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Integrated Social Prescribing for Hertfordshire Health

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A workshop at the Herts Voluntary Sector Conference in Sept 2019 looked at how the development of Integrated Social Prescribing in Hertfordshire is offering greater consistency to support local people. Includes best practice case studies.

Published in: Government & Nonprofit
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Integrated Social Prescribing for Hertfordshire Health

  1. 1. Integrated Social Prescribing for Hertfordshire Health Hertfordshire Voluntary Sector Conference
  2. 2. Workshop Overview Time Session 11.15 – 11.30 Introduction and Quiz 11.30-11:40 Strategic and Local Integrated Social Prescribing in Hertfordshire 11:40-12:10 Group Activity – Being a Community Navigator 12:10-12:20 Real Life Case Study Feedback / Overview 12.20-12.30 Group Activity – How you can help and two key points 12.30 Feedback Forms and Close
  3. 3. Introduction and Quiz • Presenters and Facilitators • Audience Participation – Less Power Point • Phones on Silent • Toilets and Refreshments • Fire Alarm / Evacuation • Quiz - Questions with 2 possible answers • Answer A - Stand Up/Hands Up • Answer B - Sit Down
  4. 4. Question 1 How many people in the UK say they are lonely? • Answer A • 9 Million • Stand Up/Hands Up • Answer B • 20 Million • Sit Down
  5. 5. Question 2 What is the total population of Hertfordshire? • Answer A • 1.7 Million • Stand Up/Hands Up • Answer B • 1.2 Million • Sit Down
  6. 6. Question 3 How many working age adults with mental health problems in England are employed? • Answer A • 27% • Stand Up/Hands Up • Answer B • 73% • Sit Down
  7. 7. Question 4 What is rated as the most stressful factor in people's lives • Answer A • Debt & Financial Problems • Stand Up/Hands Up • Answer B • Work • Sit Down
  8. 8. Question 5 2020 will be the Hertfordshire Year of… • Answer A • Culture • Stand Up/Hands Up • Answer B • Physical Activity • Sit Down
  9. 9. Strategic SP Integration Hertfordshire • STP – Social Prescribing Sub Group • Overseeing strategy and outcomes for social prescribing across Herts and West Essex • HCC and CCGs – Hospital and Community Navigation Service • Jointly commissioned social prescribing service in Herts • PHH – Development of Healthy Hubs • Linking in with work of HCNS and other SP services in local areas • NHSE – Link Workers • Primary care networks working with HCC and CCGs
  10. 10. Local SP Integration Hertfordshire • Hospital and Community Navigation Service • One of the largest Social Prescribing projects in the UK • Delivered by seven voluntary sector partners • Working in partnership with: • Herts Valleys High Intensity Users Service • East Herts Social Prescribing Service • St Albans Citizens Advice SP and The Maltings General Practice • Hertsmere Communities First • Charities, Housing Orgs, Community Catalysts, Health and Social Care
  11. 11. Consistency in Supporting Local People • ‘What Matters To Me’ • Personalised Support Plan • Direct and Indirect Support • Linking to Other Local Charities, Projects and Services • Appropriate Referral to Health and Social Care • Discharging When Outcome Goals are Achieved
  12. 12. Crisis Intervention Service – access to food, utility vouchers, accessing affordable furniture, support to access benefits, debt & budgeting advice &information about a range of grants available. Herts Warmer Homes – access to energy efficiency measures, such as wall or loft insulation through approved partner National Energy Foundation, along with help to switch providers. Hospital and Community Navigation Service –home visiting service to help find solutions on a range of issues, including help with paperwork & forms, support at home & information about local activities HertsHelp Advocacy Services – triaging referrals to ensure clients are able to access the right advocacy service, usually around health and social care issues. Herts Safe and Well Project – working with Herts Fire Service to help residents maintain safe and independent living in their home Access to 12,000 voluntary sector organisations in Hertfordshire Hertswise – access to a range of dementia support and activities including groups, benefits & support for carers 0300 123 4044 info@hertshelp.net
  13. 13. Website – Hertshelp.net Email – info@hertshelp.net Telephone 0300 1234 044 Text – HertsHelp to 81025 Skype - HertsHelp Minicom on 0300 456 2364 Fax 0300 456 2365 Face to Face advice – arrange on 0300 1234 044 Communication Toolkit - BSL, Makaton, Braille Service 0300 1234 044 Herts Help: Single Helpline…
  14. 14. Group Activity – Being a Navigator • Working in tables • Provided with a real life case study • Using the knowledge of everyone on your table • Create a support plan for your individual • Identify services / organisations you may link with • What outcomes you would be aiming for • Feedback to the group • 10 minutes for group work, 10 minutes for table feedback
  15. 15. Case Studies – What Actually Happened • Case Study 1 • Referral received from a community psychiatric nurse to contact a patient with depression. He had been married, divorced, was retired from a high-flying engineering role and had lost his way. He had been close to suicide. • At this time, there seemed to be very little provision in the area for ‘non-pub’ like social activity. I had heard of “Men in Sheds” and liked the idea of a place men could go and do some “craft” work and or sit and chew the fat with others. • The manager of the local ICT was also a strong believer in the idea as her team were coming across a fair few men in similar situations. • I met the client and had a number of discussions with him and he finally told me that he had recently discovered a Men’s Shed, in a neighbouring County that looked interesting. I visited with him and was impressed at what I saw. About 8 men of varying socio-economic backgrounds all working together, creating wooden artefacts in a workshop they had created set in a rural community enterprise setting.
  16. 16. Case Studies – What Actually Happened • The client and I set about working out how we could get a similar project off the ground in Bishops Stortford. The main issue appeared mainly to be finding a premises or land to construct a shed and funding to ‘make it happen’. • Fate played a hand in that word got about and a chap with a large garden, who is a carer himself for an elderly in-law, offered a secluded space for the project. • In the meantime, my original client and I set up a community group, which we eventually turned into a charity to administer the Shed and this enabled us to get a bank account for funding. • Handy, because then it was a matter of raising money for the shed. We approached the local GP Federation who had been very much part of the initial conversations with the ICT Manager. They were keen because they wanted options for some of their patients and could see the logic of the scheme. The local town council and rotary group also contributed. • About £7.5k was raised in total which paid for the shed and base, insurance for three years and some initial tools. We have had donations from private individuals of tools as has some retail outlets. A specialist timber yard also donated off-cuts of wood for projects.
  17. 17. Case Studies – What Actually Happened • Since the project began the guys have made planters for a local village, a “Star Wars” chair for a local resident with special needs, a gate for a local resident and a number of other on-going projects. • The Shed opened officially in the Spring of 2019 and has about eight regular “Shedders”. • The ICT team makes referrals to the shed and spreads the word around the community about its’ benefits.
  18. 18. Case Studies – What Actually Happened
  19. 19. Case Studies – What Actually Happened
  20. 20. Case Studies – What Actually Happened Case Study 2 - 72 year old man. BMI of 37 Background • Client suffers a lot with ill health. He has mild Parkinson's disease, prostate cancer, he has had a heart bypass, is diabetic and he is quite overweight. He has quite a lot of difficulty in sleeping too. He also ‘needs’ a knee replacement. • He has a computer and a tablet which also makes a huge difference to his life. He uses Skype regularly, searches the internet and uses his computer to edit photos he has taken. He has a keen interest in photography. • He used to go for exercise at the local gym with a friend before he died. He tried a couple of times to go alone following the loss of his friend and ended up having an accident which dented his confidence dramatically and doesn't feel he can go back. • He has since gained a lot of weight which has affected his health and mobility. It also means that at his current weight he cannot undergo surgery for a knee replacement. Also been informed that to better manage his diabetes he needs to lose weight. As a result he is booked into the Community Navigator Clinic at his local GP surgery so that the options for support around this might be discussed and supported with. • GP noted that he has very little motivation to actually make any changes for himself. Although he wants to do these things to help himself he needs support.
  21. 21. Case Studies – What Actually Happened Navigator supported connections too:  Healthy & Active Herts Scheme to help with maintaining motivation to undertake physical activity, in group settings and in a social environment. Health & Active Herts Scheme supported with not only general physical activity but they supported him to attend a local bowls club.  Slimming world to support with losing weight and to re-enforce and support with healthy lifestyles and eating.  Health Walks to compliment the other physical activity, and also to make it more social, and increase his social connections.  University of the Third Age to attend a photography club as this is an interest in his and to also reduce the increasing social isolation.
  22. 22. Case Studies – What Actually Happened Outcomes  Through a combination of Healthy & Active Herts Scheme, Slimming world and Health Walks he lost 15lb in weight in 3 months.  Still regularly attending slimming world  Still attending the bowls club (he loves the social aspect of this)  Still attending Health Walks (again the social element is the thing that he likes as he stays behind after the walks for a coffee and chat with all the participants)  Due to the weight he has lost he now no longer needs to have knee replacement surgery  Due to his new healthier lifestyle his diabetes is now very much under control and being self-managed well due to his increase motivation within his life.  GP surgery have said: nothing of concern with this patient now, indeed the surgery are extremely pleased with his progress having lost a lot of weight, seemingly having found a new and active lease of life.
  23. 23. Group Activity – How Can You Help? Discuss in your tables 1. In what ways could you help to integrate/promote SP in Herts? 2. Individually and as an organisation 3. What 1 thing is our biggest challenge (1 per table)? 4. What 1 thing is our biggest strength (1 per table)? • Post-it notes provided, please put your thoughts down and stick to the relevant board.
  24. 24. Feedback and Close • We hope you’ve enjoyed the session! • Please complete a feedback form and hand in before you leave • Thank you for your time!

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