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  1. Social Services, meeting the needs of service users – and the role of carers from the informal sector Lesson objective – to learn further in-depth knowledge surrounding social services and health funding PPT 2 -

  2. After SSA • Once government has assessed the standard of spending to be directed at specific health care facilities in your Local authority (LA), the LA will also raise funds from local council tax. • Local councils are monitored on performance and spending by government and by the Commission for Social Care Inspection (CSCI) • Some services relating to education and children eg. child minding, nursery school provision are monitored by the Office for Standards in education (OFSTED)

  3. In 1998 White Papers ‘Modernising Social Services’ set out the programme for change in the social services. Staff were to be trained and standards of care staff would be improved. A national register of care staff was to be set up. Protection of vulnerable client groups, such as older people, people with leaning disabilities, people with mental health problems, and children, was seen as a key issue. All staff had to receive training on protection issues related to abuse. This was in response to news stories of abuse by social services staff of people from a range of client groups. The White paper also called for closer working between health and social care services, with joint budgets. These areas are still being developed. This was a consultation paper setting out proposals for the future direction of social care for all adults in England. It is expected that the rest of the UK will develop similar proposals. The emphasis in the Green Paper is on: Helping people remain in their own homes and giving them greater control and choice over the way their needs are net. Encouraging adult social services to work with a range of partners, including PCTs and the private and voluntary sector, in order to provide services that are cost –effective and meet the needs of a diverse community. Making sure no one is margialised in society – social inclusion must underpin all services. Ensuring services are of high quality and delivered by a well-trained work force or by informal carers who are themselves. Ensuring technology is used to support people especially related to housing. Ensuring that people with greatest needs should receive the support and protection they need. Ensuring that vulnerable people are supported and risks to them assessed. 1998 White Papers March 2005 Green Papers – Independent Well-being and Choice plans for the next 10-15 years

  4. *Social Services continued: The local council provides social care services to those who are assessed as being in need. However, many services provided by the council are means tested (i.e. people who apply for social services have their income assessed as well as their needs), and some payment is usually required. Know your rights If the person you care for has mobility needs and requires extra help with personal care, such as dressing or washing, they may be entitled to claim either Disability Living Allowance (DLA) or Attendance Allowance (AA) Has the person you care for been assessed as needing help from social services?  If so, they may be eligible for direct payments, a way to choose and pay for services yourself to meet your assessed needs.

  5. Use of pdf – Coummnity Living Brief – The use of technology to allow people to stay in their own homes: The increasing use of technology to support people with specific needs is a good example of the kind of change suggested in the Green Paper. Through the provision of equipment and making adaptation to their homes, people can remain in their own homes. New technology has been developed that may help clients with a range of different needs – task 1 now carry out the case study use the Venn diagram to highlight which equipment is helping to keep the client in their own home. Task 1 – Risk Assessment and Solutions Case Study – MrsMacauley lives at home with her carer (her husband) she suffered from a stroke at the age of 58 due to having a brain aneurism. The operation resulted in a major stroke leaving MrsMacauley paralyzed down her right hand side. Looking at the Community Living Brief – can you assess which technology assistance would be suitable aides for MrsMacauley, so that she can remain as independent as possible.

  6. Supportive Responsive Preventative

  7. Taken from theory work of 2005 – Smart technology for aging, disability, and independence: the state of the ...  By William Charles Mann

  8. Exercise promoting technology Rehabilitation programmes for people with dementia

  9. Be-friending services Sitting services Supported living Social Clubs (i.e. Gateway Clubs) Advocacy (in many forms - see later notes) College courses and evening classes Health and fitness Summer schemes Supported Employment Carers groups Day Trips and Outings Day Centres and Drop in Centres etc . Voluntary (Independent Sector) In addition to the services provided directly by the Learning Disability Health and Social Care Partnerships, many may be able to access other help, either independently or often through Social Services, from a variety of voluntary and independent organisations. Many of these will be available at no cost. Some of the services provided by voluntary and independent sector organisations in Yorkshire are:

  10. Find out why this third party is the better option to aid the patients/clients opinions about their care. AfL – to come up with a research report that highlights how advocacy has helped clients or patients.

  11. Task 1 – look at the figures, what patterns do you see? Task 2 - Contact a private hospital and find out the range of services it provides. Compare the services it offers with those at the local NHS hospital

  12. Census 2001, for the first time, asked a question about whether people provided unpaid care for a family member or friend and for how many hours. The resulting picture overall was one of a considerable amount of such care being provided - 5.2 million carers in England and Wales, including over a million providing more than 50 hours a week.

  13. Secure - Exam style questions Q&A Define what is meant by the term voluntary organisation. Define what is meant by the term statutory organisation. Evaluate the contribution the voluntary sector has made to the provisions of services in the community over the past 30 years. AfL A statutory organisation is one that has to exist - by law.

  14. A carer is someone who looks after a relative or friend who, because of their age, physical or other disability, cannot manage at home without help on a regular basis. Carers support people with a range of different needs, usually as a result of a long-term illness or disability such as - physical disability sensory disability (loss of sight and / or hearing) learning disabilities mental health problems (eg. Alzheimer's disease or other diagnosed mental illness) long term, life threatening or terminal illness children with disabilities people with HIV, etc. Who are carers?

  15. Who becomes a carer? • According to Carers UK, the leading organisation for carers in the UK - • 1 in 8 of all adults are carers • Every year over 2 million people become carers • Carers save the economy £57 billion per year- the equivalent of what the entire NHS costs to run - an average of £10,000 per carer • Over 3 million people juggle care with work • Carer’s Allowance, the main carer's benefit, is worth just £44.70 for a minimum of 35 hours - £1.30 per hour • 1.25 million people provide over 50 hours of care per week • People providing high levels of care are twice as likely to be permanently sick or disabled • Over 1 million people care for more than one person • 58 per cent of carers are women; 42 per cent are men • By 2037 the number of carers could have increased to 9 million

  16. Different types of carers Young carers Young carers are children who help look after a member of the family who is sick, disabled or has mental health problems, or is misusing drugs or alcohol. Their day to day responsibilities often include: • cooking • cleaning • shopping • providing nursing and personal care • giving emotional support. With so many adult responsibilities, young carers often miss out on opportunities that other children have to play and learn. Many struggle educationally and are often bullied for being ‘different’. They can become isolated, with no relief from the pressures at home, and no chance to enjoy a normal childhood. They are often afraid to ask for help as they fear letting the family down or being taken into care. Young carer facts The average age of a young carer is 12. The 2001 census showed that there are 175,000 young carers in the UK, 13,000 of whom care for more than 50 hours a week. More than half of young carers live in one-parent families and almost a third care for someone with mental health problems. In the past young carers did not have the support they need in order to cope with their studies alongside caring for other people. In a London centre the youngest was six.

  17. Task – charities are helping to promote and support young carers. Find out what you can about the work of Barnardo’s: What health sector is the support given from? What support are they giving? How will this bridge the gap between young carers and their educational needs? What are your views on government policy linked to young carers? AfL – your verbal feedback from your notes during lesson Barnardo’s runs 15 projects across the UK which work to support young carers and their families in a variety of ways:

  18. Different types of carers Young Carers Have Rights- The UN Convention on the Rights of the Child

  19. Too Much to Take on 1999 In a study called ‘Too much to Take on (1999)’ 20 young carers’ groups were questioned about caring and bullying. 44% of the carers that responded were aged between 11 to 13. This can be a difficult age for young carers, as they are changing schools and making new friends while coping with their caring responsibilities. Of the young carers in this study, 35 per cent were 10 or under, which means they were coping with a lot of responsibility at a very young age. More girls than boys taken on the caring role: 60 percent in the study were girls and 40 boys. Young primary carers are more likely to look after someone with a physical disability. 49% of the boys were caring for their mothers, 18% of the girls were caring for their father. In this situation caring for the personal needs of the cared person can prove very difficult, especially during bathing and dressing.

  20. ALEX'S STORY IN HIS OWN WORDS "My week is quite annoying sometimes, because I mostly spend my time indoors. I take care of my sister and my mum, who has been ill. I don't know what it's like to have a dad because he left when I was only 18 months old, so basically I am the man of the house. During the week, I cook twice, do the washing up, drying up, the hoovering, feed the pets, do homework with my sister, go shopping and give emotional support. Basically, I do all the housework. But it doesn't stop there. On the streets where I live it's a whole different story. I get bullied because all the kids think I'm the odd one out. They call me names and groups of them throw things at me. Sometimes I cry in my room and erase everyone's number from my mobile phone because I don't trust anyone. In school it's all right, because I don't get bullied there. But I do get into a few arguments and I get very tired and then get told off by the teachers. My school is really small, with only about 40 pupils, so it's pretty cool and fairly easygoing.

  21. Parents as carers – their issues A parent carer refers to someone who is the parent of a disabled child. Many parents do not see themselves as carers., just as parents. This could be a problem, as they many not be aware of the various carers’ allowances and support available. • Department of Health Standard 2: Supporting Parents or Carers Vision • We want to see: • Parents or carers who are confident and able to bring up their children in a way that promotes positive health and development and emotional wellbeing. • Consistent information provided for parents or carers, which supports them in their role and is responsive to their needs. • Appropriate help and support provided for parents or carers who find it hard to access services and professionals.

  22. Q&A Tasks Define what a young carer is in the informal sector Define what a parent carer is in the informal sector List some of the emotional issues they face everyday and how can social services and the voluntary sector support these carers? AfL assessment piece