Locality Connections
th
17 March 2010
Sarah Veck
Head of Strategic Partnerships
& Projects
Carmarthenshire County
Council
Dr Alan Williams
GP Locality
Clinical Lead
Locality Team
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Dr Alan Williams GP Locality Clinical Lead
Catherine Poulter – Area Manager Social Services
Sian Fox – Locality Lead Locality Lead
Catherine Evans – Locality Care Planning Co-ordinator
Contact:
cevans@carmarthenshire.gov.uk
Tel: 01554 747598
Catherine Poulter
Llanelli Area Manager
Services for Older and
Physically Disabled People
Sean Lloyd
Carmarthenshire Community
Safety
Mid and West Wales Fire Service
Claire Norman
Expert Patients Programme
Co-ordinator
THE EXPERT PATIENTS
PROGRAMME
Is an NHS based range of lay-led selfmanagement programmes for people affected
by long-term health conditions. They are shown
to be effective in helping to both improve quality
of life for individuals and positively aid health
services as a whole
EXPERT PATIENTS
PROGRAMME
What does the programme
involve?
• Six weekly sessions each lasting two and a
half hours.
• Delivered by two tutors to a scripted manual
licensed by Stanford University to the Welsh
Assembly Government.
• Courses are free of charge and run in the
local community.
• Delivered to mixed groups of up to 16 people
• A handbook accompanies the course & is
distributed free of charge.
The programme covers:
• How to communicate more effectively with your
healthcare team
• Techniques to help you deal with difficult emotions
such as anger, frustration & depression.
• Taking care of your health – such as medicine,
physical activity & healthy eating
• Techniques to help you manage pain, fatigue &
other symptoms
• Ways to help you relax
• Appropriate exercise for maintaining & improving
strength, flexibility & endurance
• Planning for the future
CORE SELF-MANAGEMENT
SKILLS:
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Problem solving
Decision making
Resource utilisation
Developing effective
partnerships with health
professionals
• Taking action / Goal setting
Significant Patient Benefit
Increased
•Control of their condition
•Feeling of well-being
•Ability to cope day to day
•Improved communication
with doctors
•Physical Activity
•Relaxation
Significant Patient Benefit
Decreased
•Pain / Fatigue
•Anxiety /Depression
•Sense of powerlessness
•Unnecessary hospital
admissions
•Complications from their
long term condition
THANK
YOU
Claire.norman@wales.nhs.uk
Telephone: 01554 744492
Angie Darlington
Mental Health
Development Worker
West Wales Action for
Mental Health
The role of WWAMH in
Carmarthenshire
Angie Darlington–Mental Health Development
worker for North Carmarthenshire
What is WWAMH?
• WWAMH is short for West Wales Action for
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Mental Health
WWAMH is a registered charity and was
started in 1991. It has been established as an
independent charity and company limited by
guarantee since 1995.
WWAMH supports voluntary organisations
with an interest in mental health.
•WWAMH works with service users, carers, voluntary
organisations, statutory providers and
commissioners to improve the standards of mental
health throughout West Wales.
•WWAMH works across Carmarthenshire,
Pembrokeshire and Ceredigion.
•WWAMH has offices in Haverfordwest, Lampeter,
Carmarthen and Llanelli.
•WWAMH employs 7 members of staff working
across these three counties.
How can the WWAMH Development Workers
help?
The WWAMH Mental Health Development
worker can help in some of the
following ways;
• Community and service/project development
• Networking
• Funding
• Charity regulations and Procedures
• Training
• Employment
• Policies and Procedures.
• Independent advice and information
• Planning and reviewing mental health
services.
• Service user and carer involvement
• Quality Assurance, monitoring and
consultation
WWAMH Carmarthenshire
• WWAMH has two Mental Health Development workers
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for Carmarthenshire, Jill Jones for South
Carmarthenshire and Angie Darlington for North
Carmarthenshire.
Angie and Jill can help voluntary groups, user and carers
groups with all the activities described.
Jill is based in Llanelli and Angie in Carmarthen.
WWAMH contact details;
The Mount, 18 Queen Street, Carmarthen, 01267 238367.
The Palms Centre, 96 Queen Victoria Road, Llanelli 01554
776149.
Hope this has given some useful information.
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Please feel free to ask questions ?
or contact Jill or Angie on;
Jill Jones
01554 776149
wwamh_Llanelli@yahoo.co.uk
Angie Darlington
01267 238367
wwamh_carmarthen@yahoo.co.uk
Caroline Roberts
Seren
John Wedgbury
Care in the Home Manager
British Red Cross
Jeremy Hewitt
Dementia Support Worker
Alzheimer's Society
Ivan Parker
Pastor
Ty Gwyn
TG Projects
www.ty-gwyn.org
TG Football Project
• Bring young disenfranchised men together
through the medium of soccer for:
– Health and wellbeing
– Team work
– Self discipline
– Character building
– Life skills
www.ty-gwyn.org
TG Football Cage
• The cage is a fully portable mini soccer pitch
that is used to:
– Engage with bored youngsters
In partnership with “Sports
– Fitness
Council for Wales” and
– Team work
“Communities first”
– Character building
This equipment is widely used in many inner cities
and has been proven to reduce the crime rate
substantially.
www.ty-gwyn.org
TG Lighthouse
• Engaging with the Elderly of our community
for:
Self-esteem
Reality Orientation
Gentle exercise
Reflection
Confidence building
Stimulation
Relationship building
Reminiscence Therapy
Purposeful activity
Music Therapy
Laughter
Interaction
This programme offers clients all this and
much more. Lunch is also available. Carers
are also welcomed and catered for.
www.ty-gwyn.org
TG Indulge
• Once a month, we have an event for women
of all ages to:
– Find friendship
– Develop skills
– Network
– Be creative
– Enjoy themselves
– Share
www.ty-gwyn.org
TG Support Groups
• These groups facilitate care for the following
needs in our community:
– Drug and alcohol affected families
– Carers support
– Parents experiencing difficulties with their children
– Fibromyalgia support, South Wales
– Anxiety management and relaxation
www.ty-gwyn.org
Refreshments
And
Networking
Bill Chapman
Pastor - Myrtle House
Debt Advice, Lunch Clubs,
Pregnancy Crisis, Childcare
and more…...
Rhian Dawson
Falls Lead
CANLLAW
Camu ‘Mlaen Falls Prevention
Service
Rhian Dawson
Background
 2 year Initiative funded through WAG
Independence and Well Being Grant until
March 2011
 Based on Evidence from 2006 DToC Audit
and Falls Prevention Events
 Carmarthenshire wide initiative supported by
Canllaw Locality Teams
Service Specification
 Identification of those at Risk of Falling or
have Fallen
- Falls Events
- A&E Liaison
- Careline / Telecare Liaison
- Welsh Ambulance Service Trust
- Primary Care Health and Social Care
Professionals
Service Specification cont’d
 Multi Factorial Falls Risk Assessment
(MFFRA)
 Referral to Services to reduce the risk of
falling (Rehabilitation and Treatment) and
Serious Injury
 Postural Stability Intervention Programmes
Service Specification cont’d
 Increase Awareness of Falls Prevention
Agenda among Health and Social Care
Professionals
 Qualitative and Quantitative Data Collection
to Support Future Service Sustainability
Case Study One
 PC 77 year old male ‘embarrassing’ slip in
town - lost his footing. Passers by called
ambulance
 PMH Nil of Note
 DH Nil of Note
 NBI. Discharged Home
Case Study One
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EPR FRAT > 4
Smart, articulate Gentleman who Lives Alone
Dismissive - ‘Silly Problem’
Became Apparent that the ‘Embarrassing Slips’
Occurred Frequently (every other day)
‘Blackness comes over my eyes and I have to sit
down’
BP within Normal Limits
Irregular Heart Rate – Bradycardic
Referred to Cardiology via GP
Case Study Two
 83 year Old Female, Known OP, Smoker, Asthma
 Newly Discharged from Hospital following Chest
Infection and Collapse ? Cause
 Discharged with Red Cross HFH
 Privately Owned Terraced House
 Bathroom and Toilet Facilities Upstairs
 Bed Moved Downstairs and Given Commode
 No Other Community Services Involved
Case Study Two cont’d
 Uses Commode to PU at Night Only
 Empties Commode in Outside Toilet Which She
Also Uses by Day – ‘Told Not to Use Upstairs
Anymore’
 Outside Toilet Accessed via Back Door and Up a
Step Which She Holds onto Garden Wall to
Access
 Washes in Lean To Kitchen, Standing in Baby
Bath, Dousing Herself with Water While Holding
Onto Wall
 Uses Stove to Heat Kitchen In Winter
How To Access
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A&E Presentation Following Fall
999 Fallers
Careline / Telecare Fallers
Mynydd Mawr Hospital 01269 833349
Fax Referral 01269 832913
Any Questions?
Diolch / Thankyou
Workshops
Evaluations
Feedback
from
Facilitators
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