Joint Surrey Carers Commissioning Strategy for 2012/3 to 2014/5 Key Priorities for Surrey Multi Agency Delivery Plan - May 2012

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1 Joint Surrey Carers Commissioning Strategy for 2012/3 to 2014/5 Key Priorities for Surrey Multi Agency Delivery Plan - May 2012 Note this Delivery Plan will be updated & republished 3 times a year throughout the life of the strategy OBJECTIVE CURRENT POSITION (include evidence & available data) ACTIONS (by whom and when) 1. Information Provision of accessible information to carers through comprehensive and widely distributed information packs available to carers of all ages and all client groups SCC Adult Social care produced a carers information pack which is widely distributed. This is supported by local Borough /District Council area information sheets listing locally available support for carers New SABP carers information pack launched December 2011 The SCC Carers pack in printed folder is to be adapted to become a joint SCC/ NHS resource. To be available by Autumn 2012 Work is being undertaken with Acute Trusts to produce a range of sheets for acute trusts SCC Children s Service are planning to produce a new information pack for parent carers Use of young carers resource packs for staff in senior and primary schools Use of this is promoted by young carers Education Advisers in schools - using materials developed by them with regard to national best practice. An audit concerning recognition of young carers in schools has been undertaken by Children s Service Follow through actions from Audit by July

2 Provision of a comprehensive range of on line information through partner s websites ACS Carers website is being redesigned and Carersnet refocused to be a resource for specialist audio, film and E learning resources that add value to other partner sites Young carers website being further expanded to enable young carer feedback Re launch of carersnet and ACS website date to be agreed Promote use of NHS Choices including Carers Direct being used to improve information and support for carers Advertised through local carer information packs and through links on partner agencies websites Acute Trusts have added details to hospital websites Information through disease specific organisations Macmillan cancer support have a range of leaflets for carers and young carers and have been working on improving information dissemination to this group of carers, including joint work locally Work with disease specific organisations To identify the materials/ support they offer to carers and help improve the availability of information they are able to give to carers - During 2012/13 Implement a new Carer Aware E- learning course and develop a Young Carer Aware course Carer Aware launched October 2011 Include in training and development policies of partner agencies. Development of YC version commenced and will be ready for launch by June Improve support for Carers of ex service personnel Issue raised by the NHS Operating Framework 2012/13 Raise awareness of support available to these carers through carers support organisations and the new Military Forum - 2 -

3 2. Care Pathways and Assessment Ensure that Care pathways are codesigned and include appropriate references to carers and triggers to carers assessments Promote best practice including whole family working in undertaking carers assessments and supporting carer s health needs Ensuring Self Directed Support and personalisation mechanisms help improve support to carers An audit of health care Pathways is being undertaken to ensure that carers needs and triggers to carers assessments are clearly identified and the need for carers to be given appropriate information is consistently offered (including sign posting). Adult Social Care have a development programme supported by a Carers Practice Development Manager Surrey and Borders Partnership Trust have an action plan for improving performance and this undertaking carers assessments in Mental health - monitored by a Carers Action Group Appointment of 12 additional Assistant Practitioner (Carers) posts, one for each locality team plus Transition Team, with specific brief to be focus for professional best practice for carers assessments and point of contact for carers and external professionals in each team The posts will help support carers of individuals who have mental health needs and are supported by primary health and/or the IAPT service. Carers Assessments are embedded in new Adult Social Care Assessment arrangements Develop a generic Carers Pathway for Health by July This will sit within a new resource tool to provide guidance to health staff working with carers. Develop training materials to support the Carers Pathway (July 2012). Action to promote joint working between ASC Locality Teams and Carers Support organisations A Carer Practice and Performance Group will be convened to include stakeholders from voluntary carer organisations to monitor progress of Adult Social Care performance. Progress in improving performance is also being monitored by an SCC Adult Social Care Select Committee Transformation team undertaking undertaken an evaluation using a model developed by In Control Work to ensure ADASS recommendations re young carers and

4 personalisation are implemented Support the independence and peace of mind of carers through services to back them up -- including a Carer Registration process for emergency support service and a Carer Emergency Card At the end of June carers were registered on the scheme. Consider any issues arising from the carers health survey Plan publicity drive to increase awareness of the benefits of carer registration i Ensure support for family units protects young carers from having unreasonable levels of caring responsibilities Delivered through a Multi Agency Young Carers Strategy and action plan See Young Carers Strategy Action Plan New Assistant Practitioner carers Posts will promote awareness of Yong carers within Social Care Teams 3. Providing a break (Including leisure and opportunities to socialise) Increase use of Carers Services such as Carer Personal budgets to provide flexible breaks and leisure opportunities for carers Early intervention and prevention scheme for use of Carers Support payments was trialled from November 2011 for support to carers of adults and young carers (funded by Adult Social Care) Early intervention and prevention scheme for use of Carers Support payments has continued from April 2012 as an ongoing service Implement new breaks services to promote carers health, implementing Surrey s share of the new funding for Carer Breaks ( 1.9 Million of Surrey) entailing a GP Breaks services ( 1.3M), Breaks for carers in End of life situations ( 300k) and additional A system for GP referral for Carers Direct Payments. developed by NHS Surrey in partnership with SCC, Action for Carers (Surrey) and Surrey Independent Living Council commenced December By 31 March 89% of surgeries had signed up to the Evaluation of GP Breaks Pilot after six months (for Dec 2011 May 2012) Pursue commitment of CCGs to ongoing funding for this after April13

5 community based breaks services ( 300k) scheme and 550 payments had been made. Support for carers with breaks during End of Life Care situations Surrey wide service commenced rolled out Oct 2011 Full implementation Surrey wide in place from April 2012 Support carers with flexible breaks provided through a range of voluntary and independent organisations One year Contract for flexible home based breaks in place with Surrey Crossroads Leisure services for people with a Learning Disability enable carers to have time to themselves A range of independent Carers Support organisations provide time out from caring activities Renew Contract for flexible home based breaks Consider any issues arising from the carers health survey Provide breaks to Parent Carers in the planning of the use of new Government funding to local authorities in 2011/12 and 2014/15 for breaks for parent carers Explore Opportunities for use of District and Borough councils leisure services to support carers (including the possibility of concessionary fees) Surrey Short Breaks for Disabled Children (previously known as Aiming High for Disabled Children Surrey) funds voluntary organisations and SEN Schools to provide short break services to families of disabled children. Organisations across Surrey including Disability Challengers, Barnardos and Redhill and Reigate YMCA provide services ranging from afterschool clubs to holiday schemes, domiciliary care and more. These services can either be accessed directly by families or in some cases, through a social worker. Guildford Spectrum currently offer discounts to carers Implementation of Parent Carer short breaks via CAF process Approach the District and Borough Surrey Officers Group about opportunities for closer working around delivery of the strategy - 5 -

6 4. Emotional support Support a comprehensive network of independently managed carers support schemes covering all parts of Surrey to promote carers health and wellbeing and provide information, advice, emotional support and advocacy Re commissioned from April 2012 through a Carers Strategic Grants Programme Ongoing monitoring of outcomes for carers achieved including scrutiny by the Adult Social Care Select Committee. Support a Surrey-wide independent mental health carers support to provide information, advice, emotional support and advocacy Re commissioned from April 2012 through a Carers Strategic Grants Programme Ongoing monitoring of outcomes for carers achieved including scrutiny by the Adult Social Care Select Committee. Provision of Young Carers support through independent young carers services in all parts of Surrey, underpinned by an inter-agency Young Carers Strategy To be re commissioned from April 2012 through a carers Strategic Grants Programme Work supported through a Multi Agency Young Carers Strategy Ongoing monitoring of outcomes for carers achieved including scrutiny by the Adult Social Care Select Committee. Support for carers of children with Special Educational needs and/or disabilities through Partnership with Parents Consider findings of Carers Health Survey in relation to carers views about the need for counselling services Partnership with Parents provide information, advice and support to parents of children with SEN at all stages of their child's school life, from preschool through to school-leaving at 16 or 19 and for those with learning difficulties and/or disabilities to 25. In this way we support parents to play an informed part in any decisions about their child s educational provision. Survey published February Actions in response to Survey are woven in to the action plan throughout Programme work with Partnership with carers during 2012 More detailed work to establish type(s) of counselling carers want and different ways this provision may be addressed

7 5. Carers health Take forward issues relating to carers in the NHS Operating Framework The NHS Operating Framework 2012/13 includes new requirement for joint agreement on Carers funding including for breaks Joint agreement between Health and social care commissioners about funding for support to carers needs to be achieved and published by September 2012 (in form of a Section 256 agreement) To respond to findings of a Surrey Carers Health Survey 2011 (Survey of 1938 carers) Draft Survey findings considered by Carers Commissioning Group Jan 2012 Conclusions to be woven into this action plan and used to update the Surrey JSNA chapter on carers Improved GP registration of carers through the GP Carers Recognition service including promotion the GP Self Assessment Toolkit and GP Training (Royal College of General Practitioners) - also allow for the early identification of young carers within a primary care setting. To be re commissioned from April 2012 through a Carers Strategic Grants Programme Dept of Health funding to develop GP training given to RCGP to deliver national programme Action for Carers (Surrey) working with Carers UK and Carers Trust national initiatives to promote carer registration with GPs Promote and raise awareness of Surrey GP Carers Information Website and E learning packages Link national GP training to local initiatives Seek CCG representation on Carers Commissioning Group Continue provision of a Surrey-wide Back Care service for carers through independent provision. Re commissioned from April 2012 through a Carers Strategic Grants Programme Explore opportunities for Multi Agency working to increase understanding of importance of maintaining back care health - 7 -

8 Improve responses to carers needs within Hospital Discharge procedures through the Carers and NHS providers group Continuing to work with Acute Trusts on support for carers during Hospital Discharge by providing them with information, staff training and support. Develop an exit survey for carers on Hospital Discharge experience to be implemented Carers week Follow through New Approaches recommendations with NHS providers Ensure carers assessments are offered in continuing care cases in order to help inform the continuing care process and identify whether carers services are also appropriate Carers report inconsistent practice Where NHS Continuing Health Care/Intermediate Care applies a more joined up approach to service delivery is required. Review referral protocols where NHS Continuing Healthcare/Intermediate care are applicable in line with Department of Health -Discharge from Hospital regulations 2003 and Intermediate Care guidance (Halfway Home 2009) and ensure children who have young caring responsibilities are included. Health and social care service plans for children s services recognise the need to support young carers Parents of disabled children with complex health needs also need recognition of their own needs and support The Surrey JSNA underpins the development of all commissioning plans. The JSNA now includes a chapter on Young Carers Reduce impact of caring on young carers health Young Carers Health Survey is being developed for use summer 2012 Develop action plan based on findings of survey - 8 -

9 PCT support for carers having routine operations by providing replacement care (NHS Operating Framework) Carers report this is still not offered routinely Ensure offer of adequate and timely alternate care for when carer needs hospital stay ( distinct from a Carer break is achieved for carers Monitoring Health outcomes Develop a toolkit for assessing impacts for carers Flu Jabs Carers in Surrey who live with the person they care for are eligible for a seasonal flu vaccination as outlined in the national policy. Confirm eligibility and consider expansion to cover all carers Health Checks Improve carer awareness amongst NHS Providers A Carers Health Checks pilot has been undertaken in Woking and a bid made for funding to roll this out across Surrey. A providers network for Acute and Community Trusts has been established Extend approach to include further work with Dentistry, Pharmacy etc. 6. Having a Voice To enable carers in Surrey to have a voice, to have opportunities to give their views on service or strategic changes and to get feedback To be re commissioned from April 2012 through a Carers Strategic Grants Programme Continue development of joint programme of carer engagement events Encourage carer involvement in all operational and strategic planning and enable carers via Carer Ambassador programme to play increased role - 9 -

10 To ensure the needs of black and minority ethnic carers are addressed through out the strategy and action plan There is a specialist BME carers Support worker in Woking. The Carers Funding Prospectus used to invite funding bids asked all bidders to say how BME carers would be identified and supported. Improvement in this area to be addressed through the Carers Review 2012 Consider facilitation of best practice by range of providers in Surrey To ensure the needs of other hard to reach groups including rural carers and carers of ex military are addressed through out the strategy and action plan The Carers Funding Prospectus used to invite funding bids asked all bidders to say how hard to reach groups of carers would be identified and supported. Increased funding from Carers Support Schemes will help address this objective Involve more carers from black and ethnic minorities and other marginalised groups in service planning and monitoring the effectiveness of services Ensuring Surrey County Council, NHS Surrey and local commissioning strategies have an appropriate focus on carers issues and are developed with regular and systematic consultation with carers and carers organisations Work tends to be centred around Woking where there is a specialist BME Carers worker The JSNA underpins the development of service strategies. Various key strategies include a key section on carers such as the Dementia Strategy Consideration to be given to how a more equitable, couty wide approach can be achieved as part of the Carers Review being undertaken in 2012 Undertake Audit of this as part of the Carers Review being undertaken in 2012 Ensuring that Surrey Health Watch has a clear focus on carers and promoting carers rights There is currently a carer representation on Surrey Link Work with Health Watch to be undertaken during 2012/13 to ensure continued carer representation and also joined up approach with Giving Carers a Voice work of Action for Carers (Surrey)

11 Training on carers issues routinely involving carer in line with the recommendations in the National Carers Strategy. Ensure all professionals working with carers in both statutory and voluntary agencies have access to and are encouraged to attend, appropriate training in carer awareness and carers rights, including young carers 7. A life outside of caring Carers are involved in delivery of Carer Awareness and carers Assessment training programmes Multi agency working group mapping existing provision and reviewing future requirements Continue to enable carers to contribute to care training programmes via Enabling Carers training programme and Carer Ambassador role develop work of carer trainers group Implement any changes to current training programmes recommended by working group and consider how any gaps identified may be addressed Improve support to carers in relation to training and work through provision of an independent Carers and Employment service, carers assessments and promotion of carer friendly employment practice. This will include work with employers, Job Centre Plus and training organisations and use of materials produced by Employers for Carers and ADASS. Develop Carers App as an additional method of information provision Promoting the availability of specialist child care support for working parent carers and proving parents with information about the availability of this All childcare providers must provide services to all children equally and make 'reasonable adjustments' to include children with disabilities (see link)

12 Promoting equal opportunities for carers and a right to a life beyond caring, respecting diversity and different cultures and values including through promotion effective implementation for carers of the Equalities Act SCC and Action for Carers (Surrey) have joined Employers for Carers Follow up use of Employers for Carers materials in local work with employers Develop an App as a means of providing information for carers and seek assistance of Surrey Employers in highlighting this to their employees Improve the availability of benefits advice to carers A carers and Welfare benefits guide is published annually From 1 April 2012, to provide benefits advice to individual Surrey carers in cases referred by carers support organisations which will include complex cases that may be beyond the scope and competence of local advice organisations Ongoing monitoring of outcomes for carers achieved including scrutiny by the Adult Social Care Select Committee. Identify how new the new Public Sector Equality Duty can support increased recognition of carers Public Authorities covered by this provision were required to publish Equalities objectives by 6 April SCC Fairness and Respect strategy includes a priority to Support carers to balance their caring role and maintain their independence and quality of life 8. Suggestions from Carers (for consideration through Strategy) Consider how former carers might be better supported Former carers are able to access some support through independent carers organisations Carers Commissioning Group to consider how to take forward Carers and Complaints (ensuring carers are heard in their own right) Carers have expressed concern that sometimes in NHS services confidentiality is used as a reason to prevent carers complaining Carers Commissioning Group to consider how to take forward

13 Improve response to carers in A&E Give further consideration to how the needs of older carers are supported The Health Carers Pathway will address this issue but this is likely to require follow up action The issue has been profiled by the Valuing People Partnership Board Carers Commissioning Group to consider how to take forward Carers Commissioning Group to consider how to take forward

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