The 2,000 days project: Practical ideas for reforming health and care

Healthcare at Home, November 2017

An Industry Coalition Group of clinicians, senior leaders in hospitals, primary care, the central bodies, charities and the private sector met earlier this year to take on the challenge of re-energising the NHS approach to handling rising demand, hospital debt, slow technological innovation and growing public expectations.  This report from Healthcare at Home identifies many examples of new care provision,  but also that current reform struggles to deliver the change needed, and integrated care is not happening on the scale required.  This report identifies seven key principles for reform:

  • Person-centred care must be at the heart of every NHS decision and action.
  • Person-centred care means taking every opportunity to maximise our ability to manage our own health. The NHS needs to focus on what we can do, not just try to fix what we can’t.
  • NHS leaders need to see joy and fulfilment in the workplace as key to delivering person-centred care and nurturing innovation.
  • Care services must stop being health and safety police, and take a more balanced approach to risk, to empower staff and let people live the lives they want.
  • Clinicians and managers need to be taught how to think digitally so they develop their own solutions using consumer technology. Online and face-to-face services should be integrated.
  • Where possible there should be direct access, including digital access, to community services.
  • The costs, benefits and practicalities of developing care at home need to be understood and debated.

Click here to view the full report.

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The role of home adaptations in improving later life

Centre for Ageing Better, November 2017

This review provides evidence to make the case for the importance and effectiveness of adaptations, primarily to influence policy-makers at national and local levels, practitioners and local commissioners. The objective is to strengthen their focus on housing in their strategic plans, and commit increased effort and resources to delivering both more extensive, better coordinated, more timely and personalised repair and adaptations services and better information and advice services.

Click here to view the full report.

Bridging the gap between health and housing. A united approach in South Wales: (Case Study 140)

Housing LIN, November 2017

This report on the Caerphilly-based housing association United Welsh new wellbeing partnership, Wellbeing 4U, highlights how it is drawing from housing expertise to improve the patient and GP experience across 25 surgeries in Cardiff and Barry.

Click here to view the report.

 

An Occupational Therapist’s Access Checklist – a Practical Tool

Housing LIN, November 2017

This checklist has been developed as a quick reference tool, to support decisions when making recommendations for the design of accessible and inclusive housing, when there may be a case to be made for exceeding the minimum requirements laid out in the Building Regulations.  It provides comparative information from a selection of design guidance on the specifications for dimensions and layout, from minimum requirements to more generous provision. Detailed reasoning is outlined in the respective documents. It is arranged as a list that details specific aspects of accommodation from the parking and approach to communal access, and internal layouts.

Click here to view the checklist.

Prescribing anti-epileptic drugs for people with epilepsy and intellectual disability: (College Report CR206)

Royal College of Psychiatrists, November 2017

This report addresses the extremely important area of epilepsy in the field of intellectual disability (ID), also known as learning disability. Epilepsy and ID are two conditions that carry stigma and can lead to social isolation. An individual who experiences both these problems faces huge challenges.

Click here to view the report.

A tale of two cities: Community perspectives and narratives on inequality, struggle, hope and change

The Young Foundation, November 2017

This report presents community perspectives on what inequality is, and how it is experienced, struggled with and resisted. This research is based on three communities in a Northern city it aims to describe the lived experience of inequality to identify the boundaries of different types of power and decision making; how power feels to those who do not control budgets, spending and decide on services. Understanding the complexity of communities’ experience helps those who do control levers of power, finance and influence to develop better strategies to tackle inequality. Applying this understanding begins to identify opportunities for mutual and collaborative approaches which actively challenge inequalities instead of reproducing them.

Click here to read the full report.

Type 2 diabetes: prevention in people at high risk: Public Health guideline [PH38]

NICE, November 2017

This guideline covers how to identify adults at high risk of type 2 diabetes. It aims to remind practitioners that age is no barrier to being at high risk of, or developing, the condition. It also aims to help them provide those at high risk with an effective and appropriate intensive lifestyle-change programme to prevent or delay the onset of type 2 diabetes. The recommendations in this guideline can be used alongside the NHS Health Check programme.

Click here to view the guidance.