|Adverse Childhood Experiences are the focus of this year’s Public Health Annual Report from Cumbria’s Director of Public Health online at cumbria.gov.uk
This year’s Public Health Annual Report describes what ACEs are and the impact that they can have on both individuals and communities and attempts to estimate the scale of the problem in Cumbria. It then goes on to explore what can be done to prevent ACEs and to mitigate against their effects. Finally, it identifies the work that is being done across Cumbria to address this problem and makes recommendations for future strategy.
The Cumbria Health and Well Being Board would like to invite residents and local
organisations to comment on the Draft Cumbria Joint Health and Wellbeing Strategy
The consultation will run from 1 November 2018 until 31 January 2019.
The draft strategy outlines how the Board will work together to improve the overall
health and well-being of the county’s residents and reduce health inequalities over the
next 10 years.
It is an important document, all Clinical Commissioning Groups, Local Authority and
NHS England plans should take the Joint Health and Wellbeing Strategy into account.
The System Plans and Joint Public Health Strategy in particular are the delivery
mechanisms for the Strategy which need to reflect its priorities.
Press release from North Cumbria Health
Health professionals have been working closely with organisations that support unpaid carers in Cumbria to find ways to reach more people and provide the support needed for them to continue in their vital role.
Unpaid carers, anyone who looks after a family member, partner or friend who cannot cope without their support, play a vital role in the health and care system but often don’t access the support that’s available. Eden Carers, Carlisle Carers and West Cumbria Carers have been looking at how they work with health professionals, who come into contact with carers on a daily basis, to raise awareness of their work.
Stephen Eames, Chief Executive at Cumbria Partnership NHS Foundation Trust and North Cumbria University Hospitals NHS Trust, commented:
“This work is an excellent example of health, care and third sector organisations working closer together to benefit people in Cumbria. It is exactly the type of closer working we’re trying to achieve through the development of Integrated Care Communities (ICCs). Unpaid carers play an essential role in our communities and by working together we can ensure they can access the support that’s available to them to help them to stay well.
“It is the ambition of our ICCs to increase the number of projects like these where we work as one system to provide seamless care for all those who come into contact with our services. We will continue to implement the lessons learned to benefit more people and create happier and healthier communities.”
These are just three examples of where health, care and carers’ organisations have successfully worked closer together to support more unpaid carers in north Cumbria.
West Cumbria Carers
Members of staff from West Cumbria Carers work closely with the discharge team at the West Cumberland Hospital (WCH) ran by North Cumbria University Hospitals NHS Trust (NCUH). They spend time on wards each week and talk to carers at visiting time to introduce the service and organise carers’ assessments and support for when the person being looked after leaves hospital.
Between April 2016 and 2017 210 carers were identified and 87 of these were referred to West Cumbria Carers for further support. As a result of the relationships that were built a similar approach is now underway in the Cumberland Infirmary, Carlisle, to support patients from west Cumbria.
Ann Quinn, Carers’ Health Support Worker at West Cumbria Carers, said: “Since engaging with the Discharge Team and other services at WCH we have developed a pioneering approach of identifying carers. The openness to joint working means that we have so many more opportunities to meet with health professionals and to support them to identify carers and proactively refer them into our services.”
Eden Carers has a strong relationship with the Eden Memory and Later Life Service, ran by Cumbria Partnership NHS Foundation Trust (CPFT). A member of staff acts as a ‘carers’ champion’ and the whole team identify carers and signpost them to Eden Carers. In 2017 the Memory Services referred 62 carers to Eden Carers who then had their needs assessed and were given support tailored to them.
Jennifer Bell, Trainee Assistant Practitioner and Eden Carers champion at CPFT, said: “I’m passionate about the work I do as a carers’ champion. Every day, unpaid carers provide invaluable support to our health and care system and are a huge part of our future. I help to make sure that they have access to support that’s available and I’d encourage all other health and care workers to consider becoming champions too. Making referrals to carers’ organisations couldn’t be easier so it’s vital that all health professionals make the most of this fantastic resource.”
Staff on Hadrian Unit at Carleton Clinic in Carlisle, ran by CPFT, started an initiative in 2012 to better involve family and carers. They began to invite family members/carers along to find out more and ask questions. During this visit the carer’s needs are assessed and referrals made to carers’ organisations if appropriate.
The success of this led to an aspiration to have a carers’ champion in every inpatient mental health ward and crisis teams. At least one member of staff from each team was given training, with support from Carlisle Carers, on the role of carers, how best to involve them in care and what support is available. They then share this training, which includes case studies from local carers, with the rest of the team.
Kay McGregor, Operations Manager at Carlisle Carers, commented: “This has been an excellent opportunity to work with CPFT, ensuring carers are identified and referred whenever there is a need. Training initiatives have been set up for staff, focusing on the importance of their patients’ carers and raising awareness of what support is available, specifically around mental health.”
Carers make up more than 10% of the population but relatively few receive support from carers’ organisations, despite the practical and emotional pressures they may face. They are often unaware of support available; don’t recognise themselves as a carer or don’t know where to turn for help.
This work was part of the Reaching Out to Carers project, supported by funding from the Big Lottery Fund, and successes from this will continue to be implemented across the health and care system. 80% of carers involved said a change in health was the trigger for them to access support and more than half said that intervention from a health or care professional was key in their seeking support from a carers’ organisation.
Notes to editor
This press release was developed by the North Cumbria Integrated Care System.
A summary of the Reaching Out to Carers project is available here: https://www.westcumbriacarers.co.uk/workspace/pdfs/reaching-out-to-carers-evaluation_web.pdf
More information on carers’ organisations in north Cumbria is available on the following sites:
Carlisle Carers – https://www.carlislecarers.com/
West Cumbria Carers – https://www.westcumbriacarers.co.uk/
Eden Carers – https://www.edencarers.co.uk/
More information about the North Cumbria Integrated Care System is available here: http://www.northcumbriahealthandcare.nhs.uk/
National Carers week takes place between 11 and 17 June 2018 – https://www.carersweek.org/
Notes to editors
The North Cumbria Health and Care System is made up of health and care commissioners and providers – Cumbria Partnership NHS Foundation Trust, NHS England, NHS North Cumbria Clinical Commissioning Group, North Cumbria University Hospitals NHS Trust, NHS Improvement, North West Ambulance Service, primary care – working in partnership with Cumbria County Council and third sector organisations.
This integrated approach to health and care will see much closer working between organisations – it is not a merger or the creation of a new organisation.
In February 2018 the Care Quality Commission carried out a Local System Review of Health and Social Care in Cumbria.
The purpose of this review was to understand how people over 65 move through the health and social care system with a focus on the interfaces between services and it is one of 20 targeted reviews taking place across the country.
The review report has been published by the Care Quality Commission and is available on their website: http://www.cqc.org.uk/news/releases/cqc-publishes-review-how-local-health-social-care-systems-work-together-cumbria
The next step is to develop a plan which sets out how the local system will implement the recommendations. Cumbria CVS would like to involve you in helping to shape this plan before it is agreed by the Health and Wellbeing Board. They are holding three workshops on the following dates:
11 June 2018 9:30 – 11:30 The Oval Centre, Workington
12 June 2018 9:30 – 11:30 Botcherby Community Centre, Carlisle
14 June 2018 9:30 – 11:30 Castle Street Community Centre, Kendal
The objectives of these sessions are to:
- share the findings of the system review, update on progress that has already been made and the next steps
- discuss and shape the action plan for Cumbria
We would be pleased if you could attend one of these sessions. To confirm your attendance please email firstname.lastname@example.org by Friday 8 June 2018 confirming your details and which session you are attending.
Jozi Brown Senior Engagement Officer Cumbria CVS
Shaddongate Resource Centre Shaddongate Carlisle Cumbria CA2 5TY
Tel: 01768 800350 Email: email@example.com
Registered Charity No: 1119671
We welcomed Tom Burden to our February meeting in Carlisle.
Tom has been doing a lot of work on developing an updated version of Care Assessment, which is (hopefully) far more user friendly. This will be what Social Workers and Occupational Therapists use when they come to assess a person. In addition to this piece of development he has simultaneously been devising a self assessment version of the same form, which would allow someone to start this process themselves, and therefore be able to input their details and issues in a planned way before they meet up with a Social Worker or Occupational Therapist.
We have been speaking to people who might use a self assessment tool or a supported self assessment tool and Tom offered our members the chance to be included in the trial.
Tom Burden Project Delivery Lead | Transformation Team Resources and Transformation | Cumbria County Council
Cumbria House | 117 Botchergate | Carlisle | CA1 1RZ
m: 07795541289 www.cumbria.gov.uk
From 12.15pm to 3.30pm at The Conference Centre, Newton Rigg College, Penrith, CA11 0AH.
Begins with a networking lunch at 12.15pm, and the main meeting will commence at 1.00pm.
Colin Cox (Director of Public Health, Cumbria CC) will be giving an update on ‘the health and care system in Cumbria’, followed by a session to help identify priorities for the third sector, working in health and care. This will help to inform the activities and themes of the network over the next 12 months.
If you’d like to attend, please return the attached booking form to firstname.lastname@example.org ideally before the 10 November.
Members of the Cumbria Neurological Alliance are developing a neuro drop-in centre for people living with a neurological condition, their families and carers. It will be based in the Hindpool Centre, Barrow in Furness.
Charities and specialist neuro therapists working across South Cumbria came together this month to plan the programme which starts on 2nd November. The first groups will be hosted by Parkinson’s UK, Headway South Cumbria and the MND Association.
Dr David Footitt Consultant Neurologist said “I was delighted to hear that Cumbria Neurological Alliance has been able to secure support to run regular drop-in sessions at the Hindpool Community Centre. Whilst patients and carers affected by some of the commoner neurological conditions benefit from local support groups, too many people feel isolated by their condition and unable to link with others facing similar challenges. There are many common experiences shared between people with Neurological conditions. This initiative provides people with the opportunity to share, support and learn from one another whilst enjoying social interaction and a range of activities. This concentration on a core of well-being, supporting independence and maintaining social contacts is key to improving outcomes for my patients. I trust that we in the NHS will be able to support it to succeed and flourish.”
The initiative has been supported by Dr Farhan Amin, GP and member of the Morecambe Bay CCG and Les Graham public health locality manager with Cumbria County Council.
Enquiries to Glenys Marriott Chair Cumbria Neurological Alliance at email@example.com Twitter @cumbrianeuro
More photos to come!
Work to join up health and care services is progressing in west, north and east Cumbria through the development of eight ICCs. The following briefing for staff and stakeholders provides an overview of the progress that has been made to date, new ICC web pages and a summary of the communications and engagement approach that will be taken.
Please share this within your organisation through your usual channels. We will be issuing a press release next week which explains ICCs to members of the public and would appreciate your help sharing this on your websites and social media channels.
What is an ICC?
An Integrated Care Community works together to improve the overall health and wellbeing of local people by:
- Joining up health and care services
- Providing more care out of hospital
- Supporting people to manage their own health
Health and social care professionals, GPs, the voluntary sector and the community will work as one team to achieve this. By understanding the challenges that each area faces, and using the knowledge and experience of service users, the community can work together with health and care organisations to improve their health and wellbeing.
Why Integrated Care Communities?
The ICCs are being developed in response to the changing needs of the population which the current system is struggling to cope with. A growing elderly population with increasingly complex health needs mean people often spend longer in hospital than they need to or are admitted to hospital when it could have been completely avoided in the first place.
Health and social care professionals, GPs, the voluntary sector and the community are working as one team in each ICC to improve the health and wellbeing of local people. They are focusing on helping people to manage long term health conditions, improve access to information about healthier lifestyles and providing more care out of hospital. They will focus on helping people to stay well and working with local communities, empowering them to take a more active role in their health and wellbeing.
ICC information now online
Information is now available online for each ICC on the North Cumbria Clinical Commissioning Group (CCG) website. It explains the areas covered, the health challenges that area faces and the progress that has been made as well as links to community groups, ICC contact details and the group of GP practices each ICC covers. The pages will be regularly updated with progress from each ICC.
Visit the new ICC webpages: www.northcumbriaccg.nhs.uk/iccs
Progress to date
New ways of working are being developed in each ICC to achieve the above. These include community teams joining up with North West Ambulance Service (NWAS) to help keep people out of hospital and musculoskeletal practitioners working in GP practices to ensure people with problems such as back pain can be seen quickly, by the right person. Work is underway to identify frail and elderly patients and put steps in place to prevent falls before they happen and work is progressing with communities in Alston, Wigton and Maryport to develop alternative models of care to hospital beds.
Communications & Engagement
Engaging with local communities will play a key part in the success of ICCs. Services will be developed and improved through co-production which means drawing on the knowledge, ability and resources of service users, as well as providers. This recognises that communities and service users have valuable experiences and insight that can help shape future health and care services.
A communications and engagement plan has been developed to set out the overall approach for sharing information and working with local people and stakeholders. Each ICC will develop their own individual plan, working with the community to do so. All communications and engagement aim to be done using the following principles:
- Open to all: working with communities right from the start, including hard to reach groups.
- Flexible: working with individual communities at a time and place that suits them.
- Responsive: listening to and acting on feedback.
- Clear: being honest and open in our messages and using plain English.
Progress will be updated regularly on the new ICC webpages, through partner organisations, social media and the local media as well as events and meetings.
Some colleagues may have received an invitation to attend an ICC workshop; these are taking place at different locations over the coming weeks. The aim of the workshops is to continue the dialogue about integration and present an opportunity to start to build relationships and networks. We also want you to take the opportunity to shape and influence how the new services will work.
For colleagues who are based in and working closely with partners and communities in the south of the county; there is a similar approach being taken – information about the ICCs in the south can be found here.
Leaders are currently agreeing the process and format for sharing the vision and next steps. It has been agreed that there will be an event in October 2017 to bring together colleagues with a view to exploring opportunities for integration. More details about this and the emerging model will follow shortly.
The Compass in Cumbria Project is a joint partnership linking together Third Sector and Public Health in a new way. Third Sector organisations provide specialist knowledge and support for a huge variety of conditions. Compass in Cumbria seeks to bring those organisations together, promoting partnership working and assisting in getting the people of Cumbria the best support they need to manage their conditions and live well.
There are so many Third Sector organisation doing such vital work in the county. By signing up to Compass in Cumbria, any non-profit organisation (i.e. Third Sector and statutory services) in the county can have access to the facets of the system absolutely free – The Client Record Information System (CRIS), the Multi-Agency Referral Service (MARS), the diary and networking function Placebook, and this very e-Hub to advertise their events, bulletins, factsheets and jobs.
To register, go to either the Resource Centre or the Organisations page, click the button “Register my Organisation”, and fill in the simple form. One of the regional District Administrators – West (Allerdale and Copeland), North (Carlisle and Eden) or South (South Lakeland, Barrow and Millom) – will get in touch to act as a point of contact and guide you through the application.
To complete the application, a member of the registering organisation able to make decisions on behalf of the organisation must sign and return the Data Sharing Protocol and Data Sharing Agreement that will be sent out to you, which will be then Countersigned by the District Administrator. These agreements ensure the relevance and quality of the material all partners agree to upload to the site.
The whole result of this process is the free access to the Compass in Cumbria e-Hub – a professional resource working to streamline services for the benefit of the people of Cumbria.
Working together works for everyone.
The link to sign up: https://www.compassehub.com/
Note from Jozi Brown at Cumbria CVS – If your organisation is not a member I would urge you to join https://cumbriacvs.org.uk/members/join/
Date of our the next Cumbria Action for Health network meeting
14 November 2017 from 10.30 to 3.30pm, Penrith venue to be confirmed.
‘Colin Cox has agreed to come and give us an overview of the current (but ever-moving) social care and health landscape, and we’ll confirm the rest of the agenda as soon as it’s sorted.’