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$: Agenda - bbcdevwebfiles.blob.core.windows.net · G:\Adult Services Bedford Borough\Adults & Older People\Physical Disability & Sensory Impairment Partnership Board\2013 Meetings\131212\Minutes$
Bedford Borough Council, Borough Hall, Cauldwell Street, Bedford, Beds, MK42 9AP

Agenda Title of Meeting: Bedford Physical Disabilities & Sensory Impairment Partnership Board

Date: Thursday 31st October 2013

Time: 10.00 am – 12.00 noon

Venue: Committee Room 3, Borough Hall, Cauldwell Street, Bedford

Contact: Claire Minney - 01234 228204 Ext 42204

No Item Please tick box below if there is an attachment

Time Lead Person

1. Apologies & Welcome J Bruynseels

2. Minutes from the Last Meeting & Matters Arising 10

All

3. Hospital Discharge Process

Questions & Answers from presentation

30

Mark Harris

4. Effectiveness of Partnership Boards Feedback 10 J Bruynseels

5. Physical Disability & Sensory Impairment Strategy Action Plan Updates

30

J Bruynseels

6. Mental Health Partnership Board Feedback 10 J Tucker

7. Service User news

Bedford & District Access Group

15 All

8. Carer News 5 All

9. Safeguarding 5 All

10. Any Other Business

Inconsiderate Parking Leaflet

5 All

11. Date and time of next meeting 12th December 2013 - 10.00 am - 12.00 noon Room 408, Borough Hall

Future Dates: 27.02.14 24.04.14

All to note

G:\Adult Services Bedford Borough\Adults & Older People\Physical Disability & Sensory Impairment Partnership Board\2013 Meetings\131212\Minutes 31.10.13.doc Page 1 of 6

Minutes

Title of Meeting: Physical Disabilities & Sensory Impairment Partnership Board

Date of Meeting: Thursday 31st October 2013

Attendees –

John Bruynseels (BBC, Co-Chair), Joyce Tucker (SU & Co-Chair), Tracey Brightman (Bedford LINk), Claire Minney (Minute Taker), Alberteen Bartlett (User & Carer Advisory Group), Terry Darlow, Stuart Odell (BBC), Glenda Tizzard (POhWER), Ros Harding (BBC), Samantha Booth (Headway), Jodi Simpson (BBC), Yvonne Clarke (Carers In Bedfordshire)

Apologies –

Joyce Dynes (Wednesday Club), Lisa Sparks (BBC), Anona Hoyle (BBC), Chris Batten (Headway), Diane Meddick (Bedfordshire Clinical Commissioning Group) No. Item Actioned

by 1.

Minutes from last meeting The minutes from the previous meeting were agreed.

2. 2.1

Matters arising No matters arising.

3. 3.1 3.2 3.3 3.4

Hospital Discharge Process – Hospital Social Work Team – Mark Harris Mark Harris gave a presentation which gave an overview of the Hospital Social Work Team, the processes they work towards in terms of facilitating appropriate discharges from the hospital, the various colleagues they work with, how the team accesses the Reablement Service and how the team has developed over the years since 2011. Yvonne stated that some patients are still being discharged from the Hospital without the carers being well informed and time for the carers to arrange support at home and a lack of accessing the Carers Lounge. Yvonne felt that if carers were given enough notice of a discharge they will be able to arrange some support and assist appropriate discharges and avoid inappropriate readmissions. Mark stated that the Hospital Social Work Team are continually encouraging hospital staff and wards to make use of the Carers Lounge and request support from the Hospital Social Work Team and is aware that this support is sometimes bypassed. Mark agreed to liaise with the Carers Lounge to establish again and build rapport. John informed the Board that it is important to note that the Hospital Social


3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14

Work Team will not be made aware of all hospital discharges as it may be that the individual has a clinical need rather than a social aspect and therefore staff will not refer the individual via the Hospital Social Work Team. It is challenging and something the team are looking to minimise. Tracey asked if the Hospital Social Work Team get involved at the pre assessment stage in advance of a planned operation. Mark stated that the Team are currently working towards getting involved at the pre assessment stage as early intervention is key to a successful admission and smooth discharge from Hospital. Tracey stated that some patients may think they are ok and do not require support, whereas the carer may feel otherwise and asked if the Team has dealt with similar cases. Mark agreed with Tracey that some patients do believe this and are able to make their own decision if they have capacity but to note that when assessing a patients needs, the carers needs need to be considered in the form of a carers assessment and contingency plans must be arranged. Glenda complimented the good work of the Hospital Social Work Team as she personally knows of someone who has recently accessed the service. Tracey asked if out of county visitors can access the same support. Mark explained that their Local Authority will be responsible for supporting the patient but at times the Hospital Social Work Team is able to complete assessments on behalf of other Local Authorities. Mark explained that the same process would apply to Bedford Borough residents who require healthcare from an out of county hospital. Tracey stated that the 7 day service is beneficial to patients. John asked what support the Hospital Social Work Team can offer for people with a physical disability or sensory impairment. Mark explained that the Team have several links to specialists within the hospital e.g. Occupational Therapists, audiologists and are able to provide various pieces of equipment to aid the assessment process. Joyce T stated that she had heard of incidents where patients hearing aids / equipment had been stolen whilst in hospital and asked what is being done to support people. Mark explained that the Hospital Social Work Team are able to advocate on behalf of the patient, signpost to advocacy services and look at whether the case needs to be investigated and a safeguarding alert be raised. Mark stated that it is important all patients have appropriate equipment. Tracey asked if there is a delay for equipment and whether this would affect someone’s discharge. Mark stated that there can be delays in ordering equipment but that the Team have good links with the hospital and are able to order equipment to support a discharge and short notice. Mark stated that no one should be discharged without the appropriate information or equipment in place.


3.15

Sam asked what happens when the equipment is no longer needed. Jodi informed the Board that there should be a label with contact details on the equipment and the provider can be contacted to see if they are able to recycle the equipment. Jodi is aware that some pieces of equipment may not be recycled because the cost is more to clean and recycle than it would be to purchase a new piece of equipment and it is likely that individuals will be asked to dispose of the equipment themselves, but it is best to speak to the equipment provider in the first instance.

4. 4.1 4.2 4.3 4.4 4.5 4.6 4.7

Effectiveness of Partnership Boards Feedback The report was presented to the Board for comments. 6 responses were received, however due to the range of responses, it has been difficult to draw any firm conclusion. The findings from this report will be passed onto Corporate Performance who are currently reviewing all Partnership Boards across the Council. Board members raised the following:

Partnership Boards are invaluable. Need more service user representation but are unsure who can attend

and what the criteria is to become a member, as there may be people with an impairment but do not have reason to access social services support. People will want to know how they will benefit from attending the Board.

District Access Group value the Partnership Board as they see this Board as way to raise the profile of a particular issue.

Need to raise awareness of the Partnership Board and look at other forums.

Stuart explained that as facilitator of the District Access Group, they would like to increase the variety of people attending and encourage more young people to attend and is therefore linking with Bedford College. Yvonne stated that carers would struggle to attend all partnership boards as they have caring responsibilities to attend so therefore carers views are gathered at the carers groups and feedback via one representative who sits on the Partnership Board. Glenda agreed with Yvonne’s approach and stated that service users views are gathered at various advocacy groups as sometimes service users would find this meeting intimidating and more chaotic if too many people were to attend. John thanked members for their comments and explained that he sees the Partnership Board is there for people who do access social services and for those who do not access services. The Partnership Board is an opportunity for representatives of various groups to raise issues on behalf of several service users, carers or providers and work as a partnership to improve services and plan future services. The Board is a good opportunity to share information.


All members agreed that they would like to see the Partnership Board continue.

5. 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10

Physical Disability & Sensory Impairment Strategy Action Plan Updates The latest updates were presented to the Board and the following was highlighted: Priority 1, item 4 – Headway used to have a link with Bedford College for people with a brain injury. There has been problems with accessing grant money and therefore this service has ceased. It was agreed to invite Katrina O’Brien to provide an update about why this has happened and what are the options for the future. It was agreed to invite the Jobs Hub to give a presentation as some members were not aware of the work of the Jobs Hub and what they can do for people with a disability. Priority 2, item 1 – It was agreed to invite Diane Meddick form the Bedfordshire Clinical Commissioning Group to talk about Telehealth. In terms of Telecare, numbers are increasing and awareness of the service is increasing and an improved responder service. Priority 3, item 2 – Joyce spoken on behalf of a friend who is deaf in one ear but does not like to be referred to as deaf and was unaware of the services / support she may be able to access. Joyce explained that they had looked at the Council’s website under Hearing Impairment to see how someone can be added to the register despite not requiring services. Her friend has approached the audiology department who appear to have some bits of information but a lot of it is out of date and has been advised that no one seems to make the audiology department aware of services available and where to go next. John stated that the audiology department should be able to provide information on what to do next and support services available and look at who commissions this service. Jodi agreed to ask the Deaf and Hearing Impairment Team how someone becomes registered and to ensure the Team improves information sharing with the audiology department. Priority 3, item 3 – Tracey felt transport is a concern for people with a disability who would like to access local community facilities. John explained that the most appropriate forum for issues concerning transport need to be raised at the Transport User Forum. Priority 3, item 2 – POhWER to provide updates for the action plan. Priority 4, item 3 – The Government plans to look at regulating new housing. The District Access Group has identified new housing in the Borough which does not meet accessibility requirements. A report will be submitted to the committee in February. Stuart to provide updates for the action plan.

JB JB JB JS GT SO


5.11 Priority 4, item 3 – The first resident will be moving into St Bedes this week. The extra care housing facility is for people over the age of 55. 24/7 onsite care is available to those who require the service.

6. 6.1

Mental Health Partnership Board Feedback No significant updates.

7. 7.1 7.2 7.3

Service User news Bedford & District Access Group – The minutes of the September meeting were noted. A sight/hearing impaired Access Group member had reported a serious incident when she was knocked over by a cyclist on a pavement. She felt that there was a lack of awareness of the needs of disabled people, particularly those with a ‘hidden’ disability such as hearing and/or sight loss. This had been a concern of the Access Group for many years. It was agreed that:

The Council’s Cycling and Walking Officer should be asked to raise awareness

A Freedom of Information request should be submitted to Bedfordshire Police – asking for details of penalty notices given to cyclists in the pedestrianized area of Bedford and in the other town centre areas

The Physical Disabilities & Sensory Impairment Partnership Board should be asked to raise this matter with the Police, and ask for a senior police officer to attend one of the Board’s meetings

POhWER – The contents of the report were noted. Contents from a report provided by Anona were noted. The report highlighted actions taken since the last meeting on Welfare Reform changes and a Carers Forum. It was agreed to circulate the report.

Access Group Access Group JB

8. 8.1 8.2

Carer News Yvonne informed the Board she will be retiring from Carers In Bedfordshire. Helen Satterthwaite has been appointed and plans to attend the Board meetings. Yvonne stated that there are plans to establish a Carers Lounge within the Luton and Dunstable Hospital and patients from the Bedford Borough area will be able to access advice and information from there. Board members thanked Yvonne for her contribution to carers and the board and wished her well in retirement.

9. 9.1

Safeguarding No items were raised.

10. 10.1

Any Other Business Inconsiderate Parking and Positioning of Advertising Boards Leaflet was


10.2

circulated to members. A suggestion was made to include online information on how to log an issue and upload to the website once the leaflet has been reviewed. Stuart informed the Board that there was a programme on 30th October on BBC4 on ‘Disability over the years’ and how things have changed which was an interesting watch.

11. Date and time of Next Meeting 12th December 2013, 10.00 am - 12.00 noon in Branston Room, Borough Hall. Future dates: 27th February 2014 24th April 2014

All to note

1

Hospital Social Work Team

31st October 2013

About the Team

Based on site at Bedford Hospital 22 Members of staff across a number of

disciplines We work with patients from both Central

Bedfordshire and Bedford Borough We cover the Intermediate Care / Rehabilitation

Beds at the Archer Unit We carry our six week reviews and work with

everyone over the age of 18

2

Referrals on the increaseIn late 2010 the team averaged 60 Referrals a Month.

The current average of 120 Referrals every month.

The impact on Winter Pressures has also spread out across the year and where we have seen peak’s and trough’s of referrals in the past we are now seeing a constant demand.

The vast majority of people are referred on to the Reablement team who have 2 Coordinators based in the team.

Constant Improvement January 2011 – Older Person’s Assessment and Liaison

(OPAAL) trial starts within Bedford Hospital working with people aged 65+.

April 2011 – Weekend working trialled over the bank holidays (22/04 – 02/05) – During this period 64 bed days were saved and 36 additional discharges were brought forward.

May 2011 – OPAAL trial reviewed and agreement reached for it to become a mainstream service.

June 2011 – OPAAL expanded to include people aged 18 – 65.

August 2011 – Reablement Coordinators join the Hospital Social Work Team.

October 2011 - 7 day a week working starts in the Hospital Social Work Team

3

Constant Improvement March 2012 – Hospital Social Work Team take over

management of the discharges from Community Health Rehab Beds and outlying Hospitals to provide a seamless patient journey.

October 2012 – Welfare rights advisor based at the hospital to increase benefits gains for the patients of the Hospital – We are currently projecting a potential annual benefit gain of over £220,000

Jan 2013 – Increased referral rate to Telecare and the introduction of devices such as the sonido listening device to improve involvement of patients in the assessment process.

April 2013 – OPAAL transformed into the Navigator project

Commitments in 2013

Increase in working hours to 8am to 8pm Information and support to be offered to elective surgery

patients to enable them to start the assessment process before surgery

Use the winter pressures monies to reduce length of stay in relation to patients being assessed for Continuing Health Care

Increasingly creative uses of Red Cross including the provision of food parcels on discharge for people who have no other support available

4

What is the Navigator Project? Developed from the Older Person’s & Adults

Assessment and Liaison (OPAAL) model which facilitates same day discharge.

Made up of Discharge Planning Team members, Occupational Therapists, Physiotherapists, Social Workers, Reablement Coordinators.

Discharge can include support from Red Cross, Reablement (Bedford Borough), Rehab and Enablement and Rapid Intervention (South Essex Partnership Trust)

Referrals received from all wards within the hospital where the length of stay is under 72 hours from 9am to 3.30pm 7 days a week.

The service aims to fully assess and discharge patients within 2 hours of the referral – If this isn’t possible the patient remains with the Navigator team and they aim to discharge the patient within 72 Hours.

Bob’s Journey (Navigator) Attends Accident and Emergency Department - Sunday 1.30pm

– Screened by Consultants Team – No reason for acute admission - main concerns around an inability to cope at home.

2.00pm Referral to Navigator Team – Via Discharge Planning who complete single assessment paperwork, gained agreement from Bob to be assessed, and then refer to Social Work Department and on call Hospital Occupational Therapist (OT).

3.00pm assessments completed by OT, Social Worker and Reablement Coordinator.

3.15pm Reablement confirmed availability of same day care –Red Cross contacted to arrange transport for 4.30pm.

Red Cross settle Bob at home and the first care visit arranged for 6pm that evening.

After 6 weeks Bob was assessed as being self caring and the Reablement Team ended their involvement.

Bob continues to live independently.

5

Ruth’s Journey (Hospital and Intermediate Care) Single assessment paperwork was received from the discharge

planning team Ruth had suffered a stroke and the referral requested a package of care The social worker contacted the Occupational Therapist and questioned

the suitability of Rehabilitation On review the occupational Therapist agreed that inpatient

rehabilitation would be beneficial for Ruth Ruth was transferred to the Archer Rehabilitation Unit (South Essex

Partnership Trust Community Health Service) The Hospital Social Worker continued to work with Ruth and advocated

for further intervention from the Rehab and Enablement Team (South Essex Partnership Trust Community Health Service) on discharge

The Social Worker continued their work into the community and carried out a community review 6 weeks after discharge

Ruth was then supported with a package of care through self directed support which enabled her to make informed empowered choices about her care provision.

Why length of stay is important

After the acute phase of an illness has been treated it is estimated that a patient looses 5% of their functionality every day they remain in the acute setting – This greatly impacts on both the patient and the level of support they will require on discharge

A stay in an acute environment has risks attached to it such as : The risk of developing a hospital acquired infection –

MRSA, Hospital Acquired Pneumonia etc. The risk of institutionalisation

6

The Delayed Discharge Act

Gives the relevant local authority 48 Hours to carry out an assessment and provide appropriate care to facilitate discharge

If this doesn’t occur the Hospital can issue a section 5 notification which will charge the local authority for every day the discharge is delayed

Delayed Transfers of Care other areas (Feb 2013)

Cambridge – 1186

Hertfordshire – 1437

Oxfordshire – 1060

Northamptonshire - 106

7

Delayed Transfers of Care

Acute delays for Bedford Hospital (BGH) attributed to Bedford Borough Council 2012/2013

0 days

Who the Hospital Social Work Team work with Hospital Occupational Therapist and

Physiotherapists Community Occupational Therapist and

Physiotherapists Doctors (House Officers to Consultants) Nurses (Including Specialist Nurses) CPN and Social Workers from the Community

Mental Health Team for Older People and Working Age Team

Bedford Borough Social Workers from the Physical disabilities Team, Older Person’s team, Learning disabilities and Sensory Team and Children’s services

Nurses and support workers from intermediate care rehab units

Rapid Intervention (South Essex Partnership Trust Community Health Service (SEPTCHS))

Rehabilitation and Enablement (SEPTCHS) Reablement Team Discharge Team (Bedford Hospital) Care Quality Commission NHS Bedfordshire and NHS Luton PCT Cluster Health Link Bedford The James Kingham Project Community Parkinson Specialist Nurses

Discharge Team (SEPTCHS) Central Bedfordshire Social Workers from the

Physical disabilities Team, Older Person’s team, Learning disabilities and Sensory Team and Children’s services

Red Cross Stroke Association Alzheimer’s Society Bedfordshire Police and out of county police forces Out of County Hospitals Out of County Social Services departments Pet Services Continuing Health Care team Sue Ryder (St. John’s Hospice - Moggerhanger) Mac Millian Nurses The Palliative Care Hub Private Care providers Both 24 Hour Care providers

and domiciliary Care Providers Millbrook – Equipment providers Pharmacy both acute and community Tissue Viability services Continence Service’s Advocacy services The Independent Mental Capacity Advocate Plus others

Report for Physical Disability and Sensory Impairment Partnership Board

August 2013

Report by: Anona Hoyle (Commissioning and Business Support)

Effectiveness of Partnership Boards (Physical Disability and Sensory Impairment Board)

1. Earlier this year we asked members of all the Adult Service partnership

boards to complete a short questionnaire. The questionnaires were issued to help us understand why individuals and organisations attend partnership board meetings.

2. The responses from the questionnaires have been collated and the main results regarding this Board can be found overleaf.

3. The information from the questionnaire is feeding into a whole system review of partnership arrangements being carried out by the council’s Corporate Policy and Performance Team on behalf of the Mayor and Chief Executive. The review is tasked with designing a new robust partnership structure to replace the Local Strategic Partnership including the partnership boards which effectively manage and deliver the actions set out in the local strategies.

Emerging themes from Physical Disability and Sensory Impairment Partnership Board

The number of responses was small (6) and the range of responses broad making it difficult to draw many conclusions.

50% of respondents either agreed or strongly agreed that there was good service user representation at meetings whilst 50% strongly disagreed, only one of the responses came from a service user.

Next steps

Members of the Physical Disability and Sensory Impairment Partnership Board are asked to respond to the feedback received and record what the Board intends to do as a result of that feedback.

The Board’s response will feed into the overall review of partnerships and proposals arising from it.

13-08 Effectiveness PB - results from PHYSICAL DISABILITY AND SENSORY IMPAIRMENT pb

1

Partnership Boards Questionnaire - May/June 2013

Responses from Physical Disability & Sensory

Question 2How strongly do you agree with the following statements regarding partnership board (pb) meetings?

Total responses

Statutory Providers / Third sector

Individuals/groups

sub total Statutory Providers / Third sector

Individuals/groups


Individuals/groups


Individuals/groups


Individuals/groups


Individuals/groups

sub total

The purpose of the PB meetings are not always clear

0 2 2 1 1 1 3 1 1 0 4 1 1 6

Attending PB meetings is a good use of officer time

1 1 2 2 1 3 1 1 0 0 4 1 1 6

The appropriate level of officer (council and other organisations) regularly attend PB meetings

1 1 2 1 1 2 1 3 0 0 4 1 1 6

There is good service user representation at PB meetings

1 1 2 1 1 0 2 1 3 0 4 1 1 6

There is good carer representation at PB meetings

1 1 2 0 1 1 2 1 3 0 4 1 1 6

Everybody is able to contribute at PB meetings

2 1 1 4 2 2 0 0 0 4 1 1 6

PB meetings are outcome focused

1 1 1 1 2 1 3 1 1 0 4 1 1 6

Service user and carer participation is the main focus of PB meetings

1 1 1 1 2 2 1 1 0 3 1 1 5

I attend more than one partnership board and find there is a lot of duplication

0 1 1 1 1 0 0 2 0 0 2

number of responsesstrongly agree agree a little slightly disagree strongly disagree don't know

Physical Disability & Sensory

Joint Commissioning Strategy for People with Physical Disabilities and Sensory Impairments Strategic Action Plan

Last Updated: 17.10.13

Strategic Priority 1: To improve the employment chances of people with disabilities and sensory impairments

2013 - 2014 Objectives Responsible Officer

Progress Update

1. Support people with disabilities and sensory impairments to gain work or staying in work.

1. Arrange a “Disability Jobs Fair” day in a town centre venue, where organisations such as the Jobs Hub that can support people with disabilities or sensory impairments to gain or stay in work. Stands will be available so that people can drop in for information and in-depth conversations with people that can help.

2. Advertise the event publically so that the event is open to every disabled person in Bedford borough, irrespective of whether they have contact with local statutory services

Job Centre Plus Personal Budget Support Officer, BBC

A jobs fair is being planned for 14 October at Bedford Corn Exchange in partnership between Job Centre Plus and the Jobs Hub. Whilst this will not be disability specific, elements can be included. Promoted the ‘jobs market’ event (held October 2013) organised by Jobs Hub and supported Deaf students to access a BSL interpreter at event

2. Raise the expectations of social workers and health professionals of work as a realistic choice for people with disabilities,

1. Social workers will also be invited to come to the “Jobs fair” so that they know what organisations can support disabled people to find work, what employers are required to do to support people to remain in work.

2. Social workers will, when appropriate, raise the option of work at assessment and review.

Physical Disabilities Team Manager and Care Standards and Review Manager, BBC

Workers from teams will be made available to attend. The option of employment is discussed at all relevant assessments and reviews. Relevant support or signposting is provided where appropriate.

3. Equip social care and staff and health staff with:

knowledge of local services that can support disabled people to gain work

a knowledge of the law so they can support people to remain in work when they become disabled or their condition

1. A bespoke training/awareness session will be made available to social work staff and occupational therapists about support provided by organisations that support people with disabilities to gain or remain in work, including the Jobs Hub and the Job Centre.

2. The Council’s Human Resources Department will advise on the law regarding employers’ duties to support people with disabilities to work, and can advise on written sources that staff can refer to.

3. The Council for Voluntary Services will advise on local grant making bodies, and the Benefits Agency/Direct.gov have information about funding that people can apply for. This information will be pulled together and put on Bedford Borough

Personal Budget Support Officers, Physical Disability Team Manager, OP and PD Service Manager, BBC HR Manager, BBC CEO of Bedford CVS

2. The Employee Relations team advise managers regarding staff with disabilities to ensure reasonable adjustments are made to the working environment. The team work closely with colleagues in Occupational health, IT and Health and Safety to ensure appropriate support is in place. The Council has been awarded the two ticks positive about disabled people symbol by job centre plus. Information about access to work arrangements is contained on the Council’s intranet site for staff.

Page 1 of 6


deteriorates

A knowledge of funding streams/local trusts so that they can support people with courses, return to work, fares, laptops or other items that can support people to prepare for work or stay in work

Council’s intranet for staff to access. and Personal Budget Support Officer BBC

Physical Disability and Sensory Impairment Manager will be contacting Learning and Development regarding this training.

4. Increase work related learning opportunities (including IT training).

1. Link with Bedford College and Adult Education to find out what courses are available and make that information available to people with disabilities, staff who support them, and local organisations that support people with disabilities.

Personal Budget Support Officer, BBC

Researching courses and support available at Bedford College, Adult Learning and the Jobs Hub.

5. Review support available to employees with disabilities who work in Bedford Borough Council and local NHS organisations

1. Review policies and workplace referral schemes.

2. Benchmark against best practice. 3. Produce report and recommendations

to senior managers.

HR Managers, BBC and BCCG

1. HR policies are regularly reviewed and are subject to equality assessments to ensure they support all protected characteristics.

Strategic Priority 2: To Improve the provision of equipment and telecare/telehealth

2013 - 2014 Objectives Person Responsible

Progress Update

1. Provide more telehealth services so people with physical disabilities can take their own health readings at home (such as their heart rate reading) and then send the results to a health professional via the internet. Continue to work with the BCCG to

1. Bedfordshire Clinical Commissioning Group will continue to commission a telehealth service

2. Bedford Borough Council will support the BCCG in its review of the service’s operational effectiveness and will support further development/integration as appropriate.

Head of Planned Care, BCCG Head of Commissioning, BBC

Page 2 of 6


scope out the feasibility of integrating telecare and telehealth provision across Bedfordshire.

2. Increase the number of people using telecare and community equipment services

1. Review the pathway for telecare and operational impact of the in-house telecare assessors.

2. Produce recommendations to further increase the number of people using telecare and community equipment.

OP and PD Service Manager, BBC

The use of Telecare is monitored monthly at the Reablement Meeting. The Telecare Officers and Managers have met with teams to promote the service – most recently Mental Health. We have seen an increase in referrals over the last two months. All service users undergoing a period of reablement are considered for Telecare and cases are challenged weekly at panels if Telecare hasn’t been discussed.

3. Make it easier for people with physical disabilities or sensory impairments to arrange for their own equipment, assistive technology or home adaptations.

1. An equipment area will be open to the public in the Gadsby Street hub in Bedford town centre. Review the effectiveness of the provision after six months, and improve the provision if needed.

2. Millbrook Healthcare has a retail area in their Bedford base. The Community Equipment Board will work with Millbrook to further develop their retail offer, both in physical sites in Bedford and online.

Physical Disabilities Team Manager, BBC Physical Disabilities Team Manager, BBC

Equipment display area at Gadsby Street. OT team able to provide support 3 days per week at present. However, once position recruited to, publicity event will be held. Has equipment from OT, sensory and telecare. Work ongoing with Millbrook. Small retail area open at their depot.

Strategic Priority 3: To Improve access to personalised services so that people with disabilities can have the same choice and control over their lives as people without disabilities


Progress Update

1. Ensure access to early rehabilitation and reablement services

1. Bedford Borough Council and BCCG will implement the recommendations of the review of non acute beds. This will mean implementing a smoother pathway from hospital to home, with

Head of Partnership Commissioning, BCCG Older Peoples

Report presented to Health and Wellbeing Board on 15th October. Contains commitments from BBC and BCCG to continue

Page 3 of 6


more rehabilitation and reablement services delivered in people’s own homes or in community settings.

Commissioner BBC

direction of travel working jointly on prevention and re-ablement approaches.

2. Improve the range and quality of information, advice and advocacy services.

1. Advocacy is available to any vulnerable adult in Bedford who needs advocacy support via the generic advocacy services that is delivered by the joint contract with POhWER. Bedford Borough Council and BCCG will continue to invest in the generic advocacy service.

2. Commissioners will continue to support POhWER to develop its service in line with local needs.

Head of Commissioning, BBC Older Peoples Commissioner, BBC and Personal Budget Support Officer

In addition to the existing twice monthly Deaf Drop-in service at POhWER, the local deaf community identified an additional need for a social event embracing the whole deaf community. The first of its type took place earlier on this month and was a great success with a high attendance. Anona Hoyle and Ros Harding will be meeting with POhWER and Suzie Sampson, a deaf volunteer, on the 7th November to discuss the future of this type of event.

3. Support service users to review the levels and type of transport available, so people can access services like day and evening activities, health and council services, education and leisure opportunities.

1. Service users sitting on the Physical Disability and Sensory Impairment Board consistently highlight weaknesses in the current accessible transport provision. The Board will support a group of service users to make their views known to transport commissioners and providers.

AD Adult Social Care

Representative to be on the Transport User Forum.

4. Support service users to a range of different social opportunities that people can independently use.

1. Service users sitting on the Physical Disability and Sensory Impairment Board consistently highlight the lack of social opportunities for people with disabilities. The Board will support a group of service users to undertake a review of social opportunities and make recommendations that can be taken forward by the Board.

AD Adult Social Care

Weekly multi activity / sports club established for people with a physical disability or learning disability.

5. Stimulate the market to deliver alternatives to traditional respite care services delivered within care homes, such

1. Research alternatives to residential care and develop a portfolio of short break options and alternative care so that unpaid carers can take breaks from their caring role.

Personal Budget Support Officer

Researching options available (AH)

Page 4 of 6


Page 5 of 6

as live in replacement care, supported holidays and the use of personal assistants.

Strategic Priority 4: To Improve the provision of suitable accommodation in the community


Progress Update

1. Continue to reduce the number of people moving into residential care and increase the numbers of people living in their own homes.

1. Commissioners will make sure that the market offers alternatives to residential care

2. Social workers will know about alternatives to residential care and will encourage service users and their carers to actively consider those alternatives.

3. The service manager will ensure that placements in residential care only happen when all other options have been thoroughly explored and there really is no other option.

Head of Commissioning, BBC PD Team Manager, PD Team Manager and Care Standards and Review Manager OP and PD Service Manager

Extra care housing discussed with all relevant clients prior to residential / nursing placements are considered. Three PD clients are moving into first phase of St Bede’s project. Equipment and Telecare are also considered. All requests for residential care are presented to a weekly panel chaired by the Service Manager. Permanent placements are only agreed if there is evidence that all other options have been explored.

2. Help people to make decisions regarding the housing options that are available to them

1. Commissioners and operational staff will ensure that people have the information and support they need to make decisions regarding the housing options that are available to them.

Head of Commissioning, BBC Personal Budget Support Officer, PD Team Manager, PD Team Manager and Care Standards and Review Manager

Extra care housing discussed with all relevant clients prior to residential / nursing placements are considered. Three PD clients are moving into first phase of St Bede’s project. Equipment and Telecare are also considered.

3. Ensure new housing and communities are built to meet the needs of people now and in the future

1. Commissioners will link with housing associations and developers to support the development of accommodation for people with disabilities and their families.

2. Commissioners will ensure that the on site provider at St Bede’s can meet the needs of people with physical

Older Peoples Commissioner, BBC Older Peoples Commissioner, BBC

The Council is seeking partners to provide more Extra Care housing. The opening of St Bedes has been delayed due to building issues. It should open within the next


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disabilities and that their services will be appropriate to people of working age.

couple of months. The on site provider (Sevacare) has been selected but development of capability is stalled because of the delay in opening the building.

4. Review the supported living service at Maia Close

1. Set up a review group with commissioners, the provider, service users and their relatives to review the service and report on its fitness for purpose.

Older Peoples Commissioner, BBC and Head of Supporting People

The review is in progress between Papworth, the LD provider, Social Care and Supporting People. The relevant Social Services teams will be assessing the individual residents’ support/care needs and reviewing the Supporting People funded support hours accordingly. It is likely that this review will be completed by April 2014, ahead of time.


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Report for Physical Disability and Sensory Impairment Partnership Board

Support for Deaf and Hearing Impaired People

1. Drop-in Advocacy Service

The drop-in advocacy service continues to be well-attended. The drop-ins are held on the first Thursday and third Tuesday of the month. This regular format is now becoming well-known to service users. Two fully qualified interpreters are present throughout. Up to five people have attended at any one session. It generally takes about twice as long to investigate issues for a deaf person as it does with hearing people. Issues dealt with include problems with utility companies, employment issues, benefit issues and housing problems and access to medical services. POhWER continues to educate organisation with regard to the need for them to provide interpreters for their clients.

2. Social Event

POhWER facilitated an evening social event for deaf and hearing impaired people at the Gordon Arms in Bedford on 26th September. Approximately 30 people attended. A presentation was given on the new Welfare Reforms. Two interpreters were available for the event, as well as two members of POhWER staff. Feedback on the event has been very positive. A meeting has been arranged with Bedford Borough Council commissioners in early November to evaluate the event and discuss the way forward.

Support for visually impaired people

Emma Robinson, Community Development Worker, has been in contact with members of the Wednesday Club. They have asked her to look into providing easy-read read or large print versions of our leaflets. Emma is in consultation


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with our Media and Marketing Department to investigate what suitable materials are available and will share her findings with the Wednesday Club for their opinion. She is also consulting with Advocacy for Older People, our partner agency, with a view to providing their materials in a suitable format.

Support for people with an acquired brain injury

POhWER has been working on an individual basis with service users who have an acquired brain injury; a considerable amount of work has been done with people who are living at Park House in Bedford. Issues include support to move on from Park House following rehabilitation, and assistance with financial issues. One resident has needed to be provided with a Russian interpreter.

Glenda Tizard

Community Manager

October 2013

13-10-30 Update for PDSI - Anona

Welfare Reform Deaf / hearing Impaired

- Held on 26 September at Deaf social (facilitated by POhWER and Suzie (Bedford College)

Met CAB and they advised would be best to run session per client group – 2 sessions currently being planned. Session to cover (still got to get all my terminology checked out)

- Changes from DLA to PIP - Changes to housing benefit - Changes to council tax - Changes to income support - Employment and Support Allowance

1) Blind / Visual Impairment

- Wednesday 4 December at Bunyan Meeting Place - Will be ‘tagged’ on to existing Wednesday Club meeting and open it up to other

Blind / visually impaired people - We will write to all people known to social services and promote via Bedford and

District Audio News and Sight Concern etc 2) Physical Disabilities

- Thursday 30 January at Priory Methodist Church - As agreed with Tracy, meeting will be held in different room to FLAG meeting –

therefore FLAG members with a physical disability will be able to attend the reform session whilst other FLAG members can enjoy their usual meeting

- We will open it up to anyone with a physical disability - Will write to all our service users, promote via Stroke Association, Stroke Club,

Kingfisher Club etc

Carers Forum Next forum to be held on Carers Rights Day – Friday 29 November (this meeting is for carers only) Posters / publicity to follow shortly, there’ll be presentations regarding: * Welfare Reform – how it affects carers * Equipment and adaptations that may support carer in their caring role The OT team will be providing tours of the Equipment Demonstration Centre on same day from 11 – 3 (details on poster)

agenda - bbcdevwebfiles.blob.core.windows.net · g:\adult services bedford borough\adults &...

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