Independence | Boltons Health Matters
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These are a collection of examples of best practice as undertaken by the National Conversation on Health Inequalities (NCHI) that covered a wide spectrum of public health activity. Please click on the links below to go to the case studies:



The giving and receiving of informal acts of help, or kindliness, is taken for granted in many communities. However this is an area which is little researched or understood.

This paper:

  • As well as the social and physical environment, we also need to understand conflicting emotions and messages about help and support, and the complex ways in which people negotiate these.

  • Individualism, self-reliance and ideals of independence can impact on people’s ability to ask for or accept help from others. 

  • Public spaces, the development of community facilities as ‘hubs of helping’, and creating more ‘palatable’ ways of presenting help all impacted on people’s willingness to accept help.

  • In Hebden Bridge the energy of incomers, drawing on new ideas and technologies, worked alongside older forms of neighbourhood-based community solidarity, and this provided a fertile ground for the development of new networks.

This resource can be accessed by clicking here:

This report highlights the work done by Bolton LINk around issues involving 'Homecare' Services in Bolton and the views of those individuals using the care. It uses those views to form a response to the issues and concerns to commissioners and providers. It should be read by all those involved in the commissioning and provision of services associated to specifically 'Homecare'  but also wider individual care -based services.


Bolton Council and NHS Bolton are undertaking a joint needs assessment to inform the development of a preventative approach to older people that enables them to remain as independent as possible for as long as possible.  Following on from the market segmentation analysis, that can be viewed by clicking here, carried out earlier this year, Ipsos MORI have recently completed a qualitative research study with older people in Bolton to help us understand their needs and to develop an approach that builds on current assets.  The research included in-depth interviews and focus groups with older people and interviews with stakeholders in 4 case study areas.  The research has highlighted potential challenges and opportunities for developing a preventative approach locally and added more depth to the market segmentation developed previously.  The report is now available via the Bolton’s Health Matters website. 

The research will be used to inform the development of the pilot ‘Staying Well’ project due to start in 6 GP surgeries soon.  It will also inform the Council’s Targeted Prevention Strategy.  For further information about the needs assessment or the Staying Well project please contact Lesley Jones, Deputy Director Public Health 01204 337829 or


A presentation on the report for Bolton Council examining the outcomes of piece of qualitative research undertaken by Ipsos MORI covering all aspects of helping older people stay independent (for longer) in Bolton. Looked at areas including user aspects, assets, services/supports as well as conclusions and recommendations. This is a key piece of research for anyone who is involved in the commissioning of services aimed at older people and espeically those servcie focusing on enabling independence in older people.

The Department of Health has provided funding to support the development of re-ablement services in Bolton. A strategic review of current provision is therefore underway in order to inform the development and re-design of the re-ablement approach locally.As part of the overall review, in-depth interviews were carried out with patients with recent experience of re-ablement services. This is the report of those patient interviews. 

This report provides an overview of the findings from the first ever national survey of bereaved relatives in England. The overall aims of the survey were to assess the quality of care delivered to people in the last three months of their lives in this country and to assess variations in the quality of care delivered in different parts of the country and to different groups of patients.

The study was written by IPC for Oxfordshire County Council in order to help them improve their services targeted at preventing or delaying admissions into care and enabling people to remain in their own homes longer.

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