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All research records related prevention examples and research

Results 211 - 220 of 446

The art of commissioning: how commissioners can release the potential of the arts and cultural sector

SLAY Julia, ELLIS-PETERSEN Madeleine
2016

Drawing the experiences from two pilot sites in Kent and Gloucestershire, this report aims to help commissioners of public services understand how they can improve outcomes for people and communities through closer integration of arts and cultural into public services. As part of the Cultural Commissioning Programme (CCP), New Economics Foundation worked with NHS and local authority partners in Kent and Gloucestershire over an 18 month period. This report brings together examples, case studies, templates and resources that share the successes of, and challenges faced by, the commissioners in the two pilot site. As part of the project the NHS Gloucestershire Clinical Commissioning Group has funded nine projects that are applying arts and culture across a range of clinical pathways including cancer, mental health and diabetes. They are also exploring how arts and cultural activities can be aligned with the county wide social prescribing scheme. Services developed in Kent include community-based mental health service which includes formal arts and cultural organisations, such as local museums and theatres, as well as smaller, informal arts and cultural groups, such as reading groups and dance classes. Kent County Council has also been involving arts and cultural organisations in their early help and preventative service worth around £8 million. Recommendations for other commissioners include: raising awareness within public services bodies of the benefits of working with arts and cultural providers; building provider capacity and knowledge; involving the arts and cultural sector in market engagement; improving procurement processes; and improving monitoring and evaluation processes.

Better mental health for all: a public health approach to mental health improvement

FACULTY OF PUBLIC HEALTH, MENTAL HEALTH FOUNDATION
2016

This report looks at what can be done individually and collectively to improve the mental health of individuals, families and communities and prevent mental health problems using a public health approach. The report aims to encourage proportionate use of universal services with a focus on the promotion of mental wellbeing and on high level support for those at risk of poor mental health and mental health problems, complementing recovery and prevention approaches. Section one maps out why mental health is an important, highlights its economic and social costs and examines why it is often overlooked. Section two outlines the risk and protective factors through the life course from the early years, to adulthood and later-life. It also looks at the risk and protective factors across communities, for example in the home, education and work settings, and the effects of the built environment and neighbourhoods. Section three addresses approaches and interventions to improve mental health at different stages of the life course and in different settings. Section four offers a practical guide to enable practitioners to support their own mental wellbeing. Case studies of innovative public mental health programmes and projects being run across the UK are included throughout. Annex A includes a list of initiatives received as entries for the Faculty of Public Health public mental health award, 10 of which are included in the report as case examples.

The missing million: in search of the loneliest in our communities

CAMPAIGN TO END LONELINESS
2016

A guide to help commissioners and service providers to develop ways of identifying older people experiencing loneliness or who are at risk of being lonely. Section one identifies methods of identifying older people who may be at risk of loneliness. These include top down approaches which use available data and data mapping to identifying geographical areas likely to contain more people at risk; and bottom up approaches, which draw on the local knowledge and capacity of communities to identify and engage with older people experiencing loneliness in their area. Section two illustrates how these different methods can be used and provides case studies to show how they have been used successfully by other organisations. Section three provides advice to help staff and volunteers to speak to people at risk of loneliness in a way that can bring about positive change. It shows the importance of using empathy, openness and respect when holding conversations and also taking a problem-solving approach to help people identify and plan their own solutions. Each section includes summary learning points and provides advice to help providers and commissioners to help change their ways of working. The report makes 10 key recommendations for service providers and commissioners.

Developing asset based approaches to primary care: best practice guide

INNOVATION UNIT, GREATER MANCHESTER PUBLIC HEALTH NETWORK
2016

This is a practical guide for getting started and growing asset based primary care at scale. It highlights examples of asset based approaches from both within Greater Manchester and beyond. Assets can be broadly grouped into: personal assets e.g. the knowledge, skills, talents and aspirations of individuals; social assets e.g. relationships and connections that people have with their friends, family and peers; community assets e.g. voluntary sector organisations (VSO) associations, clubs and community groups; and neighbourhood assets e.g. physical places and buildings that contribute to health and wellbeing such as parks, libraries and leisure centres. Drawing on research with commissioners, GPs, the community and voluntary sector, public health professionals, patients and the general population, the guide sets out what it takes to make asset based primary care work in practice, and what it would take to adopt it, not just in isolated pockets but across a whole neighbourhood, system or region. It details the background to asset based care, presents ten case studies and makes recommendations for how to develop an asset based primary care in a locality. Key steps to developing and implementing an assets-based approach include: setting up a team to lead the work; understanding which patients to focus on; understanding and mapping the user journey; understanding which approach will work best in a community; creating a development plan for the neighbourhood team; implementing and evaluating the plan; and planning for sustainability.

Stepping up to the place: the key to successful health and care integration

NHS CONFEDERATION, et al
2016

Joint publication from the Association of Directors of Adult Social Services, Local Government Association, NHS Clinical Commissioners and NHS Confederation which describes what a fully integrated, transformed system of health and social care should look like. Sections look at what can be achieved through integration for individuals, communities, local health wellbeing systems, and Government and national bodies; what is needed to make integration happen; what has been learnt about successful integration so far; and the issues that local and national leaders need to tackle. Drawing on a selection of evidence, reports, case studies and local experience, the document highlights three key components for effective integration. These are: shared commitments – to improving local people’s health and wellbeing, providing services around the individual, and a preventative approach; shared leadership and accountability; and shared systems – such as information and technology, payment and commissioning models, and integrated workforce planning. The final sections outline questions for local and national leaders and summarise the key components for effective integration of health and social care.

The economic value of Dorset POPP services. A focus on two significant issues: malnutrition and fire safety

HARFLETT Naomi, et al
2016

An economic analysis of three schemes from Dorset Partnership for Older People Projects (POPP), focusing on their value and effectiveness in preventing malnutrition and preventing fire related injuries. Dorset POPP schemes use a community led preventative approach and aim to improve the quality of life of older people and to save money by preventing ineffective use of publicly funded services. The report uses published figures of the costs of malnutrition and the economic value of preventing fire injuries and applies the figure to contact monitoring and costs data from three of the Dorset POPP projects to provide an estimate of the potential economic value. The schemes are: the Wayfinder Programme, which provides signposting and support on services such as welfare benefits and pensions, retaining independent living, social activities, telecare and lunch clubs; the Community Initiatives Commissioning Fund (CICF), which funds initiatives identified by local people such as lunch clubs, social clubs, and neighbourcare schemes; and Safe And Independent Living (SAIL) multi-agency referral scheme, which provides a multi-agency referral approach to enabling access to signposting, support, and services. For all of the interventions included in the analysis, just a very small proportion (often less than one per cent) of the contacts or referrals made would be needed to prevent malnutrition or fire related injuries, in order to save money.

Framework for patient and public participation in primary care commissioning

NHS ENGLAND
2016

A guide for primary care commissioners in NHS England and Clinical Commissioning Groups (CCGs) on how to involve patients, service users, carers and the public in the commissioning of primary care services. This includes involving throughout the commissioning process in the planning, policy making, buying and monitoring primary care services such as general practice, community pharmacy, dental, and eye health services. The Framework looks at how NHS England involves people in commissioning at national and local levels; co-commissoning with CCGs; and individual responsibilities as a policy or commissioning manager in primary care. It also includes short case study examples, provides details of additional sources of information, and key partner organisations and networks with an interest in public participation. It has been co-designed with members of the Working Group for Patient and Public Participation in Primary Care Commissioning and also incorporates feedback received from key stakeholders. The document will also be of interest to patients and the public, the voluntary sector, and providers of health and social care services. It is designed to be read with the NHS England Patient and Public Participation Policy and the Statement of Arrangements and Guidance on Patient and Public Participation in Commissioning.

More than shelter: supported accommodation and mental health

BOARDMAN Jed
2016

This report looks at evidence about the provision of supported housing for people with mental health problems in England, including those with multiple needs and substance misuse, and presents key themes for its future development. It highlights the significant links between housing and mental wellbeing, indicating that factors such as overcrowding, insufficient daylight and fear of crime all contribute to poorer mental health. The review identifies a wide range of types of housing support, including help for people to remain their own tenancies to specialist supported accommodation, hostels, crisis houses and the Housing First approach. Although the review identified limited evidence about what kinds of housing support are most effective and cost-effective, small-scale studies suggest that housing support can reduce the costs of hospital stays. When looking at the type of support people want, the literature found most people prefer help in their own homes to being in sheltered or transitional accommodation. The report calls for better provision of housing support and also argues that housing support should be funded jointly by local authorities and the NHS to ensure that services are delivered in partnership between health, housing and social care providers.

Living well in old age: the value of UK housing interventions in supporting mental health and wellbeing in later life

FENDT-NEWLIN Meredith, et al
2016

Reports on an evidence review to explore the role of UK housing interventions in supporting the mental health and wellbeing of older people and their ability to live well at home. The review was commissioned by HACT and carried out by the Social Care Workforce Research Unit at King’s College London. Part one of the report looks at what is known about UK housing interventions that aim to promote mental health and wellbeing among older people. It provides a description of the evidence and the implications for practice and commissioning under the following themes: Identification, diagnosis and management of symptoms; Environments; and Reducing social isolation and loneliness. Part two explores questions around integration and how health, housing and social care agencies are working together to support older people’s mental wellbeing. It identifies some of the barriers to effective collaboration and looks at how these might be overcome. Three key messages emerged from the review of the evidence: the need for people working in service planning and commissioning to include housing needs in the integration debate; the importance of relationships between managers and practitioners from different sectors at a local level; and the need to take a UK perspective in order to share innovation in social housing happening in different parts of the country.

New care models and prevention: an integral partnership

NHS CONFEDERATION, et al
2016

This publication looks at what new care models are doing on prevention and what the emerging practice looks like. Key to the realisation of the Forward View vision and principles has been the development of ‘new care models’ which have prevention and public health at their heart, and are forging ahead. The new models include: integrated primary and acute care systems (PACS), multispecialty community providers (MCPs), enhanced health in care homes, urgent and emergency care, and acute care collaborations. Through a rigorous process, involving workshops and the engagement of key partners and patient representative groups, 50 new care model ‘vanguards’ were selected, taking the lead on the development and implementation of new care models. This publication looks at how five of the vanguards are addressing prevention. These are: All Together Better Sunderland (MCP); West Wakefield Health and Wellbeing (MCP); Sutton Homes of Care (enhanced health in care homes); Connecting Care – Wakefield District (enhanced health in care homes); and Solihull Together for Better Lives (urgent and emergency care). The case studies all show the importance of having as full an understanding as possible of the needs of the local population, including in some cases through risk stratification. Working across organisational and professional boundaries, and getting staff on board, involved and equipped to deliver care in new ways has also proven to be essential. Equally important is tapping into and getting the most out of the experience and skills of carers, volunteers and third sector organisations, and empowering people to ‘self-care’. At the same time, initiatives such as social prescribing have the potential to greatly improve people’s wellbeing. These case studies highlight the need to look beyond the boundaries of health and social care services to the way people actually live their lives, and tailor the support accordingly

Results 211 - 220 of 446

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LAUGH research project

LAUGH research project New practice example about a research project to develop highly personalised, playful objects for people with advanced dementia
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