Community research 2018: Self-care, social issues affecting health, and care delivered closer to home

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Summary of report content

Every year Islington Clinical Commissioning Group commissions some community research to help inform its future commissioning intentions. This year they were particularly interested in hearing views from the community about self-care; social issues impacting on health, and care delivered closer to home. The project was done as a partnership between the different organisations with Healthwatch Islington developing the tools to be used when carrying out the individual interviews and focus groups. Once the data had been analysed, the draft report was prepared by HW and was shared across the partnership. Staff involved in the research were trained by HW’s Training and Development Manager. Each partner provided additional information, signposting and support to those that needed it. A total of 153 people, all local residents with English as a second language, gave their views. They were predominantly female. Almost half of the respondents self-identified as having a disability. Self Care: The majority reported being aware of the steps taken to ensure they and their family stay healthy, through looking after their diet, keeping active looking out for their mental health, seeking advice at the right time from the right people, and monitoring key symptoms. The report identified barriers that prevented people from taking better care of their own health, which included existing health conditions, lack of money, lack of time, lack of interpreting support, and even Islamaphobia. Social issues impacting on health: With regard to the issue of social isolation, partners reflected that although many of the clients described themselves as feeling very well connected to their neighbours and the local community, their answers to follow up questions often showed that they also felt isolated. Respondents did emphasise the role played by their support organisation, in helping them cope Care Closer to home: In general, people were enthusiastic about the idea that health services could be provided closer to home. Just over 80% of respondents said they would like to receive some services in a local community setting delivered by GPs, rather than at their own GP practice or in a hospital setting. Some participants had been to the pharmacy to access the minor ailments scheme but had been turned away as it wasn’t offered at that particular pharmacy. Recommendations made in the report were: -That Islington CCG see whether there is evidence of inconsistency between GP practices in terms of the number of referrals being made to self-management programmes for long term health conditions, and take appropriate action if this proves to be the case. -That Islington CCG work with the local authority to resource digital inclusion for older residents from these communities. This training would be most effectively delivered via grass roots community organisation. -It would be better if the pharmacy ‘Minor ailment scheme’ was universally offered. It is confusing that different pharmacies offer different services.

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General details

Report title 
Community research 2018: Self-care, social issues affecting health, and care delivered closer to home
Local Healthwatch 
Healthwatch Islington
Date of publication 
Monday, 15 October, 2018
Date evidence capture began 
Monday, 15 October, 2018
Date evidence capture finished 
Monday, 15 October, 2018
Type of report 
Report
Key themes 
Access
Health protection
Information providing
Lifestyle and wellbeing
Support
Healthwatch reference number 
Rep-1489

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
CCG
If this work has been done in partnership, who is the partner? 
Arachne Greek Cypriot Women’s Group Community Language Support Services Eritrean Community UK IMECE Women’s Centre Islington Bangladesh Association Islington Somali Community Jannaty Kurdish and Middle Eastern Women’s Organisation Latin American Women’s Rights Service Healthwatch Islington (consortium coordinator)
Primary research method used 
Focus group
Structured interview
How was the information collected? 
Meeting

Details of health and care services included in the report

Primary care services 
GP practice
Community services 
Other

Details about conditions and diseases

Types of disabilities 
Multiple
Long term condition

Details of people who shared their views

Number of people who shared their views 
152
Age group 
All people 18 and over
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
Sexual orientation 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
No
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.