CARE ACT SEMINAR
PREVENTION & WELLBEING
Correct as at March 2015
THE CARE ACT
http://youtu.be/NKEm83eUBzM
WHAT THE ACT SAYS ABOUT
PREVENTION AND WELLBEING
• Duty to promote wellbeing
• Duty to prevent or reduce the need
for care and support
• Duty to provide information and
advice
Wellbeing Care Act definition
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The wellbeing principle applies in all cases where
the council is either carrying out a care and support
function or making a decision in relation to a
person
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Applies to adults, carers, children, their carers and
young carers
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It applies equally when the council has delegated
the responsibility
SO WHAT IS WELLBEING.......
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A persons whole welfare
Common expectations across all agencies delivering Local
Authority functions
It forces a shift from “fitting” people into services towards
“meeting a need” it involves thinking differently.
No hierarchy unless dictated by the individual
Applies to every function delivered by all statutory and
related commissioned services
Underpins the whole Care Act
Need a preventive “system" to be able to deliver
WELLBEING MUST DO’S
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LA’s MUST promote wellbeing when carrying out any care and support function in respect
of a person, “this is any process, activity or broader responsibility that LA’s performs”.
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LA’s MUST have regard to any other key principles when carrying out care and support
functions e.g.. Mental Health Act,
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The wellbeing principle/key principles apply equally to those with care and support needs,
and their carers (and in some circumstances to those in transition)
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LA’s must consider how to meet each person’s specific needs rather than simply
considering which service they will fit into.
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The wellbeing principle/key principles should inform the delivery of universal services
which are provided to all people in the local population. Identifying gaps and smart
commissioning.
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Although the wellbeing principles/key principles apply specifically when LA’s perform an
activity /task , or make a decision in relation to a person, the principles should also be
considered when LA undertake broader strategic functions e.g. town planning
KEY WELLBEING AREAS IMPORTANT
TO PEOPLE:
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personal dignity (including treatment with respect)
physical and mental health and emotional wellbeing
protection from abuse and neglect
control by the individual over day-to-day life (including over care
and support provided and the way it is provided)
participation in work, education, training or recreation
social and economic wellbeing
domestic, family and personal relationship
suitability of living accommodation
the individual’s contribution to society
EXERCISE 1: What does
Wellbeing mean to your job role?
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Customer and business support services
Strategy and policy
Commissioning and procurement
Street cleansing
Housing
Social case work
Mental health activity
Community Nursing
Home Care Support staff
Residential and Nursing Care providers
Intermediate Tier assessment and provision staff
Finance
Safeguarding
Carers
Single Point of Access and Triage
WHY IS THIS DIFFERENT?
• Shift of emphasis from providing
services to meeting needs
• Places individual’s wishes at the
centre of decision making
• Enables co-production when meeting
need
SOME IMPLICATIONS FOR SOCIAL
CARE FUNCTIONS
• A local authority should be able to evidence that it
has considered each case on its own merits,
considered what the person wants to achieve, and
how the action which the local authority is taking
may affect the wellbeing of the individual
• During the assessment process, for instance, the
local authority should be able to evidence that it
has explicitly considered the most relevant
aspects of wellbeing to the individual concerned,
and assess how their needs impact on them.
THE BLOBS AND THE SQUARES
• http://vimeo.com/42332617
• http://vimeo.com/42332617
WHAT IS PROMOTING WELLBEING?
• actively seeking improvements in
the principles
Connect to people
around you…
5 WAYS TO WELL-BEING
Be active, discover an
activity that matches
your ability…
Give…
Keep learning…
Take notice of what
is going on in your
community…
5 WAYS TO WELL-BEING
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Connect with everyone around you. With family, friends, neighbours and colleagues. Invest time
in developing these cornerstones of life.
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Be Active go for a walk or run. Step outside. Cycle. Play a game, garden, dance. Exercising
makes you feel good. Discover a physical activity that suits your mobility and level of fitness.
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Take Notice Be curious. Catch sight of the beautiful. Remark on the unusual. Notice the
changing seasons. Savour the moment. Enjoy what you eat. Be aware of the world around you.
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Keep learning Try something new. Rediscover an old interest. Sign up for that course.
Take on a different responsibility at work. Fix a bike. Learn to play an instrument. Learn to cook something
new. Set a challenge you will enjoy achieving.
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Give
Do something nice for a friend or a stranger. Thank someone. Smile. Volunteer your time.
Join a community group. Look out as well as in. Seeing yourself and your happiness, linked to the wider
community can be incredibly rewarding and creates connections with the people around you.
PREVENTION
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Duty of councils to prevent the need for care and
support
Linked to duty to provide information and advice
Prevention can be:
 Primary e.g. providing access to universal
services.
 Secondary – targeted to groups at higher risk
 Tertiary – minimising the effect of disability
PREVENTION – SCOPE
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Includes carers
Guidance suggests that councils need to be clear about what is
already provided
Identification of the access points and those individuals most in
need of support
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Recently bereaved people
Adults returning from hospital
Admissions/returns from prison
Benefit recipients
People who have changed housing
Those accessing private health care and support
Need to prepare a clear local approach to prevention – agenda
is much wider than adult social care
 Includes public health, transport, housing, leisure
PREVENTION MUST DO’S
A local authority MUST take steps, which it considers will:
(a)
(b)
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contribute towards preventing or delaying the development by adults in its
area of needs for care and support
contribute towards preventing or delaying the development by carers in its
area of needs for support
reduce the needs for care and support of adults in its area
reduce the needs for support of carers in its area
A local authority MUST have regard to:
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the importance of identifying services, facilities and resources already
available in the authority’s area and the extent to which the authority could
involve or make use of them in performing that duty;
the importance of identifying adults in the authority’s area with needs for care
and support which are not being met (by the authority or otherwise);
the importance of identifying carers in the authority’s area with needs for
support which are not being met (by the authority or otherwise).
PREVENTION
• http://www.youtube.com/watch?v=18549Ifz
Lzw&sns=em
PREVENTION CATEGORIES
 Preventing, reducing and delaying needs
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Primary: Universal, relates to services aimed at individuals who have no
particular health or social care needs, they are services which could help
an individual to avoid developing needs by maintaining their health and
independence.
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Secondary: More targeted interventions aimed at individuals and their
carers who have an increased risk of developing needs, where a provision
may help to slow down or reduce further deterioration.
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Tertiary: These services are aimed at individuals and their carers to
minimise an impact of a disability or deterioration in health. Includes
supporting people to regain skills, includes re ablement and supporting
carers to be able to continue to care.
PREVENTION
• At every intervention, must consider how to
prevent, reduce or delay “need”
• In order to promote wellbeing we must
focus on delaying and preventing care and
support needs, and supporting people to
live as independently as possible for as
long as possible.
HEALTHY LIVES HEALTHY FUTURES
“SHIFTING TO THE LEFT”
WHAT ARE WE DOING LOCALLY TO MEET
PREVENTION AND WELLBEING AGENDA
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Personal asset based and solution focussed approach –
“Connect programme” focus
Health and Wellbeing Board – partnership
Public Health - NELC
Building and releasing community capacity - NELC and
CCG
Improving access to information and advice – NELC and
CCG
Development of S4Me and e-market place - joint
Single Point of Access and Information - joint approach
Healthy Lives Healthy Futures: HLHF
DISCUSSION POINTS
• What do these requirements mean for the
council, CCG and wider partners?
• What are the key areas we need to
strengthen?
• Do we have the infrastructure to do this?
• Do you have any suggestions?
• What else can we do locally?
TO TAKE AWAY WITH YOU.....
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Care Act slides
Couple of scenarios
Building and releasing community capacity
Services4me leaflet
TO TAKE AWAY......
BUILDING COMMUNITY CAPACITY
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Change Champions
Preventive Services Market Reshaping Board (PSMRB) market reshaping for community and voluntary sector
Good Neighbours Board - Good Neighbours and Good Friends –
stay young and stay together in North East Lincolnshire
Health and Wellbeing Collaborative - voluntary led - encourage
people to improve their health and well-being and overall
lifestyle
Employability – supporting people into employment
Hope Street Rehabilitation Service
RELEASING COMMUNITY CAPACITY &
GOOD NEIGHBOURS
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Multi agency and community membership
Increasing community capacity
Croft Baker
Haverstoe
Humberston and New Waltham
Park
Scartho
Waltham
PREVENTIVE SERVICES MARKET
RESHAPING
• Foresight – Gym
• Red Cross – first call
• YMCA Counselling Service
CHANGE CHAMPION COURSE HIGHLIGHTS
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A three day over three month intensive and practical course.
Gives the participants the skills and confidence to set up and deliver interventions in their area.
12 Change Champion Cohorts have started up with almost 200 participants to date and a range of
new initiatives. 9 cohorts have now graduated and are continuing to use their skills to bring about
improvement and to support others.
Programmes they are working on:
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Time Banking
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Older People’s activities
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Dementia education for practices, dementia friendly surgeries
and a sleep pilot for people with dementia and their carers
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Family support training - managing stress, cooking
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A reminiscence project
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Raising awareness of dementia services in the community
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Inter – cultural older people activities
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Developing a social enterprise to fund subsidised activities to
develop sewing skills. Working with Mental Health services and
the private sector.
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Developing young people’s clothing recycling. Developing
musical activities for young people
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Pulmonary rehab services for people in the community & a falls
service in sheltered accommodation
Change Champion graduates in calendar photo
shoot.
Presented by:
Ros Davey
Head of Demand Management & Communities (FOCUS)
Caroline Barley
Prevention and Well Being Manager (NELC)
For further comments / queries:
NELCCG.workforce-FAQ@nhs.net