Winner East Lancashire PCT

The Accident Prevention Team (ACAP) project was initially developed in 2001 to reduce the number of children below the age of five years attending A&E or GP surgeries due to a home accident. Since 2006 it has expanded to other safety issues.

In some of the more disadvantaged wards, as many as one in two children under the age of five years were attending the local A&E department each year due to an accident.

One of the first tasks was to develop a Home Safety Scheme for 200 families in one specific Sure Start area.

More than 4,000 homes have been given advice on safety in the home. Safety equipment including fireguards, safety gates, smoke alarms and cupboard locks have been supplied and fitted.

A multi-agency safety network has been set up, with representatives from more than 20 agencies. The network provides at least eight safety events each year.

ACAP works with over 55s in the community to develop and deliver falls prevention initiatives and has provided training to healthcare assistants and voluntary agencies on falls prevention.

More than 50 accident prevention talks have been given to local parents and older people's groups. Training on childhood accident prevention has been provided to more than 200 health visitors and early years professionals.
The whole tenor of the work has been to avoid ‘doing things to/at people’, but instead to work hand-in-hand with parents and local community members to secure trust and prevent accidents.

As a result of the project, 660 local children have been saved from potential serious harm. This represents a saving to the local NHS health economy of between£330,751 and£1.9m.
The judges said: 'Good exploratory engagement with people, and solutions tailored to diverse communities in the area. Well evaluated, including value for money.'

Accident Prevention Team, contact julie.carman@eastlancspct.nhs.uk

Blackpool PCT, Blackpool Council and Age Concern Blackpool

The causes of Blackpool’s poor life expectancy, which is the second worst in England and Wales, were analysed and falls were found to be a major cause of ill health and premature death.

Older people were also more likely to die or be injured on Blackpool’s roads, or to die in a house fire.

Older people in deprived neighbourhoods were more likely to be repeat fallers, die on the roads or in a house fire compared to other areas of Blackpool. And older people residing in care homes and sheltered housing had a high incidence of repeat falls.
The accident prevention programme therefore was not only aimed at reducing deaths and injuries across Blackpool but reducing inequalities within the population.
Road traffic fatalities have now reduced across Blackpool, with a proportionately greater reduction in the most deprived areas. Hospital admissions from falls have also decreased.

Predict and Prevent, contact judith.mills@blackpoolpct.nhs.uk

Bradford Adult Services

The Meri Yaadain (My Memories) Project was devised to raise awareness of dementia for older South Asian people.

Dementia has been a taboo subject in this community and people were not accessing dementia-related services in Bradford.

Bradford Adult Services initiated the project and now works in partnership with Bradford and Airedale Teaching PCT, Age Concern and the Alzheimer's Society.

The project runs conferences, road shows, radio programmes and a support group, and has a leaflet in six languages. Home visits are built into the support given to carers and patients to tackle social isolation.

The aim is to help people learn how to slow down the onset of dementia and help them access information, support and services from the NHS and social services.

Since January 2006, more than 50 live case files have been generated and 17 community road shows have been held for people from a variety of multi-lingual, religious and ethnic backgrounds.

Meri Yaadain Dementia Project, contact akhlak.rauf@bradford.gov.uk

Cheshire and Wirral Partnership Trust

The managed clinical network was set up in 2006 to address the extensive health inequalities and access issues experienced by people with learning disabilities across Cheshire and Wirral.

Its members come from Cheshire and Wirral Partnership Trust and the three PCTs in the area.

The network aims to ensure that the needs of people with learning disabilities are reflected in area plans, that training and support around learning disabilities is provided, and that clients who are having problems accessing primary and secondary care receive direct clinical support.

All members of the team are expected to adopt a strong leadership approach to change. The work of the network is in addition to people’s substantive posts and its success is based on harnessing the drive and enthusiasm of people who want to make a difference to the lives of this vulnerable group.

Learning Disabilities Managed Clinical Network: Health Access and Inequalities, contact michele.bering@cwpnt.nhs.uk

South Staffordshire PCT

Local statutory and voluntary agencies decided to tackle health inequalities with no new resources.

The relative affluence of the surrounding environment meant the project could not attract targeted deprivation funding.

A health needs assessment was undertaken to provide a strong evidence base to convince key stakeholders and high-level sign up was achieved.

It was decided that the programme would build on existing programmes, work more effectively with voluntary sector partners, use existing structures at strategic and local level and examine opportunities to jointly target existing resources more effectively using pooled local knowledge of the needs. A subgroup of the local strategic partnership was tasked with taking on the work.

The culmination of the project so far is a community health facility. The set up and running costs for the building have been kept to a minimum and all statutory partners are contributing to them from within existing resources.

Tackling Health Inequalities on a Shoestring, contact sue.wardle@southstaffspct.nhs.uk