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					                                                 ENCLOSURE K




           TRUST BOARD – SUMMARY REPORT


Date of Trust Board meeting: 8th March 2007

Name of Report: Carers’ Scrutiny – Action Plan

Author(s): Joanne Koen and Rod Craig

Approved by (name of Director): Rod Craig Head of Service for
Older People and Adults with Disabilities

Presented by: Rod Craig/Lesley Humber

Purpose of the Report: see background

Action required: The PCT Board is asked to agree the draft
action plan

Recommendations to the Trust Board: As above

Risk Implications & Actions Taken: Embedded in the Carers’
Strategy

Public & User Involvement Via the Carers’ Strategy Forum

Equality & Diversity Implications Embedded in the Carers’
Strategy

Legal Issues
None
Relevant Core/Developmental Health Care Standard
Background
At the Health and Social Care Board (the joint meeting of the Council
Executive and the PCT Board) held on 1 st February 2007 a scrutiny report
was presented which described the outcomes and recommendations that are
the result of a scrutiny of the identification, support and services provided to
adult carers in Southwark. The scrutiny was undertaken during the summer
and autumn of 2006 by the Health and Adult Care Sub-Committee of
Southwark’s Overview and Scrutiny Committee on 11 th December 2006.
Officers of Southwark Health and Social Care were asked to develop an
action plan in response to the outcomes and recommendations of the report.
The PCT Board is asked to approve the action plan (attached) and the
Council Executive will be similarly asked to do so in March 2007. This will be
fed back to the Overview and Scrutiny Committee who intend to review
progress against the action plan at the end of 2007.

Governance of the Identification, Support and Services provided to
Carers in Southwark

In the autumn of 2004 a cross-Southwark forum was set up to address
carers’ issues – the Carers’ Strategy Forum. It is made up of 2 representatives
from each of the service Partnership Boards (i.e. children’s, older people,
mental health, learning disabilities and physical disabilities), voluntary sector
representatives and input from Southwark Carers (the primary organisation for
carers in Southwark). This Forum has achieved the following principal
objectives:

           The development and launch (following wide consultation) of a 3
            year Carers’ Strategy in June 2005 – this includes an action plan
            and key priorities.

           Oversight of the range of services offered to carers (including
            assessment of carers’ needs), taking into account recent
            legislation and guidelines (especially with respect to the
            employment, leisure and social needs and activities of carers).
            These particular services are funded by the £17m Carers’ Grant.

           The tendering of a range of services (respite, support, advice,
            breaks, transport, sign posting etc) that are designed to meet the
            needs of carers that were identified by the Carers’ Strategy. This
            has included services for hard to reach carers because of issues
            connected with the diversity of Southwark’s population.

Summary of Recommendations

The recommendations are grouped into 5 sections:

(a) Increasing carer identification by self and others (recommendations 1 -6)

The issues are:
           The role of integrated teams in offering and completing carers’
            assessments and services as part of meeting carers’ needs and
            the needs of the users/patients whose care they are involved with.

           Better use of the wide range of services, type and quality of
            information available to carers.

           Specific training for those at first point of contact with carers (e.g.
            the Customer Services Centre, One Stop Shops, G.P. surgeries
            etc)

(b) The key role of G.P.s and Primary Care (recommendations 7-16) The key
issues are:

           Recognition of the role of G.P.s and surgery staff in the
            identification, support and signposting roles.

           Building on existing good practice around training, flexibility of
            appointments, PPI work, providing a ‘carers’ champion’ in
            surgeries and carers’ information.

           A recommendation was made with respect to annual carers health
            checks which may be difficult to achieve as the DH guidance
            suggests such screening is not effective. However, there is
            research the carers who may be under pressure because of their
            caring role may neglect their own health and well-being this needs
            to be recognised and included in the responses of all health and
            social care professionals who come into contact with carers.

(c) Carer Information – capturing and sharing (recommendation 17) The key
issues are:

           The ability of information to be appropriately shared (with carer’s
            permission) between professionals as part of the Single
            Assessment and Electronic Social Care Record systems.

(d) Carers’ Assessments – (recommendations 18-25). The key issues are:

           Extending the access to quality of assessments undertaken of
            carers’ needs – and ensuring that services meet the needs of
            carers as a result. Aggregated information about unmet need
            should then inform commissioning.

           The assessment tool should be consistent across all service
            areas, include information about the primary support organisation
            (Southwark Carers) and the assessment and actions shared and
            agreed with carers.
(e) NHS Trusts – (Recommendation 26) The key issues are:

           The role of carers in supporting patients attending appointments

           Flexibility for carers around transport arrangements and
            appointment times.

Conclusion

The work and recommendations of the scrutiny process are to be welcomed.
They do overlap, but also inform and develop a number of the issues,
priorities and actions of the 3-year Carers’ Strategy which is at its mid-point.
The implementation of the final action plan, once approved by the PCT Board
and Council Executive, will be overseen by the Carers’ Strategy Forum –
chaired by the Head of Services to Older people and Adults with Disabilities.
Since the report was first considered on 1st February the Government have
launched a further set of actions for the benefit of carers (a New Deal for
Carers)which was the part of the recommendations of the White Paper: ‘Out
Health Our Care Our Say’ and includes £33m of extra funding. Part of this
resource will be cascaded to Local Authorities. The 3 key initiatives are:

           A 24/7 advice and helpline for carers (Southwark already has a
            helpline as part of its strategy)

           Provision for emergency respite as part of contingency plans for
            carer and users.

           An Expert Carers Programme.

The implications of the above will be included in the future refinement and
oversight of the action plan.