Evidence Base. There is strong evidence to support the use of EHCs to support women with pregnancy choices, reducing teenage pregnancy across Barnsley. 1.3
Evidence Base. 1.7.1. With the production of a Revised LDP, there will be a corresponding need to update or renew a number of studies/documents contained within the current LDP evidence base, which underpins the plan. In line with previous AMRs, all contextual, policy and legislative changes that have occurred since the adoption of the LDP will also need to be given due consideration, as part of the evidence base updates. The list below illustrates those evidence base documents that are likely to be required, as part of the LDP full revisions process: • Population Data and Housing Forecasts • Local Housing Market Assessment (LHMA) • Gypsy and Traveller Accommodation Needs Assessment • Urban Capacity Study • Settlement Boundary Review • Sustainable Settlement Hierarchy • Employment Land Review • Retail Study Update • Green Infrastructure Assessment • Assessment of Environmental Constraints • Public Open Space Assessment • Renewable Energy Assessment • Transport Assessment • Landscape
Evidence Base. The Department of Health proposed the NHS Health Check programme, based on the evidence and cost benefit presented in the Impact Assessment2 document. Modelling work3 undertaken by the Department of Health (DH) found that offering an NHS Health Check to people between the ages of 40 and 74 and recalling them every five years was both clinically and cost effective. Cardiovascular Disease, which includes heart disease, stroke, diabetes and kidney disease are the biggest causes of death in the UK. The national Health Checks programme could on average: • Prevent 1,600 heart attacks and strokes • Prevent at least 650 premature deaths • Identify over 4,000 new cases of diabetes each year. • Detect at least 20,000 cases of diabetes or kidney disease earlier, allowing individuals to be better managed to improve their quality of life. NICE guidance is available for some of the components of the health check and on interventions in associated referral pathways following the health check e.g. physical activity and smoking cessation. Public Health England has produced a briefing outlining the evidence base supporting the mandated NHS Health Check programme4.
Evidence Base. The service will apply and/or support evidence-based practice and will be informed by national and local drivers for change for example: • Current DoH policy and guidelines, delivery of national key targets & NSF & NICE guidelines • CQC registration requirements • Gold Standards Framework and Liverpool Care Pathway for people at the end of life • Essence of Care • Infection Control Standards e.g. hand hygiene audits • Locality commissioning plans and locally agreed care pathways • The Devon Joint Strategic Plan and subsidiary action and operational plans • The integration of health and social care delivery in Devon through the continuing development of localities and clusters The commissioning specification is supported by the joint Health and Wellbeing Strategy 2013–16.
Evidence Base. There is strong evidence to support the use of EHCs to support women with pregnancy choices. Pharmacists must have the appropriate competency and have completed the self-declaration in order to deliver the EHC under the PGD. The must be familiar with and follow NICE, BASH and FSRH guidance relating to contraception and Sexual Health. BASH Home Page NICE Guidance on EHCs FSRH home page The service will be underpinned by the following A quality Standard for contraceptive services (FSRH, 2014) PH51 Contraceptive services with a focus on young people up to the age of 25 (NICE, 2014) A Framework for sexual Health Improvement in England (DH, 2013) Clinical governance in Sexual Health (DH, 2013) Service Standards for Sexual and Reproductive Healthcare (FSRH 2013) British HIV Association Standards of Care for People Living with HIV (BHIVA 2013) Clinical Guidance – Emergency Contraception (FSRH 2011) UK National Guideline on Safer Sex Advice (BASHH & BHIVA 2012) National Chlamydia Screening Programme Standards (6th Edition 2012) Recommended Standards for Sexual Health Services (MEDFASH 2005) NICE guidelines on prescribing. UKMEC Clinical Guidance for delivery of EHC by the FSRH MHRA Guidance 1.3 General Overview Spectrum Community Health CIC has been awarded the contract to deliver an Integrated Sexual Health Service for Barnsley until April 2019. Spectrum is integrating the GUM and CASH elements of the service and is putting greater focus on prevention of STIs and unintended conceptions. To bring this into practice we are managing and leading a service transformation which requires a change in the model for sexual health provision in Barnsley. Spectrum is delivering an integrated sexual health service with an increase in both the capacity for, and the impact of, the prevention element of the service. Spectrum is investing in dual training of clinical staff to deliver integrated holistic sexual health services in multiple locations .Spectrum uses various methods to increase access to sexual health services for targeted high risk groups. Spectrum is investing in a programme of education and support in schools and other non-school settings, incorporating innovative delivery methods. The service model will promote pro-active outreach work and deliver a one-stop-shop model offering choice to reach all target groups. Spectrums 3 criteria for delivering the Pharmacies EHC element of the service; The service offer will be high quality, integrating contraception needs with...
Evidence Base. The National Carers Strategy 2008: Carers at the heart of 21st-century families and communities • Recognised, valued and supported: next steps for the Carers Strategy: Nov 2010 • The Operating Framework for the NHS in England 2011/12 • The NHS Outcomes Framework 2011/12 1.3 General Overview It is estimated that there are currently around 70,446 carers in Leeds, of these, 14,369 provided 50 hours or more of unpaid care per week; 7,631 provided between 20 and 49 hours of unpaid work per week and 48,446 provided up to 20 hours of unpaid care per week. These carers contribution to the health & social care economy is valued at just over £1 billion per year (Leeds University report, Valuing Carers – calculating the value of unpaid care, 2007). One of the commitments for NHS Leeds in the carers strategy is to work in partnership with GPs, NHS partners and Leeds carers Centre to identify and support carers appropriately. In October/November 2010 NHS Leeds carried out a survey of carers views on short breaks/respite provision to find out their opinions of existing provision and how their needs could potentially be better met in the future. The result of the survey carried shows considerable interest in the proposal to offer a community based short breaks ‘sitting’ service in the cared for person’s home, to support the cared for person while the carer goes out, and/or to take the cared for person out thereby allowing the carer to have a break from caring while remaining at home. Of the 150 responses received, 50% of carers of adults and 82% of carers of children expressed an interest in being able to access a short break of up to 4 hours. NHS Leeds has made £100K available for short breaks on a recurring annual basis for three years from April 2011. The recent Spending Review has also made available additional funding in PCT baselines to support the provision of breaks for carers with the guidance that PCTs should pool budgets with local authorities to provide carers’ breaks, as far as possible, via direct payments or personal health budgets for 2011/2012. 1.4
Evidence Base. The baseline information upon which policies are to be developed will be continually reviewed and updated to ensure it is representative of the latest situation within the County. The LDP will address wider reaching issues than the current Unitary Development Plan (UDP) and an extensive evidence base will therefore need to be developed early in the process to reflect this.
Evidence Base. This specification draws its evidence and rationale from a range of documents and reviews as listed below: Department of Health • Improving Outcomes; a Strategy for Cancer – Department of Health (2011) • Cancer Commissioning Guidance - Department of Health (2011) • Five year forward view - Department of Health (2014) • Report of the Independent Cancer Taskforce - ‘Achieving World-Class Cancer Outcomes: A Strategy for the NHS 2015-2020’ NICE
Evidence Base. Regular exercise has beneficial effects on general health, mobility and independence and is associated with reduced risk of depression and related benefits for mental wellbeing, such as reduced anxiety and enhanced mood and self esteem (DOH 2005)1 Participation in physical activity may not always elicit increases in the traditional markers of physiological performance and fitness (e.g., VO2max, mitochondrial oxidative capacity, body composition) in older adults but it does improve health (reduction in disease risk factors) and functional capacity. Thus, the benefits associated with regular exercise and physical activity contribute to a more healthy, independent lifestyle, greatly improving the functional capacity and quality of life in this population (ACSM 1998) 2 A review of the literature found that the following interventions were likely to be beneficial in preventing falls: 1. Multi disciplinary, multifactoral risk factors screening/intervention programmes in the community, both for an unselected population of older people and those with a history of falling or known risk factors 2. A programme of muscle strengthening and balance retraining individually prescribed at home by a trained health professional 3. A 15 week Tai Chi group exercise intervention Exercise is effective in lowering the risk of falls in selected groups and should form part of falls prevention programmes. Lowering fall-related injuries will reduce health care costs, but there is little information available on the costs associated with programme replication or the cost-effectiveness of exercise programmes aimed at preventing falls in older people3 Falls and fall risk can be reduced with exercise interventions in the community-dwelling elderly, although the most effective exercise variables are unknown.4 Exercise appears to have statistically significant beneficial effects on balance ability in the short term5 Older adults with different levels of abilities can improve their functional performance by regular exercise training but more high-quality trials are needed in which different training protocols are compared6 Best-practice community-based physical activity programs can measurably improve aspects of functioning that are risk factors for disability among older adults 7 Educational and social activity group interventions that target specific groups can alleviate social isolation and loneliness among older people8 NICE guidelines: Nice (2008)9 has recommended the following to prom...
Evidence Base. The East Lothian Profile complemented by the Xxxx Profiles set out the situation and highlight the relative inequalities that exist across our communities. The SOA outcomes will be the basis for real and lasting change that reduces these inequalities. The SOA focuses on where the Partnership can make the greatest difference by adding value from working together on these agreed priorities.
