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Results for 'general practitioners'

Results 1 - 10 of 10

Evaluation of Hale Community Connectors Social Prescribing Service 2017

DAYSON Chris, LEATHER David
2018

Reports on initial findings of an independent evaluation of the Community Connectors Social Prescribing Service in Bradford, covering the first nine months of the service (March-November 2017). It aims to answer some key questions about the Community Connectors Social Prescribing Service to support future commissioning by the CCG and its partners. The service was commissioned to improve the health, well-being and social connectedness of local people and reduce unplanned and unnecessary demand on primary and secondary health services. The service involves a referral from a GP of patients who could benefit from additional socially focussed support, followed by a home visit from a Community Connector to help identify what services and activities are available. The evaluation shows that a total of 703 local people were referred to the service for support by their GP. The majority of referrals were to address social issues such as anxiety and social isolation, however, a significant proportion of service users were also in poor health with long term conditions. It also identifies positive outcomes in relation to health, mental well-being, trust of people in their community, social connectedness and service users’ ability to self-care. Although too early to assess the impact on demand for primary and secondary care, service users recording up to nine per cent fewer Accident and Emergency and up to seven per cent fewer GP attendances after referral to the service.

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.

The Rotherham Social Prescribing Service for people with long-term conditions: a GP perspective

DAYSON Chris, MOSS Bronwen
2017

This thematic summary report explores the benefits and challenges of the Rotherham Social Prescribing from the perspective of GPs. It draws on qualitative interviews with 10 GPs and two Practice Managers and data extract from one GP surgery. It paints an overwhelmingly positive picture of the impact of Social Prescribing on GPs and patients, and highlights how the Service has quickly become a central component in a GPs options when treating the causes and consequences of long-term health conditions. Themes that emerged from GP interviews included: enabling GPs to take a holistic approach to health, developing GPs awareness of community-level support, reductions in GP workloads and reduction in medial prescribing. When GPs were asked how Social Prescribing benefitted patients, they referred to reductions in social isolation and loneliness; prevents family and carer breakdown; and providing person centred services. They also provided reflections on Rotherham Social Prescribing model, and what worked effectively.

A very general practice: how much time do GPs spend on issues other than health

CAPER Kathleen, PLUNKETT James
2015

Drawing on the results of interviews with 824 general practitioners (GPs) in England carried out in 2015, this briefing looks at the amount of time and money GPs spend dealing with non-health issues. GPs responding to the survey report spending almost a fifth of their time on social issues that are not principally about health, including relationship problems, housing, unemployment and social isolation. This time has an implied cost to the health service of almost £400 million a year. Although approximately half the GPs surveyed said that time spent on non-health issues helped them understand their local community, this can leave less time for other patients' health care needs. In addition, many issues raised with GPs, require specialist knowledge that many GPs do not have. Whist the report acknowledges that discussion of non-health issues can be helpful in developing GP-patient relationships, it concludes that finding other ways to meet some of the non-health demand facing GPs would free up time and money to be reinvested in patient care. Possible suggestions put forward include the co-locating of non-health services and advice services in GP surgeries and ensuring GPs know how to best signpost patients to other local services in the community.

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.

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.

Just what the doctor ordered: social prescribing - a guide for local authorities

LOCAL GOVERNMENT ASSOCIATION
2016

Social prescribing, sometimes called community referrals, is a way of enabling primary care services to refer patients with social, emotional or practical needs to a range of local community services and activities to improve their health and wellbeing. This publication highlights the role of local authorities in facilitating social prescribing and provides nine short case studies to show how councils are working across England.

Community navigation in Brighton and Hove: evaluation of a social prescribing pilot

FARENDEN Clair, et al
2015

An evaluation of the community navigation service, a one-year social prescribing pilot. The model for the pilot was based on Age UK national templates, drawing from their vast knowledge and experience of delivering other similar services across the UK. Community navigators work in GP surgeries to assess patients non-medical support needs and help them access groups, services and activities that can broadly improve their health and wellbeing. The evaluation found that navigation is effective for patients, GP surgeries and volunteers. Patients feel listened to and understood by navigators, have increased access to the right services at the right time and are able to take the next steps towards improving their health and wellbeing. GPs continue to increase referrals, are satisfied with the quality of the service and are seeing positive benefits for their patients. Navigators value their volunteering role and suggest the training and support provided by the staff team enables them to carry it out effectively. 393 patients were referred across 16 surgeries during the first 12 months of the pilot and 741 referrals were made to groups, services and activities patients would not have otherwise accessed. The service attracted a highly experienced and skilled volunteer team to carry out the community navigator role. Most navigators have a previous or current career in healthcare, social services, teaching or counselling. The evaluation examines in detail: the impact on primary and secondary care; community navigation activities, outputs and outcomes; the social value; cost-benefit analysis; lessons, challenges and successes; and risk and opportunities. A set of key recommendations derived from the learning from the pilot are included.

Evidence to inform the commissioning of social prescribing

UNIVERSITY OF YORK. Centre for Reviews and Dissemination
2015

Summarises the findings of a rapid appraisal of available evidence on the effectiveness of social prescribing. Social prescribing is a way of linking patients in primary care with sources of support within the community, and can be used to improve health and wellbeing. For the review searches were conducted on the databases: DARE, Cochrane Database of Systematic Reviews and NHS EED for relevant systematic reviews and economic evaluations. Additional searches were also carried out on MEDLINE, ASSIA, Social Policy and Practice, NICE, SCIE and NHS. Very little good quality evidence was identified. Most available evidence described evaluations of pilot projects but failed to provide sufficient detail to judge either success or value for money. The briefing calls for better evaluation of new schemes. It recommends that evaluation should be of a comparative design; examine for whom and how well a scheme works; the effect it has and its costs.

Early intervention and dementia care: innovation and impact

SEABROOKE Viniti, MILNE Alisoun
2014

Purpose: This study aims to systematically evaluate the impact and effectiveness of two early intervention services in NW Kent. Design/methodology/approach: Data were gathered via evaluation questionnaires for both projects; these included quantitative post-intervention data and qualitative comments. Data on referrals to secondary care and a specialist third sector organisation were also collected for the primary care project. Findings: Findings from the primary care project indicate that targeting a specific age cohort of patients can be effective in terms of: early identification of dementia-related concerns, the provision of support, appropriate referrals to secondary care, and increased referrals to a third sector dementia service. At the end of the project most practitioners felt they were better informed about dementia, more committed to facilitating early diagnosis, and had gained confidence in using a screening tool (the General Practitioner Assessment of Cognition Test). Evidence from evaluating the Carers Group suggests that attendance helped members manage emotional difficulties, increased understanding of dementia, and enhanced coping skills. They also felt less isolated and knew how to access support services. Practical implications: The projects offer two models of intervention: how a proactive third sector agency can work with primary care professionals to enhance commitment to dementia case finding and the provision of group support to relatives of those in receipt of a recent dementia diagnosis. Originality/value: The study provides insights into early intervention in dementia care how to evaluate impact of effectiveness.

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