1. Older People’s Services South Tyneside Annual Update 2003-2004

2. National Service Framework for Older People (2001) The key themes: Promoting Health Promoting Health Seamless Provision Seamless Provision Social Inclusion Social Inclusion Partnership Partnership

3. Standard 1 – Age Discrimination Older People’s Champions are leading a review of age discrimination, the results will be included in the annual reports of all organisations. Access to services and the analysis of levels/patterns of service has been completed for 2003/2004 the trends are being reviewed

4. Standard 2 – Person Centred Care Plans are in place for a phased implementation of the electronic version of the Single Assessment Process from February 2005 Plans are in place for a phased implementation of the electronic version of the Single Assessment Process from February 2005 The information sharing protocol will be complete by the end of the year The information sharing protocol will be complete by the end of the year

5. Standard 2 – Person Centred Care Achievements: Carers Strategy was launched in April 2004 Carers Strategy was launched in April 2004 A new Carers Development Worker has been appointed A new Carers Development Worker has been appointed The STAR Centre now have an Integrated Community Equipment IT system to further support the smooth running of the service The STAR Centre now have an Integrated Community Equipment IT system to further support the smooth running of the service An integrated continence service has been established. An integrated continence service has been established.

6. Standard 3—Intermediate Care 15 residential rehabilitation beds in Perth Green House December 2002 -August 2004 267 completed episodes of residential rehabilitation 267 completed episodes of residential rehabilitation Source of admissions Hospital wards 145 (54%) Hospital wards 145 (54%) STHCT A&E 33 (13%) STHCT A&E 33 (13%) Home and other LA Residential Care 85 (33%) Home and other LA Residential Care 85 (33%) Of the 254 discharges 178 went home (70%) 178 went home (70%) 51 were (re)admitted to hospital (20%) 51 were (re)admitted to hospital (20%) 20 went into long term care (8%) 20 went into long term care (8%) (5 died) (2%) (5 died) (2%) Average length of stay is 26 days. Average Age of service users is 82.

7. Standard 3—Intermediate Care The joint management structure of Intermediate care has been reviewed and strengthened The joint management structure of Intermediate care has been reviewed and strengthened ‘The Active Life Centre’ –an Intermediate Day Service at Father James Walsh will be accepting new referrals for short-term rehabilitation and carer support from January 05 ‘The Active Life Centre’ –an Intermediate Day Service at Father James Walsh will be accepting new referrals for short-term rehabilitation and carer support from January 05 A model of Intermediate Care for older people with dementia is being developed jointly. Connolly House is now providing Day Services, Short Breaks and long-term care A model of Intermediate Care for older people with dementia is being developed jointly. Connolly House is now providing Day Services, Short Breaks and long-term care The Delayed Discharge Grant has been used to strengthen interdisciplinary teams in the Single point of Contact at Perth Green House. Delayed discharges from hospital are very low and are among the best nationally The Delayed Discharge Grant has been used to strengthen interdisciplinary teams in the Single point of Contact at Perth Green House. Delayed discharges from hospital are very low and are among the best nationally A Commission for Social Care Inspection Report on the implementation of reimbursement for delayed transfers of care praised the progress made in South Tyneside A Commission for Social Care Inspection Report on the implementation of reimbursement for delayed transfers of care praised the progress made in South Tyneside

9. Standard 4 – General Hospital Care DOH funding was secured for two years to employ a Lead Specialist Nurse for Older People to look at Standard 4 and the continuing improvement of the patient’s journey through health services. South Tyneside is now one of 40 trail blazers nationally to improve the quality of general hospital care for Older People.

10. Standard 5 – Stroke The Stroke Strategy Group is working with a wide range of stakeholders to develop long-term support for people who have had strokes and their carers. The acute stroke beds on Ward 5 will be operational in 2005. The Active Life Centre at Father James Walsh will be the base of a weekly open access support session-‘Brush strokes’. This will also provide day support, carer’s support and top-up therapy. Plans are in place to develop capacity in the Community Stroke Team to promote early, supported discharge and reduce the risk of readmissions. Dedicated Social Work time, currently two days a week, has been committed.

11. Standard 6 - Falls Successes include: ☺Falls prevention in community safety strategy ☺Level I & II falls assessment for community staff ☺Universal fall risk tool for hospital, intermediate care, residential and nursing homes ☺Falls pathway for Intermediate Care ☺GP guidelines for falls management ☺Universal home safety checklist Sloppy slipper campaign

12. Standard 7 – Mental Health An integrated mental health team is established, based at Hebburn Health Centre, this includes Psychiatrists, Psychologist, OT, Nurses with formal links with Social Workers Joint screening, assessment and commissioning is in place between the Adult duty team and the Older People’s Mental Health Team Dementia and depression protocol were launched April 2004 Two new appointments - Younger Person with Dementia CPN with PCT funding and a CPN for Intermediate Care has been appointed from the Delayed Discharge Grant in October 2004

13. Standard 8 – Promotion of Healthy and Active Life Over 65 year olds were offered the opportunity to have their flu vaccination at the Older People’s Conference on 1st October 2004 The Active Age Unit of Age Concern South Tyneside continues to be the largest provider of health promotion work for older people in the borough. These include exercise classes, walks, alternative therapies, arts & crafts classes, health talks, blood pressure & benefit clinics, community safety /energy efficiency events, drop in sessions on health.

14. Older People’s Festival Objectives to: Promote health and well-being Promote positive images Promote social inclusion within local communities

15. Our Main Achievements During the month of October there were: 130 activities offered covering a wide range of subject areas. Some of these were one-off events but many were activities that people can be part of all year round. Early estimates show that well over 2000 people actively took part in the one-off events organised specifically for the festival.

16. Medicine Management Funding has been found to extend community pharmacy review scheme Pharmaceutical needs assessment will be trialled as part of Single Assessment Process Information and advice on dementia has been produced Training for carers and staff is being delivered

17. Older People’s Services – South Tyneside These successes have been achieved by excellent partnership working across the statutory and voluntary agencies as well as with Older People themselves