Sheffield Health Trainer Service

download report

Transcript Sheffield Health Trainer Service

Sheffield Health Trainer Service
12th July 2013
Aims of the Service
The Health Trainers service is designed to:
improve health and reduce health inequalities
increase individual skills, capacity and resilience
promote self-care & self-management of long-term
reduce demand on health and social care services
Sheffield Health Trainers Model
Voluntary Sector providers - greater empathy and access
to vulnerable groups built on local structures
 Embedded in the Healthy Communities Programme,
wider work of VCF providers & local communities enables sustained change.
 Uses Lay Workers from local neighbourhoods – someone
like me – support from next door
 Hub and spoke approach
 Strong partnerships with
CCG and GP practices
 Generic Service at point of
Health Trainers National Evidence
Importance of non-traditional providers
(Thanks for the Petunias, NHS Year of Care, 2011)
Kings Fund recognized the value of HTs
and their effectiveness in supporting
people to change multiple risk
behaviours (David Buck, Francesca Frosini 2012)
Success dependent on a model that
considers the social economic context
(Health Trainers National Evaluation, Interim findings, 2012)
HT services reached the most disadvantaged
groups engaging in the most risky health
behaviour with poor self efficacy ( regional and
national HT evaluations)
Health & Wellbeing Indicators: Sheffield Vs
National Outcomes
Wellbeing measure
General Health
WHO-5 Wellbeing
Deprivation (highest
Sheffield Health Trainers Outcomes
Cost Effectiveness evidence
using model ( further local
research taking place to
measure this)
less use of medication
discontinuation of antidepressants
less visits to the GP
… helped me with me confidence, with
me motivation. Gave me advice on where
to go, who to speak to. I’d hit a brick wall
and didn’t know where to turn to.
More energetic, I interact more with
people, I get out more, I do stuff instead
of being stuck inside
… helped me to think about options
instead of telling me what to do. I’d rather
be able to think it out for myself, it’s a
really good service that way
DCRS Data & Sheffield University Evaluation May
Chronic Pain Evaluation
The 9 month pilot indicated that clients experienced
– Increased physical capability: skills and physical ability to selfmanage their pain
– Increased psychological capability: knowledge about the
condition; understanding of how to use related health
information; understanding of how to negotiate systems to
get needs met
– Increased physical opportunity: possible activities and
exercise programmes
– Increased social opportunity: options for joining groups and
participating in events
– Increased reflective motivation: ability to consider how
health information is relevant to one’s own situation; ability
to weigh positive and negative consequences of behaviour
Chronic Pain Evaluation: ScHARR
Significant research findings:
 Building blocks for improving physical health, achieving healthy
Negotiation skills
Greater participation in social activities
These social factors are not routinely measured in current monitoring and
School of Health and
Related Research
Altogether Better Diabetes – Regional Innovations
Fund – Leeds Metropolitan University
Altogether Better Diabetes represents
good value for money: up to £8.22 of
benefits for every pound invested
People with diabetes can make and
maintain positive lifestyle changes
Gains in knowledge, confidence,
motivation and self-management skills
People like getting support from
‘someone like them’ who can speak
their own language
176 clients who changed to healthier
lifestyles: 75% followed up had
maintained changes and 75% overall
were from BME communities
Positive Outcomes from Peer Support
Key areas of success
Gained national, regional and local recognition and funding
Evaluation Reports Sheffield and
Leeds Met Universities
Commissioning Model recognised
in People Centred Public Health
(2012) – South, White & Gamsu
Able to demonstrate achievement and
sustained change using DCRS monitoring data
Flexible approach across Sheffield and in localities
Local People achieving change taking opportunities for volunteering,
training and gaining employment