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Targetting vulnerable people cfrs em clps summer school


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Targetting vulnerable people cfrs em clps summer school

Targetting vulnerable people cfrs em clps summer school

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  • Worked with the Fire Brigades Union and Trading Standards to develop a procedure so that we could leaflet an entire street, and return within 24 hours to offer Home Safety Assessments
  • So, how do we identify the high risk wards? Risk levels can be estimated for each part of Cheshire, Halton and Warrington and highlighted in colour coded maps using the rapid risk calculator. This information can also be used to show the penetration level of HSAs in high risk wards, plus % of over 65 in an area. The calculator uses the Predicted Rate of Dwelling Fire Injury per million population that uses based on the following census data: Lone parent with dependent child(ren) Never Worked Ethnic minority background (Calculated by GreenStreet Burman) ADF: Accidental Dwelling Fire IMD: Index of Multiple Deprivation
  • So, then we moved onto targeting specific people Fire death rate across all ages was 8 per million of the population A third of all fire deaths are among people aged 65 and over 65 -79 years of age account for 13 fire deaths per million population Over 80 - 32 deaths per million population
  • All oxygen data instantly flagged in control WBC (figures for last quarterly update) Dataset – 748 Records Visited – 566 O2 (Figures inclusive of all updates/new users) Dataset – 1782 Visited – 1495 Exeter (Figures inclusive of all updates – both years) Dataset – 89,412 Visited – 49,194
  • The contact assessment is the first stage of the Single Assessment Process (SAP) which is a national initiative to ensure that every over 65 year old is assessed for needs such as mobility aids, meals on wheels, or support with tasks such as shopping or gardening. Since the scheme launched in 2008, CFRS have made over 12,000 referrals A target of 5000 contact assessments per annum is in the Local Area Agreement Now delivering to all four unitary areas (originally CE and CWAC, now Warrington and Halton too)
  • Age Concern processed 2454 requests for support from CFRS, ranging from requests for information to specific support requests such as help with financial management and the provision of benefits. From 2454 contact assessments completed 891 clients (36%) received direct action or support from Age Concern as part of their ‘Supporting You’ programme. A recent survey conducted by Age Concern found that clients who have received support from Age Concern had used or intended to use the following services in response to the referral. Therefore the outcome in relation to our assessments amounts to the following: cleaning - 23%, shopping - 20%, transport - 30%, mobility equipment - 32%, personal care -15%, home maintenance -24%, pendant alarm/telecare - 29% and meal delivery - 9%. 60% of residents felt happier following the support they received at home (statistics provided by Age Concern)
  • Proud for our partnership to recognised through a national E-Government award in January 2010 Acronym SPRINGBOARD stands for (Starting a Proactive Response, Introducing New Gains, Benefiting Older-people and Reducing Dependency) O n 19th January, Cheshire Fire and Rescue Service won an award for Innovation in Strategy at a Local Level at the hotly contested E-Government Excellence Awards, held at the Guildhall in the City of London. The award was presented for the Service’s SPRINGBOARD Project, which centres on the delivery of Home Safety Assessments (HSAs) for the over 65s.
  • Working on gaining access to the NHS ShareCare database (unique project to Cheshire) The ShareCare database contains everyone known to the NHS Will enable CFRS to develop a holistic risk database and will provide addresses of Drug Alcohol dependency Disability Dementia Recent bereavement Living alone in rented accommodation Single parents 12 monthly re-visit to re-assess risk and signpost clients to Health and Social Care Ultimately a database with people highest at risk that will be updated after visits and re-prioritised We will be on the streets, identifying vulnerable people and signposting them to services (good link with total place). Ultimately a database with people highest at risk that will be updated after visits and re-prioritised
  • Transcript

    • 1. Targeting Vulnerable People
      • Evan Morris
      • Head of Community Safety
      • Cheshire Fire & Rescue Service
    • 2. 0800 389 0053 Free phone number to register for an HSA – anyone can use
    • 3.
      • The Result
      • 70%
      • increase in
      • fuel
      • £100,000
      • (2006/07)
    • 5. TARGET SPECIFIC WARDS 2008-2009 Over 60,000 HSAs completed
    • 6. Vulnerable Person LIVES ALONE
    • 7. Caldicott Guardian
      • 1997 Dame Fiona Caldicott
      • Caldicott Report
      • Recommendations regulating use and transfer of patient-identifiable information
      • Appointed to NHS organisations & Councils with Social Services responsibilities
      • Key to accessing information
      • Cheshire Halton & Warrington
      • Information Sharing Consortium
      • EXETER derived from NHS information
      • Local Authority Community Services Department use for accessing + 65s
      • Over 65 & registered with a GP
      • Business Case to CHWIC & Caldicott Guardian
      • Agreement reached to share information
      • Data Protection
    • 9. Exeter Data
      • 121,576 individuals (GP registered)
      • Living in 83,275 premises
      • 34,440 over 80
      • 4,400 living in Residential Care
      • Over 4,000 living in sheltered accommodation
    • 10. Delivery of HSA against Exeter Data
      • Fire fighters - Target Wards amended to include people over 65
      • Community Safety Advocates target specific areas
      • Satellite Navigation used to improve efficiency
      • Data Protection protocol implemented through organisation
    • 11. Progress to date
      • Exeter: 49,194 visited out of 89,412
      • Home Oxygen Users: 1,495 visited out of 1,782
      • Warrington Borough Council (quarterly): 566 visited out of 748 records
    • 12. Age Concern ‘Supporting You’ service Over 12,000 referrals by CFRS Over £5 million in benefits FRS target in LAA – 5000 Now deliver to all 4 unitary areas Contact Assessments
    • 13. Requests for support -
      • In 2008/09 – 8020 contact assessments were completed by CFRS, Age Concern received 2454 requests for support in the following areas
    • 14. Supporting You – case study (May 2009)
      • Mrs J was referred to Supporting You following a Home Safety Assessment from Cheshire Fire and Rescue Service. They were concerned about her lack of heating. 
      • The Home Assessor visited Mrs J, who has arthritis and a heart condition, and was living alone in a property which was very isolated and always cold. The Home Assessor completed a claim form for Attendance Allowance which was awarded at the higher rate. This meant that Mrs J was now entitled to a government Warm Front Grant of £2700 which paid for the installation of central heating.
    • 15. Supporting You – case study (cont.)
      • She was also referred to Age Concern Cheshire’s Falls Prevention project who fitted grab rails in her bathroom so she feels safer accessing her bath and because of the Attendance Allowance she is able to get out and about more in taxis.
      • Mrs J is very grateful for the help she received from the Fire Service and Age Concern Cheshire and feels both her physical and mental health have improved following intervention.
    • 16. E-Government award SPRINGBOARD wins E-Government award in January 2010
    • 17. Where Next? Further refinement of targeting – using all the data to prioritise within the data sets Obtaining access to ShareCare data Re-inspection policy Contact Assessments on Personal Digital Assistants
    • 18. Thank you – any questions? [email_address]