Supporting carers - Pennine GP Training

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Nov 17, 2013 (3 years and 9 months ago)

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Supporting Carers in
General Practice

Dr Beth Rimmer


GP Champion for Carers Yorkshire
Louella Ramsden


Operations Manager,





Calderdale Carers Project, Halifax

Lynn Ward


Chief Officer, Calderdale Carers Project

Sue Walmsley


Calderdale Young Carers

Supporting Carers in General Practice

Questions to answer:



Who are carers?


What problems do carers face?


How can practices better identify and
support carers?


Supporting Carers in General Practice

Who are carers
?


“ Every day 6,000 people take on
new caring responsibilities ”

Supporting Carers in General Practice


A carer

is a person of any age,
adult or child, who provides
unpaid support to a partner, child,
relative or friend who couldn’t
manage to live independently or
whose health or wellbeing would
deteriorate without this help.


This could be due to frailty,
disability or serious health
condition, mental ill health or
substance abuse.


Supporting Carers in General Practice

How many carers are there in your
practice population?

2001 Census data shows about
1 in 10 people have carer
responsibilities

Is anyone here a carer or been a carer?

Supporting Carers in General Practice

2 to be
caring for at
least 50
hours/week

3 or 4 to be caring for more
than 20 hours/week

Amongst every 100 patients on your list
you would expect 10 to be carers

Supporting Carers in General Practice

Key Facts:


12% of people are carers: 6% care for someone living in the same
home and 6% care for someone living elsewhere
1


42% of carers are men; 58% women


Around 1 million carers are children


1.2 million care for over 50 hours a week
2


13 million people can expect to become carers in the next decade
3


Carers save the government up to £119 billion a year in care costs
4

1

NHS Information Centre, 2011
2
UK Census 2001
3

HAS/The Princess Royal Trust for Carers research 2001

4
University of Leeds/
Carers

UK, 2011

Supporting Carers in General Practice

What problems do carers face?


Group activity: in small groups using the
case studies think about the problems
faced by carers

Supporting Carers in General Practice

What are the effects of caring on carers?



Caring can be very rewarding but...


Supporting Carers in General Practice

Adverse effects on
physical health

Employment
restrictions &
financial problems

Adverse effects on
mental health


Restriction of
social activities &
networks



CARER

What are the effects of caring on carers?

Supporting Carers in General Practice


Carers have increased all cause
mortality
5


Of carers caring for >50 hours a week:


1 in 3 report depression


1 in 2 report disturbed sleep


1 in 4 report back and other strains
6


40% have significant stress levels
7


3 in every 4 carers are worse off
financially as a result of caring
8



5

Schulz & Beach (1999)


6
National Statistics. (2003)


7
Pinquart

& Sorensen (2003)


8
Carers UK (2007)

Supporting Carers in General Practice

Carers neglect their own health


Possible reasons include:


Being unable to leave the home for


appointments


Fear of no longer being allowed to
care


Inability to undergo treatment due to


caring responsibilities


Focus on the cared
-
for’s health
needs and neglect their own


Supporting Carers in General Practice

What about young carers?


A

young carer
is under the age of 18,
carries out significant caring tasks
and assumes a level of
responsibility for another person
that is inappropriate for his or her
age.

Problems:

Stress, tiredness and mental ill
-
health

Traumatic life events

Underachievement at school

Bullying, self
-
harm

Social isolation


Supporting Carers in General Practice


Most

young

carers

receive

no

help

during

their

childhoods

due

to
:




Lack of recognition of the
child’s caring role


Fear of being bullied


Families being wary of
services

Supporting Carers in General Practice

Calderdale Young Carers


Sue Walmsley


Supporting Carers in General Practice

Local facts & figures about Carers in
Calderdale


Louella Ramsden


Operations Manager,




Calderdale Carers Project, Halifax


Supporting Carers in General Practice

Tea Break

Supporting Carers in General Practice

What is our role in primary care?


QOF Management 9 :


Carer register


Referral for carers assessment


Supporting Carers in General Practice

Why is support of Carers important?


Early identification & support of carers helps prevent future
problems.


Improves carers’ own health


Better support of carers enables them to care better
and longer


Helps prevent breakdown of the care situation and
emergency admission of the cared for person


Supporting Carers in General Practice

Challenges for practices:



How can we improve identification of
carers?


How can we look after carers better?


Supporting Carers in General Practice

Better identification of carers :


New patient questionnaire


Chronic Disease templates


Notices in waiting room, patient newsletter, on
RHS prescriptions, website


Involve whole practice team


DNs, PNs etc


? Carer lead


Coding! Remember to remove as well as add
carers!


Supporting Carers in General Practice

How can Primary Care support carers
better?


Priority issues for Carers
(Data from Harrogate & Craven Carers’ Resource


Top 10 needs of 2360 carers
supported in general practices in Airedale)


0%
20%
40%
60%
80%
100%
Time off
Personal care
Finance
Other professional
Holidays
Health of carer
Benefits
Personalised information
Health of person cared for
Listening/emotional support
Supporting Carers in General Practice

How can Primary Care support carers
better?


Recognise their role


Carer health checks


physical & mental
health, flu jabs


Flexibility of appointments


Involving carers as partners in care of the
cared for person


confidentiality issues


Supporting Carers in General Practice

How can Primary Care support carers
better?


Signposting to Carer Support Services


Emergency planning


Carer lead in the practice


Practice Carer Group

Supporting Carers in General Practice

The Calderdale Carers Project


Louella Ramsden, Operations Manager

Supporting Carers in General Practice

CALDERDALE CARERS
PROJECT
-

01422 369101


A listening
ear

Advice on
benefits

Emergency
back
-
up
planning


Carer support
groups

Information
library


Consultation &
Engagement

Case
Working


Activities & events

Carer
Small
Grants


Helping Hands Sessions

“Looking After Me”
self management
courses

Carers Needs
Assessments

Home
visiting

Supporting Carers in General Practice



Cases for the Team?

Supporting Carers in General Practice



Any questions?

Supporting Carers in General Practice

5 key messages:


Just listen!


Think of depression


Ask about finances


Signpost to services


Plan for emergencies


Supporting Carers in General Practice



Thank you

Supporting Carers in General Practice


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Carer%20Champions/watch.htm