Results for 'long term conditions'
Results 1 - 10 of 22
Introducing ConnectWELL - a social prescribing service – initially funded and piloted in 2014 by NHS Rugby CCG, which aims to improve health and wellbeing for patients and clients. ConnectWELL provides Health Professionals with just one, straightforward referral route to the many Voluntary and Community Sector organisations, groups and activities that can address underlying societal causes, manage or prevent compounding factors of ill-health. ConnectWELL has over 900 organisations and activities, ranging from Carers’ support, community groups, disability services, Faith / Religious / Cultural Activities, Housing / Homelessness Support, Mentoring, Music Groups, and volunteering opportunities.
DAYSON Chris, BENNETT Ellen
An evaluation of the Doncaster Social Prescribing Service, providing an analysis of outcomes for service users and the costs and benefits of the service between August 2015 and July 2016. It uses interviews with staff and key stakeholders from across health and social care, and users of the service; self-evaluation questionnaires from 292 people using the Service; and quality of life surveys completed by 215 users of the Service. The Social Prescribing Service reached more than 1,000 people referred by their GP, Community Nurse or Pharmacist and enabled almost 600 local people to access support within the community during the evaluation period. The main reasons for referral were a long term health or mental health condition. Positive outcomes for clients included improvements in health related quality of life (HRQL), social connectedness, and financial well-being. However, there was little evidence to suggest a reduction in the use of secondary care and inpatient stays. In health terms, the evaluation estimates that for every £1 of the £180,000 funding spent, the Service produced more than £10 of benefits in terms of better health.
DAYSON Chris, DAMM Chris
An updated assessment of the social and economic impact of the Rotherham Social Prescribing Service between September 2012 and March 2016. Originally commissioned as a two-year pilot in 2012 the service is now funded until 2018 through the Better Care Fund. Its two core features are: advisors providing a single gateway to voluntary and community sector (VCS) support for GPs and service users (advisors assess the support needs of patients and carers before referring on to appropriate VCS services) and a grant funding programme for VCS activities to meet the needs of service users. The evaluation reports that between September 2012 and March 2016 the Rotherham Social Prescribing Service supported more than 3,000 local people with long-term health conditions and their carers. It identifies reductions in service users’ use of secondary care, reduced admissions to Accident and Emergency, and improvements in the well-being of service users. Wider benefits seen in the VCS across Rotherham, include additional investment; developing and promoting social action and volunteering; and the development of a ‘micro-commissioning’ model. The evaluation also consistently demonstrated costs avoided by the NHS, with figures across the first four years of service equating to an estimated £647,000 of NHS costs avoided: an initial return on investment of 35 pence for each pound (£1) invested.
York Council for Voluntary Service
Ways to Wellbeing York is a social prescribing service which aims to improve health and wellbeing through working with people referred by GPs to identify their needs and identify local services offering non-medical interventions which may be able to help. The pilot which started in 2016 offers a whole system approach to wellbeing, enabling people attending their GP to be referred to a range of support providing by over 40 voluntary and community services in the city. The service is hosted by York CVS and funded by the City Council and currently offers access to social prescription referrals through four surgeries in York based in areas of greater deprivation. The longer term aim if funding is secured is to provide a city-wide service with a target of 1,000 referrals.
The ExtraCare Charitable Trust
ExtraCare’s Wellbeing Programme was developed in 2002, in partnership with older people who live at ExtraCare’s Schemes and Villages. The concept was launched following a survey, which highlighted that 75% of residents at one location had not accessed any health screening via their GPs or the NHS. A pilot screening scheme subsequently identified 122 previously undetected conditions amongst a population of just 136, highlighting a clear need for the Programme.
University of Exeter
The Exeter Care Homes Reading Project began in the English Department at Exeter University in October 2011. Pioneered by Dr Johanna Harris and strongly supported by the student-led English Society, the project quickly became one of the University’s most successful student volunteer initiatives. The project aim is to strengthen links between young adults and older people, and to promote understanding, recognising that positive intergenerational relationships are key to a healthy community. Through a shared love of stories and poems, the conversations they spark and the human emotions they speak of and into, common ground is found.
WHAT WORKS WELLBEING
Drawing on the available evidence, this briefing examines what music and singing interventions work to improve wellbeing of adults living with diagnosed conditions or dementia. While there is ample evidence looking at the impact of music and singing on clinical outcomes such as pain management, coping with hospitalisation, coping with symptoms and managing symptoms of dementia, this new evidence focuses on wellbeing for those living with diagnosed conditions or dementia. Specifically, it focuses on self-reported measures of quality of life; life satisfaction; and anxiety or depression. The paper suggests that there is strong evidence that brief music therapy is an effective intervention to support wellbeing of palliative care patients in hospital settings and initial evidence that music therapy can contribute to improved spiritual wellbeing in hospice patients. There is strong evidence targeted, culturally relevant music interventions can decrease depression in nursing students in a college environment and initial evidence that music therapy can alleviate anxiety in undergraduate students. There is promising evidence that targeted, culturally relevant music and singing interventions can enhance mental wellbeing and decrease depression in older people with chronic conditions in residential and community settings and initial evidence that participation in individual personalised music listening sessions can reduce anxiety and/or depression in nursing home residents with dementia and that listening to music may enhance overall wellbeing for adults with dementia. There is initial evidence that participation in extended community singing programmes can improve quality of life and social and emotional wellbeing in adults living with chronic conditions.
DAYKIN Norma, et al
This report reviews evidence from the grey literature on wellbeing outcomes for music and singing for adults. The evidence was received through a call for evidence placed on the What Works Wellbeing website in 2016. A total of 51 reports were received, of which 32 met the inclusion criteria. These included: 12 reports on music and singing interventions with healthy adults; 12 reports on participants with a range of diagnosed conditions including COPD, Parkinson’s, stroke and mental health conditions; and eight reports on participants living with dementia. An additional five unpublished PhDs were also identified. The report summarises the evaluation methods used in the projects; quantitative and qualitative wellbeing outcomes identified; and process evaluations carried out. The review found evidence of improved mental wellbeing in evaluations of two singing interventions for people in the community experiencing, or at risk of, mental health problems. Two studies of music interventions for older participants in hospital also reported improvements in observed wellbeing. Qualitative findings also suggest that participants involved in singing and music projects report positive outcomes such as improved mood, purpose and social interaction. Adults with dementia also experienced increased engagement, relaxation, and better connection with others. Key issues reported from process evaluations included: barriers to activity, such as lack of accessible transport; institutional barriers, particularly in care home settings where projects rely on the support of care staff and managers. Limitations of the evidence are also briefly discussed.
DAMERY Sarah, FLANAGAN Sarah, COMBES Gill
Objective: To summarise the evidence regarding the effectiveness of integrated care interventions in reducing hospital activity.
Design: Umbrella review of systematic reviews and meta-analyses.
Setting: Interventions must have delivered care crossing the boundary between at least two health and/or social care settings.
Participants: Adult patients with one or more chronic diseases.
Data sources: MEDLINE, Embase, ASSIA, PsycINFO, HMIC, CINAHL, Cochrane Library (HTA database,DARE, Cochrane Database of Systematic Reviews), EPPI-Centre, TRIP, HEED, manual screening of references.
Outcome measures: Any measure of hospital admission or readmission, length of stay (LoS), accident and emergency use, healthcare costs.
Results: 50 reviews were included. Interventions focused on case management (n=8), chronic care model (CCM) (n=9), discharge management (n=15), complex interventions (n=3), multidisciplinary teams (MDT) (n=10) and self-management (n=5). 29 reviews
reported statistically significant improvements in at least one outcome. 11/21 reviews reported significantly reduced emergency admissions (15–50%); 11/24 showed significant reductions in all-cause (10–30%) or condition-specific (15–50%) readmissions; 9/16 reported LoS reductions of 1–7 days and 4/9 showed significantly lower A&E use (30–40%). 10/25 reviews reported significant cost reductions but provided little robust evidence. Effective interventions included discharge management with post-discharge support, MDT care with teams that include condition-specific expertise, specialist nurses and/or pharmacists and self-management as an adjunct to broader interventions. Interventions were most effective when targeting single conditions such as heart failure, and when care was provided in patients’ homes.
Conclusions: Although all outcomes showed some significant reductions, and a number of potentially effective interventions were found, interventions rarely demonstrated unequivocally positive effects. Despite the centrality of integrated care to current policy, questions remain about whether the magnitude of potentially achievable gains is enough to satisfy national targets for reductions in hospital activity.
LOCAL GOVERNMENT ASSOCIATION
Brings together eight case studies which show how local authorities in England are involved in a range of innovative schemes to encourage self-care and self-management of long term conditions. The case studies covering both rural and urban environments and with varying levels of deprivation and affluence. The examples include: a network of integrated teams to work with residents at risk; development of a website to help people with long-term conditions to become more involved in self-care; a hotline to promote health lifestyles and self-care, linking people with local services in the local authority, NHS and voluntary sector; a programme to tackle loneliness and social isolation in older people, improve health and wellbeing; Nottingham’s ‘super’ self-care pilot, which includes social prescribing and care navigators; and work in Kirklees which is encouraging the self-management of long term conditions through education, technology, exercise and one-on-one help.
Results 1 - 10 of 22