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Results for 'self care'

Results 1 - 10 of 20

Community Team Plus

Stoke on Trent City Council

Community Team Plus involves multidisciplinary health and care teams supporting people across six Stoke on Trent localities to 'help me to help myself to live well'. They are tasked with being accessible, creative, resourceful and helpful.

The multiple conditions guidebook – one year on

TASKFORCE ON MULTIPLE CONDITIONS
2020

This report revisits seven of the case studies featured in The Multiple Conditions Guidebook to find out how things are progressing in the year since their original publication. Conversations detailing the impact of Covid-19 on people with multiple conditions, and the practitioners and services supporting them, are set out in this report with case study updates from the Black Country (employment support), British Lung Foundation (peer support groups), Cornwall (self-management), Gateshead (GP health reviews), Luton (specialist exercise trainers), Southwark (social prescribing) and Yorkshire (medication reviews). Across all the case studies revisited the Taskforce heard how: there is fear and anxiety from the increased risk to life from the virus for people with pre-existing health conditions and for some a sense that these health conditions mean their lives are less valuable in the face of Covid-19; the restrictions in place to keep people safe mean that people’s health conditions are, more than ever, affecting their ability to go about their life as normal; the disruption to the health and care services that many rely on to keep well not only causes stress and worry but also a deterioration in people’s health.

Local Area Coordination (IOW) evaluation report: “What is it about Local Area Coordination that makes it work for end users, under what circumstances, how and why?”

MASON James, HARRIS Kevin, RYAN Louise
2019

This evaluation report draws upon the findings of a realist evaluation of the LAC on the Isle of Wight (IOW) to establish how and why the programme worked for people and communities across three demographical areas. As a sample this focused on the first three Local Area Coordinators to mobilise LAC representative of Ryde, Shanklin and Freshwater. The methods selected for this study were made up of Q-method (Watts and Stenner, 2012) and realist interviews. Q-method focuses on subjective viewpoints of its participants asking them to decide what is meaningful and what does (and what does not) have value and significance from their perspective. Q-Method involves developing a set of statements representing a set of viewpoints of certain individuals about an issue or programme. In this case a set of statements about LAC on the IOW were produced and ranked in line with most important to most un-important by end users. These rankings were then analysed to produce holistic narratives illustrating shared viewpoints around how and why LAC worked. This was also supported by realist interviews which sought to further investigate the key mechanisms at play within LAC on the IOW. The findings of the evaluation established that listening, trust and time were consistent across the three Local Area Coordinators sampled in the evaluation. The coordinator also needs to continue to build on relationships with the differing referral groups due to the variety of methods used to make individuals aware of Local Area Coordination. However, it was also quite clear that LAC worked for different end users in different ways with the Q study creating three different subgroups of end users experiencing LAC: subgroup 1 – “I know you are there and that means a lot, but I’m building my own social networks”; subgroup 2 – “Thank you for your support, I’ve come a long way”; subgroup 3 – “I’m moving down the path, but I still need your personalised support”. The findings demonstrate that LAC works for different people in different ways. Within the spirit of the realist approach to the evaluation the three subgroup holistic narratives provide an insight into what works for whom in what circumstances and why.

Simply the best? Making Leeds the best city to grow old in

MELANIE HENWOOD ASSOCIATES
2020

Research exploring the local strategic policy context for meeting the care and health need of older people in Leeds, and how the Leeds Neighbourhood Networks understand and contribute to the agenda. The Leeds Neighbourhood Network (LNN), comprised of 37 locally led ‘schemes’ operated by a number of voluntary sector organisations, provides preventative support to older people in order to enable them to continue living independently and participate in their communities. They assist with a range of services and activities that promote the independence, health and wellbeing of older people throughout Leeds. This paper outlines the number of opportunities and challenges the LNNs face within the strategic policy context, and looks at the potential for Leeds to share more widely the benefits of its approach and experience. It describes how the LNNs are firmly rooted in their local neighbourhoods and understand the needs and preferences of local citizens they are in touch with and suggests there is an opportunity for them to develop a more outward looking style and connect people to a much wider range of community assets and resources. Furthermore, the LNNs could be more closely involved in supporting self-management for people with long-term conditions, and for health practitioners to benefit from being able to access groups of people needing support with diabetes, or COPD, or similar chronic conditions. Among the challenges, the paper cites the extremely diverse nature of LNNs, the risk that other third sector organisations perceive their own contribution to be less valued, the need to constantly adjust and tailor the ‘offer’ to reflect the changing needs of the older population, the lack of synergy between the LNNs and partners, the difficulties in implementing and evidencing strengths and asset-based approaches and the uncertainty about future funding and the direction of government policy.

Wellbeing Service

H4ALL

Hillingdon H4All is a social prescription/wellbeing service that supports patients 65 and over to better manage long term health conditions and social isolation. The service operates as a Community Interest Company (CIC) and is a collaboration between five prominent local third sector charities namely Age UK Hillingdon, Disablement Association Hillingdon (DASH), Harlington Hospice, Hillingdon Carers and Hillingdon Mind and is commissioned by Hillingdon CCG. The service is an augmentation of the former Primary Care Navigator (PCN) project which was managed by Age UK Hillingdon and funded by Hillingdon CCG in 2014. The new service was established in April 2016 and used learning from the former PCN project to provide an enhanced service with the following features:

Health at home: a new health and wellbeing model for social housing tenants

PEABODY
2018

Explores how housing support services and community-based health services can deliver effective services at lower cost; encourage self-care for the most vulnerable customers and reduce dependency on direct support; work with other agencies to ensure a coordinated response to the residents’ complex and multiple health needs. The report sets out the findings of a study which aimed to test a person-centred support model using a randomised control trial of 261 general needs residents aged over 50. The service model employed health navigators and volunteers to coach and connect residents with the relevant health, housing and community services they need. The study used to measurement tools to assess impact: the Patient Activation Measure (PAM) and Coaching for Activation (CFA). The study found that three months of intervention with those who started in PAM Level 2 was sufficient to move them up, on average, an entire PAM level. This increase in activation was sustained for at least nine months after the intervention ended, suggesting that participants gained the skills and confidence to effectively manage their health without further support after the initial intensive intervention. This is significant as one of the largest studies into cost reductions from PAM level changes in the United States found that patients who moved from Level 2 to Level 3 reduced their annual healthcare costs by 12%. Existing evidence also indicates that when people become more active in self-care, they benefit from better health outcomes, and fewer unplanned health admissions. The report concludes that there is a clear and compelling case for continuing to support integrated care and strengthen links between the health and housing agendas.

Oomph! Wellness

Oomph! Wellness

Oomph! (Our Organisation Makes People Happy) Wellness is a national organisation with the mission to 'help older adults live a full life, for life'. Oomph! has worked in care settings since 2011, to train and support staff and encourage older adults to get active and combat growing levels of social isolation.

TEC stories: how technology enabled care has transformed people's lives

TSA, THINK LOCAL ACT PERSONAL, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
2018

This publication presents 10 individual stories which show how technology enabled care is transforming people’s lives. The stories are told from the individual’s perspective, using their experiences and their own unique circumstances to communicate what technology enabled care means to them. It shows how people are using technology from apps to smart sensors to enhance their independence, better manage long-term health conditions and enable a better quality of life. They include examples of how technology can help to tackle loneliness, provide reminders for people living with dementia, help children in local authority care to make their voices heard and help people to keep in touch with their friends. By giving a voice to people who are already using a wide range of technology, this resource offers political leaders, commissioners and practitioners a case for change.

The arts as a medium for care and self-care in dementia: arguments and evidence

SCHNEIDER Justine
2018

The growing prevalence of dementia, combined with an absence of effective pharmacological treatments, highlights the potential of psychosocial interventions to alleviate the effects of dementia and enhance quality of life. With reference to a manifesto from the researcher network Interdem, this paper shows how arts activities correspond to its definition of psycho-social care. It presents key dimensions that help to define different arts activities in this context, and illustrates the arts with reference to three major approaches that can be viewed online; visual art, music and dance. It goes on to discuss the features of each of these arts activities, and to present relevant evidence from systematic reviews on the arts in dementia in general. Developing the analysis into a template for differentiating arts interventions in dementia, the paper goes on to discuss implications for future research and for the uptake of the arts by people with dementia as a means to self-care.

Evaluation of Hale Community Connectors Social Prescribing Service 2017

DAYSON Chris, LEATHER David
2018

Reports on initial findings of an independent evaluation of the Community Connectors Social Prescribing Service in Bradford, covering the first nine months of the service (March-November 2017). It aims to answer some key questions about the Community Connectors Social Prescribing Service to support future commissioning by the CCG and its partners. The service was commissioned to improve the health, well-being and social connectedness of local people and reduce unplanned and unnecessary demand on primary and secondary health services. The service involves a referral from a GP of patients who could benefit from additional socially focussed support, followed by a home visit from a Community Connector to help identify what services and activities are available. The evaluation shows that a total of 703 local people were referred to the service for support by their GP. The majority of referrals were to address social issues such as anxiety and social isolation, however, a significant proportion of service users were also in poor health with long term conditions. It also identifies positive outcomes in relation to health, mental well-being, trust of people in their community, social connectedness and service users’ ability to self-care. Although too early to assess the impact on demand for primary and secondary care, service users recording up to nine per cent fewer Accident and Emergency and up to seven per cent fewer GP attendances after referral to the service.

Results 1 - 10 of 20

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News

Prevention in social care

Prevention in social care What it means, the policy context, role for commissioners and practitioners and the evidence base.

H4All wellbeing service

H4All wellbeing service Practice example about how H4All Wellbeing Service is using the Patient Activation Measure (PAM) tool

Moving Memory

Moving Memory Practice example about how the Moving Memory Dance Theatre Company is challenging perceived notions of age and ageing.

Chatty Cafe Scheme

Chatty Cafe Scheme Practice example about how the Chatty Cafe Scheme is helping to tackle loneliness by bringing people of all ages together

Oomph! Wellness

Oomph! Wellness Practice example about how Oomph! Wellness is supporting staff to get older adults active and combat growing levels of social isolation

LAUGH research project

LAUGH research project Practice example about a research project to develop highly personalised, playful objects for people with advanced dementia

KOMP

KOMP Practice example about how KOMP, designed by No Isolation is helping older people stay connected with their families
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