How housing staff and GPs can work better together
/in News/by MarketingNoel Sharpe, Executive Director of Customer and Place at Bolton at Home, explains how the housing sector is working with GPs and healthcare professionals, and what more can be done to encourage and support
The link between better health and safe, warm, and dry homes is a long-established one.
But the other big challenge in improving physical and mental health in our communities lies in tackling a range of other social and economic issues.
That is why it is so important for the housing and healthcare professions to work with each other. This is something we’ve made huge strides on in Bolton in recent years, but there’s more that can be done.
Housing professionals need to be seen as an extension of the healthcare sector. Working on the front line, often in deprived areas, gives housing professionals the opportunity to make health interventions earlier.
For example, our Bolton at Home UCAN (Urban Care and Neighbourhood) centres offer a range of health-focused advice. These work in partnership with health partners in areas such as healthy cooking and eating, activities and exercise, baby weighing, Primary Care Psychological Services, ‘Men In Sheds’, and tackling loneliness and isolation to name but a few.
What’s already working?
One initiative that’s already working well is the Community Asset Navigators funded through the Locality Plan. They are instrumental in getting the message out to patients about the wider support available to help them lead healthier lives and supporting the growing demand for social and other non-medical interventions to improve people’s health and wellbeing.
Housing organisations have a great opportunity to work with the team of Asset Navigators to tailor specific services and programmes where they are needed in non-clinical settings.
This is important because there’s lots of people who go to their GP for something that’s not necessarily a medical issue. Often, time-challenged GPs lack the information on where to refer patients that may require a greater level of emotional and wellbeing support.
We’ve seen it in our UCAN centres where someone walks through the door with a housing issue but before you know it they’re opening up to our trained staff about a wide range of different issues that may be impacting their physical and mental health which in turn is having an adverse effect on their ability to live happily and sustain their tenancy.
It might be money worries, for which we can refer them for debt and advice support. They might be feeling lonely and isolated, for which we can find relevant support networks. They may be struggling to feed themselves, for which we can refer them to local foodbanks or support them through the Food Pantry project.
Many housing organisations are very good at this and could potentially take a lot of the strain off the GP appointments system by taking a lead on these issues.
What more can be done?
Ever improving technology gives the healthcare and housing professions a great opportunity to work together to improve public health.
For example, social prescribing software has been developed and trialled that gives GPs access to better information on local housing and community services that may provide an alternative to medical interventions. This is something we’re monitoring closely to see if there’s anything we can apply here in Bolton.
Greater collaboration between housing organisations and local healthcare providers is particularly useful when taking a preventative approach to public health. There’s so much we can do to tackle health issues relating to obesity, smoking, and alcohol and substance misuse.
Housing services can also help healthcare providers when it comes to social care too. Last year alone, Bolton at Home’s Careline service received around 3,000 calls from older and vulnerable customers wo reported they had fallen and were at home and on the floor.
Our trained staff can speak with them to assess their needs, provide much needed reassurance and send staff to help them if required using specialist lifting equipment. They can often prevent ambulances having to be called and can keep people at home and out of hospital.
There are so many opportunities for healthcare and housing to work together, and we’re relishing the opportunity to do our bit and to continue to work with GPs to make Bolton a healthy place to live.
Enhanced Respite Service
/in News/by MarketingThis service has been started by Bolton Council, Bolton GP Federation and Age UK Bolton for Wilfred Geere respite service users and their carers. The aim is to support those people living with dementia and similar illnesses to stay active, happy and healthy and support their carers in their vital role. Our focus is on service users staying physically, mentally and socially active for as long as possible, with a likely consequence being reducing or delaying admissions to long-term care units.
With an ageing population, more people are living with dementia and or caring for someone with dementia. Having a diagnosis of dementia does not make you unable to enjoy experiences and we want to support people to live well with dementia.
Services users are referred to respite by their social worker and are usually planned for a short break to give carers a well-deserved rest. However, we understand carers and service users might feel anxious in advance about accessing the service and so we try and ease the transition by introducing ourselves in advance. One of the service leads will meet with the service user and their carer at home prior to admission in order to get to know our clients and understand their individual needs. They will be able to explain what is on offer and hope to answer any questions families may have about coming in to respite.
During admission we focus on meaningful activity and believe that when people access respite (which is often because their carer is going on holiday) they should get enjoyment and feel like they are having a holiday too. Activities on offer include:
- arts and crafts
- recognition and celebration of world events
- visiting theatre groups and performers
- chair-based exercises
- music and singing
- animal visits
- engagement with (and trips out to see) local schoolchildren
- hairdressing and beauty (including a toenail-cutting service)
- reminiscence
- games
We also use respite as a chance to see service users for a medical assessment. We know that health or medication issues can lead to problems such as falls, sleep disturbance or other symptoms that may make people less able to manage at home, and my role (as a GP with an interest in elderly care medicine) is to assess service users and give advice about medications, health conditions and planning for the future. Any assessments will be shared with the service user’s own GP.
The Enhanced Respite Service is closely linked with other community services such as Bolton Carer’s Support, Day Centres and Befriending. We will signpost people to any services that may be of benefit after discharge.
The feedback we’ve had has been fantastic, with families reporting surprise at how engaged and involved their relatives have been when in our care and being pleased to see the photos we often take and share (with permission) to record what the service users have been enjoying. We are also seeing significant increases in wellbeing according to our standardised questionnaires around satisfaction in areas such as health, emotional wellbeing, hobbies and interests and carer support.
We are always open to suggestions for new activities to include in our programme, and Jayne Filio (our Service Coordinator from Age UK) is happy to be contacted by anyone who wishes to volunteer at Wilfred Geere to support our activities and community links – we are keen to get new people on board. All our service users are individuals with different interests and we want to keep our activities as wide-ranging as possible.
The Enhanced Respite Service really is a great example of what can be achieved when teams are willing to work together, in partnership, to help people get the best from their care.
Bolton GP Federation
Bolton Primary Care Hub
Chorley Street
Bolton
BL1 4AL
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01204 463 518
hello@boltongpfed.co.uk
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