This document provides an overview of social prescribing. It discusses how social prescribing empowers patients by connecting them with community services like arts activities and exercise classes to treat social needs in addition to medical ones. Evidence shows social prescribing reduces GP visits and A&E attendances. The document outlines NHS England's plans to spread social prescribing schemes and develop a common outcomes framework to measure their impact on individuals, communities, and the healthcare system.
Stomp - one year on presentation july 2017NHS England
NHS England marked the first anniversary of the STOMP project on Tuesday 04 July with a review of the year and the launch of a play by the MiXIT theatre group in Newcastle. The group includes people with a learning disability, autism or both and shows the effects that over-medication can have on the health and wellbeing of individuals and their families.
What offers more choice? Budgets or human rights?shibley
My talk on how best to deliver choice in English dementia strategy - through the market, e.g. personal budgets, or international law, e.g. human rights.
Alzheimer Europe talk 2015 Dr Shibley Rahmanshibley
These are the slides for the presentation I will give this year at the Alzheimer Europe conference in Ljubljana in Slovenia. It's survey based research on the importance of clinical nursing specialists in dementia.
Cure care and research in English dementia policyshibley
I set out to make current dementia policy in England open to the public. This is the final talk to be given by me, Dr Shibley Rahman, at BPP Law School this evening, on cure, care and research.
Stomp - one year on presentation july 2017NHS England
NHS England marked the first anniversary of the STOMP project on Tuesday 04 July with a review of the year and the launch of a play by the MiXIT theatre group in Newcastle. The group includes people with a learning disability, autism or both and shows the effects that over-medication can have on the health and wellbeing of individuals and their families.
What offers more choice? Budgets or human rights?shibley
My talk on how best to deliver choice in English dementia strategy - through the market, e.g. personal budgets, or international law, e.g. human rights.
Alzheimer Europe talk 2015 Dr Shibley Rahmanshibley
These are the slides for the presentation I will give this year at the Alzheimer Europe conference in Ljubljana in Slovenia. It's survey based research on the importance of clinical nursing specialists in dementia.
Cure care and research in English dementia policyshibley
I set out to make current dementia policy in England open to the public. This is the final talk to be given by me, Dr Shibley Rahman, at BPP Law School this evening, on cure, care and research.
This document discusses the need for choice and patient-centered care in children's palliative care. It notes that there are approximately 49,000 children in the UK with life-limiting conditions, yet their voices are often not heard and patient choice is absent. Parents describe the system as a "minefield" with a lack of support and coordination. Short breaks for respite care are important but often not funded by local authorities. Choice is limited by a lack of services due to underfunding. The document calls for improved coordination, a national inquiry, mandated joint commissioning, and greater transparency and accountability in funding to better meet the needs of children requiring palliative care and their families.
Greater Manchester is taking control of an estimated £6 billion health and social care budget from 2016 through devolution agreements. The region aims to improve population health and reduce health inequalities by transforming services to focus more on prevention, early intervention and community support. The mental health and wellbeing strategy has four pillars: prevention, sustainability, integration, and access. Priorities for 2017-2018 include implementing 24/7 crisis care for adults and children, strengthening partnership working across sectors, and promoting workplace mental health. Engagement with communities, voluntary groups, and public roadshows will increase understanding of devolution and harness ideas to support people taking charge of their own health.
This document discusses supporting patients with learning disabilities at end of life. It notes that people with learning disabilities now have longer lifespans but often have multiple health issues. They face barriers to receiving proper end of life care, such as not having illnesses recognized or treated in a timely manner. Effective communication is key to providing good end of life care for those with learning disabilities. Advance care planning and using accessible information and reasonable adjustments can help facilitate holistic care that respects the individual.
Transforming Care: Share and Learn Webinar – 29 March 2018NHS England
Topic One: "The ERIN Initiative"
Guest speakers: Susan Holloway, NHS Chorley & South Ribble CCG and NHS Greater Preston CCG and Sheila Roberts, Lancashire Care NHS Foundation Trust
The aim of "The ERIN (Education, Resources, Interventions and Networking) Initiative" is to provide a local, accessible, responsive, early assessment and intervention service for children aged 0-5 years who may be placed on the pre-school Autism Spectrum Disorder (ASD) pathway.
This webinar reports on the progress made during a pilot which commenced on 1st October 2017 to implement a service which deals with complex/challenging behaviors of children who may or may not go on to have a diagnosis with autism.
Topic Two: An introduction and brief overview of the Source4Networks platform
Session led by Rob Cockburn, Sustainable Improvement Team, NHS England
This topic provides an introduction and brief overview of the Source4Networks platform and its potential to support the Transforming Care Programme.
Presenter: Lucie Stephens, Head of Co-Production, NEF
Event: Dance & Health Networking Event, Newcastle upon Tyne, 16 June 2015, part of our Making Connections events series.
Between May 2015 and March 2016, we are running a series of regional events to bring together commissioners, arts and cultural providers, and others interested in increasing levels of cultural commissioning.
The Cultural Commissioning Programme works to help the arts and cultural sector engage in public sector commissioning and to enable public service commissioners to increase their awareness of the potential for arts and cultural organisations to deliver their outcomes. This three year programme, funded by Arts Council England, is being delivered through a partnership between NCVO (lead partner) , NEF and NPC .
www.ncvo.org/CCProg
On 9 February 2016 Guy's and St Thomas' Charity brought together health professionals, decision-makers, voluntary organisations, patient representatives and others in Lambeth and Southwark to explore ways of improving health by looking outside the confines of healthcare. We wanted to showcase and discuss approaches to improving health outcomes which tackle the wider aspects that impact on people’s wellbeing – from housing to education or social connections.
Speakers:
- Imogen Moore – Citizens UK
- Jeremy Swain – Thames Reach
- Catherine Pearson – Healthwatch Lambeth
- Ollie Smith – Guy’s and St Thomas’ Charity
Find out more about the event and our work supporting new ideas in health at www.gsttcharity.org.uk
Southwark and Lambeth-based projects Knee High Design Challenge, Diabetes Modernisation Initiative and Pathway explore what it takes to maintain change in the local healthcare system: understanding the issue & adapting to ever-changing context; gathering & maximising evidence; and building & maintaining meaningful relationships.
Find out more at www.gsttcharity.org.uk
This presentation is from the Art of Social Prescribing event which took place on 17th September 2015 in Liverpool.
This presentation was given by Professor Paul Camic, from Canterbury Christ Church University, on AHRC Museums on Prescription research programme.
This one day conference aimed to respond to increasing interest in social prescribing. It presented the latest academic and applied research with particular reference to the role that arts and cultural activities play in social prescribing. A range of workshops took place introduced a range of established arts and cultural programmes, highlighted good practice approaches in mental health and wellbeing and encouraged debate on how to most effectively commission, fund and evaluate social prescribing schemes.
The conference was delivered in partnership by NEF and academics leading the AHRC-funded Art of Social Prescribing project at Liverpool John Moores University. It is a Making Connections event, part of the Cultural Commissioning Programme, an Arts Council England funded initiative to support commissioners, arts & cultural sector and policymakers with undertaking cultural commissioning to improve public service outcomes. www.ncvo.org/CCProg.
Kath Sutherland presented on providing effective person-centered support for those at the end of life. She discussed how removing barriers through responsive, coordinated services based on co-production principles can support individuals' needs, wishes and circumstances. This requires considering individuals holistically, utilizing local resources, addressing impacts on health/social care, and investing in proven support methods, research, training and implementation support.
Guest speakers: Siobhan Gorry and Sarah Jackson - NHS England and Carl Shaw and David Gill – Learning Disability advisors
Understand about unnecessary admission to hospital and avoid lengthy stays, ensuring treatment has clearly defined outcomes, planning for discharge from admission (CTR policy)
Learn about specific pathways that will enable children and young people to remain with or near to family and get the support they need aligned to the service model
Hear about innovative ideas to be tested/evaluated of supporting CYP and families through a grants process
Understand how children and young people with LD and/or autism can leave school with a good education, health and care plan or other transition plan that supports their transition to adulthood leading to better outcomes for them and their families.
Transforming Care: Share and Learn Webinar – 30 November 2017NHS England
Topic One: “What does good look like: Person-centred support to promoting positive outcomes for people with learning disability and autism”.
Guest speaker: Professor Julie Beadle-Brown, Professor in Intellectual and Developmental Disabilities at the Tizard Centre, University of Kent
This presentation introduces an evidence based practice framework for promoting positive outcomes for people with a learning disability, autism or both, including those who may display behaviours described as challenging. It considers what is needed for successful implementation, with a particular focus on practice leadership and introduce a tool for assessing and monitoring implementation. Participants can download the “What does good look like” guide and tool from https://www.unitedresponse.org.uk/what-does-good-look-like
Topic Two: High Impact Actions for service improvement and delivery by Transforming Care Partnerships.
Guest speaker: Emma Stark, Improvement Manager, Sustainable Improvement Team, NHS England
This presentation gives an in-depth reminder of the High Impact Actions for service improvement and delivery by Transforming Care Partnerships (TCP). Published a year ago this month, the High Impact Actions aim to help TCPs make the biggest strides forward in supporting people of all ages with a learning disability, autism or both to have a home within their community, be able to develop and maintain relationships and get the support they need to live health, safe and rewarding lives, thereby reducing the number of people in inpatient settings.
Learning Disabilities Share and Learn Webinar – 25 May 2017 - Children and yo...NHS England
Guest Speakers: Sue North and Maureen Banda, Children and Young People's Team, NHS England
The Children and Young People’s team at NHS England share the updated Care, Education and Treatment Review Policy, highlighting what is new. They also talk about the team’s focus and priorities for 2017/18 and the supplementary guidance for commissioners from the new service model. A parent carer who was involved in its development also joins the panel.
Learning Disabilities: Share and Learn Webinar – 29 June 2017NHS England
Topic One : Violence or behaviour that challenges in children with learning disabilities and autism – how you can help to make a difference
Guest speaker: Yvonne Newbold, World Health Innovation Summit Ambassador - Learning Disabilities, Autism and their Families
Around 25% of children who are diagnosed with a learning disability or autism will develop violent and challenging behaviour yet there is very little understanding or awareness of this issue. This means that affected families, who are already coping with frightening and dangerous situations every day at home, are often met with disbelief, judgement and blame from the people they turn to for help. Yvonne Newbold talks through some simple strategies that could make all the difference.
Topic Two : Positive Behaviour Support – Supporting people with behaviours of concern in their communities
Guest speaker: Tom Evans, PBS Development Lead, British Institute of Learning Disabilities
This webinar focuses on Positive Behaviour Support and how it can support children and adults who are at risk of being excluded or experiencing restrictive practices because they have behaviours that are considered to be challenging or concerning.
The IAPT Plus Early Intervention Service provides mental health services in Oldham, Tameside, and Glossop. Oldham has high levels of income deprivation and over 50% of patients present with mental health issues. The service offers drop-in sessions, active monitoring sessions using guided self-help, stress management courses, talking therapies, and community partnerships. Active monitoring allows patients to access 15-minute sessions weekly with the same practitioner to address issues like stress, low mood, and anxiety. This reduced the need for GP and out-of-hours services while teaching new skills. Partnerships have expanded access to mental health practitioners in 75% of GP surgeries by 2017.
Transforming Care: Share and Learn Webinar – 22 February 2018NHS England
Title: Participation and engagement in the national programme for children and young people
Session led by Cindy Gordillo, Children & Young People Learning Disability Programme, NHS England
NHS England and Transforming Care Partnerships have been working with the Council for Disabled Children, KIDS, Barnardos, Challenging Behaviour Foundation and Inclusion North to support the participation of children and young people with learning disabilities, autism or both in the Transforming Care Programme. This webinar showcases how all the organisations involved engaged with young people and guidance.
Learning Disabilities: Share and Learn Webinar – 11 May 2017NHS England
This webinar focuses on the Model Service Specification for Enhanced/Intensive support and aims to explain the core functions that need to be in place in the community in order to support people with a learning disability, autism or both who display behaviours that challenge which place themselves or others at risk of serious harm; or for whom the nature or degree of risk might otherwise lead to exclusion, placement breakdown, and admission to inpatient services.
The webinar includes real life examples of how some Transforming Care Partnerships have approached the development of these functions.
Transforming Care: Share and Learn Webinar – 28 September 2017NHS England
The document provides information about two topics discussed in a webinar on transforming care for children and young people with learning disabilities and autism. The first topic introduces an evaluation of the Building the Right Support program, including the evaluation's purpose and methodology. The second topic shares the experience of Matthew's mother to highlight how his crisis could have been predicted and prevented with the right support systems.
The Care Quality Commission conducted a review of end of life care in England to examine inequalities. They found that while the quality of end of life care varies, some groups experience worse care coordination and have their needs overlooked. Specifically, people with conditions besides cancer, older adults, those with dementia or from minority groups may face barriers. The review highlighted examples of good local practices that promote personalized care and address inequalities. The CQC will use its findings to strengthen regulation and assessment of end of life care quality and encourage continued improvement in meeting individual needs.
The document discusses plans to improve secure care pathways and services in the West Midlands region of England through partnership and accountable care arrangements. It outlines the national context of mental health reforms and priorities. It then details a pilot program involving six sites, including one in the West Midlands led by Birmingham and Solihull Mental Health NHS Foundation Trust in partnership with two other providers. The local context of needs in the region is provided along with details about the "Reach Out" partnership aimed at providing improved and consistent community-based care through accountable arrangements between providers and NHS England. Challenges and benefits of the partnership approach are summarized.
Learning Disabilities: Share and Learn WebinarNHS England
Topic One: Enhanced Care Service (ECS)
Guest speakers: Caroline Kirby - Interim Lead Complex Needs Commissioner, Angie Simmons - Team Leader, Enhanced Care Service (ECS), Ted Page - Behavioural Nurse Specialist (ECS)
and Rachel Barrett – Expert by Experience, Speakeasy Now
The presentation reflects on good practice around avoiding hospital admission in Worcestershire who have developed an enhanced care service working proactively in the community.
Topic Two: Strategic resettlement, personalisation at scale and pace
Guest speaker: Pól Toner, Head of Improvement, NHS England
The presentation considers Strategic Resettlement, which is part of the Improvement and Enablement function of the Learning Disability Programme. It is being put in place to support the delivery of a transformational change to close inpatient services and develop the appropriate scale of personalised community care for people with a learning disability and/or autism who display behaviour that challenges, as set out in Building the Right Support. The function provides additional support to local systems to accelerate discharges where appropriate, focusing specifically on patients with the most complex needs and a long length of stay (over 5 years).
Presentation by Jo Ward, North West Social Prescribing Network Co-Chair: Social Prescribing Network and creative health agenda at the Health, wellbeing and the environment event on Monday 28 January 2019 at The Isla Gladstone Conservatory, Liverpool
This document discusses the need for choice and patient-centered care in children's palliative care. It notes that there are approximately 49,000 children in the UK with life-limiting conditions, yet their voices are often not heard and patient choice is absent. Parents describe the system as a "minefield" with a lack of support and coordination. Short breaks for respite care are important but often not funded by local authorities. Choice is limited by a lack of services due to underfunding. The document calls for improved coordination, a national inquiry, mandated joint commissioning, and greater transparency and accountability in funding to better meet the needs of children requiring palliative care and their families.
Greater Manchester is taking control of an estimated £6 billion health and social care budget from 2016 through devolution agreements. The region aims to improve population health and reduce health inequalities by transforming services to focus more on prevention, early intervention and community support. The mental health and wellbeing strategy has four pillars: prevention, sustainability, integration, and access. Priorities for 2017-2018 include implementing 24/7 crisis care for adults and children, strengthening partnership working across sectors, and promoting workplace mental health. Engagement with communities, voluntary groups, and public roadshows will increase understanding of devolution and harness ideas to support people taking charge of their own health.
This document discusses supporting patients with learning disabilities at end of life. It notes that people with learning disabilities now have longer lifespans but often have multiple health issues. They face barriers to receiving proper end of life care, such as not having illnesses recognized or treated in a timely manner. Effective communication is key to providing good end of life care for those with learning disabilities. Advance care planning and using accessible information and reasonable adjustments can help facilitate holistic care that respects the individual.
Transforming Care: Share and Learn Webinar – 29 March 2018NHS England
Topic One: "The ERIN Initiative"
Guest speakers: Susan Holloway, NHS Chorley & South Ribble CCG and NHS Greater Preston CCG and Sheila Roberts, Lancashire Care NHS Foundation Trust
The aim of "The ERIN (Education, Resources, Interventions and Networking) Initiative" is to provide a local, accessible, responsive, early assessment and intervention service for children aged 0-5 years who may be placed on the pre-school Autism Spectrum Disorder (ASD) pathway.
This webinar reports on the progress made during a pilot which commenced on 1st October 2017 to implement a service which deals with complex/challenging behaviors of children who may or may not go on to have a diagnosis with autism.
Topic Two: An introduction and brief overview of the Source4Networks platform
Session led by Rob Cockburn, Sustainable Improvement Team, NHS England
This topic provides an introduction and brief overview of the Source4Networks platform and its potential to support the Transforming Care Programme.
Presenter: Lucie Stephens, Head of Co-Production, NEF
Event: Dance & Health Networking Event, Newcastle upon Tyne, 16 June 2015, part of our Making Connections events series.
Between May 2015 and March 2016, we are running a series of regional events to bring together commissioners, arts and cultural providers, and others interested in increasing levels of cultural commissioning.
The Cultural Commissioning Programme works to help the arts and cultural sector engage in public sector commissioning and to enable public service commissioners to increase their awareness of the potential for arts and cultural organisations to deliver their outcomes. This three year programme, funded by Arts Council England, is being delivered through a partnership between NCVO (lead partner) , NEF and NPC .
www.ncvo.org/CCProg
On 9 February 2016 Guy's and St Thomas' Charity brought together health professionals, decision-makers, voluntary organisations, patient representatives and others in Lambeth and Southwark to explore ways of improving health by looking outside the confines of healthcare. We wanted to showcase and discuss approaches to improving health outcomes which tackle the wider aspects that impact on people’s wellbeing – from housing to education or social connections.
Speakers:
- Imogen Moore – Citizens UK
- Jeremy Swain – Thames Reach
- Catherine Pearson – Healthwatch Lambeth
- Ollie Smith – Guy’s and St Thomas’ Charity
Find out more about the event and our work supporting new ideas in health at www.gsttcharity.org.uk
Southwark and Lambeth-based projects Knee High Design Challenge, Diabetes Modernisation Initiative and Pathway explore what it takes to maintain change in the local healthcare system: understanding the issue & adapting to ever-changing context; gathering & maximising evidence; and building & maintaining meaningful relationships.
Find out more at www.gsttcharity.org.uk
This presentation is from the Art of Social Prescribing event which took place on 17th September 2015 in Liverpool.
This presentation was given by Professor Paul Camic, from Canterbury Christ Church University, on AHRC Museums on Prescription research programme.
This one day conference aimed to respond to increasing interest in social prescribing. It presented the latest academic and applied research with particular reference to the role that arts and cultural activities play in social prescribing. A range of workshops took place introduced a range of established arts and cultural programmes, highlighted good practice approaches in mental health and wellbeing and encouraged debate on how to most effectively commission, fund and evaluate social prescribing schemes.
The conference was delivered in partnership by NEF and academics leading the AHRC-funded Art of Social Prescribing project at Liverpool John Moores University. It is a Making Connections event, part of the Cultural Commissioning Programme, an Arts Council England funded initiative to support commissioners, arts & cultural sector and policymakers with undertaking cultural commissioning to improve public service outcomes. www.ncvo.org/CCProg.
Kath Sutherland presented on providing effective person-centered support for those at the end of life. She discussed how removing barriers through responsive, coordinated services based on co-production principles can support individuals' needs, wishes and circumstances. This requires considering individuals holistically, utilizing local resources, addressing impacts on health/social care, and investing in proven support methods, research, training and implementation support.
Guest speakers: Siobhan Gorry and Sarah Jackson - NHS England and Carl Shaw and David Gill – Learning Disability advisors
Understand about unnecessary admission to hospital and avoid lengthy stays, ensuring treatment has clearly defined outcomes, planning for discharge from admission (CTR policy)
Learn about specific pathways that will enable children and young people to remain with or near to family and get the support they need aligned to the service model
Hear about innovative ideas to be tested/evaluated of supporting CYP and families through a grants process
Understand how children and young people with LD and/or autism can leave school with a good education, health and care plan or other transition plan that supports their transition to adulthood leading to better outcomes for them and their families.
Transforming Care: Share and Learn Webinar – 30 November 2017NHS England
Topic One: “What does good look like: Person-centred support to promoting positive outcomes for people with learning disability and autism”.
Guest speaker: Professor Julie Beadle-Brown, Professor in Intellectual and Developmental Disabilities at the Tizard Centre, University of Kent
This presentation introduces an evidence based practice framework for promoting positive outcomes for people with a learning disability, autism or both, including those who may display behaviours described as challenging. It considers what is needed for successful implementation, with a particular focus on practice leadership and introduce a tool for assessing and monitoring implementation. Participants can download the “What does good look like” guide and tool from https://www.unitedresponse.org.uk/what-does-good-look-like
Topic Two: High Impact Actions for service improvement and delivery by Transforming Care Partnerships.
Guest speaker: Emma Stark, Improvement Manager, Sustainable Improvement Team, NHS England
This presentation gives an in-depth reminder of the High Impact Actions for service improvement and delivery by Transforming Care Partnerships (TCP). Published a year ago this month, the High Impact Actions aim to help TCPs make the biggest strides forward in supporting people of all ages with a learning disability, autism or both to have a home within their community, be able to develop and maintain relationships and get the support they need to live health, safe and rewarding lives, thereby reducing the number of people in inpatient settings.
Learning Disabilities Share and Learn Webinar – 25 May 2017 - Children and yo...NHS England
Guest Speakers: Sue North and Maureen Banda, Children and Young People's Team, NHS England
The Children and Young People’s team at NHS England share the updated Care, Education and Treatment Review Policy, highlighting what is new. They also talk about the team’s focus and priorities for 2017/18 and the supplementary guidance for commissioners from the new service model. A parent carer who was involved in its development also joins the panel.
Learning Disabilities: Share and Learn Webinar – 29 June 2017NHS England
Topic One : Violence or behaviour that challenges in children with learning disabilities and autism – how you can help to make a difference
Guest speaker: Yvonne Newbold, World Health Innovation Summit Ambassador - Learning Disabilities, Autism and their Families
Around 25% of children who are diagnosed with a learning disability or autism will develop violent and challenging behaviour yet there is very little understanding or awareness of this issue. This means that affected families, who are already coping with frightening and dangerous situations every day at home, are often met with disbelief, judgement and blame from the people they turn to for help. Yvonne Newbold talks through some simple strategies that could make all the difference.
Topic Two : Positive Behaviour Support – Supporting people with behaviours of concern in their communities
Guest speaker: Tom Evans, PBS Development Lead, British Institute of Learning Disabilities
This webinar focuses on Positive Behaviour Support and how it can support children and adults who are at risk of being excluded or experiencing restrictive practices because they have behaviours that are considered to be challenging or concerning.
The IAPT Plus Early Intervention Service provides mental health services in Oldham, Tameside, and Glossop. Oldham has high levels of income deprivation and over 50% of patients present with mental health issues. The service offers drop-in sessions, active monitoring sessions using guided self-help, stress management courses, talking therapies, and community partnerships. Active monitoring allows patients to access 15-minute sessions weekly with the same practitioner to address issues like stress, low mood, and anxiety. This reduced the need for GP and out-of-hours services while teaching new skills. Partnerships have expanded access to mental health practitioners in 75% of GP surgeries by 2017.
Transforming Care: Share and Learn Webinar – 22 February 2018NHS England
Title: Participation and engagement in the national programme for children and young people
Session led by Cindy Gordillo, Children & Young People Learning Disability Programme, NHS England
NHS England and Transforming Care Partnerships have been working with the Council for Disabled Children, KIDS, Barnardos, Challenging Behaviour Foundation and Inclusion North to support the participation of children and young people with learning disabilities, autism or both in the Transforming Care Programme. This webinar showcases how all the organisations involved engaged with young people and guidance.
Learning Disabilities: Share and Learn Webinar – 11 May 2017NHS England
This webinar focuses on the Model Service Specification for Enhanced/Intensive support and aims to explain the core functions that need to be in place in the community in order to support people with a learning disability, autism or both who display behaviours that challenge which place themselves or others at risk of serious harm; or for whom the nature or degree of risk might otherwise lead to exclusion, placement breakdown, and admission to inpatient services.
The webinar includes real life examples of how some Transforming Care Partnerships have approached the development of these functions.
Transforming Care: Share and Learn Webinar – 28 September 2017NHS England
The document provides information about two topics discussed in a webinar on transforming care for children and young people with learning disabilities and autism. The first topic introduces an evaluation of the Building the Right Support program, including the evaluation's purpose and methodology. The second topic shares the experience of Matthew's mother to highlight how his crisis could have been predicted and prevented with the right support systems.
The Care Quality Commission conducted a review of end of life care in England to examine inequalities. They found that while the quality of end of life care varies, some groups experience worse care coordination and have their needs overlooked. Specifically, people with conditions besides cancer, older adults, those with dementia or from minority groups may face barriers. The review highlighted examples of good local practices that promote personalized care and address inequalities. The CQC will use its findings to strengthen regulation and assessment of end of life care quality and encourage continued improvement in meeting individual needs.
The document discusses plans to improve secure care pathways and services in the West Midlands region of England through partnership and accountable care arrangements. It outlines the national context of mental health reforms and priorities. It then details a pilot program involving six sites, including one in the West Midlands led by Birmingham and Solihull Mental Health NHS Foundation Trust in partnership with two other providers. The local context of needs in the region is provided along with details about the "Reach Out" partnership aimed at providing improved and consistent community-based care through accountable arrangements between providers and NHS England. Challenges and benefits of the partnership approach are summarized.
Learning Disabilities: Share and Learn WebinarNHS England
Topic One: Enhanced Care Service (ECS)
Guest speakers: Caroline Kirby - Interim Lead Complex Needs Commissioner, Angie Simmons - Team Leader, Enhanced Care Service (ECS), Ted Page - Behavioural Nurse Specialist (ECS)
and Rachel Barrett – Expert by Experience, Speakeasy Now
The presentation reflects on good practice around avoiding hospital admission in Worcestershire who have developed an enhanced care service working proactively in the community.
Topic Two: Strategic resettlement, personalisation at scale and pace
Guest speaker: Pól Toner, Head of Improvement, NHS England
The presentation considers Strategic Resettlement, which is part of the Improvement and Enablement function of the Learning Disability Programme. It is being put in place to support the delivery of a transformational change to close inpatient services and develop the appropriate scale of personalised community care for people with a learning disability and/or autism who display behaviour that challenges, as set out in Building the Right Support. The function provides additional support to local systems to accelerate discharges where appropriate, focusing specifically on patients with the most complex needs and a long length of stay (over 5 years).
Presentation by Jo Ward, North West Social Prescribing Network Co-Chair: Social Prescribing Network and creative health agenda at the Health, wellbeing and the environment event on Monday 28 January 2019 at The Isla Gladstone Conservatory, Liverpool
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners
The Wessex Health Partners (WHP) strategic alliance has brought together partners from across Dorset, Hampshire and the Isle of Wight to explore how research and innovation (R&I) can improve population health.
The event, which was a first of its kind for Wessex, saw health and care and R&I leaders gather to discuss the key challenges and priorities for the region, and explore opportunities to address them through increased collaboration and partnership working.
More than 100 people attended the event, which took place at Southampton Science Park on Friday 15 March.
La voz de los pacientes en los proyectos de integracion de servicios del nhs ...Societat Gestió Sanitària
Ponencia a cargo del director de politicas y colaboraciones del National Voices en el National Health Service inglés, en el marco de la VI Jornada Right Care sobre Modelos avanzados en integración de servicios sociales y sanitarios, organizada por la Societat Catalana de Gestió Sanitària el 24 de mayo de 2019.
John Gillies: Health and Social Care Integration in Scotland 2018STN IMPRO
The document discusses health and social care integration in Scotland. It provides background on the Scottish population and healthcare system. The key goals of integration are to support people living independently at home, provide positive experiences of care, and design services around individual needs rather than organizational structure. Integration partnerships aim to improve outcomes such as quality of life, reducing inequalities, and supporting carers through coordinated primary, community and social care services.
This document summarizes a conference on harnessing health and wellbeing in older age. It discusses:
1) Presentations from experts on using innovation and collaboration across sectors to improve outcomes for older adults, such as developing digital health tools and exercise programs to prevent falls and strokes.
2) The concept of an "innovation ecosystem" to deliver solutions that improve lives and how these solutions can be scaled up. Examples of specific innovations developed in the North of England are mentioned.
3) The need for a common outcomes framework and additional funding to support preventative programs and a focus on living well in older age rather than just treating illness.
4) Systems leadership approaches that focus on relationships and influence to
Keynote - Future of primary care networksNHS England
The document summarizes the key themes and learnings from the National ICS Primary Care Development Programme in the UK. The three main points are:
1) Primary care networks are being established to improve coordination of care across practices and community services for populations of 30,000-50,000 people. This allows for integrated working at the right scale.
2) Five themes are emerging around empowering primary care through equal partnerships, understanding population needs to target care, managing resources and reducing variation, integrated working across services, and networks working at the right scale.
3) Early results show the new models are starting to have an impact, with a 15% reduction in referrals and emergency admissions in one integrated care
Getting AHP's into shape to grasp emerging opportunities - Sheila MorrisSHUAHP
The document discusses opportunities for allied health professionals (AHPs) in the English NHS. It notes the increasing demands on the health system from factors like an aging population and lifestyle diseases. The Five Year Forward View identifies gaps in health/wellbeing, care/quality, and funding. New care models and a focus on prevention, population health, and partnerships across sectors could help address these gaps. The document outlines ways AHPs can contribute in areas like new models of care, outcomes measurement, leadership, research, and innovation.
The 2016 Impact Report – Improving Health and Promoting Economic Growth has been published today (13 June 2016) by the national Academic Health Science Network (AHSN) and outlines the work done by its 15 members over the last 12 months. The report outlines achievements by individual AHSNs , and where the different organisations have worked in partnership.
This is the impact report which outlines the collective impact each AHSN had both individually and collaboratively in 2015-16. The report features key forewords from national leaders and many case studies showing where the work of AHSNs is having a real impact in the health system, and therefore, on people's lives.
Transforming Primary Care through the development of Primary Care Networks – ...NHS England
The document discusses transforming primary care in the UK through the establishment of primary care networks (PCNs). It notes that the changing health needs of the population are putting pressure on the health system, with an aging population and rise in chronic conditions. While services are fragmented, the NHS Long Term Plan aims to develop integrated care systems with PCNs as the foundation. PCNs will comprise groupings of clinicians serving populations of 30,000 to 50,000 people, in order to provide proactive, accessible, and coordinated primary and community care at scale. The plan provides funding for PCNs to expand multidisciplinary teams.
This review takes a look at some of the NHS England highlights over the last year, and includes real life case studies which show how the NHS put patients first.
Fully established on 1 April 2013, NHS England is an Executive Non-Departmental Public Body responsible for overseeing the running of the NHS. It aims to improve the health of people in England by working in an open, evidence-based and inclusive way, keeping patients at the heart of everything it does.
The document discusses the role of the voluntary, community and social enterprise (VCSE) sector in supporting health and wellbeing. It notes that the VCSE sector has expertise in reaching groups experiencing health inequalities. However, funding challenges from significant budget cuts and a shift to contract-based funding have impacted the sector. The document calls for greater recognition of the value provided by smaller VCSE organizations, investing in those promoting equality, and developing services through co-production between statutory and community organizations.
Paving the way for a brighter future: Opportunities to involve young people ...Simon R. Stones
A presentation delivered at The University of Manchester's Child Health Research Network's workshop on devolution in Greater Manchester. The aim of the overall workshop was to explore the implications and opportunities for child health and wellbeing research in Greater Manchester. Here, I discussed the importance of involving young people and their families in co-designing services and research.
The document describes efforts to improve psychosis care through the Treatment and Recovery In PsycHosis (TRIumPH) program. The key points are:
1) A working group was established between Southern Health NHS Foundation Trust and Wessex Academic Health Science Network to improve assessment and treatment for people experiencing psychosis based on understanding gaps in existing care.
2) The program developed and implemented a standardized care pathway across four Early Intervention in Psychosis teams, improving access to assessment and treatment.
3) Feedback from service users, carers, and clinicians informed the work, which aimed to provide more compassionate, holistic, and recovery-focused care.
The document provides an overview of the launch event for the East Midlands Research into Ageing Network (EMRAN). It outlines the vision for EMRAN to facilitate collaboration between researchers, commissioners, providers and practitioners interested in research on the care of older people in the East Midlands. The event included talks on EMRAN's project plan and engagement activities. It also highlighted the challenges of conducting high-quality, complex research in ageing and implementing findings, and the potential role of a network in supporting research funding, conduct and translation into practice across the region.
Global launch: Delivering prevention in an ageing worldILC- UK
It’s never too late to prevent ill health. And the health and economic costs of failing to invest in preventative interventions across the life course are simply too high to ignore.
At this event, we launched two new reports on what works in delivering a preventative approach to health in an ageing world; how we can improve take-up and adherence to preventative interventions; what we have learned from COVID-19; and how policymakers across the world need to act to ensure prevention becomes a priority as countries build back from the damage inflicted by the pandemic.
We were joined by a panel of experts from across the world to discuss the findings and what needs to happen next so we can move from consensus to action on prevention.
The document discusses making health services fit for purpose for an aging population. It notes that systems were designed for episodic care but are now serving people with complex, long-term conditions. This mismatch means people get passed between silos without coordination. The document advocates focusing on prevention, early intervention, and inverting the traditional triangle model of care. It argues that while some care is excellent, services must improve outcomes, experiences, safety, efficiency and fairness. Solutions proposed include education, inspection, empowering patients, and clinical leadership to spread best practices. Recent reforms in England present opportunities to redesign pathways and better integrate health and social care.
Similar to Jo Ward - Big Innovation Conversation: Social prescribing (20)
This document provides a summary of a presentation on statins. It discusses the benefits of statins in reducing cardiovascular events and mortality in both primary and secondary prevention. It addresses several controversies around statins, including their association with diabetes, cognitive impairment, cancer, and hemorrhagic stroke. While some modest risks are noted, the overall benefits of statins in reducing cardiovascular risk are found to outweigh these potential risks. The document emphasizes the importance of statin adherence to achieve optimal outcomes and addresses targets for LDL and non-HDL cholesterol levels according to recent guidelines.
Targeting lipids: a primary and secondary care perspectiveInnovation Agency
Presentations by Dr Sue Kemsley and Dr Gavin Galasko from the first webinar of the Mastering Cholesterol webinar series on Thursday 26 January 2023, focusing on lipid management from a primary and secondary care perspective.
Supporting the optimal detection and management of BP in Primary CareInnovation Agency
Presentation by Jane Briers, Programme Manager - Innovation Agency at the Supporting recovery in Primary Care using Proactive Frameworks for Long Term Conditions event on Thursday 15 September 2022.
Presentation by Dr Lauren Moorcroft, GP Partner - Brookvale Practice at the Supporting recovery in Primary Care using Proactive Frameworks for Long Term Conditions event on Thursday 15 September 2022.
Introduction to Supporting recovery in Primary Care using Proactive Framework...Innovation Agency
Presentation by Julia Reynolds, Associate Director for Transformation - Innovation Agency at the Supporting recovery in Primary Care using Proactive Frameworks for Long Term Conditions event on Thursday 15 September 2022.
Presentation by Paul Brain, Project Manager at the Excel in Health series - Introduction to data webinar on Monday 6 June 2022.
In this session we discussed how SMEs can use data to grow their business and access new opportunities in the market.
Presentations by Mike Kenny, Acting Co-Director of Enterprise and Growth, Innovation Agency and Dr Neil Paul, a GP and Board Member with Cheshire East ICP at the Excel in Health: Understanding the NHS Landscape webinar on Wednesday 11 May 2022.
Developing Effective Remote Consultations in Outpatients webinarInnovation Agency
1) The document discusses strategic plans to increase the use of virtual appointments through video to help restore NHS services and reduce backlogs as directed nationally.
2) Data is presented on the percentage of virtual vs face-to-face appointments by specialty for different regions, showing variation between specialties and trusts in uptake of virtual appointments.
3) Interviews were conducted with NHS staff across roles and specialties to understand the reasons for the differences in uptake of virtual appointments and identify barriers to wider adoption. A separate report from patient interviews also provided feedback.
LCR and Cheshire and Merseyside Health MATTERS networking eventInnovation Agency
Master slide deck from the LCR and Cheshire and Merseyside Health MATTERS networking event on Wednesday 24 November 2021 at Sci-Tech Daresbury Laboratory.
Master slide deck from the Excel in Health webinar series: The NHS landscape presentation.
This webinar identifies the structure of the NHS and its national priorities.
The session will cover the following topics:
Understand the structure of the NHS
Understand the national priorities of the NHS
Recognise the barriers to sale
The document discusses strategies for effective virtual collaboration using Zoom. It covers:
1. Getting familiar with basic Zoom functions and pushing boundaries to achieve results through techniques like choosing the right technology, managing time and atmosphere, addressing technical issues, and designing for inclusivity.
2. Methods for collecting data virtually through polling software, informal tools like chat and reactions, and creative approaches like using glass jars, mountains, push pins, and post-its for feedback.
3. The importance of incorporating fun and enjoyment into virtual meetings by setting challenges, using stories, sharing passions, and exploring improv to promote effective learning.
The document discusses restorative practices and community circles. It provides information on the core principles and processes of restorative circles, including their purposes, structural elements, characteristics, and stages. Circles are presented as an alternative to traditional hierarchical meetings and aim to allow all voices, build relationships, and develop understanding and solutions. Indigenous justice practices of restoration and healing are also honored.
The document outlines an agenda for a webinar hosted by the Innovation Scout network. It will include an introduction to the Innovation Scout network, a presentation from an advocacy link worker, a Q&A session, and wrap up. Attendees are encouraged to tweet with specific hashtags and email the contact for follow up discussions. The Innovation Scout network is a community of practice that was relaunched in 2019 to support innovation in health and social care through tools, culture change, entrepreneurial skills development, and networking. It has over 80 members across the North West Coast region working on healthcare innovation.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
10 Benefits an EPCR Software should Bring to EMS Organizations Traumasoft LLC
The benefits of an ePCR solution should extend to the whole EMS organization, not just certain groups of people or certain departments. It should provide more than just a form for entering and a database for storing information. It should also include a workflow of how information is communicated, used and stored across the entire organization.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. www.england.nhs.uk
Setting a context
‘Modern medicine is a wonderful thing, but there are two problems: people
expect too much of it, and too little of themselves.’(Jack W Travis MD 2014)
Action on health inequalities requires action across all the social determinants
of health, including education, occupation, income, home and community.
(Fair Society and Healthy Lives- Marmot 2010)
3. www.england.nhs.uk
The sustainability of the NHS, and the economic prosperity of Britain
all now depend on a radical upgrade in prevention and public health.
Twelve years ago Derek Wanless’ health review warned that unless
the country took prevention seriously we would be faced with a sharply
rising burden of avoidable illness. That warning has not been heeded -
and the NHS is on the hook for the consequences.
The way forward:
• Patients will gain far greater control of their own care
• Empowering patients (selfcare and management)
• Break down the barriers in how care is provided between family
doctors and hospitals, between physical and mental health,
between health and social care.
• England is too diverse for a ‘one size fits all’ care model.
Chapter Two
3
4. www.england.nhs.uk
Comprehensive Model for
Personalised Care
All age, whole population approach to Personalised Care
People with
long term
physical
and mental
health
conditions
30%
Peopl
e
with
compl
ex
needs
5%
Supporting people to stay
well and building community
resilience, enabling people
to make informed decisions
and choices when their
health changes.
Supporting people to
build knowledge, skills
and confidence and to live
well with their health
conditions.
Empowering people,
integrating care and
reducing unplanned
service use.
Specialist
Integrated Personal
Commissioning, including proactive
case finding, and personalised care
and support planning through
multidisciplinary teams, personal
health budgets and
integrated personal budgets.
Targeted
Proactive case finding and
personalised care and support
planning through General Practice.
Support to self manage by increasing
patient activation through access to
health coaching, peer support and self
management education.
Universal
Shared Decision Making.
Enabling choice (e.g. in maternity,
elective
and end of life care).
Social prescribing and link worker
roles.
Community-based support.
Whole population
100%
INTERVENTI
ONS
OUTCOMES
TARGET
POPULATIONS
5. www.england.nhs.uk
Daily Telegraph 27/12/17
“Social prescribing is a new way of helping people
get better and stay healthy…
It would be good to see all GPs considering
whether their patients might benefit.“
Simon Stevens, CEO, NHS England
NHS should prescribe tango dancing and
book clubs, not 'a pill for every ill'
5
6. www.england.nhs.uk
• Strengthens partnership and integrated working across a broad array of
sectors-driver for new innovation
• Asset-based community development -
what’s already there – build on it
• Collaborative: everyone around the table, including local authorities, VCSE
sector, CCG, primary and secondary care
• A vehicle to reduce health inequalities
• Provides support for people around money, work, housing and the wider
determinants of health
• Moves us to a social model of health, alongside the existing bio-medical
model
• Enables people to have more control over their lives and a more
‘human’ approach. We want to have a good life, not just good services
Why social prescribing?
6
9. www.england.nhs.uk
Parity of Esteem
Pushes recognition of the interconnected nature of physical and
mental health to the fore:
In a systematic review of 70 studies published in 2015, it was found
that social isolation, loneliness, and living alone increased the risk of
premature death.
Feeling isolated from others can disrupt sleep, raise blood pressure,
lower immunity, increase depression, lower overall subjective
wellbeing and increase the stress hormone cortisol. At sustained high
levels, cortisol gradually wears your body down. It is a huge problem.
And it is fuelling demand.
10. www.england.nhs.uk
Partnerships and collaboration
Working in partnership is central to reducing
health inequalities – one department acting alone
cannot tackle an issue that does not respect
organisational boundaries.
Tammy Boyce and Prof David Hunter
Kings Fund 2009
11. www.england.nhs.uk
Conducted by University of Westminster:
Impact of social prescribing on demand for
NHS Healthcare.
They found an average of 28% less GP
consultations and 24% less A&E
attendances, where social prescribing
‘connector’ services are working well.
https://www.westminster.ac.uk/patient-outcomes-in-
health-research-group/projects/social-prescribing-
network
Impact Evidence Review
12. www.england.nhs.uk
• We have worked with commissioners, providers, practitioners and
evaluators across the national and regional networks to establish a
common outcomes framework (COF) for social prescribing.
• Aim to publish the COF in the autumn, along with other resources
• Areas of focus are:
• Support offer being developed to help areas implement the COF
Evaluating
12
Common
Outcomes
Framework
for Social
Prescribing
Impact on the
person, their carers
and families
Impact on the
Health and
Care system
Impact on
Community
groups
13. www.england.nhs.uk
Increase local
connector
schemes
Produce an online resource
repository and bite-sized
resources
Work with CCGs to map local
SP connector schemes
Work with Integrated Care
System demonstrator and
test sites
Support the DH Health and
Wellbeing Fund
Build the
Evidence
Base
Develop a Common
Outcomes Framework for
Measuring Impact
Commission an in-depth
Evaluation of Social
Prescribing Connector
Schemes
Put SP codes in General
Practice IT Systems
Explore whether SP
referrals can be the NHS
BSA Prescriptions
dashboard
Help leaders
to develop
and plan
Develop Regional Social
Prescribing Networks
Support the creation of a
Quality Assurance Framework
for SP Connector Schemes
Work with Defra to support
mental health providers to
connect people to the
environment
Develop and pilot learning
for link workers
NHS England Social Prescribing Plan on a Page
Aim: To make social prescribing more systematic and equitable, by supporting the spread of local social prescribing connector
schemes, which employ link workers, help people around ‘what matters to them’ and connect them with community support.
14. www.england.nhs.uk
Social prescribing resources
Social Prescribing Hour @SocialPresHour
Join the conversation every Wednesday 8-9pm
• Widening participation directory (HEE 2015)
• More than heritage :volunteering for wellbeing (HEE and IWM 2016)
• Social prescribing at a glance(HEE 2016)
• Making sense of social prescribing (Univ Westminster 2017)
• A cultural manifesto for wellbeing (NHS Halton CCG)
• Creative health and PHE briefing (2017)
NHS England – Repository Contributions
Email: england.socialprescribing@nhs.net
Join:
North West NHSE Network hosted by Voluntary Sector North West
(VSNW)
National Social Prescribing Network
Email: socialprescribing@outlook.com
15. www.england.nhs.uk
Magic Circle magicians, senior occupational therapists and research academics have co- created
an approach that delivers meaningful results that are amazing. The Breathe Magic programme is
a fun and clinically effective way of using magic to improve physical and mental health for people
with a range of conditions:
• Research shows that participants had clinically significant improvements in bimanual (two-
handed) motor skills and independence. These were well maintained at the 6 month follow-
up assessments.
• Reported improvements in psychological wellbeing and parent-child relationships.
• Reported reductions in hours of care and support from parents following the young person’s
participation in the programme, due to their newfound independence. Our preliminary
research suggests a reduction of up to 4 hours per day in care and support needed per
young person between their two primary carers.
• More cost-effective than standard care (a mixture of individual occupational therapy
interventions and BoTXN) with additional psychosocial benefits reported.
• Gives the young person and their family the opportunity to create peer support networks.
Also :
• Enriching healthcare environments for staff, patients and visitors
• Offering unique training opportunities for both NHS and non clinical staff.
Breathe Magic Driving innovation
through creative partnerships
15
16. www.england.nhs.uk
Volunteering for wellbeing ‘an exemplar in partnership working to
tackle wellbeing inequalities’.
• A partnership of ten museums and galleries led by IWM North and
Manchester Museum
• Measure the impact and value and evidence the effectiveness of
socially responsible volunteering practices for improving wellbeing,
and reducing social and economic isolation
• 2013-2016 SROI evaluation 213 participants-for every £1 invested
£3.50 return
“For at least 75% of participants, it has helped transform their
lives or positively change their perception of their own abilities
and skills.”
Case studies Extraordinary stories! Let’s watch a snap shot (1min and
30 seconds of transformation)
Inspiring Futures for All (If)
16
17. www.england.nhs.uk
Living with Dementia? Dance can help!
Dancing Recall’s NHS award-winning ‘Making Connections’ programme
can help improve concentration and responsiveness as well as overall
mobility, enabling people to express themselves more fully in a safe and
fun atmosphere.
Includes all the key components of conventional exercise programmes and
harnesses the unique application of music and dance, fostering a greater
control and ease of movement through a rich variety of musical, sensory
and verbal cues and
• Stimulates the retrieval of memories
• Develops concentration
• Encourages people to respond to their immediate environment
• Exercises mind, memory, voice and body
• Supports and energises carers!
Dancing Recall-Making Connections
17
18. www.england.nhs.uk
Challenges moving forward
18
Diversity and spread –we want all local areas to have social prescribing,
but what works in an urban area may not be right down the road in a rural
setting. We need to value local diversity.
Supporting shared leadership - nurture bottom-up collaborative
partnerships
We should not assume the voluntary sector is free and always there
– build in support and funding
Building the evidence base – everyone measuring the same things – so
that we can make long-term comparisons
We should not ‘over-professionalise’ or straight jacket social prescribing –
it’s about human relationships – putting community and people at
the centre
19. www.england.nhs.uk
Social Prescribing – in the news!
19
Guardian Newspaper (21st February 2018):
The town that’s found a potent cure for illness – community!
Frome in Somerset has seen a dramatic fall in emergency hospital
admissions since it began a collective project to combat isolation.
George Monbiot
https://www.theguardian.com/commentisfree/2018/feb/21/town-cure-illness-
community-frome-somerset-isolation
Daily Mail Newspaper (21st February 2018):
Lonely patients are being 'prescribed' coffee mornings, singing
classes and dance lessons to tackle social isolation
Sophie Borland
http://www.dailymail.co.uk/health/article-5415725/Lonely-patients-prescribed-
coffee-mornings.html
Editor's Notes
NHSE, HEE, STP,MDY
Start with some reflections
Two sides of the same coin
Two points to be made: Social justice agenda
1 )Health inequalities are largely avoidable . They are therefore unjust and we should collaborate with those both in and outside of health and care sectors to reduce them. These inequalities do not occur randomly or by chance, nor are they inevitable. These inequalities are socially determined by circumstances largely beyond an individual’s control. These ‘circumstances’ disadvantage people and limit life chances, impacting on both the quality and length of life. In the case of women life expectancy is flat lining!
And they impact on demand and spiralling costs-sustainability
2) Not only is there a strong social justice case for addressing health inequalities, there is also a pressing economic case. It is estimated that the annual cost of health inequalities is between £36 billion to £40 billion through lost taxes, welfare payments and costs to the NHS
We need to act.
As a museum person I am always keen to set a historical context and set a scene so lets think back to Oct 2014 and the NHS 5 year Forward View- this key document has shaped where we are currently at.
Chapter 2
What will the future look like?
It argued clearly for :
A new relationship with patients and communities
Move forward to 2018 and NHS is developing to a ten year plan with Personalised Care is at the heart of this–it where social prescribing fits.
There are 6 elements to this plan and social prescribing is seen as a key component at every level.
People with LTCs are particularly relevant here as they account for 50% of all GP appointments and 70% of hospital beds. In addition, 70% of each health and social care pound is spent on supporting people with LTCs. Caring for these needs requires a partnership with patients over the longer term rather than providing single, unconnected “episodes” of care.’
For people with a LTC, we have strong evidence that self-care can play a key role in improving their health and wellbeing outcomes. Yet 45% of people with a LTC are not confident self-managers and tend to make more use of both elective and urgent services than the 55% who are confident self-managers.
In addition we know that there is a growing general demand for health empowerment, both from patients, who rightly demand increased choice and control over their health and care, and from system leaders, clinicians and commissioners, who recognise the opportunities that come from tapping into the renewable assets that individuals and communities can bring to the table.
That is why social prescribing is so important!
Not so new- veterans from WW1 were prescribed immersion in the arts at home an abroad and this early work later evolved in to art therapy in the mid 00s I managed an art gallery and inherited an arts on prescription service which was established in the 1980s so it is not so new –what is new is the wider recognition of value and impact.
It’s about connecting people for wellbeing: Support for people with long-term conditions. Enables people with greatest health inequalities to take more control
Asset-based community development - Uses existing community assets
Its collaborative / inclusive
Early evidence shows that it reduces system pressures
2 mins 11
1 min 55
Wanted to flag this slide because there are many resources that come with it and it heightens awareness of the importance of the context in which people live their lives-social determinants but also time- and what we do with time
Chris Easton spoke after NHS Expo at a gathering and reminded us all just show significant the time we spend in our communities dealing with what life throws at us and even in the case of those with long term conditions on average spend less than 3/4 hours a year with their health team. The rest of the time they are left to self-manage. That means there is much benefit to be gained to help these people be understood, empowered and supported. That means if we support people to self care in the remaining 8756 hours we reduce demand and improve efficacy.
‘a person’s opportunity for health is influenced by factors outside the health
and social care system. It also shows that many people don’t have the same opportunities to be as healthy as others. ‘
Begs the question what can we do to help people stay well!
https://www.health.org.uk/sites/health/files/What-makes-us-healthy-quick-guide.pdf
https://www.mentalhealth.org.uk/sites/default/files/fundamental-facts-15.pdf
In 2015, antidepressants cost the NHS £780,000 per day
People with mental ill health on average live 10 years less than the general population
Lead by example. ‘Central government needs to practice what it preaches.’ There are still too few good examples of effective joined up working across government departments. This needs to change. The power of wellbeing is it discourages silo working and supports a true consideration of connective opportunity through the clarification of policy intersections.
General Practice - 7 papers analysed
A&E – 5 studies analysed
Demand for secondary care services – 5 studies analysed
6%, 7%, 33.6% fall in emergency admissions in the months following Social prescribing referral.
This is interesting but need to be careful/cautious with this data. There was very few control groups. People have been measuring different things.
We want to harness the power of peer support to enable local STP areas, GPs, VCSE organisations and CCGs to share their learning, through regional networks
NHSE will support the development of a common evaluation framework for social prescribing, build consistent data monitoring, especially around the impact on NHS services and support the creation of an Quality Assurance Framework for sp connector schemes so that local GPs feel confident to refer on issues of risk management, safeguarding and governance.
Three main objectives,
Support the increase of local connector schemes – which involves:
- helping to produce an online repository with bite sized resources
- working with ccg’s to map local sp connector schemes – to get a better picture of what’s out there
- support the work of integrated care system demonstrator and test sites
- support the Department of health wellbeing fund
2. Help build the evidence base – so we can measure the impact of social prescribing,
- a common outcomes framework to measure impact
- ensuring that social prescribing codes feature in the General Practice IT Systems
3. Help leaders to develop and plan
- support the development of regional social prescribing networks
- support creation of a quality assurance framework – we care currently working with the conservation volunteers who have been awarded
funding from the big lottery to set up a quality framework for connector schemes
- as mentioned earlier working with Defra to support mental health providers to connect people to the environment
- and developing and piloting learning for link workers
Slides will be shared after todays webinar and all the links are live to support exploration
Play video in header til 1’40 seconds till the crisps are open !
Designed to help young people with hemiplegia, a weakness or paralysis affecting one side of the body caused by an injury to the brain. Approximately 1 in 1300 young people have hemiplegia. At least 65% of them (in the 7-19 age bracket the programme is designed for) could benefit from intensive motor therapy. For 60% of those it also affects their psychosocial development.
As yet, young people with hemiplegia have no access to intensive bimanual (two-handed) therapies in the UK despite this approach receiving a ‘Green Light’ in a recent systematic review (Novak et al., 2013) and being supported by NICE guidelines (CG145, 2012).
http://breatheahr.org/breathe-magic/
Magic Circle magicians, senior occupational therapists and research academics have come together to create an approach that delivers meaningful results.
Breathe Arts Health Research began as part of Guy’s and St Thomas’ Charity, before becoming a separate social enterprise in 2012.
between 75% and 92% of children have clinically significant improvements in hand function after the Breathe Magic camp
Case studies –play 1 min 30 seconds till Brian finishes.
Further resources
http://volunteeringforwellbeing.org.uk/evaluation/
https://youtu.be/AbBKLMtyoxo
https://youtu.be/AbBKLMtyoxo
https://youtu.be/HZE9He0-Uxc
(09 .37 )
Unique partnership between a neurological physiotherapist and community dance practitioner
http://www.dancingrecall-cumbria.co.uk/health-care-professionals.html
Challenges going forward:
How to enable the spreading of social prescribing but with limited funds – to ensure that social prescribing connector schemes are in every local authority / CCG area
How to Support shared leadership - nurture bottom-up collaborative partnerships
We should not assume the voluntary sector is free and always there – must build in support and funding
Building the evidence base – important that everyone is measuring the same things – so that we can make long-term comparisons
We should not over-professionalise social prescribing – it’s about human relationships – putting community and people at the centre