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Results for 'social care'

Results 1 - 10 of 28

The social value of sheltered housing: briefing paper

WOOD Claudia
2017

Drawing on the findings from a review of evidence on the impact of sheltered housing for older people, this briefing paper provides estimates of the cost savings sheltered housing can achieve for health and social care. The paper gives a conservative estimate of a social value saving made by sheltered housing of nearly half a billion pounds. This figure takes into account costs saved through a reduction in the number of falls by older people, the time spent in hospital, combating loneliness, as well as fewer unnecessary call-outs to emergency services. The paper was commissioned to help Anchor, Hanover and Housing & Care 21 consider the future of sheltered housing.

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.

Quick guide: health and housing

NHS ENGLAND
2016

This is one of a series of quick, online guides providing practical tips and case studies to support health and care systems. It provides practical resources and information for Clinical Commissioning Groups (CCGs) from a range of national and local organisations on how housing and health can work together to prevent and reduce hospital admissions, length of stay, delayed discharge, readmission rates and ultimately improve outcomes. Specifically, the guide describes: how housing can help prevent people from being admitted to hospital – by enabling access to home interventions (social prescribing), improving affordable warm homes (safe, warm housing), improving suitability and accessibility, and providing housing support; how housing can help people be discharged from hospital – through coordination of services, provision of step down services, and accessible housing design; and how housing can support people to remain independent in the community – by enabling informed decisions about home and housing options, providing assistive technology and community equipment, supporting social inclusion, providing supported housing, and promoting healthy lifestyles.

Stepping up to the place: the key to successful health and care integration

NHS CONFEDERATION, et al
2016

Joint publication from the Association of Directors of Adult Social Services, Local Government Association, NHS Clinical Commissioners and NHS Confederation which describes what a fully integrated, transformed system of health and social care should look like. Sections look at what can be achieved through integration for individuals, communities, local health wellbeing systems, and Government and national bodies; what is needed to make integration happen; what has been learnt about successful integration so far; and the issues that local and national leaders need to tackle. Drawing on a selection of evidence, reports, case studies and local experience, the document highlights three key components for effective integration. These are: shared commitments – to improving local people’s health and wellbeing, providing services around the individual, and a preventative approach; shared leadership and accountability; and shared systems – such as information and technology, payment and commissioning models, and integrated workforce planning. The final sections outline questions for local and national leaders and summarise the key components for effective integration of health and social care.

Living well in old age: the value of UK housing interventions in supporting mental health and wellbeing in later life

FENDT-NEWLIN Meredith, et al
2016

Reports on an evidence review to explore the role of UK housing interventions in supporting the mental health and wellbeing of older people and their ability to live well at home. The review was commissioned by HACT and carried out by the Social Care Workforce Research Unit at King’s College London. Part one of the report looks at what is known about UK housing interventions that aim to promote mental health and wellbeing among older people. It provides a description of the evidence and the implications for practice and commissioning under the following themes: Identification, diagnosis and management of symptoms; Environments; and Reducing social isolation and loneliness. Part two explores questions around integration and how health, housing and social care agencies are working together to support older people’s mental wellbeing. It identifies some of the barriers to effective collaboration and looks at how these might be overcome. Three key messages emerged from the review of the evidence: the need for people working in service planning and commissioning to include housing needs in the integration debate; the importance of relationships between managers and practitioners from different sectors at a local level; and the need to take a UK perspective in order to share innovation in social housing happening in different parts of the country.

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

GREAT BRITAIN. Department of Health, PUBLIC HEALTH ENGLAND, NHS ENGLAND
2016

This joint review sets out the role of the voluntary, community and social enterprise (VCSE) sector in improving health, wellbeing and care outcomes and identifies how the sector can best address potential challenges and maximise opportunities. The report places wellbeing at the centre of health and care services, and making VCSE organisations an integral part of a collaborative system. It makes 28 recommendations for government, health and care system partners, funders, regulatory bodies and the VCSE sector. Chapters: explore the contribution that VCSE organisations can play in reducing the human and financial costs associated with health inequalities, often through peer- and community-led activity; the benefits of partnership working and collaboration between commissioners, VCSE organisations and individuals; the importance of evidence and impact assessment, and how both can be used more effectively in health and care services; and the importance of commissioning practice, identifying a number of key principles that should underpin the funding relationship between public sector bodies and the VCSE sector. Each chapter looks at what is needed to achieve success and includes short case studies. The final chapters discuss the role of VCSE infrastructure bodies and set out the value of the Voluntary Sector Improvement Programme and recommendations for its future focus. Recommendations include the need for health and care services to be co-produced, focussed on wellbeing and valuing individuals' and communities' capacities and for social value to become a fundamental part of health and care commissioning and service provision.

Growing old together: sharing new ways to support older people

COMMISSION ON IMPROVING URGENT CARE FOR OLDER PEOPLE
2016

Final report from the Commission on Improving Urgent Care for Older People which provides guidance for those involved in designing care for older people and outlines eight key principles the health and care sector can adopt to improve urgent care for older people. The Commission was established out of a concern that the care system was not meeting the needs of older people, resulting in lower quality of care, a lack of out-of-hospital services as an alternative to A&E, not enough focus on prevention and early intervention, and delayed transfers of care. It brought together a range of experts, received over 60 evidence submissions; carried out visits to sites using innovative ways to deliver care; consulted with NHS Confederation members and patient and carer groups; and commissioned an evidence review. The report draws on the evidence to look at the case for change. It then outlines eight key principles that can be used when redesigning health and social care system: start with care driven by the person’s needs and personal goals; a greater focus on proactive care; acknowledge current strains on the system and allow time to think; the importance of care co-ordination and navigation; greater use of multi-disciplinary and multi-agency teams; ensure workforce, training and core skills reflect modern day requirements; leadership should encourage us to do things differently; and metrics must truly reflect the care experience for older people. Short case studies of innovative practice are included in the report, covering acute and primary care, voluntary sector and local government partners and commissioners.

Collaborative healthcare: supporting CCGs and HWBs to support integrated personal commissioning and collaborative care

INCLUSIVE CHANGE
2015

A short guide providing new approaches and practice examples of how Clinical Commissioning Groups and Health Wellbeing Boards can commission and support interventions which embody the principles of collaborative care, individual choice and control and patient and public participation. The six approaches presented are: Experts by experience and self-advocacy; Self-directed support and personal health budgets; Capabilities and asset-based approaches to health and care; Co-production and citizen led commissioning; Community development and building social capital; and Networked models of care. Each includes accompanying practice examples. The guide has been produced by the Inclusive Change partnership of Shared Lives Plus, Community Catalysts, In Control, Inclusion North and Inclusive Neighbourhoods.

Making it better together: a call to action on the future of health and wellbeing boards

LOCAL GOVERNMENT ASSOCIATION
2015

This publication is a call to action to local commissioners, Government and national bodies to support health and wellbeing boards in bringing about a radical transformation in the health of local communities. It has been prepared by the Local Government Association (LGA) and NHS Clinical Commissioners (NHSCC) working jointly in consultation with members of health and wellbeing boards (HWBs) across the country. Among the essential characteristics of effective place-based boards this document highlights: shared leadership; a strategic approach; engaging with communities; and collaborative ways of working. It proposes: a national five-year funding settlement across health and care; freedom for HWBs to determine local priorities; development of a new payment system; enhanced information governance and data sharing; commitment to the principle of subsidiarity in commissioning decisions; a single national outcomes framework for health, public health and social care; and a national strategy for coordinated workforce planning and integrated workforce development across health, public health and social care.

Creating a better care system: setting out key considerations for a reformed, sustainable health, wellbeing and care system of the future

ERNST AND YOUNG
2015

In this report, commissioned by the Local Government Association, a journey towards better health and care for individuals is set out; driven by local system leaders and supported by a more empowering and enabling system. The report has been developed through: a review of existing literature published by partners, charities and research organisations; four workshops with the LGA and partners to define the vision, understand the system barriers from a range of perspectives and describe the required changes; and further discussion with regional contacts and the Health Transformation Task Group to sense check that barriers and key considerations are locally relevant and reflect the experience in local areas. Section 1 sets out a vision for better care and support, arguing that a reformed system needs to deliver: better health and wellbeing more equally enjoyed; better choice and control for all; better quality care, tailored for each person; and better outcomes for each pound spent. Section 2 focuses on key barriers preventing the achievement of a reformed system. These include: creating dependency through the way treatment is provided; chronic underfunding of the system and a lack of capacity to transform; fragmented commissioning incentivising treatment over demand management; and national regulations that disempower local areas. Section 3 sets out four steps to better care, which are: put people in control; fund services adequately and in an aligned way; devolve power to join up care, support and wellbeing; and free the system from national constraints. The report concludes that collectively these steps will enable localities to address challenges, deliver a better system and ultimately drive better outcomes and greater sustainability for all.

Results 1 - 10 of 28

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