Do integrated health and wellbeing services contribute to a healthier, fairer society?
PHE ePoster Library. Sullivan C. Sep 10, 2018; 221237; 173
Claire Sullivan
Claire Sullivan
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Abstract
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Abstract IntroductionMany Local Authorities in NE England have introduced integrated health and wellbeing services (IHWBS) to improve health using community-centred approaches. MethodsThis collaborative, mixed methods study involved PHE, commissioners and academics. Routinely collected quantitative data from four IHWBS was analysed using a health equity approach, to identify patterns of 1:1 service use, adjusted for need, to understand the extent to which IHWBS address inequalities.Qualitative, semi-structured interviews were undertaken with commissioners and providers of IHWBS (n=12), seven focus groups with community members (n=34) and two focus groups with trained health 'champions' (n=13). Data was audio recorded with participants consent and analysed thematically. Findings Quantitative data on rates of access and outcomes shows reported changes in health and wellbeing, including smoking and weight management. IHWBS were successful at engaging people from the 20-30% most deprived wards. Data about targeted communities of interest experiencing greatest inequalities was not always recorded.Qualitative findings suggest that holistic IHWBS can address the social determinants of health, facilitate social opportunities, contribute to reducing social isolation, improve community cohesion and connectedness, promote social inclusion, volunteering, access to advice and peer support as part of an integrated system. ConclusionsClear messages emerged that a whole system approach to IHWBS is effective, but requires time and visionary leadership, meaningful partnerships, and long-term sustainable funding. New models of commissioning and performance monitoring are required to measure the success of IHWBS. External funding details Funding for this study from Public Health England is gratefully acknowledged.
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