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Appendix four – action plan

This action plan is designed to improve support for carers in South Gloucestershire. The actions below draw upon:

  • The South Gloucestershire Understanding and Supporting the Needs of Carers’ Joint Strategy: 2017-2020
  • Feedback from carers and others during the Summer 2016 public engagement and subsequent discussions with carers
  • The South Gloucestershire 2016 Joint Strategic Needs Assessment
  • The Carers’ Strategy National Action Plan 2014-2016 and earlier versions
  • The 2014 Care Act and Children and Families Act from the same year, giving adult carers, parent carers and young carers specific rights and placing a number of requirements on councils to support them, and on councils’ partners to co-operate
  • NHS England’s 2016 An integrated approach to identifying and assessing carer health and wellbeing
  • The local Sustainability and Transformation Plan’s expectation that individuals and communities will, over time be more responsible for their own health and welfare, with services intervening earlier to support them to do so. It also provides a starting point for work within the NHS and with partners to ensure that the offer to carers is more consistent across Bristol, North Somerset and South Gloucestershire

This local action plan will be reviewed and, if necessary, revised when the 2017 Refreshed National Carers’ Strategy is published.

The Carers’ Advisory Partnership (CAP) and its Carers’ Strategy Implementation Group (CSIG) will oversee the implementation of this Action Plan. CAP reports directly to the Health and Wellbeing Board.

Summary of feedback from public engagement and our response
Priority Areas You said Response in Action Plan
1.  Identifying carers at an early stage, recognising their contribution and involving them in designing local care and in planning individual care packages

“Make offer of support clear”

“Encourage carers to see themselves as carers”

“Raise awareness amongst all communities”

“Cared for person does not always recognise carers needs”

“Reach us early via our GPs”

GP practices poor at involving children and young people

“Drs who diagnose should also give out information to carers”

“Please listen to us and act on what we say”

“Allow carers to be in room when seeing medic or social worker”

1.1  Identifying carers at early stage

 

 

 

1.2  Identifying carers in primary care

 

 

1.3  Involving carers in service design

1.4  Involving carers in planning care

2.  Carers releasing and realising their potential in education and employment

Please listen to us and act on what we say”

Young carers value Carers Support Centre’s role

Young carers want more consistent support from schools

Parent carers recognise value of young adult project, especially for those not in education, employment or training

Carers in employment project very much valued by parent carers

2.1  Identifying young carers

 

2.2  Schools and colleges

2.3  Getting employment

 

2.4  Staying in employment

3.  Carers having a family and community life alongside caring, personalised support and good quality information, advice and support

“Need more info”

“Help us keep connected and less isolated”

“Need more support and respite/ short breaks/ sitting”  – strongly identified as an area for improvement

“Recognising our contribution boosts our confidence”

“Is there emergency support for carers. Contact who in a crisis?”

“Having a support plan”

“Holiday clubs and child minding”

“ End of life support for Chinese people and carers?”

Parent carers need training in their role as carer for life

“Work with mental health services, Wellbeing College and Community Connectors!

3.1  Enhancing family/ community life

 

3.2  Personalised support for carers

 

 

 

 

 

3.3  Good quality information

4.  Supporting carers to stay  healthy, mentally and physically

The highest priority identified by carers

“Regular health check-ups for carers

“Avon Fire Service can help reach vulnerable children and adults”

“Practical training for carers”

Hospitals poor at involving children and young people

4.1  Supporting carers to be healthy

 

4.2  Ensuring access to NHS

 

4.3 Support in hospital

Priority Area 1 – Identifying carers at an early stage, recognising their contribution and involving them in designing local care and in planning individual care packages.

Ref Objective What we will do Who will lead By when How will we measure success
1.1 Identifying carers at an early stage a) Social media and other campaigns around Young Carers’ awareness days, Carers’ Week and Carers’ Rights Days Carers Support Centre, South Glos Council (SGC), Clinical Commissioning Group (CCG) Ongoing Social and other media campaigns
b) Target promotions at individuals and groups who are under represented on carers registers e.g. young carers, young adult carers, working carers and people with disabilities, from Black and Minority Ethnic (BME) communities and from Lesbian, Gay, Bisexual and Transgender communities (as identified in Actions 2, 3, 4 and 6 of the Equality Impact Assessment) Carers Support Centre Ongoing Develop and implement plan for  Carers’ Strategy Implementation Group (CSIG)
c) Benchmark training across agencies and address shortfalls for groups of health, social care and voluntary sector staff SGC, CCG and Health and Social Care providers Ongoing Reported annually to Carers’ Advisory Partnership (CAP)
e) Explore and pilot innovative ways to ‘sell’ registration and thereby reach people with caring responsibilities who do not now see themselves as carers, e.g. via pharmacies Carers Support Centre/ SGC/ CCG Ongoing Develop and implement plan
1.2 Identifying carers in primary care a) Continue to work to improve carer awareness amongst staff in GP practices, especially young carers and young adult carers Carers Support Centre/ CCG Ongoing Annual report to Carers’ Strategy Implementation Group (CSIG)
b) Develop mechanisms to make routine the gathering of information about caring responsibilities at registration, and other opportunities in practices Carers Support Centre, CCG, Practices March 2018 Mechanism agreed, more carers known to practices
c) Use Flu Clinics to encourage carers to self-identify as carers and seek assistance Carers Support Centre/ SGC/ CCG Annually (autumn) First Contact referral numbers
d) Seek and take opportunities with Dentists, Opticians and Community Pharmacies to raise carer awareness amongst their staff and customers CCG/ Local Committees March 2018 To be confirmed
1.3 Involving carers in designing local care a) Maintain and increase current level of carers involvement in designing local care, especially young and young adult carers

SGC/ CCG/ Carers Support Centre

 

March 2017 Judgement for CAP to make
b) Map how carers’ voices are heard in adult and children’s services, and fed back to them Sep 2017 Demonstrate input and plans to address any shortfall to CAP
c) Address any significant gaps identified in 1.2 b) above March 2018
d) Engage representative groups of those with protected characteristics (priority groups) to share our proposals and seek their input, as per Actions 2,3, 4 and 6 of the Equality Impact Assessment SGC/ CCG Sep 2017 Develop action plan if CSIG agree this is justified
e) Seek assurance from providers that they provide information in appropriate languages and formats, and have interpretation and translation services SGC/CCG Sep 2017 Develop action plan if CSIG agree this is justified
f) Explore others ways in which to gather feedback from a wider range of carers than those that are included in the bi-annual Carers Survey SGC Nov 2017 Action plan agreed
1.4 Involving carers in planning individual care packages a) Map how carers are involved in planning individual care packages for themselves and the person they care for

SGC/ CCG/ Carers Support Centre/ Health and Social Care providers

 

Sep 2018 Current status noted by CAP
b) Address any significant gaps identified in 1.3 a) above March 2019 Progress reported to CAP

Priority Area 2 – Carers releasing and realising their potential in education and employment.

Ref Objective What we will do Who will lead By when How will we measure success
2.1 Identifying young carers a) Define and raise awareness of young carers pathway to assessment and support, including transitional arrangements Carers Support Centre Sep 2017 Pathway shared with CSIG and CAP
b) Work with young carers to develop an inter-agency plan to raise awareness and increase the number of young carers known to services, including adult social care Carers Support Centre /  Schools/ Education Dept/ School Nurses March 2018 Plan signed off by Carers Advisory Partnership
c) Implement inter-agency plan to raise awareness and increase the number of young carers known to services Carers Support Centre /  Schools/ Education Dept/ School Nurses March 2019 Numbers of young carers on registers, known to schools and on registers

d) Progress the Carers Support Centre’s Young Adults Project and develop a plan for sustaining this initiative, with particular reference to those not in education, employment or training (NEETs)

 

Carers Support Centre Jan 2017 To be confirmed
2.2 Schools and colleges a) Work with schools and colleges to develop our joint approach to identify and support young carers. Carers Support Centre/  Schools/ Education Dept/ School Nurses March 2018 Policy developed and agreed
b) Work with schools and colleges to implement  Policy and offer young carers access to age appropriate, tailored support Carers Support Centre /  Schools/ Education Dept/ School Nurses March 2020 Policy adopted and implemented by schools and colleges
2.3 Getting employment a) Job Centre Plus (JCP) to ensure carers seeking jobs are aware of  the JCP support available, including Job Club and Group sessions for carers and lone parents offered by Kingswood Job Centre Plus Job Centre Plus (JCP)

Ongoing

 

 

 

 

Ongoing

 

Carers seeking jobs aware of JCP support
b) Job Centre Plus coaches to be kept informed about support for carers in the local community

Carers Support Centre, South Glos Council

 

Carers seeking jobs aware of support in the community
c) Supporting former carers to return to employment Carers Support Centre, JCP Ongoing To be confirmed
2.4 Staying In employment a) Work with carers and employers to develop more positive culture towards carers balancing work and their caring responsibilities Carers in Employment Project Advisory Group partners As per project plan Successful external evaluation
b) Explore the use of Assistive Technology to help employers to support carers to continue working
c) Develop plans to continue this workstream, or elements of it, after current funding ceases in September 2017 Jun 2017 To be confirmed

Priority Area 3 – Carers having a family and community life alongside caring, personalised support for carers and providing good quality information, advice and support.

Ref Objective What we will do Who will lead By when How will we measure success
3.1 Enhancing carers family and community life a) Look at ways to give carers a single point of contact, link it with other support and promote it Carers Support Centre/ SGC/ CCG March 2018

Single point of access

WellAware info

b) Work with Community Connectors to encourage carers to make good use of mainstream resources SGC/ Curo March 2017 Carers supported by Connectors
c) Review carers and other support groups to ensure good variety of interests and locations SGC/ Carers Support Centre/ Curo/ other providers March 2018 % of communities covered
3.2 Ensure that  carers and the people they care for are as safe as possible a) Continue to offer Carers’ Assessments to adult carers and review ‘Getting Help and Connected’ to ensure that it works for carers and to develop a tiered approach SGC Ongoing Approach confirmed or revised
b) Confirm assessment and response outcomes for parent carers and revise if necessary SGC/ Carers Support Centre/ S Glos Parent Carers Dec 2017
c) Review the provision of emergency support to make the best use of available resources SGC Dec 2017 Review shared with CSIG and CAP
d) Develop proposals for a range of innovative short breaks for carers (inc Shared Lives and Personal Health Budgets)

SGC/ CCG

 

Dec 2017 Proposals considered for 2019/20
e) Increase numbers of carers with NHS care plans SGC/ CCG/ other partners Ongoing Numbers of carers with care plan
f) Develop proposal for supporting carers of all ages after caring, especially after bereavement, exploring links with European Social Fund project Carers Support Centre/ SGC/ CCG / Avon & Wiltshire Partnership (AWP) Trust Sep 2017 Proposals agreed and implemented
g) Use contract monitoring mechanisms to understand the impacts and outcomes for carers using commissioned services  SGC and partners June 2017 and ongoing Evidence of impacts and outcomes for carers

h)

Lead review of Safeguarding issues involving partners and Carer representatives

Address priorities identified by above review

 SGC/CCG

 April 2018

 

Sept 2018

 Reports to CAP
3.3 Good quality information and advice a) Review, improve and re-launch materials and website information available locally Carers Support Centre/ Other partners March 2018

Annual review

WellAware info

b) Agree how information in key access points is kept up to date and restocked Carers’ Support Centre March 2018 Annual review
c) Maintain and expand opportunities to offer carers training – practical tools and helping build resilience (from First Aid to looking after yourself) – to enable them to continue caring and to live well (as per 4.2d below) SGC/ CCG/ Carers Support Centre/ Wellbeing College/ AWP Ongoing Annual review
d) Seek reassurance from providers that they meet the Accessible Information Standard SGC/ CCG March 2017

Priority Area 4 – Supporting carers to stay healthy, mentally and physically.

Ref Objective What we will do Who will lead By when How will we measure success
4.1 Supporting carers to stay healthy a) Promote key Public Health messages for carers with GPs, Sirona and other partners Public Health Ongoing Six monthly report on progress to Carers’ Strategy Implementation Group (CSIG)
b) Reduce the number of carers with undiagnosed cardio vascular disease by increasing the number of eligible carers having an NHS Health Check Public Health/ GP practices Ongoing
c) Explore how it may be possible to offer Health Checks to adult carers under 40 years of age Public Health/ CCG Mar 2018
d) Explore how it may be possible to offer Health Checks to young carers Public Health/ CCG Sep 2018
e) Actively involve Health Champions, Community Connectors, Dementia Advisors and others in conveying key health messages to carers Public Health/  CCG/ Alzheimer’s Society/ Sirona Care and Health Ongoing
f) Promote and increase uptake of Promoting Positive Mental Health Sessions Public Health/ partners Ongoing
4.2 Ensuring carer access to community health services a) Continue to work with GP practices and Sirona to identify carers, support them and promote their interests Carers Support Centre Ongoing Numbers of people on practice carers registers
b) Promote and increase referrals amongst carers to Wellbeing Therapies Services Public Health/ CCG/ providers March 2019 Quantify numbers benefiting
c) Work with carers and Wellbeing College to develop training opportunities for carers (as per 3.3c above) Carers/ SGC/ CCG/ Wellbeing College March 2017 Courses and take up
d) Offer carers personalised support through Personal Health Budgets (PHBs) CCG March 2018 Numbers offered PHBs
4.3 Support in hospital a) Continue to work with North Bristol Trust (NBT) and University Hospitals Bristol (UHB) to identify carers (especially young carers), support them and promote their interests. Carers Support Centre/ North Bristol Trust/ University Hospitals Bristol Trust Ongoing Annual report to Carers’ Strategy Implementation Group (CSIG)
b) Continue to work with Avon and Wiltshire Partnership (AWP) Trust’s community and hospital services to identify carers, support them and promote their interests, especially young carers and carers of working age.             Avon & Wilts Partnership (AWP) Trust/ SGC Ongoing Annual report to Carers’ Strategy Implementation Group (CSIG)
c) Increase profile of support to carers through partnership with VCSE colleagues at NBT CCG/ Carers Support Centre/ Red Cross/ Age UK March 2017 Update to CSIG