London Borough of Hillingdon

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The London Borough of Hillingdon is a large borough located in Greater London, England which had a population of 273,936 according to the 2011 Census.[3] It was formed from the districts of Hayes and Harlington, Ruislip-Northwood, Uxbridge, and Yiewsley and West Drayton in the county of Middlesex. Today, Hillingdon is home to Heathrow Airport and Brunel University, and is the second largest of the 32 London boroughs by area.

Social Prescribing

Social Prescribing in Hillingdon is run by Hillingdon4All

H4All CIO is an innovative Charitable Incorporated Organisation based in Hillingdon, West London; and is a partnership of five prominent third sector charities; Age UK, DASH, Hillingdon Carers, Harlington Hospice and Mind.

H4All CIO is a partner in the local Hillingdon Health and Care Partnership (HHCP) which includes the Hillingdon Primary Care Confederation as well as the local NHS foundation trusts providing community care services and acute hospital care.

The aim of H4All is to develop collaborative services that improve the health and wellbeing of residents in Hillingdon, simplify access to the resources provided by third sector organisations and promote community-based asset development.

In April 2016 H4All launched its flagship service; a free Wellbeing service for Hillingdon residents aged 65 or over that needed support to better manage long term conditions, frailty, social isolation and to bring people into greater contact with their local community. The service provided social prescribing interventions for those people whose condition was unstable or at risk of deterioration or that had not actively engaged in managing their health condition.

Interventions provided by the service are holistic and bespoke in nature and can range from arranging home adaptions to accompanying people to luncheon clubs for the first time; or from registering people on dating apps to sourcing a custom wig manufacturer.

H4All Wellbeing Support Officers provided clients with the tools, strategies and understanding to better manage their conditions and make better informed choices about their wellbeing and empower them to ‘self-manage’ and find their own solutions to non-medical problems.

In year one of delivery the Wellbeing service supported 1,746 patients with 17,252 contacts with/for patients – against KPIs of 1000 patients and up to 4,800 contacts. This service demand was achieved with a team of 7 full-time equivalent Wellbeing Support Offers and a Triage Officer.

An evaluation of the service was conducted in January 2017 by Hillingdon CCG by tracking patient activity six months before and six months after H4All interventions. Data was collated for GP appointments, A&E attendances, Inpatient admissions, Outpatient first appointments and Outpatient follow ups. H4All evidenced an average 38% reduction in usage of these services which translated to approximately £681,940 of cost savings for the local health economy. Additionally, H4All embedded the Patient Activation Measure (PAM) assessment tool in Hillingdon and by cross referencing the findings of international research with H4All’s local PAM data, in year one of service delivery H4All averaged a potential notional saving of £1,149 per patient for the local health economy.

Since inception H4All have continued to develop and diversify and now through H4All CIO and our sovereign partners we deliver a wide range of Wellbeing and Social Prescription services in the London boroughs of Hillingdon, Hounslow and Harrow. We are also one of the Social Prescribing Regional Learning Coordinators for NHS England.

H4All CIO current service provision includes:

Single Point of Access Triage Service

H4All Wellbeing Service operate a Single point of access to triage referrals and to investigate any concerns clients may have and offer appropriate and timely information and advice on issues such as access to services, benefits, aids and adaptations, social clubs and activities, transport, and care needs. They also signpost clients to appropriate services and help them to identify whether they need further interventions

Wellbeing Support Assistants (WSA)

H4All Wellbeing Support Assistants (WSA) are an integral part of the new expanded Neighbourhood Care Connection Teams that deliver an integrated model of care which aims to support the 2% of adults most at risk of hospital admissions. This service aims to support people through assessment, support planning, and onward referral to empower them to ‘Self Manage’, to remain at home and support the early identification of issues not previously recognised. WSA's work directly within locality neighbourhood teams.

How to refer:

Referrals to this service can only be made through GP surgeries. If you feel someone meets the criteria, please speak with their GP for appropriate referral to this service.                                                                    

Wellbeing Support Officers (WSO)

H4All Wellbeing Support Officers (WSO) aim to help the wider population that need support to better manage long term health conditions, frailty and social isolation. Referrals are taken from all over the Borough through our Single Point of Access. A WSO can arrange a home visit if people have been identified as needing further intervention and support. They will complete a Patient Activation Measure (PAM) questionnaire to help tailor support to the client's needs. WSO's can offer client's emotional support and the time they need to speak comfortably about issues that are important to them, work with clients on practical solutions and link them to appropriate services. WSO's will support a caseload of clients with intensive or long-term needs employing Health Coaching & Motivational Interviewing to help clients achieve their wellbeing goals and improve their quality of life.

Social Prescribing Link Workers (SPLW)

Social Prescribing Link Workers are based within Hillingdon’s new Primary Care Networks and deployed by H4All. Link Workers provide connections between the GP and community services that can support residents to address their wider health and care needs. These workers provide short term intervention, directly referring and signposting clients to the most appropriate services for their issue(s). The Link Worker programme is a national initiative from NHS England.

High Intensity User Service (HIU)

The High Intensity User (HIU) Team supports a small number of people who have higher than normal usage of local urgent care services. Our HIU officers aim to support these people through providing social solutions to non-medical problems, health coaching, emotional support and to help create a support network. With the aim of reducing unnecessary attendances and admittance's, the team work collaboratively with professionals central to the patients care including; multi-speciality clinical teams, GPs, London Ambulance Service, London Borough of Hillingdon Adult Social Care, Community Mental Health Teams, IAPT services, Metropolitan police and broader third sector providers.

Counselling

The Counselling services of; Hillingdon Mind, Harlington Hospice and Hillingdon Carers have been brought together as H4All CIO Counselling Services, under one Head of Counselling.

H4All CIO offers a range of counselling services to help understand and address issues which may be a cause of distress to people. Counselling offers an opportunity to talk with someone who is trained to listen. It can help people make better sense of the feelings being experienced and enable people to see difficulties in a more manageable way.

Volunteering

The H4All CIO Volunteer Hub provides a variety of exciting volunteer opportunities across the five partners and beyond. We are also working in partnership with Harlington Care to increase the amount of opportunities available.

H4ALL stronger together.jpg

Please visit https://www.h4all.org.uk/

Demographics

52.2% of the borough's population identified themselves as White British in the 2011 census. Much of the ethnic diversity is in the south-east of the borough, in particular Hayes.

The wards where whites are not the largest race group are:

  • Barnhill (partly covering eastern Hayes, south of Yeading),
  • Pinkwell (mostly the area around the railway station in southern Hayes),
  • Townfield (Part of eastern Hayes and west of Southall),
  • Yeading (Eastern Hayes)

Whites as a whole form 60.6% of the borough, Asians 25.3%, and Blacks 7.3%. In addition, the most common language, English (81.2%), is followed by Punjabi (3.4%), Polish (1.5%), Tamil (1.4%) and Urdu (1.3%).



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Map of all the London Boroughs