The role of information and advice about care and support in prevention Protected Learning Time Event for the Non-Clinical Primary Care Workforce – Horley, 26 September 2019 Siobhán Abernethy, Information, Advice and Engagement Lead, Adult Social Care
Purpose • Highlight role information and advice plays in wider prevention and how information should be seen as a service in its own right • Raise profile with health professionals • Update group on information and advice strategy and local action plans • Share key resources to help information and signposting • Remind professionals of NHS Accessible Information Standard requirements • Seek support to improving the offer and embed information and signposting in prevention work and within integrated care pathways 2
Finding information and advice about care and support is a challenge for our residents Good information and advice can prevent or delay people’s care needs and improve their wellbeing and independence 3
Strategic direction • Surrey County Council working together with its partners to improve information and advice about care and support locally • Care Act 2014 defines our legal requirements (see appendix 1 for detail) • System-wide, countywide information and advice strategy endorsed by Health and Wellbeing Board • Focus on health settings, based on residents’ feedback and expectations • Surrey Community Vision for 2030 features the priority - “Everyone gets the health and social care support and information they need at the right time and place” 4
Surrey’s information and advice strategy 2016-2020 Develop area-based Maintain an effective local action plans to public information improve information service and deliver and advice in health impactful public settings, and greater awareness access to community campaigns support Deliver opportunities Work with key to increase resident agencies to self service and self commission and care using digital deliver quality channels to support information and people's wellbeing effective signposting whilst managing that represents value demand on services for money 5
Local priorities 1. Residents receive consistent, clear and accurate information on care and support. 2. Information and advice forms part of broader area level strategies, is treated as a service in its own right, is included in health and social care pathways, and complies with the NHS Accessible Information Standard. 3. Processes are developed to share information and best practice to ensure accurate information and signposting between organisations. 4. Information and advice as a topic is embedded in joint staff training. 6
Local priorities 5. Behavioural change is encouraged to promote local support and access to non-statutory services. 6. Local and national campaigns on care and support and public health are supported and joined up. 7. A consistent social prescribing referral process is adopted. 8. Feedback is gathered to build evidence and improve information and advice service provision. 9. The commissioning approach to information and advice services is reviewed and a consistent and proportionate monitoring tool is developed for organisations to review the effectiveness and monitor impact. 7
Local action plans • In each clinical commissioning group area members of the Information and Engagement team are leading on developing local action plans with partners • System wide change including NHS, local councils, Surrey County Council, care providers, voluntary, community and faith sector and residents • Looking at short term realistic objectives as well as longer term vision • All areas committed and implementing plans 8
Web-based signposting resource • 80% of residents expect to find out information about care and support from GPs • Highlighted to Health and Wellbeing Board how poor information / lack of information can impact on residents • Developed www.surreycc.gov.uk/careinformationresources • Draft shared with GPs, GP network co-ordinators and Primary Liaison managers • Positive feedback: “It is a very comprehensive guide that I as a GP and other health care professionals would find very useful. It combines all the relevant information that would be easily accessible. I can not think of adding any more information to this guide at this point. Thumbs up from me!” • Helpful to add as a favourite/bookmark to support 9 people to signpost effectively
Key digital resources • Surrey Information Point - central directory of community support to help residents stay independent • Healthy Surrey – relaunching in October with emphasis on self care, apps, referrals to lifestyle services and essential health information • Carers digital resources – free access code for local residents - DGTL3562 10
The NHS Accessible Information (NHS AIS) Standard • All NHS and publicly funded ASC providers, and IT suppliers to those organisations, have been required to comply from 31 July 2016 • Legislation: – Section 250 of the Health and Social Care Act 2012 – Equalities Act 2010 – Care Act 2014 • Monitoring and compliance: – Care Quality Commission (CQC) – Commissioning assurances e.g. contract reviews – Healthwatch Surrey Enter and View visits 11
Five key steps staff must follow 12
Questions to consider • Could GPs and practice staff commit to improving information and advice about care and support, seeing it as an intervention in its own right? • Could you consider how you embed information and signposting within care pathways? • Who leads on information and signposting in your organisation? • Have you asked patients do they have the information they need to make choices about care and support or improve their health and wellbeing? • Could you embed key resources in training materials for staff? • Are you implementing the NHS AIS requirements in your organisation? 13
Contact Details • Siobhan Abernethy, Information, Advice and Engagement Lead, Adult Social Care, Surrey County Council siobhan.abernethy@surreycc.gov.uk Tel: 01483 517257 Thank you for your time 14
Appendix 1 - Care Act: What kind of information and advice? Clause 4 of the Care Act 2014 sets out the areas where we must provide information and advice, specifically: • What types of care and support are available – eg specialised dementia care, befriending services, reablement, personal assistance, residential care, etc • The range of care and support services available to local people, ie what local providers offer certain types of services • What processes local people need to use to get the care and support that is available • How people can raise concerns about the safety or wellbeing of someone who has care and support needs 15
Appendix 1 - Care Act: The detail of information and advice • Available housing and housing related support options for those with care and support needs • Effective treatment and support for health conditions, including continuing health care arrangements • Availability and quality of health services • Availability of services that may help people remain independent for longer such as home improvement agencies, handyman or maintenance services • Availability of befriending services and other services to prevent social isolation • Availability of intermediate care entitlements such as aids and adaptations • Eligibility and applying for benefits and other types of benefits • Availability of employment support for disabled adults • Children’ s social care services and transition • Availability of carers’ services and benefits • Sources of independent information, advice and advocacy • The Court of Protection, power of attorney and becoming a Deputy • Raise awareness of the need to plan for future care costs • Practical help with planning to meet future or current care costs • Accessible ways and support to help people understand the different types of abuse and its prevention. 16
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