CoNSENSo newsflash
April 2018
n°4

With the final year of the CoNSENSo project comes the expectations of concrete results and sustainability. Can CoNSENSo contribute to making home a better place to grow old?  Much work has been undertaken by the partners over the last 28 months providing nurses training, testing new methods for delivering social and health prevention, and promoting social business. Now the partners will focus their efforts during 2018 on guaranteeing the long-term continuation on the activities

Project achievements

Transnational public event in Klagenfurt, 22nd February 2018

More than 50 persons came to this event held in Carinthia in Austria that presented the first results of the Family and Community Nursing experimentations and the sustainability objectives for the Alpine Space regions. The seminar included a general presentation of the CoNSENSo project facts and figures by Dr. Giuseppe Salamina from ASL Città di Torino, and also the CoNSENSo content manager, followed by a presentation of the piloting experience from each of the 5 territories: Piedmont, Liguria, Slovenia, Var, and Carinthia made by the project managers and nurses. In addition, a presentation was made by Dr. Roberto Ippoliti concerning the perspective and sustainability of the public offer in the Italian regions and on the Carinthia testing of the private social business model by Mag. Dr. Klaus Wettl, Health management at the Fachhochschule Kärnten.

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Steering Committee meeting in Klagenfurt 22nd and 23rd February 2018

A steering committee took place in snowy Klagenfurt on 22nd and 23rd February. The main focus of this meeting was for all the partners to discuss together the final project core outputs and how they can contribute to the sustainability of the project activities both in the pilot zone areas and beyond. The evaluation of the pilot activities in each of the countries based on the data in the app is in full swing. The partners must still fulfil comparative interviews in order to evaluate the effectiveness of the model. The partner discussions also highlighted the fact that despite many similarities, the transnational models must be adapted to the specificities of each country.

 

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Partner technical meeting: CoNSENSo model evaluation in Ljubljana.

Some of the project partners working together on the CoNSENSo regional pilots got together on 8th and 9th November at the Social Protection Institute of the Republic of Slovenia (IRSSV) in Ljubljana in order to start the evaluation process of the new social and healthcare model the CoNSENSo partners are implementing locally.

So far many initial plans were realised within the CoNSENSo project, even though there remains room for changes and improvements, which have been proved at the technical meeting at Social Protection Institute of the Republic of Slovenia (IRSSV) that took place on Wednesday 8th and Thursday 9th November 2017. The meeting brought together representatives of all the pilot regions (except partners from France). The two-day discussion focused on the important processes that are taking place in the second half of the project and called for inevitable common collaboration between partners. Researchers from IRSSV, who have led the meeting, presented relevant conclusions and constraints coming out of the project data for the further development of the project.

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Social Business Training in the territories

The project CONSENSO was also intended to provide the target Family and Community Nurses with the basic knowledge to acquire and then master essential contents on social business planning and management, addressing how to situate their operation compared to existing business players in the social sector or how to cooperate with them. In this sense in the period September - December 2017 the FCNs have received a basic training on Social Business planning and management, tailored to regional specificities and needs, covering all the relevant contents as reproduced in the chart.

The training workshops have been used also to test and validate the CoNSENSo Social Business Model profiting from the experience acquired by the FCNs during the piloting phase: detecting whether and under which conditions this SBM could be applied in each involved region, the final project months will also result in the publication of a shared model to guide the FCNs in their possible business ventures.

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What CoNSENSo means to me …

In the different issues of the CoNSENSo project newsflash, we will share grassroots interviews from the regional territories showing the impact and expectations of the project on the ground. In this issue, we have an interview with Giuseppe Salamina, the project content manager and author of the project idea and concept and with Silvia Rizzi representing the lead partner.

Interview with Giuseppe Salamina, Dr. Giuseppe Salamina - ASL Città di Torino, Italy – Co.N.S.E.N.So content Manager

What is your role in the CoNSENSo project?

I have been the promoter of this project from its inception. I have assembled all the available resources in Italy and I have actively looked for EU partners with a view to verifying the feasibility and efficacy of the idea in different organisations and with different resources. I am therefore responsible for the implementation of this project and its evaluation system.

 

How does the current project results live up to your initial expectations?

Before answering this question it is necessary to understand that the evaluation of this kind of processes and results requires observation and evaluation times that are unfortunately not quick and necessarily longer than the duration of the project itself. Observing elderly’s health and quality of life improvements implies a continuity of observation and monitoring that spans over a several years’ period. In this project we have put in place a monitoring system and comparative analysis of the different results between the areas where CoNSENSo interventions take place and the neighbouring areas where nothing is being done, however it is unlikely that a period slightly exceeding one year could yield significant results. This notwithstanding, as expected, we are starting to register positive results in terms of the interest and encouraging reactions of the local institutions and inhabitants, who recognise this project as an important point of assistance in their daily plight.  These elements have been registered through interviews and elderly’s reactions, as registered by family and community nurses, who have collected such observations, whilst visiting the elderly at their homes.

 

What are the main objectives for this final year?

The objective for the final period before closing the project is to gather all the material, information and interviews, i.e. a considerable harvest of data, which needs to be ordered, catalogued, organised and made available in systematic reports to the local communities, as well as to the political decision makers in order to ensure the sustainability of this model of care for the elderly, based on family and community nurses, in future. This corresponds to assigning the right value of, and continuity to the work done within the CoNSENSo project.

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Interview with Silvia Rizzi, CoNSENSo Lead partner, Region Piedmont, Italy

Why did the Regione Piemonte decide to lead the CoNSENSo project?

Over the last decade, Piemonte has started an organisational change directed at enhancing primary care and implementing integrated care pathways as well as at preventing inappropriate care and excess hospitalisation. On the basis of a previous experience carried out by the Turin University with an innovative programme, called “Family and community nurses advanced learning programme”, the Reference Site Award was obtained.

Consequently, the CoNSENSo project represented the opportunity to accept the challenge of improving active and healthy ageing within the population of the Alpine Space areas, building on the pivotal role of the Family and Community Nurse.

 

What impact can CoNSENSo have on territorial health and social policy?

Expected outcomes concern healthy and active ageing through reducing hospitalisations and increasing pro-active approaches. In this way, we aim at supporting citizens who are living in these difficult areas as long as possible to improve the whole community’s life. Indeed supporting communities with the intervention of FCNs could increase the social capital and, in so doing, the lives of all citizens.

 

What results to you expect from the project and are there any projects for the sustainability of the activities?

The project aims at fostering health promotion interventions and environments in order to prevent the onset of chronic diseases and falls that oblige older people to leave home.

The planned sustainability of this innovative approach in Piedmont relies on social entrepreneurship, and in the capacity of the public healthcare system to enhance this model all over the Piedmont territory beyond its conclusion.

Policy makers need clear information on the economic and social impact of extending this new intervention to the whole target population and on the required preconditions for its financial sustainability in terms of health outcomes. However, a participatory process involving all relevant local stakeholders and organisations is crucial to extend current achievements beyond project conclusion.

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CoNSENSo in the regions

With the finalisation of the piloting phases in each of the regions, the project partners have carried out the following activities since the end of 2017 to April 2018: 

Region Piedmont, Italy

In September 2017, the training course on Social Business Planning & Budget Impact Evaluation started in Turin, at the site of the Health Department of Regione Piemonte, with the participation of 15 Family and Community Nurses. The participants were nurses coming from Piemonte and Liguria, once again, after the post graduate course attended at the beginning of 2017. Among the participants, there were also the nurses implementing parallel pilots of CoNSENSo in the Health Local Authorities of Novara and VCO. It was a fruitful occasion to learn new issues, in line with the programme foreseen in the project, but also to share the work done on the field and to exchange different experiences.

The course was trained and conducted by Dr. Roberto Ippoliti, expert in Health Economics and lecturer at the University of Economics in Turin, with the support of other experts. The course lasted three days, the last date was in December 2017 and was certified for lifelong learning in medicine. At the end the FCNs evaluated the course, through a feedback questionnaire, as a really positive experience!

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Region Liguria, Italy

With the closure of the new visits in March 2018 the Liguria pilot has contacted 790 people and carried out 344 first visits and 102 second visits. The results were presented to the citizens, stakeholders and authorities on 10th January 18 with an event organised at the Municipality of Torriglia.

The Region is working to ensure the solidity of the project so that it will continue in the municipalities being tested and will be extended to surrounding municipalities that are part of the ministerial project "Internal Areas". The actions we are taking are related to:

  • reactivation of the AFA project (adapted physical activity)
  • the organisation of the Memory Training project (memory gym for healthy people aged between 65 and 80)
  • Consolidation of the walking group of the village of Montebruno
  • telemedicine experimentation in the diagnostic field, in the territory of the Consenso project
  • organised an diabetics screening and health education event, in collaboration with the association of volunteers of As.li.dia (Ligurian association of diabetic patients) and GPs from which should start a project of education to groups for diabetics in 4 meetings assisted by a diabetologist expert of the Asl3 Genovese

In addition, the CoNSENSo Ligurian project team participated as teachers:

  • in a lesson on the project consensus to the "Course for OSS of the Vittorio Emanuele Ruffini II Institute in Genoa" as part of the Pilot of the European project CARESS
  • at an ECM (Continuing Medical Education) training event at the Provincial Order of Nurses of La Spezia entitled "IFeC experience in the upper Val Trebbia, early recognition of fragility" on 23/02/2018
  • On 20/04/2018 we will participate as teachers in the ECM course in Arenzano (Ge). Topic covered " Family and Community Nurses: Opportunities, critical issues and responsibilities in taking charge".
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Pilot regions in Slovenia

The Slovenian team of CoNSENSo nurses attended the event "Together for Health", held at the Health Piran Centre in September 2017. During the event they presented the CoNSENSo project to people aged over 65 years and their families. They promoted the importance of family community nurses’ visits to older persons’ homes to give practical advice. They had at their disposal models, with which participants could try self-reviewing of their health and a sense of how to feel changes. The participants showed interest in cancer prevention. 

 

University of Primorska participated to the conference that was organised by the Professional association of nurses and midwifery in Slovenia. Through an invitation lecture that was part of the Congress, we presented the project as a contribution of how nurses can provide treatment to patients in a home environment. The professional public positively accepted the activities carried out within the framework of the project, and welcomed and supported all the efforts of the nurses

  • in the creation of a multi-sectoral approach to the treatment of the patient at home,
  • the recognition of the importance of preventative care activities to prevent health and social problems of older persons in the home environment,
  • and the creation of a healthcare social network in support of the older persons’ home environment.

They also prepared a written product in which they present the creation of a care model for the elderly in the home environment.

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Var County, France

End of the pilot in the Var: The six municipalities that participated in the experimentation of the CoNSENSo model in their territories have arrived at the end of the testing at the beginning of March 2018. The time has now come for analysis. This purpose has been prepared upstream with the health and social services present in the territories. CoNSENSo users and stakeholders were delighted with the experimentation. Although it remains necessary to analyse the concrete results, an additional human link has been created on the territory with the users and their helpers and it is already a wonderful output.

 

Photo: Coordination meeting to prepare the end of CoNSENSo with social and health services - 11th October 2017.

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Future events

Information about upcoming CoNSENSo events in 2018 can be found on the project website. Several events transnational events will be organised in 2018 across the partner countries:

  • Transnational dissemination event in Slovenia, September 2018
  • Final conference in Genoa, Italy, first half of October 2018
  • Participation in a local event in Piedmont presenting European projects related to Health and social issues (Alpine Space, Alcotra Programmes), November 2018
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CoNSENSo in a nutshell

“CoNSENSo: Innovating to provide better health & social care for senior citizens in the Alpine Space”

The aim of the CoNSENSo project is to develop a care model that puts older adults at the centre of health and social care, building on the crucial role of the Family and Community Nurse: a key person to help and support the daily activities of older persons and their families.

This new model of health & social care will be tested during the project in 5 pilot regions through

  • providing dedicated training for nurses
  • evaluating the benefits of the model in zones with diverse territorial challenges, compared to areas not using the model
  • working on how to make the care model sustainable in the different countries

Led by the Piedmonte Region, CoNSENSo brings together 10 partners from Austria, France, Italy and Slovenia and 7 observers representing governmental ministries, health authorities and professional associations from the Alpine Space area. The project runs for 36 months starting in December 2015.

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European Regional Development Fund