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People and Places

Adult Social Care Outcomes Framework (ASCOF) Profiles for Bolton

Purpose: The Staying Well Check Tool developed by Bolton Council’s Public Health Strategy Team supports to identify client risk factors for future health and social care need. In addition to age, physical health and mental health, risk factors are likely to be linked to lack of social support, physical living environment and economic difficulties. Components: This product includes items from the toolkit:-

  • Project Brief
  • Consent Form
  • Quality Of Life Wheel
  • Staying Well Check Key Principles
  • Visual Communication Cards
  • Triggers Questions
  • Algorithm Example
  • Visit Summary Information Template
  • A training package is currently being developed to coincide with this Staying Well Check Tool.

The Borough of Bolton has a resident population of approximately 280,000. The health and social care system comprises a number of statutory organisations along with a GP Federation and vibrant community and voluntary sector:

  • Bolton Foundation Trust
  • Bolton Council
  • Bolton Clinical Commissioning Group
  • Greater Manchester West Mental Health Trust
  • Bolton Federation
  • Bolton CVS
  • HealthWatch Bolton

These organisations and wider stakeholders have worked jointly to develop Bolton’s Health and Care Locality Plan to deliver real improvements in health and wellbeing for Bolton people and make services more sustainable for the future, in terms of money and patient care.

Crossing professional boundaries: - a toolkit for collaborative teamwork has been developed by The King’s Fund with NHS Future Focused Finance. It is a simple seven-step process to enable cross-functional teams to reflect on how they work together, with a view to improving.

The Toolkit comes in 4 sections:

  1. An Introduction – what the toolkit is for and why should you use it
  2. Section A – why should you take the time as a team to reflect with your colleagues
  3. Section B – The Toolkit, and the 7-step process - Use this to strengthen joint working between clinical and finance teams
  4. Section C – Shortcuts, templates and suggestions

The Toolkit was refined following feedback and evaluation from the pilot phase, which involved NHS organisations across the country using the Toolkit with their own teams. An evaluation, carried out independently by the Chartered Institute of Public Finance & Accountancy (CIPFA), demonstrated encouraging outcomes in improving teamwork between clinical and finance teams, and consequently better outcomes for patients. Click here to read the evaluation.

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This Housing LIN Practice Briefing looks at the importance of end of life care delivered at home, describing the context, inequalities in end of life care, examples of good or emerging practice, and recommendations for actions. Funded by Public Health England, it is intended to be a practical guide for those working in mainstream and/or specialist housing, care and support and public health to understand their respective roles, and how they may work together, to help people to have their end of life care wishes met.

This resource can be accessed by clicking here:

This Housing LIN Practice Briefing looks at active ageing and the different aspects of the built environment that can promote and sustain it, with examples of good and emerging practice and resources for further information. It is intended for those working in social housing, local government, and the care and support sectors to understand their roles in developing and maintaining a built environment that contributes to active ageing.

To access this resource, please click here:

People living in less energy efficient properties and those experiencing an excess cold hazard tend to be more affluent and with significant savings. They are likely to read customer magazines such as the Bolton Scene and are acceptable of receiving communications from local and national government. This suggests many may be amenable to making improvements themselves.

One of the more deprived Acorn groups ‘5.O Young hardship’ is at risk of living in a less energy efficient property or one with an excess cold hazard. Households in this group are also at risk of fuel poverty. These people may need more support to make improvements.

People living in more energy efficient properties tend to be more deprived and are more likely to live in social housing.

‘4.N Poorer Pensioners’ are likely to live in a more energy efficient property, but are also at risk of fuel poverty, it may be that more energy efficient social housing is having a protective effect on members of this group.

Overall people in fuel poverty tend to be more deprived, but are less likely to be among the very most deprived Acorn groups or types. The very most deprived Acorn types are more likely to be living in social housing which may be protecting them from the fuel poverty they might otherwise experience.

The change from 10% to LIHC definitions of fuel poverty produced the largest reduction in fuel poverty among the most affluent households. People in fuel poverty under LIHC are less likely to be retired and incomes are on average a little lower, but profiles are in general similar.

The housing stock model included the presence of a serious hazard under the Housing Health and Safety Rating System (HHSRS) and two specific hazards: excess cold and falls. The presence of disrepair was also included.

The Acorn groups most at risk of living in a property with multiple issues, including a serious hazard, a falls hazard, or disrepair are ‘4.L Modest means’ and ‘5.O Young hardship’. The group ‘5.O Young hardship’ is also at risk of an excess cold hazard. They tend to be younger people living in small terraced houses with modest incomes. They may need some support to make improvements to properties, or encourage their private landlords to do so.

Overall, people living in properties with an excess cold hazard tend to be more affluent and with significant savings, with which they may be able to make improvements.

The more deprived group ‘4.N Poorer Pensioners’ are also likely to live in a property with an excess cold hazard. The number of households is smaller, but older people are the group most likely to suffer harm from excess cold.


The Director of Public Health Annual Report 2014/2015 focuses on the children and young people of Bolton. This report allows us to paint a picture of what we know about Bolton’s Children and Young People and most importantly what the young people themselves are telling us about their health and health behaviours. It sets out is being done locally to improve services including new models of service, and highlights examples of good practice across the borough. 


  • Acorn is a segmentation tool that groups households based on where they live, and helps to understand the different types of communities that make up a larger population and their likely needs, behaviours and opinions relating to a wide range of topics.
  • Acorn is based in where people live, but many people spend a substantial amount of time away from home, at work. Workplace Acorn describes the people who work in each local area. Their Acorn type is determined using their home address, and where people work is estimated from 2011 census data. Ward worker populations are very variable, so Workplace Zones can be used to build up new geographies.
  • Bolton’s workforce population is fairly evenly split: just over a quarter of workers belong to each of ‘4 Financially stretched’ and ‘3 Comfortable communities’ while just under a quarter belong to each of ‘5 Urban adversity’ and ‘1 Affluent achievers’.
  • Compared with residents, the Bolton workforce contains relatively higher proportions of the more affluent Acorn categories and lower proportions of the more deprived Acorn categories. This results in a more even distribution of workers across wards and more homogenous makeup of ward workers than seen in the resident population. Although the differences are smaller, the wards with the highest proportion of affluent residents still tended to be those with higher proportions of affluent workers and relatively fewer deprived workers.
  • The wards containing Bolton town centre (Great Lever, Halliwell and Crompton) are among the most deprived in terms of residents, but when the workforce is considered the wards have a profile much more typical of Bolton as a whole.
  • The insights gained from Acorn data are particularly useful when combined with locally collected data. Acorn data could be used to add value particularly by providing detail about people’s lifestyle choices in wider areas of their life. Workplace Acorn could be used to target employers where workers are likely to be made up of particular Acorn types, groups and categories. It could also be used to guide promotion of products and services which are aimed at the worker population rather than the resident population, particularly where there are large differences between the two.

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