Results for 'interagency cooperation'
Results 1 - 8 of 8
WOOD Emily, et al
Background: Social Prescribing is increasingly popular, and several evaluations have shown positive results. However, Social Prescribing is an umbrella term that covers many different interventions. This study aimed to test, develop and refine a programme theory explaining the underlying mechanisms operating in Social Prescribing to better enhance its effectiveness by allowing it to be targeted to those who will benefit most, when they will benefit most. Methods: This study conducted a realist evaluation of a large Social Prescribing organisation in the North of England. Thirty-five interviews were conducted with stakeholders (clients attending Social Prescribing, Social Prescribing staff and general practice staff). Through an iterative process of analysis, a series of context-mechanism-outcome configurations were developed, refined and retested at a workshop of 15 stakeholders. The initial programme theory was refined, retested and ‘applied’ to wider theory. Results: Social Prescribing in this organisation was found to be only superficially similar to collaborative care. A complex web of contexts, mechanisms and outcomes for its clients are described. Key elements influencing outcomes described by stakeholders included social isolation and wider determinants of health; poor interagency communication for people with multiple needs. Successful Social Prescribing requires a non-stigmatising environment and person-centred care, and shares many features described by the asset-based theory of Salutogenesis. Conclusions: The Social Prescribing model studied is holistic and person-centred and as such enables those with a weak sense of coherence to strengthen this, access resistance resources, and move in a health promoting or salutogenic direction.
LOCAL GOVERNMENT ASSOCIATION
This document sets out the findings and emerging recommendations from a project to explore how better management of data can provide a more reliable, more trusted, more accessible and more extensive set of information about local activities, services and support to tackle loneliness. From June 2019 to March 2020, three pilot areas, Elmbridge District Council, Hull City Council and Blackburn with Darwen Council, have been investigating efficient ways of collecting information, exploring how a range of stakeholders can play a role in capturing data and helping keep it up to date and testing and refining underpinning data standards and taxonomies. Section two of this report sets out the issues that exist and the benefits that can be achieved through improving how information is managed locally. Section three introduces the pilots and then relays some of the related experiences and decisions in the course of their involvement. Section four provides summary learning through a maturity model and a broad range of issues, barriers and lessons learned. Section five sets out an outline plan and provides some understanding of the costs and resources that may need to be in place. Section six introduces the technical considerations. The report makes a number of recommendations, calling on place-based leaders to champion the importance and the value of accurate and reliable information about local services in supporting the success of critical initiatives such as social prescribing; and on local partners to work collaboratively and adopt the Open Referral UK standard that has been developed in partnership with the Open Data Community.
SKILLS FOR CARE, CHARTERED INSTITUTE OF HOUSING
A collection of case studies from a wide range of housing providers, highlighting the role they can play in developing hospital discharge services. The case studies demonstrate the development of effective partnerships to meet hospital discharge needs, how these partnerships can help meet partners’ targets, and the workforce skills required to ensure effective services. Key learning points from the case studies include recognising and understanding different working cultures; building lasting relationships; effective and safe communication of information between agencies; developing sustainable and long term provision; and building a person centred solution. The publication will be particularly useful for social care and health commissioners, providers of housing and support and workforce development leads.
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.
NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN, SOCIAL CARE INSTITUTE FOR EXCELLENCE
Briefing paper which looks at lack of communication and information sharing between children's and adult's social care in child protection services. It is one of a series 14 briefings looking at difficult issues in inter-professional communication and decision-making identified from 38 Serious Case Reviews, with added information gathered from three multi-agency ‘summits’. Drawing on the analysis of serious care review reports, the briefing highlights the reasons why there can be a lack of communication between adult's social care and children's social care, which include: a lack of understanding of each others roles and of how to work together in order to attain a whole-family assessment. It also provides solutions suggested by summit participants and contains a set of self-assessment questions to support managers and practitioners to tackle similar issues in their own local area.
COMMISSION ON IMPROVING URGENT CARE FOR OLDER PEOPLE
Final report from the Commission on Improving Urgent Care for Older People which provides guidance for those involved in designing care for older people and outlines eight key principles the health and care sector can adopt to improve urgent care for older people. The Commission was established out of a concern that the care system was not meeting the needs of older people, resulting in lower quality of care, a lack of out-of-hospital services as an alternative to A&E, not enough focus on prevention and early intervention, and delayed transfers of care. It brought together a range of experts, received over 60 evidence submissions; carried out visits to sites using innovative ways to deliver care; consulted with NHS Confederation members and patient and carer groups; and commissioned an evidence review. The report draws on the evidence to look at the case for change. It then outlines eight key principles that can be used when redesigning health and social care system: start with care driven by the person’s needs and personal goals; a greater focus on proactive care; acknowledge current strains on the system and allow time to think; the importance of care co-ordination and navigation; greater use of multi-disciplinary and multi-agency teams; ensure workforce, training and core skills reflect modern day requirements; leadership should encourage us to do things differently; and metrics must truly reflect the care experience for older people. Short case studies of innovative practice are included in the report, covering acute and primary care, voluntary sector and local government partners and commissioners.
One of three handbooks to support commissioners, GP practices and community health and care professionals in planning and providing personalised care for people living with long term conditions. The handbook brings together information about multi-disciplinary and integrated teams and looks at the types of teams that need to be in place to deliver integrated healthcare. It provides definitions of multi-disciplinary and multi-agency teams and also sets out a tool, the MDT Continuum, that describes different types of care team functioning. Four models or stages of multidisciplinary teams are presented, ranging from from unidisciplinary to transdisciplinary team working. Good practice examples representing each of the stages or models. The final section provide information to help integrated commissioning. Other handbooks published separately cover risk stratification and case finding and personalised care and support planning.
NHS CONFEDERATION. Community Health Services Forum
Explains outcomes-based commissioning and outlines how it might help enable service transformation. Outcomes-based commissioning incentivises high-value interventions, shifting resources to services in the community, a focus on keeping people healthy and in their own homes, delivering outcomes that matter to people using the services, and coordinated care. It discusses the opportunities that outcomes-based commissioning gives for providers of community services, including the main technical considerations that will need to be addressed. Health outcomes have become the standard for measuring successful care. More and more people are living with long-term, and often multiple, conditions. This briefing argues that successful care for this group of people is not about providing a cure or a certain number of procedures, but about enabling and supporting them to live as well as possible with their conditions over the long term. Achieving this will involve transforming the system so that all of its parts work in an integrated way towards the outcomes people want and need most. Unlocking the unmet potential in community settings is crucial in both transforming care and improving efficiency. The briefing includes practical examples showcasing how community providers are using innovative ways of supporting and enabling people with high levels of clinical need to be cared for at home or more locally, and are working in partnership with other health and care providers. It will be of interest to all commissioners and providers considering developing an outcomes-based commissioning approach that includes community health services. It is particularly relevant to providers of community services.
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