The Origins of Going Local A two-year pilot project, started Nov - PowerPoint PPT Presentation

The Origins of Going Local • A two-year pilot project, started Nov 2016 • Funded by Coastal West Sussex CCG, West Sussex County Council and Adur & Worthing Councils, hosted by the latter and working as an equal partnership Created to tackle social determinants of health in a • joined up and collaborative approach

Only 30% of a • Reduce frequent and person’s health unnecessary issues are attendance at GP directly impacted by surgeries health services • Connect people to non-clinical services The other 70% lie beyond the effective and support in local reach of a medical places model- the wider determinants of health such as: • Supporting community cohesion and ● Where you live connectivity ● Support networks ● Work and education opportunities Why Going Local?

Going Local- How we started ● Three Community Referrers recruited ● Relationships started with GPs and practices Meanwhile, met as many services as possible ● ● Built a directory of services and digital platform ● Lots of training, sharing of expertise and questions! ● Referrals started

Working with GPs in six practices Worthing (James and Katie) • Lime Tree Surgeries • Victoria Road Surgeries • Worthing Medical Group Adur (Tom) • Harbour View, Shoreham-by-Sea • Manor Practice, Southwick • Northbourne, Shoreham-by-Sea

The process 1. GP submits referral- notification to Community Referrers 2. Community Referrer contacts person within 7 days 3. Meet at surgery for up to an hour 4. Community Referrer makes referrals to services 5. Person attends service- with support if needed 6. Further visits (up to 6 in total) if required

Reasons for a GP’s referral 1. Lifestyle Factors 2. Money, debt and benefits 3. Housing 4. Social isolation 5. Employment and training 6. IT skills and digital inclusion

Referral stats 1. Citizens Advice Bureau 41 2. Cornerhouse 28 3. Wellbeing Hubs 23 4. Guildcare 22 5. Adur and Worthing Wellbeing 17 6. Time to Talk 16 7. WEA (employment service) 14 8. Expert Patient Programme 12 9. Liaise 11 10. Impulse Leisure 10 TOTAL PEOPLE REFERRED TO GOING LOCAL= 595

Trends and complex issues ● Housing - what impact can we have? ● Mental Health - some people fall between services. ● Travel costs - expensive and therefore a barrier for many. Employment - staying in work, as well as finding work. ● ● IT and digital skills - anticipating a future trend? Can your organisation help?

Going Local- a different approach ● A pilot, learning experience Embedded in GP surgeries, direct referral ● ● Hosted by a Local Authority, paid roles ● Identify gaps in services; reflect the landscape to decision makers and influencers Process evaluation ● ● Service directory and unique integrated platform

Evaluation ● The WSCC research team analyses the data we collect. Access to GP records provides us with another way to ● measure impact. ● The first social prescribing to use process evaluation. ● "Process evaluation is an essential part of designing and testing complex interventions." BMJ, 2015

MATS Software / Service Directory Bespoke platform built for the service ● ● Used for all aspects of the service Service directory integrated - more on this later! ● ● Continued development

Case Studies ● The Community Referrers complete regular case studies Shows the diverse range of support Going Local provides and ● challenges faced; ● E.g. experiences of getting help with housing are being used to work with the Housing Teams to improve the customer experience Speak to us at the end to hear more! ●

Quotes From GPs: “It’s great for the patients where I struggle to offer them any suggestions.” From service users: "The meetings were beneficial in the sense of spurring me on to get out, doing things, being more creative and active and interact more with people." “My volunteering is going really well and I have lost 6 and half pounds in 4 weeks.”

Want to know more? You can contact Going Local by e-mail; communityreferrals@adur-worthing.gov.uk ● Or one of the Community Referers by phone; James Hardy: 01903 221026 / 07917052851 ● Katie Willis: 01903 221013 / 07917052793 ● Tom Visconti: 01903 221039 / 07917053323 ●