#EXCLUDE#
#EXCLUDE#
#EXCLUDE#
#EXCLUDE#

Find prevention records by subject or service provider/commissioner name

  • Key to icons

    • Journal Prevention service example
    • Book Book
    • Digital media Digital media
    • Journal Journal article
    • Free resource Free resource

Results for 'health care'

Results 21 - 30 of 33

Ageing in the UK: trends and foresight: report 7

FLATTERS Paul, JOHNSON Tom, O'SHEA Ruairi
2015

Presents key information and data on the UK ageing population, including an analysis of current trends and the implications for the future. The report sets out the national picture, focusing on the demographic context, the state of income, pensions and retirement arrangements, and health issues. In addition, the report considers a range of aspects associated with old age, including: loneliness, dementia, older carers, volunteering, and digital inclusion. The report indicates that the population of the UK is set to increase significantly over the next decade, with much of this growth driven by an ageing population and sustained increases in the number of people over 65 years old. While the number of older people living in relative or absolute poverty has not increased since the start of the economic downturn, the minimum income standard for pensioners has risen and many of those on low incomes have trouble meeting everyday expenditure. The report suggests that higher dependency ratios will place huge demand on already strained public services, requiring greater support from the charitable sector. The impact of dementia will be a significant area of need in the future: even if incidence rates remain stable, the growth in the population of people over the age of 65 will see the number affected more than double from c.800,000 in 2012 to 2.2m in 2051. However, the report concludes that it is likely that incidence rates for dementia will increase as longevity continues to increase and diagnosis improves.

Knowledge exchange in health-care commissioning: case studies of the use of commercial, not-for-profit and public sector agencies, 2011-14

WYE Lesley, et al
2015

The aim of this study was to explore how commissioners obtained, modified and used information to inform their decisions, focusing in particular in the knowledge obtained from external organisations such as management consultancies, Public Health and commissioning support units. In eight case studies, researchers interviewed 92 external consultants and their clients, observed 25 meetings and training sessions, and analysed documents such as meeting minutes and reports. Data were analysed within each case study and then across all case studies. Commissioners used many types of information from multiple sources to try to build a cohesive, persuasive case. They obtained information through five channels: interpersonal relationships people placement (e.g. embedding external staff within client teams); governance (e.g. national directives); copy, adapt and paste (e.g. best practice guidance); and product deployment (e.g. software tools). Furthermore, commissioners constantly interpreted (and reinterpreted) the knowledge to fit local circumstances (contextualisation) and involved others in this refinement process (engagement). External organisations that drew on these multiple channels and facilitated contextualisation and engagement were more likely to meet clients’ expectations. Sometimes there was little impact on commissioning decisions because the work of external organisations targeted and benefited the commissioning decision-makers less than the health-care analysts. The long-standing split between health-care analysts and commissioners sometimes limited the impact of external organisations. The paper concludes that to capitalise on the expertise of external providers, wherever possible, contracts should include explicit skills development and knowledge transfer components.

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.

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.

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.

A guide to community-centred approaches for health and wellbeing: full report

SOUTH Jane
2015

Outlines a 'family' of approaches for evidence-based community-centred approaches to health and wellbeing. The report presents the work undertaken in phase 1 of the 'Working with communities: empowerment evidence and learning' project, which was initiated jointly by PHE and NHS England to draw together and disseminate research and learning on community-centred approaches for health and wellbeing. The report provides a guide to the case for change, the concepts, the varieties of approach that have been tried and tested and sources of evidence. The new family of community-centred approaches outlined in this document represents some of the available options that can be used to improve health and wellbeing, grouped around four different strands: strengthening communities - where approaches involve building on community capacities to take action together on health and the social determinants of health; volunteer and peer roles - where approaches focus on enhancing individuals' capabilities to provide advice, information and support or organise activities around health and wellbeing in their or other communities; collaborations and partnerships - where approaches involve communities and local services working together at any stage of planning cycle, from identifying needs through to implementation and evaluation; and access to community resources - where approaches connect people to community resources, practical help, group activities and volunteering opportunities to meet health needs and increase social participation.

Inclusive integration: how whole person care can work for adults with disabilities

BROADBRIDGE Angela
2014

This report focusses on meeting the needs of working-age disabled adults as health and social care services are increasing integrated. It provides an empirical evidence base to demonstrate how whole person care (which is about making the connections between physical health, mental health and social care services) can be used to effectively meet these needs. The report also draws on the findings of a focus group with 12 disabled adults and carers on desired outcomes from the integration of health and social care services. Interviews with social care and voluntary sector professionals, commissioners and local authority policy to see if they are willing to include working-age disabled adults' needs in plans for future integration. The report looks at how working-age disabled adults have different needs and outcomes from older people and identifies the health inequalities they face in day-to-day life. Ten dimensions of health inequality are identified including housing, employment, financial security and quality of life. The report makes seven recommendations to inform the service response, including: taking a long term view of managing long-term conditions, viewing whole person care as a 10-year journey with matched by stable funding; debates on funding gap in social care should give consideration to the needs of working-age disabled adults; shifting resources from case management to community coordinated care to support prevention and providing a single point of contact for health and social care needs; service integration should take place across a much wider range of services to meet the needs of disabled people.

For future living: innovative approaches to joining up housing and health

DAVIES Bill
2014

Examines older people’s expectations from their housing and housing providers and the choices the UK housing market currently offers older and vulnerable people, and explores innovative housing and care solutions that could meet the demands of an ageing population and more widely support people with other social needs. The study drew on both quantitative surveys and qualitative interviews undertaken in previous research to establish what older groups need and expect from the housing market, and then used statistical methods to create a clear picture of the housing that older people inhabit now and the choices that the English housing market offers to them. Having established that the market presents only a limited range of options to older people, the research explored the international literature to identify different models of housing and support, focusing on countries that face similar demographic challenges. The report considers ideas that could potentially be adopted in England and adapted to an English housing and health context. A number of options were tested with two focus groups, involving over-55s and over-65s. Finally, based on the information drawn from the research, and through consultation with external experts, this report outlines a range of possible policy measures designed to ensure that the current and future stock of housing for older people is more effectively focused on supporting their health requirements.

Making a case for information: full report

TREADGOLD Paul, GRANT Carol
2013

This research report highlights how providing information to patients and their carers improves outcomes, reduces costs and gives people a better experience of care. Consumer health information (CHI) is defined as information and support provided to help patients and carers understand, manage and/or make decisions about their health, condition or treatment. High quality means effective information, which meets the needs of users and empowers them to make choices and take control of their health and wellbeing. The Patient Information Forum (PiF) commissioned research to identify the benefits of investing in health information. The project, which looked at over 300 studies, found that there are good business reasons to justify the investment of more time, money and training in health information provision and support. These include positive impacts on service use and costs, substantial capacity savings, and significant returns on investment by increasing shared decision-making, self-care and the self-management of long-term conditions.

Results 21 - 30 of 33

#EXCLUDE#
Ask about support on integration, STPs and transformation
ENQUIRE
Related SCIE content
Related NICE content
Related external content
Visit Social Care Online, the UK’s largest database of information and research on all aspects of social care and social work.
SEARCH NOW
Submit prevention service example
SUBMIT
What do you think about SCIE's work?
FEEDBACK
#EXCLUDE#
#EXCLUDE#
#EXCLUDE#