Community Connectivity

Community connectivity with access to and involvement of the Voluntary, Community and Social Enterprise sector.

What work

  • Adopt shared decision making to enable choice and engagement to build learning and relationships
  • Focus on and invest in recognised ways of working that embrace ‘relationship and asset-based approaches’ and ‘everyone doing their bit’ to improve the health and wellbeing
  • Enable healthcare professionals to refer patients to non-clinical pathways that are co-designed to improve their health and wellbeing (e.g. social prescribing via link workers in line with PCN contract).
Benefits

  • Improves the experience of care, health and wellbeing and prevents mental health
  • Reduces crises that lead to unplanned hospital or institutional care admissions.
  • Reduces unnecessary GP/primary care appointments
  • Benefits fitness, activities of daily living and quality of life
  • Improves physical function and  muscle strength
  • Reduces the rate and risk of falling
  • Delays the progression to frailty

Evidence summaries

Public Health England Site. An evaluation in one particular area found that for every £1 invested there was a social return on investment of £1.20; cost-savings for the NHS also come through early intervention that avoids later stage, more expensive treatments – https://publichealthmatters.blog.gov.uk/2015/12/08/loneliness-and-isolation-social-relationships-are-key-to-good-health/ .

Making sense of social prescribing: A review of the evidence assessing impact of social prescribing on healthcare demand and cost implication

(University of Westminster) – https://www.researchgate.net/publication/318861473

VSCE sector rationale – https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/524243/VCSE_Investment_Review_A.pdf

NHSE frailty balance and training – https://www.england.nhs.uk/ltphimenu/integrated-care-for-older-people/frailty-strength-and-balance/

Evidence Review: loneliness in later life, Age UK, 2015 https://www.ageuk.org.uk/Documents/EN-GB/For-professionals/Research/Age%20UK%20Evidence%20Review%20on%20Loneliness%20July%202014.pdf?dtrk=true

Impact and Measures

Work in progress

For more information to aid local delivery see what works, resource links, benefits, evidence, local stories and case studies as well as impact/measures in ‘word version of draft frailty toolkit’ page 44.