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CHSS undertook to support Kent and Medway Commissioning Support (KMCS: acting on behalf of East Kent Hospitals University NHS Foundation Trust and NHS Canterbury and Coastal Clinical Commissioning Group) in undertaking an independent analysis of a consultation on Outpatient services in East Kent. The aim of the consultation was to gain opinions from the public of a proposed Outpatient Clinical Strategy that intends to improve local access to, and facilities for, Outpatient services, and to offer a wider range of services on each site.\ud CHSS advised on the survey, evaluated the consultation process, ran focus groups and carried out quantitative and qualitative analysis of the responses gathered during the consultation period (9th December 2013 to 17th March, 2014 - originally 9th March but period was extended). Ethical approval was not required for a consultation process, but ethical principles have been adhered to regarding data confidentiality and informed consent for the focus groups.

This project lays the foundation for the development of a sustainable and unified approach to learning and development by bringing together policy, practice and evidence, and interfacing with regulatory requirements that have recently been strengthened for hospices and that are inspected by the Care Quality Commission (CQC). It commences with CHaL’s vision for learning and development, follows with project description and methods, and summarises the initial scoping conducted to underpin the strategy. The subsequent analytical and conceptual development of the strategy is described, alongside a rational for aligning thinking with the CQC essential standards that are inspected. The project had a unique opportunity to link in to a set of three national workshops for hospices arranged by Children’s Hospices UK (CHUK) and working with CQC that served to act as a consultation forum; this process is described.

The present report summarizes the work of the cross-frontier group which was established, within the\ud framework of Interreg IV, to consider the concept of self-efficacy. A first full-scale study entitled "Let's\ud Talk/Parlez-moi d'amour" had already been undertaken, under the aegis of the Interreg III programme, by\ud several of the partners involved, to examine perceptions in Kent and the Somme of teenage pregnancy as a\ud social phenomenon. This initial project was concluded in 2007 by a conference in Amiens, Somme, during\ud which the French and English research groups were able to present and discuss their findings.

The main purpose of this one-year project was to locate, monitor and evaluate health promotion interventions that are characterised and embedded in the use of social marketing techniques. This project was comprised of two phases –\ud The aims of Phase One were to:\ud Identify and prioritise those projects that have used social marketing techniques Agree an evaluation plan in collaboration with local and national experts\ud The completion of the scoping exercise for Phase One highlighted that the research team needed to move away from any explicit evaluation activities and towards assisting projects with conducting their own evaluation.\ud The revised aims of Phase Two were to:\ud Facilitate with the integration of robust evaluation methods into project planning and to advise on the collection and analysis of evaluation data Support the organisation in enhancing their strategic understanding of social marketing and its potential in health promotion activity Anticipate that projects using social marketing techniques successfully could be at the forefront of dissemination, providing illustrations of the practical application of techniques

In recent years dignity in care has become a priority and the focus of a number of government reports and policy initiatives (DH 2003, 2007; SCIE 2006; Healthcare Commission, 2007). The National Service Framework for Older People (DH 2001) and its follow up document, (DH 2006a) emphasised the pivotal position of maintaining and improving care for older people. However, despite considerable political support, there continues to be a problem in health and social care related to preserving the dignity of older people (Levenson, 2007). Generalised policy statements appear to have little effect on actual practice and care unless they are operational, supported by guidelines for practice and actively monitored.\ud There has been an increase in studies of dignity in health care over the past few years (Chochinov et al., 2002a, Woolhead et al., 2006) particularly focusing on the ways in which dignity is defined and what it means to people. There have, however, been far fewer studies on the relationship between dignity and personal care particularly when that care involves sensitive issues, of which continence care is a prime example. This report provides the initial analysis of emerging themes and findings from the first phase of a qualitative study of privacy and dignity in continence care for older people.

This report provides an account of the methods and findings of Phase 2 of the Privacy and Dignity in Continence Care for Older People study funded by the Royal College of Physicians and the British Geriatrics Society.\ud The overall objectives of this two year project were to:\ud • Identify and validate person-centred attributes of dignity in relation to continence;\ud • Develop reflective guidelines for dignified care;\ud • Produce recommendations for best practice.

People with incontinence problems are particularly vulnerable to feeling a loss of dignity. A recent study on dignity in care settings explored the factors important to residents in maintaining dignity during continence care.

These guidelines are based on the findings from the project ‘Privacy and Dignity in Continence Care for Older People’, funded and supported by the Royal College of Physicians and British Geriatrics Society. The aim of this two year project was to develop a set of guidelines that can help caregivers in a variety of health and social care settings reflect on their practice with respect to maintaining privacy and dignity in continence care. Other dignity guidelines and toolkits have been developed, but not with the focus specifically on continence. The rationale for this is that, however good the care, people with continence problems in an institutional setting have a high chance of suffering loss of dignity because they need help with very intimate care, and this can have a long term effect on self-esteem and self-respect.

In recent years dignity in care has become a priority and the focus of a number of government reports and policy initiatives. (DH 2003, 2007), (SCIE 2006). The National Service Framework for older people (DH 2001) and its follow up document, (DH 2006a) for example stated that maintaining dignity was pivotal in improving care for older people. However, despite this political support, there continue to be problems in health and social care settings related to preserving the dignity of older people (Levenson 2007). There is a risk therefore that generalised policy statements have little effect on actual practice and care unless they are operational, and supported by detailed guidelines for practice.\ud \ud Alongside policy, there has also been an increase in studies of dignity in health care (Chochinov et al,2002a), (Woolhead et al 2006) particularly focusing on the ways in which dignity is defined and what it means to people. There have, however, been far fewer on the relationship between dignity and personal care particularly when care involves sensitive issues such as incontinence. This report provides an initial analysis of emerging themes and findings from Phase 1 of the study of privacy and dignity in continence care for older people funded by the Royal College of Physicians and the British Geriatrics Society.\ud The overall objectives of this two year project are to:\ud i. develop reflective standards/guidelines for dignified care, \ud ii. produce recommendations for best practice,\ud iii. provide advice with regard to changing practice in the clinical setting.

This report features in-depth analyses of three health promotion interventions amongst older adults that have taken place in the UK during the last ten years (and much longer in one case). All three projects have been assessed as demonstrating high levels of effectiveness in achieving specific results with regard to the public health of their targeted local older people. The three interventions vary quite dramatically in both the nature and goals of the intervention as well as the means of evaluation, yet all possess a number of discernable characteristics which are crucial to their success in promoting the health of older people. Such facets may be taken to represent key components of what comprises ‘best practice’ in health promotion amongst older people. These features will be elucidated implicitly throughout this report before being clarified more explicitly in its concluding discussions.

The aim of Phase One was to explore young people’s attitudes and values to sex, relationships, sexual health and teenage pregnancy. Professionals across a range of agencies were also asked to explore their perceptions of young people’s values and attitudes. The project focused on more disadvantaged areas, with high levels of teenage pregnancy. The research methods were designed to maximise participation, by asking young people in these areas what they felt they needed to learn about sexual health education; through this research we also gave them an opportunity to voice their own opinions and provided learning at a local level.

Funded by the Kent Teenage Pregnancy Partnership, this survey was carried out as part of a broader programme of study into teenagers’ views and experiences of sex and relationship education, sexual health services and family support services in Kent. The project was composed of three parts:\ud Project One (the focus of this report) constituted the quantitative part of our research, which included two school-based surveys conducted between September 2004 and January 2006 with a total of 4000 15 to 16 year old\ud school pupils;\ud Project Two gauged the attitudes and experiences of looked-after children regarding sexual health education and relationships advice by conducting focus groups with 20 15 to 20 year olds (Billings, Hashem & Macvarish 2007);\ud Project Three was a longitudinal qualitative study exploring the views of teenage parents during the antenatal (n = 38) and postnatal periods (n = 17).\ud It was concerned with finding out their experiences of family support services, as well as obtaining their views on sex and relationships education and sexual health services.

This document reports on the findings from a project exploring teenage looked-after children’s views of sex and relationships education and sexual health services. Commissioned and funded by the Kent Teenage Pregnancy Partnership, the project formed part of a larger programme of study on teenage pregnancy that took place across Kent between 2004 and 2007. The project was composed of three parts:\ud . Project One constituted the quantitative part of our research, which included a survey carried out with 4000 15 to 16 year old school pupils.\ud . Project Two (which this document reports upon) gauged the attitudes and experiences of looked-after children regarding sexual health education and relationships advice by conducting focus groups with 15 to 20 year olds.\ud . Project Three was a longitudinal qualitative study exploring the views of teenage parents during the antenatal and postnatal periods. It was concerned with finding out their experiences of family support services, as well as obtaining their views on sex and relationships education and sexual health services.\ud The rationale behind Project Two was to ensure the incorporation of the views of more ‘vulnerable’ teenagers, who were considered less likely to be included in the survey sample of school-children.

This document reports on the findings from a project exploring teenage looked-after children’s views of sex and relationships education and sexual health services. Commissioned and funded by the Kent Teenage Pregnancy Partnership, this project formed part of a larger programme of study on teenage pregnancy that took place across Kent between 2004 and 2007.

This report provides the methodological outline and findings of Project One. The purpose of this project was to:\ud . describe how teenagers currently get information about sexual health and relationships and the value placed on these sources\ud . identify the nature, strengths and weaknesses of sexual health education received\ud . ascertain the up-take, strengths and weaknesses of any sexual health services used in the community\ud . describe the extent to which education and health services have prepared young people and whether they have influenced behaviour\ud . identify ways services can be improved