Inclusive Change, the national partnership set up to help people “live good lives in good places”, and its partners, have today launched a report, Collaborative Healthcare, showing how small-scale community projects are already delivering major health benefits and savings in communities across the UK.
Alex Fox, of Inclusive Change member, Shared Lives Plus, said, “Last month in his Comprehensive Spending Review, Chancellor of the Exchequer George Osborne announced a £10bn funding package for the NHS. We believe that the NHS now needs to invest in innovations which have often been developed by social and community care organisations, but which also have huge potential as new approaches to healthcare. Often these models involve health professionals letting families and communities take the lead, with the professionals providing their expert input and back up when it’s needed”.
One example of how small scale local intervention is already delivering dramatic health improvements is the Derby based “Local Area Coordinators” (LAC) projects.
Local Area Co-ordinators work autonomously, getting know people at risk of requiring formal services and helping them connect with their communities and the full range of formal and informal sources of support.
By working together they were able to focus on an individual’s main priorities, in the case of one resident; to get out of his flat, make some friends, and help other people and to feel safe, secure and more confident.
An evaluation by Derby City showed this approach saved or avoided costs of £800k.
Ralph Broad of Inclusive Neighbourhoods said:
“Local Area Coordination and the other examples contained in this report show how communities are key to people with developing healthcare needs can stay strong, connected to others and resilient, which in turn reduces the demand for expensive medical care.”
The report also calls on CCGs (Clinical Commissioning Groups) to promote the involvement of patients and carers in decisions about their care or treatment through developing the controversial personal health budgets initiative alongside an equal focus on building new community-based interventions and a new health and care workforce.
Sian Lockwood OBE of Community Catalysts said,
“The NHS needs to move to making sure that choice in care isn’t simply about individuals having control of budgets – it is about having new options available too. Decisions need to involve individuals, families and communities – with a greater focus on collective strengths and capacity rather than simply focusing on needs. The examples in this report are a clear indication of how many health interventions can be delivered in a way which results in individuals and their families being better informed, more connected to those around them, and more resilient. When this happens results are often better, and savings achieved too.”
The report, ‘Collaborative Healthcare, Supporting CCGs and HWBs to support integrated personal commissioning and collaborative care’ is available at www.sharedlivesplus.org.uk
You can see the full report here
The Inclusive Change Partnership includes Community Catalysts, In Control, Inclusive Neighbourhoods, Inclusion North and Shared Lives Plus. The partnership worked with NHS England; Think Local, Act Personal; the Coalition for Collaborative Care, and user led org CHANGE in producing this report.
Local Area Coordination
Each Local Area Coordinator provides support to 50-65 individuals or families. A LAC works autonomously, getting to know people ar risk of requiring formal services and helping them connect with their communities and the full range of formal and informal sources of support.
“Mr B was introduced to his local LAC in Derby by the Older People Mental Health Team Care Co-Ordinator. He is a 69 year old man, with a history of depression, suicide attempts and hospital admission. Although physically healthy, Mr B spent most of his time in his flat, which made him feel lonely, isolated and depressed.
The Local Area Co-ordinator took time to get to know Mr B, to find out what was important to him and explore what a good life looked like to him.
Together they were able to focus on Mr B’s main priorities: to get out of his flat, makes some friends, to help other people, and to feel safe, secure and more confident.
An evaluation by Derby City Council showed saved or avoided costs of £800K in the first two locations in the first year whilst operating at 40% capacity.
Case Study 2
Connecting Communities and the HELP project
Connecting Communities (C2) was commissioned by Thanet CCG to work in Newington in Ramsgate, a predominantly Social Housing Estate with a population of 6000 which featured in the top 5% of the indices of multiple deprivation.
Street-level work helped build a resilient – led partnership within 6 months which now leads on using the big lottery funding which had been awarded to the community. Residents have decided what to focus on: visually transforming green spaces and tackling rubbish management, whilst also improving the uptake of smoking and weight loss interventions with a 75% success rate within the group of local participants.
The initial cost was some £75,000 over two years with an estimate NHS saving of £550,000 across 3 neighbourhoods over 3 years.”
For more information, or to arrange an interview, please contact Tim Moore or Laura Caveney in the Communications Team at Shared Lives Plus on 0151 227 3499
Case study 3
‘Alan’, 23, who has Asperger’s Syndrome, had moved between several expensive ‘out of area’ services, after his family and then a local residential service had found his behaviour and excessive drinking too challenging to manage. When he met the South Tyneside Shared Lives scheme, Alan said, “I hate it here and want to get out”. Alan was carefully matched with approved Shared Lives carers and lived with them successfully for 12 months, accessing community education and rebuilding relationships within his community. Alan’s move to a Shared Lives household saved £49,000 before his successful move to his own tenancy, with occasional support, reduced the cost of his support still further.