1. Our Roles and Responsibilities Towards Young Carers Whole Family Working: Making It Real for Young Carers

2. Adult Social Care (1) Our structure 5 Areas across Surrey (implemented 02.10.14) 11 Locality Teams County wide Transition Team Qualified and unqualified practitioners AP2 Carer role

3. Adult Social Care (2) Our approach to assessment and support of young carers Think Family, think young carer Eligibility Criteria for support An enabling approach to support (Family, Friends, Community) Support for young carers

4. Adult Social Care (3) Our Challenges Implementing new obligations of the Care Act Improving how we work with other key agencies (education, voluntary sector etc) Understanding where we fit into the Early Help Agenda

5. Children’s Services (1) 4 Area based teams - Referral, Assessment and Intervention Service (RAIS) Child Protection and Court Work Looked After Children Countywide services - Children with Disabilities, Care Services and CAMHS Early Help - intervening early to achieve positive outcomes

6. Children’s Services (2) Young Carers have been identified as a key need group in the JSNA Issues: identification – Early Help Assessment Parental substance misuse, mental health problems, domestic abuse Sibling carers Young carers with SEN and disabilities Availability of services and support

7. Adult Mental Health Services (1) Surrey and Borders Partnership NHS Foundation Trust is the leading provider of health and social care services for people of all ages with mental health problems, drug and alcohol problems and learning disabilities in Surrey and North East Hampshire. Surrey and Borders Partnership Trust have a partnership agreement with Surrey County Council which enables an integrated health and social care service with the mental health services it provides. Working closely with other NHS and voluntary sector organisations the aim is a seamless service to people and their carers.

8. Adult Mental Health Services The integrated team approach promotes everybody who is referred to the integrated team in having a joined up health and social care professional response. This should ensure that the ‘think family’ approach to assessment, highlights young carers when the team makes their initial contact with the person who has been referred. Moving forward - ensuring all staff are confident in identifying and supporting young carers. Ensuring they have a training plan that embeds practice.

9. Child & Adolescent Mental Health Services CAMHS teams assess and treat children and young people whose behaviours indicate moderate to severe mental health concerns Safeguarding risk to the young person, including young carers Providing therapeutic intervention and support under the think family model. Consultation with other agencies. Specialist training for practitioners. Link to contacts: http://www.sabp.nhs.uk/services/mental- health/young-people/camhs-mental-health- services/contact/index.htmlhttp://www.sabp.nhs.uk/services/mental- health/young-people/camhs-mental-health- services/contact/index.html

10. Youth Support Services (Employability) SCCCSF DirectorateSfYPYSSCommissioning

11. Youth Support Services SfYP Commissioned and Direct delivery (YSS) Employability YSS Case Management Service Youth Justice – including Youth Restorative Intervention Targeted Youth Support Not in Education Employment or Training, NEET Homelessness Prevention Service No Labels.

12. Health NHS has duties to identify, recognise and support Young Carers (NCS 2010) General Medical Council (GMC) 0-18 years: Guidance for all doctors ‘Doctors should be aware of the needs and welfare of children and young people when they see patients who are parents or carers, or who are cared for by children or young people.’ Royal College of General Practitioners has produced guidance for commissioners (2013) states that ‘The responsibility of being a carer early in life shapes a young person’s:  Emotional and mental health  Ability to build relationships with others  Educational achievement’ Surrey Young Carers Health Survey 2013 – Evidenced the impact that caring can have on both mental and physical health of young carer.  CCG Young Carers Action Plan – Taking forward recommendations

13. Health – New Initiatives At the end of March The Dept of Health in partnership with Carers Trust launched the School Nurse Programme: Supporting the health and wellbeing of young carers was published. This pathway sets out the key messages for services and professionals to meet the needs of young carers The pathway is designed to support integrated working between the school nursing service, other public health nurses and partners in supporting young carers and their families. Discussions with PH commissioners and providers are currently been taken forward here in Surrey. The Surrey Carers Pathway is inclusive of young carers and a phased roll out of the Carers Prescription allows health professionals to fast track refer young carers for support.

14. Young Carers Support (1) Surrey Young Carers (SYC) has been supporting young carers, under the age of 18, across Surrey since 1996. We offer free impartial information and support to young carers and their families on minimising the impact of their caring role. SYC gives young carers timeout from their caring role, with opportunities to meet young people in similar situations. We promote the needs and voice of young carers in all child care and adult settings, locally and nationally. We offer training to Health and Social Care and Educational professionals. SYC is one of five services managed by Action for Carers Surrey, an independent charitable organisation led by carers. For further information please contact us. Tel: 01483 568269. E- mail: syc@actionforcarers.org.uk or look at our website www.surrey-youngcarers.org.uksyc@actionforcarers.org.uk www.surrey-youngcarers.org.uk

15. Some of the outcomes which SYC is commissioned to achieve Young Carers: feel that they can remain part of their community have a break from caring have more choice and control over day to day life whilst choosing to continue to care are able to maintain / make friendships and relationships are able to undertake leisure activities participate in learning activities – whether recreational (for fun/interest) or vocational (employment related and/or leading to a qualification)- includes support to young carers taking GCSE or A levels/NVQ’s able to carry on caring where this is their choice helped to maintain their health and well being e.g. exercise, complementary therapies, stress reduction activities are able to remain in or return to employment are able to remain in or return to employment are supported to remain safe