Sheffield Health Trainer Service

12th 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 self-care & self-management of long-

term conditions reduce demand on health and social care

services

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

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)

Health & Wellbeing Indicators: Sheffield Vs National Outcomes

Wellbeing measure2011-12

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%

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 way

DCRS Data & Sheffield University Evaluation May 2012

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

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

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

Positive Outcomes from Peer Support

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

Partnership