1. Gloucestershire Carers
We want all Carers in Gloucestershire to feel valued, respected and empowered
Hannah Gorf, Gloucestershire County Council & NHS Gloucestershire Clinical Commissioning Group
Emma Spring, Gloucestershire Carers Hub
Definition of a carer
There are four types of carers:-
Adults – 62,649 in Gloucestershire – 1 in 10
Young carers – 3,692 in Gloucestershire (but estimates suggest there may be up to 7,000 young carers)
Young adult carers
Parent carers
Within our county today, 15 people will unexpectedly become a carer

2. Case Study
Gloucestershire Carers Hub is commissioned by Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning Group

3. The Gloucestershire Picture
There are four types of carers:-
Adults – 62,649 in Gloucestershire – 1 in 10
Young carers – 3,692 in Gloucestershire (but estimates suggest there may be up to 7,000 young carers)
Young adult carers
Parent carers
Within our county today, 15 people will unexpectedly become a carer
Gloucestershire Carers Hub is commissioned by Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning Group

4. The majority of care provided doesn’t come from the NHS or from care homes. It comes in the form of unpaid care which relatives, friends and neighbours provide, estimated to be worth £132 billion a year.
Gloucestershire Carers Hub is commissioned by Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning Group

5. Gloucestershire Carers Hub
Information advice and guidance, including carer telephone advice line & digital support
Carers peer support groups
Befriending and mentoring
Access to training including Positive caring programme
Health Liaison
Access to Professional counselling service
Carers Breaks
Carers Voice and Partnership Board
Assessment, support planning and review
Carers Emergency Scheme
Gloucestershire Carers Hub is commissioned by Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning Group

6. Gloucestershire Young Carers
A young carer is a young person under the age of 18
Young people taking on a caring role aged 16 to 24 are termed Young Adult Carers.
Gloucestershire Young Carers provides services for young carers aged 8-24,  Where there are concerns about a child taking on caring responsibilities who is under 8 years old we are able to offer information and advice to any professional supporting the child and/or family.
Some examples of the support and services available to young carers:
‘Caring Counts’ – group programme addressing the young carers needs
‘Short Breaks’ – activity groups and trips for young carers who need a break from responsibilities
‘My Time’ – one to one befriending with a volunteer
‘Us Too’ – group programme for young carers who help to look after someone with mental ill health
who takes on, or intends to take on a caring responsibility for a family member with a disability, long term illness, experiencing mental ill health or affected by substance misuse.  The care may take the form of physical or emotional support.
Gloucestershire Carers Hub is commissioned by Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning Group

7. The impact on health
The most recent GP Patient survey in England found that carers are more likely to report having a long term condition, disability or illness – 61% of carers compared to 50% of non-carers. In the same survey 62% of carers
reported trouble with day to day activity compared to 57% of non-carers.
Gloucestershire Carers Hub is commissioned by Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning Group

8. Carers contact with primary care
What do Carers tell us?
Early identification is really helpful
Need to feel valued and respected as an individual but also in discussions about the cared for
Worried about what happens to the cared for should the carer be unable to care
Would like better signposting
“I never saw myself as a carer because it is my husband…in my vows I said ‘in sickness and in health’”
Carer engagement last year
“GPs also need to inform carers of what specific services are available to Carers. There needs to be consistency throughout the County.”
Gloucestershire Carers Hub is commissioned by Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning Group

9. Carers contact with primary care
What do the stats tell us?
Audit Criteria
Glos CCG
2019
2017
Number of people aged 18 and over, with a Read code that would indicate that they are a carer (Carer Register) (% based on total population)
1.37%
(6,886)*
2.10%
(13,392)
Number of people aged 18 and over Read coded as carers have received a health care check in last 12 months (% based on total carer register)
3.90%
(269)
10.68%
(1430)
PCAG Audit
*Please note that The PCDES data only extracts data from the last 3 years and MIQUEST previously extracted data ever recorded, so we think this is why the number of carers has dropped.
Flu vaccs
Gloucestershire Carers Hub is commissioned by Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning Group

10. CQC Markers
Does the practice provide clear information on how carers can join its patient participation group/patient reference group?
identification and registration
holistic support
in-practice support
appointments and access
information, involvement and communication
awareness and culture
Does the practice involve its Patient Participation Group in its work around quality markers for carers?
Participation by GP practices is voluntary
NHS England has developed some questions that can be used by general practices to “demonstrate how effective they are in recognising and supporting carers” (8).
These questions are known as “quality markers” and have been taken from what carers and their representatives have told NHS England over the past four years.
the quality markers have been designed so that they will also provide evidence for other organisations, including the Care Quality Commission (CQC), that are responsible for making sure general practices provide safe and high-quality care. The CQC supports the use of these quality markers to help general practices support carers.
Collectively, these provide a framework for improving how general practice can better identify and support carers of all ages, and set a clear ambition to:
improve carers’ health and promote positive wellbeing;
reduce carer crisis and family breakdown;
reduce unwarranted variations in carer support, and;
meet demand more appropriately and better manage demand on service
Are adult carers, young adult carers and young carers represented on the practice Patient Participation Group?
Gloucestershire Carers Hub is commissioned by Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning Group

11. Please talk to us and see how we can support you to implement the markers in your GP Practice
Gloucestershire Carers Hub:
Gloucestershire Young Carers:
Gloucestershire Carers Hub is commissioned by Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning Group