Alex Fox – prevention and intervention

In this blog Alex  talks about creating a care system in which people have the right and responsibility to develop a better life now, rather than waiting for a crisis to happen.

In the video Alex talks about:

  • What do we mean when we talk about prevention
  • The lack of clarity around prevention
  • Should services focus on future needs as well as present needs
  • There is no effective prevention without integration
  • How do we measure savings in social care
  • How can we think more holistically about outcomes

Alex gives an example – in Herefordshire, within 20 years time one third of the population will be older people. There is a need to think about how planning for the future is seen as a social care issue. There is a need to create support to help people navigate through services and to integrate with their community.


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3 Responses to Alex Fox – prevention and intervention

  1. Jeremy Labram says:

    I agree that there is a lot said about preventative measures but not much mutual understanding: we often seem to be referring to different things when in discussion.

    In some work we did with ‘customers’ who were in their fifties and willing to think about retirement planning (which I suppose is a nice thing), but revealed that they were very unwilling to consider what they would do with some sort of life crisis. Such a service would not be valued.

    Maybe a better approach, which came up in discussion today, is to talk about taking measures today to sustain your current lifestyle – ‘keep myself active’; ‘keep in good shape’; ‘read the paper every day’; eat well and look after myself’. This seems much more in tune with what many people actually do, and is much more optimistic.

  2. Jeremy Labram says:

    I have just been corresponding with an advisor to the select committee on this subject of early intervention. I think a fundamental problem is proving the efficacy of any such measures. I spent a long time puzzling over many case studies of reablement – none of which could compare doing something versus doing nothing.

    When I was studying biology I learned the value of running a control group, members of which do not get early intervention, in parallel with an equal group who do. Social Care research does not seem to do this. I’ve heard professionals say that it is not fair to those who don’t get it. But unless you test objectively you don’t know whether it is efficacious and so how can you know whether it is fair or unfair.

    Neither Health procedures nor pharmaceuticals could be implemented without this, so why not social care?

  3. Hi Alex

    The points you have raised in your video are to keeping people fit, well and active. Charities within the Voluntary and Community sectors in Sandwell have raising these points with Sandwell MBC and other Public Setor partners for several years however our Council have chose not to involve us or the people who use our older peoples service when they are redesign their services.

    No Impact Assessments or Equality Impact Assessment are being cariied out on people who use our services or their carers, services are just being decommissioned.

    How can we hold Sandwell MBC to account.

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