Community Navigation in Brighton & Hove 16 th November 2017 Mel - - PowerPoint PPT Presentation

Community Navigation in Brighton & Hove

16th November 2017

Mel Pickett (Navigation Coordinator) Bh-impetus.org/navigation @BHImpetus 01273 229385

 Initially a collaborative partnership between AgeUK

Brighton & Hove to deliver a social prescribing service based within 16 GP practices across the city.

 Funded by the PM’s Challenge Fund via Brighton &

Hove Integrated Care Service (BICS) from August 2014 - May 2015.

 B&H CCG have been funding it since then.  The model started as one volunteer Navigator per

• surgery. Not sustainable when delivering a citywide

service taking referrals from 35 practices.

Background

 Community Navigation is a social prescribing service that

provides access to support services and activities

 A person centred service that helps people with social

and emotional needs, e.g. social isolation, low level depression or anxiety, bereavement, financial difficulties

 57% of patients referred are over 55 and many are

experiencing anxieties about their medical conditions or wellbeing

What is Community Navigation?

• 1. The person is referred by a primary care health professional e.g. GP, nurse
• r non-clinical staff
• 2. A Community Navigation Coordinator meets the person face to face,

usually in their own home

• 3. Initial assessment = guided conversation (1 hour appt.)
• 4. Discusses a range of options available
• 5. Hands over follow up work to CN Volunteers, e.g. to facilitate onward

referrals

• 6. Follows up after agreed amount of time to ensure support

Usually 1 or 2 face to face appts. with follow up phone calls. A record of what has been done is sent back to the referrer

How does the model work?

Main presenting issues

Evidence about Community Navigation

24% 14% 12% 9% 7% 6% 6% 5% 3% 3% 3% 3% 2% 4% 0% 5% 10% 15% 20% 25% 30%

Facilitated referrals made to: Social groups (18%) Exercise (10%) Finance & benefits (8%) Mental Health Services (7%) Learning, classes & course (7%) Older Peoples’ Services (6%) Housing (5%) Befriending (5%)

Evidence about Community Navigation

*Promotes & improves wellbeing *Prevents loneliness & isolation *Prevents decline of mental health *Promotes resilience and independence Releases GP surgery time spent with patients on non- medical issues Provides access to the right services at the right time

Key Benefits of Community Navigation - Keeping People Well

Successes

 Recruiting, training and supporting volunteer Community Navigators  Volunteers doing follow up work has improved training and induction and gives

choice about roles (CNs can work in surgeries later on if they wish)

 Keeping our integrity despite challenges. Our model is person centred and

involves face to face contact. Whilst short term and solution focused, it remains

• flexible. There is no limit on time or number of sessions

Challenges

 The difference in cultures between our funding body BICS (a CIC, formed by PMs

an GPs) and Impetus caused tension in the early development stages. We would have preferred to spend longer developing the model and getting it right from the beginning.

 Scaling up from a pilot in 16 surgeries to 35 surgeries needed a change in model,

i.e. home visit.

 The landscape of change within CCG has caused pressure at times. Our funding

has been insecure since 2015.

Successes and challenges

Evidence and contacts

 For more information and to

download our evaluation : http://www.bh- impetus.org/communitynavigation Impetus Community Navigation Service Clair Rowe (Service Manager) Alex Brining & Mel Pickett (Navigation Coordinators) 01273 229382