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Results for 'commissioning'

Results 1 - 10 of 46

Developing peer support in the community: a toolkit

SIDE BY SIDE RESEARCH CONSORTIUM
2017

A toolkit to help people to plan and run mental health peer support in the community. The toolkit will be especially useful for those wanting to set up new projects or those involved in commissioning peer support. It outlines the three main approaches to community-based peer support and lists a core set of values underpinning peer support, and make it different from other forms of mental health support. It also looks at how peer support might be organised and provides guidance on how to better understand and communicate the impact of groups. Sections of the toolkit include reflection questions and activities which were developed alongside more than 10 groups and projects. Links to useful resources are included. The toolkit is based upon research undertaken by the Side by Side evaluation partners, which included St George’s, University of London, the McPin Foundation, and the London School of Economics.

Evaluating the Side by Side peer support programme

BILLSBOROUGH Julie, et al
2017

An evaluation of the Side by Side programme, which aimed to increase the availability and quality of community based peer support for people experiencing mental health problems across England. The programme was led by the mental health charity Mind, in collaboration with Depression Alliance and Bipolar UK. The evaluation covered four areas: developing and testing a set of values and principles for peer support; examining the effectiveness of peer support, including changes in wellbeing; building capacity for peer support; and commissioning peer support. It also explored how peer support took place within Side by Side projects specifically aimed at peers from a Black and Minority Ethnic background. The evaluation found that peer support was valued and helpful to people involved. It also identified six core values that appeared to underpin all forms of peer support - experience in common, safety, choice and control, two way interactions, human connection, and freedom to be oneself. The findings suggest that peer support enabled people to recover a sense of personal agency and usefulness, which was beneficial to their wellbeing. The evaluation also suggests that peer support works best where commissioners, provider organisations and communities work together to develop a range of approaches to peer support and where people are enabled to take control of how and when they engage with the peer support. The evaluation team was a partnership that included a mental health research team from St George’s, University of London, the McPin Foundation.

Evaluation of Time to Shine: year 2 interim findings

WIGFIELD Andrea, ALDEN Sarah
2017

Interim evaluation of Time to Shine, the Big Lottery funded Ageing Better programme running in Leeds, which is funding projects for specific groups most likely to experience isolation and loneliness. These include older men; Lesbian, Gay, Bisexual and Transgender older people (LGBT), Black and Minority Ethnic (BME) older people; and older people with learning disabilities. Based on analysis of the monitoring and evaluation data, the report provides an overview of what has been learnt about what works in reducing social isolation and loneliness and how the programme is leading to change at the individual, local, and citywide level drawing. It also reports on the commissioning process and looks at how co-production has been incorporated into design, and delivery and evaluation of the programme. It reports that as of 30 June 2017, over 5,600 people of all ages have been involved in Time to Shine projects in some way, including: over 2,600 older people participating regularly in Time to Shine projects and 335 older volunteers and 140 volunteers aged 49 or under helping to plan, deliver or steer projects. The results suggest that being involved in Time to Shine helped some people to feel they were more involved in their local area, improved life satisfaction scores.

VCSE sector engagement and social prescribing

VEASEY Phil, NEFF Jennifer, MONK-OZGUL Leeann
2018

This report, commissioned by the Greater London Authority, looks at the role of the voluntary, community and social enterprise (VCSE) sector in delivering social prescribing in London and the challenges and opportunities the sector faces. It draws on case studies to highlight good and effective practice and successful partnerships models. It also outlines the resources required in terms of leadership, staff training, fundraising, technological, capacity building and other support to build an effective business case for voluntary and community-sector organisations to engage with social prescribing. The final sections suggest ways to engage voluntary sector organisations in the development and delivery of a social prescribing strategy in London and identifies specific roles for the Mayor and GLA for taking forward social prescribing. The report draws consultation with 100 experts across the VCSE sector, commissioners from the statutory-sector commissioners and representatives of the health and social care sectors.

“It was the whole picture” a mixed methods study of successful components in an integrated wellness service in North East England

CHEETHAM M., et al
2018

Background: A growing number of Local Authorities (LAs) have introduced integrated wellness services as part of efforts to deliver cost effective, preventive services that address the social determinants of health. This study examined which elements of an integrated wellness service in the north east of England were effective in improving health and wellbeing (HWB). Methods: The study used a mixed-methods approach. In-depth semi-structured interviews (IVs) were conducted with integrated wellness service users (n = 25) and focus groups (FGs) with group based service users (n = 14) and non-service users (n = 23) to gather the views of stakeholders. Findings are presented here alongside analysis of routine monitoring data. The different data were compared to examine what each data source revealed about the effectiveness of the service. Results: Findings suggest that integrated wellness services work by addressing the social determinants of health and respond to multiple complex health and social concerns rather than single issues. The paper identifies examples of ‘active ingredients’ at the heart of the programme, such as sustained relationships, peer support and confidence building, as well as the activities through which changes take place, such as sports and leisure opportunities which in turn encourage social interaction. Wider wellbeing outcomes, including reduced social isolation and increased self-efficacy are also reported. Practical and motivational support helped build community capacity by encouraging community groups to access funding, helped navigate bureaucratic systems, and promoted understanding of marginalised communities. Fully integrated wellness services could support progression opportunities through volunteering and mentoring. Conclusions: An integrated wellness service that offers a holistic approach was valued by service users and allowed them to address complex issues simultaneously. Few of the reported health gains were captured in routine data. Quantitative and qualitative data each offered a partial view of how effectively services were working.

Investing to tackle loneliness: a discussion paper

SOCIAL FINANCE
2015

This paper describes work undertaken with Age UK Herefordshire and Worcestershire to design a service that addresses loneliness, particularly among older people. The first half of the paper examines the potential costs of loneliness and the potential value to the public sector of reducing loneliness. The second half of the paper describes the outcomes-based model used in Worcestershire and sets out initial findings of the service. The service uses a model of commissioning services through a Social Impact Bond (SIB), a contract in which commissioners commit to pay investors for an improvement in social outcomes. The paper sets out some of the benefits of using social investment to fund the upfront cost of delivering a service to reduce loneliness. It also discusses the following elements of the model: measuring loneliness and additional outcomes, delivering support to the population most at risk, considering social investment and agreeing a payment mechanism.

Commissioning community development for health: a concise handbook

CHANAN Gabriel, FISHER Brian
2018

A practical guide to help Clinical Commissioning Groups (CCGs), sustainability and transformation partnerships (STPs) and local authorities to commission community development to support health and wellbeing. The guide looks at the role of community development in health and health policy, explains the main features of community development and the role community-based approaches can play in improving services. It includes a seven step framework for building community-led partnerships with local agencies and suggests key performance indicators that can be used to evaluate progress. It also provides a model contract for provision of the community development project and identifies the skill set for community development leaders and staff. The handbook is tailored to current policy in England, but the key principles have wider relevance.

An independent review of Shared Lives for older people and people living with dementia

PPL, CORDIS BRIGHT, SOCIAL FINANCE
2018

Shared Lives is based around a Shared Lives carer sharing their home with an adult in need of care, to encourage meaningful relationships, independent living skills and community integration. This review explores how Shared Lives’ respite service for older people and people with dementia compare to ‘traditional’ forms of care for across three areas: outcomes for service users, carer and care commissioners; direct care costs to commissioners; and impact on the broader health system, such as a reduced usage. The review found that Shared Lives model provides positive outcomes for both service users and carers. It found that Shared Lives arrangements were able to reduce social isolation experience by carers and help increase their general wellbeing. Shared Lives also resulted in increased independence, wellbeing and choice for service users. In addition, the study found that the costs Shared Lives approach are similar to ‘traditional’ respite provision and provide an important option for commissioners. Appendices include details of calculations of the cost of providing Shared Lives respite care and day services; the results of a rapid evidence assessment on outcomes of 'traditional' respite care; and details of Healthcare service usage modelling.

Tackling loneliness and social isolation: the role of commissioners

HOLMES Pamela, THOMSON Lousia
2018

This briefing explores the opportunities and barriers faced by commissioners seeking to address loneliness and social isolation in older people. It identifies evidence that points the way to a better understanding of effective interventions to tackle loneliness and social isolation, provides examples of emerging practice across the country, and examines what needs to happen next to improve the commissioning environment, and the changes that need to happen in other parts of society. It draws on discussions from a seminar organised by SCIE and Renaisi attended by commissioners, local authorities and third sector representatives, as well as the findings from previous research and evaluation.

Improving outcomes for carers via GP surgeries: implications for commissioners

OXFORD BROOKES UNIVERSITY. Institute of Public Care, CARERS BUCKS
2017

Reports on a pilot project, funded by the Chiltern Clinical Commissioning Group, which sought to help GPs identify previously unknown carers and improve carer experience and wellbeing outcomes. The pilot offered carers a free health and wellbeing check with a carer support worker and a social prescription to access services provided by Carers Bucks where appropriate. The health and wellbeing check used the 'Carers Star' covering seven outcome areas: health, the caring role, managing at home, time for yourself, how you feel, finances, and work. A total of 203 carers attended the carer clinics. Approximately a quarter of carers were caring for someone with dementia and a quarter were caring for someone with a physical disability. Analysis of comments received by carers attending the clinic identified three key themes: carers appreciated the clinics because they felt it was rare for anyone to ‘care’ for them; carers felt listened to; and received useful information about support they did not know existed. The paper maps learning from the project against the Institute of Public Care commissioning cycle and makes recommendations for commissioners.

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