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Results for 'person-centred care'

Results 1 - 10 of 27

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.

Comprehensive care: older people living with frailty in hospitals

NIHR DISSEMINATION CENTRE
2017

This review looks at the concept of 'frailty' in older people and what can be done to raise awareness amongst hospital staff, so that they can better identify and manage the needs of this ‘frail’ older people. It features 53 completed and ongoing studies funded by the National Institute of Health Research. The review covers four key aspects of caring for older people living with frailty in hospital: assessment; identifying and managing symptoms associated with frailty in hospital; discharge planning; and caring environments which consider the context in which inpatient diagnosis and treatment is delivered. The review highlights promising evaluations of workplace training and interventions. It also identifies a number of tools, such as the Frailty Index, that can help hospital staff to identify the severity of needs and help to provide targeted support. It also finds good evidence that the Comprehensive Geriatric Assessment (CGA) is a reliable way of diagnosing and meeting the needs of older people with input from multi-disciplinary teams. It also identifies areas where more research is needed, which include: maintaining activities of daily living for people admitted to hospital; and the effectiveness and cost-effectiveness of different models of delivering care. The review also includes a series of questions that hospital boards, staff and families can ask about the care of older people with frailty in hospitals. Summaries of the 53 studies are also included.

Building bridges to a good life: a review of asset based, person centred approaches and people with learning disabilities in Scotland

McNEISH Di, SCOTT Sarah, WILLIAMS Jennie
2016

This review explores the potential to join up thinking on increased choice and control for people with learning disabilities and the principles of asset based working. Commissioned by the Scottish Commission for Learning Disability, it considers the efficacy of asset based approaches for people with learning disabilities, looks at evidence of the impact these approaches can have on people’s lives and also identifies examples of good practice in Scotland. The review draws on the results of a literature review; interviews with key informants involved in asset based working and learning disability services; and a mapping of projects using asset based principles with people with learning disabilities across Scotland. The results suggest that there are is reason why the focus of assets work cannot be broadened to include opportunities for people with learning disabilities. However it suggests that asset based approaches should be seen in the context of efforts to advance the personalisation and social integration agendas, and that if that they need to fit alongside services, support systems and initiatives. Examples included in the review illustrate how services can add to the assets of individuals and communities, provided they are willing and committed to relating to people and doing things differently. Factors identified that facilitate asset based approaches with people with learning disabilities, include: addressing wider inequalities and stigma; ensuring people with learning disabilities are active participants in place based community development; and tackling attitudinal barriers and established ways of doing things.

Unlocking the value of VCSE organisations for improving population health and wellbeing: the commissioners role

ATTARD Jessica
2017

This commissioners guide sets out a variety of approaches to working with the voluntary, community and social enterprise sector in order to create additional capacity for improving health and care that is person-centred and community-based. These approaches include adapting current commissioning processes, engaging the VCSE sector to develop more sustainable business models, and creating an environment within which new VCSE organisations or initiatives can be further developed and ‘spun-out’ to fill unmet needs. Based on interviews and learning from across the health and care system, the guide draws together examples of where this is already working well including examples from across London. It is particularly relevant for commissioners and service transformation and improvement leads delivering place-based care, public health and prevention, social prescribing, asset-based approaches and community development.

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.

Person-centred approaches: empowering people to live their lives and communities to enable to upgrade in prevention, wellbeing, health, care and support

SKILLS FOR HEALTH, SKILLS FOR CARE
2017

This education and training framework, commissioned by Health Education England, sets out core skills to support health and social care workforce to deliver person-centred approaches. It will help to staff communicate meaningfully, ensure they tailor the care and advice they give to suit peoples’ needs. It is applicable across services, sectors and across different types of organisations. The framework begins by describing the values, communication and relationship building skills that everyone delivering services should have to ensure consistent person-centred approaches. It arranges these into three ‘steps’: conversations to engage with people; conversations to enable and support people; and conversations with people to collaboratively manage highest complexity and significant risk. Within each step, the framework outlines behaviours which aim to illustrate what people and their carers would see in practice; learning outcomes; and short practice examples. Where appropriate, the framework encourages shared decision making and ensuring that all information is personalised, accessible and useful. The framework includes tips for delivering training and enablers for embedding a person-centred approach in organisations. The framework has been developed with the participation of health and social care experts and people who are experts by experience.

Flipping the narrative: essays on transformation from the sector's boldest voices

NEW PHILANTHROPY CAPITAL
2017

A compilation of 16 essays from innovative leaders in the charitable sector on how they are thinking about, and putting into action, new ways of achieving social change for the causes and beneficiaries their organisations. It includes contributions from leaders in national charities and smaller innovative organisations based in communities. The essays cover four key themes: strategy and governance – how organisational and governance change can support charities to deliver greater impact; the sector’s relationship with the public – the importance of trust and how charities can develop trust with the public; the sector’s relationship with the state – how to reframe interactions with the state and methods for forming more productive relationships, building on the strengths of the voluntary sector and their ability to understand the challenges of those accessing public services; and new networks and resources – building collaborations with new partners from different sectors and maximising the potential of new resources, such as digital technology and the voices and strengths of the communities they exist to serve.

Living, not existing: putting prevention at the heart of care for older people in Wales

ROYAL COLLEGE OF OCCUPATIONAL THERAPISTS
2017

This report focuses on the important contribution that occupational therapists can make to support further integration of health and social care in Wales. It looks at the role of occupational therapy in helping older people to remain independent and live in their own communities for as long as possible, preventing or delaying the need for expensive care long-term. The report focuses on three key areas: prevention or delaying the need for care and support; helping older people to remain in their communities; and ensuring equality of access to occupational therapy. It provides recommendations to improve the design and delivery of services and examples of best practice and individual case studies to how occupational therapists can contribution to integrated, person-centred services. These include for occupational therapists to work more closely with general practitioners, take on leadership roles to provide expertise to community providers on the development of person and community centred services; and the development of formal partnership agreements across local housing, health and social care sectors to ensure all older people have access to occupational therapy services.

Health, care and housing workshop

CENTRE FOR AGEING BETTER, ANCHOR, HANOVER
2017

Summarises discussions from workshop with people across the health, care and housing sectors to develop joint solutions to enable people to live independently for longer and alleviate pressure on the NHS and social care. The workshops aimed to identify the blockages preventing integration between health, care and housing; solutions to transform the system; and the implications for housing supply, commissioning decisions and care pathways. The three fictional personas were used to explore the experiences of individuals through the current health, care and housing system, and to identify what this might look like in an ideal world. Seven main themes emerged from the discussions: learning from good practice, focussing on the individual and their outcomes, rather than systems and cost savings; leadership from Government in relation to older people and older people’s housing; differences between housing and health that can create barriers to joint working; a more active role for local government and local citizens; the need to monitor the impact of early intervention and prevention; and improvements in current and new housing stock. A list of key actions and links to examples of good practice are included.

Making progress on personal and joined up support: report of a roundtable discussion. Implementing the NICE guideline on older people with social care needs and multiple long-term conditions (NG22)

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
2016

This report summarises discussions from a roundtable event attended by older people and carer representatives, practitioners, providers and commissioners to identify how the NICE guideline on supporting older people with multiple long-term conditions and their carers could best be used and implemented. It also sets out practical examples, actions and ideas to help improve local practice. Small groups discussed how the guideline can help achieve three priorities that the Guideline Committee identified as most important for potential impact and the likely significant challenges. These were: empowering older people and carers; empowering health and social care practitioners; and integration of different care and support options to enable person-centred care. Suggested actions and practice examples in each of the three priority areas.

Results 1 - 10 of 27

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