Results for 'poverty'
Results 1 - 7 of 7
WILDMAN Josephine M., et al
Background: Social prescribing enables health-care professionals to address non-medical causes of ill-health by harnessing the resources of the voluntary and community sectors in patient care. Although increasingly popular in the UK, evidence for the effectiveness of social prescribing is inconclusive and longer-term studies are needed. This study aimed to explore experiences of social prescribing among people with long-term conditions one to two years after their initial engagement with a social prescribing service. Methods: Qualitative methods comprising semi-structured follow-up interviews were conducted with 24 users of a link worker social prescribing service who had participated in an earlier study. Participants were aged between 40 and 74 years and were living in a socioeconomically-deprived area of North East England. Results: Participants reported reduced social isolation and improvements in their condition management and health-related behaviours. However, many participants had experienced setbacks, requiring continued support to overcome problems due to multi-morbidity, family circumstances and social, economic or cultural factors. Findings indicated that, in this sample of people facing complex health and socioeconomic issues, longer-term intervention and support was required. Features of the link worker social prescribing intervention that were positively appraised by participants, included a highly personalised service to reflect individual goal setting priorities and a focus on gradual and holistic change dealing with issues beyond health. The important role of a strong and supportive relationship with an easily-accessible link worker in promoting sustained behaviour change highlights the importance of link worker continuity. A lack of suitable and accessible voluntary and community services for onward referral acted as a barrier to involvement for some participants. Conclusions: This study highlights issues of interest to commissioners and providers of social prescribing. Engagement with social prescribing for up to two years was examined and continued involvement was identified for those with complex issues, suggesting that a long-term intervention is required. The availability of onward referral services is an important consideration for social prescribing in a time of constrained public spending. From a research perspective, the range of improvements and their episodic nature suggest that the evaluation of social prescribing interventions requires both quantitative and qualitative data collected longitudinally.
ARTS COUNCIL OF NORTHERN IRELAND
Summary findings on the impact of the Arts and Older People Programme in Northern Ireland, which aims to provide older people with the opportunity to participate in arts activities that contribute to their health and wellbeing. The programme - which is jointly funded by ACNI, the Baring Foundation and the Public Health Agency - targets poverty, isolation and loneliness and provides opportunities for social interaction to help build confidence and resilience. The report provides details of the programme impact against the agreed performance indicators of: isolation and loneliness, social inclusion, poverty, health/dementia, and strengthening the voice of older people. Includes short case study examples of the initiatives.
INQUIRY PANEL ON HEALTH EQUITY FOR THE NORTH OF ENGLAND
This inquiry report sets out a series of strategic and practical policy recommendations to address the social inequalities in health that exist both within the North of England, and between the North and the rest of England. The inquiry, commissioned by Public Health England, was led by an independent Review Panel of leading academics, policy makers and practitioners from the North of England. The report identifies the main causes of the of health inequalities within and between North and South to be differences in the: poverty, power and resources needed for health; exposure to health damaging environments, such as poorer living and working conditions and unemployment; chronic disease and disability; and differences in opportunities to enjoy positive health factors and protective conditions that help maintain health, such as good quality early years education; control over decisions that affect your life; social support and feeling part of the society. The report provides recommendations on what agencies and central government need to do to reduce these inequalities. They cover: tackling poverty and economic inequality; promoting healthy development in early childhood; sharing power over resources and increasing the influence that the public has on how resources are used to improve the determinants of health and developing the capacity of communities to participate in local decision-making; and strengthen the role of the health sector in promoting health equity.
BENNETT Ellen, et al
This report presents the findings from an evaluation of the Foundations Independent Living Trust Ltd (FILT) SSE Warm at Home (WAH) Programme. The programme, whose funding came via a financial penalty (or redress payment) imposed by the energy regulator Ofgem on the energy company SSE, provided funds to enable the homes of vulnerable householders to become more energy efficient and/or easier to keep warm, addressing the negative impact that fuel poverty and cold homes have on the physical and mental health of both adults and children. Funds were channelled through HIAs operating across England. The funding enabled HIAs to provide energy efficiency advice and warm homes-related practical interventions to their clients (new and existing), typically older homeowners with a long-term illness or disability and/or on a low income. The report indicates that improvements in health and wellbeing were reported once work had been completed. The greatest health and wellbeing improvements were experienced by those who received heating installation or replacement, and for those whom the highest cost work (£1,000 or more) was undertaken. Overall the WAH Programme appears to be a cost-effective intervention from a health perspective but there are variations in relation to the type and cost of intervention. The Programme is estimated to have led to an additional 121.8 QALYs. If the assumed total QALY gained across the whole Programme is converted into a monetary value using the NHS threshold of £20,000, then the value of the benefits gained amounts to £2,436,000. For every £1 of the £637,000 funding distributed to vulnerable households, the WAH Programme produced almost £4 of benefits in terms of better health.
COMMUNITY DEVELOPMENT FOUNDATION
This paper is part of the ‘Tailor-made’ series, which aims to demonstrate the valuable contribution that the community sector makes to people’s lives and society as a whole. Specifically, this paper explores the significant role that community groups play in improving the health and wellbeing of communities. Key points include: the community sector is well placed to support wellness, rather than just treat illness through connecting organisations and supporting people with wider factors that affect health, including poverty, education and social isolation; the community sector has unique qualities that allow it to provide tailor-made support - they are trusted and understand the needs of their community, they can reach people that find it hard to access traditional support and they take a person-centred approach meaning they can support people’s multiple-needs; the community sector contributes significant social and economic value by improving physical and mental health, improving quality of life and reducing health inequalities. The paper also forms part of the full report 'Tailor-made: how community groups improve people’s lives.'
GRANT THORNTON UK LLP
This report highlights the extent to which economic, social and environmental determinants translate to good or bad health outcomes in their broadest sense. It also shows the scale and nature of inequality across the country and reiterates the need for a local, place-based approach to tackling health outcomes. The report is based on league tables that assess 33 key health determinants and outcomes at local authority district level. The analysis reveals that the top three determinants that most strongly correlate to health outcomes are child poverty, deprivation and unemployment. Crime ranks as only seventh strongest with childhood education, social cohesions and occupations all proven as having a bigger impact on overall health outcomes. Case studies from Barnet, Greenwich and Richmond and Kingston outline some of the lessons that can be learnt from these and where collaboration has been seen to address an area’s determinants to improve health outcomes. That nine of the ten fall within London, where the boundaries of health commissioning are coterminous with those of the local authority may imply more readily facilitated joint-working leading to improved outcomes.
FLATTERS Paul, JOHNSON Tom, O'SHEA Ruairi
Presents key information and data on the UK ageing population, including an analysis of current trends and the implications for the future. The report sets out the national picture, focusing on the demographic context, the state of income, pensions and retirement arrangements, and health issues. In addition, the report considers a range of aspects associated with old age, including: loneliness, dementia, older carers, volunteering, and digital inclusion. The report indicates that the population of the UK is set to increase significantly over the next decade, with much of this growth driven by an ageing population and sustained increases in the number of people over 65 years old. While the number of older people living in relative or absolute poverty has not increased since the start of the economic downturn, the minimum income standard for pensioners has risen and many of those on low incomes have trouble meeting everyday expenditure. The report suggests that higher dependency ratios will place huge demand on already strained public services, requiring greater support from the charitable sector. The impact of dementia will be a significant area of need in the future: even if incidence rates remain stable, the growth in the population of people over the age of 65 will see the number affected more than double from c.800,000 in 2012 to 2.2m in 2051. However, the report concludes that it is likely that incidence rates for dementia will increase as longevity continues to increase and diagnosis improves.
Results 1 - 7 of 7