Results for 'primary care'
Results 1 - 10 of 10
MASSIE Rachel, AHMAD Nahid
An independent evaluation of Wolverhampton social prescribing pilot service, which was launched in 2017 by the Clinical Commissioning Group in collaboration with Wolverhampton Voluntary Sector Council. The evaluation found that the service, which provides a link between primary care services and voluntary and community organisations for those with non-clinical issues, is highly regarded. A total of 676 referrals were received between May 2017 and December 2018. The most common reasons for referral were loneliness and low-level mental health conditions. Link workers made onward referrals to over 150 groups and services. Participants reported a positive impact on mental health, wellbeing, confidence, self-esteem, and even physical health for those who had been referred. The report estimates that Return on Investment means that for every £1 spent on the social prescribing intervention, there will be a saving of £0.15 for primary care services. The researchers recommended further awareness-raising activities, quarterly progress reports and better communication to service users around the nature of the service and wider access, as well as improved data capture.
WOODALL James, et al
Background: Evidence of the effectiveness of social prescribing is inconclusive causing commissioning challenges. This research focusses on a social prescribing scheme in Northern England which deploys ‘Wellbeing Coordinators’ who offer support to individuals, providing advice on local groups and services in their community. The research sought to understand the outcomes of the service and, in addition, the processes which supported delivery. Methods: Quantitative data was gathered from service users at the point they entered the service and also at the point they exited. Qualitative interviews were also undertaken with service users to gather further understanding of the service and any positive or negative outcomes achieved. In addition, a focus group discussion was also conducted with members of social prescribing staff to ascertain their perspectives of the service both from an operational and strategic perspective. Results: In total, 342 participants provided complete wellbeing data at baseline and post stage and 26 semi-structured qualitative interviews were carried out. Improvements in participants’ well-being, and perceived levels of health and social connectedness as well as reductions in anxiety was demonstrated. In many cases, the social prescribing service had enabled individuals to have a more positive and optimistic view of their life often through offering opportunities to engage in a range of hobbies and activities in the local community. The data on reductions in future access to primary care was inconclusive. Some evidence was found to show that men may have greater benefit from social prescribing than women. Some of the processes which increased the likelihood of success on the social prescribing scheme included the sustained and flexible relationship between the service user and the Wellbeing Coordinator and a strong and vibrant voluntary and community sector. Conclusions: Social prescribing has the potential to address the health and social needs of individuals and communities. This research has shown a range of positive outcomes as a result of service users engaging with the service. Social prescribing should be conceptualised as one way to support primary care and tackle unmet needs.
KHARICHA Kalpa, et al
Twenty-eight community dwelling people, aged 65 and over who reported being ‘lonely much of the time’ or identified as lonely from the de Jong Gierveld six-item loneliness scale in a larger study, participated in in-depth interviews, between June 2013 and May 2014. Views and experiences on seeking support from primary care and community based one-to-one and group based activities, including social and shared interest groups, were explored. Interviews were recorded and transcribed. Thematic analysis was conducted by a multidisciplinary team, including older people. Using two different measures of loneliness enabled a spectrum of loneliness experience to be explored. Two-thirds of the participants were the ‘younger old’ and all were able to leave their homes independently. Older people with characteristics of loneliness were generally knowledgeable about local social and community resources but, for the majority, community and primary care based services for their loneliness were not considered desirable or helpful at this point in their lives. However, group based activities with a shared interest were thought preferable to one-to-one support (befriending) or groups with a social focus. Descriptions of support as being for loneliness and specific to older people discouraged engagement. Older people experiencing or at risk of loneliness did not consider that primary care has a role in alleviating loneliness because it is not an illness. They thought primary care practitioners lack understanding of non-physical problems and that a good relationship was necessary to discuss sensitive issues like loneliness. For many, loneliness was a complex and private matter that they wished to manage without external support.
POLLEY M., et al
This paper critically appraises the current evidence as to whether social prescribing reduces the demand for health services and is cost effective. It draws on the results of a systematic review of online databases which identified 94 reports, 14 of which met the selection criteria. They included studies on the effect of social prescribing on demand for general practice, the effect on attendance at accident and emergency (A&E) and value for money and social return on investment assessments. The evidence broadly supports the potential for social prescribing to reduce demand on primary and secondary care, however, the quality of the evidence is weak. It also identifies encouraging evidence that social prescribing delivers cost savings to the health service, but this is not proven or fully quantified. In conclusion, the paper looks at the possible reasons for the growth in scale and scope of social prescribing across the UK and makes recommendations for more evaluations of on-going projects to assess the effectiveness of social prescribing.
PARKINSON Andy, BUTTRICK Jamie
Evidence review, undertaken through a joint project between the Low Commission and the Advice Services Alliance, to examine the impact of social welfare advice services on health outcomes. The review outlines key findings from 140 research studies and also provides an overview of 58 integrated health and welfare advice services. Advice services covered in the review included those providing advice on debts, welfare benefits, housing, employment and discrimination advice. The results of the evidence review are discussed across the following areas: health inequalities; debt and mental health; primary care; secondary and tertiary care, including mental health services. The analysis finds that welfare advice provided in health context results in better individual health and well-being and lower demand for health services. Positive effects on health and welbeing include: lower stress and anxiety, better sleeping patterns, more effective use of medication, smoking cessation, and improved diet and physical activity. It shows how the right welfare advice in the right place produces real benefits for patient health especially where advice services work directly with the NHS and care providers, and presents evidence to show that early and effective advice provision reduces demand on the NHS. It provides recommendations for NHS, Local Authority Commissioners, Health and Wellbeing Boards, and the advice sector for the use welfare advice services to improve health outcomes, address health inequalities and reduce demand on the NHS.
INNOVATION UNIT, GREATER MANCHESTER PUBLIC HEALTH NETWORK
This is a practical guide for getting started and growing asset based primary care at scale. It highlights examples of asset based approaches from both within Greater Manchester and beyond. Assets can be broadly grouped into: personal assets e.g. the knowledge, skills, talents and aspirations of individuals; social assets e.g. relationships and connections that people have with their friends, family and peers; community assets e.g. voluntary sector organisations (VSO) associations, clubs and community groups; and neighbourhood assets e.g. physical places and buildings that contribute to health and wellbeing such as parks, libraries and leisure centres. Drawing on research with commissioners, GPs, the community and voluntary sector, public health professionals, patients and the general population, the guide sets out what it takes to make asset based primary care work in practice, and what it would take to adopt it, not just in isolated pockets but across a whole neighbourhood, system or region. It details the background to asset based care, presents ten case studies and makes recommendations for how to develop an asset based primary care in a locality. Key steps to developing and implementing an assets-based approach include: setting up a team to lead the work; understanding which patients to focus on; understanding and mapping the user journey; understanding which approach will work best in a community; creating a development plan for the neighbourhood team; implementing and evaluating the plan; and planning for sustainability.
A guide for primary care commissioners in NHS England and Clinical Commissioning Groups (CCGs) on how to involve patients, service users, carers and the public in the commissioning of primary care services. This includes involving throughout the commissioning process in the planning, policy making, buying and monitoring primary care services such as general practice, community pharmacy, dental, and eye health services. The Framework looks at how NHS England involves people in commissioning at national and local levels; co-commissoning with CCGs; and individual responsibilities as a policy or commissioning manager in primary care. It also includes short case study examples, provides details of additional sources of information, and key partner organisations and networks with an interest in public participation. It has been co-designed with members of the Working Group for Patient and Public Participation in Primary Care Commissioning and also incorporates feedback received from key stakeholders. The document will also be of interest to patients and the public, the voluntary sector, and providers of health and social care services. It is designed to be read with the NHS England Patient and Public Participation Policy and the Statement of Arrangements and Guidance on Patient and Public Participation in Commissioning.
UNIVERSITY OF YORK. Centre for Reviews and Dissemination
Summarises the findings of a rapid appraisal of available evidence on the effectiveness of social prescribing. Social prescribing is a way of linking patients in primary care with sources of support within the community, and can be used to improve health and wellbeing. For the review searches were conducted on the databases: DARE, Cochrane Database of Systematic Reviews and NHS EED for relevant systematic reviews and economic evaluations. Additional searches were also carried out on MEDLINE, ASSIA, Social Policy and Practice, NICE, SCIE and NHS. Very little good quality evidence was identified. Most available evidence described evaluations of pilot projects but failed to provide sufficient detail to judge either success or value for money. The briefing calls for better evaluation of new schemes. It recommends that evaluation should be of a comparative design; examine for whom and how well a scheme works; the effect it has and its costs.
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
Summarises selected new evidence published since the original literature search was conducted for the NICE guidance 16 Occupational therapy and physical activity interventions to promote the mental health wellbeing of older people in primary care and residential care (2008). A search was conducted for new evidence from 1 June 2011 to 28 July 2014 and a total of 8,973 pieces of evidence were initially identified. The 21 most relevant references underwent a critical appraisal process and then were reviewed by an Evidence Update Advisory Group, which advised on the final list of 6 items selected for the Evidence Update. The update provides detailed commentaries on the new evidence focussing on the following themes: occupational interventions, physical activity, walking schemes, and training. It also highlights evidence uncertainties identified.
SEABROOKE Viniti, MILNE Alisoun
Purpose: This study aims to systematically evaluate the impact and effectiveness of two early intervention services in NW Kent.
Design/methodology/approach: Data were gathered via evaluation questionnaires for both projects; these included quantitative post-intervention data and qualitative comments. Data on referrals to secondary care and a specialist third sector organisation were also collected for the primary care project.
Findings: Findings from the primary care project indicate that targeting a specific age cohort of patients can be effective in terms of: early identification of dementia-related concerns, the provision of support, appropriate referrals to secondary care, and increased referrals to a third sector dementia service. At the end of the project most practitioners felt they were better informed about dementia, more committed to facilitating early diagnosis, and had gained confidence in using a screening tool (the General Practitioner Assessment of Cognition Test). Evidence from evaluating the Carers Group suggests that attendance helped members manage emotional difficulties, increased understanding of dementia, and enhanced coping skills. They also felt less isolated and knew how to access support services.
Practical implications: The projects offer two models of intervention: how a proactive third sector agency can work with primary care professionals to enhance commitment to dementia case finding and the provision of group support to relatives of those in receipt of a recent dementia diagnosis.
Originality/value: The study provides insights into early intervention in dementia care how to evaluate impact of effectiveness.
Results 1 - 10 of 10