Agenda item
Self Care and Prevention
- Meeting of Rearranged from 9 October 2017, Health & Adults Scrutiny Sub-Committee, Thursday, 5th October, 2017 6.30 p.m. (Item 3.1)
- View the background to item 3.1
This report aims to provide the Health
Scrutiny Sub-Committee with an overview of Self Care &
Prevention and develop an understanding of the impact it has on
residents health and social care. This report aims to:
•Set out what the self–care and prevention agenda is,
detail what the benefits of this model is, and discuss how this is
being implemented in LBTH.
•Develop an understanding of what the assumptions around
self-care and prevention set out in the STP mean for the design of
local health services.
•Discuss residents understanding of self-care and prevention.
What degree of behaviour change is required for them to make an
impact on health/social care sustainability?
Minutes:
The Sub-Committee received and noted a report that aimed to an overview of Self Care & Prevention and develop an understanding of the impact it has on resident’s health and social care. The report it was noted aimed to:
- Set out what the self–care and prevention agenda is, detail what the benefits of this model is, and discuss how this is being implemented in LBTH.
- Develop an understanding of what the assumptions around self-care and prevention set out in the STP mean for the design of local health services.
- Discuss residents understanding of self-care and prevention. What degree of behaviour change is required for them to make an impact on health/social care sustainability?
The questions and comments from Members on the report may be summarised as follows:
The Sub-Committee:
· Noted that self-care refers to anything you do for yourself that promotes healthy choices and helps prevent or deal with illness. It is therefore important that there is a focus on elements that influence wellness, like hygiene, nutrition, lifestyle choices, the environment, socio-economic factors and self-medication;
· Asked how we will be able to measure those outcomes referenced in the report over a period of time. Also exactly what will we be measuring and how will we be gathering that data. I response it was noted that one of the things the LBTH and its partners need to do is we need to use all the same measures (e.g. “well-being measurers” and train providers to use the same measurement) and this is an opportunity to push forward on such measures;
· Asked if consideration was being given to the improvement of “clinical outcomes”. In response it was noted that there is a need to undertake research on those interventions to understand the best way forward. Also in LBTH this process is assisted by the large data base upon which can be utilised (e.g. We have started to collect that and in a year there will be enough data to show the benefits);
· Noted that there is a need to look at cultural changes; what is important to residents as to what will improve their health and well-being and have we made a difference in their lives. Also whilst it is important to look at what has been done and how intervention has had a positive impact upon people’s lives. In addition, it is important that we look at how we can help people to tap into the various resources that are already there;
· Agreed that when considering self-care it is important to look at where dentistry sits in supporting oral self-care and dental clinic attendance;
· Agreed that NHS England has a key role to play in the process of the development of self-care as well as Housing Providers and the Third Sector;
· Agreed that it was important to look at the foot print of needs to be addressed across communities;
· Asked that in considering the development of the idea of the good self-care habits that there is a strategy to engage with those hard to reach people. In reply it was noted that consideration is being given to working with communities to see what these communities want. In addition, there are pockets of outreach work that has been commissioned e.g. when a patient uses a service they are asked about the service that they have received;
· Noted that work is being undertaken with the Somali Task Force to address their needs and so that services can be targeted accordingly. Also in LBTH there is a very robust Third Sector who we are working with on self-care and prevention whilst not all specified by LBTH they are meeting the resident’s needs;
· Noted regarding those discharged from hospital we need to consider how do we support them and to prevent any further admissions need to look at how we address this issue; and
· Noted that the number of people online, aged 70 and over, has remained relatively static, with between 25% and 35% using the internet. As new online services become available and more benefits of being digitally connected are highlighted, this figure presents a real challenge to those working with this demographic.
Accordingly, the Chair Moved and it was:-
RESOLVED
To note the report
Supporting documents: