Search results for ‘Subject term:"access to services"’ Sort:
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Access to services: Hertsmere Borough Council
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2008
- Pagination:
- 31p.
- Place of publication:
- London
On a scale from zero to three stars the Audit Commission inspection team gave the Council a 'fair' one star rating for the way it enables people to access its services. Access arrangements are improving, but the Council should consult and engage more with the users and non-users of service.
Access to services: Trafford Metropolitan Borough Council
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2008
- Pagination:
- 34p.
- Place of publication:
- London
Trafford Council's access to services is 'good' and has 'promising prospects for improvement', according to an independent report released today (31st July) by the Audit Commission.
National audit of services for people with multiple sclerosis 2008
- Authors:
- WADE Derick, YOUNG Katharine, LOWE Derek
- Publisher:
- Royal College of Physicians of London
- Publication year:
- 2008
- Pagination:
- 85p.
- Place of publication:
- London
This organisation audit is being undertaken by the Royal College of Physicians and the MS Trust and aims to assess the implementation of the NICE Clinical Guideline for Multiple Sclerosis (2003) and the relevant parts of the National Service Framework for Long Term Conditions in England and Wales Data will be collected using web-based collection by questionnaire from four sources: Strategic Health Authorities / Regional Offices; Primary Care Trusts / Local Health Boards, Acute Trusts (service providers) and people with MS. This will enable the experiences and perceptions of the four parties to be compared and contrasted. The results of the audit may be used by your trust to evidence delivery of the Standards for Better Health (Department of Health, 2004) which forms part of the Health Care Commission’s ‘Annual Health Check’. The results will be provided in a national report; within the report individual site results will remain anonymous. Retention of local data by sites will allow comparison with national performance. This audit will be repeated and therefore service development can be assessed
Internal affairs
- Author:
- SHEPPARD Michael
- Journal article citation:
- Care and Health Magazine, 11.5.04, 2004, pp.25-26.
- Publisher:
- Care and Health
The views of service users are now central to the evaluation and development of services. Looks at the importance of understanding the context of user views, and the criteria they use to make their comments, which is often to do with coping. Draws on research funded by the Economic and Social Research Council which investigated mothers who were service applicants to child and family services.
Everyday magic: how BBC Children in Need's A Million & Me projects are supporting 8-13 year olds' mental health
- Author:
- SNELL Juliet
- Publisher:
- Centre for Mental Health
- Publication year:
- 2021
- Pagination:
- 14
- Place of publication:
- London
With levels of poor mental health rising among children and young people, there is a clear need for sustained effort to promote good mental wellbeing and reduce inequalities. This will, in turn, prevent children from needing more intensive, costly support in later life. We now know that one in six children aged 6-16 is experiencing a mental health difficulty. We also know that half of mental health conditions start by the age of 14. A Million & Me is a three-year programme funded by BBC Children in Need. The programme has adopted a partnership approach to identifying and scaling up support which builds “scaffolding” around children, enhancing their mental wellbeing and resilience. Centre for Mental Health has worked with A Million & Me to extract learning from the programme for wider use. At the halfway point in this constantly evolving programme, some key learning points are emerging: children need and value positive, rewarding relationships to help them make sense of their own mental wellbeing; everyday conversations about mental wellbeing, within these relationships, equip children to learn about their wellbeing, develop healthy habits and reach out for help when they need it; meaningful, early involvement of children in a project’s design enables projects to innovate and provide a tailored response to children’s needs; multi-faceted partnership responses can be helpful to provide a scaffolding of support around children, by enabling and equipping their parents, carers, communities and the services who know them; digital assets can be effectively developed alongside face-to-face responses, with approaches learning from each other. (Edited publisher abstract)
National Adoption Service for Wales: evaluation of the Adoption Support Framework: final report
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2021
- Pagination:
- 98
- Place of publication:
- Oxford
This report outlines findings from an independent evaluation of the extent to which the aims of the all-Wales Adoption Support Framework developed in 2016-2017 have been achieved, including with reference to improved accessibility, quality, consistency, and impact of post-adoption support for families across Wales. Overall, the evaluation has ‘heard’ from over 430 individuals concerned with adoption support in Wales, including 313 adoptive parents: those who are relatively new to adoption as well as those who have been parenting children for some years. There has been considerable progress across the sector at national and regional levels in implementing the Adoption Support Framework, including in encouraging more families to feel confident about asking for help and in developing a more robust and visible offer of ‘universal’ support for all to access. More children and families with emerging needs and difficulties have also been enabled to access targeted help, including through innovative new offers such as ‘TESSA’ and ‘Adopting Together’, as well as other more established offers including peer support, life journey work, psychologist consultation, and a range of other therapeutic supports. However, there is much still to be done. The funding and recent service developments have certainly raised adoptive families’ expectations (that they will receive targeted help when it is needed). Some families also described experiencing or being aware of inconsistent offers of support across the different regions of Wales. Many of the most valued forms of early targeted support that have the potential to reduce demand for crisis or specialist support later in childhood are also currently funded on a short-term basis, raising an important issue about the sustainability of these services. There are also some notable support gaps, in particular for older children with more complex needs, including those who are in transition to adulthood. (Edited publisher abstract)
Protecting and supporting the clinically extremely vulnerable during lockdown
- Author:
- NATIONAL AUDIT OFFICE
- Publisher:
- National Audit Office
- Publication year:
- 2021
- Pagination:
- 59
- Place of publication:
- London
This report looks at how effectively the Government identified and met the needs of clinically extremely vulnerable people to 1 August 2020. The objective of the shielding programme (the Programme) was to minimise mortality and severe illness among those who are CEV by providing them with public health guidance and support to stay at home and avoid all non-essential contact. Through the shielding programme, CEV people could get support accessing food, medicine and basic care.. The report sets out: the inception of the shielding programme (Part One); identifying clinically extremely vulnerable people (Part Two); supporting clinically extremely vulnerable people (Part Three); and outcomes and lessons learned (Part Four). The report finds that the shielding programme was a swift government-wide response to protect clinically extremely vulnerable people against COVID-19, pulled together at pace in the absence of detailed contingency plans. Government recognised the need to provide food, medicines and basic care to those CEV people shielding to help meet its objective of reducing the number of people suffering from severe illness and dying from COVID-19. There was impressive initial support offered to many people, with food provided to just over 500,000 people. Although the need to support was urgent, it took time for people to be identified as CEV, and therefore access formal support. This followed challenges extracting data from different IT systems and the understandable need for GPs and trusts to review the List of vulnerable people from their clinical perspective. Given the challenges in assessing the impact of shielding on CEV people’s health, government cannot say whether the £300 million spent on this programme has helped meet its central objective to reduce the level of serious illness and deaths from COVID-19 across CEV people. (Edited publisher abstract)
Bringing care back home: evaluating the new care models for children and young people's mental health
- Author:
- O'SHEA Nick
- Publisher:
- Centre for Mental Health
- Publication year:
- 2020
- Pagination:
- 36
- Place of publication:
- London
This economic evaluation describes the quantitative changes which have been observed in six NHS England New Care Models (NCM) pilot sites, which focused on children and young people who are being treated for their mental health out-of-area, often long distances from home. Their aim is to prevent children from having to travel long distances to hospital by providing the necessary care and support locally. The evaluation considers the financial impact of investing in new, community-based services which offer treatment locally in place of out-of-area beds. The report shows that by investing in local services, each of the sites has achieved reductions in overall spending at the same time as a significant expansion of community-based care with comprehensive offers of 24 hour availability of highly skilled teams and innovative models of support. The NCM programme enabled areas to make significant changes in expenditure. They achieved overall reductions of between £1.1m and £4.1m for 2017/18; a total of £15.3m that can be reinvested in local services. The report also describes the qualitative learning from staff teams, charting the sites’ journey from pioneers, surviving the slings and arrows of positive risk-taking, culture change and new commissioning structures, to being the ‘new normal’ with greatly enhanced offers of community-based, local treatment services. Key learning points from this process include: the importance of giving primacy to patient outcomes and clinical judgement over financial pressures; the benefit of strong and persistent commitment from local leaders; the need to establish ‘principles, not rules’ that encourage challenge, flexibility and innovation; and change is risky – it benefits from highly experienced, reputable staff who ‘hold’ that risk and its accompanying responsibility. (Edited publisher abstract)
IAPT and learning disabilities
- Authors:
- CHINN Deborah, et al
- Publisher:
- King's College London
- Publication year:
- 2014
- Pagination:
- 66
- Place of publication:
- London
This study explores the relationships between the Improving Access to Psychological Therapies (IAPT) programme in England and people with learning disabilities and the people and services that support these service users. It looks at the barriers and facilitators facing people with learning disabilities in accessing IAPT and at the strategies and practices that staff employ to support people with learning disabilities to make good use of IAPT services. It also considers what advances are needed at the level of individual staff capabilities, service delivery models, management, commissioning and policy development to ensure equitable access to IAPT for people with learning disabilities. Study findings were drawn from interviews with staff, service users and carers and a wider national online staff survey. They show that the IAPT programme as a whole has not adequately addressed access issues for people with learning disabilities. Some IAPT services exclude people with learning disabilities from the outset, by specifying eligibility criteria that rule them out. The report argues that IAPT services work best for people for learning disabilities when IAPT staff and learning disability staff have developed good working relationships and can co-ordinate their input. It suggests that claims to eligibility may be promoted in the following ways: clearer statements of inclusion in IAPT services for people with learning disabilities; recording systems that allow for monitoring of people with learning disabilities’ access to IAPT; training for qualification of therapists to include material on working with people with learning disabilities, where possible delivered with the involvement of people with learning disabilities; pathways for joint working between IAPT services and local specialist learning disability services; clear goals and targets regarding use of IAPT by people with learning disabilities specified by commissioners and funded appropriately. (Edited publisher abstract)
‘Eye Know’: translating needs from annual health checks for people with learning disabilities to demand
- Author:
- CODLING Mary
- Journal article citation:
- British Journal of Learning Disabilities, 41(1), 2013, pp.45-50.
- Publisher:
- Wiley
Annual health checks for people with learning disabilities are a concept that was introduced by the Government in 2001 as a catalyst to improve access to health services and identify health needs that have previously gone undetected. Nonetheless, to date, there has been little evidence of the effectiveness of these health checks. This study begins by looking at the findings from the existing literature on the access people with learning disabilities have to optometrist services. It then investigates the factors that prevent people with learning disabilities in Wokingham from accessing optometrist services and eye tests through talking to people with learning disabilities from service users and advocacy groups. The outcome has shown that access by people with learning disabilities to opticians has increased with a number of people having problems identified and glasses prescribed. This study provides an understanding of how evidence of consistent unmet need identified from annual health checks directed innovative practice to improve outcomes that are of benefit to people with learning disabilities. Annual health checks play a crucial role for people with learning disabilities and can provide the foundation for services to further explore why some health needs continue to go unmet. (Edited publisher abstract)