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Results for 'prevention'

Results 41 - 50 of 82

Evaluation of Redcar and Cleveland Community Agents Project: outputs and outcomes summary report

WATSON Pat, SHUCKSMITH Janet
2015

The Community Agents Project, a programme jointly funded through health and adult social care services, is an innovative approach to meeting the social needs of the elderly and vulnerable population. Community agents act as a one-stop shop, signposting people to the appropriate service that meets their needs. This could be an organisation or voluntary group that can help with shopping, arrange transport to the GP surgery or hospital appointments, help to complete forms, offer encouragement to maintain a care plan, organise a befriender, accompany to a local social activity or signposting to other agencies. The project has received a total of 486 referrals across the borough of Redcar & Cleveland for the period September 2014-September 2015, generating positive outcomes in the following areas: maintaining independence; faster discharge from hospital; reducing admissions to hospital; reducing isolation; improved financial status; appropriate use of health and social services; cost saving; and increases in community capacity. The report estimates a social return on investment of £3.29 for every £1 invested in the Community Agents Project.

Beyond fighting fires: the role of the fire and rescue service in improving the public's health

LOCAL GOVERNMENT ASSOCIATION
2015

The case studies contained within this publication explore the activities of fire and rescue service to help the most vulnerable individuals and families in their communities. The trust placed in these services and the comprehensive access to the public that this provides means they have a unique ability to provide critical interventions, promote health messages and refer to appropriate services. These case studies include programmes spread across England, covering both rural and urban environments and with varying levels of deprivation and affluence. They show a range of ways in which the fire and rescue service supports prevention and contributes to tackling health inequalities by: supporting people with dementia; using firefighters to be ‘health champions’; tackling child obesity; reaching out to the most vulnerable; looking out for babies and toddlers; getting people active; working with others to save lives; and reducing falls in the home.

Is integration or fragmentation the starting point to improve prevention?

MILLER Robin
2014

The importance of health, social care and other sectors working together has been recognised for many decades by governments of all political persuasion. This is true within the current policy environment, in which integration has been proposed as the binding force to connect an increasingly diverse range of providers around individual patients and their families. Initiatives to promote integration are being introduced at all levels of the system, with a patient experience based narrative setting the standard against which success should be judged. This integration is being encouraged not only in respect of statutorily funded clinical, public health and social care services but also with other policy areas such as housing and leisure and other sectors (in particular the third sector). Despite this continued belief in policy that integration will lead to a more preventative focus, there is not a strong research base to support this view. However, accepting the limitations of the evidence base, this Policy Paper looks at five key lessons which can still be drawn for national policy makers with responsibility for promoting integration and prevention. These are to: start with what is fragmented; be clear what is meant (by integration); know what success looks like; understand the impact; and be wary of further change. The paper draws attention to key findings from reviews of integrated care; and notes that the interventions that have been most effective have been those with more preventative approaches. It concludes that patients and service users have to integrate support from statutory services, community resources and their personal networks to improve their quality of life and maintain their health and independence. To understand how and when to integrate, we first need to be clear what links are required and how they could operate in practice. That is why fragmentation rather than integration should be the starting point to achieve a prevention orientated health and social care system. This policy paper is based on a discussion paper which was commissioned by the Institute for Social Change at Manchester University as part of a series of Knowledge Exchange Trials workshops which brought together academics, policy makers and programme stakeholders to facilitate exchange of ideas, expertise and research.

Housing, prevention and early intervention at work: a summary of the evidence base

PORTEUS Jeremy
2011

This summary briefing explores the latest research and findings on the preventive aspects of both capital and revenue housing interventions in local care economies and the wider benefit realisation. In particular, it captures research that evidences the cost benefit of support for older and vulnerable adults with a long term condition in extra care housing as an alternative to residential care, preventing unnecessary hospital admissions and speeding up patient discharges. This evidence shows the care efficiencies that can be achieved and the potential for savings on the public purse. The paper concludes that that for prevention and early intervention to be effective a multi-dimensional approach is required, rewarding closer integration, offering incentives to encourage innovation and market development, and supporting investment in physical and social capital.

Joint review of investment in voluntary, community and social enterprise organisations in health and care sector

GREAT BRITAIN. Department of Health, et al
2015

This report summarises the initial findings of a review developed in co-production with the statutory and voluntary sectors, exploring how the sector could: maximise and demonstrate its impact; build sustainability and capacity; promote equality and address health inequalities. From January to March 2015 around 4,500 people and organisations were consulted, sharing their views on the current state of the statutory and VCSE sectors, the key challenges they face, including reduced funding, and the potential of the sector, particularly in relation to equality and health inequalities, prevention and resilience, and personalisation and co-production.

Making the case for public health interventions: public health spending and return on investment

KING'S FUND, LOCAL GOVERNMENT ASSOCIATION
2014

These infographics from the King's Fund and the Local Government Association set out key facts about the public health system and the return on investment for some public health interventions. They show the changing demographics with a growing ageing population and the impact of social and behavioural determinants on people’s health. The document also highlights the costs of key health and social services and estimates the potential returns on investment on preventative interventions. For instance, Birmingham’s Be Active programme of free use of leisure centres and other initiatives returned an estimated £23 in quality of life, reduced NHS use and other gains for every £1 spent. Every £1 spent on improving homes saves the NHS £70 over 10 years. Befriending services have been estimated to pay back around £3.75 in reduced mental health service spending and improvements in health for every £1 spent. Every £1 spent on drugs treatment saves society £2.50 in reduced NHS and social care costs and reduced crime.

A call to action: commissioning for prevention

NHS ENGLAND
2013

This document sets out a framework intended to help clinical commissioning groups think about how to commission for effective prevention. Commissioning for prevention is one potentially transformative change that CCGs can make, together with Health and Wellbeing Boards and their other local partners. The paper argues that whether on grounds of health need, cost or public expectations the case for developing a wellness rather than solely an illness service is compelling. This can be achieved by effectively commissioning for prevention through the following steps: analysing the most important health problems at population level; working together with partners and the community, setting common goals or priorities; identifying high-impact prevention programmes focused on the top causes of premature mortality and chronic disability; planning the resource profile needed to deliver prevention goals; and measuring impact and experimenting rapidly.

ADASS budget survey 2015: report

ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
2015

An analysis of the state of adult social care finances, providing in-depth intelligence on how adult social care is responding to the twin challenges of meeting increased demand and managing reducing resources. The survey seeks to explore the views of Directors of Adult Social Services across English Local Authorities on how councils are reconciling the growing numbers of people, often with increasingly complex needs, requiring care and support with the significant and sustained reductions in the funding available. The survey data sets out the concerns of councils in making increasingly difficult choices and the attempts to minimise impacts upon front line services. The report suggests that taking the growth in numbers of older and disabled people into account an additional £1.1 billion would be needed to provide the same level of service as last year. The care provision market is becoming increasingly fragile and 56 per cent of directors report that providers are facing financial difficulties. Many local authorities are going to have to pay more if providers are to be able to attract workers as unemployment falls. While directors see increased prevention and integration as their top two areas for savings for this year, next and beyond, many are struggling to balance investment in reducing future demand and costs at a time when budgets to meet existing statutory duties to provide care and support to those most in need are under such pressure. The paper calls upon the Government to urgently ensure that social care funding is protected and aligned with the NHS, including making provision for the social care funding gap alongside the funding gap for the NHS.

Emerging practice in outcome-based commissioning for social care: discussion paper

BOLTON John
2015

This paper is a progress report exploring the lessons learnt from a variety of approaches taken by councils to outcome-based commissioning in adult social care (sometimes called 'payment by results'). It considers some of the opportunities and risks that arise from taking this approach. The paper puts the emerging practice in social care in a context with other developments within the public sector; explores current practices in social care from a small number of councils and looks at the advantages and risks in taking this approach. It suggests that this approach could deliver better outcomes for people at a lower cost if the transaction costs can be limited. The paper draws on discussions with providers, commissioners and customers receiving services. The development of thinking in local authorities in recent times has shown a new emphasis on interventions that either prevent or reduce someone’s need for longer term care. This is supported by the evidence for the benefits from reablement for older people, the recovery model in mental health and the emerging progression model in learning disability services. Outcomes based commissioning is, in part, a natural evolution of the way in which commissioning might take place when a council is seeking improved outcomes for its customers as a result of the resources it purchases or deploys. The report argues that the overall expectation is that if a provider can produce outcomes for customers that may reduce their need for longer term care they should be rewarded. At the same time if fewer people need longer term care this will reduce the overall costs to the council. The benefits can then be shared between commissioners and providers of services.

Building community-based support with older people: evidence from other research reports

OUTSIDE THE BOX
2015

This report, developed as a resource for community groups, draws on recent key reports, discussion papers and research studies to present evidence on creating and sustaining community-based support for older people, including those which older people lead. It provides definitions of terms and approaches used in community-based support; outlines the current the policy context in Scotland; and then provides an overview of the main findings on community capacity building, changes in public services and the impacts for older people. Points raised in the evidence include: older people who need extra support generally know what will make life better for them; community-based activities that focus on older people's wellbeing complement other services; and that providing community-based solutions and low-level support to older people before they need greater support can prevent or reduce the need for higher intensity services, bring benefits and better outcomes to the people involved. The final section summarises findings from the individual reports and research reviews identified. Although the policy and practice context for the report focuses on the situation in Scotland, most of the reports featured in the review come from the experience of services based in England.

Results 41 - 50 of 82

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