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Greater Manchester Health Partnership. Maximising the Third Sector’s Contribution to Health and Addressing Health Inequalities. Neil Walbran, GMCVO 28 th April 2009. Health Partnership Project. Audit Commission review of Health Inequalities 06/07 - PowerPoint PPT Presentation
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Greater Manchester Health Partnership
Maximising the Third Sector’s Contribution to Health and
Addressing Health Inequalities
Neil Walbran, GMCVO
28th April 2009
Health Partnership Project
• Audit Commission review of Health Inequalities 06/07
• Improve commissioning arrangements with Greater Manchester’s third sector
• Initial project funded to scope out work necessary to build involvement of sector
HPP – Two Research Areas
• Informing Commissioning
• Supporting Commissioning
Informing Commissioning
‘Third Sector Health Services Directory’ • Ongoing piece of work
• Local providers at your fingertips• Reduce transaction costs
• Live document • Tracking survey
•Evidence-base for what Third Sector does best• Emergent pathways• Unintended outcomes
Care Pathway
TERTIARYCARE
SECOND-ARY AND PRIMARY
CARE
COMMUNITY CARE
SELF CARE
DESIREDDIRECTION
Mapping Example – BASIC #1
Care continuum/points of operation/referral
Specialist Hospital Services
Secondary + Primary Care
Community Care Self Care Prevention
Neuro-physiotherapy on referral from Hope Hospital
GP referrals from Salford, Manchester + Trafford
Body Basic – Assisted Exercise Gym
Cognitive Behavioural Therapy + Counselling
Brain Injury Education
Cognitive Rehabilitation
Dietetics Hypnotherapy
Pain Management
60% of referrals from the Dept. Behavioural Medicine
Community Reintegration
Mapping Example – BASIC #2
Public health priorities the organisation addresses
Public Health Priority Method
Obesity Assisted Exercise Gym, dietetics
Cardiovascular Disease
Assisted Exercise Gym
Cancer Providing activities for brain cancer patients
Worklessness Rehabilitation, e.g. advocacy for patients as employees, liaison with employers at early stage to prevent job loss, pain management, etc.
Examples of impact38 jobs saved in the last three years (Vocational Rehabilitation has an overall 74% success rate)245 people back to work in the last three years (giving an estimated £62 million in savings in benefits)4000 service users are kept informed and supported in self care via a mailing list.
Example 2 – Brook in Oldham
Care continuum/points of operation/referral
cont./
Specialist Hospital Services
Secondary & Primary Care
Community Care Self Care
Sexual health advisor referral
Sexual health services referral
schools referral
Self referral WOM
Connexions referral (YP Health provision)
Health visitors referral
GP referral
Social workers referral
Outreach clinics: Schools Colleges Youth clubs Supported Housing Care homes
One to one service
Third sector referral
Off the Record from Tameside use Brooks space and referral
Screening and treatment – Chlamydia, Gonn, will be expanding to include full screening
Counselling PC some CBT
Specialist support for eg learning disabilities
Ongoing training of professionals re working with young people around sexual health
Crisis intervention Pregnancy and TOP and other services
Outreach service has prescribing nurse and educational outreach worker
PCT stop smoking service based in house as a session
Training is accredited & commissioned
Work in clubs to promotes screening and testing
Prophylaxis provision
V early sex ed to younger people – HP tailored according to need and venue
Brook in Oldham #2
Public Health priorities the organisation addresses Public Health Priority Method Obesity Cardiovascular Mental Health Counselling service for young people – self-referral
and/or referral by professionals. Both drop-in and on-going provision. Can also be provided in other settings.
Alcohol Smoking Cancer Worklessness Engagement of vulnerable young people/young
parents not in education, employment or training. Delivery of accredited training and development of self-esteem and confidence through workshops and one-to-one work to enable young people to develop skills to progress into further education, employment or training. Train and deliver peer education and peer support.
Sexual health Provision of young people’s sexual health services from main Centre and provision of outreach sexual health and related education services through outreach work and satellite clinics. Accredited and non-accredited training delivered to other professionals to develop knowledge and skills.
Example of impact Services are holistic and are quality interventions. 13000 visits per year to existing clinic services Education team had high impact on pregnancy and signposting – need to be procured. Education team currently working with between 1000 and 5000 young people per year, dependent on procurement of services. Training with teenage parents – FE and taken out of NEET Piloted YP mentors as volunteers – now employed YP as peer mentors to enable longer term intervention
Supporting Commissioning • Report – ‘Commissioning: Possible’
(Third Sector Organisations’ experiences in Public Sector Commissioning)
• Qualitative analysis with recommendations
•Willingness to engage from both sides• No support framework for engagement
• Highlights good practice• No one shining example
• No GM consensus from commissioners & little flexibility
Research Outcomes
• Recommendations in ‘Commissioning: Possible’ used to inform local commissioning arrangements
• Through the ‘Third Sector Health Services Directory’ the ‘market offer’ has been described to a certain degree
Future work
• Directory becomes internet-based
• Consortiums
• Protocols for negotiated tendering processes
Contact Details
Neil Walbran (Health Partnership Officer)0161 277 1036neil.walbran@gmcvo.org.uk
www.gmcvo.org.uk/health
Any Questions?
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