Opportunities for the Advice and Health and Social Care sectors to add value. Neil Grahame –. 1985-1995, Manager of a local authority Advice Centre -advice and court/tribunal representation on Housing, Welfare Rights and Debt.
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HINST main task was undertake visits in order to provide consultancy advice to the (approx) 70 ‘Spearhead’ areas in England –where life expectancy is/was the lowest compared to the national average.
Some additional visits were undertaken in the West Midlands.
HINST held workshops on the ‘social determinants of health’ -subject areas often relevant to advice services:
This presentation will look at the links between both ‘social determinants’ and health, and advice services and health.
References within the Marmot Review: Fair Society, Healthy Lives, February 2010
Information produced by the World Health Organisation – ‘The Solid Facts’ Edited by Richard Wilkinson and Michael Marmot
1. Where services dealing with the ‘social determinants of health’ have good coverageand are being effective, there are likely to be health benefits -which may be expressed in terms of reduced call on GP services or reductions in hospital admissions
2. Socially excluded communities are likely to have poorer health and lower life expectancy. There is a huge range of socially excluded communities likely to be encountered by advice services (see table below).
3. health?Where the ‘pathways’ where customer/patients cross between health and other services.
4. Where there are areas of existing or potential joint working. There may be specific interfaces between, for example,
Strategic level ownership
Information –mapping need, cross referencing, sharing
Cross-referencing information to show the proportion of people with mental health issues needing advice and assistance on debt
Mechanisms for sharing information -through a data sharing protocol between for example Advice services, Benefits agencies, Enforcement agencies, and Health and Social Care agencies.
Sharing information through such as the Common Assessment Framework (CAF), and/or Single Assessment Process (SAP) shared across the stakeholders, and designed to trigger referrals for benefits and/or debt advice.
Enhancing capacity through commissioning advice services
Enhancing capacity through front line service delivery
‘Front end’ delivery in health settings –Hospital
‘Front end’ delivery through neighbourhoods
Neighbourhood based service delivery may be through neighbourhood services, neighbourhood facilities, staff groups /domiciliary services, or 3rd Sector outlets. The manner of service delivery may be signposting, advice and assistance (all requiring training), or hosting a service.
‘Front end’ delivery through specific service sectors