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Family, Carers and Friends Support - Consultation

Carers’ key priorities for Support are:

1.  Identification of Carers at the First Opportunity (for the whole health and care community to be ‘carer aware’, so that wherever the Carer first uses a service, they are identified as a Carer)

2.  Information, Advice and Universal Support to all Carers (for all Carers to be able to easily find information about support, and for the support to improve their health and wellbeing )

3.  Proportionate Assessments and targeted support to all eligible Carers (for assessment processes to be straightforward, with higher levels of support available to Carers with greater need)

4.  Involvement of Carers / former Carers in all aspects of support, including commissioning, delivery and evaluation (for Carers and former Carers to be involved in developing and providing Carer support, and in assessing whether it meets Carers’ needs)
There are some key targets which cross all these priorities:

·  Whole family working including transitions (moving) between services
·  Carers juggling work and caring or wishing to do so
Q1 How strongly do you agree with Carers’ key priorities for Carer Support?
  Strongly agree   Agree   Neither agree nor disagree   Disagree   Strongly disagree  
  Identification of Carers at the First Opportunity          

  Information, Advice and Universal Support to all Carers          

  Proportionate Assessments and targeted support to all eligible Carers          

  Involvement of Carers / former Carers in all aspects of support, including commissioning, delivery and evaluation          
There are two key areas which are more about support to the person being cared for, but make a significant difference for Carers:

·  Support for the person being cared for which gives the Carer a break

·  The use of technology to support both the Carer and the person they care for.
Q2 Although 'Support for the person who is cared for' is not directly provided by Carer Support Services, how strongly do you agree that we should place this as the fifth key priority within the Carers Strategy?
Re-design of Support

In order to make the required savings, we do not wish to cease any services, so we need to find ways other ways of doing things. This will result in us re-designing some support services as outlined below.
Carers have told us that support at the GP practice is critical to achieving priorities 1,2 and 3. We have GP-based Carer Support Workers (CSWs) who are extremely busy undertaking Carer assessments.
One way of improving their capacity is to make the assessment process quicker.
We propose to introduce a ‘lighter touch’ Carers conversation-type assessment based on what the individual Carer wants at the time, rather than all Carers having a full Health and Wellbeing Check. This will link the Carer into community support and Carers Universal Services including the Emergency card, Signposts newsletter and courses, amongst other things. This is part of the ‘Strengths-Based Model’ of adult social care.
Q3 How strongly do you agree with the proposal to have a ‘lighter touch’ Carers conversation assessment?
Since 2016, £55,000 of the Carer support budget has been ‘frozen’ and not used. In order to balance increasing pressures elsewhere on health and social care budgets, we propose to remove £44,000 from that budget. We intend to use the remaining £11,000 to appoint a floating Carer Support Worker who can cover any of the practices when there is a need. They will also be responsible for setting up and managing volunteers and peer supporters who can work to help the existing Carer Support Workers. When trained up, the volunteers will do some of the CSW tasks, such as helping with registration forms and doing reviews.
Q4 How strongly do you agree with the above proposal to save £44,000 whilst maintaining services?
Q5 How strongly do you agree with the proposal to invest funding in floating support to Carer Support Workers?
At present eligible Carers of adults may receive Emotional Support Vouchers for up to 10 sessions. Many people do not use all 10 vouchers. We propose to limit the number of vouchers to six, in line with many other counselling services. This could save over £2,000.
Q6 How strongly do you agree with the proposal to reduce the number of Emotional Support Vouchers to six?
Since 2009, Carers Services have contributed £13,000 towards two Lifestyles workers to work with Carers. Whilst recognising the great help that these staff members have been to many Carers, Lifestyles support has changed significantly over the years, and Carer Support has become an integral part of the Lifestyle Service. Therefore we propose to cease our contribution to these posts and use a pool of volunteers or peer supporters to support Lifestyles work with Carers.
Q7 How strongly do you agree with the proposal to use volunteers or peer supporters to support Carers rather than specialist workers?
When someone stops being a Carer, they generally stop contact with Carers services. However, many of these people have significant skills and knowledge that could be invaluable to Carer Support Services or to an employer. We want to encourage and support former Carers who want to use their skills and knowledge to become peer supporters for current Carers.
Q8 How strongly do you agree that we should actively encourage and engage former Carers to become peer supporters?
We already have a number of projects set up and run by Carers in either a voluntary or paid capacity. We want to encourage and support more of these projects as this will increase the capacity of our Carer Support.
Q9 How strongly do you agree that we should increase capacity by developing peer support and Carer-led projects?
Many Carers tell us that they find it hard to juggle work and caring, or to return to work after caring. We want to develop an employment strategy for Carers that includes help towards employment such as careers coaching, volunteering and Trust bank work opportunities etc.
Q10 How strongly do you agree that we should develop an employment strategy with, and for Carers / former Carers?
Working Carers find it difficult to use 9am-5pm support. We want to improve this by developing the information and support that is available on-line.
Q11 How strongly do you agree that we should develop on-line support for working Carers?
As one of the largest employers in the Bay, we believe that Torbay and South Devon NHS Foundation Trust (TSDFT) should develop policies to support its employees who are Carers, and become a model of good practice for that support.
Q12 How strongly do you agree that TSDFT should develop its Carer-friendly employment policies and practice?
Carers tell us they often cannot take a break from caring, as there are a shortage of options for replacement (respite) care at home, at day care or in a residential setting in Torbay. This has a severe impact on Carers health and wellbeing.
Q13 How strongly do you agree that we should work with service commissioners and providers to develop more ‘replacement care’ care options for Carers?
Some Carers of people with eligible needs have told us that when the person they care for has a Direct Payment it gives them more choice and control over the services they receive.
Q14 How strongly do you agree that we should support the development of service opportunities that are funded via Direct Payments.
Parent Carers, working-age Carers of people with a learning disability and Carers of people with dementia either seem to have less support than other Carers or will need more support in years to come. The Carers Strategy can address this, by stating that we will work in partnership with Carers and with voluntary sector partners to improve support for these groups, both now and in the future.
Q15 How strongly do you agree that Torbay Council, the NHS and voluntary sector should work in partnership to improve support to the above groups of carers?
Technology, such as smartphone apps, are one means of improving support to Carers (especially working Carers) and the people for whom they care. Some other areas, such as Devon County Council, are assessing what is available and what is likely to benefit Carers most.
Q16 How strongly do you agree that we should (with other areas) investigate the technology which can support Carers and the people for whom they care?

About You: These questions help us to understand the opinions of different groups of people.

Q17 Are you responding as a; (Select as many as apply)
Q18 Are you;
Q19 Which of the following age groups applies to you?
Q20 Do you consider yourself to be disabled in any way?
Q21 If yes, please tell us how it affects you.
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Thank you for completing this survey, we are grateful for your time.

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If you have any queries about Carers Support in Torbay;
Telephone Signposts for Carers on
(01803) 666620
Visit signposts@nhs.net
Our website is www.torbayandsouthdevon.nhs.uk/carers
The previous Carers strategy and action plan can be seen on the ‘strategy’ tab
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