Adult Care and Health PDS Committee 22 January 2020 Mark Ellison, - - PowerPoint PPT Presentation
Adult Care and Health PDS Committee 22 January 2020 Mark Ellison, Chair of BTSE Toni Walsh, Partnership Manager, BTSE Supporting health, wellbeing and independence Contents Brief background Services Case Studies Outcomes Working with local
Supporting health, wellbeing and independence
22 January 2020
Mark Ellison, Chair of BTSE Toni Walsh, Partnership Manager, BTSE
Supporting health, wellbeing and independence
Brief background Services Case Studies Outcomes Working with local partners Achievements
Supporting health, wellbeing and independence
Care Navigators – delivered by Age UK B&G as part of the Proactive Care and Frailty Pathway Dementia Support Hub – delivered by BLG Mind with Age UK B&G
Registered with Companies House in September 2017 BTSE began delivering the Bromley Well Service in October 2017. Services provide a single point of access to a wide range of third sector early intervention and prevention support services. Aimed at delaying and preventing crises and supporting local people to remain independent.
Supporting health, wellbeing and independence
Bromley Well is a project managed by Bromley Third Sector Enterprise CIC Directors are the CEOs of:
– Age UK Bromley & Greenwich (current Chair) – Bromley, Lewisham & Greenwich MIND – Bromley Citizens Advice Bureau – Bromley Mencap – Community Links Bromley Staff – Toni Walsh, Partnership Manager – Katie Hall, Project Officer – Sue Potter, Communications & Marketing Co-ordinator
Supporting health, wellbeing and independence
Supporting health, wellbeing and independence
– Advice and help with issues around debt, housing, employment, legal matters and benefits, including a Form Completion Service (ILAG) – Older people: THAS, HAS, Handyperson, I&A, Befriending, Sitting Service – Learning difficulties (now including Autism) – Physical disabilities – Long term health conditions – Mental Health – Carers’ Support Service (including Adult Carers, Mental Health Carers, Mutual Carers) – Young Carers’ Service – Employment, education and volunteering
As well as supporting: – Local charities with their governance, training and capacity building
Supporting health, wellbeing and independence
Bromley Y commissioned to support the Young Carers’ Service Advocacy for All (LD Service) Bromley Experts by Experience (PD Service) Bromley Community Counselling Service Bromley & Croydon Women’s Aid
CASPA Signposting to local third sector services
Supporting health, wellbeing and independence
meet demands
Supporting health, wellbeing and independence “Because of Bromley Well’s work with this patient his mind-set has completely changed. We have avoided antidepressants.”
Dr Ella Winstanley, Broomwood Surgery
“…I would like to personally thank you for the hard work done by you and your staff at BTSE/Bromley Well, in preparation for, during and following the dispersal of Charterhouse patients into neighbouring GP practices. BTSE/Bromley Well has been invaluable for assisting us with communications to patients, including some of the most vulnerable left on the Charterhouse list. Your staff have contributed their time, energy and goodwill in delivering a safe closure, and patients have been better
Dr Angela Bhan, Managing Director, Bromley Clinical Commissioning Group
Supporting health, wellbeing and independence
Supporting health, wellbeing and independence
Name of Service: Information, Legal Advice & Guidance – Housing Describe the support the client received from the pathway and the difference it made The client presented via an outreach drop-in, having just received an eviction notice giving an eviction date of 10.10.19. The client was advised to update an earlier homelessness application to LB Bromley and was given a Caseworker. The client had tried to keep to the terms of the court order, but when the Caseworker called the landlord they clarified the actual terms of the order, which the client agreed had been misunderstood. The Caseworker completed the court forms to explain the client’s efforts to pay, the misunderstanding and the probable misrepresentation on the
and an alternative order substituted on terms of full rent. The client was also advised on the process to secure an emergency hearing. Explain the outcomes achieved for the client The Court agreed with the case made and eviction was cancelled and homelessness prevented and the client given a more affordable payment arrangement of rent/arrears.
Name of Service: Information, Legal Advice & Guidance - Debt What was the client’s situation on first contacting the Bromley Well service? Client contacted Bromley Well for help as they had bailiffs knocking on their door regarding a speeding ticket from 3 years ago, plus other debts and virtually no income. Client has dyslexia and depression and gets panic attacks and advised that they have tried to resolve the speeding ticket issue with no results. Client further advised that they struggle to deal with their paperwork due to their dyslexia and this is exacerbated by their anxiety. Describe the support the client received from the pathway and the difference it made: Client was booked a debt appointment to maximise their income and deal with their debts. Client was also
During the appointment the client’s debts with the bailiffs and HMRC were waived under the grounds of vulnerability. An appointment was booked at our Council Tax Surgery and a Help to Claim appointment to start a Universal Credit and PIP claims. Explain the outcomes achieved for the client: Based on advice and support given, client is now in receipt of Universal Credit, Council Tax Reduction, has applied for Thames Water Sure Plus, has support in place to help with paperwork in the future, and has decided to apply for a Debt Relief Order. Mentally client advised that due to the help and support they have had received from Bromley Well, they are feeling much better about their situation and much more positive about the future now that they have a plan with a way forward. Client advised that they had not even been able to open any paperwork previously and now felt much more confident about their ability to deal with things and cope. Client said that it felt as if a huge weight had been lifted.
Supporting health, wellbeing and independence
Name of Service: Information, Legal Advice & Guidance - Welfare Benefits What was the client’s situation on first coming to Bromley? Cl was homeless, sofa surfing with her cousin. Cl had no income, as she had previously had an appointee to handle her benefits, who when the relationship broke down failed to pass requests for information on to cl. Describe the support the client received from the pathway and the difference it made Cl was supported by Housing Caseworker (CW) to make a homeless application, but due to nil income no offers of property could be made until her benefit issues were
ending of her Personal Independence Payment (PIP) award in March 2018, and to apply for Universal Credit. Cl also advised of Bromley Welfare fund and Homeless packs. Cl was supported by Forms Completion Service to complete new PIP and UC-50 forms. Explain the outcomes achieved for the client Appointee was removed from cl’s benefits, cl’s PIP was re-instated and backdated to March 2018 (approx. £9,000 backdated amount), with an ongoing award worth £119.90pw (approx. £15,500 over course of award). Cl was awarded UC at £317pm, and after 3-month wait was awarded additional UC at £336pm ongoing. Cl has now been found a property, with support from Housing CW, and UC has now been updated to include a Housing Element of £657pm. CT reduction has also been received. In total the cl’s income has increased by over £1830pm. Cl’s application to the Bromley Welfare fund, and Homeless packs resulted in the cl being provided with a Fridge/Freezer, Cooker, Kettle, pots and pans, and blankets for her new home. Name of Service: Long Term Health Conditions What was the client’s situation on first contacting the Bromley Well service? Housing Benefits initially and was referred to LTHC service for support with her health conditions. Describe the support the client received from the pathway and the difference it made: Client has various health conditions including hypertension, depression and personality disorder. Client attended the health and wellbeing programme and needed more support with medication on a 1-2-1 after the programme as she forgets to take her medication. Scheduled a face-to-face (1-2-1) with client and discussed tips on improving adherence to medication such as setting an alarm clock and an audio reminder i.e. Alexa, organising tabs/capsules in a pill box etc. Informed client about Bromley Medicines Optimisation Service and provided referral forms in case client would like a home visit from the pharmacist or pharmacy technician for further support. Client set some smart goals to look at different audio medication reminder options and organising her tablets in a pill box. A 2-weeks follow up was scheduled. Explain the outcomes achieved for the client: Followed up on client after 2-weeks to establish any progress made on her set goals. Client has had a look at different audible medication reminders including echo Alexa and is trying to use different phone apps as reminders. Client mentioned that she now feels more confident taking her medication and not forgetting as she used to. She also feels confident in managing her condition. Client has joined a 12-week ADHD management course, which she is enjoying. Client would like to join the sessions she missed for the Orpington workshops. Client is grateful for the support she has received from the service and mentioned that it is always good to speak to someone on a 1-2-1 basis.
Supporting health, wellbeing and independence
Supporting health, wellbeing and independence
Supporting health, wellbeing and independence
Row Labels 0 To 15 16 To 24 25 To 34 35 To 44 45 To 54 55 To 64 65 To 74 75 To 84 85 To 94 95 To 104 Unknown Grand Total Adult Carers 22 19 70 152 264 271 219 143 65 1 8 1,237 Befriending 1 1 4 18 15 39 78 9 6 171 Employment & Education 2 129 136 113 135 123 11 2 5 656 Forms Completion Service 13 29 67 121 244 245 212 402 361 42 66 1,808 Handyperson 5 1 6 25 33 97 234 270 35 14 726 Hospital Aftercare Service 1 1 6 19 34 53 3 2 119 Information, Legal Advice And Guidance 15 206 645 740 824 601 229 91 23 3 28 3,406 Long Term Health Conditions (LTHC) 3 20 101 161 280 335 190 203 104 13 3 1,414 Mental Health Carers 3 7 20 39 73 64 34 12 3 255 Mental Health Info Advice And Guidance 5 134 274 337 350 231 62 16 5 1 2 1,419 Mutual Carers 3 2 6 18 17 19 13 10 88 Over 50s I&A 4 1 6 16 158 288 220 197 125 12 54 1,083 People With Learning Difficulties 6 82 100 95 89 82 11 6 3 1 2 477 People With Physical Difficulties 2 12 29 75 129 129 61 47 25 1 1 511 Single Point Of Access 117 565 2,004 2,060 1,908 1,313 663 328 111 10 15 9,103 Sitting Service 3 9 23 25 1 62 Take Home & Settle 1 2 3 4 1 11 Young Carers 332 46 2 380 Grand Total 526 1,234 3,460 3,935 4,516 3,764 2,073 1,793 1,265 133 206 22,936
Supporting health, wellbeing and independence
From project start to date (02.10.17 - 21.08.19) Total Clients Total Contacts Avg Contacts per Client Highest number
Adult Carers 1,130 14,045 12 87 Befriending 140 408 3 13 Employment & Education 577 4,234 7 48 Form Completion Service 1,542 6,548 4 47 Handyperson 659 1,803 3 14 Hospital Aftercare Service 98 585 6 24 Information, Legal Advice And Guidance 2,755 8,715 3 62 Mental Health Carers 239 1,872 8 50 Mental Health Info Advice And Guidance 1,264 10,423 8 43 Mental Health Peer Support Group 179 901 5 22 Mutual Carers 79 783 10 32 Over 50s I&A 1,335 6,991 5 101 People With Learning Difficulties 417 4,499 11 129 People With Long Term Health Conditions 1,286 7,627 6 50 People With Physical Difficulties 455 4,077 9 87 Single Point Of Access 8,255 20,693 2 35 Sitting Service 66 118 2 6 Young Carers 355 3,077 9 33
Supporting health, wellbeing and independence
Supporting health, wellbeing and independence
– AEIS, Reablement, Occupational Health, Housing, SEND, Leaving Care Teams
Supporting health, wellbeing and independence
Supporting health, wellbeing and independence
– NHS Carers Grant – Health Education England – Mayor of London Rewarding Volunteers Grant – TfL Walking and Cycling Grant (for Amble to Ramble) Currently applying for Carers’ Trust ‘Excellence for Carers’ Quality Award
Supporting health, wellbeing and independence
Supporting health, wellbeing and independence
Toni Walsh,
Partnership Manager, Bromley Third Sector Enterprise
Bromley Third Sector Enterprise CIC, Community House, South Street, Bromley, Kent BR1 1RH
020 8315 2573 toniw@btse.org.uk www.bromleywell.org.uk