Calderdale Healthy Ageing Programme

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Calderdale Healthy Ageing Programme
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Calderdale Healthy Ageing Programme

• Six projects to meet needs older people in
  Calderdale have said are important to them
• Neighbourhood Schemes in Halifax Todmorden
• Supporting Carers
• Falls Prevention Service
• Home From Hospital Service
• Handyperson Service
• Locality Integration

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Our Aims

• Accelerated culture change and flexible
  person- centred services through
• Shifting the balance of power to older people
  and
• carers
• Promoting healthy ageing, independence and
  well-
• being.
• Joint commissioning, integrating locality
  teams,
• reinvesting savings and developing the
  workforce
• Developing the capacity of the community,
• voluntary and independent sector
• Evaluating the outcomes of the Project and
  sharing
• good practice nationally and locally

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Calderdale Healthy Ageing Programme
Health Social Care Locality based integrated
teams
Practical prevention and support services to
promote health and well-being
Step change from intensive services to a
preventative person-centred approach
Neighbourhood Schemes
Gateway to services
Transport
Building community capacity
Hospital After Care Scheme
Access Advice
Leisure and Social Activities
Handyperson Scheme
Falls Prevention
Carers Support Well-being
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Calderdale Healthy Ageing Programme

• DH POPP Grant 943 k (over 2 years)
• Project/Service Staffing
• Neighbourhood Schemes 4 (3.66 WTE)
• Supporting Carers 3 (1.16 WTE)
• Falls Prevention 4 (2.72 WTE)
• Home From Hospital 3 (2.12 WTE)
• Handyperson Service 2 (1.0 WTE H/person, 0.4 WTE
  Admin)
• Locality Integration 1 (1.0 WTE)
• Total 17 (12.06 WTE)
• Our minimum target is that by March 2009
• 1,600 service users will have benefited from
  the five
• POPP preventative services and
• 30 additional volunteers will have been
  recruited
• across these services.

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Neighbourhood Schemes
Tess McMahon Coordinator Todmorden NS Tel 01422
348777 Email nscot_at_cvac.org.uk

• Why? Older people said they wanted
• Neighbourhood Schemes
• To be involved in service design, delivery and
  monitoring

• Aims
• To enable older people to take a full and
  active part in the
• local community
• To pay particular attention to vulnerable and
  isolated older
• people
• To meet the 7 outcomes in Our Health, Our
  Care, Our
• Say and LAA targets

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Neighbourhood Schemes

• How?
• 2 pilot NS Central Halifax and Todmorden
• Scheme Coordinators started in August 2007
• Support Workers started in October 2007
• Run by older people for older people
• Asking older people about what they want
• and need
• At least half of each Steering Group will be
• local people aged 50
• Meeting local needs in a flexible way

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Neighbourhood Schemes

• NS will offer a range of activities that promote
  health, well-being and independence including
• Advice and information
• Overcoming barriers to getting existing
• services
• Social, recreational and learning opportunities
• Healthy living activities
• Practical help and support provided by
• volunteers
• Reaching out to isolated older people

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Neighbourhood Schemes

• Progress So Far
• Building foundations
• Developing locality profiles
• Developing a mini-directory
• Signposting and referring on to other services
  
• eg Falls Prevention, Handyperson
• Overcoming barriers to accessing existing
  services
• Then
• Develop new activities and services
• Monitor and evaluate asking older people
• Sustainability planning
• A Case Study Fish and Chips (see handout)

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Health Well-being of Carers
Maureen Howland Caseworker Lesley Rudd Looking
After Me Administrator Tel [phone]
Emaillynn_at_calderdale-carers.co.uk

• Why?
• Many older people are carers
• Many carers spend 50 hr/week providing
  informal care
• Caring is emotionally and physically draining
• Many carers have a long-term condition
• Unpaid carers save health and social care
  millions/year

• Aims
• To support carers to self care and manage their
  situation
• To improve all aspects of carers well-being
• To reduce the number of times care breaks down
• To meet carers needs more effectively

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Health Well-being of Carers

• How?
• Carer Caseworker (0.5 WTE)
• Looking After Me Courses
• Researching Carers Needs
• Reshaping services to meet needs

• Carers Caseworker (Since May 1 2007)
• Provides short-term, time limited intensive
  support
• Responds to referrals quickly
• Gives support, advice and signposts on
• Assists carers to get support from other
  agencies
• Case Study (see handout)

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Health Well-being of Carers

• Looking After Me Courses (Expert Patient
  Programme)
• Free self-management course for adult carers
• 2.5 hours/week for 6 weeks ( pre/post
  meetings)
• Covers
• Relaxation techniques Dealing with tiredness
• Exercise Healthy Eating
• Coping with depression Planning for the future
• Communicating with family, friends
  professionals
• Led by 9 trainers (6 volunteers, 3 Carers
  Project staff)

• Progress To Date
• 2 courses run by specialist trainers
• 27 participants completed (9 then trained as
  trainers)
• Planning at least 6 courses/year (1 in ethnic
  language)
• Evaluation Feedback (see handout)

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Health Well-being of Carers

• Research To Identify Carers Needs
• Focus on emergency respite care and other needs
• Cordis Bright Consulting (our POPP Local
  Evaluator)
• June Dec 2007
• Includes
• Questionnaires to over 1,000 carers
• 6 targeted Focus Groups
• Stakeholder on line survey
• Literature/best practice review
• Will
• Inform our updated Carers Strategy
• Help us to re-shape carers services to better
  meet needs
• Include new emergency respite service

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Falls Prevention
Rachael Smith Business Change Manager (Falls
Prevention) Tel [phone] Email
rachael.smith_at_calderdale-pct.nhs.uk

• Why?
• One third of people 65 will fall at least
  once/year
• In Calderdale this equates to 11,500 people
  falling/year
• 5-10 of these will suffer injury
• Following hip fracture 50 lose independence
  25 die
• Can lead to loss of function, mobility and
  quality of life
• Estimated health and social care cost of a
  single hip
• fracture is 25,424
• Calderdale PCT spent 3.5 m in hospital
  admissions due
• to falls (2004/05)

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Falls Prevention

• Strategy
• Primary Falls Prevention
• Empower Older People
• Part of whole systems approach

• How?
• 4 x 25 hr FP Workers to
• Raise awareness
• Education fall risks and falls prevention.
• Provide choices for healthy lifestyle.
• Provide effective proven falls prevention
  measures.
• Work together

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Falls Prevention
POPPS Primary Prevention Education, advice,
Peer Mentors , Moving More Often first level
screen Fall Prevention workers Balance
groups Second level Assessment (DN,CRT,RR) Fal
ls Clinic
Early prevention
Targeted intervention
Specialist Health Services
Highly specialised
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Calderdale Healthy Ageing Programme

• Lessons Learnt So Far
• Setting services up takes time especially
• when multi-agency and involving older people
• Managing relationships at all levels takes a
  lot of
• time and energy this is vital to success
• Would focus on fewer projects/services next
  time
• Synergy and creativity of working together is
• very positive lots of spin offs that
  wouldnt have
• happened without POPPs