OPTIONS A guide to care and independent living
Leaving hospital
Sheffield Summer 2018
FREE
guide
What’s next?
NHS continuing healthcare Who’s eligible?
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SOCIAL CARE
tips
Healthcare services Choosing the right one
CONTRIBUTORS: Age UK Sheffield NHS Choices Sheffield City Council Sheffield Teaching Hospitals NHS Foundation Trust
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Contents Sheffield City Council - Where to get support.................................................................. 4-7 Being discharged from Hospital – what happens........................................................... 8-10 The Care Quality Commission Social Care top tips............................................................. 11 NHS continuing healthcare............................................................................................. 14-15 Taking charge of your own personal budget................................................................ 16-17 What is NHS funded nursing care....................................................................................... 17 Self-funding: paying for your own care and support................................................... 18-19 Care and support: what’s available................................................................................ 20-21 Driving and using public transport................................................................................ 22-23 Age UK Sheffield – Whether you need information, advice, someone to speak up for you, or high quality services, just ask us for help.................................................... 24-25 NHS Hospitals and services in Sheffield.............................................................................. 26 Useful contacts..................................................................................................................... 27
Welcome and introduction This guide is intended to help you, your carer and your relatives understand how your local health services can help you after discharge from hospital. Also information to help you to live independently or access support and care services in your area.
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield
OCTAGON DES IG N & M A R KE T I NG LT D
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Where to get support As you get older, or if you’ve had an illness or operation, you may find that you’re struggling with some of the daily tasks you used to do easily – like dressing, washing or getting out and about. This guide has lots of great advice on the support that’s available in Sheffield to help you stay healthy, and to live independently at home. And if you need a little extra help while you get better, or long term support, there’s advice on other options like moving to be nearer a relative, living in sheltered accommodation or extra care housing, and living in a care home.
Sheffield Directory The first place to look is www.sheffielddirectory.org.uk. This is a website full of really useful information about activities, events and groups in Sheffield. It’s the best source of advice on what you can do yourself, and how to get help from your community. And you’ll find many local services which aim to keep you independent, which anyone can access at any time, without the need for any type of assessment.
Get advice on coping with low mood, depression, anxiety and stress from the IAPT Team (Improving Access to Psychological Therapies): www.iaptsheffield.shsc.nhs.uk. Call (0114) 226 4380.
We’ve included some of the most popular services and solutions below – but you’ll find many more options in the Adult section of Sheffield Directory: www.sheffielddirectory.org.uk/adults.
Get solutions on loneliness, feeling isolated and socialising from the Age Better in Sheffield website: www.agebettersheff.co.uk. Call (0114) 2900 250.
Keeping healthy and well
Staying active and things to do
If you’re looking to improve your health and wellbeing there’s something in Sheffield for you. Local and national NHS websites give advice you can follow to help you: • Rest and sleep better at night • Eat a balanced diet, with lots of fruit and vegetables • Be more active – safe exercise to keep you physically and mentally healthy. To get started check out the NHS Choices website: www.nhs.uk, or find details of local health services and advice: www.sheffieldccg.nhs.uk. Other local services to consider: Get help to stop smoking: www.yorkshiresmokefree.nhs.uk. Call 0800 612 0011. Find out about schemes like ‘Your Shape’ and ‘Fit Fans’ – aimed at helping you keep a healthy weight: www.whyweightsheffield.co.uk. Call (0114) 321 1253. 4
Get support to reduce your drinking from START (the Sheffield Treatment and Recovery Team: https://shsc.nhs.uk/service/sheffield-alcoholservices. Call 0845 345 1549.
It can make a big difference to how you feel when you have a busy social life and stay active. Regular exercise is important, but you also stay active by visiting people, taking part in your community or volunteering. Sheffield Directory lists hundreds of activities, classes and things to do: www.sheffielddirectory.org.uk/ thingstodo. Or get motivated to get moving at www.movemoresheffield.com – which has a free mobile phone app you can download to keep you on track. Discover the wide variety of projects and causes you can support by volunteering. Visit the Volunteer
Centre website: www.sheffieldvolunteercentre.org.uk or call them on (0114) 253 6649.
regularly. Full details: www.sheffield.gov.uk/carealarms. Call (0114) 242 0351.
Getting out and about
Find help with cleaning and shopping, handypersons and gardeners: www.sheffielddirectory/helpinthehome. Find other trades like plumbers, carpenters and electricians that hold the government backed TrustMark from the website: www.trustmark.org.uk.
Being able to get out and about means you can stay connected with friends and family, be independent and take part in your community and the city. Find tips to make travelling around Sheffield easier and cheaper: www.sheffielddirectory.org.uk/transport. Get discounted travel from Travel South Yorkshire and help to plan your journeys: www.travelsouthyorkshire.com. Learn about community transport help like the Shopper Bus Service, Community Car Scheme, Cityride Door-toDoor and the Mobility for Leisure Service. All available from Sheffield Community Transport: www.sheffieldct.co.uk. Call (0114) 276 6148.
Support in your home Most of us want to live independently in our own home for as long as possible, but from time to time we may need some support and assistance. A low-cost piece of equipment, or the help of a local group or service, can make all the difference. How to get started… Check out the equipment showroom on Sheffield Directory for lots of options to make daily living easier - from getting around to cooking and washing. Go: www.sheffielddirectory. org.uk/showroom. Get peace of mind for you or someone you love from the City Wide Care Alarms Service. They can visit you at home to show how the equipment works – at no charge and no pressure to buy. The simple equipment makes it easy to raise the alarm if you fall or get into difficulty, and they can help with other problems like taking your medicines
Make things easier for a bit by having your meals delivered. As well as a huge range of ready-meals available from your local supermarkets you can get delivered with your shopping, there are specialist companies that can deliver frozen meals: •O akhouse Foods. Web: www.oakhousefoods.co.uk. Call 0333 370 6700. •R oyal Voluntary Service. Web: www.royalvoluntaryservice.org.uk. Call 0845 600 0122. •W iltshire Farm Foods. Web: www.wilshirefarmfoods. com. Call 0800 077 3100. Or have a regular hot meal delivered to your home from Park Care Meals. Web: www.parkcaremeals.co.uk. Call (01709) 378 100.
Short term support in your home (also called reablement) You may be referred to get short-term support to help you regain your independence at home from the Council’s Short Term Intervention Team (STIT), when you’re leaving hospital. This kind of help can make a real difference when getting better after an illness, a fall, or after an operation. The team will give you: • information and advice about organisations near to you that can help you regain independence in your own home. • the strength and ability to continue to live in your own home, like help with personal care (washing and getting dressed), preparing meals and medication. • the confidence to live independently by providing the opportunity to talk through what you’re struggling with and, either learn new ways to do things or use equipment to support you. • advice on how you can keep in touch with family and friends. There are also other services and organisations that may be able to support and advise you if you think that this kind of support may help you to remain independent at home. 5
If you need long term support, the team will also talk to you about having an assessment of your needs. If you have eligible care and support needs we will help you to plan the support you need to live as independently as possible. This is called a Support Plan. Unlike NHS health services, adult social care is not free. Most people pay for some or all of their support. If you need long term care and support, we’ll talk to you about your finances and work out what you can afford to pay towards the costs of your care and support, and what, if anything, we’ll contribute. Your Support Plan can include equipment and services like home support, to help you to continue to live at home and regain your independence. The amount of support you need may reduce over time as you regain your ability to do things for yourself. We will work with you to review the amount of support you need over time to stay independent in your home. If you’re leaving hospital the ward staff will contact
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the First Contact Team. To contact the team direct visit the First Point Reception at Howden House in the city centre. Or call the team on (0114) 273 4908, or email adultaccess@sheffield.gcsx.gov.uk.
Moving home If you need more support than we can provide in your home, we will talk to you about your options. Living closer to a relative or friend. The Sheffield Property Shop website explains how you can swap properties with another tenant – either to live closer to someone who help you or live in a more suitable home. Find out more: www.sheffieldpropertyshop.org.uk, call (0114) 293 0000. For options outside Sheffield try www.swapandmove.co.uk. Medical priority rehousing. Our Health and Housing Team can help if you’re having problems moving around your home because of a health condition or disability. They can also help if you, or your carer, need to move
closer, to make it easier for them to care for you. You can apply for this support using the form on the council website: www.sheffield.gov.uk or call the team on (0114) 273 5522. Sheltered housing. These housing schemes provide homes you can rent. You can be as independent as possible, while enjoying communal facilities like a laundry, kitchen, lounge and garden. Most schemes have a warden you can contact for help, and a link to the City Wide Care Alarms service for peace of mind. Often schemes arrange regular outings and activities. There are 30 schemes in Sheffield – for details visit: www.sheffieldpropertyshop. org.uk or call (0114) 293 0000. Extra care housing. These schemes are similar to sheltered housing, with homes you can buy with communal facilities, staff on site and support so you can live independently. For more details visit www.sheffield.gov.uk/extracarehousing or call the Older Persons Independent Living Service on (0114) 293 0000. Residential care. There are now lots of services and support that can help you to keep independent and delay having to move into a care home. We’ve described many of these services in this guide, but if there’s something else you need to help you stay in your home please do get in touch with our First Contact Team. Often they can tell you about new ways to solve your problems that mean you can maintain your independence. If you need care and support that can only be provided in residential care you need to plan carefully how you will move into the care home, and how you will pay for the costs of your place in the home. You’ll find details about all the homes in Sheffield on our directory: www.sheffielddirectory.org.uk/carehomes. Each home has details of the quality of the care they provide, their location and the types of care they provide. Take time to decide where you will live. If possible visit a number of homes in the area. Ask each home about the daily routine, and the times that meals are served, bedtime and when relatives can visit you. Check when the residents get to talk to the management about the quality of care (usually called the resident’s committee), and when the home’s menu and activities are reviewed. You can get a useful checklist of how to help you compare different homes from our website: www.sheffielddirectory.org.uk/ carehomes. The checklist can help you to remember what questions to ask each home, to check the quality of their care and choose the home you want to live in. Unlike NHS healthcare, residential care is not free. If you
need help from Sheffield City Council to arrange or pay for your care we will talk to you about the problems you are having. If we agree that you need residential or nursing care, we’ll talk to you about your finances. This is called a financial assessment. Most people pay for some or all of their care and support in a home. We’ll ask you about your income, including any benefits, pensions or earnings, and any savings or investments you have (often called your capital). We’ll use this information and national rules based on the Care Act 2014 to work out what you can afford to pay and what, if anything, we’ll contribute towards the cost of your care. If you choose not to tell us about your finances, you will have to pay the total cost of your care. If you have capital over £23,250 you must pay the total cost of your care. If you have capital of £14,250 to £23,250 your capital and income are used to work out what you will pay for your care. If your capital is less than £14,250 your income is used to work out what you will pay for your care. We won’t ask you to pay more towards the cost of your care than your financial assessment shows you can afford. We can provide more information and answer any questions you have during the financial assessment. You can also find more details about paying for your care and support in our factsheet. Download a copy from the Council website: www.sheffield.gov.uk/factsheets. It’s important you get good and impartial financial information and advice, so you have a better understanding of how your resources can be used more flexibly to fund a wider range of care options. The Money Advice Service can provide free, impartial and independent financial information and advice about choosing the right care services and paying for the cost of care. Visit their website at www.moneyadviceservice. org.uk, or call them on 0300 500 500. You can also get a factsheet with lots of advice on managing your finances from the Sheffield City Council website: www.sheffield. gov.uk/factsheets. However, choosing how to pay for your long-term care is a big decision. You should speak to a Regulated Financial Adviser before deciding which option is best for you. A Financial Adviser will be able to discuss how you can help make your money last and let you know about financial products specifically designed to help with paying care costs. There’s a list of Regulated Financial Advisers on the Financial Conduct Authority website: www.fca.org.uk. 7
Being discharged from Hospital – what happens Hospital is the right place to be when you need specific hospital treatment, however once that treatment is complete research suggests that you will do better at home or another place where care can be given which is not a hospital. So once hospital treatments are completed getting you back home quickly is important. Most patients who leave hospital are able to return home with little or no support. Others may need help for a short time until they get back to normal, or may need help on a long term basis.
Planning your discharge with you When you arrive at hospital, we will already be making plans for your discharge. It is important that we work together to plan for you leaving hospital. Ward staff will do their best to keep you informed about your care during your stay and this includes providing you with a date for when you should be well enough to go home. Our aim is to give patients a planned date of discharge as soon as possible. This enables your relatives or carers to plan the best way to get you home on your day of discharge. 8
If required, we will involve a physiotherapist, occupational therapist, social worker, or any other appropriate professional agency in planning your discharge from hospital. You will not be expected to leave hospital or be transferred to other care until you are medically fit to do so. In the majority of cases people return to their own home and require no further support to be able to continue independent living. Where a person does need some temporary health or social care support at home, such as community nurse visit or help with daily tasks, or you need support in an interim care bed, a member of the care team will talk to you about your needs and arrange for assessments to take place. These assessments are likely to take place out of hospital either once you are at home or another appropriate care location.
Sheffield Teaching Hospitals NHS Foundation Trust
The three routes out of hospital are shown below: ✚
Usual Place of Residence
Hospital
Somewhere else for Assessment
How you can help us
Home for Assessment o voluntary services
• By sharing any concerns you have as early as possible when you come into hospital in preparation for you leaving.
o private paid help
• By letting staff know straight away if there are any sudden or unexpected changes in your home circumstances or plans for leaving hospital.
o any other person or service.
• By giving us the information we need to arrange the correct level of support for you. • By supporting the plan of care that was agreed with you and the multi-disciplinary team at the time of your assessment.
Getting the right information to plan for your safe discharge We will start collecting information as soon as you are admitted to hospital. If you have been given a planned date to come into hospital this may have already started. • What type of house you live in? • Who you live with and do you have any long term illness or condition? • Did you manage to look after yourself at home before you came into hospital or have you been receiving any help from: o your family or friends o social services (social workers, social care managers, home carers, day or respite care etc)
o dietician o district nurse We collect this information to determine which members of the multidisciplinary team will need to be involved in your care and the level of assessment needed to plan for you leaving hospital. Most people who come into hospital return to their own home. Some people who return home may need extra support from social services, a community nursing team or a therapy team. We will talk about this with you. Some people may need rehabilitation to help them get better. Rehabilitation is an activity which helps you to recover and keep as much of your independence as possible. We will talk to you about the best place for you to do your rehabilitation if you need this. For some people assessing and planning what longer term support is required takes a bit longer. If this happens to you, don’t worry. Normally you will be transferred to another care setting. This will only be short term until your care needs are known and the team in the interim care setting will discuss your options and arrangements to be discharged, hopefully this will be to your home. However, if moving to a long term care home is required the team will discuss this with you and your family and make 9
Sheffield Teaching Hospitals NHS Foundation Trust
arrangements for the necessary assessments by social care and/ or NHS Continuing Health Care. Sometimes people are not able to return to their own home because they need special care, medicines or
equipment. If this happens to you, we will put together a special care plan with you. We will also let you know about your rights for an assessment for NHS Continuing Health Care.
On the day of your discharge Discharge lounge When you are ready to be discharged from hospital, you may be asked to wait in the Discharge Lounge for your transportation to take you home or to your discharge destination. The lounge is staffed by nurses and helps to ensure beds are available for new patients needing admission. Hot and cold drinks and snacks are provided. Please ask Discharge Lounge staff if you need to use the telephone or if you are worried about anything.
Medication When it is time for you to go home, pharmacy staff will make sure that the appropriate medication you need is provided before you leave the hospital. The nurse will talk to you and your relatives or carer about how you take your medicines once you get home. If you have any questions or worries about this, please speak to a nurse. Once you are back at home you, your relative or carer will need to make sure that you get your medicines from your GP surgery before your supply runs out. If you have any health problems at home you will need to make arrangements to see your GP.
Transport home We expect you to arrange your own transport home and ask that this be made as early in the day as possible. If you have any problems getting home please tell us as soon as possible so we can help you to make different plans.
Follow-up services, treatment and appointments Before you leave hospital you will be given information about any follow-up treatment that you may need and this could include: • An outpatient appointment • Information about medication you are to continue to take • Information about follow-up care by the district nurse • A summary of your stay in hospital will be forwarded to your GP • Names and telephone numbers of who to contact should you require help or advice after you leave hospital. 10
The Care Quality Commission is here to make sure health and adult social care services including hospitals, home and residential care as well as GPs in England provide people with safe, effective, high-quality care. We publish independent inspection reports and ratings about services – information you can use when you’re choosing care for yourself, or a loved one. You can use our website to search for services you might be interested in by geographical area, or by specialism. For example, a care home that might offer specialist care for someone who has dementia. We also welcome your feedback on the care you have received – good or bad. We use this information to help inform our inspections and can alert authorities including local social services, if there are safeguarding concerns about care being provided. You can visit our website at www.cqc.org.uk to find our inspection reports, or share an experience of care. You can also call us to share an experience of care on 03000 61 61 61. Here are some tips to help you choose your care.
Social care Top tips 1
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The Care Quality Commission (CQC) registers all care homes and home care agencies. You can find out which ones support specific groups of people, such as people with a learning disability or those living with dementia. CQC’s Chief Inspector for Adult Social Care, Andrea Sutcliffe always uses ‘The Mum Test’: is a care home safe, caring, effective, responsive to people’s needs and well-led? In other words, is it good enough for my Mum (or anyone else I love and care for)? Look for care homes and home care agencies where the staff involve people who use services and their families and carers, and treat individuals with compassion, kindness, dignity and respect.
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Whether you are being cared for in your own home or in a residential setting, the staff looking after you need to be skilled, kind and supportive. They should also be capable and confident in dealing with your particular needs. You should always feel that their support is helping you to live the life you want to. A care home will be a home for you or your loved one. Residents should be treated as individuals with their likes and dislikes taken into account. Think about whether a home is close enough to family, friends, and community facilities. Look at how well-led and managed a home is. What does it have in place to ensure that it delivers high quality care? Does it promote meaningful activity and connect the home with the community?
If you or a loved one needs help with day-today care, you can contact your local council’s social services department. They will ‘make an assessment of your needs’ and depending on circumstances, may be able to help you access financial help. For more advice visit Age UK’s website www.ageuk.org.uk/home-and-care.
If you would like to organise your care yourself, you can find a care worker or personal assistant through an agency. Your local social services department should be able to provide details of approved agencies.
CQC’s ratings will identify services as:
Outstanding Good ● Requires improvement ● Inadequate ● This will help you make informed choices around your care.
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Safeguarding adults who receive social care is everybody’s business. If you are concerned about the safety of a loved one receiving care, contact the service provider in the first instance. You can also contact social services at your local council. If you feel a crime has been committed, contact the police. You can share your safeguarding concerns with us on our website or contact our National Customer Services on 03000 616161.
The Care Quality Commission has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the Care Quality Commission endorse any of the products or services.
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Are you in need of a little help and support within your own home? The older we get the more help we need to enable us to live a more independent life For many people, the question of carer services at home does not arise until, there is a need! Most of us think that the choice is either living without help in our familiar surroundings or going into a nursing home. Serenta HomeCare stops all that. We offer a realistic alternative to allow people to stay at home, with familiar friends, relatives and possessions around them. With no upheaval, no stress and no trouble we are proud to provide • Personal Care • Meal Preparation • Medication • Domestic • Sitting Service • Social and Leisure activities • CQC Approved
Serenta HomeCare Ltd. 134 Archer Road, Sheffield S8 0JZ
See full report (or tell us your experience)
Information from the Care Quality Commission Serenta HomeCare Ltd is regulated by CQC to provide care at Serenta HomeCare Ltd Our last CQC Rating ‘GOOD’ Checking national standards in hospitals, care homes & care services.
Serenta HomeCare are always recruiting, if interested please contact on the details below
To find out more call 0114 258 10 93 or email info@serentahomecare.co.uk
Welcome to Sarah Care Sarah Care provides support for adults enabling them to enjoy the benefits of living independently in the comfort of their own homes. Our office in Sheffield provides a wide range of care and support services, tailored to the individual needs of our service users depending on varying levels of frailty. Our support team of professional, friendly staff, are dedicated to providing support with dignity and respect. We’re passionate about understanding your needs and requirements and ensuring that we support you in the way you need and we understand that being in control of your own life is important. Services that we offer • Personal care • Assistance with medication • Assistance with meals • • Domestic household tasks • Shopping collection • • Short, medium or long term rehabilitation • Social outings • • Holiday accompaniment • Carer respite • Basic pet care • We are on the Sheffield city council recognised provider list for money management. To find out more about how Sarah Care can help with your home care and personal assistance, please contact us.
SarahCare Ltd Professional Care You Can Trust
01142 485658 www.sarahcare.org
We are continuously recruiting for support workers
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NHS continuing healthcare Some people with long-term complex health needs qualify for free social care arranged and funded solely by the NHS. This is known as NHS continuing healthcare.
Where can NHS continuing healthcare be provided? NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your home or in a registered care home.
Am I eligible for NHS continuing healthcare? NHS continuing healthcare is for adults. Children and young people may receive a “continuing care package” if they have needs arising from disability, accident or illness that can’t be met by existing universal or specialist services alone. To be eligible for NHS continuing healthcare, you must be assessed by a team of healthcare professionals (a “multidisciplinary team”). The team will look at all your care needs and relate them to: • what help you need • how complex your needs are • how intense or severe your needs can be • how unpredictable they are, including any risks to your health if the right care isn’t provided at the right time Your eligibility for NHS continuing healthcare depends on your assessed needs, and not on any particular diagnosis or condition. If your needs change then your eligibility for NHS continuing healthcare may change. You should be fully involved in the assessment process and kept informed, and have your views about your needs and support taken into account. Carers and family members should also be consulted where appropriate. A decision about eligibility should usually be made within 28 days of it being decided that the person needs a full assessment for NHS continuing healthcare. If you aren’t eligible for NHS continuing healthcare, you can be referred to your local authority who can discuss with you whether you may be eligible for support from them. If you still have some health needs then the NHS may pay for part of the package of support. This is sometimes known as a “joint package” of care.
NHS continuing healthcare assessments Clinical commissioning groups, known as CCGs (the NHS organisations that commission local health services), must assess you for NHS continuing healthcare if it seems that you may need it. For most people, there’s an initial checklist assessment, which is used to decide if you need a full assessment. However, if you need care urgently – for example, if you’re terminally ill – your assessment may be fast-tracked.
Initial assessment for NHS continuing healthcare The initial checklist assessment can be completed by a nurse, doctor, other healthcare professional or social worker. You should be told that you’re being assessed, and be asked for your consent. 14
Depending on the outcome of the checklist, you’ll either be told that you don’t meet the criteria for a full assessment of NHS continuing healthcare and are therefore not eligible, or you’ll be referred for a full assessment of eligibility. Being referred for a full assessment doesn’t necessarily mean you’ll be eligible for NHS continuing healthcare. The purpose of the checklist is to enable anyone who might be eligible to have the opportunity for a full assessment. The professional(s) completing the checklist should record in writing the reasons for their decision, and sign and date it. You should be given a copy of the completed checklist. You can download a blank copy of the NHS continuing healthcare checklist from GOV.UK.
Full assessment for NHS continuing healthcare Full assessments for NHS continuing healthcare are undertaken by a “multidisciplinary team” made up of a minimum of two health or care professionals who are already involved in your care. You should be informed who is co-ordinating the NHS continuing healthcare assessment. The team’s assessment will consider your needs under the following headings: • behaviour • cognition (understanding) • communication • psychological/emotional needs • mobility • nutrition (food and drink) • continence • skin (including wounds and ulcers) • breathing • symptom control through drug therapies and medication • altered states of consciousness • other significant needs These needs are given a weighting marked “priority”, “severe”, “high”, “moderate”, “low” or “no needs”. If you have at least one priority need, or severe needs in at least two areas, you should be eligible for NHS continuing healthcare. You may also be eligible if you have a severe need in one area plus a number of other needs, or a number of high or moderate needs, depending on their nature, intensity, complexity or unpredictability. In all cases, the overall need, and interactions between needs, will be taken into account, together with evidence from risk assessments, in deciding whether NHS continuing healthcare should be provided. The assessment should take into account your views and the views of any carers you have. You should be given a copy of the decision documents, along with clear reasons for the decision. You can download a blank copy of the NHS continuing healthcare decision support tool.
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Fast-track assessment for NHS continuing healthcare If your health is deteriorating quickly and you’re nearing the end of your life, you should be considered for the NHS continuing healthcare fast track pathway, so that an appropriate care and support package can be put in place as soon as possible – usually within 48 hours. An organisation called Beacon gives free independent advice on NHS continuing healthcare. Visit the Beacon website or call the free helpline on 0345 548 0300.
Care and support planning If you’re eligible for NHS continuing healthcare, the next stage is to arrange a care and support package that meets your assessed needs. Depending on your situation, different options could be suitable, including support in your own home and the option of a personal health budget. If it’s agreed that a care home is the best option for you, there could be more than one local care home that’s suitable. Your CCG should work collaboratively with you and consider your views when agreeing your care and support package and the setting where it will be provided. However, they can also take other factors into account, such as the cost and value for money of different options.
NHS continuing healthcare reviews If you’re eligible for NHS continuing healthcare, your needs and support package will normally be reviewed within three months and thereafter at least annually. This review will consider whether your existing care and support package meets your assessed needs. If your needs have changed, the review will also consider whether you’re still eligible for NHS continuing healthcare.
Refunds for delays in NHS continuing healthcare funding CCGs will normally make a decision about eligibility for NHS continuing healthcare within 28 days of getting a completed checklist or request for a full assessment, unless there are circumstances beyond its control. If the CCG decides you’re eligible, but takes longer than 28 days to decide this and the delay is unjustifiable, they should refund any care costs from the 29th day until the date of their decision. If your CCG decided that you weren’t eligible for NHS continuing healthcare, but then revised this decision after a dispute, it should refund your care costs for the period between their original decision and their revised decision.
If you’re not eligible for NHS continuing healthcare If you’re not eligible for NHS continuing healthcare, but you’re assessed as requiring nursing care in a care home (in other words, a care home that’s registered to provide nursing care) you’ll be eligible for NHS-funded nursing care. This means that the NHS will pay a contribution towards the cost of your registered nursing care. NHS-funded nursing care is available irrespective of who is funding the rest of the care home fees. Read more information from NHS England about NHS continuing healthcare.
Q.
I have a local authority support package that works well. I’m now eligible for NHS continuing healthcare – will my support package change? If you’re concerned about changes to your care package because of a move to NHS continuing healthcare, your CCG should talk to you about ways that it can give you as much choice and control as possible. This could include the use of a personal health budget, with one option being a “direct payment for healthcare”.
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Can I refuse an assessment for NHS continuing healthcare? If I refuse, will I be able to get services from my local authority? An assessment for NHS continuing healthcare can’t be carried out without your consent, so it’s possible to refuse. However, if you refuse, although you’ll still be entitled to an assessment by the local authority there’s no guarantee that you’ll be provided with services. There’s a legal limit on the type of services that a local authority can provide. If you refuse to be assessed for NHS continuing healthcare, the CCG should explore your reasons for refusing, and try to address your concerns. If someone lacks the mental capacity to consent to or refuse an assessment, the principles of the Mental Capacity Act will apply and in most circumstances an assessment will be provided in the person’s best interest.
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My relative is in a care home and has become eligible for NHS continuing healthcare. The CCG says the fees charged by this care home are more than they would usually pay, and has proposed a move to a different care home. I think a move will have a negative effect on my relative. What can we do? If there’s evidence that a move is likely to have a detrimental effect on your relative’s health or wellbeing, discuss this with the CCG. It will take your concerns into account when considering the most appropriate arrangements. If the CCG decides to arrange an alternative placement, they should provide a reasonable choice of homes.
Q.
Is it possible to pay top-up fees for NHS continuing healthcare?
No, it isn’t possible to top up NHS continuing healthcare packages, like you can with local authority care packages. The only way that NHS continuing healthcare packages can be topped up privately is if you pay for additional private services on top of the services you get from the NHS. These private services should be provided by different staff and preferably in a different setting. 15
Taking charge of your own personal budget If your local authority agrees to pay for some or all of your home care needs, it must offer you choice and control over how your needs are met. You’ll be given a personal budget, and can choose to receive it as a direct payment.
Read more about how to choose care services.
Personal budgets
Creating your care plan
A personal budget is the amount of money the local authority allocates for your care, based on its assessment of your needs.
You and your social worker or care manager need to work together to create a care plan. This plan details your care and support needs, and can be used to work out the value of your personal budget.
You can be put in charge of this budget either by telling the local authority how you would like it spent, or by the council giving you the money so you can directly pay for your own care (a direct payment). It can also be given to a separate organisation (such as a user-controlled trust) that will spend the money on your care as you see fit, if you prefer. You can choose a combination of the above (for example, a direct payment with some councilarranged care and support), often called a mixed package. Find out how personal budgets work.
Direct payments Direct payments give you the most control over your care. If you’re unhappy with the services you’re getting, you can decide to change who gives you the care services without having to go through the local authority. But you have to be able to account for how you spend the budget. And you have responsibilities as an employer if you hire a personal assistant with your direct payment. The Money Advice Service has a guide to using direct payments.
The pros and cons of taking charge of your personal budget Being in control of your own personal budget means you have to spend some time and effort thinking about your care and support needs and the outcomes you want. There may be extra responsibilities. For example, if you decide to request a direct payment to cover the cost of homecare, you could use the payment to hire an individual, giving you the responsibilities of an employer. 16
Alternatively, you could hire care workers through an agency. This removes the legal obligations of being an employer, but may cost more and may remove some of the benefits of having the same person provide your care.
Your care plan should include: • what’s important to you, including your interests, lifestyle, personal tastes and the people in your life • your hopes for the future, such as whether you’d like to study or take on more hobbies outside the home • what limitations you currently have and how you want to change • what you want to achieve by managing your own support Make sure you include information about how you’ll manage your money and what you’ll spend the money on (including personal assistants, transport, housing adaptations, therapists and respite services). Clarify how you’ll receive your money. If you choose to receive your personal budget as a direct payment, the local authority may pay the money straight into a bank account that you control (you must set up a new bank account to do this) or they may give you a pre-paid card. Alternatively, you may prefer your personal budget to be managed by the local authority or by someone else, such as: • a friend or family member (the local authority must agree to this) • a broker or an independent social worker • your care manager or social worker Discuss these options with your social worker or carer to work out which option is best for you.
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If someone else will be looking after your money, you may need to create a decision-making agreement. This should state how they’ll look after your money and what decisions they can and can’t make on your behalf. The local authority may want to check what you do with your money to make sure you’re spending your budget appropriately, and your care and support needs are being met. You may need to keep receipts (especially for large purchases) so you can show them you have spent your money responsibly. If you choose a direct payment, the council will give you a direct payment agreement that sets out the terms and conditions. If you’re struggling to manage your money, the local authority can advise you on how to make your money work best for you.
Disagreements about care plans and personal budgets
Check your care plan is working Meet with your local authority at least once a year to discuss whether your care plan is working. This is an opportunity to discuss whether your needs are being met in the best way, and it’s also your chance to talk about changes you want to make for the future. You don’t have to wait for a review meeting to change the way you spend your budget. You can change things as you go along. If you want to make a big change, consult your care manager or social worker, who may arrange a review.
If you have been told that you’re not eligible for services or you don’t agree with the amount allocated to you in your personal budget, you can ask for a reassessment.
You can ask for a review meeting about your care plan at any time. To prepare for a review, provide any receipts you have kept since you were awarded a personal budget.
Speak to your social worker or care manager about being reassessed, or phone your local authority social services department and request a complaints form.
If someone is managing your funds for you, get them to join the review meeting.
What is NHS-funded nursing care? NHS-funded nursing care is care provided by a registered nurse for people who live in a care home. The NHS will pay a flat rate contribution directly to the care home towards the cost of this registered nursing care.
Who is eligible for NHS-funded nursing care? You may be eligible for NHS-funded nursing care if: • you are not eligible for NHS continuing healthcare but have been assessed as needing care from a registered nurse • you live in a care home registered to provide nursing care
How will my needs be assessed? You should be assessed for NHS continuing healthcare before a decision is made about whether you are eligible for NHS-funded nursing care. Most people don’t need a separate assessment for NHSfunded nursing care. However, if you do need an assessment or you haven’t already had one, your clinical commissioning group (CCG) can arrange an assessment for you.
Outcome of the assessment If you’re eligible for NHS-funded nursing care, the NHS will arrange and fund nursing care provided by registered nurses employed by the care home. Services provided by a registered nurse can include planning, supervising and monitoring nursing and healthcare tasks, as well as direct nursing care.
If you’re not eligible for NHS-funded nursing care and you don’t agree with the decision about your eligibility, you can ask your CCG to review the decision.
What is the rate of payment for NHS-funded nursing care? NHS-funded nursing care is paid at the same rate across England. In April 2018, the rate was set at £158.16 a week (standard rate). Before October 1 2007, there were three different levels or bands of payment for NHS-funded nursing care – low, medium and high. If you moved into a care home before October 1 2007, and you were on the low or medium bands, you would have been transferred to the standard rate from that date. If you moved into a care home before October 1 2007, and you were on the high band, NHS-funded nursing care is paid at a higher rate. In April 2018, the higher rate was set at £217.59 a week. You’re entitled to continue on this rate unless: • you no longer have nursing needs • you no longer live in a care home that provides nursing • your nursing needs have reduced and you’re no longer eligible for the high band, when you would change to the standard rate of £158.16 a week, or • you become entitled to NHS continuing healthcare instead. 17
Self-funding: paying for your own care and supp If you have more than £23,250 in savings (not including the value of your home or your pension), you may have to pay the full cost of your care. This is known as being a self-funder. The number of people paying for their own care is growing. While some people are eligible for funding from their council, many end up paying for all of their care.
Arranging your care as a self funder If you’re paying for your own care, you do not need to have a needs assessment first - you can go directly to a homecare agency or care home and organise it yourself without involving social services. But, it’s a good idea to have a needs assessment before arranging your care. This is because you will then have a clear idea of what your care needs are. You will know, for example, whether you need a professional carer to come in for 2 hours a day or 2 hours a week - and what specifically they should help you with. Ask for a copy of your needs assessment, so you have a record of your assessed needs. Request a needs assessment from your local council’s social services department.
• no, you won’t have to sell your home to pay for help in your own home • yes, you may have to sell your home if you need to move permanently into a care home. Social services works out how much you’re expected to pay towards your care and support through a financial assessment or means test. Your property will not be included in the means test if you’re arranging for help in your home. Your property will usually be included in the means test if you need to move permanently into a care home. Sometimes it won’t be included, for example if it’s still the main home of your partner.
Alternatives to selling your home The main ways to avoid selling your home to pay care home fees are: • releasing money from your home • renting out your home • deferred payments
Once you know what your care needs are you can either:
Releasing money from your home
• organise your care package yourself or
Equity release allows you to release money from your home without selling it.
• ask social services to commission and arrange it on your behalf (this option depends on where you live, some councils do not offer this service)
How much will care cost? Care is expensive and the bills can mount up. Knowing how much you’ll pay and how costs might change will make things less stressful. Homecare Homecare is where a professional carer comes to your home, for example for a couple of hours a day, to help you with tasks like getting washed and dressed, and household chores like preparing meals, cleaning and gardening. The recommended hourly rate is around £18.00, but this will vary according to where you live. Live-in homecare costs from around £650 a week. It can cost as much as £1,600 a week if you have complex needs. Care homes There are 2 types of care home. A residential home offers only personal care. A nursing home offers nursing care as well as personal care. • a room in a residential home costs around £600 a week • a room in a nursing home costs around £840 a week These prices will vary according to where you live and the type of care you need. For example, serious medical conditions like dementia can increase the cost. 18
Will I have to sell my home?
Make sure you get independent financial advice before considering this.
port
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The Money Advice Service has more information on equity release.
• NHS care such as NHS continuing healthcare, NHS-funded nursing care and care after you’ve been discharged from hospital
Renting out your home
• benefits such as Attendance Allowance. Make sure you’re claiming all the benefits you’re entitled to with this online benefits calculator: https://independentage.entitledto.co.uk/home/start
If you need to fund your care in a care home but don’t want to sell your home, you could consider renting it out and using the income to help pay your care home fees.
• equipment or home adaptations that cost less than £1,000
Deferred payments
If your savings run out
Where there is a delay in selling your property, or if you don’t want to sell it immediately, you may be eligible to have your care fee payment postponed. This is known as deferred payments. It’s where the council temporarily covers the cost of your care and you repay them later.
If your savings fall below £23,250, you might be eligible for council help.
If the local council agrees to the deferred payment and pays your care home fees, it will take payment from the money raised once the property is sold. This can be:
Contact your local council about 3 months before you think your savings will reach this level and ask for a reassessment of your finances and care needs. Councils will only provide funding from the date you contact them for help. So if your capital has already dropped below £23,250 before you contact them, you won’t be reimbursed.
• during your lifetime if you choose to sell your home
Get advice on paying for care
• once you die, in which case the local council can be repaid from your estate
The system of paying for care is complex and every case is different.
A deferred payment scheme is only available if you don’t have enough money to cover your care home fees, and you have less than £23,250 in savings. In these circumstances, the savings don’t include the value of your property, but do include money in bank accounts.
You can get independent advice about paying for care from: • The Money Advice Service. Call their helpline on 0300 500 5000. • The Society of Later Life Advisers • Age UK • Which? Elderly Care • Independent Age
What you may be able to get for free Even if you are a self-funder, you may be eligible for some free care and support regardless of your income, including:
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Care and support: what’s available? If you need help around the home, a good option is to have a care worker come into your home to help you. Home care costs around £18 an hour. Depending on your circumstances, this may be funded by your local council or you may have to pay yourself.
Types of care and support Care and support comes in many forms and there are many names used to describe it, including home help, care attendants, and “carers” (not to be confused with unpaid family or friends who care for you). Care and support can suit you if you need: • personal care, such as washing or dressing • housekeeping or domestic work, such as vacuuming • help with cooking or preparing meals • nursing and healthcare • companionship Care and support can be very flexible. The same person or agency may be able to provide some or all of these options for the duration of your care: • long-term 24-hour care • short breaks for an unpaid family carer • emergency care • day care • sessions ranging from 15-minute visits to 24-hour assistance and everything in between If you already know what you want, you can search NHS Choices directories for: • local care and support services and agencies • a list of national care and support organisations • supported living services – these are services that can help you stay safe and well in your home on a long-term basis, including financial help, help with medicines, advocacy, social support and practical support • a place to live with a family who will care for you – this is known as shared lives services or adult placement services
Funding home care If you believe you might benefit from some help at home, the first thing to do is to contact your local authority’s social services department to ask for a care needs assessment. If you’re eligible for care and support services funded by your local council, your local council may provide or arrange the help themselves. Alternatively, you can arrange your own care, funded by the council, through direct payments or a personal budget. If you choose direct payments or a personal budget, or you aren’t eligible for council funding and want to get care privately, you can arrange it in several different ways: • using a care and support agency • hiring a personal assistant • getting care and support from a charity, such as Age UK 20
Independent care and support agencies If you use an independent care and support agency, you or the person looking after you has to find the care agency and pay them. The agency will provide a service through a trained team of care workers, which means you may not always have the same person visiting your home, although the agency will do its best to take your choices into account. Care and support providers are regulated by the Care Quality Commission (CQC). They must meet the CQC’s national minimum standards and regulations in areas such as training and record keeping. The CQC has the power to inspect agencies and enforce standards. Care and support agencies must vet care and support workers before engaging them by taking up references and carrying out Disclosure and Barring Service (DBS) checks on potential employees. Care and support agencies can also: • take over the burden of being an employer – for example, payroll, training, disciplinary issues and insurance
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• train their care and support workers through national qualifications and service-specific training • replace workers when they’re ill, on holiday or resign • put things right when they go wrong An agency will want to see you and the person looking after you so they can assess your needs. This also means you can make a joint decision about the right type of care and support. Find out more from the UK Homecare Association.
How much does a care and support agency cost? Using a care and support agency can be expensive. The agency will charge a fee on top of the payment made to the care worker to cover their running costs and profits. You normally have to make a regular payment to the agency, which includes both the worker’s earnings and the agency’s fee.
Questions to ask when using a care and support agency Before deciding to go ahead with an agency, you should ask questions about the fee and what it covers. These include: • Does the agency check references? • What training and supervision do they provide? • What’s their complaints policy? • Who’s responsible for insurance? • Is there any out-of-hours or emergency contact if needed? • Will they be able to provide staff if your own care worker is ill or away? If an agency is contracted to provide care every day, it must do that.
Hiring a personal assistant Instead of using an agency, you can hire a personal assistant to act as a care and support worker for you. Personal assistants can offer you all that you’ll get from an agency worker, but you’ll also get continuity, familiarity and an ongoing relationship with an assistant. But if you employ a personal assistant, you have the legal responsibility of an employer. This includes arranging cover for their illness and holidays. Which? Elderly Care has advice on employing private individuals. Get more information on becoming an employer.
Care and support from charities Charities such as Age UK and Carers Trust can provide home help. Carers Trust also supports carers by giving them a break from their caring responsibilities through care and support services. Marie Curie Nurses can provide practical and emotional support for people near the end of their lives in their own homes.
Complaining about care and support You have the right to make a complaint about any aspect of care and support. It’s a good idea to ask a care and support agency or charity about their complaints policy before you start to use their carers. Read more about how to make a complaint about the care and support you or someone else is receiving. If you are finding it difficult to make a complaint, find out how an advocate can help you. 21
Driving and using public transport Although mobility problems make it harder to get around, transport has been getting more accessible for disabled and elderly people over the years. You can get help: • using public transport • getting discounts on public transport • from the NHS with travel costs • finding community transport schemes If you have mobility problems and you need a car to get around, you may be able to get help with costs through: • discounted or free road tax • a Blue Badge parking permit • help with the cost of leasing a vehicle through the Motability scheme
Using public transport with a disability All public transport vehicles have to be “accessible” so disabled passengers can use them. Public transport also has to accept guide dogs or assistance dogs. But if you’re using public transport, it’s worth contacting the transport operator before you travel to make sure they’re able to offer the assistance you require. Buses and trains usually have priority seating for older people and people with disabilities. They also usually have space and wide doors for wheelchairs. Some buses, trains and trams are fitted with automatic ramps.
Sheffield Community Transport can help if you find it too difficult to use public transport, including door to door transport like the shopper bus, dial-a-ride, and group travel. They also have a travel buddy service, if you need someone with you when you travel. Find out more at www.sheffieldct.co.uk, or call (0114) 276 6148.
The London Underground is being upgraded to improve stepfree access. Staff at Underground stations are also trained to help people move around the underground system – for example, by helping you avoid escalators and calling ahead to arrange for assistance at your destination.
Discounts on public transport for older people and disabled people Older people and people with disabilities can travel free on local buses anywhere in England between 9.30am and 11pm Monday to Friday, and at any time during the weekend and on bank holidays. Some authorities offer free travel for longer, and some allow a companion to travel with the pass holder for free. You may have to apply through your local authority, but in most areas you can apply online for an older person’s bus pass or for a disabled person’s bus pass. If you often travel by train, it’s probably worth getting a Disabled Railcard Card. This gives you a third off the price of rail tickets. Check the criteria to see if you’re eligible. Children aged 5 to 16 with disabilities are eligible for a Disabled Person’s Railcard. This lets an adult to travel with them for a third of the cost of an adult fare, while the child pays the normal child fare. Taxi and private hire companies can provide wheelchairaccessible vehicles if you ask for one when you book a vehicle. Some councils also give free taxi vouchers to people who find it difficult to use public transport because they’re frail or disabled.
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Cars and parking Road tax reductions If you’re disabled or have a serious long-term condition, you might be eligible for a reduction in your road tax, or even be exempt from it altogether. Find out more on GOV.UK about vehicle tax exemption and vehicle tax reduction. Blue Badge disabled parking scheme If you have severe mobility problems that make using public transport difficult, you may be able to get a Blue Badge parking permit for your car. This lets you park closer to places you wish to visit, such as in marked disabled parking bays. You may also be able to: • park for free within certain time limits in some places • park on single and double yellow lines • stay longer in on-street time-limited parking bays Blue Badge schemes are run by councils. Most councils will let you apply for a Blue Badge online. Central London is exempt from the national Blue Badge regulations and the central London boroughs of Kensington and Chelsea, Camden, Westminster and City of London don’t fully operate the Blue Badge scheme. But if you’re exempt from road tax or have a Blue Badge permit, you may be able to get an exemption from paying the central London congestion charge. NHS help with travel and transport costs If you pay to travel to a hospital or other NHS premises for NHS-funded treatment or diagnostic tests, you may be able to claim a refund of reasonable travel costs. Find out more about the Healthcare Travel Costs Scheme and who’s eligible.
Community transport schemes These schemes provide transport to and from hospitals, doctors’ and dentists’ surgeries, and opticians and chiropodists. Many areas offer a free “Dial-a-Ride” service, offering door-to-door transport for people unable to use normal buses. Some schemes require you to register and may charge a fee. Carers may be able to travel with you for an additional charge. Check with your local council whether your area has a community transport scheme. The British Red Cross runs a similar transport service in some areas. Contact your local Red Cross branch for information.
Motability scheme The Motability scheme allows disabled people to use their mobility benefits to lease a car, powered wheelchair or scooter. You can also pay an extra amount of money if you want a more expensive vehicle. The Motability Scheme is open to anyone who gets: • the higher rate mobility component of Disability Living Allowance (DLA) or Personal Independence Payment (PIP) • the War Pensioners’ Mobility Supplement (WPMS) • the enhanced rate mobility component of Armed Forces Independence Payment.
NHS Choices have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does NHS Choices endorse any of the products or services. All information and figures correct at the time of going to print.
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Sheffield
If someone in your household is over-50, or if you’re a carer or family member of an older person in Sheffield, then Age UK Sheffield can help you. We’re a local charity that is dedicated to supporting older people in Sheffield to live the happiest, most independent later lives they can. Whether you need information, advice, someone to speak up for you, or high quality services, just ask us for help. You can call us in office hours on (0114) 250 2850 or visit our walk-in service from Monday to Thursday, 10.30-3.30, at the Fire Service HQ, next to Decathlon, across the road from the Moor Market. In 2016/17, we supported 4,000 over-50s in Sheffield with recorded case work, many of whom were living with long-term health conditions. Our services are accredited for quality, delivered by carefully chosen and highly-trained staff.
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Information and Advice (I&A) Do you know all the benefits you could be claiming? As people’s circumstances change, they may become eligible for additional support, such as Carer’s Allowance or Attendance Allowance. Around 70% of enquiries to our I&A service are for benefits checks. We will ask you some questions about your circumstances and give advice on whether we think you could get some
extra help – and we’ll also help you to complete the complex forms. In 2016/17 we helped older people in Sheffield to claim £2.6 million in benefits that they were entitled to, but hadn’t previously been claiming. In some cases this amounted to over £200 extra per week. We can provide advice on almost any older person’s issue, including care options, legal and consumer issues, and we have achieved the national Advice Quality Standard, which included a “mystery shopper” check. Our I&A service is free (supported by Westfield Health and the Henry Smith Charity). Just call us, and we’ll do what we can to help.
Independent Living Co-ordination (ILC) As you get older, or your circumstances change, you might need a little extra support to help you to regain the independence you once had. Maybe you can’t do everything you’d like to after a recent hospital stay? Or maybe you’re finding it harder to get out and meet friends? Our ILC service is a three-month package of support in which we will help you and your family members to achieve your independence needs – whether that be aids and adaptations to your home, increased benefits where eligible, or connecting you up to local activities and transport. Our ILC service is free, supported by the Big Lottery Fund, Weston Park Cancer Charity, NHS Sheffield Clinical Commissioning Group and the Ministry of Defence. It is targeted at people who can’t make it in to our office, people who have long-term health conditions, people living with and beyond cancer, and armed forces/Territorial Army veterans. You don’t need to be referred to our ILC service. Just call us, tell us your needs, and if we think you need our ILC service, we’ll provide it to you, free of charge.
At Home with Age UK Sheffield Do you need a little extra help around the home to put your loved ones’ minds at ease? As we get older, we can’t always keep on top of some simple tasks around the home. Our “At Home” service provide a flexible personal assistant to help you with the things you need. One week it may be doing your shopping, or taking you to the supermarket. Another is maybe helping with sort your mail and bills, or a little cleaning. Maybe you’d like to be taken out to visit a friend, or just have a chat over a cup of tea? Our “At Home” service always begins with a free initial assessment and care plan, and a benefits check. It’s a paid-for service, at £21 per hour – a small price to pay for the peace of mind that a family member is living well. Over the years, our hundreds of customers have told us they like it that: • We provide a full hour’s service, and don’t take time off for travelling • We aim to provide the same support worker every time, as often as we can • As a charity, we don’t make a profit. Any small surplus goes back into providing free services for older people in Sheffield For more information on our “At Home” service, and a free initial assessment, care plan and benefits check, call (0114) 250 2850 now.
Wellbeing Centre If your loved one is living with memory loss and dementia, and would benefit from a high quality day service with singing, dancing, arts, laughter, and husky dogs, our Wellbeing Centre is for you. It’s in the Centre in the Park, Norfolk Park, and places are available Monday to Friday, 10.00-3.30. The Wellbeing Centre is also a paid-for service, at £48 per day plus lunch. You must see it to believe it – call us now to arrange a free introductory visit and benefits check. Whatever your older person’s needs, information, advice, services, or a quote for insurance or a funeral plan, if you live in Sheffield, we’re here for you. Call us on (0114) 250 2850 or drop-in to our new office at the Fire Service HQ. 25
NHS Hospitals and services in Sheffield
Bamforth Building, 110 Burton Street, Sheffield S6 2HH Tel: 0114 276 8414
Stocksbridge & Upper Don
Sheffield Teaching Hospitals NHS Foundation Trust
Northern General Hospital Herries Road, Sheffield S5 7AU Tel: 0114 243 4343
West Ecclesfield East Ecclesfield
Sheffield Teaching Hospitals
Shiregreen & Brightside
Southey
Firth Park Stannington Hillsborough
Sheffield Teaching Hospitals NHS Foundation Trust
Burngreave Darnall
Walkley
Weston Park Hospital, Whitham Road, Sheffield S10 2SJ Tel: 0114 226 5000
City
Crookes & Crosspool
Manor Castle
Broomhill & Sharrow Vale Fulwood
Nether Edge & Sharrow Ecclesall
Park & Arbourthorne Richmond
Sheffield Teaching Hospitals NHS Foundation Trust
Graves Park
Jessop Wing, Tree Root Walk, Sheffield S10 2SF Tel: 0114 271 1900
Dore & Totley
NHS Foundation Trust
Charles Clifford Dental Hospital, Wellesley Road, Sheffield S10 2SZ Tel: 0114 271 7800
Gleadless Valley
Beauchief & Greenhill
Birley
Woodhouse Beighton
Mosborough
Sheffield Sheffield Teaching Hospitals NHS Foundation Trust
Royal Hallamshire Hospital Glossop Road, Sheffield S10 2JF. Tel: 0114 271 1900
South Yorkshire Fire & Rescue, 197 Eyre St, Sheffield S1 3FG Tel: 0114 250 2850
Howden House, 1 Union Street, Sheffield S1 2SH Tel: 0114 273 4567
The locations on the map indicate where services operate out of.
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Useful contacts A
N
Action on Elder Abuse 080 880 88141 We work to protect, and prevent the abuse of, vulnerable older adults. Action on Elder Abuse, PO Box 60001, Streatham SW16 9BY I www.elderabuse.org.uk I enquiries@elderabuse.org.uk
National Rheumatoid Arthritis 0800 298 7650 Society (NRAS) or 0845 458 3969 Provide information, support and advice for people living with Rheumatoid Arthritis. I www.nras.org.uk
Admiral Nurses 0800 888 6678 This helpline has been set up to provide people with an opportunity to talk through their worries and concerns about themselves, friends or relatives with dementia. The lines are open on Tuesdays and Thursdays between 11am and 9pm. Callers can leave messages any time and request a call back. I www.dementiauk.org I direct@dementiauk.org
NHS 111 111 A 24 hour service to get medical help when it’s not a 999 emergency and if you’re not sure whether to visit A&E. Calls are free from landlines and mobiles.
Age UK Sheffield 0114 250 2850 South Yorkshire Fire & Rescue, 197 Eyre St, Sheffield S1 3FG I www.ageuk.org.uk/sheffield/ I enquiries@ageuksheffield.org.uk Alzheimer’s Society 0114 276 8414 Bamforth Building, 110 Burton St, Sheffield S6 2HH I www.alzheimers.org.uk
C Care Quality Commission (CQC) 03000 616161 National Correspondence, Citygate, Gallowgate, Newcastle upon Tyne NE1 4PA I www.cqc.org.uk I enquiries@cqc.org.uk Crimestoppers 0800 555 111 Give information about any crime without giving your name or details Cruse Bereavement Care - Sheffield Branch 0114 249 3328 10 Carver St, Sheffield S1 4FS I www.cruse.org.uk/sheffield-branch I sheffield@cruse.org.uk
S Samaritans
Sheffield Carers Centre 0114 272 8362 Ground Floor East, Concept House, 5 Young Street, Sheffield, S1 4UP Sheffield Citizens Advice Bureau The Circle, 33 Rockingham Lane, Sheffield, S1 4FW
03444 113 111
Sheffield City Council
0114 273 4567
Sheffield MENCAP 0114 276 7757 Norfolk Lodge, Park Grange Rd, Sheffield S2 3QF I www.sheffieldmencap.org.uk I mencapoffice@sheffieldmencap.org.uk Sheffield MIND 0114 258 4489 110 Sharrow Ln, Sheffield S11 8AL I www.sheffieldmind.co.uk I info@sheffieldmind.co.uk Shelter
0344 515 1515
Stroke Association 0845 3033 100 Advice and information for stroke patients and their families. I www.stroke.org.uk
D
P
Disability Sheffield 0114 253 6750 The Circle, 33 Rockingham Lane, Sheffield S1 4FW I info@disabilitysheffield.org.uk I www.disabilitysheffield.org.uk
Parkinson's Disease Society I www.parkinsons.org.uk
Disability Benefits – for Disability Living Allowance 0845 712 3456 and Attendance Allowance I Textphone: 0845 722 4433 I w ww.direct.gov.uk/en/Dl1/Directories DG_10011169
Rape Crisis
Domestic Violence
0808 200 0247
E Electricity Northern Power Grid
0800 375675
Elderly Accommodation Counsel 0800 377 7070 Elderly Accommodation Counsel (EAC) is a national charity that aims to help older people make informed choices about meeting their housing and care needs. I www.eac.org.uk I info@firststopadvice.org.uk Emergency services: ambulance, fire and police
999
101 a 24 hour number to contact the police about community safety issues including anti- social behaviour and non-emergency crimes.
I Integrated Care Council 01379 678243 The Integrated Care Council (ICC) is a body that brings together British health and social care, public and independent sector organisations that commission or directly provide support for people living at home. I www.integratedcarecouncil.co.uk
M Mind (National Association for Mental Health) 0300 123 3393 The leading mental health charity in England and Wales. We work to create a better life for everyone with experience of mental distress. I www.mind.org.uk I contact@mind.org.uk
N National Debtline National Gas Emergency Service
0800 800 0303
R 0808 802 0013
Royal Voluntary Service 0845 608 0122 A volunteer organisation that enriches the lives of older people and their families across Britain. We support older people by giving time and practical help to help them get the best from life. Royal Voluntary Service, Cardiff Gate,Beck Court, Cardiff Gate Business Park, Cardiff CF23 8RP I www.royalvoluntaryservice.org.uk
T The Department of Work and Pensions I www.dwp.gov.uk The Pension Service 0845 606 0265 I www.dwp.gov.uk/about-dwp/customerdelivery/the-pension-service Travelline (bus/tram/train)
0871 2002233
V Victim Support
0300 200 1976
Y Yorkshire Water
0345 124 2424
Every possible care has been taken to ensure that the information given in this publication is correct at the time of going to print. Whilst the publisher would be grateful to learn of any errors, it cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without prior written consent of the copyright owners. Octagon Design & Marketing Ltd. ©2018. Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire, DN10 6AB. Tel: 01302 714528
0808 808 4000 0800 111 999
National Osteoporosis Society 0845 450 0230 Advice, information and support group for people with osteoporosis. I www.nos.org.uk National Rail Enquiries
(Freephone) 116 123
03457 484950
Options Sheffield is published by Octagon Design and Marketing Ltd with editorial contributions from Sheffield City Council, Sheffield Teaching Hospitals NHS Foundation Trust, the CQC, Age UK and NHS Choices. The editorial contributors have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor do the editorial contributors endorse any of the products or services.
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OCTAGON
DESIGN PRINT SUPPORT
DE SIG N & M A RKE T I NG LTD
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To advertise in this publication please call the sales team on 01302 714528 Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire DN10 6AB 01302 714528 | www.octagon.org.uk | info@octagon.org.uk
The White House SPECIALISED RESIDENTIAL SERVICES FOR OLDER PEOPLE
About Us The Whitehouse Residential Home is a friendly, welcoming home for the elderly offering 24 hour individual care for your loved ones with friendly, long term dedicated staff, situated on Manchester Road, opposite the Rivelin Dams, surrounded by woodland, gardens and beautiful views. The Whitehouse Residential home provides accommodation for 32 residents in a choice of double or single rooms offering
beautiful views, it has a homely feel where residents can relax and enjoy the comfort of this splendid home. The Whitehouse also specialises in Dementia care, all our staff are fully qualified, caring members of the team. Those who live at The Whitehouse do so with dignity and respect.
Additional Services provided:• Activities, • Outings, • Hairdressing, • Chiropody, • Dental and Optical care, • Films, • Visits from the vicar, • Singing etc.
The Whitehouse, Rivelin Dams, Manchester Road, Sheffield S6 6GH Manager Michelle Delaney 0114 2301780 ◆ enquiries@heathcotes.net ◆ www.twh.org.uk
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ADSWAD LTD
SUPPORT SERVICES A direct service with a difference Adswad a limited by guarantee, organisation and is registered with CQC to provide support for all vulnerable adults to live their lives as they choose within their own homes. We have a staff team that will deliver services in accordance with Person Centre Plans, Support Practise Guidelines, Support Strategies and Risk Assessments. Asda is our local
The aims of the company, is to enable individuals (with support) to take more control over their lives, develop more skills and increase their independence.
Stephen and Robert provide our service
My name is Stephen Lockwood and I am the founder of ADSWAD LTD. I started the company up as I have all the qualifications that meet the requirements of the CQC governing body, and the business regulations.
they help me bake
In my life time I have achieved personal goals which include sailing , out door pursuits and survival techniques, with qualifications in youth and community work and many more. I work with people of the community with a integrated method, which has always promoted peoples rights and choices. Using this as my platform for delivering services to the people we support, it has resulted with clients living their lives as they choose too.
relationships
Some activities we can support with are: • Bowling • Physical Classes • Swimming • Supporting to take Medication • Leisure • Shopping • Socialising • Healthy Choices • Personal Care • Befriending
Tel: 0114 2467607 mobile: 07590 830616 E-mail: stevejen@talktalk.net 30
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Designed & Compiled by Octagon Design and Marketing Ltd., Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire, DN10 6AB. Tel: 01302 714528