A Social Return on Investment analysis carried out by the Improvement Service, in partnership with NHS Lothian, Dundee City Council and Granton Information Centre, found that every £1 invested in the co-location of advice workers in medical practices would generate around £39 in social and economic benefits.
The benefits listed below – among others - were identified, measured and valued by talking directly to the people most affected:
Glasgow Centre for Population Health (GCPH) produced a report on the processes underpinning the Deep End Advice Worker project, including an assessment of its impact. The project developed and tested approaches to delivering advice services (e.g. financial and debt advice, housing advice and social security support) in two general practices in north east Glasgow. The main focus of the Deep End Advice Worker project was to improve social and economic outcomes for people. It also sought to reduce the time medical staff spent on non-clinical issues.
The report explicitly examines the importance of practitioner knowledge and professional relationships in collaborative service delivery projects. Recommendations are made regarding approaches to delivering future work of this nature.
A report by Citizens Advice and the Royal College of General Practitioners evaluating the impact of integrated advice services in general practice. The report focusses on services provided by Citizens Advice Bureau in Liverpool and Derbyshire evaluating the impact on patients, practice staff and advice service providers. Key findings include:
An evaluation report by NHS Sefton on the impact on integrated advice services in general practice. The Citizens Advice Bureau Health Outreach Service provides advice surgeries in nine practices in the Sefton area. Data was gathered from 148 patients from six practices on use of health services six months before and six months after first appointment with the CAB service. These showed statistically significant reductions in the number of GP appointments and prescriptions for hypnotics/anxiolytics.
This study by the National Institute of for Health Research measures the impact that advice services have on improving recipients’ health and reducing health inequalities.
The project used realist evaluation to find out how, why, for whom, and in what circumstances Citizens Advice Gateshead (CAG) advice services were effective in improving health. The data shows a very significant increase in wellbeing and significant decrease in stress as a result of contact with CAG. Interviews with staff and clients show how CAG contributed to this positive outcome.
This report shows how the right welfare advice in the right place produces real benefits for patient health especially where advice services work directly with the NHS and care providers and presents clear evidence that early and effective advice provision reduces demand on the NHS. The report is an evidence review undertaken through a joint project between the Low Commission and the Advice Services Alliance. It outlines key findings from 140 research studies in the field and gives an overview of 58 integrated health and welfare advice services; the key finding is that welfare advice provided in health context results in better individual health and well-being and lower demand for health services. The report compiles the mounting evidence of both the adverse health impact of social welfare law problems and the beneficial health impact of receiving good advice and makes recommendations to relevant health bodies and stakeholders.
A background paper outlining the development of Health Justice Partnerships in various countries. The paper summarises various approaches and reasons for developing HJPs in Australia, North America and the UK and reviews the impact these have on health services, patients and advice agencies.
A poster and companion postcard infographic resource summarising the findings of the Social Return on Investment evaluation conducted by the Improvement Service.
A fact sheet outlining the key elements required to develop Welfare Advice and Health Partnerships in General Practice.
A roundtable discussion on the embedding of welfare advisers in health and social care services, as an effective response to the impact of welfare reform.
The discussion involved Kate Burton, Public Health Practitioner at Scottish Public Health Network; Roddy Samson, Welfare Advice Service Facilitator at the Improvement Service; and Karen Carrick, Project Manager at the Improvement Service. They discuss what a welfare adviser is, and detail the embedded model - its effectiveness, challenges and plans for it going forward.
The Improvement Service (IS) is the national improvement organisation for local government in Scotland.
Our purpose is to help councils and their partners to improve the health, quality of life and opportunities of all people in Scotland through community leadership, strong local governance and the delivery of high quality, efficient local services.
Through a series of principles, the IS works to promote improvement in local government and among its partners to support them improve outcomes and reduce the outcome gaps within populations and within areas.
The IS delivers a range of products and services that support CPPs to build their capacity to deliver the public service reform agenda.
The IS has a non-partisan role to support all elected members in Scotland.
The Improvement Services produces a series of newsletters on a range of subjects, including myaccount, elected members, tellmescotland as well as the main IS newsletter. Subscribe on this page.