1. Supporting Carers in General Practice Dr Cliff Richards Chair Halton CCG

2. Halton

3. Brookvale Practice Referral to carers centre Carers champion Carers LES Patient group Carers noticeboard Carers centre news letter Practice website Waiting room folder Carers centre contact person

4. NHS Halton CCG Statutory body from 1 st April 2013 Duty to commission services for people of Halton Duty to co operate to help plan services for carers Accountable to membership, population and HWBB and to give assurance to NCB

5. NHS Landscape CCG CCG Network NHS England (Merseyside) Primary Care Specialist commissioning LA Public Health Public Health England

6. Halton Carers Centre Care for carers General Care support worker Carers break lead Mental health carers lead Young carers lead Hospital liaison worker ADHD and autism carers lead

7. Practice referrals Referral scheme for 3.5 years At present 20-25 per month Carers LES Oct 2009 - March 2011 633 - April 2011 - March 2012 237 - April 2012 – March 2013 262 Since Oct 2009 1286 referrals 1132 new Previously 3 carers identified to HCC over 1 year

8. Identified carers Only 1 practice does not actively refer but does have literature in waiting room 4600 carers registered at HCC 15000 expected from 2011 census

9. Carers in Halton Strong partnership between the Halton Council & Halton CCG Significant investment by both organisations into services for Carers Halton Carers Centre providing information, advice, advocacy & support services Over 15 local groups and voluntary sector organisations funded to provide breaks for Carers

10. Carers matter 12% of our people Co ordinated approach to help carers Carers are benefiting from a unique approach to mobilising community asset management NHS Halton CCG believe Carers are an integral part of sustainable, resilient communities

11. Commitment LA budget £509K NHS Halton CCG budget £327K

12. Short Term Objectives Pool Halton CCG & Halton Borough Council budgets Streamline the carers assessment process Develop a joint performance framework that captures well being outcomes Incentivise practices (innovation)

13. Medium Term Objectives Improving Carers Health – priority group for the Health Checks programme Improving the capture of Carers views on service provision Improving Carers participation in resource allocation Increasing the number of Carers registered with Halton Carers Centre

14. Community Wellbeing Practice Fundamental principles Mobilising community assets – people and place Holistic approaches –whole systems, mind and body Health promoting – ‘what works’ to protect and promote wellbeing Wellbeing interventions – individual and community Outreach ‘preventative’ work – at lower SOA level “Services do not produce outcomes, people do.” Cummins & Miller 2007

15. Some of our interventions Drawing at the Docs Fruit on Prescription ‘Ignite Your Life!’ Wellbeing in the Woods Paint while you wait

16. “Ignite your life” A large scale community resilience program 70% of the people who engaged where carers Using WEMWEBS we measured the impact of the session from a well being perspective. http://www.healthscotland.com/documents/1467.aspx http://www.healthscotland.com/documents/1467.aspx

17. Outcomes The chart shows a positive shift in the mean SWEMWBS score of participants before (blue) and after (green) attending the ‘Ignite Your Life!’ event. Participants showed a distinct improvement in wellbeing after taking part in the event (mean=28.0) compared with before (mean=24.8) p<0.001%, df=51.

18. References Mental health, resilience and inequalities (2009) Friedli, L; World Health Organisation. http://www.euro.who.int/__data/assets/pdf_file/0012/100821/E92227.pdf Salutogenesis (2005) Lindstrom & Eriksson; Journal of Epidemiology and Community Health, 2005: 59:440-442. Sinking and swimming: understanding Britain's unmet needs, (2009) The Young Foundation http://www.youngfoundation.org/files/images/new_needs_pdf.pdf Webinars on Wellbeing, September (2011). Local Government Group. Chaired by Gregor Henderson and presented by Dr Lynne Friedli, with Jude Stansfield.