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Sheffield Health Trainer Service

12. th. 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 conditions.

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Sheffield Health Trainer Service






Presentation on theme: "Sheffield Health Trainer Service"— Presentation transcript:

Slide1

Sheffield Health Trainer Service

12th July 2013Slide2

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 conditions

reduce

demand on health and social care

services Slide3

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 approachStrong partnerships with CCG and GP practicesGeneric Service at point of contactSlide4

Health Trainers National Evidence

Importance of

n

on-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)Slide5

Health & Wellbeing Indicators: Sheffield

Vs National Outcomes

Wellbeing measure

2011-12

National

Sheffield

Self-Efficacy

+8.45%

+14.48%

General Health+33.94%+57.07%WHO-5 Wellbeing+37.34+71.24%

Characteristic

Deprivation (highest quintile)

64.55%

68.43%

BME

29.65%

55.05%Slide6

Sheffield Health Trainers Outcomes

Cost

Effectiveness evidence using model ( further local research taking place to measure this)

less use of medication

discontinuation of anti-depressants

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 wayDCRS Data & Sheffield University Evaluation May 2012Slide7

Chronic Pain Evaluation

The 9 month pilot indicated that clients experienced

Increased physical capability: skills and physical ability to self-manage 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 changeSlide8

Chronic Pain Evaluation:

ScHARR

Significant research findings:

Building blocks for improving physical health, achieving healthy lifestyles

Motivation

Negotiation skills

Greater participation in social activities

Enablement

These

social factors are not routinely measured in current monitoring and evaluation

School of Health and Related ResearchSlide9

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 communitiesSlide10

Positive Outcomes from Peer SupportSlide11

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 dataFlexible approach across Sheffield and in localitiesLocal People achieving change taking opportunities for volunteering, training and gaining employmentSlide12

Partnership