Supporting Carers

in General Practice

Dr Cliff Richards

Chair Halton CCG

Halton

Brookvale Practice • Referral to carers centre• Carers champion• Carers LES• Patient group• Carers noticeboard• Carers centre news letter• Practice website• Waiting room folder• Carers centre contact person

NHS Halton CCG• Statutory body from 1st April 2013

• Duty to commission services for people of Halton

• Duty to co operate to help plan services for carers

• Accountable to membership, population and HWBB and to give assurance to NCB

NHS Landscape• CCG

• CCG Network

• NHS England (Merseyside) Primary Care Specialist commissioning

• LA Public Health

• Public Health England

Halton Carers Centre

• Care for carers• General Care support worker• Carers break lead• Mental health carers lead• Young carers lead• Hospital liaison worker• ADHD and autism carers lead

Practice referrals• Referral scheme for 3.5 years• At present 20-25 per month• Carers LES Oct 2009

- March 2011 633

- April 2011 - March 2012 237

- April 2012 – March 2013 262 • Since Oct 2009 1286 referrals 1132 new• Previously 3 carers identified to HCC over 1

year

Identified carers

• Only 1 practice does not actively refer but does have literature in waiting room

• 4600 carers registered at HCC

• 15000 expected from 2011 census

Carers in Halton• Strong partnership between the Halton

Council & Halton CCG• Significant investment by both

organisations into services for Carers• Halton Carers Centre providing information,

advice, advocacy & support services• Over 15 local groups and voluntary sector

organisations funded to provide breaks for Carers

• Carers matter

• 12% of our people

• Co ordinated approach to help carers

• Carers are benefiting from a unique approach to mobilising community asset management

NHS Halton CCG believe Carers are an integral part of sustainable,

resilient communities

Commitment

• LA budget £509K

• NHS Halton CCG budget £327K

Short Term Objectives

• Pool Halton CCG & Halton Borough Council budgets

• Streamline the carers assessment process

• Develop a joint performance framework that captures well being outcomes

• Incentivise practices (innovation)

Medium Term Objectives

• Improving Carers Health – priority group for the Health Checks programme

• Improving the capture of Carers views on service provision

• Improving Carers participation in resource allocation

• Increasing the number of Carers registered with Halton Carers Centre

Community Wellbeing Practice

Fundamental principles

•Mobilising community assets – people and place•Holistic approaches –whole systems, mind and body•Health promoting – ‘what works’ to protect and promote wellbeing•Wellbeing interventions – individual and community•Outreach ‘preventative’ work – at lower SOA level

“Services do not produce outcomes, people do.”

Cummins & Miller 2007

Some of our interventions

Drawing at the Docs Fruit on Prescription ‘Ignite Your Life!’

Wellbeing in the Woods Paint while you wait

“Ignite your life”

• A large scale community resilience program• 70% of the people who engaged where carers• Using WEMWEBS we measured the impact of

the session from a well being perspective. http://www.healthscotland.com/documents/1467.aspx

Outcomes

The chart shows a positive shift in the mean SWEMWBS score of participants before (blue) and after (green) attending the ‘Ignite Your Life!’ event. Participants showed a distinct improvement in wellbeing after taking part in the event (mean=28.0) compared with before (mean=24.8) p<0.001%, df=51.

ReferencesMental health, resilience and inequalities (2009) Friedli, L; World Health Organisation.http://www.euro.who.int/__data/assets/pdf_file/0012/100821/E92227.pdf

Salutogenesis (2005) Lindstrom & Eriksson; Journal of Epidemiology and Community Health, 2005: 59:440-442.

Sinking and swimming: understanding Britain's unmet needs, (2009) The Young Foundationhttp://www.youngfoundation.org/files/images/new_needs_pdf.pdf

Webinars on Wellbeing, September (2011). Local Government Group. Chaired by Gregor Henderson and presented by Dr Lynne Friedli, with Jude Stansfield.