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Results for 'models'

Results 1 - 10 of 18

Innovative models of health, care and support for adults

SOCIAL CARE INSTITUTE FOR EXCELLENCE
2018

This briefing explains that innovative, often small-scale models of health, social care and support for adults could be scaled up to benefit as many people as possible. The challenge is to make scaling up successful. The briefing is based on research conducted during the spring of 2017 by Nesta, SCIE, Shared Lives Plus and PPL. It includes real life examples and case studies to show how stakeholders are involved in building and growing successful and sustainable innovations in health, care and support which provide new ways of delivering relationship-based care. It also identifies key challenges and facilitators to scaling up innovative models and makes recommendations to help make impactful innovative models become part of mainstream care. It includes case studies from North London Carers – a community network of young professionals and older neighbours which helps to reduce loneliness and increase wellbeing; Age UK’s Personalised Integrated Care programme – which brings together voluntary organisations and health and care services to support for older people living with multiple long-term conditions who are at risk of recurring hospital admission; Shared lives - adults either live with or regularly visit their chosen carer; North Yorkshire Innovation Fund – which provides funding to support voluntary and community organisations providing innovative intervention or prevention measures; and Wigan’s place-based approach. To help innovative models to flourish and scale up, it identifies keys to success as: a shared ambition to embed person- and community-centred ways of working; co-production; a new model of leadership which is collaborative and convening; investment and commissioning in approaches which result in high quality outcomes; and use of data to drive change a willingness to learn from experience.

Investing to tackle loneliness: a discussion paper

SOCIAL FINANCE
2015

This paper describes work undertaken with Age UK Herefordshire and Worcestershire to design a service that addresses loneliness, particularly among older people. The first half of the paper examines the potential costs of loneliness and the potential value to the public sector of reducing loneliness. The second half of the paper describes the outcomes-based model used in Worcestershire and sets out initial findings of the service. The service uses a model of commissioning services through a Social Impact Bond (SIB), a contract in which commissioners commit to pay investors for an improvement in social outcomes. The paper sets out some of the benefits of using social investment to fund the upfront cost of delivering a service to reduce loneliness. It also discusses the following elements of the model: measuring loneliness and additional outcomes, delivering support to the population most at risk, considering social investment and agreeing a payment mechanism.

Learning from the vanguards: supporting people and communities to stay well

NHS CONFEDERATION, et al
2018

This briefing explores how the care vanguard sites have sought to design health and care services around the needs of people who use them, focusing on the outcomes that matter to people and tailoring care to their needs and goals. It also explores how the vanguards have adopted community- and asset-based approaches to consider the broadest possible influencers on health and care. This new approach recognises that services should be designed to support people to be more involved in their own care, challenges the traditional divide between patients and professionals, and offers opportunities for better health through increased prevention and supported self-care. The briefing includes examples of practice from the vanguard sites. The briefing is part of a series developed by the NHS Confederation, NHS Clinical Commissioners, NHS Providers and Local Government Association.

Promoting asset based approaches for health and wellbeing: exploring a theory of change and challenges in evaluation

RIPPON Simon, SOUTH Jane
2017

This project explores two key areas that are critical for moving to a more systematised approach to asset based action for health. It builds on the report ‘Head, hand and heart’, from the Health Foundation, to explore further the develop a Theory of Change for asset based approaches aligned to an asset model for health and also looks at ways of evaluating and measuring the benefits and impact of asset based approaches. Drawing on the findings from site visits, interviews and a think piece event, this report presents a new Theory of Change for asset-based working. A rapid review of published and grey literature was also conducted to map and categorise evaluate approaches and measures used in asset-based programmes. The map of literature showed that a variety of methodologies and evaluation strategies are used in asset-based practice. The report summarises the approaches across the seven broad clusters of: Asset Based Community Development; Asset Mapping; Community-based evaluation; Conceptual frameworks for measurement; Resilience; Salutogenesis; and Other. The report suggests that a high level Theory of Change that incorporates an orientation phase provides an opportunity to set out the purpose and rationale of asset based activity. This can also enable measurement and evaluation to be better defined and managed, and help local actors in articulating the benefits (or not) of asset based approaches for health.

Asset-based commissioning: better outcomes, better value

FIELD Richard, MILLER Clive
2017

This publication provides an overview of asset-based practice and looks at the development of asset-aware and asset-based commissioning. It makes the case for adopting asset-based commissioning to improve outcomes for individuals and the community and outlines the implications for stakeholders, systems, behaviours and relationships of making this change. Asset-based commissioning is an approach which enables people and communities to become equal co-commissioners and co-producers and make the best use of all assets. The publication includes many examples of past and current innovations and looks at how they could be further developed and implemented at scale to achieve improved, economic, environmental and social outcomes. Key sections: look at the development of asset-based practice, its key principles and the role played by user-led organisations, personalisation, co-production and self-help ; examine how commissioning has evolved over the last three decades and how the current model is moving towards asset-based commissioning; and describe the paradigm shift involved in moving from conventional to asset-based commissioning and synthesises a wide range of asset-based commissioning practices into a unified model. The final section provides a guide to where and how to get started in developing asset-based commissioning and explores how to do this at scale.

'Three Conversation Model' Transforming Lives Cambridgeshire County Council Adults Learning Disabilities Team

Cambridgeshire County Council

East Cambridgeshire Learning Disability Partnership is a multi disciplinary team providing social care and specialist health input to adults with learning disabilities living in the community. In 2014, Cambridgeshire County Council started its Transforming Lives programme to meet new requirements arising from the Care Act, and as part of this programme the East Cambridgeshire Learning Disability Partnership team began to pilot the Three Conversation Model (pioneered by Partners for Change) in October of that year. The model is now well established in the team and has been rolled out across the council.

Good practice in social prescribing for mental health: the role of nature-based interventions

BRAGG R., LECK C.
2017

Building on early findings from Natural England, this research the value of nature-based or green care interventions within social prescribing services for people with mental health problems and highlights good practice in social prescribing services for commissioners. It draws on the results of an evidence review and an event for health and social care professionals involved with social prescribing in Leeds. The report looks at definitions of green care, models of social prescribing, examples of good practice, suggestions for scaling up nature-based interventions with social prescribing, and evidence of effectiveness and cost effectiveness. The review identified a number of different social prescribing models currently operating in England. The case studies included in the report suggest that good practice in social prescribing depends on good partnerships, high levels of cooperation and joint ownership between a wide range of individuals, groups and organisations with very different organisational cultures. Barriers to the sustainability and scaling up of social prescribing included the lack of a consistent referral mechanism and lack of direct funding for the social prescription element delivered by third sector providers. The report identifies key areas for future action

New care models and prevention: an integral partnership

NHS CONFEDERATION, et al
2016

This publication looks at what new care models are doing on prevention and what the emerging practice looks like. Key to the realisation of the Forward View vision and principles has been the development of ‘new care models’ which have prevention and public health at their heart, and are forging ahead. The new models include: integrated primary and acute care systems (PACS), multispecialty community providers (MCPs), enhanced health in care homes, urgent and emergency care, and acute care collaborations. Through a rigorous process, involving workshops and the engagement of key partners and patient representative groups, 50 new care model ‘vanguards’ were selected, taking the lead on the development and implementation of new care models. This publication looks at how five of the vanguards are addressing prevention. These are: All Together Better Sunderland (MCP); West Wakefield Health and Wellbeing (MCP); Sutton Homes of Care (enhanced health in care homes); Connecting Care – Wakefield District (enhanced health in care homes); and Solihull Together for Better Lives (urgent and emergency care). The case studies all show the importance of having as full an understanding as possible of the needs of the local population, including in some cases through risk stratification. Working across organisational and professional boundaries, and getting staff on board, involved and equipped to deliver care in new ways has also proven to be essential. Equally important is tapping into and getting the most out of the experience and skills of carers, volunteers and third sector organisations, and empowering people to ‘self-care’. At the same time, initiatives such as social prescribing have the potential to greatly improve people’s wellbeing. These case studies highlight the need to look beyond the boundaries of health and social care services to the way people actually live their lives, and tailor the support accordingly

Dementia friendly communities: guidance for councils

LOCAL GOVERNMENT ASSOCIATION, INNOVATIONS IN DEMENTIA
2015

This guidance looks at current best practice and learning in the creation of dementia friendly communities, how it fits within the broader policy landscape, and what actions councils can take, and are already taking in supporting people with dementia by creating local dementia friendly communities. It illustrates how simple changes to existing services, and awareness raising for those who come into day-to-day contact with people with dementia such as staff working in libraries or in leisure centres, can help people with dementia feel more confident and welcome in using council services. The guide looks at what a dementia friendly community is, why dementia is a key issue for councils and the role councils can play. It then presents a framework to help develop to plan, develop and assess the dementia friendliness of any community, organisation or process. The framework covers five domains: the voices of people with dementia and their supporters, the place, the people, resources, and networks. For each domain information is included on: the background to the issue, key actions that councils can take to make this happen, and examples or case studies of existing practice. The guide for those who have a role in leading, planning, commissioning and delivering public services; including health and wellbeing boards, and those responsible for health and social care services.

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.

Results 1 - 10 of 18

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My Guide: new case example

My Guide: new case example My Guide is a sighted guiding service, started by The Guide Dogs for the Blind Association (Guide Dogs), in which trained volunteers assist blind and partially sighted adults to get out and about, thus helping to prevent social isolation.
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