Nottinghamshire OPTIONS Autumn 2022 A guide to care and independent living NHS hospitalLeavinghealthcarecontinuing What’s Healthcarenext? services Who’s SOCIALeligible?CARE tips 10
Personalised home care & support • Help with washing & dressing • Shopping & meal preparation • Prompting with medication • Support with daily routines • Overnight support and live-in care • Respite services • Socialising and leisure activities • Accessing the community Mansfield & Ashfield 01623 259779 mansfield@caremark.co.uk Broxtowe & Erewash 0115 943 6064 broxtoweanderewash@caremark.co.uk
Contents Nottingham Nottinghamshire& 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. Welcome and introduction Contents Age UK Nottingham & Nottinghamshire’s Services ..................................................... 20-21 The Care Quality Commission Social Care top tips ............................................................ 24 NHS continuing healthcare............................................................................................ 10-13 Personal budgets and direct payments......................................................................... 14-17 NHS-funded nursing care 17 Paying for your own care (self-funding) 18-19 OCTAGONDESIGN&MARKETINGLTDNottinghamshire Healthcare NHS Foundation Trust Nottinghamshire Healthcare NHS Foundation Trust ....................................................... 8-9 Nottingham University Hospitals NHS Trust – The right place for your care 4-7 Unite against dementia in Nottinghamshire ................................................................ 22-23 To view this guide online as an interactive ebook visit: www.regionalcare.co.uk/options/nottinghamshire/autumn2022 Read online
In the event of an emergency call 999.
Plus pharmacy technicians can help with things like:
Our hospital Emergency Department at the QMC is for genuine emergencies such as:
• loss of consciousness • severe breathing difficulties
less well known is that all pharmacies provide the following services: • dispensing of NHS prescriptions
• Routine services such as blood tests or wound dressing/suture removal Emergency Department/999
If you struggle to make a GP appointment during working hours, you can get evening and weekend appointments with a GP, nurse or healthcare professional by visiting the ‘GP appointments and booking’ webpage of the NHS website.
• Minor head injury with no loss of consciousness • Skin infections or animal bites
• helping you understand the correct dose of a new medicine and how often you need to take it
• an emergency supply of medicine, subject to the decision of the pharmacist (you may need to pay for an emergency supply)
• inhaler technique • how to take a medicine safely
To find your nearest GP surgery and opening times, visit the ‘search for a GP’ page of the NHS website.
• Eye infections or minor eye injuries
• severe bleeding that cannot be stopped
• severe burns or scalds • stroke • major trauma such as a road traffic accident
The centre is not appropriate for:
It threatening.butisproblemahelpiftreatmentandassessmentsprovidesyouneedwithhealththaturgent,notlife6
• access to the repeat prescription service (with agreement from your GP)
Urgent Treatment Centre
To find your nearest pharmacy and opening times, visit the NHS website. GP Surgery
The centre offers assessment and treatment for health conditions such as:
Many people don’t realise that pharmacists train for at least five years to become experts in medicines and their use. Many pharmacies have a private consultation room where you can seek confidential expert advice from the pharmacist on a wide range of health conditions. If the pharmacists thinks that you need further help, including from your GP, they will advise you appropriately, so your local pharmacist really is an excellent first choice for minor health concerns. Pharmacists can help with a range of ailments including: • fevers, aches and pains • stomach upset • headaches and earache • sore throat • coughs, colds and flu • cystitis • skin rashes • teething • red What’seyeperhaps
9 9 9
Editorial content supplied by: Nottingham University Hospitals NHS Trust Pharmacy
• Suspected broken bones, sprains and strains (X-ray service available)
The Treatment Centre is a walk-in service and is open 365 days a year between 7am and 9pm. No appointment is needed. You can call 0115 883 8500 for directions or current waiting times. The centre provides face-to-face and healthcare advice but cannot offer advice over the telephone.
• Non-urgent treatment that could be treated by your GP
The Nottingham NHS Urgent Treatment Centre is located next to the BBC building on a business park close to the city centre. It provides assessments and treatment if you need help with a health problem that is urgent, but not life-threatening.
If you have tried the NHS 111 service but you have symptoms that aren’t improving or they are getting worse, such as:
• Minor burns or scalds
• non-prescription medicines like paracetamol • disposal of unwanted or out-of-date medicines
• ear pain • back pain • stomach pain You should make an appointment to see your GP.
• loss of consciousness • acute confused state and fits that are not stopping • chest pain • severe allergic reactions
Video consultations are an easy way for you to have your appointment with your hospital care team or consultant, without the need for you to travel to the hospital.
As well as saving you time and money, during the Covid-19 pandemic video consultations are also helping to keep everyone safe. Where a virtual appointment is deemed clinically safe and appropriate, it is a convenient alternative to in-person appointments which keeps the number of people in our hospitals to an absolute minimum – to protect you, our staff and our inpatients.
• A table or surface to prop your device on, so your camera stays steady during the call
Step 4: Click this link a few minutes before your appointment to go straight to your private video consultation waiting room.
• A quiet, well-lit room where you will not be disturbed. If you are by a bright light, like a window, sit so the light is on your face not behind you.
consultant.carehospitalwithappointmenttowayareconsultationsVideoaneasyforyouhaveyouryourteamor
We know that, on average, patients save £30 with every virtual appointment by avoiding travel and parking costs, plus time off work to attend hospital.
To find out more about video consultations on our website, including an introductory www.nuh.nhs.uk/online-video-consultationsvideo:
Step 3: We will send you a text message prompt 1-2 hours before your appointment with a secure DrDoctor link to your Video Consultation.
Step 1: We will notify you of your Video Consultation by text message or letter Your appointment reminder text message will notify you that your appointment will be a Video Consultation as well as the date and time of your appointment. Click the nhs.my/NUH link to login to your patient portal and view information about your appointment.
The Doctor will virtually see you now
Step 6: If there is any difficulty your clinician will phone you on your mobile number
From April to June of this year we delivered 78,500 virtual appointments. That’s a saving to our patients of over £2.35 million!
• A good connection to the internet, we recommend using Wi-Fi where possible which may have a better connection and will not use your mobile data allowance
7
Step 5: Please wait for your clinician to join you in the virtual consultation room. You may need to wait a while if the clinic is running late so please stay on the call. If your clinician is running behind, they may send you a message within the video consultation to let you know.
If you are offered a video consultation or follow-up appointment, here’s what to expect:
Step 2: Check you have what you will need for your Video Consultation. For the Video Consultation, you will need: • A smartphone, tablet or computer with a camera and speaker
Editorial content supplied by: Nottingham University Hospitals NHS Trust
Editorial content supplied by: Nottinghamshire Healthcare NHS Foundation Trust
8
We are also currently running an anxiety management group, which is for people who have been struggling to manage thoughts and feelings of anxiety. The course similarly runs for eight consecutive weeks, and each session lasts two hours long (with a break in the middle).
InterventionTherapeutic Service
Further information about the groups on offer are outlined below:
Each team comprises of a Clinical Psychologist, two Assistant Psychologists, two Assistant Practitioners, one Community Psychiatric Nurse, one Occupational Therapist, and one Family Peer Support Worker. We are currently running a Psychoeducational Dementia group for people who have recently been diagnosed with dementia. The group runs for eight consecutive weeks, and each session lasts two hours long (with a break in the middle).
The group is underpinned by Cognitive Behavioural Therapy, which means that we will identify how thoughts and beliefs influence our behaviour. We also explore methods that can be used to help people better cope with their worries and anxieties. Like the dementia group, a key benefit of the group is a safe environment for people to share their experiences as well as engage in discussions and activities.
So far, we have andfromfeedbackpositivehadpatientscarers.
1) people with dementia (older adults who are diagnosed 65 years or older, and young onset dementia for those diagnosed 64 years and lower)
Hearing this feedback gives us confidence that our future groups in development, which include a depression management group - based upon compassion-focussed therapy – and a group to help develop stabilisation skills will also be well received.
So far, we have had positive feedback from patients and carers. Mental Health Services for Older People Operational Manager, John Davies was also impressed with the benefits for patients. Wanting to get a feel for how the groups are run, he sat in our dementia group for the session. He commented on the excellent content and the engaging way the facilitators interacted with patients.
TIS covers the whole of Nottinghamshire and is divided into North Nottinghamshire (Mansfield Community Hospital, Byron House in Newark, and Bassetlaw Hospital) and South Nottinghamshire (Lings Bar Hospital and Highbury Hospital). All treatments are group-based and take place at one of the North or South locations. The exception to this is our online ‘Managing Changes’ group for people with dementia who prefer to attend a virtual group.
2) people with mild to moderate mental health difficulties.
Nottinghamshire Healthcare NHS Foundation Trust launched the Therapeutic Intervention Service (TIS) on 1 April 2022 providing specific evidence-based treatments for two groups of people:
The course is designed to educate and support people to live well with dementia, and we do this by exploring what dementia is, adapting to diagnosis, memory strategies, changes in mood, healthy living, and planning for the future. We provide informative presentations with the opportunity to take part in discussions, share experiences and engage in activities.
•
•
•
• Managing anxiety in the present moment
Dementia Post Diagnostic Programme
•
Theforwardsservice is open to current MHSOP patients and will be referred internally. If you would like further information please contact Sarah Carlisle, Team Leader on 01158542232. We methodsexplorewill that can be used to help you better cope with anxieties.worriesyourand
•
•
9
•
Editorial content supplied by: Nottinghamshire Healthcare NHS Foundation Trust
• Putting together all we’ve learned and moving
The group is for individuals who have recently been diagnosed with dementia (any age) and is offered in a face to face group session, or online. The group consists of 8, weekly 2 hour sessions and are designed to educate and support patients to live well with dementia and adapt to diagnosis. The programme consists of the following: Introduction and adapting to diagnosis Identifying change • Memory strategies Wellbeing and dementia Healthy living • Communication • Planning ahead Managing Anxiety Programme
This group is for individuals who have been impacted by thoughts and feelings of anxiety and is offered on a face to face basis for individuals aged over 65 years. It consists of 8 weekly sessions that will last approximately 2 hours. It is underpinned by Cognitive Behavioural Therapy, which means that we will identify how thoughts and beliefs influence our behaviour. We will explore methods that can be used to help you better cope with your worries and anxieties. The programme consists of the following: What is anxiety and where does it come from? Understanding our anxiety How physical techniques can help reduce anxiety Strategies to help you untangle the cycle of anxiety in your everyday life How to manage tricky thoughts Tips for a better night’s sleep
•
•
•
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 cannot be met by existing universal or specialist services alone.
Find out more about the children and young people’s continuing care national framework on GOV.UK 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 your needs can be • how unpredictable they are, including any risks to your health if the right care is not 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.
If you are not eligible for NHS continuing healthcare, you can be referred to your local council who can discuss with you whether you may be eligible for support from them.
Editorial content supplied by: the NHS
The process involved in NHS continuing healthcare assessments can be complex. 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.
condition.diagnosisparticularnotneeds,assessedondependshealthcarecontinuingforeligibilityYourNHSyourandonanyor 10
NHS healthcarecontinuing
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 own home or in a care home.
A decision about eligibility for a full assessment for NHS continuing healthcare should usually be made within 28 days of an initial assessment or request for a full assessment.
Information and advice
Some people with long-term complex health needs qualify for free social care arranged and funded solely by the NHS.
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.
Integrated care boards, known as ICBs (the NHS organisations that commission local health services), must assess you for NHS continuing healthcare if it seems that you may need it.
Initial assessment for NHS continuing healthcare
Being referred for a full assessment does not 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.
Depending on the outcome of the checklist, you’ll either be told that you do not 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.
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 what the assessment involves.
For assessment.needdecideusedwhichassessment,checklistanthere’speople,mostinitialistoifyouafull
11
You should be informed who is co-ordinating the NHS continuing healthcare assessment.
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.
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.
Full assessment for NHS continuing healthcare
Full assessments for NHS continuing healthcare are undertaken by a multidisciplinary team (MDT) made up of a minimum of 2 professionals from different healthcare professions. The MDT should usually include both health and social care professionals who are already involved in your care.
You can download a blank copy of the NHS continuing healthcare checklist from GOV.UK
Editorial content supplied by: the NHS
NHS continuing healthcare assessments
These needs are given a weighting marked “priority”, “severe”, “high”, “moderate”, “low” or “no needs”.
You can download a blank copy of the NHS continuing healthcare decision support tool from GOV.UK
You may also be eligible if you have a severe need in 1 area plus a number of other needs, or a number of high or moderate needs, depending on their nature, intensity, complexity or unpredictability.
Your ICB 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
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.
The team’s assessment will consider your needs under the following headings: • breathing • nutrition (food and drink) • continence • skin (including wounds and ulcers) • mobility • communication • psychological and emotional needs • cognition (understanding) • behaviour • drug therapies and medicine • altered states of consciousness • other significant care needs
Editorial content supplied by: the NHS If needs.assessedmeetspackagesupportcarearrangestagethehealthcare,continuingforeligibleyou’reNHSnextistoaandthatyour 12
Care and support planning
NHS continuing healthcare should be provided.
In all cases, the overall need, and interactions between needs, will be taken into account, together with evidence from risk assessments, in deciding whether
Fast-track assessment for NHS continuing healthcare
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 1 local care home that’s suitable.
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.
If you have at least 1 priority need, or severe needs in at least 2 areas, you can usually expect to be eligible for NHS continuing healthcare.
Consent is not needed for completion of assessments (CHC Checklists, Decision Support Tools (inclusive of FNC by default) and Fast Track), or collation and sharing of information with:
Q Can I refuse an assessment for NHS continuing healthcare? If I refuse, will I be able to get services from my local authority?
No, it is not possible to top up NHS continuing healthcare packages, like you can with local authority care packages.
into account, such as the cost and value for money of different options.
If you’re eligible for NHS continuing healthcare, your needs and support package will normally be reviewed within 3 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.
Q Is it possible to pay top-up fees for NHS continuing healthcare?
If you’re not eligible for NHS continuing healthcare
FAQ’s
Find out more about NHS continuing healthcare from NHS England
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.
Frequently asked questions about NHS continuing healthcare
Editorial content supplied by: the NHS
• Care Teams • Health and Social Care Staff
If the ICB 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 someone lacks the mental capacity to consent to sharing of information with third parties (other than Care Teams or Health and Social Care Staff), the principles of the Mental Capacity Act will apply and a best interests decision may be needed.
Q My relative is in a care home and has become eligible for NHS continuing healthcare. The ICB 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?
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’re assessed as needing from the NHS. These private services should be provided by different staff and preferably in a different setting.
13
Refunds for delays in NHS continuing healthcare funding ICBs 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 healthcare.continuingforeligibleyou’rewhetheralsoreviewchanged,needsyourhavethewillconsiderstillNHS
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 ICB 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 1 option being a “direct payment for healthcare”.
But consent is needed to share personal information collected for, and as part of, assessments (Checklist, Decision Support Tool (inclusive of FNC by default) and Fast Track) with third parties, such as family, friends or representatives, at the beginning of the process. There is a legal limit to the types of services that a Local Authority can provide. If you have any concerns about being assessed for NHS continuing healthcare, the ICB should explore your reasons for this, and try to address your concerns.
If the ICB decides to arrange an alternative placement, they should provide a reasonable choice of homes.
This means that the NHS will pay a contribution towards the cost of your registered nursing care. NHSfunded nursing care is available irrespective of who is funding the rest of the care home fees.
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 ICB. It will take your concerns into account when considering the most appropriate arrangements.
NHS continuing healthcare reviews
The organisation you choose, such as your care provider, will speak to the council and arrange the Sometimespayments.other organisations charge you extra money to arrange payments from the council.
For example, the council could arrange some of your care but send you the rest of the money. This is often called a mixed package or “mix and match”.
The money in your personal budget will be spent for you by the council. They will arrange all your care and support based on your agreed care plan.
Editorial content supplied by: the NHS
The benefits of direct payments
If the council manages your money
• have experience working with your care needs
If you’re a carer, you may be entitled to receive a personal budget after having a carer’s assessment to see what might help make your life easier.
Personal budgets and direct payments
• speak the same language as you
If your money is paid to another organisation
They still need to check you’re happy with the care they’re arranging for you.
Direct payments give you more flexibility over how your care and support is arranged and provided.
• are always the same people and available when you need them
For example, you could choose to hire care workers or personal assistants who:
If you’re a carer, you may entitledbe to receive lifemakemighttoassessmentaafterbudgetpersonalahavingcarer’sseewhathelpyoureasier.
You can also choose a combination of these options.
14
A carer’s assessment is free and anyone over 18 can ask for one. Choosing how to receive your personal budget You can ask the council to either: • manage your personal budget for you • pay the money to another organisation – such as a care provider • pay the money directly to you or someone you choose – this is known as a direct payment
You’ll be given a personal budget to spend if your local council decide you’re eligible for help with any social care and support you need. You can request an assessment from the council to establish your needs. The money in your personal budget can be paid to you, to help you make more decisions about how it’s spent. This is known as a direct payment.
• are a specific person that has been recommended to you
• can help you get to shops or social events
What is a personal budget?
Your personal budget is the amount of money your local council will pay towards any social care and support you need.
The amount of money in your personal budget is decided by your local council after a needs assessment to work out: • what kind of care and support you need • how much it will cost • how much you’re able to afford yourself Carers and personal budgets
• how the council want you to record your spending –for example, keeping receipts
How to apply for direct payments
You could also member.oraforpayments,yourelsesomeonehavingconsidermanagedirectexamplefriendfamily
many ways you could choose to use the money. It’s your choice as long as you’re spending your personal budget on things that meet your agreed care Mostplan.
How direct payments work f you choose direct payments, the council will send you the money in your personal budget by either:
You should be offered direct payments as an option after your needs assessment. You can also ask your local council’s social services department about direct payments.
councils will ask for evidence of how you’ve spent your money every 3 months.
• paying it directly into a bank, Post Office, building society or National Savings and Investments account
You may decide direct payments are not helpful if:
• you’re worried about managing money or the people you employ • you spend a lot of time in hospital • you would rather the council arranged your care
Signing a direct payment agreement
• sending you a pre-paid card
Editorial content supplied by: the ThereNHSare
If you’re not confident about keeping records or managing the people who care for you, your local council should be able to provide support.
You could also consider having someone else manage your direct payments, for example a friend or family member. You’ll need to set up a trust for payments that are managed by someone else.
You can then choose how you spend the money on your own care and support, as long as it matches the care plan you’ve agreed with the council.
The council might ask you to sign a document called a direct payment agreement. This says:
15
When to consider other options
The Money Advice Service has information about setting up a trust.
16
If you’re struggling to manage your money
You could speak to the council and agree for the money to be sent to someone who will spend it for you. For example:
• speaking to your local council’s social services department
You can find out about local home care agencies by:
• background checks or references
You may need to write down how they will spend the money and which decisions they can make for you.
Read more about employing someone to work in your home on GOV.UK.
Editorial content supplied by: the NHS
When choosing an agency, decide what sort of service you’re looking for and the tasks you need help with.
If you want someone else to receive the direct payment
• cost you more money
If you don’t want to become an employer
• remove some of the benefits - such as having the same person provide your care How to research a care agency
• your responsibilities as an employer - if you’re paying for a care worker
You could choose to hire care workers through an agency instead. This removes the legal obligations of being an employer, but could:
It’s a good idea to contact more than one agency, as they may offer different types of services.
This is known as a decision-making agreement.
Ask your local council for advice or call the Money Advice Service on 0800 138 7777.
• a carer • a friend or family member • someone else who speaks up for you (an advocate)
helpyouandlookingyou’reofwhatdecideanchoosingWhenagency,sortserviceforthetasksneedwith.
f you decide to hire a carer or personal assistant yourself, it’s important to know the responsibilities you’ll have as an employer. Although support from the council should be available, you may need to arrange:
Disability Rights UK also have more information on getting a personal assistant.
If you spend direct payments on something that isn’t agreed in your care plan, the council could take the money back or end the direct payments.
• contacting the UK Homecare Association
Employing your own carer or personal assistant
• tax • National Insurance • pension contributions
You can use them to pay towards the cost of your care.
Benefits can help with care costs
Editorial content supplied by: the NHS
• arrange and pay for care yourself without involving the council
• ask the council to arrange and pay for your care (the council will then bill you, but not all councils offer this service and they may charge a fee)
You will not be entitled to help with the cost of care from your local council if:
For example, serious health problems like dementia and chronic obstructive pulmonary disease (COPD) can increase the cost.
You can choose to pay for care yourself if you don’t want a financial assessment.
Find out what care you need
Paying for a care home
But there may be other ways to pay care home fees if you don’t want to sell your home straight away.
• £600 a week in a residential home
The needs assessment is free and anyone can ask for one. How much will care cost?
• £840 a week in a nursing home
Can I avoid selling my home?
Even if you choose to pay assessment.aisneed.youwhattoassessmentcanyouryourforcare,councildoancheckcaremightThiscalledneeds
You may be eligible for benefits, like Attendance Allowance and Personal Independence Payment (PIP), which aren’t means-tested.
A typical hourly rate for a carer to come to your home is around £20, but this will vary depending on where you live.
• residential homes have staff that help with everyday tasks such as getting dressed and supply all your meals
Even if you choose to pay for your care, your council can do an assessment to check what care you might need. This is called a needs assessment.
For example, it’ll tell you whether you need home help from a paid carer for 2 hours a day or 2 hours a week and precisely what they should help you with.
Paying for carers at home
• you have savings worth more than £23,250
18
How to arrange your care as a self-funder
Social care can be expensive. Knowing how much you’ll have to pay will help you budget.
You can ask your council for a financial assessment (means test) to check if you qualify for any help with costs.
The price will vary according to where you live and the type of care you need.
Having a carer who lives with you costs from around £650 a week. But it can cost as much as £1,600 a week if you need a lot of care.
A room in a care home costs:
Sometimes selling your home to pay care home fees is the best option.
• you own your own property (this only applies if you’re moving into a care home)
Paying for your own care (self-funding)
There are 2 types of care home:
• nursing homes also offer 24-hour nursing care
You won’t have to sell your home to pay for help in your own home.
But you may have to sell your home to pay for a care home, unless your partner carries on living in it.
You can:
Councils provide funding from the date you contact them. You won’t be reimbursed if your savings are less than £23,250 before you contact them.
• small bits of equipment or home adaptations that each cost less than £1,000
You can get more information from:
If your savings run out If your savings fall below £23,250, your council might be able to help with the cost of care.
• the Money Advice Service on freephone 0800 138 7777
19
Editorial content supplied by: the NHS Releasing money from your home (equity release) Equity release lets you take money that’s tied up in your home without selling it. It’s available if you’re over 55. But you have to pay interest on the money you take out, which can be expensive.
The Money Advice Service has more information on equity release. Renting out your home You can rent out your home and use the income to help pay your care home fees.
• PayingForCare, a free information service for older people
You might be able to get some free help regardless of your income or if you’re paying for your care. This can include:
• Independent Age on freephone 0800 319 6789
Contact your local council about 3 months before you think your savings will drop to below £23,250 and ask them to reassess your finances.
The council pays for your care home and you repay it later when you choose to sell your home, or after your death. Ask your council if you’re eligible for a deferred payment scheme.
What you can get for free
• Independent Age: guide to care home fees and your property Get expert financial help You can get unbiased expert advice from a specialist care fees adviser. They’ll help you compare all your options before you decide what’s right for you.
• NHS care, such as NHS continuing healthcare, NHSfunded nursing care and care after you have been discharged from hospital
Find a specialist care fees adviser in your area with:
fireassessask£23,250towillsavingsthinkbefore3councilyourContactlocalaboutmonthsyouyourdropbelowandthemtoyournances.
A deferred payment scheme
• the Society of Later Life Advisers (SOLLA) on 0333 2020 454 Telephone help Get advice on paying for care from:
• Age UK on freephone 0800 169 6565
A deferred payment scheme can be useful if you have savings less than £23,250 and all your money is tied up in your property.
• the Money Advice Service: deferred payment schemes
Are you an older person who is struggling to love your later life? Age UK Notts is here to help! 20
Age UK Nottingham & Nottinghamshire is a charitable company limited by guarantee and registered in England and Wales. Registered Charity Number: 1067881. Company Number: 3455485. Bradbury House, 12 Shakespeare Street, Nottingham NG1 4FQ. Age UK Notts has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does Age UK Notts endorse any of the products or services. How we can help: • We can provide information and advice on a wide range of issues, including benefits and accessing local services, and we can connect you to eligible grants (where applicable) • We can direct you to a range of services to help you meet new people and stay active • We offer specialist services to help make life better for older veterans. • We can connect you with local solicitors to help you get a basic Will in place, so you can have peace of mind about the future • We can help you stay safe and warm in your own home this winter. There are many other ways we can help too, just contact our team and we will support you however we can. Some services are orsubjecttosuspensionalterationduringtheCOVID-19pandemic.Call01158440011fordetails.Call us today on 0115 844 0011 or email info@ageuknotts.org.uk 21
Alzheimer’s Society wants everyone affected by dementia to know that whoever you are, whatever you are going through, you can turn to them for support, help and advice.
Where possible, our local dementia support workers can meet you in person to offer further support, advice and information. They will also connect you to other face to face services in your area, including local support groups.
Dementia Connect Dementia Connect, from Alzheimer’s Society, is a personalised support service for anyone with dementia, their carers, families and friends. We understand that dementia affects everyone differently. So whether you, a loved one, a friend or neighbour needs dementia support, we’re here for We’llyou.connect you to a whole range of dementia support, by phone, online and face to face. Our highlytrained dementia advisers can help people come to terms with their diagnosis and navigate the complicated maze of health and social care services. It’s free, easy to access, and offers you the support you need. Whether it’s advice on legal documents, help understanding dementia or someone to talk to when things get tough, we’re here to help. We can keep in touch with you to make sure you keep getting the support you need. And because we know it’s never easy to tell your story, you’ll only ever need to tell it to us once. Phone support Our dementia advisers are available to talk to on the phone seven days a week. They will listen and give you the support and advice you need, including connecting you to help in your local area and online. We can offer you the option of regular calls so we can keep in touch, to find out how you are and help when things change. Online support Dementia Connect online support is available round the clock through our website. Answer a few simple questions about yourself, or someone you know, to get personalised, relevant information and advice. From guides on dementia to advice on making your home dementia friendly, get the information about the things that matter to you.
Face to face support
‘The Dementia Adviser was lovely and full of information. Without Alzheimer’s Society and the Dementia Adviser we’d have nothing. She is a major networker and knows everything and everyone local. I feel in charge and empowered.’ Katherine, living with dementia Support line opening hours* Monday – Wednesday: 9:00am – 8:00pm Thursday – Friday: 9:00am – 5.00pm Saturday – Sunday: 10:00am – 4:00pm *Calls charged at standard local rate.
United Against Dementia
22
Notes: Dementia Connect phone and online support is available wherever you live. As the service is new, some parts of the service may not be available in your area just yet.
If you need further support, you can request a call from our dementia advisers, who should be in touch with you within a week. Our online support includes Talking Point, our online community where you can connect with others in a similar situation, and our Dementia Directory where you can search for local services.
23
3) Become a campaigner At Alzheimer’s Society, we work to amplify the voices of people affected by dementia, to create a world where they get the support and care they deserve. We can’t do this alone. Whether you have dementia, you have a personal connection to dementia or you want to stand with those who do. Together we can make a difference, register to become a campaigner at alzheimers.org.uk
“Dementia can and does affect so many families, including mine. “My father was diagnosed with vascular dementia and Alzheimer’s disease in the summer of 2012. He passed away in September 2018. “I wanted to do something to help raise awareness of the condition and tackle the stigma associated, so I reached out to Alzheimer’s Society to see if I could help. It gives me an enormous sense of pride being an Ambassador for Alzheimer’s Society and I feel like I’m making a difference. “I have also personally enjoyed taking part in fundraising activities like Cupcake Day and Memory Walk, as there is a real sense of togetherness for a good cause. “For anyone wanting to know how they can help, I’d say get involved. Whatever you can give, be that your time, voice or money, you’ll know you’ve made a difference to the lives of people affected by dementia.” Meera Syal, actor and Alzheimer’s Society Ambassador
Our dementia support services are made possible thanks to generous donations from the public. However, you don’t have to join an event or seek sponsorship to do this. Simply head to alzheimers.org.uk and donate what you can to unite against dementia.
1) Fundraising and events From Memory Walk and Cupcake Day to challenging yourself in marathons and treks. There’s plenty of ways you can get involved to help raise money. Search ‘get involved’ on 2)alzheimers.org.ukDonate
Get in touch
If you are affected by dementia in and would like information and support, contact us: T: 0333 150 3456 W: alzheimers.org.uk/dementiaconnect E: dementia.connect@alzheimers.org.uk
Registered office: 43-44 Crutched Friars, London EC3N 2AE. Registered charity no. 296645. A company limited by guarantee and registered in England no. 2115499
How can you support Alzheimer’s Society?
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.
2
5
CQC’s ratings will identify services as: Outstanding H Good ● Requires improvement ● Inadequate ● This will help you make informed choices around your care. There’s also useful advice on the Social Care Institute for Excellence’s Find me good care www.scie.org.uk/findmegoodcare/website
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. 10
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.
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. 4
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.
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.
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
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. 8
Here are some tips to help you choose your care.
9
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 3
24
Social care Top tips
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?
1
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)?
6
7
Ifprovider.youare referred to a specialist mental health service, you can ask which other providers offer the same service in your local area and make a choice.
4
5
8
Mental health Top tips If you are concerned about your mental health you should first visit your GP 2 Your GP will assess you and offer appropriate advice or treatment. They can refer you to a psychological treatment service or a specialist mental health service for further advice or treatment. CQC launched its new-style inspection reports for mental health providers – looking at five key areas of Safe, Effective, Caring, Responsive and Well-Led – you can compare reports on CQC’s website to help choose a
26
3
1
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.
7
CQC rates mental health providers to help people make choices about where they get treatment. They will use a four-point scale: Outstanding H Good ● Requires improvement ● Inadequate ● 6 CQC uses information from the public and holds listening events across the country where people can talk with inspectors about their experience of services. You can look at our inspection reports and ratings for mental health services or share your experiences of care (good or bad) by visiting www.cqc.org.uk Telephone: 03000 616161 • Web: www.cqc.org.uk /CareQualityCommission @CareQualityComm Mental health services are free on the NHS but you will usually need a GP referral. If you don’t want to go to your GP you may also have the option of self-referral. This means you can go directly to a professional therapist. The NHS Choices website has a searchable directory of services which you can use to find a service near you. 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.
DESIGN PRINT SUPPORT
To advertise in
Octagon Design & Marketing Ltd. ©2022. Rossington Hall, Great North Road, Doncaster, South Yorkshire, DN11 0HR. Telephone: 01302 714528 Rossington Hall, Great North Road, Doncaster, South Yorkshire DN11 0HR 01302 714528 | www.octagon.org.uk | info@octagon.org.uk this please call the sales team on 01302 714528
publication
28 Options Nottinghamshire is published by Octagon Design and Marketing Ltd with editorial contributions from Nottingham University Hospitals NHS Trust, Nottinghamshire Healthcare NHS Foundation Trust, the CQC, Alzheimer’s Society, Age UK Nottingham & Nottinghamshire and the NHS. 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. 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.
OCTAGONDESIGN&MARKETINGLTD Nottinghamshire OPTIONS Spring 2022A guide to care and independent living NHS Leavingcontinuinghealthcarehospital What’sHealthcarenext?services Choosing the right one Who’sSOCIALeligible?CARE tips 10 We offer care, support and exceptional accommodation for people with residential or dementia needs. Our aim is for you to live life to the full through dignity, teamwork & passion. Please enquire for respite or permanent accommodation to The Manager Margaret Hemstock Racecourse Road, Southwell, Nottingham NG25 0TX Email: manager@southwellcourt.co.uk Tel 01636 www.facebook.com/SouthwellCourtwww.southwellcourt.co.uk815599 35 Robinson Road, Mapperley, Nottingham NG3 6BB Telephone: 0115 962 1262 Elmbank Elmbank offers first class accommodation and nursing care in a luxurious setting, combining a whole host of equipment and modern facilities designed specifically to meet the needs of elderly adults. Facilities and services: Laundry • Dry cleaning (at an additional cost) • Newspapers and magazines (charged monthly to your account) • Toiletries, personal items and stationery can be purchased within the home • Entertainment provided on a regular basis • Activity co-ordinators organise activities including exercise classes, quizzes, birthday buffets and outings to surrounding parks, city shops, markets, restaurants and pubs. Nursing Home
Holme Lodge is a 19 bedroom residential home located in West Bridgford, in Nottingham close to local shops. The home is in close proximity to two football stadiums, a cricket ground and a number of natural areas to visit. Only a bus journey away, it is easy to access the well known Market Square in Nottingham city centre and many other local attractions. We are situated within walking distance from West Bridgeford park, the River Trent and a short drive away from Wollaton Hall. We specialise in supporting people who have varying needs as a result of physical and long term neurological conditions including cerebral palsy, epilepsy, head/brain injury, motor neurone disease, multiple sclerosis, muscular dystrophy, Parkinson’s disease, speech impairment, spina bifida and hydrocephalus. Our care teams are highly skilled and trained to deliver specialist complex care and have significant experience with medication administration, tissue viability management and the provision of end of life care. The full-time support we provide is flexible and designed to help build skills, inspire confidence and encourage people to live more independently. We work directly with each individual to develop a personalised support programme based on their needs, wishes and aspirations. This includes personal care, health & wellbeing programmes, rehabilitation, community engagement, enablement, volunteering and activities.
29
Holme Lodge Care Home, Valorum Care, 1 Julian Road, Nottingham NG2 5AQ
Phone: 0115 9822545 Email: Referral.Enquiries@valorumcaregroup.com
Registered Manager Chenel Poyzer
30 Options Nottinghamshire is published by Octagon Design and Marketing Ltd with editorial contributions from Nottingham University Hospitals NHS Trust, Nottinghamshire Healthcare NHS Foundation Trust, the CQC, Alzheimer’s Society, Age UK Nottingham & Nottinghamshire and the NHS. 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.
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. ©2022. Rossington Hall, Great North Road, Doncaster, South Yorkshire, DN11 0HR. Telephone: 01302 714528
31
0HR.DN11Yorkshire,SouthDoncaster,Road,NorthGreatHall,Ltd.,MarketingandDesignOctagonbyCompiled&DesignedTel:01302714528
