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Locality Connections 17 th March 2010

Locality Connections 17 th March 2010. Sarah Veck Head of Strategic Partnerships & Projects Carmarthenshire County Council. Dr Alan Williams GP Locality Clinical Lead. Locality Team Dr Alan Williams GP Locality Clinical Lead Catherine Poulter – Area Manager Social Services

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Locality Connections 17 th March 2010

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  1. Locality Connections17th March 2010

  2. Sarah Veck Head of Strategic Partnerships & Projects Carmarthenshire County Council

  3. Dr Alan Williams GP Locality Clinical Lead

  4. Locality Team • Dr Alan Williams GP Locality Clinical Lead • Catherine Poulter – Area Manager Social Services • Sian Fox – Locality Lead Locality Lead • Catherine Evans – Locality Care Planning Co-ordinator Contact: cevans@carmarthenshire.gov.uk Tel: 01554 747598

  5. Catherine Poulter Llanelli Area Manager Services for Older and Physically Disabled People

  6. Sean Lloyd Carmarthenshire Community Safety Mid and West Wales Fire Service

  7. Claire Norman Expert Patients Programme Co-ordinator

  8. THE EXPERT PATIENTS PROGRAMME Is an NHS based range of lay-led self-management programmes for people affected by long-term health conditions. They are shown to be effective in helping to both improve quality of life for individuals and positively aid health services as a whole

  9. EXPERT PATIENTS PROGRAMME

  10. What does the programme involve? • Six weekly sessions each lasting two and a half hours. • Delivered by two tutors to a scripted manual licensed by Stanford University to the Welsh Assembly Government. • Courses are free of charge and run in the local community. • Delivered to mixed groups of up to 16 people • A handbook accompanies the course & is distributed free of charge.

  11. The programme covers: • How to communicate more effectively with your healthcare team • Techniques to help you deal with difficult emotions such as anger, frustration & depression. • Taking care of your health – such as medicine, physical activity & healthy eating • Techniques to help you manage pain, fatigue & other symptoms • Ways to help you relax • Appropriate exercise for maintaining & improving strength, flexibility & endurance • Planning for the future

  12. CORE SELF-MANAGEMENT SKILLS: • Problem solving • Decision making • Resource utilisation • Developing effective partnerships with health professionals • Taking action / Goal setting

  13. Significant Patient Benefit Increased • Control of their condition • Feeling of well-being • Ability to cope day to day • Improved communication with doctors • Physical Activity • Relaxation

  14. Significant Patient Benefit Decreased • Pain / Fatigue • Anxiety /Depression • Sense of powerlessness • Unnecessary hospital admissions • Complications from their long term condition

  15. THANK YOU Claire.norman@wales.nhs.uk Telephone: 01554 744492

  16. Angie Darlington Mental Health Development Worker West Wales Action for Mental Health

  17. The role of WWAMH in Carmarthenshire Angie Darlington–Mental Health Development worker for North Carmarthenshire

  18. What is WWAMH? WWAMH is short for West Wales Action for Mental Health WWAMH is a registered charity and was started in 1991. It has been established as an independent charity and company limited by guarantee since 1995. WWAMH supports voluntary organisations with an interest in mental health.

  19. WWAMH works with service users, carers, voluntary organisations, statutory providers and commissioners to improve the standards of mental health throughout West Wales. • WWAMH works across Carmarthenshire, Pembrokeshire and Ceredigion. • WWAMH has offices in Haverfordwest, Lampeter, Carmarthen and Llanelli. • WWAMH employs 7 members of staff working across these three counties.

  20. How can the WWAMH Development Workers help? The WWAMH Mental Health Development worker can help in some of the following ways; Community and service/project development Networking Funding Charity regulations and Procedures Training Employment

  21. Policies and Procedures. Independent advice and information Planning and reviewing mental health services. Service user and carer involvement Quality Assurance, monitoring and consultation

  22. WWAMH Carmarthenshire WWAMH has two Mental Health Development workers for Carmarthenshire, Jill Jones for South Carmarthenshire and Angie Darlington for North Carmarthenshire. Angie and Jill can help voluntary groups, user and carers groups with all the activities described. Jill is based in Llanelli and Angie in Carmarthen. WWAMH contact details; The Mount, 18 Queen Street, Carmarthen, 01267 238367. The Palms Centre, 96 Queen Victoria Road, Llanelli 01554 776149.

  23. Hope this has given some useful information. Please feel free to ask questions ? or contact Jill or Angie on; Jill Jones 01554 776149 wwamh_Llanelli@yahoo.co.uk Angie Darlington 01267 238367 wwamh_carmarthen@yahoo.co.uk

  24. Caroline Roberts Seren

  25. John Wedgbury Care in the Home Manager British Red Cross

  26. Jeremy Hewitt Dementia Support Worker Alzheimer's Society

  27. Ivan Parker Pastor Ty Gwyn

  28. TG Projects www.ty-gwyn.org

  29. TG Football Project • Bring young disenfranchised men together through the medium of soccer for: • Health and wellbeing • Team work • Self discipline • Character building • Life skills www.ty-gwyn.org

  30. TG Football Cage In partnership with “Sports Council for Wales” and “Communities first” This equipment is widely used in many inner cities and has been proven to reduce the crime rate substantially. • The cage is a fully portable mini soccer pitch that is used to: • Engage with bored youngsters • Fitness • Team work • Character building www.ty-gwyn.org

  31. TG Lighthouse Self-esteem Stimulation Reality Orientation Relationship building Gentle exercise Reminiscence Therapy Reflection Purposeful activity Confidence building Music Therapy Laughter Interaction This programme offers clients all this and much more. Lunch is also available. Carers are also welcomed and catered for. Engaging with the Elderly of our community for: www.ty-gwyn.org

  32. TG Indulge • Once a month, we have an event for women of all ages to: • Find friendship • Develop skills • Network • Be creative • Enjoy themselves • Share www.ty-gwyn.org

  33. TG Support Groups • These groups facilitate care for the following needs in our community: • Drug and alcohol affected families • Carers support • Parents experiencing difficulties with their children • Fibromyalgia support, South Wales • Anxiety management and relaxation www.ty-gwyn.org

  34. Refreshments And Networking

  35. Bill Chapman Pastor - Myrtle House Debt Advice, Lunch Clubs, Pregnancy Crisis, Childcare and more…...

  36. Rhian Dawson Falls Lead CANLLAW

  37. Camu ‘Mlaen Falls Prevention Service Rhian Dawson

  38. Background • 2 year Initiative funded through WAG Independence and Well Being Grant until March 2011 • Based on Evidence from 2006 DToC Audit and Falls Prevention Events • Carmarthenshire wide initiative supported by Canllaw Locality Teams

  39. Service Specification • Identification of those at Risk of Falling or have Fallen - Falls Events - A&E Liaison - Careline / Telecare Liaison - Welsh Ambulance Service Trust - Primary Care Health and Social Care Professionals

  40. Service Specification cont’d • Multi Factorial Falls Risk Assessment (MFFRA) • Referral to Services to reduce the risk of falling (Rehabilitation and Treatment) and Serious Injury • Postural Stability Intervention Programmes

  41. Service Specification cont’d • Increase Awareness of Falls Prevention Agenda among Health and Social Care Professionals • Qualitative and Quantitative Data Collection to Support Future Service Sustainability

  42. Case Study One • PC 77 year old male ‘embarrassing’ slip in town - lost his footing. Passers by called ambulance • PMH Nil of Note • DH Nil of Note • NBI. Discharged Home

  43. Case Study One • EPR FRAT > 4 • Smart, articulate Gentleman who Lives Alone • Dismissive - ‘Silly Problem’ • Became Apparent that the ‘Embarrassing Slips’ Occurred Frequently (every other day) • ‘Blackness comes over my eyes and I have to sit down’ • BP within Normal Limits • Irregular Heart Rate – Bradycardic • Referred to Cardiology via GP

  44. Case Study Two • 83 year Old Female, Known OP, Smoker, Asthma • Newly Discharged from Hospital following Chest Infection and Collapse ? Cause • Discharged with Red Cross HFH • Privately Owned Terraced House • Bathroom and Toilet Facilities Upstairs • Bed Moved Downstairs and Given Commode • No Other Community Services Involved

  45. Case Study Two cont’d • Uses Commode to PU at Night Only • Empties Commode in Outside Toilet Which She Also Uses by Day – ‘Told Not to Use Upstairs Anymore’ • Outside Toilet Accessed via Back Door and Up a Step Which She Holds onto Garden Wall to Access • Washes in Lean To Kitchen, Standing in Baby Bath, Dousing Herself with Water While Holding Onto Wall • Uses Stove to Heat Kitchen In Winter

  46. How To Access • A&E Presentation Following Fall • 999 Fallers • Careline / Telecare Fallers • Mynydd Mawr Hospital 01269 833349 • Fax Referral 01269 832913

  47. Any Questions? Diolch / Thankyou

  48. Workshops

  49. Evaluations

  50. Feedback from Facilitators

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