Contents The Care Act: one step closer to putting prevention in action 4 Key recommendations 7 Key findings 7 Context 8 Pressures on health and social care 8 Something needs to change 8 Health and Wellbeing Boards 10 Research objectives 10 Methodology 11 Findings 13 Joint health and wellbeing strategy labels 13 An overview 13 The Care Act, NHS Five Year Forward View and Better Care Fund 13 The triple definition of prevention 14 Minimising the loss of independence for those with existing needs 15 Freedom of Information responses 16 Responses to question 1 16 Information and advice 16 An asset-based/ strengths-based approach 17 New services and the expansion or enhancement of existing ones 18 Investing in prevention 19 Integration 20 Other themes 21 Charging 21 Question 2: Developing a local approach to prevention 21 Question 3: Developing a commissioning strategy for prevention 22 How local authority and Health and Wellbeing Board strategies overlap 23 What this all means for adults in England 24 Conclusion and Recommendations 25 Important Note to Reader: This document is large. It is not intended to be read from cover to cover but as a reference document to support the implementation of the Care Act prevention duties. All readers should consult the Conclusion and Recommendations section. Acknowledgements Authors: Olivia Field, Chloe Carter. Special thanks are due to Briony Martin for her help with data collection and collation. British Red Cross Prevention in action [email protected] l l 3