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City Hackney Dignity Code

Setting the scene. OPB: Strategic partnershipPCT, MHT, AcuteLBH

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City Hackney Dignity Code

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    1. City & Hackney Dignity Code Jennie Negus. Deputy Director of Nursing & Chair of City & Hackney Older Peoples Board David Holland. Project Officer. Age Concern Hackney & City & Hackney Older Peoples Reference Group.

    2. Setting the scene OPB: Strategic partnership PCT, MHT, Acute LBH social services, housing Voluntary & independent sector OPRG Since 2001 Membership of 500, advisory group of 25 Supported by Age Concern Hackney

    3. Priorities 2007 / 8 Commissioning strategy Culturally sensitive services Ongoing care: End of Life Care, Long Term Conditions, Intermediate & Continuing Care. E-SAP Healthy Lifestyles: HIMP, monitoring health, nutrition, Mental Health: strategy, commissioning, community dementia services.

    4. Core principles Access Dignity Independence Person centred Choice Measurable outcomes Tackling inequalities

    5. Why do we need a code?

    6. Consultation Open Meeting on Dignity in Care; Questionnaire circulated to around 500 OPRG members; Literature search Older Europeans and Dignity European Commission research; Detailed discussion on OPRG Advisory Group

    7. Analysis 51 questionnaires were returned out of 450. Key themes: forms of address (79.2%), maintenance of a respectable appearance (91.8%) the need for stimulation and a sense of purpose (93.9%); 58% moderately or strongly disagreed that enough assistance is given to service users to eat their meals. 65% moderately or strongly disagreed that enough people know how to access advocacy services or that there are sufficient advocacy services available for vulnerable adults.

    8. Headline messages Maintaining human dignity, particularly in the face of adversity, is a core human value. Respect for personal identity is the critical aspect of dignity that has to be addressed in health and social care. Reliance on technological solutions to health problems is no substitute for human caring and human values.

    9. High level sign off Commissioned by the Older Peoples Board. Endorsed by Thriving & Healthy Communities Board of Team Hackney; Championed by Health in Hackney Scrutiny Committee Inquiry into Dignity; Endorsed and Adopted by Hackneys Cabinet and Full Council

    10. Implementation Still being explored & designed. Many levels: Within contracts Training & induction programmes Practice level Reviews & monitoring Dissemination & awareness Posters & leaflets Launch seminars in each of the main organisations

    11. Next steps Over to you wed appreciate.. Your views & thoughts Your ideas and advice

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