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Results for 'models'

Results 1 - 10 of 21

Dementia-friendly Brent: a model of community

TILKI Mary
2018

Report on the London borough of Brent's dynamic social movement helping to make the borough dementia friendly. Community Action on Dementia Brent (CADBrent) is a dynamic social movement that aims to make the London borough dementia friendly, accessible and inclusive of black and minority ethnic (BME) communities. Much has been achieved since the movement began five years ago. Some of the schemes discussed in the article include: Dementia peer support project; dementia friendly Mapesbury; The De-Cafe - memory cafe; Whole street of support; The Shed and Parnerships in Innovative Education.

VCSE sector engagement and social prescribing

VEASEY Phil, NEFF Jennifer, MONK-OZGUL Leeann
2018

This report, commissioned by the Greater London Authority, looks at the role of the voluntary, community and social enterprise (VCSE) sector in delivering social prescribing in London and the challenges and opportunities the sector faces. It draws on case studies to highlight good and effective practice and successful partnerships models. It also outlines the resources required in terms of leadership, staff training, fundraising, technological, capacity building and other support to build an effective business case for voluntary and community-sector organisations to engage with social prescribing. The final sections suggest ways to engage voluntary sector organisations in the development and delivery of a social prescribing strategy in London and identifies specific roles for the Mayor and GLA for taking forward social prescribing. The report draws consultation with 100 experts across the VCSE sector, commissioners from the statutory-sector commissioners and representatives of the health and social care sectors.

Strategies employed by older people to manage loneliness: systematic review of qualitative studies and model development

KHARICHA Kalpa, et al
2018

Objectives: To (i) systematically identify and review strategies employed by community dwelling lonely older people to manage their loneliness and (ii) develop a model for managing loneliness. Methods: A narrative synthesis review of English-language qualitative evidence, following Economic and Social Research Council guidance. Seven electronic databases were searched (1990–January 2017). The narrative synthesis included tabulation, thematic analysis, and conceptual model development. All co-authors assessed eligibility of final papers and reached a consensus on analytic themes. Results: From 3,043 records, 11 studies were eligible including a total of 502 older people. Strategies employed to manage loneliness can be described by a model with two overarching dimensions, one related to the context of coping (alone or with/in reference to others), the other related to strategy type (prevention/action or acceptance/endurance of loneliness). The dynamic and subjective nature of loneliness is reflected in the variety of coping mechanisms, drawing on individual coping styles and highlighting considerable efforts in managing time, contacting others, and keeping loneliness hidden. Cognitive strategies were used to re-frame negative feelings, to make them more manageable or to shift the focus from the present or themselves. Few unsuccessful strategies were described. Conclusion: Strategies to manage loneliness vary from prevention/action through to acceptance and endurance. There are distinct preferences to cope alone or involve others; only those in the latter category are likely to engage with services and social activities. Older people who deal with their loneliness privately may find it difficult to articulate an inability to cope.

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

Results 1 - 10 of 21

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