Lessons from the Pilot Studies in Unmet Need Phyllis Easton Health Intelligence Manager NHS Tayside
Pilot Studies in Unmet Need • Commissioned by Scottish Executive • 18 month duration • Innovative approaches to increase uptake of health services to people living in the most deprived areas • Evidence-based approach
Six pilot studies • Community Heart (uptake of cardiology services) • Improved access to COPD services • Homeless health outreach team • Breastfeeding support workers • Early intervention in mental health • Outreach services for gypsy travellers
www.sdhi.ac.uk SDHI commissioned to lead on cross project evaluation advise on project specific evaluations Dr Brian Williams, Director, SDHI http://www.sdhi.ac.uk
Equally Well – Key principles • Engaging individuals, families and communities most at risk of poor health in services and decisions relevant to their health. • Delivering health and other public services that are universal, but also targeted and tailored to meet the needs of those most at risk of poor health.
Reaching the target population • Individual focus (breastfeeding, COPD) • Social/community focus (homeless, cardiology) • Mixed focus (mental wellbeing)
Responsiveness Dave “I got sent by the social work, the first day I went to them, up to the psychiatric department at Ninewells Hospital because I was having problems and they phoned up and they made an effort to try and get someone to see me but the moment I got there they started taking down details. I mentioned that I was homeless, I got sent to six different departments and then I sat for three hours and then I was sent away. And, I was told I needed a GP referral. And then when I went to the GP I was told I couldn’t get a normal GP because I was homeless I would have to go and register through someone and so the homeless team got it sorted out for me, but, how would I have known that if it hadn’t been for them?”
Continuity Margaret (breastfeeding): “To see the same person …. because you don’t have to keep explaining your story to everybody its just becoming more like – how are you getting on today? …. And you know probably because they know from the time before.......there’s nothing worse if you have to repeat yourself one hundred times telling people”