Derby City Carers Breaks
Demonstrator Site
Cheryl Elliott and Miia Piho 13th October
Derby Carers Strategy
Our Vision:
The provision of accurate and timely
information for carers, together with
advice and support, will enable carers to
feel recognised and valued and will help
them to live full & healthy lives.
Derby Carers Breaks
Demonstrator Site
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Aims to compare different methods of providing carers breaks
in Derby, including self-funded carers breaks, in line with
views, needs and aspirations of local carers
The project will enable carers across all sectors of local
communities to gain improved access to breaks on a bespoke
basis
Improved health and emotional well being
Choice and control
Event of an emergency
Carers of people suffering from dementia will feel better
supported
Delivery Plan for
Demonstrator Site
More flexible
day & respite care
Information
Service from
GP Practices
Carers Discount
Card
Free Stress Buster
& Creativity events
Carers Breaks
Information
& Support
Service
Holiday Placement
Scheme for Older
Adults
Free Telecare
Dementia
trial linked to
Befriending &
Emergency Scheme
Sitting service
Personal Budgets
for Carers
Carers Breaks Information and
Support Service
Provides a
single point of
contact for
Social Services,
information,
advice and
access to a
simple self
assessment
process
What services are available?
Lifestyle Benefits Carers’ Discount Scheme
Free trial of telecare
Personal budgets for carers
Stress buster sessions
Making a plan for emergencies
Carers’ assessment and carers’ allowance
Help from a Carers’ Support Worker
Help with accessing other service providers like Derbyshire
Carers’ Association
Information and support to take a break
Carers Breaks Information
and Support Service
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First step in the carers
assessment process
An initial screening tool for
use by the Carers Breaks
Information and Support
Service
Aims to help carers access
appropriate services as
quickly as possible
Aims to significantly
increase the number of
carers in touch with Adult
Social Care
Can play a key role in
helping to request a formal
carers assessment
“I fill in a self assessment form, what then?
Forms to be screened upon receipt to check whether the carer lives
in Derby or whether the person being looked after lives in Derby
Carer contacted by the Carers Breaks Information and Support
Service
Where neither the carer nor the person looked after lives in Derby,
contact to be made with the carer in accordance with ‘Practise
Guidelines – Access to Carers Services – Cross Border Issues’
Screening process for further action:
Prioritising:
TOP PRIORITY: caring “has a substantial impact on
my life and I am not able to continue”
SECOND PRIORITY: carers who state that, over the
last 12 months, their health has on the whole been
poor and that caring has had a big impact on their life
Eligibility to receive a personal budget
Criteria:
a) the carer is providing regular and substantial care for
someone who lives in Derby and who has community care
needs that would meet the FACS criteria for community care
services if no carer was involved; and
b) The carer is experiencing significant impact on their health
and well being to the extent that the carer is at substantial or
critical risk that they may not be able to sustain their caring
role.
£25 - £500
The Carers Break/Holiday Scheme
Aims to provide a more flexible
responsive service by providing a
local holiday scheme
Support is provided in a family
environment so that carers can take a
break. The support can be for a day,
overnight or for a week
Support is provided in the carers
home so the carer or cared for can
have some time for themselves
Provides information to carers about
accessible breaks for both the cared
for and carer
Offers an opportunity for ex carers to
fill a gap in their life and continue
using their skills
?? Anything changed??
1st Oct 2009 – 31st
March 2010
1st April 2010 – 31st
August 2010
TARGET
ACTUAL
TARGET
ACTUAL
New Carers receiving
services
114
117
229
655
Self assessment
forms
-
-
172
554
Stressbuster sessions
visited
100
72
134
Carers personal
budget
-
-
-
119
Lifestyle Benefits
Booklets
500
12
834
1088
Emergency plan
33
60
167
192
Supporting carers in practice
• To establish GP register for carers
• Sharing the resulting information with Adult Social
Services
• To ensure that GP practices recognise, record, refer
and support carers
• The project is focusing work on all of the 32
practices
Supporting carers in practice
• Carers link in each
practice
• Baseline information
• Resources – GP portal
• Carer referral
pathway/Practice
Protocol
• Communication &
Engagement
• Carer awareness training
• Carer Support Network
Resources
Carer Identification
Carer pathway
Partnership
Partnership
Engagement
Carers Engagement Strategy
Engagement Planning Group: representatives from Derby City Council,
NHS Derby City, local carers associations and carer representatives
a number of improvements and actions have taken place over the last
months that have resulted in a significant increase in the number of
ways in which the Council is engaging with local carers and helping
them to influence developments.
Carers Information and Support Service – central point
Information service:
the Network of Carers Information and Advice Workers
methods of communication e.g. email, paper copies, telephone
and one-to-one meetings
Identifying and engaging with carers
Events, staff briefing sessions
Benefits
• Increase in the number of carers being recognised,
recorded and referred by practices
• Improved health & wellbeing of carers
• Increase in the uptake of carers breaks and the NI135
• The health and well being of the ‘carer’ and the ‘cared
for’ person are interlinked. By recognising and
supporting carers practices will be able to anticipate
and prevent crises for both the carer and the patient.
Benefits
• The work compliments carer focused work
with Primary Care teams across the County.
• Opportunity to capture evidence that will
support continued investment in carers.
• Increased engagement between GPs and
primary care teams, social care and voluntary
sector partners
Outcome Measures
CARERS WILL:
Understand how to obtain health and social care support in the event of
emergency affecting to cared for person or the carer’s ability to continue
caring
Exercise choice and control about obtaining a break from caring
Have improved access to information and support
Have improved health and emotional well being.
The range, scope and volume of carers breaks services will change to better
reflect the diverse needs and wishes of local carers.
People in contact with local agencies, which provide health, housing, social
care, training, leisure, sport, employment and emergency support services,
will understand who to contact for information about carers issues.
The general public will be better informed about carers issues and the
services available to support carers.
Challenges
 Partnership working
 Flexibility
 Sustainability
 Equality
Next steps
•Final evaluation
• Personal budget –
people want individuality
and freedom of choice
• Cross border issues
• Capacity to meet the
demand created by GP
referral
It’s brilliant, they
can have that
room all the time,
the atmosphere
hits you as you
walk through the
door
I’ve used the
money, it's been
great, I’ve been on
a holiday and also
to London to see a
show
I am very pleased
with everything,
budget came just at
the right time as I'd
had to do a lot of
running around for
my Mum, so some of
it has gone towards
fuel costs.
Just something
as simple as
thins makes you
feel normal, its
things you used
to do.
I had a fantastic
holiday, I feel 20
years younger!
I received my
Personal Budget, it's
absolutely marvellous,
I’m actually managing
to get out and go
shopping and use a
taxi which I wouldn't
have been able to do.
I have found the money
very useful, I have had
sessions of reflexology,
I am also going to
increase my gardening
service.