Results for 'long term conditions'
Results 1 - 10 of 28
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.
van LOON Jolande, et al
Autonomy is important in every stage of life. However, little is known about how autonomy is enhanced for older adults living in residential care facilities (RCFs). This leads to the research question: which facilitators and barriers to autonomy of older adults with physical impairments due to ageing and chronic health conditions living in RCFs are known? The results will be organised according to the framework of person-centred practice, because this is related to autonomy enhancement. To answer the research question, a systematic literature search and review was performed in the electronic databases CINAHL, PsycINFO, PubMed, Social Services Abstracts and Sociological Abstracts. Inclusion and exclusion criteria were derived from the research question. Selected articles were analysed and assessed on quality using the Mixed Methods Appraisal Tool. Facilitators and barriers for autonomy were found and arranged in four themes: characteristics of residents, prerequisites of professional care-givers, care processes between resident and care-giver, and environment of care. The established facilitators and barriers are relational and dynamic. For a better understanding of the facilitators and barriers to autonomy for older adults with physical impairments living in RCFs, a description is based on the 35 included articles. Autonomy is a capacity to influence the environment and make decisions irrespective of having executional autonomy, to live the kind of life someone desires to live in the face of diminishing social, physical and/or cognitive resources and dependency, and it develops in relationships. The results provide an actual overview and lead to a better understanding of barriers and facilitators for the autonomy of older adults with physical impairments in RCFs. For both residents and care-givers, results offer possibilities to sustain and reinforce autonomy. Scientifically, the study creates new knowledge on factors that influence autonomy, which can be used to enhance autonomy.
Hillingdon H4All is a social prescription/wellbeing service that supports patients 65 and over to better manage long term health conditions and social isolation. The service operates as a Community Interest Company (CIC) and is a collaboration between five prominent local third sector charities namely Age UK Hillingdon, Disablement Association Hillingdon (DASH), Harlington Hospice, Hillingdon Carers and Hillingdon Mind and is commissioned by Hillingdon CCG. The service is an augmentation of the former Primary Care Navigator (PCN) project which was managed by Age UK Hillingdon and funded by Hillingdon CCG in 2014. The new service was established in April 2016 and used learning from the former PCN project to provide an enhanced service with the following features:
DAYSON Chris, LEATHER David
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.
LOCAL GOVERNMENT ASSOCIATION
Guide that sets out priority areas for partnership working to improve later life health. The guide focuses on taking a life course approach and developing healthy behaviours and includes practice examples. The eight case studies in the guide provide examples about what can work to reduce the impact of long-term conditions. The case examples cover tackling loneliness and isolation; preventing falls; getting older people active; using lottery funding to boost healthy ageing; an Olympic legacy for older people; extending the NHS Health Checks programme; getting people talking about their health and reshaping the strategy on health ageing.
NEW PHILANTHROPY CAPITAL
This report captures early learning from a project to building meaningful collaboration between the voluntary and statutory sector in Somerset. It is the latest report from the Doing the Right Thing programme, which aimed to achieve better outcomes for people living with long-term health conditions and reduced demand on health and social care services through collaborative design and delivery. The report identifies benefits of collaboration and system change led by the voluntary and community sector. It also highlights some of the challenges around sustainability, measuring outcomes and ensuring involvement of large national charities is inclusive of the wider voluntary sector in a place. Key findings highlight the benefits of coming to collaboration with no pre-conceived ideas about products or providers; that turning an open-ended conversation between the voluntary sector and public bodies into a productive collaboration requires resource; the benefits of bridging organisations, such as the Richmond Group, and people who make it their job to connect divergent cultures, languages, and priorities; and the agility and stability that voluntary sector leadership can offer to place-based collaborations in a changing healthcare landscape. The report also discusses the wider implications of the research, and the issues it raises around health and care transformation, placed-based collaboration, and evidence for complex interventions. The report will be of particular interest to those seeking to improve collaboration and commission services across the health and care system and also provides practical insights into cross-sector collaboration.
SIETTE Joyce, CASSIDY Megan, PRIEBE Stefan
Objective: Befriending is an emotional supportive relationship in which one-to-one companionship is provided on a regular basis by a volunteer. It is commonly and increasingly offered by the voluntary sector for individuals with distressing physical and mental conditions. However, the effectiveness of this intervention on health outcomes is largely unknown. This systematic review examines the benefits of befriending.
Design: Systematic review
Methods: A systematic search of electronic databases was conducted to identify randomised controlled trials and quasi-experimental trials of befriending for a range of physical and mental health indications including depression, anxiety, mental illness, cancer, physical illness and dementia. Main outcomes included patient-relevant and disease-specific outcomes, such as depression, loneliness, quality of life, self-esteem, social support and well-being.
Results: A total of 14 trials (2411 participants) were included; 7 were judged at low risk of bias. Most trials showed improvement in symptoms associated with befriending but these associations did not reach statistical significance in all trials. Befriending was significantly associated with better patient-reported outcomes across primary measures. However, there was no significant benefit on single outcomes, including depression, quality of life, loneliness ratings, self-esteem measures, social support structures and well-being.
Conclusions: There was moderate quality evidence to support the use of befriending for the treatment of individuals with different physical and mental health conditions. This evidence refers to an overall improvement benefit in patient-reported primary outcomes, although with a rather small effect size. The current evidence base does not allow for firm conclusions on more specific outcomes. Future trials should hypothesise a model for the precise effects of befriending and use specified inclusion and outcome criteria.
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.
Results 1 - 10 of 28