A Prevention Strategy for Lincolnshire Post-consultation 2010

Prevention Strategy What is prevention? Consultation feedback supports the following theory: Primary Prevention Make good quality information available Secondary Prevention Target people with low-level need Action Target people with or who are likely to develop long-term conditions Target people at key points in their lives

Prevention Strategy Working with other organisations to develop and co- ordinate action to make services more effective: Reviewed existing prevention services Agreed which projects might have the most benefit Produced and consulted on a draft plan that explains how we’ll do it Developed a case for pump-priming funding Implement activities to develop a case to fund preventative services from core budgets in the future Putting in place ways to check if the money we put into projects make people’s lives better What have we done so far and what are we doing?

Prevention Strategy 80% agree with the strategy Over half say quality information is essential Overwhelming support for tailoring services better 94% support agencies working together better Only 10% are opposed to Tele-care and Tele-health People would prefer health staff (eg district nurse) to provide services and 16% wanted an individual budget The community’s views

Prevention Strategy 60% of other stakeholders cited clear links with their own strategic objectives 93% of respondents agree: the focus should be on primary and secondary prevention with the concept of joined up working that Tele-care and Tele- health are part of the solution 100% agree services should be better targeted Positives include: Understanding direction of health and social care Data sharing possibilities Provides evidence Criticisms include: Focus on older people Potential lack of funds Lack of new information on which to base commissioning decisions Other stakeholder views

Prevention Strategy Trigger points: Change in income Moving home A bereavement Deterioration in health –Divorce/separation –Loss of a carer –When a need is identified by a GP –Social isolation –Loss of independence –At risk of harm When and how can we help?

Prevention Strategy Bring services together to help more people without duplicating effort and funding. These include: First Contact Supporting People Bridge Falls Prevention Home from Hospital Project one – Work together better

Frank’s Journey 8 Circles of Need® - all content is © Aperia 2009

Prevention Strategy Project two – Target services better Encourage doctors, district councils and other organisations that provide services to share information when they work with the same people to: see if there are similar reasons for needing a service promote appropriate services to them tell you (or those close to you) what might help your condition Work within data protection rules and Information Commission Office guidelines We will ask the individual for permission to share data Check services are helping in the way they should

Prevention Strategy Let people know about ‘Telecare’ technology Make it available to buy for anyone who wants it Improve monitoring centres and their responses Give peace of mind when someone lives alone Volunteer networks to overcome family connection issues Project three – Telecare

Prevention Strategy Increase the use of ‘Telehealth’ Let people know about ‘Telehealth’ technology Reassure people that issues will be picked up Avoid emergency and (some) routine check ups Help people to help themselves Trial on the coast for people with diabetes? Project four – Telehealth

Prevention Strategy Re-draft the strategy so it reflects what consultation has told us (mid-May) and develop a detailed action plan to ensure effective delivery (underway) Ensure there is sign off and buy in from key governance structures (underway, to be completed by end of May) Use funding to make a case to fund prevention services from core budgets (implementation from October) Monitor and report the performance of services put in place (on-going, system to be developed with other parties) Regular communications via the Putting People First bulletin (monthly) What we’ll do next