factsheet : social isolation joint strategic needs ...factsheet : social isolation joint strategic...
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Factsheet : Social Isolation
Joint Strategic Needs
Assessment 2016/17
Loneliness and social isolation are harmful to our health: research shows that lacking social connections
is as damaging to our health as smoking 15 cigarettes a day (Holt-Lunstad, 2015). Social networks and
friendships not only have an impact on reducing the risk of mortality or developing certain diseases, but
they also help individuals to recover when they do fall ill (Marmot, 2010).
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What have we got, what are we doing?
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In 2013/14, Public Health inherited responsibility for three contracts which were previously
funded through Section 256 budgets to promote better integration between health and social
care, they were:
• Volunteering service
• Befriending and social activities for older people
• Health and wellbeing service – including self-care and falls prevention
Lets Go Outside and Learn CIC aim to encourage isolated older people, particularly within the
Asian community, to engage with / use outdoor spaces across the borough through regular
guided walks and workshops. The project will address issues of social isolation, improve health
and wellbeing, encourage more use of parks and open spaces and increase awareness of
environmental issues.
LB Hounslow is keen to ensure that residents who are currently less engaged and most at risk of
isolation are targeted in the programme. Let’s Go Outside would welcome referrals from teams
across the Council, GPs and other health and social care services.
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What have we got, what are we doing?
What have we got, what are we doing?
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What have we got, what are we doing?
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What have we got, what are we doing?
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What have we got, what are we doing?
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How are we getting on, any key gaps?
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Loneliness and isolation are related but distinct concepts
Isolation is objective (though definitions vary), loneliness is subjective
Around 10% of older people are often or always lonely
Around 3,000 older people in LB Hounslow expected to be experiencing chronic
loneliness
Weak social connection is a similar risk factor for early mortality as smoking 15
cigarettes a day
Loneliness directly impacts health – links to depression, stroke, and dementia.
Loneliness makes people less likely to pursue healthy behaviours – e.g. Physical
activity
Social isolation has an impact on health and wellbeing leading to:
Increased hospital admissions
Earlier admission to residential care
How do our performance and services compare
with other areas?
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Hounslow has one of the
lowest percentage of people
living alone in London and it
is significantly lower to the
average for the capital and
also the country.
According to the 2011
Census the percentage of
households occupied by a
single person in Hounslow
was 10.31% and the same
figure in London was 12.76%
and in England 12.81%.
The percentage of
households occupied by a
single person was 3.43% in
Hounslow, whereas the
London and England figures
were significantly higher with
3.86% and 5.24%
respectively.
Source: Census 2011;
How do our performance and services compare
with other areas?
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Measures from the Adult Social Care Outcomes Framework (ASCOF), England
Hounslow has had a consistently
lower percentage of people who
use services who reported that
they had as much social contact
as they would like, in comparison
to London and England.
Hounslow has a significantly lower
proportion of carers who reported
that they had as much social
contact as they would like,
compared to London and
England.
In Hounslow in 2012/13 only
31.1%, compared to 37.9% in
London, of carers reported that
they had as much social contact
as they would like. In 2014/15 the
percentage decreased to 26.3%.
Future plans, what will this mean for local
people?
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LB Hounslow’s main objectives for the future are: To improve wellbeing of older people and other vulnerable groups
To reduce falls in over 65s;
To reduce social isolation;
To reduce excess winter deaths; and
To increase in priority population accessing health and wellbeing services including but not limited to: stop smoking services, flu
vaccinations, physical activity programs, alcohol services, etc.
Public Health is collaborating with colleagues from Adult Social Care on the development of the new Adults Prevention Strategy. This
strategy will examine the evidence base, review the drivers for new packages of social care in Hounslow and then determine new priority
areas for commissioners to address jointly. When this work is complete it will inform the procurement of new services for the prevention of
ill health in older people.
In addition, Public Health will continue to be involved with the Whole Systems Integrated Care work steams so that our new proposed offer
on lifestyle intervention can be incorporated into plans to improve integration between health and social care and the move to locality-
based models of provision for health and social care.
Other objectives:The development of LIFE is significant – it could be
a core Foundation Service
To be most effective, services need to build in insight around loneliness
Identifying lonely people and targeting support on the most lonely remains a gap
The best way to fill this gap will depend on the wider structural approach adopted
Need clarity around who will support lonely individuals to access community provision – signposting is not enough
Adult social care and social isolation
• Social Isolation: % of adult social care users who have as much
social contact as they would like (2015/16)
• Social Isolation: % of adult carers who have as much social
contact as they would like (2014/15)
Local Authority Rate
Ealing 35.8
Brent 40.2
Hounslow 36.2
London 41.1
Local Authority Rate
Ealing 29.4
Brent 26.6
Hounslow 26.3
London 35.5
Compared
to London
Worse
Similar
Better
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Source: http://www.phoutcomes.info
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Risk factors for loneliness
Other factors of
interest to LB
Hounslow
• Belonging to a
faith community
/ having a faith
• Transience of
the community
• Geographical
challenges
Quote presentation (online link if there is)
Risk factors for loneliness by geographic area
http://www.ageuk.org.uk/professional-resources-home/research/loneliness-maps/
The English Longitudinal Study of Ageing (ELSA) indicates that four factors predict around 20% of the loneliness observed amongst older
people 65 and over; marital status, self-reported health, age, and household size. Using these risk factors a map indicating high risk areas
in Hounslow has been generated as Figure 1.
Figure 1: Risk factors for loneliness in over 65’s in Hounslow
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Quote presentation (online link if there is)
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Risk profile in Hounslow
Quote presentation (online link if there is)
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