Beth ydym yn ei wybod am beth syn
'Beth ydym yn ei wybod am beth sy'n gweithio? ' 'What do we know about what works? ' Carolyn. Wallace@southwales. ac. uk ar ran Rhwydwaith Ymchwil Rhagnodi Cymdeithasol Cymru (WSPRN). on behalf of Wales Social Prescribing Research Network
Beth yw Rhwydwaith Ymchwil Rhagnodi Cymdeithasol Cymru? What is the WSPRN? Gogledd Gorllewin • Tua 280 o Aelodau. • Llwyfan ymchwil • Cefnogi cymunedau ymarfer. De ddwyrain Llwyfan Ymchwil • Approximately 280 members. • Research Platform • Supporting the communities of practice.
What do we know so far? Beth rydym yn ei wybod hyd yn hyn? • There a number of SP models with varying referral routes (Pescheny et al, 2018; Rempel et al, 2017) • No definition or typology of what constitutes community support or activity for example reading groups, debt counselling. • In general the quality of reported studies is poor (Bickerdike et al, 2017) due to comparable quality, amount of data on participants, non-comprehensive sampling strategies, lack of information on process and data analysis (Pescheny et al, 2018; Woodall et al, 2018) • Mae nifer o fodelau RC gyda llwybrau cyfeirio amrywiol (Pescheny et al, 2018; Rempel et al, 2017) • Nid oes diffiniad neu deipoleg o'r hyn sy'n gyfystyr â chefnogaeth neu weithgarwch cymunedol, er enghraifft grwpiau darllen, cynghori ar ddyledion. • Yn gyffredinol mae ansawdd yr astudiaethau a gofnodir yn wael (Bickerdike et al, 2017) oherwydd ansawdd cymaradwy, maint y data ar gyfranogwyr, strategaethau samplu nad ydynt yn gynhwysfawr, diffyg gwybodaeth ar ddadansoddi proses a data (Pescheny et al, 2018; Woodall et al, 2018)
there is variation to be found in most aspects of social prescribing services including the type and number of staff employed (8), the types of interventions offered (9) and the commissioning body there is variation to be found in most aspects of social prescribing services including the type and number of staff employed (8), the types of interventions offered (9) and the commissioning bod Felly beth ydym wedi bod yn ei wneud? So what have we been doing? • Roberts et al ( 2019 under review) included 39 evaluations: • Nothing has changed regarding evaluation quality. • Link workers observed to play pivotal role. Variation found in most aspects of SP services including type, number of staff employed, the types of interventions offered, and the commissioning body, variation in the performance of staff, daily responsibilities e. g. signposting, counselling. It is complex and modulates according to commissioner. • Studies using qualitative results demonstrated consistent positive trends, whilst quantitative results were inconsistent in measuring health and wellbeing outcomes. • Roedd Roberts et al (2019 dan adolygiad) yn cynnwys 39 o werthusiadau: • Does dim wedi newid o ran ansawdd y gwerthusiad. • Gwelwyd bod gweithwyr cyswllt yn chwarae rhan allweddol. Amrywiad a geir yn y rhan fwyaf o agweddau ar wasanaethau RC gan gynnwys math, nifer y staff a gyflogir, y mathau o ymyriadau a gynigir, a'r corff comisiynu, amrywiad ym mherfformiad staff, cyfrifoldebau dyddiol e. e. cyfeirio, cwnsela. Mae'n gymhleth ac yn fodiwlaidd yn ôl y Comisiynydd. • Dangosodd astudiaethau sy'n defnyddio canlyniadau ansoddol dueddiadau cadarnhaol cyson, tra bod canlyniadau meintiol yn anghyson o ran mesur canlyniadau iechyd a lles.
Fframwaith canlyniadau Cymru gyfan-tair egwyddor a fframwaith canlyniadau All Wales Outcomes Framework- three principles and outcomes framework • Unigol: wedi'u grymuso i wella eu hiechyd a'u lles • Individual: Empowered to improve their own health and well-being (physical, mental and social) through better connections to their community. • Improved quality of life and wellbeing outcomes to individuals, with happier, more connected and resilient communities – with diversity of choice in prescription provision/ eu hunain (corfforol, meddyliol a chymdeithasol) drwy gysylltiadau gwell â'u cymuned. • Gwella ansawdd bywyd a chanlyniadau lles i unigolion, gyda chymunedau hapusach, mwy cysylltiedig a gwydn – gydag amrywiaeth o ddewis o ran darparu presgripsiynau/ • Community: Better awareness of community assets to enable people to engage, support genuine collaborative working across organisations/sectors. • Cymuned: gwell ymwybyddiaeth o asedau cymunedol i alluogi pobl i ymgysylltu, cefnogi cydweithredu gwirioneddol ar draws sefydliadau/sectorau. • Systems/strategic: Reduce inappropriate direction to services by improving knowledge and pathways to suitable community resources (pooling resources). • Systemau/strategol: lleihau cyfeiriad amhriodol i wasanaethau drwy wella gwybodaeth a llwybrau at adnoddau cymunedol addas (cronni adnoddau). • Social prescribers and skill mix and clear eligibility criteria from outset. • Systemic change inc. system level leadership to frontline social prescription services. ROI as part of this and sustainable funding. Look at it as a collective collaborative challenge. Structured processes for evaluation. • Rhagnodwyr cymdeithasol a chymysgedd sgiliau a meini prawf cymhwysedd clir o'r cychwyn cyntaf. • Newid systemig, gan gynnwys arwain ar lefel system i wasanaethau rhagnodi cymdeithasol rheng flaen. ROI fel rhan o hyn a chyllid cynaliadwy. Edrych arno fel her gydweithredol ar y cyd. Prosesau strwythuredig ar gyfer gwerthuso.
Fframwaith anghenion dysgu cytûn Cymru gyfan. All Wales Agreed Learning Needs framework Construct Example of statements included: 2. counselling skills and motivational tools 12. has the drive and tenacity to see changes through for people Compassion 15. Understanding people will not change to help themselves until they are ready to help themselves. 7. Understanding the needs of Carers 8. having an awareness of the impact on mental health of long Interpersonal term unemployment or never having worked relationships 11. to understand how wider family and other relationships impact on circumstances 10. how to be an effective advocate 20. An in depth knowledge of the services available in the area Socioeconomi (place in which my work is based) so that I can refer people c disadvantage accurately in to the service if required. 81. Understand the impact of poverty 5. To have knowledge of other social prescribing projects in the Networking area and how to signpost patients on. 30. sharing information across sectors 1. Protocols for dealing with challenging situations within the GP Monitoring surgery e. g. aggressive behaviour, suggested suicide attempt etc. data 4. to have a greater understanding of how to measure "success" of my project • 120 datganiadau anghenion dysgu • Wedi'u grwpio'n 5 clwstwr • Mapio ar draws llinell amser o gynsefydlu hyd at ddiwedd blwyddyn 1. • Mae mwyafrif helaeth o'r anghenion hyfforddi (86%) wedi'u nodi fel anghenion hyfforddi parhaus gan o leiaf un grŵp. • Anghenion dysgu pwysig wedi'u nodi a hyfforddiant ar gael yn rhwydd a'r rhai hebddo.
Beth Nesaf? What’s next? • Methodoleg gwerthuso Cymru gyfan gan ddefnyddio dulliau consensws • Cytuno ar safonau adrodd • Profi'r fethodoleg werthuso • Gwneud cais am gyllid e. e. archwilio'r berthynas rhwng nifer y grwpiau cymunedol a phynciau fel unigrwydd. • All Wales Evaluation Methodology using consensus methods • Agree reporting standards • Testing the evaluation methodology • Applying for funding e. g. to explore relationship between number of community groups and topics such as loneliness.
References and web links Primary Care Hub (May, 2018) Social Prescribing in Wales. Public Health Wales [online] http: //www. primarycareone. wales. nhs. uk/sitesplus/documents/1191/Social%20 Prescribing%20 Final%20 Report%20 v 9%202018. pdf [accessed 15. 10. 18] Primary Care One http: //www. primarycareone. wales. nhs. uk/social-prescribing PRIME Centre Wales http: //www. primecentre. wales/ RCE Cymru http: //planet. cymru/en/wales-rce-wcfg/#tab 2 Wallace, C. , Elliott, M. , Thomas, S. , Roberts, G. , Ruddle, N. , Groves, K. , Rees, S. , Pontin, D. , (2019) Social Prescribing Learning Needs for Education and Training in Wales. Final Report 26/04/19. University of South Wales, p 29. Wallace, C. , Stone, J. , Beeckman, L. , Davies, E. , Davies, F. , Evans, R. , Griffiths, M. , Kenkre, J. , Llewellyn, M. , Lynch, M. , Pontin, D. , Powell, D. , Roberts, G. , Smith, S. , Thomas, S. , Vinnicombe, S. , Wallace, S. , Elliott, M. , Rees, S. , (2018) All Wales Social Prescribing Research Network. What does good look like? Setting its outcome principles and Framework for Wales. Consultation Report. October 31 st. University of South Wales. PRIME Centre Wales. REC Cymru. Wales Council for Voluntary Action, p 7. Wallace et al (2018) Final Report on the All Wales Social Prescribing Research Network: Setting its Research Priorities for Wales [online] https: //pure. southwales. ac. uk/en/publications/final-report-on-the-all-wales-social-prescribing-research-network-setting-its-research-priorities-forwales(aef 8 bdf 5 -8 e 67 -4 c 95 -8987 -c 582 d 6 c 34 b 29). html [accessed 15. 10. 18] Wallace et al (2018) Social Prescribing: how to create a sustainable journey? [online] https: //www. iwa. wales/click/2018/10/social-prescribing-how-tocreate-a-sustainable-journey/ [accessed 15. 10. 18]
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