Community Navigation in Brighton & Hove 16 th November 2017 Mel Pickett (Navigation Coordinator) Bh-impetus.org/navigation @BHImpetus 01273 229385
Background Initially a collaborative partnership between AgeUK Brighton & Hove to deliver a social prescribing service based within 16 GP practices across the city. Funded by the PM’s Challenge Fund via Brighton & Hove Integrated Care Service (BICS) from August 2014 - May 2015. B&H CCG have been funding it since then. The model started as one volunteer Navigator per surgery. Not sustainable when delivering a citywide service taking referrals from 35 practices.
What is Community Navigation? Community Navigation is a social prescribing service that provides access to support services and activities A person centred service that helps people with social and emotional needs, e.g. social isolation, low level depression or anxiety, bereavement, financial difficulties 57% of patients referred are over 55 and many are experiencing anxieties about their medical conditions or wellbeing
How does the model work? 1. The person is referred by a primary care health professional e.g. GP, nurse or non-clinical staff 2. A Community Navigation Coordinator meets the person face to face, usually in their own home 3. Initial assessment = guided conversation (1 hour appt.) 4. Discusses a range of options available 5. Hands over follow up work to CN Volunteers, e.g. to facilitate onward referrals 6. Follows up after agreed amount of time to ensure support Usually 1 or 2 face to face appts. with follow up phone calls. A record of what has been done is sent back to the referrer
Evidence about Community Navigation Main presenting issues 30% 24% 25% 20% 14% 15% 12% 9% 10% 7% 6% 6% 5% 4% 5% 3% 3% 3% 3% 2% 0%
Evidence about Community Navigation Facilitated Social groups (18%) referrals Exercise (10%) made to: Finance & benefits (8%) Mental Health Services (7%) Learning, classes & course (7%) Older Peoples’ Services (6%) Housing (5%) Befriending (5%)
*Promotes & improves wellbeing *Prevents loneliness & isolation *Prevents decline of mental health Key Benefits of *Promotes resilience and independence Community Navigation - Keeping People Releases GP Well Provides access to surgery time the right services spent with at the right time patients on non- medical issues
Successes and challenges Successes Recruiting, training and supporting volunteer Community Navigators Volunteers doing follow up work has improved training and induction and gives choice about roles (CNs can work in surgeries later on if they wish) Keeping our integrity despite challenges. Our model is person centred and involves face to face contact. Whilst short term and solution focused, it remains flexible. There is no limit on time or number of sessions Challenges The difference in cultures between our funding body BICS (a CIC, formed by PMs an GPs) and Impetus caused tension in the early development stages. We would have preferred to spend longer developing the model and getting it right from the beginning. Scaling up from a pilot in 16 surgeries to 35 surgeries needed a change in model, i.e. home visit. The landscape of change within CCG has caused pressure at times. Our funding has been insecure since 2015.
Evidence and contacts For more information and to download our evaluation : http://www.bh- impetus.org/communitynavigation Impetus Community Navigation Service Clair Rowe (Service Manager) Alex Brining & Mel Pickett (Navigation Coordinators) 01273 229382
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