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Older people

Local projects have been submitted from around the United Kingdom from a range of different organisations. The aim of the local projects is to share what is being done to improve health in the community. This section has not been peer reviewed and the BMJ Group makes no guarantee about the accuracy of the information supplied. For more information contact the organiser of the local project directly. For our full website terms and conditions please click here.

Each local project has a summary box and contact details. Further detail is also provided.

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Community Energy Efficiency Programme in the Southern Area of Northern Ireland

Description In order to tackle the impact of fuel poverty on health and wellbeing, the project uses a community development approach, for example to make presentations to groups, referrals to energy efficiency programmes, and train community representatives.
Setting TADA (Tyrone, Armagh, Down, and Antrim) Rural Support Network
Population Those groups most at risk of fuel poverty, particularly older people, lone parent households and families with children under 16.
Intervention The project uses a community development approach to build partnerships and links with existing community networks to encourage referrals to energy efficiency programmes.
Main Outcome Outcomes being measured include numbers of presentations to groups, referrals to energy efficiency programmes and numbers of community representatives undergoing training.
Cost Start-up - The initial project costs were approximately £2500, involving office set up and IT.; Running costs - A budget of £20 000 has been allocated annually for three years. The training trainers scheme costs £4000. Primary running costs include salary, publicity and meeting venues.; Total -
Contact Email energyprogramme@tiscali.co.uk
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Falls and Injuries Prevention Exercise Service (FIPES)

Description Falls and Injuries Prevention Exercise Service provides an evidence based exercise programme for frail elderly patients with a history of accidentals falls or a profound fear of falling.
Setting Exercise classes are run at various venues across Wandsworth
Population Frail elderly patients with a history of accidentals falls or a profound fear of falling.
Intervention Evidence based exercise classes targeted at improving lower body strength and power
Main Outcome Assessment of patients before entry to FIPES and every three months.
Cost Start-up - Not known; Running costs - Total running costs: £75 000 per annum Current running costs are approximately £120 per class, which includes transport for ten participants, instructor for 1.5 hours and venue costs.; Total -
Contact Email Edward.Poulter@SWLondon.nhs.uk
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Home Maintenance Services, Age Concern Swansea

Description Offer practical help for older people who find it difficult to manage their homes
Setting Homes of older people
Population Older people, aged 55 years and over, living in Swansea
Intervention Point of referral and advocacy for older people to get help on home maintenance issues
Main Outcome Older people are supported and tasks are carried out by the most appropriate agency
Cost Start-up - N/A; Running costs - £30 001-40 000 £40 000 for 2005-6 including 20% for core management costs. Recruitment is £1300 per person and computers etc, are charged to the project.; Total -
Contact Email services@ageconcernswansea.org.uk
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Hospital Discharge Service ‘Bridging the Gap Scheme’, Age Concern Swansea

Description Offers support to address health related quality of life
Setting Homes and hospitals
Population Older people aged 55 years and over, living in Swansea, who have recently been discharged from hospital or the Accident and Emergency unit
Intervention Advice and support for older patients and their carers provided by a multidisciplinary team
Main Outcome Prevent readmission to hospital following discharge
Cost Start-up - ; Running costs - £201 000-300 000 per annum In 2005-6, the running costs were £247 000 including 20% for core management costs. Recruitment is £1300 per person and computers etc, are charged to the project.; Total -
Contact Email hds@ageconcernswansea.org.uk
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Housing Information Services, Age Concern Swansea

Description Offers practical help and advocacy for older people to find suitable accommodation.
Setting Age Concern walk-in advice centre
Population Older people aged over 55 years living in Swansea
Intervention Help older people to move into suitable accommodation
Main Outcome Older people have informed choices about appropriate housing
Cost Start-up - ; Running costs - £40 001-50 000 per annum £42 500 including 20% for core management costs. Recruitment is £1300 per person and computers are charged to the project.; Total -
Contact Email services@ageconcernswansea.org.uk
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Luncheon Club, Age Concern Swansea

Description Provide nutritious hot lunches five days a week at reasonable cost
Setting Brunswick Methodist Church, Swansea
Population Older people aged 50 years and over
Intervention Provide hot healthy meals and daily outings, and promote contact with other people
Main Outcome Healthier older people with regular social contacts
Cost Start-up - N/A The project was taken over from existing club run by volunteers.; Running costs - £60 001-70 000 for 2005-6 including 20% for core management costs. Recruitment is £1300 per person and computers are charged to the project.; Total -
Contact Email services@ageconcernswansea.org.uk
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Satellite Falls Clinics

Description A specialist multidisciplinary falls risk assessment service for older people who have fallen or are concerned about falling
Setting Council sheltered housing schemes, charitable organisations directed at older people and community-based heath venues.
Population Older people living in Wandsworth who have fallen or are at risk of falling.
Intervention Assess older people using a risk profile that measures 39 risk factors for falling and make individual recommendations to reduce their risk of falling.
Main Outcome Reduction in the risk of falling following specific recommendations
Cost Start-up - None as staff were already available; Running costs - £30 000 for the total project; Total -
Contact Email Bernadette.Kennedy@wpct.nhs.uk
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South Devon Integrated Care Network

Description An approach to partnership working in a health community
Setting A health community
Population The elderly, those with long term conditions and those in need of elective care in South Devon.
Intervention The Integrated Care Network (ICN) enabled the health community to understand key drivers for success. This led to the development of a strategy which we are still implementing. Critical elements of the strategy are: a patient centred approach; a drive for sustainable solutions; focus on effective relationships; integration of health and social care.
Main Outcome To date the ICN has delivered substantial benefits including achievement of key national targets, a reduction in bed use of 70 000 days per year and financial balance for the health community. The ICN has generated significant service improvement and several exemplar projects.
Cost Start-up - The initial start-up costs were insignificant.; Running costs - The ICN describes the business model for the community so it is the Primary Care Trust allocation.; Total -
Contact Email Sasha Karakusevic: Sasha.Karakusevic@nhs.net Tony Parr: tparr@nhs.net Peter Colclough: peter.colclough@nhs.net
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