings from 228 systematic reviews, the paper concludes that the top three things that might most usefully be invested in are disease specific, generic and on-line self-management courses, proactive telephone support and self monitoring of symptoms and vital signs.

ADASS budget survey 2015: report

ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
2015

An analysis of the state of adult social care finances, providing in-depth intelligence on how adult social care is responding to the twin challenges of meeting increased demand and managing reducing resources. The survey seeks to explore the views of Directors of Adult Social Services across English Local Authorities on how councils are reconciling the growing numbers of people, often with increasingly complex needs, requiring care and support with the significant and sustained reductions in the funding available. The survey data sets out the concerns of councils in making increasingly difficult choices and the attempts to minimise impacts upon front line services. The report suggests that taking the growth in numbers of older and disabled people into account an additional £1.1 billion would be needed to provide the same level of service as last year. The care provision market is becoming increasingly fragile and 56 per cent of directors report that providers are facing financial difficulties. Many local authorities are going to have to pay more if providers are to be able to attract workers as unemployment falls. While directors see increased prevention and integration as their top two areas for savings for this year, next and beyond, many are struggling to balance investment in reducing future demand and costs at a time when budgets to meet existing statutory duties to provide care and support to those most in need are under such pressure. The paper calls upon the Government to urgently ensure that social care funding is protected and aligned with the NHS, including making provision for the social care funding gap alongside the funding gap for the NHS.

Social action: harnessing the potential: a discussion paper

GREAT BRITAIN. Cabinet Office
2015

This discussion paper explains what social action is and how it plays an important role in helping to respond to long-standing challenges. Social action is about people coming together to help improve their lives and solve the problems that are important in their communities. The paper provides an update on government programmes to develop its reach and impact. It sets out how social action: empowers local groups, enabling local solutions and building resilient communities; increases the resources available to achieve social goals; offers new sources of expertise and knowledge; enables broader and better targeted support; creates new models for how society can respond to challenges; and helps reduce demands on public services.

Assisted living technology and services: a learning development framework

SKILLS FOR CARE
2013

A learning and development framework to support those involved in the commissioning, design or delivery of workforce development. The framework aims to help ensure that the social care workforce has the skills and knowledge to use assisted living technology to enhance the lives of vulnerable people and their carers. Five stages provide the structure for the framework: Readiness; Customer Flow Analysis (guidance to assist the identification of work or service flow in your or your partner's organisation); Workforce Analysis (which provides guidance on how to map tasks and roles to knowledge and skills needed); Learning Design and Delivery (providing tools and resources for learning) and Checking (helping to evaluate the impact of learning). The framework also provides definitions, terminology and language that can be used by all when preparing workforce development products in the assistive living technology field.

Results 201 - 210 of 334

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