Wellbeing and Health Open Forum Notes of the Wellbeing and Health Open Forum, Part 2 held on 10 February 2015 @ Central Square Speakers and participants Sally David Katie Claire Barbara Martin Young Forster Dodd Nixon Douglas Gollan Newcastle CVS Newcastle City Council Newcastle Carers Newcastle City Council Quality of Life Partnership Newcastle CVS Paula Claire Liz Lesley Carol Ruth Vera Violet Julie Kieron Carol Karen Angela Pam Bill Charlotte Neil Ann Lauren Clare Kathy Trevor Barbra Kate Jenny Barney Batey Oakley Wingfield Brown Abrahams Bolter Rook Marshall Conaty Egdell Inglis Walls Jobbins Norman Dodson Shashoua Dymd Hoy Levi Steele Moon Robson Mukungu Harrison Action Befriending Alzheimer's Society Barnardo’s Changing Lives Dementia Care Disability North Elders Council of Newcastle Healthwatch champion Healthwatch Newcastle Involve North East Newcastle City Council Newcastle City Council Newcastle CVS Newcastle CVS Newcastle Society for Blind People Newcastle United Foundation Newcastle Voluntary Sector Consortium NIWE Quality of Life Partnership Search Skills for People The Welcome Club Them Wifies Tyneside Women's Health Under the Bridge Welcome Sally Young, Chief Executive, Newcastle CVS welcomed everyone to the Wellbeing and Health Open Forum, Part 2. This meeting followed Part 1 which was about Deciding Together, the consultation on specialist mental health services. The presentations are on Newcastle CVS website, visit www.cvsnewcastle.org.uk/networkinginvolving/adult-wellbeing-and-socialcare/adult-wellbeing-forum The Care Act 2014 David Forster, Service Development Lead in the Wellbeing Care and Learning Directorate Newcastle City Council, spoke about the approach of the Council to the Care Act. The Care Act 2014 Part 1 comes into effect from 1 April 2015, and repeals all other adult social services legislation apart from the Mental health Act and Mental capacity Act. There is national publicity including radio adverts and a leaflet drop in the NE5 area of Newcastle; David had concerns that expectations might be raised when there is no new provision for care and support. Newcastle has an allocation of £2.2 million in year one for implementation; their modelling suggest it could costs £7.7 million Newcastle already works to the national eligibility criteria and there will be no change for people getting care and support. There is a new duty to prevent, delay and reduce needs; examples of Newcastle services include the re-ablement service, providing equipment, adaptations, Care Alarm A lot of work around information and advice will take place, including an internet offer. The city Council is working with partners and a directory of services will be developed. There are new duties especially about information advice in relation to carers and the City will work closely with the voluntary sector for targeted referrals. There will be services for eligible carers. There are new duties about advocacy and additional support will be commissioned From April 2016 the cap on care costs paid by individuals comes into effect. To comply with this assessments for self funders will begin form November 2015. Wellbeing and Health Open Forum 10 February 2015 2 A VCS event on 4 March has been arranged by the City Council and Newcastle CVS. Participants’ comments: Concerns raised about carer assessment – currently most are tagged onto the community care The model suggests an additional 2,400 carers will be assessed Concern about access to information for those who are not using the internet The city will target information to be available to people through voluntary organisations, hospitals and the NHS The voluntary sector has a key role in advocacy and information. Will the funds recognise the voluntary sector contribution. Does the Dept. of Health assume the sector will be there for advice and information? Katie Dodd, Chief Executive, Newcastle Carers, spoke about carers’ perspectives. Newcastle Carers provides dedicated carers support for adults in Newcastle. Investment to support carers is important for the carer and for the cared for person it is cheaper than a residential home At the recent carers event the lead for carers said that the challenge for the local authority is carers need to realised that if money is spent on carers there is not enough for service users. It is not up to eh local authority it is now enshrined in legislation – cares are on an equal footing The new premised at Shields Road has seen an increase in carers coming to the centre Concerns that the Care Act is legislation without the finance to back it up Currently carers can only be supported if they provide a regular and substantial amount of care; from April it will be any carer who appears to have need for support What questions will the assessment ask? Fears that the current situation where the Carers support Allocation is often added to the care package will continue Until there is a commitment to shift away from acute funds to community funds there will be no change. This is an opportunity to shift things to prevention but it needs to be funded. Wellbeing and Health Open Forum 10 February 2015 3 Safeguarding adults and the Care Act Claire Nixon, Safeguarding Adults, NCC, shared updated information on multi-agency policy and procedures. The Care Act applies to adults aged 18 and over, including those who have children’s services until they are 19 or 25 years old. ‘Adult at risk’ is the new terminology replacing ‘vulnerable adult’. There is a legal duty for the local authority to make enquiries about adult abuse and neglect from 1 April Safeguarding adult Boards become statutory the Care Act replaces the No Secrets guidance The personal desired outcomes of the adult at risk are key There is a change of definitions: Voluntary organisations should have a Designated Adult Safeguarding Manager (DASM) The stages of a safeguarding adult enquiry have different names from April. There is a decision making check list for a referrer Claire gave out a pack including an advance draft of the policy and procedures template for voluntary organisations updated to incorporate the Care Act changes coming in from 1 April 2015. Contact Pam Jobbins at Newcastle CVS for a copy. Growing older in my home and neighbourhood Continuing the independence theme of the Wellbeing and Health Open Forum, Barbara Douglas, Quality of Life Partnership, and Mary Nicholls, Elders Council of Newcastle, spoke about the research project between Elders Council of Newcastle, Northumbria University, Newcastle University and Skimstone Arts. The public engagement project asked How do older people support themselves and others to remain in their homes and neighbourhoods? What do older people think they need from formal organizations, services and supports to age well at home and in neighbourhoods? Can older people’s own solutions to their challenges fit and work well with existing models of design, commissioning and delivery of services and supports? Conversations were held in Fenham and Wingrove. There were four main themes: Wellbeing and Health Open Forum 10 February 2015 4 Ready for ageing? Staying involved Staying connected Multigenerational neighbourhoods Recommendations were developed and an action plan is being formulated to initiate a wider conversation. The project included a week’s arts residency, half day workshops, and a performance Doorbells of Delight followed by discussion. The work was supported through a visual artist, a blog, and a final report of the work is being published on the Elders Council website. The report will join other material from the project. Visit www.elderscouncil.org.uk/growing-older-in-my-home-and-neighbourhood VCS Manifesto 2015 Martin Gollan, Policy and Development Manager, Newcastle CVS, spoke about the Newcastle voluntary sector manifesto and a General Election Hustings being arranged for Newcastle CVS members on 23 April. To book a place visit https://election2015hustings.eventbrite.co.uk Evaluation 21 participants completed evaluation forms. 1 Would you recommend the Wellbeing and Health Open Forum to your colleagues? 100% said yes 2 What is the key thing you will take away with you from today? Lots of good information on (DT) deciding together clear explanation and outline of process 2 things really – looking at changes in Care Act etc – the future looks gloomy –but hearing about work at neighbourhood level – there is some hope that communities are resilient and there are many assets 1) More detailed info re Care Act 2) Specific info re Safeguarding Adult changes Overview of changes due to Care Act Wellbeing and Health Open Forum 10 February 2015 5 Very useful information and hand outs Info about Care Act The challenges the Care Act will bring to Newcastle City Council and Carers. There is no budget to support the implementation – and something has to give! But what! – There is a vibrant VCS in the City even in austerity times Broader picture of issues surrounding mental health Information about Safeguarding Adults – clear summary and outline to take back to the organisation Concerns raised by Katie Dodd about issues potentially arising from the Care Act (shame David Forster wasn’t around to respond to issues raised!) The clear presentation on Deciding Together – finally! A sense of what we need to do because ready for the Care Act Safeguarding information; excellent really interesting session Reminded again about how useful and valued these forums are Useful detail re Care Act Information around Care Act implementation – safeguarding and from carers perspective Key message and ideas and questions about interpretation issue related to the Care Act e.g. ‘At what point do you become a carer’ ‘who makes this decision in relation to the act! Risks needed if we are going to change structure of ‘help’ out there and make more cohesive Importance of partnership work and local infrastructure General consensus of opinion that money is needed for voluntary /community sector to deal with changes Let’s try and take on the challenge Barbara Douglas proposed Uncertainty about NCC strategy on Care Bill Inclusive neighbourhoods – and ?? That the voluntary sector seems to be coping with financial constraints better than the local authority. It seems that some parts of the local authority are coping with changes under the Care Act better than others 3 What would you have changed about today? Proper A/U please Nothing x 4 Quite a good sequence of presentations – with interesting and relevant content A lot of info to take in one session! Wellbeing and Health Open Forum 10 February 2015 6 4 Needed more time from Local Authority delivering of Care Act Turn the heat down earlier! Nothing, format and structure works well Nothing springs to mind Need mic for the quieter speakers Nothing it was perfectly timed Break for discussion between presentations The chairs – very uncomfortable! It would have been helpful if the microphone had been working as it was difficult to hear some of the speakers Is there anything that Newcastle CVS can do to help and develop your organisation in the coming year? No thank you Funding advice guidance and information on NCC funding and compact Help with developing partners links to develop infrastructure of community support – and to factor compacts between statutory and voluntary sector – there is scope for volunteering but we don’t want to be monitoring services that compensate for reductions to statutory services – but because providing support differently may improve quality of life – not just save money Do an excellent job – keeping us informed and involved Continue to provide CHYP information Only to keep on keeping on Stay around! Keeping us well informed Keep up the good work Don’t know Any other comments? Interesting presentations – useful event Well balanced sessions Excellent afternoon focus Thank you for this Very useful and full meeting Really enjoyed all sessions I found the whole afternoon very interesting and simulating. I thought all the speakers were very good with the exception of the person from Social Services that spoke first. Wellbeing and Health Open Forum 10 February 2015 7