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Sheffield Health Trainer Service 12 th July 2013.

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Presentation on theme: "Sheffield Health Trainer Service 12 th July 2013."— Presentation transcript:

1 Sheffield Health Trainer Service 12 th July 2013

2 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

3 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 contact

4 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)

5 Health & Wellbeing Indicators: Sheffield Vs National Outcomes Wellbeing measure 2011-12 NationalSheffield 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% BME29.65%55.05%

6 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 wa y  DCRS Data & Sheffield University Evaluation May 2012

7 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 change

8 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 Research

9 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

10 Positive Outcomes from Peer Support

11 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

12 Partnership

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