nhs lanarkshire carers information strategy princess royal trust lanarkshire carers centre
TRANSCRIPT
NHS Lanarkshire Carers Information
Strategy
Princess Royal Trust Lanarkshire Carers Centre
Strategic Context
• NHS Lanarkshire Information Strategy approved by NHS Lanarkshire Board – March 2007.
• NHS Lanarkshire Carers Information Strategy & Action Plan Approved by Scottish Government – November 2008.
• Partnership Working – Carers Information Strategy Group, comprising:– NHS Lanarkshire (Acute & Community).– North Lanarkshire Carers Together.– South Lanarkshire Carers Network.– Princess Royal Trust.– South Lanarkshire Council.– North Lanarkshire Council
Action Plan Developed Through CISG inclusive of all Partners
• Updated each year.• Monitored on a monthly basis.• Strong linkages in relation to
Carers strategy groups.• Funding Sub Group with
transparent application process• Carers Support Team
NHS Lanarkshire Carers Information Strategy
Working with CarersA Partnership Approach
NHS Lanarkshire Carers Information Strategy
Carer Development Officer’s Post is funded by NHS Lanarkshire as part of the NHS Carers Information Strategy.
Core Functions
Develop links with Carer Co-ordinator Posts in Acute to ensure Carer Support
Develop links with GP/Liaison Personnel within Practices to ensure identification of Carers.
Develop links through Community Health Partnership process to Locality Management process.
Identify and develop Good Practice in relation to Carers within Locality settings.
Outcomes
Carer Support Team; 7 personnel team to achieve Carer awareness in: Acute/Primary Care
This ensured early understandings of the Development Officer’s remit.
Representation on Public Partnership Forums and South Public Partnership Forum. Contacts were also made with Local NHS Managers.
Enable Joint Services to roll out good practice throughout South Lanarkshire
Core Functions
To identify and develop support process for Carers in Primary Care setting.
To identify and develop Carer Awareness Training needs in Primary Care Staff.
To provide data on Carers issues which will inform Community Health Partnership Locality Management and Joint Services protocols of Carers support needs.
NHS Lanarkshire Carers Information Strategy
Outcomes
Carers supported at all stages in Primary Care.
Task - Develop Carers Health Needs Database
More Carers informed and supported
Carers resourced with condition specific information and training
Better knowledge of Carer needs.
Robust approach to Carer Awareness
Localised strategic approach to Carer issues which will inform and enhance Local Improvement Targets.
Aims
Raise awareness of the Carer Support Team in NHS Lanarkshire
Increase Carer awareness with NHS Lanarkshire wide service providers
Identify Hidden Carers
Develop Carer awareness training for NHSL colleagues
Link with co-ordinators in acute hospitals
Develop partnership working with statutory and voluntary organisations to raise awareness and support carers
Work with GP practices to develop their Carers Register
Ensure Carer issues are raised at a strategic planning level
Carry out Carers Health Needs Survey
Research study exploring the health needs of carers including young carers
NHS Lanarkshire Carers Information Strategy
NHS Lanarkshire Carers Information Strategy
Task How to make effective use of notice boards in GP
practices
Other work within GP practices Work with professional staff – training
Overall impact of raising awareness of Carer issues – good and challenging
Outcomes
Produce good quality information for Carers and Professionals
Provide good quality support for Carers
Offer GP practices Carer awareness sessions training, good signposting and protocols
Working with practice staff in order to increase Carer Register
Share good practice
Good outcomes
Carer positive outcome
Being part of the annual NHS Health Review
Carer Support Team Event
Future Challenges
Continuing the Service
Removing barriers at GP Practice level
Highlight the Carers Support Team at staff meetings
Facilitate awareness sessions for staff
Ensure Carers are on the agenda
Mechanisms to identify Carers / Young Carers
Signpost Carers to Carer Assessment
Referral & Signposting
Publicity
SUPPORTING CARERSHow the GP practices can assist Carers support
NHS Lanarkshire Carers Information Strategy
NHS Lanarkshire Carers Information Strategy
Working with addiction services
Partnership board for addictions multi agency group meets monthly. Representation from social services, health, housing, service users, voluntary sector etc... My colleague participates in this meeting representing carers and young carers and ensure their issues and involvement in caring for someone with an addiction is raised.
Hep C immunisation group – discusses immunisation of “at risk” clients many of whom abuse substances. Highlighted the need to consider carers and young carers in this as close / household contacts.
Carers Affected by substance misuse – My colleague represent health & NLCT on this multi agency group looking at information available for those who care for or affected by substance misuse. Currently looking at producing a generic leaflet which will inform all.
Have carried out a number of awareness and training sessions to North community addiction teams in relation to recognising carers and young carers. Have emphasised the importance of recognising young people who may have a caring role (hidden carers) and assessing and communicating effectively in order that their needs are recognised and addressed/met.
NHS Lanarkshire Carers Information Strategy
•Equality & Diversity
Update on BBV Support worker Additional funding secured to provide bi lingual Support worker (English & Urdu) for carers affected by Blood borne Virus i.e. this can be their own health condition or they care for someone with BBV. Carers affected by BBV, high prevalence in South Asian communities therefore need for bi lingual workerCurrently recruiting for this postMain remit:Engage with BME communitiesActively encourage people to be screenedInform people of the high risks involvedProvide one to one supportInformation – translated where requiredForm fillingAccess to servicesAccess to grants/benefitsWritten/oral translations in Urdu, Punjabi, & EnglishBME Carer support worker postBi –lingual post as majority of known BME carers are from Pakistan or India. Full time post since Aug 09.ProvidesIdentify BME carers, One to one support, facilitates International women’s Group, Information, Access to services, training, translated material where required, etc. Access to and involvement in planning suitable Centre servicesAddress cultural and language barriers
Carer Review with BME carers
Carer Review – 21 BME participants21 agreed contact with Centre had helped them take more control. 95% accredited information; 48% accredited training and 81% said because they were helped to access services21 agreed that contact with Centre had helped them take care of their own health & wellbeing:57% accredited training; 57% said they were less stressed; 63% benefitted from the pampering and 90% felt better because they had opportunity to get together with other BME carers21 agreed contact with the Centre helped them feel less alone:76% said this was because they had someone to talk to; 81% benefitted from a BME and a local CSW and 38% enjoyed the social activities and opportunities21 agreed contact with the Centre helped them to carry on with caring role:71% said they felt a relief from isolation; 76% had made new friends; 71% had enjoyed the social events and 76% said they felt better able to carry on because they knew information and support was always available from the Centre.
NHS Lanarkshire Carers Information Strategy
NHS Lanarkshire Carer Information Strategy
Contact Information
Hairmyres Hospital Elaine Harrow 01355 585522
Monklands District General HospitalLesley Callan 01236 712566
Wishaw General HospitalElizabeth MacDonald 01698 366118
North Lanarkshire Carers TogetherMarion McParland, Agnes Hadden, Pauline McIntosh 01698 404055
South Lanarkshire Carers NetworkLinda Craig 01698 285163
CO ORDINATOR FOR CARERSACUTE
1 Co ordinator for each Hospital
Elaine Harrow – Hairmyres HospitalLesley Callan – Monklands Hospital
Elizabeth McDonald – Wishaw General Hospital
Post began May 2008
A Two Person Journey
ADMISSION TREATMENT DISCHARGE
CARERS RECOGNISED ASCARERS RECOGNISED AS‘KEY PARTNERS’‘KEY PARTNERS’
IN THE PROVISON OF CAREIN THE PROVISON OF CARE
ADMISSION
A & E / Acute Admission Wards
Carer information Section – Admission Form
6 month - Hospital case note review
Hospital Wards and Departments • Networked into all wards and Departments
• Established how aware staff are of the• ‘Key Partners’ in Care approach
• Continually raise awareness amongst NHS staff of Carers/Carers issues
• Developed an awareness raising programme
Awareness Raising Programme
• CARERS RECOGNISED AS CARERS RECOGNISED AS ‘‘KEY PARTNERS’KEY PARTNERS’ IN THE PROVISON OF CAREIN THE PROVISON OF CARE
• COMMUNICATION & LISTENING SKILLSCOMMUNICATION & LISTENING SKILLS
• PROMOTE THE NEED TO BE MORE PROMOTE THE NEED TO BE MORE SUPPORTIVE AND PROVIDE SUPPORTIVE AND PROVIDE INFORMATION.INFORMATION.
• IMPROVE KNOWLEDGE AND ABILTY TO SIGN POST CARERS TO IMPROVE KNOWLEDGE AND ABILTY TO SIGN POST CARERS TO CARER SUPPORTS CARER SUPPORTS
• DISTRIBUTE HOME FROM HOSPITAL PACKS TO CARERSDISTRIBUTE HOME FROM HOSPITAL PACKS TO CARERS
• IDENTIFY HIDDEN CARERSIDENTIFY HIDDEN CARERS
• ENSURING CARERS RECEIVE CONDITION SPECIFIC ENSURING CARERS RECEIVE CONDITION SPECIFIC INFORMATIONINFORMATION
HIDDEN CARERS
IDENTIFY ‘HIDDEN CARERSIDENTIFY ‘HIDDEN CARERS’’
A CARER WHO DOES NOT RECOGNISE A CARER WHO DOES NOT RECOGNISE THEMSELVES AS A CARER THEMSELVES AS A CARER
IF HIDDEN CARERS DO NOT IF HIDDEN CARERS DO NOT RECOGNISE THEMSELVES AND RECOGNISE THEMSELVES AND
PROFESSIONALS DO NOT RECOGNISE PROFESSIONALS DO NOT RECOGNISE THEMTHEM
THEY CAN’T BE SUPPORTED OR THEY CAN’T BE SUPPORTED OR SIGN POSTEDSIGN POSTED
HOME FROM HOSITAL PACKSUPPORTED PACK FOR CARERS
Section 1 – Before leaving Hospital – Discharge Planning
Section 2 – After Leaving Hospital – Services in the Community
Section 3 – Finances – Costs and Benefits
Section 4 – Your Rights as a Carer
Section 5 – Useful Contacts
Monitoring and evaluation programme implemented
6 month audit – Benefit of packs- via follow up phone calls
DISCHARGE PLANNING
• Review hospital admission and discharge procedures to ensure carers needs are addressed.
Co ordinator for Carer member of sub -group addressing these issues.
• Close liaison with Discharge team
• Attend multidisciplinary meetings in wards: Liaison with consultants, nurses, OT, Physiotherapist, Social Workers.
• Support Carers at hospital Case Conferences
ROBUST REFERRAL SYSTEM
• Photographic Service information cards and referrals forms in all wards and Departments.
• Carer specific information boards at entrance of all 3 hospitals.
• Regular display information stands for professionals and Carers in hospitals and primary care sites.
• Development of link nurses in wards and departments
ROLE OF THE CO ORDINATOR FOR CARER ACUTE HOSPITALS
ASSESS AND MEET THE INDIVIDUAL
NEEDS OF FAMILY, FRIENDS AND CARERS WHILETHE PATIENT IS IN
HOSPITAL
ENSURE FAMILY FRIENDS AND CARERS HAVE NECESSARY SKILLS
BEFORE DISCHARGE THROUGH EDUCATION
AND TRAINING
INVOLVE FAMILY FRIENDS AND CARERS
IN PLANNING PATIENT CARE
AND DISCHARGE
EXPLAIN THE ROLEOF THE STAFF INVOLVED
IN THE CAREPROCESS
HIGHLIGHT AND SIGN POSTCARER ORGANISATIONS
IN THE COMMUNITY
FOLLOW UP CALLTO HOME
FOLLOWING DISCHARGE
Hospital Referrals from all 3 sites April 09 - December 09
TOTAL 647
8170
80 8090
76 75
45 50
0
20
40
60
80
100
Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09
Referrals to Carer Support Agencies from all 3 sitesApril 09 - December 09
TOTAL 330
3539
3237
46
32 32
4136
0
10
20
30
40
50
Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09
Referrals to other Services from all 3 sites April 09 - Decemeber 09
14
30
58
0
10
20
30
40
50
60
70
Primary Care Trust Social Work Dept Pension Service
Follow up Phone calls
April 09 – Dec 09 - 448 Follow up calls
6 months data collection.
Outcomes:
Carer Support Agencies referrals Social work referrals The Pension service referrals GP register Carers assessment Home from Hospital packs Discharge plan
Carer Support team Information EventFriday 4th December 2009
Alona Hotel ,Strathclyde Park
25 – SERVICES / AGENCIES PARTICIPATED IN THE EVENT107 - PEOPLE REGISTERED AT THE EVENT:
72 PROFESSIONAL35 CARERS
25 Referrals 497 Enquires
Power Point PresentationCarers Health Issue Play DVD
Carers Story Board
FUTURE GOALS
Review of carer education and training by professionals in acute setting.
Exploring ways of improving identification young carers in acute setting.
Improve Carer Information within Admission forms
THANK YOU FOR YOUR ATTENTION
• Questions