Surrey ASC & NHS Joint Commissioningcarersworldradio.ihoststudio.com/mhhome/Carers Dashboard... · 2015. 8. 28. · Carers Dashboard 2014/2015 Action for carers Young carers 5 Contact

Date published: June 2015

Produced by Adult Social Care (ASC) Business Intelligence TeamAdult Social Care

1st Floor Quadrant Court

35 Guildford Road

Woking

Surrey

GU22 7QQ

Email: [email protected]

For more detail on this report, please contact:

Linda Moore [ASC Business Intelligence Manager] [email protected] – 020 8541 9664

Thyra Hawkes [ASC Data Analyst] [email protected] – 01737 737499

DRAFT - Carers Grant Monitoring Dashboard

Surrey ASC & NHS Joint Commissioning

This report provides key information about services which have been commissioned bySCC Adult Social Care (ASC) and NHS to address the needs of carers in Surrey.

Wherever possible, additional commentary about services is provided to support the data.We will work with providers to address some identified data quality issues .

Unless stated otherwise, this report covers the period: April 2014 – March 2015

1

mailto:[email protected]

Headlines pg 3

Overview pg 4

Action for Carers

Action for Carers: Young Carers pg 5

Action for Carers: Voice of the Carer pg 6

Action for Carers: GP Recognition Project pg 7

Action for Carers: Carers and Employment Support Services pg 8

Action for Carers: Summary pg 9

Multiple providers

Multiple Providers: Enabling Carers Training pg 10

Multiple Providers: Carers Back Care Training pg 11

Multiple Providers: Carers Support Scheme pg 12

Crossroads

Crossroads: Breaks pg 13

Crossroads: EOL Carers Support pg 14

Individual Schemes

Mencap: Leisure Services for People with Learning Disabilities pg 15

Rethink: Mental Health Carers Support pg 16

SWRU: Benefits Advice for Carers pg 17

Mid Area

Mid Area: Elmbridge pg 18

Mid Area: Epsom and Ewell pg 19

Mid Area: Mole Valley pg 20

Carers Dashboard 2014/2015

Contents

2

East Area

East Area: Reigate & Banstead pg 21

East Area: Tandridge pg 22

South West Area

South West Area: Guildford pg 23

South West Area: Surrey Heath pg 24

South West Area: Waverley pg 25

North West Area

North West Area: Runnymede pg26

North West Area: Spelthorne pg 27

North West Area: Woking pg 28

Countywide Voluntary Sector Schemes

Countywide Voluntary Sector Schemes: Area Comparison pg 29

Countywide Voluntary Sector Schemes: County Summary pg 30

Countywide Voluntary Sector Schemes: Information about the cared for people pg 31

CCG

CCG Summary: Financial Information pg32

CCG Summary: Summary including GP carer breaks pg 33

CCG Summary: Summary - Health Checks and Reports Concerning Carers pg 34

CCG Summary: Summary – Carers Recorded at GP surgeries and Carers Prescription Schemes pg 35

Appendices


Headlines

3

• Total number of carers supported by voluntary sector schemes = 21,996 (assuming no double counting of carers in receipt of more than one service).

• The single most common source of referral for these schemes was GP / doctor (page 4).• Lower than expected proportion of carers from BME groups are supported (6% of those

supported, despite accounting for 10% of carers in Surrey) (page 4).• Case study quotes are provided to demonstrate the positive outcomes for carers. These

have not been updated since the last report.• Surrey Young Carers supported 1,849 young carers during the full year period (page 5).• Carers & Employment Support service supported over 350 people (page 8).• Crossroads Breaks service has a considerable waiting list (page 14). This information has

not been updated since the last report.• Mencap leisure services supported 429 people with learning disabilities (page 15).• Rethink MH Carers support supported 424 people with mental health problems (page 16).

This information has not been updated since the last report.• SWRU supported 410 people with benefits advice (page 17).• Number of people supported by Carers Support schemes and SCC Adult Social Care locality

teams are now presented alongside carer census data by borough/district. This data shows number of carers being supported varies across Surrey (pages 18-28).

• Approx 16,600 carers are now coded as such in Surrey GP surgeries (pages 7 and 34). This information has not been updated since the last report.

• GP Carers Breaks - Total 2,165• North West Surrey CCG has by far the largest number of EOL hours support at over 44,500

– the next highest is NHS Surrey Downs CCG with just under 19,000.


Overview

4

• 29 of the 31 voluntary sector schemes sent in returns forms for the full year between April and March.

• These schemes are supporting nearly 22,000 carers who in turn are caring for over 17,000 people.

• Over 6,600 new referrals were made in this 12 month period.• Of the 29 schemes, 9 of them said they had waiting lists, though only 4

had people on their waiting list at the end of March with 96 people waiting for support. This is an average of 24 people per scheme with people on their waiting list.

• 68% of carers supported are aged over 18, with 25% aged over 65 and thus potentially being frail themselves.

• Of those supported, 6% of carers are from BME groups. This is lower than the Surrey proportion of 10% being from BME groups.

• Of the 6,682 referrals made to these schemes, 25% came from GP/doctor and 24% came from the carer self referring.

– as at March 2015

0 200 400 600 800 1000 1200 1400 1600 1800

Self referral

GP/Doctor

Other Health Professional

Adult Social Care

Children's Social Care

District/ Borough Council

Carers Support Orgs

Other Voluntary Orgs

Statutory

Other

Source of Referrals Across Surrey - Full Year

21,996

6,682

96

Activity Across Surrey – Full Year

Supported Referred On waiting list

3016

9375

5505

1355

Carers under 18 18-64 65+ from BME groups

Age Groups and Ethnicity of the carers Surrey schemes support - Full Year


Action for carers

Young carers

5

Contact Michelle Harper

AddressAstolat, Coniers Way, Burpham,

Guildford, Surrey, GU4 7HL

Phone no. 01737 248111

Email [email protected]

Website www.surrey-youngcarers.org.uk

Funding 14/15: £617,897 ASC

Case study quote

Key activities*

As a result of my involvement, both girls have engaged in numerous fun

activities with Surrey Young Carers, including NYCE days, a cinema trip and meals out, which has provided both girls with the opportunity to engage in activities they don’t normally have a chance to, time out from

their caring role and opportunity to develop peer networks with young people like

themselves.

1. Reducing young carers' isolation, eg giving carers someone to talk to, or letting them meet others in similar circumstances

2. Informing and advising young carers, eg signposting individuals to support/services, magazines, websites

3. Engagement with educational institutions and partners, eg delivering presentations at schools or influencing policies to better support young carers in education

4. Supporting young carers to get involved in your organisation and other agencies, eg helping them influence statutory agencies, and the policies and services that affect them

5. Provide breaks to young carers, eg activity days 6. Support carers during transition into adult social

care, eg liaison with carers support services


*Please see appendix for list of ‘Outcomes’

1774

750

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Carers Under 18 over 18 from BME groups

Age Groups and Ethnicity of the carers the scheme supports - Full Year

0 50 100 150 200 250 300

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other

Source of Referral - Full Year

1849

980

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Supported Referred Number OnWaiting list (if

applicable)

Activity – Full Year


http://www.surrey-youngcarers.org.uk/

http://www.google.co.uk/url?url=http://www.carers.org/local-service/surrey&rct=j&frm=1&q=&esrc=s&sa=U&ei=HMhQVKySNpTe7AaurYGYDA&ved=0CBYQ9QEwAA&usg=AFQjCNEAF_KFYJt7sQ430y_CkeAcFuOOgw



Action for carers

Voice of the carer

6

Funding 14/15: £157,535 ASC

Contact Jane Thornton



Phone no. 01483 304158


Website www.actionforcarers.org.uk

1. Provide and facilitate informed carers' opinion in policy making, services and outcomes, eg organising a programme of carer engagement, providing carer-led service evaluation

2. Engagement with partner organisations, eg ensuring a county-wide approach to carers issues, ensuring reliable skills and knowledge for professionals in partner organisations

3. Informing and referring carers, eg referring individuals to support/services, provision of internet based information

4. Delivering carer awareness training delivered on a multi-agency basis to professionals working with carers

5. Involving carers in the development and delivery of carer awareness training

Enquiry fromHousing Support Officer of local

Voluntary organisation. Wanted to know where a family she works with could get help

regarding Mum’s Mental Health as she has a 15 yr old daughter who looks after her. Signposted to SYC website for more information about SYC service for

the daughter and on-line referral form. Advised her also to contact Rethink,

CAMHS and SANE

Case study quote

Key activities


0

1563

612

97



2699

758

Supported Referred Number On Waiting list(if applicable)


0 200 400

Self referral

GP/Doctor

Other HealthProfessional

Adult Social Care


District/ BoroughCouncil

Carers Support Orgs


Statutory

Other





http://www.actionforcarers.org.uk/


Action for Carers

GP recognition Project

7

Funding 14/15: £78,538 ASC

Contact Ruth Martin



Phone no. 07850 515458


Website www.actionforcarers.org.uk/gp

Key activities

1. Supporting GPs and primary care providers to work better with carers, eg increasing numbers of GP-registered carers, raising awareness in practices, promoting carer-friendly strategies like flexible appointments, helping to identify inequalities

2. Promoting GP and primary care provider training, eg promoting Royal College GP carers training, E Learning and other resources

3. Recruiting carers' champions within all surgeries including a network to share best practice

4. Involving carers in the GP carers recognition project

A surgery wasreluctant to forward the Carer

Registration forms on to Carer Support. The GP Carer Awareness Adviser for the SW had

previously discussed the issue with the senior GP who was unhappy about doing this because of the cost and

resource implications she believed it involved. By working closely and diplomatically with the surgery and by supporting the staff, the GP Carer Awareness Adviser helped to ensure that the surgery was able to progress its work for carers. By also taking

the opportunity to promote the Carers Prescription further referrals are possible including the Carers Break payment. The

practice has also nominated a member of the team to be a Carers Lead who will work to identify and support carers

at the practice.“I now feel very positive about this practice, they seem to be very keen to make

a difference to their carers”

Case study quote

Key activities


Number of Registered Carers in Surrey (2013-2015)

2013* 2014 2015

East Surrey CCG 2445 2858 3419

Guildford and Waverley CCG

2479 3088 3560

NHS Surrey Downs CCG

3235 3984 4319

North East Hants and Farnham CCG

494 590 616

North West Surrey CCG

3988 5066 6902

Surrey Heath CCG 898 1004 1004

Total 13539 16714 19915

For the years 2011 - 2013 the data from practices has been grouped into the CCG to which that

practive aligned with when CCGs came into being on 1st April 2013

Summary

DateApprox. number of registered carers at

Surrey Surgeries

Number of carers in Surrey

% of registered carers based on Surrey

carers population

% of registered carers based on total Surrey

population of

1,132,390*

Feb-12 10,518

106,700 + 12,000 Young Carers 8.90% 0.90%

118,700

Feb-13 13,539

108,433 + 14,030 Young Carers 11.10% 1.20%

122,463*

Feb-14 16,714

108,433 + 14,030 Young Carers 13.60% 1.50%

122,463*

Feb-15 19,915

108,433 + 14,030 Young Carers 16.30% 1.76%

Total 122,463*

*Figures taken from ONS2011 census

13,539

16,714

19915

February 2013 February 2014 February 2015

Approx. Number of Registered Carers at Surrey Surgeries

February 2013 February 2014 February 2015






Action for Carers

Carers and Employment Support Service

8

Funding 14/15: £172,880 ASC

194

1 16


Age Groups and Ethnicity of the carers the scheme supports –Full Year

Case study quote

Key activities

Contact Jane Thornton



Phone no. 01483 304158


Website www.actionforcarers.org.uk

Mr X, a carer for wife with serious Mental Health issues ,

has been a carer for 10 yrs. He worked full time and caring over 50 hours plus per week.

Mr X was given notification of redundancy and was extremely concerned on the impact of unemployment

on his wife’s health and his coping mechanisms and financial uncertainty.

“Just a quick email to let you know how I got on with my numeracy and literacy test for the organisation.

I managed to pass and have an interview on Monday, I'm really pleased.”

Mr X gained the job he wanted.

1. Provide advice on carers and employment

issues to social work and care

management teams, employment

services, education institutions

2. Deliver pre-vocational training programme

for carers, with a view to obtaining

paid/unpaid work

3. Ensuring younger adult carers have

access to support includes working with

young carers services

4. Involving carers in the carers and

employment service


0 50 100 150 200

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other


366

421








Action for carers

Summary

9

Funding 14/15: £1,134,749 ASC

£9,000

£172,880

£78,538

£617,897

£98,899

£157,535

Funding for Action for Carer Schemes

Enabling Carers Training

Carers and EmploymentSupport ServiceGP Carers' RecognitionProjectYoung Carers' Support

Carers' Back Care Service

A Voice for Carers/Carers'Awareness Training


0

500

1000

1500

2000

2500



0 1000 2000 3000 4000 5000 6000

Supported

Referred

Number On Waiting list (ifapplicable)





Multiple providers

Enabling Carers Training

10

£17,000

£6,000£9,000

£10,110

£4,890

Funding for Enabling carer training schemes across Surrey

Countywide NW

SW Mid

East

• There are 10 schemes that are referred to as Enabling carer’s training run by: Action for Carers, Rethink, Woking, Runnymede, Surrey Heath, Waverley, Epsom, Mole Valley, Elmbridge and Tandridge.

• 63% of the 647 referrals made to these schemes were self referrals by the carers. 16% were from GPs/doctors.

• None of the carers supported by these schemes is under 18 years old. 33% are aged over 65.

• 10% of carers supported are from BME groups.• Only 2 of the 10 Enabling Carers Training schemes

had waiting lists, with only 49 people on waiting lists in total.

Funding 14/15: £50,000 ASC – as at March 2015

0

100

200

300

400

500

600

Carers under18

18-64 65+ from BMEgroups


0 100 200 300 400 500

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other

Source of Referral- Full Year

0

200

400

600

800

1000

1200

1400

1600

Supported Referred Number On Waitinglist (if applicable)



Multiple providers

Carers Back care Service

11

Funding 14/15: £268,449 ASC

Case study quote – from Action for Carers

The carer felt in control and able to explore the

additional information and advice at a pace they considered they could cope with. The carer

has a reduction in manual handling effort and gained the knowledge of how to move someone without physical effort. The ability for access to

the community has been enhanced for the carer with the appropriate aids

and respite support.

1. Provision of personalised back care advice service in carers' own homes

2. Provision of small scale equipment or referrals to other agencies

3. Promoting better back care, eg with occupational therapists and health colleagues

4. Involving carers in the back care service


£98,899

£90,000

£79,550

Funding for Carers back care Schemes across surrey

Action for Carers

White Lodge Centre

Carers of Epsom

Key activities

0 50 100 150 200

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other


0

500

1000

1500



0

100

200

300

400

500

600

700

Carers under 18 18-64 65+ from BMEgroups

Age Groups and Ethnicity of the carers the scheme supports – Full Year


Multiple providers

Carers Support Schemes

12

£247,000

£287,800

£260,000

£189,000

Funding for carer support schemes across Surrey

NW SW Mid East


• There are 11 schemes that are referred to as carer’s support schemes run by: Woking, Runnymede, Spelthorne, Surrey Heath, Waverley, Guildford, Epsom, Mole Valley, Elmbridge , Reigate & Bansteadand Tandridge.

• 50% of the 3,130referrals made to these schemes were from GPs/Doctors. 22% were self referrals by the carers.

• 11% of carers supported by these schemes are under 18 years old. 35% are aged over 65.

• 7% of carers supported are from BME groups.• Only 1 of the 11 Carers Support schemes had a

waiting list, with only 35 people on this waiting list.

Funding 14/15: £983,800 ASC

0

2000

4000

6000

8000

10000

12000

14000

16000



0

1000

2000

3000

4000

5000

6000

7000



0 500 1000 1500 2000

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other



Crossroads – this information is only for the period April – September 2014

Breaks

13

86

73

Disability of cared for: children

Learning Disabilities Complex needs

61

14

42

126 15

165

Disability of cared for: adults

Illness/long term condition Mental Health

Elderly frail Physical Disability

Learning Disability Dementia

101 82

399

90

629

254

Waiting List Adults Waiting List Children

Number on waiting list

North East West

0

50

100

150

200

250

Social CareTeam

Health Self Voluntary Other

Source of ReferralNorth East West

– as at September 2014Funding 14/15: £456,000 ASC

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

Day Evening Weekend Bank Holiday Overnight

Direct Care Hours Delivered

North East West

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

0-18 19-64 65+ Unknown

Age of carersNorth East West

Since July:Hours delivered: 3506Day time hours = 2971.5, evening hours = 143.25, weekend hours = 242, overnight = 149.25Delivered in 1142 sessions.Referrals22Training hours286Numbers supportedCarers = 103Cared for = 90

Over this period Crossroads Care Surrey has delivered 3506 hours of care to people living within Surrey with an end of life prognosis.

The carers have been able to access sport and leisure facilities, attend medical appointments, have extra rest and relaxation, stay in work, spend time with other family members, and have regular shopping trips while their relative is cared for.

Over the period we have received 22 new referrals from GP’s, Voluntary organisations, Health services, self-referrals and Social Care teams.

Crossroads – this information is only for the period April – September 2014

EOL (End Of Life) Carers SupportFunding 14/15: £300,000 ASC

Carers Dashboard 2014/2015 14

– as at September 2014

0

1,000

2,000

3,000

4,000

5,000

6,000

Direct Care Hours Delivered

North East West

0

20

40

60

80

100

120

Age of carers

North East West

124

6 1 2

44

Ethnicity of Main carer

White Asian

Black Chinese/other Ethnic group

Unknown

13

45

Gender of main carer

Male Female 0 10 20 30

Social Care Team

Health

Self

Voluntary

Hospice

Other

Source of Referral

North East West

0

10

20

30

40

50

60

Disability of cared for person

North East West


Mencap

Leisure services for people with learning disabilities

15

Case study quote

Key activities

Contact Dennis Shattell

Address

Mencap, Sutton Resource

Centre, 671 London Road,

Sutton, SM3 9DL

Phone no. 07733128852

[email protected]

Website www.mencap.org.uk

Overall I justreally like how XX attending the

activities with Mencap has made him happier and has made him more independent. For example

he wanted to attend summer events without his friends from the social group, this is a massive change in XX in thathe wanted to go and try new things and meet new people, which before starting with Mencap he was reluctant to do.

He seems to be growing in his independence by partaking in Mencap activities which will hopefully mean in the future

that he will continue to do things more independentlyand will eventually even want to arrange social

Activities for himself in the future.

1. Providing leisure services for people with learning disabilities to provide carers with time to themselves

2. Provide information and advice to carers, eg signposting to other services or directing them to information days

3. Involving carers in the delivery of leisure services for people with learning disabilities

– as at March 2015Funding 14/15: £121,472 ASC

32

308

1 10



429

10

Supported Referred Number On Waiting list (if applicable)


http://www.stockport-mencap.com/images/1-rebrand-mencap-logo258.jpg

http://www.stockport-mencap.com/images/1-rebrand-mencap-logo258.jpg


Rethink – this information is only for the period April – September 2014

Mental Health Carers SupportFunding 14/15: £134,825 ASC

Carers Dashboard 2014/2015 16

£126,825

£8,000

Proportion of Funding

Mental HealthCarers' Support

Enabling CarersTraining

351

119

73

26


Activity – April to September

0 10 20 30 40 50 60

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other

Referral Source

254

6324

59

11

3


Age Groups and Ethnicity of the carers the scheme supports

Case study quote from Carers support scheme

Key activities

Before Rethink I felt desperately useless. People said I

seemed strong, managing to support everyone andkeeping the day to day routine going for the children. I

didn’t sleep well. I was neglecting my health. I was ignoring money issues. A call came from Rethink. They had been given my details by our GP as I had registered as my Husband’s carer. It was like a weight was lifted from my shoulders. She listened to our life

story, without judgement, but with care and empathy. I broke down. Most importantly, besides all the things I needed to know about

being a carer and how to support my husband. She helped me getmy life back in order. Rethink reminded me how important it

was to look after myself. She helped me mend my brokenbrain, husband and life but most of all my heart

and the strength to carry on.

Contact Lynne Dosseter or Carol Gosal

AddressCornerHouse, 2 Courtenay Road, Woking,

Surrey, GU21 5HQ

Phone no. 01483 724244

Email [email protected] www.rethink.org

Mental Health Carers' Support 1. Promoting the identification of carers, eg young

carers2. Provide and enable access to training and carer

education, eg to reduce stress3. Providing information, advice and advocacy4. Act as Surrey County Council "trusted evaluators" to

enable carers to access small scale services, like Carers Personal Budgets

5. Involving carers in the mental health support scheme(Rethink) Enabling Carers Training1. Provision of courses to enable carers to access the

employment market and to prepare for vocational training also involves identifying opportunities to deliver training with partner organisations

2. Enable carers to access carer education and training in addition to the course provided through this scheme

3. Involving carers in the enabling carers training



SWRU

Benefits Advice for Carers

17

Funding 14/15: £50,000 ASC

Contact Maria Zealey

Address

Unit 14A, Monument Way

Depot, Monument Way East,

Woking, Surrey, GU21 5LY

Phone no. 01483 776713

Email

Website www.swru.org

Case study quote

Key activities

The disabled young person is moving into further education

and claiming Employment and Support Allowance as an adult; The Employment and Support Allowance award means she will no longer be part of the benefit

household and therefore the benefit cap of £500 per week will be applied to the Mum and remaining siblings. Housing

Benefit will be significantly restricted so that her total benefit payments do not exceed the £500 cap. Client lives in social housing and is in rent arrears. She is already struggling to pay these arrears off. She has health problems of her own and may have to give up

the voluntary work she has been doing. An award of Disability Living Allowance for the second child in the family or Personal

Independence Payment award for the client would take The family outside of the scope of the benefit cap and

restore full Housing Benefit. The Unit is supporting the bureau in making both claims for

this family.

1. Benefits advice to organisations and individual carers

2. Raising carer awareness on benefits advice, eg at carers forum and online

3. Deliver staff training for staff in independent carers organisations on the availability of benefits advice

4. Involving carers in the service to provide benefits advice for carers


410

588

Supported Referred Number On Waiting list (ifapplicable)


216

2757



0 20 40 60 80 100

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other



Mid Area

Elmbridge

18

Funding 14/15: £105,000 ASC

£102,000

£3,000


Carers'SupportSchemes

EnablingCarersTraining

Carers in ElmbridgeONS 2011 Census 11,620

Carers supported by Elmbridge

ASC Locality Team 617

Carers under 18 supported by

Elmbridge ASC Locality Team 11

Carers supported by carer

schemes in Elmbridge 2,222

Of which are under 18 supported

by carer schemes in Elmbridge 0

Carers referred to carer schemes

in Elmbridge Apr 2014 – Mar 2015 584

Case study quote from Enabling Carer’s Training

Mrs X attended the‘Carers Information Day’ that

CSE arranged during Carers Week. Mrs X needed information regarding a ramp to enableher husband To access the rear garden Mrs X had

become housebound with her husband, they both previously enjoyed gardening as a hobby. ReMap were

able to help Mrs X design and build a ramp in the garden which enabled Mr and Mrs X to spend time together in the

garden and invites friends and family to join them. By constructing the ramp into their rear garden, Mrs X was able to enjoy leisure time with her husband as well as

friends and family. This led to less isolation and reduced stress. Thanks to the construction of the

ramp, Mrs X is now able to get her husband into the garden safely with

Less risk.


Enabling carers training figures for Referral source will be available in the next report.

1867

477

355

477

14


Activity – Full year

Carers' Support Schemes Enabling Carers Training

0 50 100 150 200

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other

Referral Source - Full year

Carers' Support Schemes


Mid Area

Epsom and Ewell

19

Funding 14/15: £157,660 ASC

The Adviser helped apply for funding towards a permanent

wheelchair, ramp, small handling equipment to help get in/out of the car and the satin sheets system.

From the advice given and immediate provision of equipment, Mrs X was able to continue her caring role,

avoiding further injury/pain. Sometime later the father in law agreed to accept a live in care worker. This enabled Mrs X to continue caring for her children and time to go

And visit her family abroad who were also unwell. She has since contacted us to say a huge

thank you.

Carers in Epsom and EwellONS 2011 Census 7,313

Carers supported by Epsom and

Ewell ASC Locality Team 464


Epsom and Ewell ASC Locality

Team 9


schemes in Epsom and Ewell 2,056


by carer schemes in Epsom and

Ewell 117


in Epsom and Ewell Apr 2014 –

Mar 2015 754

Case study quote – from E&E’s Carer’s back care service

£4,110

£79,550

£74,000.00



122 122

773

338

1161

294



Carers' SupportSchemes Epsom & EwellCarers' Back CareServiceEnabling Carers Training

0 50 100 150 200 250 300

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other

Referral Source - Full Year


Mid Area

Mole Valley

20

Funding 14/15: £87,000 ASC

Carers in Mole ValleyONS 2011 Census 8,893

Carers supported by Mole Valley



Mole Valley ASC Locality Team 14


schemes in Mole Valley 1,637


by carer schemes in Mole Valley 20


in Mole Valley Apr 2014 – Mar

2015 376

£84,000

£3,000




Case study quote – from Carer’s Support Scheme

CSMV has provided a listening ear and support to Mr and Mrs X as they

try to deal with their change in circumstances, supporting them through the paperwork minefield and the difficulties now faced

by Mrs X, with her loss of independence.


1483

560

154

22




0 50 100 150 200 250 300

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other



East Area

Reigate and Banstead

21

Funding 14/15: £40,000 ASC

Carers in Reigate and BansteadONS 2011 Census 12,980

Carers supported by Reigate and

Banstead ASC Locality Team 648


Reigate and Banstead ASC

Locality Team 27


schemes in Reigate and Banstead 621


by carer schemes in Reigate and

Banstead 35


in Reigate and Banstead Apr 2014

– Mar 2015 177

Advice offered by CSW that X may benefit from having

regular support in order that she could talk regularly about her thoughts and feelings and

suggestion for therapies to manage her stress these could be potentially funded by SILC. A referral to the

Social Care Team for an assessment was made. Long term support to be offered. Once Y and X are comfortable with

this arrangement, the plan can be reviewed to look at increasing those hours, including a one off support payment for X to enrol with a gym, or purchase therapies. X accepted

this agreement with difficulty – appeared to be uncomfortable in allowing another individual to provide care, but at the same time recognises

that she is at the end of her tether and cannot maintain the level of care in which

she is providing

Case study quote


0 20 40 60 80 100 120

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other


621

177

0Supported Referred Number On Waiting list

(if applicable)


Carers' Support Schemes Banstead


East Area

Tandridge

22

£149,000

£4,890




Carers in TandridgeONS 2011 Census 8,518

Carers supported by Tandridge



Tandridge ASC Locality Team 10


schemes in Tandridge 1,747


by carer schemes in Tandridge 138


in Tandridge Apr 2014 – Mar 2015 358

A Carer who looksafter her husband who has severe

MS approached us for help funding a clothesmaking course at a local further education college.It was agreed that we would be able to fund this

course. She enjoyed and gained so much from the course that when it finished she asked if she could be funded for a further one which we agreed we could

do. Since starting the course she has started making clothes, including for her teenage

daughter and has gained not only the sewing Skills but self esteem.

Funding 14/15: £153,890 ASC

Case study quote from Carer’s Support scheme


1656

398

91

137




0 50 100 150 200 250

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other




South West Area

Guildford

23

Funding 14/15: £108,000ASC

Carers in GuildfordONS 2011 Census 12,421

Carers supported by Guildford



Guildford ASC Locality Team 11


schemes in Guildford 1490


by carer schemes in Guildford 191


in Guildford Apr 2014 – Mar 2015 683

Case study quote

Mr and Mrs X have3 children ,their daughter has

severe learning disabilities. Mrs X requestedthe assistance of CSG to help complete a DLA

form for their daughter. Mr X has an extra caring role as his mother became quite dependant on him as her

husband became more debilitated through dementia. This put a huge strain on Mr and Mrs X apart from dealing with

the issues of their own daughter they also had the two younger children to care for and Mrs X said that her husband was always at his parents’ home. However back in 2013 Mrs

X mother-in-law became involved with CSG she met new friends through the CS Carers group and also received

help advice and the opportunity to attend training daysto help her in her caring role. This intervention had a huge impact on Mr and Mrs X as Mrs X

mother-in-law became much less dependent on them.


1490

683


applicable)



0 100 200 300 400 500

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other




South West Area

Surrey Heath

24

Funding 14/15: £78,800 ASC

£75,800

£3,000




Carers in Surrey HeathONS 2011 Census 7,848

Carers supported by Surrey Heath



Surrey Heath ASC Locality Team 19


schemes in Surrey Heath 1,476


by carer schemes in Surrey Heath 130


in Surrey Heath Apr 2014 – Mar

2015 476

Our interventions have meant that the family have more

choice and control in their caring situation which in turn enables them to carry on caring in the

way they choose . They have been able to take part in leisure and learning activities have a break from caring .

They have been able to remain part of the wider community and maintain their health

and emotional wellbeing .


Case study quote from Carer’s Support scheme

1288

445

188

298




0 100 200 300 400

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other




South West Area

Waverley

25

£104,000

£6,000




Funding 14/15: £110,000 ASC

Carers in WaverleyONS 2011 Census 11,890

Carers supported by Waverley



Waverley ASC Locality Team 30


schemes in Waverley 1,173


by carer schemes in Waverley 177


in Waverley Apr 2014 – Mar 2015 495

Mrs X met other carers, had a break from her

caring role and enjoyed a day of relaxation. She felt it had helped her feel part of the

community, making new friendships and took part in leisure activities she not normally have

the chance to do. Mrs X also felt it had helped her to keep healthy herself and be

able to carry on caring.

Case study quote – from Enabling Carer’s Training


1038

705

135

106




0 100 200 300 400 500

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other




North West Area

Runnymede

26

£76,000

£3,000




Funding 14/15: £79,000 ASC

Carers in RunnymedeONS 2011 Census 7,328

Carers supported by Runnymede



Runnymede ASC Locality Team 19


schemes in Runnymede 1,726


by carer schemes in Runnymede 12


in Runnymede Apr 2014 – Mar

2015 368

Number on waiting list 70

Case study quote – from Enabling carers Training

Enabling Carers workshop – Soundsations.

This experimental workshop introduced tools that can be used in every day life to help reduce stress. Physical, mental and

emotional aspects of well being were addressed and specific techniques were used to release tension and find peace. Carers also participated in simple Tai

Chi exercises to help bring physical release of tension. Quotes from attendees include:

‘Found this very relaxing. Almost like a spa treatment’‘Most enjoyable and revitalising’

‘Particularly liked the group participation’‘It gave a very different and positive way of

relaxing’‘I will try to practice for 5 minutes

daily’


1609

525

35

117

158

35




0 50 100 150 200

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other




North West Area

Spelthorne

27

Funding 14/15: £177,000 ASC

Carers in SpelthorneONS 2011 Census 9,823

Carers supported by Spelthorne



Spelthorne ASC Locality Team 15


schemes in Spelthorne 2,183


by carer schemes in Spelthorne 473


in Spelthorne Apr 2014 – Mar

2015 85

We encouraged X totake Y to the Carers Cafe which is run

by Alzheimers UK. This is a relaxed settingwhere Carer and Cared For get together. X was able

to chat to other Carers in the same situation as herself.X said it's nice to know there is support out there, and that

she is not alone. She was also delighted that Y chatted with other men there and said they will attend on a regular basis. We also contacted Social Services who arranged for Y to go to a local Day Care Centre for two days a week which means that X is now able to have some breathing space and time to 'think'. She has also resumed meeting up with friends once

a week. She now regularly attends our Carers Camp and enjoys chatting with other Carers and also has

regular chats on the phone with new found friends and said she is starting to feel

the dark cloud lifting.

Case study quote


2061

129

122


Activity – Full year


£174,000

£3,000




0 50 100 150 200 250

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other




North West Area – this information is only for the period April – September 2014

28

577

114

31

114


applicable)

Activity – April to September


£84,000

£3,000




0 25 50 75

Self referral

GP/Doctor

Other HealthProfessional

Adult Social Care

Children's SocialCare

District/ BoroughCouncil

Carers Support Orgs


Statutory

Other

Referral Source


Carers in WokingONS 2011 Census 9,195

Carers supported by Woking ASC

Locality Team 553


Woking ASC Locality Team 17


schemes in Woking 608


by carer schemes in Woking 0


in Woking Apr-Sep 2014 114

WokingFunding 14/15: £87,000 ASC – as at September 2014

Enabling carers training figures for Referral source will be available in the end of year report


Countywide – Voluntary Sector Schemes

Area Comparison

29


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Countywide

East

Mid

NW

SW

Source of Referrals Across Surrey - Full Year

Self referral GP/Doctor Other Health Professional Adult Social Care Children's Social Care District/ Borough Council Carers Support Orgs Other Voluntary Orgs Statutory Other

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

East Mid NW SW Countywide

Activity Across Surrey - Full Year

Supported Referred Number On Waiting list (if applicable)

0

1000

2000

3000

4000

5000

6000

7000

East Mid NW SW Countywide

Age groups and Ethnicity information across Surrey - Full Year




County Summary

30


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Activity Across Surrey – Full YearCountywide

East

Mid

NW

SW

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000


Age groups and Ethnicity information across Surrey - Full Year

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Self referral

GP/Doctor


Adult Social Care



Carers Support Orgs


Statutory

Other

Source of Referrals - Full Year


Information about the cared for people

31

Information about those cared for by young carers who are supported by Action for Carers

• There are more people cared for by young carers supported by Action for carers, meaning young carers may be caring for more than 1 person.• Over half of people cared for by these young carers are aged 18-64, but nearly 40% are aged under 18, suggesting they are often caring for siblings.• Nearly a third of those cared for by these young carers are suffering from mental health issues and nearly a quarter from physical or sensory difficulties.

Total number of cared for people: 17,342



0

1000

2000

3000

4000

5000

6000

Ages of the people cared for by the carers the schemes support

under 18 18-64 65+ Other / age not known

0

1000

2000

3000

4000

5000

6000

Conditions of the people cared for by the carers the schemes support

Physical/sensory difficulties Mental health exc dementia

Dementia Learning difficulties

Substance misuse Multiple/Other health condition/Don't know

18492172

Total Young Carers Supported Total Number of People Cared for by Young Carers

Numbers of people supported by Action for Carers who are young carers or cared for by young carers

852

1205

6253

Ages of those cared for by young carers

under 18

18-64

65+

Other / age not known

510

431

16

676

34

505

Conditions of those cared for by young carers

Physical/sensory difficulties

Mental health exc dementia

Dementia

Learning difficulties

Substance misuse

Multiple/Other healthcondition/Don't know


CCG Summary

Financial Information

32

– this information has not been updated since the last report

Funding 14/15: £2,261,263ASC

£0

£100,000

£200,000

£300,000

£400,000

£500,000

£600,000

£700,000

£800,000

North West Surrey Downs Surrey Heath Guildford & Waverley East Surrey Farnham

Financial information by CCG and Scheme

Carers Support Services Crossroads Carers Breaks Crossroads Home Based Breaks Crossroads EOLC Carers Support Breaks SILC - GP Carers Breaks

£205,263

£156,000

£300,000

£300,000

£1,300,000

Financial Information by SchemeCarers Support Services

Crossroads Carers Breaks

Crossroads Home BasedBreaksCrossroads EOLC CarersSupport BreaksSILC - GP Carers Breaks

£700,698

£552,517

£179,816

£402,708

£334,396

£91,129

Financial Information by CCGNorth West

Surrey Downs

Surrey Heath

Guildford & Waverley

East Surrey

Farnham



CCG Summary

Summary including GP carer breaks

33

Est. No. of referrals at £500 Referrals received to date Number of referrals remaining Number of Carer Prescriptions

East Surrey CCG 368 146 222 4

Guildford and Waverley CCG 445 201 244 25

NHS Surrey Downs CCG 603 269 334 71

North East Hampshire and Farnham CCG 95 38 57 11

North West Surrey CCG 726 286 440 11

Surrey Heath CCG 194 88 106 40

Number of GP Carers Breaks 1st April – 30th September 2014

– First table unable to be updated from previous report

Surrey Crossroads Home Based Breaks Joint Contract Comparison

Hours by CCG April 2014 - March 2015Total Hours

East Surrey CCG 17,721

Guildford and Waverley CCG 14,119

NHS Surrey Downs CCG 18,781

North East Hants and Farnham CCG 2,095

North West Surrey CCG 44,549

Unregistered 1,920

Surrey Heath CCG 3,614

Total 102,799

EOL contract Monitor hours Apr 2014 - Mar 2015 Total Hours

North West Surrey 5,242

East Surrey CCG 2,665

NHS Surrey Downs CCG 2,771

Guildford and Waverley CCG 2,280

Surrey Heath CCG 889

North East Hampshire and Farnham CCG 493

Unregistered 65

Total 14,404

Surrey Crossroads Home Based

Breaks Joint Contract

Comparison Health £ @

£16.75

%

Allocation

of Budget

across CCG

Budget

£456,000

YTD

Budget

Variance

to Budget

(Under

Spend)

East Surrey CCG 207,779 14.79% 67,442 67,442 140,337

Guildford and Waverley CCG 165,541 17.81% 81,214 81,214 84,327

NHS Surrey Downs CCG 220,213 24.43% 111,401 111,401 108,812

North East Hants and Farnham CCG 24,559 4.03% 18,377 18,377 6,182

North West Surrey CCG 522,341 30.99% 141,314 141,314 381,026

Unregistered n/a n/a n/a n/a n/a

Surrey Heath CCG 42,372 7.95% 36,252 36,252 6,120

Total 1,182,804 100% 456,000 456,000 726,804

EOL CONTRACT MONITOR

(QUARTERLY) Total £ @

£24.36

%

Allocation

of Budget

to CCG's

Budget

£300,000

YTD

Budget

Variance

to Budget

(Under

Spend)

East Surrey CCG 64,913 15% 44,370 44,370 20,543

Guildford and Waverley CCG 55,535 18% 53,430 53,430 2,105

NHS Surrey Downs CCG 67,502 24% 73,290 73,290 -5,788

North East Hants and Farnham CCG 11,997 4% 12,090 12,090 -93

North West Surrey CCG 127,689 31% 92,970 92,970 34,719

Unregistered

Surrey Heath CCG 21,662 8% 23,850 23,850 -2,188

Total 349,298 100% 300,000 300,000 49,298


CCG Summary

Summary – Health Checks and Reports Concerning Carers

34


NHS Free Health Checks for Carers in Surrey 2013-14In the second year of carer’s health check delivery period 2013-14, altogether 7 carers support schemes or organisations took part in the health checks delivery project and organised this service for their eligible registered carers. These Carers Support schemes that took part in the project were Woking, Surrey Heath, Waverley, Guildford, Runnymede, Elmbridge and Reigate & Banstead. This year Public Health Team:Offered 200 Health Checks to registered carers through carers network Action for Cares and their carers support schemes and organisations in Surrey.158 carers booked their appointments through their support workers and 148 attended the Health Checks appointments at the venues booked in their boroughs.

Key Data About those who had Health

checks

Male 31

Female 117

White British 114

White Others 5

Asian/Asian British 26

Black/Black British 3

Total health checks

delivered to carers148

Royal College of Psychiatry - Mental and physical illness in caregivers report Published September 2014 this report evidences the following findings:• Carers had poorer mental health and higher psychiatric symptom scores than non-caregivers. There was an observable decline in mental health above 10 h per week.• A twofold increase in psychiatric symptom scores in the clinical range was recorded in those providing care for more than 20 h per week

Carers UK - Carers at breaking pointPublished on the 10th September this report examines the experiences of carers who have been pushed to breaking point by caring without the right support. Based on the experiences of over 5,000 carers, this analysis examines the causes of carer breakdown, the impact of crisis and what support can prevent carers’ mental and physical health breaking down.

Key Findings:• 6 in 10 are at breaking point• A quarter of those who had reached breaking point required medical treatment as a result.• 46% said despite being seriously ill they had no choice but to continue caring• 1 in 9 said the person they cared for had to be rushed into hospital, emergency care or that social services had to step in to look after them while the carer recovered. • 1in 5 were forced to give up their jobs because they were in crisis

Feedback by Surrey carers who attended the NHS Health Checks:• I felt it was a good idea to come to this health check, as I feel that the

doctors at X surgery have very little time for me.• Need to know own health status, so very useful.• I had already made changes but they were confirmed to me today that I am

doing the right thing.• It’s nice to know someone cares.• I found the event very useful.• I came to this event because I was offered this health check.• Great to have an overview of my health and not feel the pressure of time

and stress of doctor.• Relaxed and useful experience.• So useful as always find it hard getting an apt with my doctor.• Because, as a carer with my husband, we thought it would be a good idea in

a non- threatening environment.• It is good to have a free health check because this could not happen without

referral at local surgery especially for my age group 45-60.• All the staff involved in today’s service have been courteous, professional

combined with impeccable manners A+• Very well organised and very much needed by carers.

– this information has not been updated since the last report


CCG Summary

Summary: Carers Recorded at GP Surgeries and Carers Prescription Schemes

35

– Only information specifically stated as being for 2015 has been

updated since the last report

Approx. Number of patients coded as carers in Surrey

2011 to 2015

Number of Carers Prescriptions by CCG 1st April – 30th September 2014

CARER PRESCRIPTIONS Forward referrals

– Carer Support

Groups

Forward

referrals -

OTHER

Info Book GP

request to send to

Carer

Individual Totals

East Surrey CCG 1 0 3 4

Guildford and Waverley CCG 9 4 12 25

NHS Surrey Downs CCG 20 13 38 71

North East Hants and Farnham CCG 0 2 9 11

North West Surrey CCG 1 4 6 11

Surrey Heath CCG 12 5 23 40

Total 43 28 91 162

Carers Prescription SchemeA pilot has been being run Since September with the Palliative care team at Central Surrey Heath . They have identified 43 hidden Carers who have all been processed now for support using the Carers Prescription

*Nb. For the years 2011 – 2013 the data from practices has been grouped into the CCG to which that practice aligned with when CCGs came into being on 1st April 2013 and is therefore for illustrative purposes only

2011* 2012* 2013* 2014 2015

East Surrey CCG 984 1909 2445 2858 3419


1770 2311 2479 3088 3560

NHS Surrey Downs CCG 1188 2426 3235 3984 4319


263 488 494 590 616

North West Surrey CCG 1828 2750 3988 5066 6902

Surrey Heath CCG 255 634 898 1004 1004

Total 6288 10518 13539 16714 19915

340

373

52269

623

198

GP carers Breaks and GP Carers Prescription by CCG 2015 - 16 (2125

Services)

East Surrey CCG


NHS Surrey Downs CCG


North West Surrey CCG

Surrey Heath CCG

Car

ers

Ass

essm

ent

Car

ers

Emer

gen

cy C

ard

Car

ers

Info

rmat

ion

pac

k

Men

cap

Lei

sure

Ser

vice

Giv

ing

Car

ers

a vo

ice

Lear

nin

g an

d w

ork

Ser

vice

Surr

ey

You

ng

Car

ers

Cro

ssro

ads

end

of

Life

Cro

ssro

ads

Car

e Se

rvic

e

Free

on

line

Res

ou

rces

Loca

l Car

ers

Sup

po

rt…

GP

Car

ers

Bre

ak

0

100

200

300

400

500

600

700

800

Services requested in the Final Quarter 2015 (1414 referrals)

Young Carers by

CCG

Number

Registered

with GP -

Feb 2015

Actual

Number

of Young

Carers

NW Surrey 19 4,339

G&W 8 2,493

East Surrey 18 2,071

Surrey Downs 2 3,420

Surrey Heath 9 1,113

NE Hampshire &

Farnham2 564

Total 58 14,000


APPENDIX

Key Outcomes – As reported by provider

36

1) Helping carers

feel that they can

remain part of

their community.

2) Helping

carers to

have a

break from

caring

3) Enabling

carers to

have more

choice and

control

4) Helping the

carer to maintain

/ make

friendships and

relationships

5) Helping

carers

undertake

leisure

activities

6) Helping

carers to

undertake

learning

activities

7) Helping the

carer to carry on

caring, where

this is their

choice

8) Helping the

carer to

maintain their

health and well-

being.

9) Helping

carers

remain in or

return to

employment

.

10) Helping

carers

remain

safe

Surrey Heath Carers Support - Carers' Support Schemes

Surrey Heath Carers Support - Enabling Carers Training

Carers Support Woking - Enabling Carers Training

Carers Support Woking - Carers' Support Schemes

Action for Carers - Carers and Employment Support Service

Action for Carers - Enabling Carers Training

Action for Carers - GP Carers' Recognition Project

Action for Carers - Young Carers' Support

Action For Carers - Carers' Back Care Service

Action For Carers - A Voice for Carers/Carers' Awareness Training

Carers Support Waverley - Carers' Support Schemes

Carers Support Waverley - Enabling Carers Training

White Lodge Centre - Carers' Back Care Service

Carers Support Guildford - Carers' Support Schemes

Carers of Epsom - Carers' Support Schemes Epsom & Ewell

Carers of Epsom - Carers' Support Schemes Banstead

Carers of Epsom - Enabling Carers Training

Carers of Epsom - Carers' Back Care Service

Carers Support Mole Valley - Enabling Carers Training

Carers Support Mole Valley - Carers' Support Schemes

Surrey Welfare Rights Unit - Benefits Advice for Carers

Royal Mencap - Leisure Services for People with Learning Disabilities

East Surrey Carers Support Association - Enabling Carers Training

East Surrey Carers Support Association - Carers' Support Schemes

Carers Support Elmbridge - Enabling Carers Training

Carers Support Elmbridge - Carers' Support Schemes

Carers Support Spelthorne - Carers' Support Schemes

Carers Support Runnymede - Enabling Carers Training

Carers Support Runnymede - Carers' Support Schemes

Rethink - Enabling Carers Training

Rethink - Mental Health Carers' Support

Documents

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