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 selfcare amp selfmanagement of longterm conditions ID: 424864
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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