Sheffield Health Trainer Service

Report
Sheffield Health Trainer Service
12th July 2013
Aims of the Service
The Health Trainers service is designed to:
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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
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Health Trainers National Evidence
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Importance of non-traditional providers
(Thanks for the Petunias, NHS Year of Care, 2011)
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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)
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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 measure
2011-12
National
Sheffield
Self-Efficacy
+8.45%
+14.48%
General Health
+33.94%
+57.07%
WHO-5 Wellbeing
+37.34
+71.24%
Deprivation (highest
quintile)
64.55%
68.43%
BME
29.65%
55.05%
Characteristic
Sheffield Health Trainers Outcomes
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Cost Effectiveness evidence
using model ( further local
research taking place to
measure this)
less use of medication
discontinuation of antidepressants
less visits to the GP
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… 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.
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More energetic, I interact more with
people, I get out more, I do stuff instead
of being stuck inside
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… 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
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DCRS Data & Sheffield University Evaluation May
2012
Chronic Pain Evaluation
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The 9 month pilot indicated that clients experienced
– Increased physical capability: skills and physical ability to selfmanage 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
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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
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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
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Gained national, regional and local recognition and funding
Evaluation Reports Sheffield and
Leeds Met Universities
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Commissioning Model recognised
in People Centred Public Health
(2012) – South, White & Gamsu
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Able to demonstrate achievement and
sustained change using DCRS monitoring data
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Flexible approach across Sheffield and in localities
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Local People achieving change taking opportunities for volunteering,
training and gaining employment
Partnership

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