2. Welcome
Welcome and thank you for taking part in this training today which provides an induction to Safe and Well.
This session follows on from the Introduction that is available on Big Red in the Safe and Well section under Transformation. Please make sure you have all viewed the Introduction before starting this training session. Click here to see the introduction.
At the end of this session if you have any questions you can refer to the Frequently Asked Questions (FAQ) section on Big Red. If your question isn’t answered on the FAQ section, please submit it as described at the end of this session.

3. Aim
This induction to Safe and Well aims to equip you with knowledge and understanding of the role of Greater Manchester Fire and Rescue Service (GMFRS) in keeping people ‘safe’ and ‘well’ in their homes.

4. Objectives By the end of this session you will be able to:
Explain what a Safe and Well visit is
Understand the rationale for Safe and Well
Describe what topics are covered in a Safe and Well visit
Understand the spirit and principles of a Safe and Well visit
Identify who will deliver a Safe and Well visit
Understand the role of GMFRS staff who deliver Safe and Well visits
List the training that staff will receive to support the delivery of Safe and Well visits

5. Safe and Well – a definition
A Safe and Well visit is a person-centred home visit by the Fire and Rescue Service which replaces and expands upon previous Home Safety Checks. Staff will continue to give fire safety advice but they will also identify risk and provide or signpost people to advice on a wider range of issues, including health, wellbeing and crime prevention, while passing on referrals where a more specialist approach is needed.

6. Why Safe and Well? The Big Picture
GMFRS’s core purpose is to ‘Protect and improve the quality of life of the people in Greater Manchester’
By expanding the scope of our home visits to look at other risks alongside fire risk, we increase our ability to deliver against this core purpose and increase public value.

7. Why Safe and Well? Fire and Health
Many causes of poor health outcomes are the same as the factors that increase the risk of fire.
By tackling these factors GMFRS will not only improve public health outcomes, but will reduce fire incidents, injuries and deaths amongst those communities who are most at risk.
The link between fire and health and social care factors is demonstrated on the next slide.

8. Why Safe and Well? Fire and Health
Between 2007 and 2014, there were 85 accidental fire deaths in Greater Manchester. The graph below shows in percentages common factors amongst those who lost their lives:-
Figures taken from Learning from Accidental and Non-Accidental Fatal Fire Incidents (GMFRS)
60% were aged over 60
53% lived alone
46% were using prescribed or over the counter medication
45% had a history of alcohol use or were using alcohol at the time
7% had a history of illicit drug use or were using illicit drugs at the time
44% of incidents were linked to smoking materials
39% had a physical disability
36% were known to Social Services
19% had a Mental health problem

9. Why Safe and Well? A Summary
Contributes to core purpose: ‘protect and improve the quality of life of the people in Greater Manchester’
Strong correlation between the causes of poor public health outcomes and the causes of fire
GMFRS has a proven history of targeted prevention work which provides a template for reducing risks other than fire
GMFRS has a strong brand and trusted reputation which helps us to access and engage hard to reach communities
GMFRS has access to over 60,000 homes per year providing over 60,000 opportunities to deliver advice and interventions on behalf of our partners, and identify people who might benefit from a referral into specialist services

10. Why Safe and Well? A Summary (continued )
By delivering early interventions GMFRS will enable people to maintain independence, personal resilience and improve their quality of life.
These early interventions enable GMFRS to be an important health asset by improving the wellbeing of people in our community and reducing demand on other public services.
Nationally, FRS have recognised that in order to maintain a resilient emergency response and maintain similar staffing numbers we must add public value to the service we provide.
In Greater Manchester, the devolved budget provides a driver for us to position GMFRS as a health asset

11. What is a Safe and Well visit?
A Safe and Well visit is a person-centred home visit by the Fire and Rescue Service which replaces and expands upon previous Home Safety Checks. Staff will continue to give fire safety advice but they will also identify risk and provide or signpost people to advice on a wider range of issues, including health, wellbeing and crime prevention, while passing on referrals where a more specialist approach is needed. The scope of Safe and Well will evolve and so will the topics covered in the Safe and Well visit.

12. The topics covered in a Safe and Well visit include :
Other areas
Physical health
Frailty, mobility and falls prevention
Keeping warm
Social isolation
Mental health (including dementia)
Hoarding
Smoking
Electronic cigarettes
Substance use
Medication
Home security
Home fire safety
Hazard spotting
Fire safety advice
Bedtime routine
Escape planning
Smoke detection
Risk reduction equipment (e.g. deaf alerter)
Reducing risk of fire related crime

13. Spirit of Safe and Well An effective Safe and Well visit will:-
Take a holistic approach to risk reduction by considering the individual, their home environment and their daily routines and lifestyle.
Be delivered in a way that will motivate individuals to make positive changes to their health, wellbeing and fire safety.
Be person-centred. This means it will place the wishes, beliefs, needs and abilities of the individual at the heart of the intervention.

14. Person-Centred Thinking
Aims to ensure a person is an equal partner in decisions about support provided to them.
The individual benefits because they experience greater satisfaction with the service provided to them.
Proven to be a more cost effective way of providing support.
To become a reality, person-centred thinking needs to be introduced at all levels from policy-making to delivery of individual interventions.
Click here for further information about Person Centred Thinking

15. Person-Centred Thinking
Employees delivering Safe and well visits can adopt the concepts that combine to make person-centred thinking a reality.
These include:
listening
respect
power and empowerment
choice and autonomy
empathy and compassion

16. Click on the images to see examples of how person centred thinking can improve outcomes for individuals and organisations. 2. 1. 3.
Another one is Arthur’s story -

17. Principles of Safe and Well
The process should not be confined to signposting to other agencies, but also to how these risks can be mitigated or reduced during the initial visit.
Our approach should be to make every contact count. Click here for a video
Wherever possible the approach adopted should be one of:
A light touch health chat to all individuals in the home;
Identification of risk factors while in the home;
Provision of brief advice or interventions; (see next slide)
Provision of appropriate risk reduction equipment e.g. smoke alarms, grab rail;
Referral to specialist advice and support where appropriate.

18. What are Brief Advice & Brief Interventions?
Very brief intervention or brief advice
Carried out when the opportunity arises. Quite informal.
Giving people information or directing them where to go for further help.
Raising awareness of risks or providing encouragement / support for change.
‘Ask, advise, assist' structure.
Brief intervention
Follows brief advice. Carried out when the opportunity arises.
Oral discussion, negotiation or encouragement, with or without written or other support or follow-up.
May involve referral for further interventions, directing people to options, or more intensive support.
Can be delivered by anyone who is trained in the necessary skills & knowledge.

19. Delivery of Safe and Well
Partner referrals and self referrals will be received by the Contact Centre
Appointments will also be generated through existing targeted approach
Firefighters, Community Safety Advisors (CSA) and the Community Risk Intervention Team (CRIT) will deliver Safe and Well Visits
Delivery of a quality Safe and Well visit will take longer than a Home Safety Check
So there are no targets for the number of visits per watch/team

20. Skills for Safe and Well
Some staff already talk to people about their health, wellbeing and other risks during home visits. Some staff have already had training to assist with aspects of this.
To other staff these subjects might seem new and unfamiliar.
To help all staff feel confident and equipped to talk about these new areas, training, resources and guidance on Big Red will be provided.
GMFRS staff will not take on the role of specialist workers in other fields.
Our role is to provide a contribution that is complementary to, and part of, the wider health, public health and community safety prevention agenda, adding value to the dedicated work that other professionals already provide.

22. Activity for Safe and Well delivery staff
Think about a time when you have spotted something during a home visit that wasn’t related to fire risk but concerned you.
What did you do?
How did you respond?

23. Identifying and responding to risk during a Safe and Well visit
Fire risk reduction is about identifying a hazard, assessing the risk, and providing an appropriate response.
The same process is applied to the other areas of a Safe and Well Visit such as health improvement and crime prevention.
The following slide illustrates an approach to identifying and responding to risk.

24. Identifying and responding to risk during a Safe and Well visit
Identify a problem or hazard
Using training, experience, observations & Safe and Well questions
Consider person’s thoughts and feelings about what is a problem to them
Assess the risk
Use training, experience, observations, Safe and Well questions and any specific tools (e.g. Falls Risk Assessment Tool) to assess the nature and likelihood of harm
Consider any mitigating factors that are already in place
Provide an appropriate response
Use training, experience & knowledge to provide appropriate response to remove, reduce or manage risk.
Remember to consider the person’s assets and ability to manage the risk themselves
Make a record
Document the problem, associated risk and any actions taken / recommendations made.
Make it clear who will complete actions and whether consent has been given

25. Recording Safe and Well Visits (Long term process)
Safe and Well visits will be captured on a Customer Relationship Management System (CRMS). This is available from April 2016 at the earliest
Staff will be provided with an electronic tablet. Will record Safe and Well visits and document identified risks, actions and recommendations
The system will be updated automatically when the mobile device (tablet) is docked. There will be no requirement for manual uploading into the system
Householders and partner organisations will be provided with a summary report

26. Recording Safe and Well Visits (Interim Process)
Safe and Well visits will be captured on an interim system whilst CRMS is developed.
A paper version of the form will be used to record Safe and Well visits and to document identified risks, actions & recommendations. Administrators will upload information from the paper form to the interim system
Existing processes around PAIROF follow ups & maintaining Vulnerable Persons’ Registers will remain. Limited reporting available via the interim database.
Guidance on completing the paper form will be produced & staff delivering the visits will receive Record Keeping training to assist with this.
Red needs confirming
Diagram if possible

27. Benefits for the people we visit
Outputs
Outcomes
Adequate working smoke detection
Other risk reduction equipment
Fire safety advice / interventions
Health & wellbeing screening or assessment e.g. FRAT
Health and wellbeing advice / interventions
Crime reduction advice / interventions
Signposting
Referrals to partner agencies
Literature
Improved fire safety awareness and reduced fire risk
Improved health and wellbeing
Increased independence and staying safe and well at home for longer
Improved home security
Peace of mind
Improved knowledge and resilience
Improved environment
Improved social network or connection to family and friends
Insert link to one or more talking heads – member(s) of public describing how GMFRS has helped them during a home visit e.g. falls referral, alcohol intervention

28. Safe & Well – a Summary Home visit delivered by Fire and Rescue staff
Includes the fire safety elements that a Home Safety Check covered
Expands the scope of the Home Safety Check to include;
A light touch health check of all individuals in the home
A home security check
Identification of risk factors while in the home
Provision of brief advice or interventions
Provision of appropriate risk reduction equipment e.g. smoke alarms, grab rail
Referral to specialist advice and support where appropriate.

29. Safe and Well: A Summary (continued)
A person centred approach
A holistic approach to risk reduction
A motivational approach to encourage positive change
Builds on the brand and reputation of GMFRS as a service which has a proven track record in prevention and access to 60,000 homes
Provides public value for money

30. What next……. Training for Safe and Well
The following training will be provided to staff who deliver Safe and Well.
Safeguarding
Winter Warmth – (Falls, Frailty, social isolation and warm homes)
GMP Training – crime prevention and personal safety
Level 2 Award in Understanding Health Improvement
Mental Health First Aid
Safe and Well workshop
Additional elements as this training is continuously being developed

31. Frequently asked questions
If you have any questions about Safe and Well you can check the FAQ section on Big Red to see if your questions have already been answered. If you have any further questions please

32. Thank you for completing the Safe and Well Induction
Feedback
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Thank you for completing the Safe and Well Induction