Manchester Carers Strategy

Transcription

1 Manchester Carers Strategy Consultation Draft

2 Contents 1. Introduction 2. Strategic Context 2.1 National Strategic Context 2.2 Manchester Context 3. Our Priorities and future Commissioning intentions 4. Strategic analysis to support our priorities 5. Support available to carers 6. Governance Appendix 1: Action Plan Appendix 2: Carer support services in Manchester Appendix 3: Manchester G.P. Toolkit for Carers Consultation Draft

3 1. Introduction Our vision is of Manchester as a world-class city as competitive as the best international cities: that stands out as enterprising, creative and industrious; with highly skilled and motivated people; with successful neighbourhoods whose prosperity is environmentally sustainable; where all our residents can meet their full potential, are valued and secure. This includes a city where all carers are recognised, supported and valued for the positive contribution that they make to our community. It also includes a city where integrated services underpin increased high self-esteem, and enable carers to reach their full educational and employment potential. This vision is connected through a set of principles including: Universal services that are responsive, efficiently provided, and reduce the need for targeted services; Better timed and coordinated delivery of targeted services that deliver excellent outcomes, increase independence, and therefore release additional resources for investment in early intervention and other universal services; Early intervention and prevention services not only provide a safety net, but also help people to maintain their independence; A neighbourhood focus that drives a model for integrated neighbourhood delivery supported by greater cross public, voluntary and community sector cooperation and joint working. Carers make an enormous contribution and improve the quality of life for many Manchester citizens, providing essential care and support for relatives, friends and neighbours. However, carers contribution to city life can at times go unrecognised, even by carers themselves who may not see themselves as a carer. Who are carers? A carer is somebody who provides unpaid regular and substantial support for a relative, friend or neighbour, who is ill, frail, disabled or misuses substances. It includes parent carers of disabled children and young carers, defined as children and young persons under the age of 18, whose caring role may involve them taking on a level of responsibility that is inappropriate to their age or development (Princess Royal Trust for Carers, 2006). 3

4 It is estimated that over 42,000 Manchester residents are adult carers 1. Research in 2010 by Morris Hargreaves McInytre Everyone should learn about young carers found that 18% of young people in Manchester had caring responsibilities. If the figure of 18% is used, then using census data of 93,704 young people aged between 5 and 19, this would give an estimated number of young carers of 16,866 city wide. However, only a small proportion of this cohort is in receipt of direct or indirect support from public services. This strategy sets out the framework for how Manchester City Council will support carers across all service areas from The involvement of a wide range of stakeholders, including voluntary and community sector representatives, Manchester City Council, Carers Care Managers, Health Care Managers and Children Services Commissioner s have helped develop the Strategy. The Strategy is based firmly on the findings of a comprehensive review of carer support in Manchester. Supporting carers to continue to undertake their caring roles is a key priority for Manchester City Council. A 2012 strategic refresh found that great steps had been made towards achieving the strategies aim of: Providing accessible, timely information to carers about their right to an assessment and details of available services to support them across the city. Developing joint carers breaks plan with NHS colleagues and bringing services for children and adults together. Improving the number and quality of carers assessments. Increasing recognition and support for carers to improve their health and well being. Recognising carers as partners in delivering care. Improving support for young carers. Working with carers to receive timely advice in order to maximize benefit entitlement and resolve debt or housing issues. Empowering carers to determine outcome priorities to maintain the caring role, preventing carer breakdown Census for England and Wales 4

5 2. Strategic Context 2.1 National Strategic Context This strategy has been informed and influenced by a number of recent and historical documents and strategies, these include: o The 2010 national Carers Strategy, Recognised, Valued and Supported: Next steps for the Carers Strategy which sets out how the Government will work with carers and carer organisations. The document recognises and values the contribution carers make and highlights a number of key challenges that carers are likely to face in their caring role. These include issues such as employment, support and respite. The priority areas in Recognised, Valued and Supported: Next steps for the Carers Strategy have been adopted in the development of the draft Manchester s Carers Strategy o The Carers at the heart of 21st-century Families and Communities (HM Government, 2008) sets out the following strategic vision and outcomes for carers, both of which have influenced the Manchester Carers Strategy: Vision: Carers will be universally recognised and valued as being fundamental to strong families and stable communities. Support will be tailored to meet individuals needs, enabling carers to maintain a balance between their caring responsibilities and a life outside caring, while enabling the person they support to be a full and equal citizen. Outcomes: Carers will be respected as expert care partners and will have access to the integrated and personalised services they need to support them in their caring role; Carers will be able to have a life of their own alongside their caring role; Carers will be supported so that they are not forced into financial hardship by their caring role; Carers will be supported to stay mentally and physically well and treated with dignity; Children and young people will be protected from inappropriate caring and have the support they need to learn, develop and thrive and to enjoy positive childhoods. 5

6 The most important national consideration for this strategy is the Care Act which came into effect in April The Act introduces a new legal framework for the provision of care and support services and its over-arching principle is to place a duty on local authorities to ensure the wellbeing of its residents, with specific reference to carers. This strategy will look to meet the general duties of the Care Act throughout (see section 3 Our Strategic Priorities for more detail). The Children and Families Bill became law 2014 and includes the needs of the whole family to be considered when a child is identified as a young carer, and young carers are given the same legal entitlement to an assessment and support from local authorities as adult carers. In May 2013, The Children s Society launched the findings from their longitudinal study into young carers, Hidden from View that analysed data from a government study of 15,000 young people, aged 13 and 14, over a seven-year period, from Of the 15,427 young people who completed the first wave, 689 (4.4%) identified themselves as young carers. The report concluded that despite improved awareness of the needs of young carers, there is no strong evidence that young carers are any more likely than their peers to come into contact with support agencies. This conclusion has informed this strategies approach to young carers in Manchester. (A summary of the Hidden from View findings can be found under section 5: Strategic Analysis) 2.2 Manchester Context This Carers Strategy supports the vision, aims and objectives of a number of high-level local partnerships, strategies and blueprints. These include: o The refreshed Manchester Community Strategy which provides a contemporary framework for future investment priorities and sets out how Manchester will achieve its vision to be world class city as competitive as the best international cities. The strategy includes actions that will benefit everyone who lives in, studies in, works in and enjoys Manchester. It will improve Manchester s economic, social and environmental foundations. 6

7 The three strategic spines of Manchester s Community Strategy are: The first of the three spines focuses on supporting residents to achieve their full potential, the second spine indicates the importance of creating sustainable communities and the third spine characterises the significance of raising peoples ambition, self esteem, and aspirations. The ambitions and priorities articulated in this draft Carers Strategy support all three of these strategic areas. Manchester s strategic objectives are described in Manchester City Council s Corporate Plan. The vision for Manchester is to be a world-class city, providing better opportunities for residents through building and sustaining economic growth, reducing dependency of complex families, and supporting public sector reform. This vision is underpinned by values of People, Pride and Place. The current economic climate has created a need for radical change in terms of how public sector services support residents. In Manchester, Public Service Reform goes beyond just 'how we deliver services', it involves reforming how residents receive services. This is achieved by promoting and enabling independence for residents. The overall aim is to improve the lives of Manchester residents and reduce dependency on services. The development of annual action plans will ensure that the Carers Strategy continues to reflect and generate synergies with the latest public service reforms such as building in support for citizens who are affected by recent revisions within the National Assistance Regulations in June 2013 and most crucially, the Care Act

8 The Valuing Young Peoples Strategy targets support at the city's most vulnerable young people. The Valuing Young People strategy sets out the Council's vision to ensure every young person is able to participate, achieve and become economically independent, including the significant number of young carers in our city. Living Longer, Living Better (LLLB) is a health blueprint that sets out Manchester s plans for integrated health and social care will help residents live longer and live better. The Carers Strategy will help support the future integrated care arrangements which focus on ten thematic communities in Manchester. One thematic area directly relates to carers, but more widely the Carer s Strategy will support the LLLB objectives of integrated service delivery leading to improved outcomes for all citizens, including carers. The approach to meet the needs of carers will therefore cross cut across all of the priority thematic areas. The additional thematic areas related to the strategy are listed: o Adults and children living with long term conditions, illness, disease or disability and are unwell; o Older people living with dementia and/or are frail elderly, Adults with chaotic lifestyles such as the homeless, people with long-term mental health problems, people with addictions or those in troubled families; o Children and adults with long-term chronic conditions, illness or significant disabilities but who are generally functioning well; o Adults and children who are carers o Older people over 75 who are well. The Manchester Children s Board endorsed Manchester s Early Help Strategy in November 2013; it is a key element in Manchester s overall vision to improve outcomes for children and young people. However effective early help can happen at any age (including adults) and requires agencies to act early, appropriately and assertively supported by a clear pathway to services and interventions. Universal settings, especially schools, colleges and youth services play an essential role in regards to identifying and protecting young carers. The Early Help Strategy will enable us to work more effectively with our universal services to ensure they are aware of the needs of young carers and where appropriate to instigate a Manchester Common Assessment Framework (MCAF), an assessment tool that builds the right package of support to prevent the escalation of problems. 8

9 In April 2013 the Department of Health said that School Nurses will play a bigger part in supporting young carers. They will take on a championing role for children and young people who care for others to make sure they get the right support. Young carers themselves will train school nurses so they know exactly what support to provide. The school nursing service will therefore become key players at a universal level and are best placed to work alongside school staff and other partners to ensure young carers needs are being addressed. 3. Our Strategic Priorities There have already been many positive developments in carer support services over the last eight years. These new priorities and commissioning intentions build on the work that has taken place and will lead to improvements in existing services. Our success in achieving these aims is dependent upon all agencies who work with carers adopting these aims and their associated actions. These priority areas are identified in Recognised, Valued and Supported: Next steps for the Carers Strategy and are supported as need areas by the analysis underneath in section 4. Importantly, they also look to meet the relevant general duties of the Care Act 2014 which are: o Promote individual wellbeing; o Provide information and guidance; o Prevent and postpone needs for care and support; o Promote integration of health and social care services to meet needs; o Promote diversity and quality in provision of services. The priorities in this document will be adopted by Manchester City Council and Manchester Clinical Commissioning Groups to ensure that carers are supported. Carers funding will be used to address these priorities based on the consultations undertaken. Priority areas: 3.1. Supporting those with caring responsibilities to identify themselves as carers at an early stage, recognising their value and involving them from the outset in designing local care provision and planning care packages. o The vast majority of carers in Manchester remain unidentified. They play a hidden support role for the residents of our city and we will continue to work in partnership to identify at an early stage, those with caring responsibilities. 9

10 o Manchester Mental Health and Social Care Trust (MHSCT), Manchester City Council (MCC), Manchester Clinical Commissioning Groups (CCGs) and the Voluntary and Community sector will work in partnership to ensure that up to date, accurate information is provided to carers in suitable and accessible formats. o MCC the CCG s and all partners will continue to develop mechanisms to allow for more direct communications with carers and for capturing their experience. o All front line staff in contact with citizens and their carers will continue to be trained to enable them to better engage and support families as well as promoting carer awareness and an understanding of the issues that carers face. o Work with providers who have historically delivered adult carer services to identify young carers and develop appropriate services Future Commissioning. We will: o Commission services that not only support carers but who proactively identify carers; o Use the findings from Hidden from View and commission services that raise awareness of young carers and young adult carers, particularly in school settings (utilising School Nurses) o Ensure commissioning specifications, where appropriate, look to support under- 8 s and are not age specific, aligning our young carer and adult carer approach. o Host an annual Carers event (during Carers Week) to both help identify new carers and support existing carers. 3.2 We will raise the awareness of the role, needs and circumstances of young carers amongst all agencies and professionals who work with children and young people to ensure they reach their full potential. Engagement with a range of providers to identify and promote educational, employment and training opportunities that are accessible to all carers. 10

11 Ensuring carers are given up to date benefit advice and information to ensure that they are claiming the maximum benefits for them and the person they care for through the provision of information in the Carers Information Booklet, raising awareness amongst assessors and ensuring that commissioned services are providing this advice. In addition to benefits advice, carers will be able to access targeted, fast tracked debt management and housing advice from commissioned specialist advice services. Ensuring that Managers within MCC, MHSCT and the CCGs are encouraged to respond positively to approaches by carers who work for their organisations, requesting support, utilising policies such as flexible working, special leave etc. Future Commissioning We will: o Commission a wider range of proactive services that support carers to achieve their full potential in education and employment; o Commission services that encourage and support ALL carers, but particularly young carers, to attend school or college at all times to enable them to achieve appropriate qualifications and achieve their full potential. 3.3 Personalised support both for carers and those they support, enabling them to have a family and community life Carers will be informed of their rights, through the Care Act, to a separate assessment of their needs. All young carers will be offered an assessment using the Manchester Common Assessment Framework (MCAF). Within Manchester City Council we will continue to employ specialist workers (Carers Care Managers) to carry out carers assessments. They will also provide support and advice to other members of staff undertaking carers assessments to ensure consistency of approach, for example integrated Health and Social Care Teams. The assessment for the cared for person will include consideration of respite care to allow the carer to access breaks. Manchester City Council and MHSCT will continue to provide training regarding carers assessments for all relevant staff and to promote carers assessments to all carers via a wide range of events and information materials. 11

12 Engagement with carers through events such as that held during Carers Week and regular surveys will continue to ensure their needs are taken into account. Joint working with other local authorities in the North West to pool the results of our individual surveys and exploring the potential to joint commissioning opportunities across the region. Work with relevant health services and in particular Living Longer, Living Better to develop new delivery models of support for carers Further develop and provide support for a Carers Forum, Young Carers Forum and Carers Partnership. Manchester City Council will endeavor to increase the number of citizens identified as a carer and support them to access the services which achieve their agreed outcomes in terms of improving their health and wellbeing while sustaining their role. Manchester City Council will look to reduce the Carers IB of those with lower levels of need and signpost these carers to appropriate commissioned services. Manchester City Council will seek alternative funding arrangements for Carers IB s through joint working with Clinical Commissioning Groups. Future Commissioning We will: o Ensure future support meets new guidelines laid out in the Care Act; o Refocus our resources to ensure Carer Individual Budgets (IB s) go to those most in need. o Reduce the reliance on an annual, one off payment and ensure we promote the use of dedicated, commissioned support; o Commission a support programme for Young Carers to ensure their caring responsibilities decrease as they reach adulthood. 12

13 3.4 Supporting carers to remain mentally and physically well. As an identified priority group in Living Longer, Living Better this strategy will work closely with the health blueprint to ensure all carers remain physically and mentally well. General Practices (G.P s) will be proactively encouraged to have a protocol for the identification of carers and a mechanism for the referral of carers for universal and social care services. For the past two years of the Quality & Outcomes Framework (QOF), the NHS in agreement with the QOF Steering Group and Manchester Local Medical Committee, expanded the requirements which practices had to meet to be eligible to achieve this indicator and asked that they adopt the Manchester City Council s Carers Toolkit for GPs (see annex 3) The Clinical Commission Groups will continue the process of Community Engagement to ensure that carers have an opportunity to influence commissioning. Work will continue with the Hospital Acute Trusts, carried out by carers care managers, to improve the identification of carers within acute settings and to ensure that they receive signposting and support whilst the cared for person is in hospital and upon discharge. This will build upon existing work within North Manchester General, Central Manchester Foundation Trust and the South Manchester University Hospital Trust. All commissioning and service provision will be undertaken with regard to ensuring the safety of vulnerable adults and children. Many of the Voluntary and Community sector providers of carers services already provide a high level of emotional support to carers through one-to-one sessions and support groups. We will continue to invest in these services to support carers to remain mentally well, particularly those carers most at risk of adverse affects on their health and well being. Future Commissioning We will: o Use our needs analysis to ensure our commissioned services meet the needs of both the cared for as well as the carer and do not treat either in isolation; o Seek a bi-lateral, multi-agency approach to commissioning of carer activity via financial support from NHS Clinical Commissioning Groups. 13

14 o Work with Public Health Manchester to review, re-negotiate and re-model Manchester's School Nursing Service for implementation from the 1st September The new service specification includes details of how this universal service will identify young carers and support their health needs. o In the event of the death of the person cared for, carers will be supported to continue to access carer support services. o Support the take up of Assistive Technology to support carer s in sustaining their caring role. 4. Strategic Analysis The Carers Strategy has four strategic aims articulated under section 5 (below). The analysis looks to evidence why the strategic aims are important areas for carers. It is estimated that there are over 6 million carers in the UK, which saves the economy 87 billion per year. In Manchester, It is estimated that over 42,000 residents are adult carers with an estimated number of young carers of 16,866. However, only a small proportion of this cohort is in receipt of direct or indirect support from public services. Manchester, therefore, has made a concerted effort over the last five years to support those with caring responsibilities to identify themselves as carers at the earliest possible stage. This approach has seen a huge rise in the period between 2008 to 2013 of 123% in the number of carers being offered a carers assessment (see table 1 & graph 1). Table 1: Number of carers offered a carers assessment- 5 Year Trend (MiCare & Amigos) Year 2008/ / / / /13 increase 2008/2013 Number of carers (123.7%) 14

15 Graph 1: Number Of Carers offered a carers assessment Number / / / / /13 Year The number of carers offered a carer s assessment by Manchester City Council has risen by over 120% over the 5 years between 2008 and However, this equates to around 7% of Manchester s estimated 78,866 adult and young carers. This Strategy challenges all stakeholders to identify how currently unidentified carers can be best supported in the future, to continue to care for loved ones, enabling carers to access timely support and prevent either themselves or the person they are caring reaching crisis. This challenge will require a system wide approach to better targeted use of scarce resources, and increased innovation as the numbers of carers continue to rise. As the number of carers increase we will need a radical new approach to the awarding of a Carers Individual Budget, ensuring those most in need receive one and that others are redirected to appropriate commissioned services. Carers Assessments / Reassessments 2012/13 Person cared for by Carer Table 2: Number of carers for whom assessments or reassessments were completed or declined during the period 1 April March 2013, by age group of carer and age group and primary client type of the person cared for by the carer (MiCare & Amigos) Age Aged Aged 65+ Total Physical disability (59.5%) Mental health (28.3%) Learning disability (10.6%) Substance misuse (2%) Total

16 Of the carers known to Manchester, 60% are caring for someone with a physical disability, as table 2 demonstrates. This in turn puts additional physical demands on the carer through the support they provide, especially as a large proportion of those carers are over 65 years of age. Caring for someone with mental health needs is also a significant pressure, with 28% of carers looking after someone with an identified need Table 3: Number of carers offered a carers assessment during the year (MiCare & Amigos) Age Band Under & over Total % 0.7% 2.6% 6.6% 12.5% 24.5% 24.1% 16.0% 10.4% 2.6% Grand total As we might expect the majority of carers in Manchester, over 75%, are over the age of 45. MCC will ensure a sufficient amount of our service provision is targeted at these age groups. It should also be noted that there is a proportion of carers who are young carers or young adult carers. This group can be particularly vulnerable (see below) and we must look, not only to support them, but to support them to stop being carers into adulthood. Economic Review The city has enormous potential to create jobs and economic wealth for the benefit of our residents and the wider sub-region. Central to improving our competitiveness is the need to improve our productivity and to increase the breadth and depth of our labour market, increasing the number of people in work (including the number of carers in work) and raising the employment of our citizens. This means a focus on carers contributing to, and benefiting from, economic success and a focus on our plans for reform across the whole spectrum of services in order to maintain carers in employment wherever possible in accordance with the requirements of the Care Act. Summary Finding from the Carers Survey 2013 City-wide consultation was undertaken with Carers in March Survey questionnaires were sent to 1401 carers, resulting in 521 replies (37.2%). Key outcomes reported include: 16

17 Early Identification, Early Intervention and Prevention Manchester carers reported that they were more satisfied with social services than the national average. However, Manchester carers reported a lower quality of life than national outcomes. Fulfilling Educational and Employment potential Over half, 58%, of carers surveyed spent more than 35 hours a week helping the person they cared for. Over a quarter, 28.5% of those surveyed spent more than 100 hours helping the person they cared for. With over half of carers doing the equivalent of a weeks work this strategy challenges stakeholders to support those with caring roles to achieve their aspirations in education, employment and community life. Personalised Support 73.7% of respondents felt they have as much control as they want over their daily life, or an adequate level of control. This compared to 76.1% of carers across England who felt they had as much control over their daily life as they want. 70.7% of Manchester carers reported they had 'always' or 'usually' felt involved or consulted in discussions about the support or services provided to the person they care for in the last 12 months. This compares to 72.9% across England. Whilst the majority of Manchester carers said they have a level of control over their daily life and the majority felt they were consulted, this still compares poorly to the rest of England. This strategy challenges professionals to make further progress and continue to consult with carers and to ensure they are personally involved in their care support. Health & Wellbeing o When asked Which of the following statements best describes how you spend your time? 16% replied I don't do anything I value or enjoy with my time o When asked Thinking about how much time you have to look after yourself in terms of getting enough sleep or eating well which statement best describes your present situation? 16.2% replied I feel I am neglecting myself 17

18 o Over half of carers felt they did not have enough social contact. When asked Thinking about how much social contact you ve had with people you like, which of the following statements best describes your social situation? 44.2% responded I have some social contact with people but not enough and 12.9% responded I have little social contact with people and feel socially isolated. Ensuring carers remain physically and mentally well is of paramount importance. The consultation demonstrates that a number of carers perform a care role that is extremely detrimental to their physical and mental health. This strategy will challenge stakeholders to commission and provide services that offer effective health and emotional support. Young Carers Young carers needs identified within the Children s Society Report Hidden from View (May 2013) report that many young carers remain hidden from official sight. This can happen for a host of reasons, including family loyalty, stigma, bullying or not knowing where to go for support. Some young carers are as young as five years old. As stated previously, the 2011 census estimated that Manchester has 12,000 young carers. Some of the Hidden from View key findings are: o One in 12 young carers is caring for more than 15 hours per week. Around one in 20 miss school because of their caring responsibilities. o Young carers are 1.5 times more likely than their peers to be from black, Asian or minority ethnic communities, and are twice as likely to not speak English as their first language. o Young carers are 1.5 times more likely than their peers to have a special educational need or disability. o Young carers have significantly lower educational attainment at GCSE level, the equivalent to nine grades lower overall than their peers e.g. the difference between nine B s and nine C s. o Young carers are more likely than the national average to be not in education, employment or training (NEET) between the ages of 16 and

19 This national research has been supplemented by a local, Manchester consultation which was completed in May The report represents research investigating the prevalence of unidentified caring in the North of Manchester. The findings reveal that national estimates fail to capture the scope of young caring. Gender, ethnicity and deprivation influence the likelihood of becoming a young carer in Manchester. Young carers felt positive about their caring role, but do experience some negative effects. They wanted practical support, which enables them to have time off with their friends. Some of the key findings are: o 10% of respondents to the schools survey have specific caring responsibilities for an adult, and a further 8% have additional responsibilities as a result of illness, disability or another condition within the household. o The problem of under reporting appears to be compounded by young people failing to recognise the term young carers or not identifying themselves as young carers, because of the negative associations the term carries. o Young carers are more likely to be female, and from BME background however, research suggests that BME families are more likely to experience deprivation and social isolation, and as such young carers may be more a consequence of these socio-economic factors, rather than cultural ones. o Young carers also reported a range of practical impacts on health, education and socialising, in particular being late for school, not being able to concentrate, feeling different from other young people and not having enough time to socialise. o Carers want practical help, but they do not want to stop caring. They do want to have time to themselves. They are less interested in emotional support; but this should not be completely disregarded as there is a risk that young carers may feel pressure to appear ok and not ask for emotional support. o Not all carers wanted help from their schools. However, this should not prevent schools from fostering a more open understanding atmosphere, where caring is discussed; o Practitioners believe there are significant levels of unmet need amongst young carers and they identify significant barriers to young carers accessing support services. o Young Carers barriers to accessing support services include issues about identification of the role and not wanting to be labelled; wanting time-out from being a young carer, rather than to be in a support group for this role; lack of parental support and practical issues. 19

20 5. Current Support available to carers MCC will continue to invest in the commissioning of services which support carers in sustaining their caring role, for 2015/16, these are detailed in annex 2. Our key drivers for the future include reducing demand for specialist and targeted services by focusing on early intervention and prevention and helping people to access universal services. We will do this whilst maintaining the council s ability to provide services where we have a statutory duty for vulnerable people, including carers. 6. Governance A Strategic Delivery Group is proposed (see action plan in annex 1) as a support structure to develop and inform the commissioning of carers services. MCC will continue to nurture and develop its partnership with the Community and Voluntary Sector in recognition of the added value it brings to the City in contributing to supporting carers in sustaining their caring role. 20

21 Acknowledgements References The strategy has been developed with carers and partners including: Manchester Carers Strategy Group (pre Sept 2013) Manchester Carers Forum Directorate of Children s and Commissioning Directorate for Adults, Health and Wellbeing Clinical Commissioning Groups Mental Health and Social Care Trust Carers Focus Groups in Carers Week 2012 & 2013 Public Health Manchester Living Longer, Living Better HM Government (2008) Carers at the heart of 21st-century families and communities: A caring system on your side, a life of your own Getting Upstream - Commissioning for Health, Well-being and Life Chances in Manchester Picture of Progress: Compendium of Statistics for Manchester h_unit/5 Manchester City Council Joint Strategic Needs Assessment: Manchester City Council Census Data State of the City: report_2011 The Directorate for Adults, Health & Wellbeing Business Plan business_plan_ Consultation Draft

22 Appendix 1. Action Plan. Description Timescales Produce Draft Carers Strategy July 2015 Consultation with partners completed October 2015 Consultation amendments incorporated November 2015 Final version completed December 2015 Strategy adopted January 2016 Strategic Delivery Group established April

23 Appendix 2 Service Afro Caribbean Mental Health Services (ACMHS) Admiral Nurses Moodswings Connect Support Central Connect Support South Connect Support - Severe MH Needs Description of Activity African Caribbean people suffering from mental ill health and their carers. Post Diagnostic Counseling for Carers and People with Dementia Emotional and practical support, to people with mood swings and carers Carer support service Carer support service Carer Support for carer s supporting people with mental health Wai Yin Chinese Women Society Advice, information, to provide bilingual support to carers, Indian Senior Citizens Centre Afro Caribbean Care Group - Elderly Manchester Jewish Federation Alzheimers Society (Family Worker) Alzheimers Society (Breaks Away) M/crr Comm Council Relations) HANDS LMCP Care Link South McR Uni Hosp Trust (SMUHT) Neesa Well Women Stroke Association Gaddum Centre Advocacy Manchester Carers Centre ( Core) Manchester Carers Forum (Core) MCCR (Manchestser Comm Council Relations) Manchester Jewish Federation MCCR (Manchester Council for Community Relations) Family Action (Young Carers) Carers who are aged 50 or over from the Indian community and the persons care for. Culturally appropriate services for African- Caribbean carers Emotional support and direct services to Jewish carers. Reach out and support carers and families of people with dementia Respite service for carers of older people or for a disabled child Support group for carers and family members with substance misuse problems Supports carers of older South Asian persons Support Group. Support Worker to provide advice, information and support Carer and Cared for support service Support to carers of people treated in residential or hospital settings Advice and Support Service Supports and represents Carers Asian Parent Carers Support Group for parent carers Emotional support to Jewish carers Support Group for new Asian parent carers Support services for young carers Consultation Draft

24 Appendix 3. Manchester G.P. Toolkit for Carers 1 Identify more carers by setting up a carers register 2 Refer carers to local sources of advocacy, support and training including carers centres or carers support group 3 Refer carers for a carers assessment 4 Take carers special needs into account when allocating appointments and issuing prescriptions 5 Take carers special needs into account when looking at waiting room arrangements 6 Check the physical and emotional health of carers as regularly as possible, even if this means visiting the carer at home 7 Ask patients who have carers if they are happy for health information on their diagnosis, treatment and medication to be disclosed to their carer 8 Ensure that there are leaflets and notice boards in the surgery to encourage self-identification and notify them of support available 9 Nominate a Carers Lead among staff in the practice and establish a surgery based carers support group 24