12 th July 2013

The Health Trainers service is designed to:



 improve health and reduce health inequalities increase individual skills, capacity and resilience promote self-care & self-management of long-term conditions reduce demand on health and social care services



Voluntary Sector providers - greater empathy and access to vulnerable groups built on local structures
Embedded in the Healthy Communities Programme, wider work of VCF providers & local communities enables sustained change.



Uses Lay Workers from local neighbourhoods – someone like me – support from next door
Hub and spoke approach
Strong partnerships with
CCG and GP practices

Generic Service at point of contact





Importance of non-traditional providers
(Thanks for the Petunias, NHS Year of Care, 2011)
Kings Fund recognized the value of HTs and their effectiveness in supporting people to change multiple risk behaviours
(David Buck, Francesca Frosini 2012)
Success dependent on a model that considers the social economic context
(Health Trainers National Evaluation, Interim findings, 2012)
HT services reached the most disadvantaged groups engaging in the most risky health behaviour with poor self efficacy ( regional and national HT evaluations)

National Sheffield Wellbeing measure
2011-12
Self-Efficacy
General Health
WHO-5 Wellbeing
Characteristic
Deprivation (highest quintile)
BME
+8.45%
+33.94%
+37.34
64.55%
29.65%
+14.48%
+57.07%
+71.24%
68.43%
55.05%





Cost Effectiveness evidence using model ( further local research taking place to measure this) less use of medication discontinuation of antidepressants less visits to the GP


… helped me with me confidence, with me motivation. Gave me advice on where to go, who to speak to. I’d hit a brick wall and didn’t know where to turn to.
More energetic, I interact more with people, I get out more, I do stuff instead of being stuck inside

… helped me to think about options instead of telling me what to do. I’d rather be able to think it out for myself, it’s a really good service that wa y

DCRS Data & Sheffield University Evaluation May
2012

•
The 9 month pilot indicated that clients experienced
–
Increased physical capability: skills and physical ability to self-
– manage their pain
Increased psychological capability: knowledge about the condition; understanding of how to use related health information; understanding of how to negotiate systems to
–
–
– get needs met
Increased physical opportunity: possible activities and exercise programmes
Increased social opportunity: options for joining groups and participating in events
Increased reflective motivation: ability to consider how health information is relevant to one’s own situation; ability to weigh positive and negative consequences of behaviour change

Significant research findings:





Building blocks for improving physical health, achieving healthy lifestyles
Motivation
Negotiation skills
Greater participation in social activities
Enablement
These social factors are not routinely measured in current monitoring and evaluation
School of Health and
Related Research






Altogether Better Diabetes – Regional Innovations
Fund – Leeds Metropolitan University
Altogether Better Diabetes represents good value for money: up to £8.22 of benefits for every pound invested
People with diabetes can make and maintain positive lifestyle changes
Gains in knowledge, confidence, motivation and self-management skills
People like getting support from
‘someone like them’ who can speak their own language
176 clients who changed to healthier lifestyles: 75% followed up had maintained changes and 75% overall were from BME communities


Gained national, regional and local recognition and funding

Evaluation Reports Sheffield and
Leeds Met Universities

Commissioning Model recognised in People Centred Public Health
(2012) – South, White & Gamsu

Able to demonstrate achievement and sustained change using DCRS monitoring data

Flexible approach across Sheffield and in localities

Local People achieving change taking opportunities for volunteering, training and gaining employment