Health and Social Care Partnership

Community Led Support Planning Day

Background

A workshop was held on 7 December 2016 to start planning how the Community Led Support (CLS) model will be implemented in the Scottish Borders, and what it is going to look like in our different communities. The model will be based on the thoughts, comments, suggestions and discussions from the public engagement events which took place in November 2016.

The group was made up of staff from NHS and SBC, representatives from voluntary groups, third party groups and users of our services.

We asked

What skills would someone need in order to have an effective conversation with different groups of people?

You said

  • Listening skills
  • An open mind
  • Non judgemental
  • Reassuring manner
  • Encourage to open up
  • Be person centred
  • Local knowledge
  • Calm not making someone feel panicked or worse
  • Communication skills
  • Questioning skills with confidence and empathy
  • Welcoming/approachable/warm
  • Ability to ask what is needed – explore
  • Ability to record
  • What’s working well and what’s not
  • Analytical/problem solving
  • Confidence – knowing our role and providing an appropriate response
  • Don’t jump to “this happened to me”
  • Don’t jump to solutions

We asked

What resources would they need to have to hand?

You said

  • Access to information (local information)
  • Signposting – who/where to signpost to for specialist information
  • Training
  • Clear process
  • What is already there – can it change?
  • Knowledge of daughter’s school/respite options.
  • Health and Social Care Services (local/central) – what or who to go to
  • Consent to share information
  • Telephone
  • Pen/paper
  • Computer/tablet
  • Local resources
  • Guidance
  • Escalation point/person
  • Various professionals – Local Area Coordinator, Red Cross, social worker, occupational therapist and nurse
  • Time and space to listen, physical space, environment

We asked

What support would they need, and from who?

You said

  • Who to escalate to or ask
  • Referral
  • Local networks
  • Organisational support network e.g. supervision/telephone support
  • Skills to have a good conversation
  • Trust – relationships with wider Health and Social Care Services
  • Someone in Learning Disabilities Team (Key Contact)
  • Carers Centre
  • Support network/mentor/peer group
  • Respite
  • Sign posting – housing option
  • Access to help and support if they’ve heard something that is worrying
  • Emotional support for them
  • Reassurance when they are doing a good job – new role
  • Data protection and confidentiality aspects
  • Knowing who they hand on to

We asked

Who is missing from the group today and how can we reach them?

You said

  • Older people who do not use services but may need them soon
  • Locality within towns
  • Well known community people
  • Volunteers (local)
  • Doctors surgeries (use the space)
  • Go into/get invite into existing networks – e.g. Lunch clubs, guilds, sports clubs, bowling clubs
  • The Bridge-RVS links – work with their diaries e.g. chest/heart/stroke
  • Scottish Fire and Rescue
  • Families
  • Faith groups
  • Community organisations
  • Post Office/central
  • Users of other services
  • Live Borders
  • Fit Borders
  • Public Partnership Forum
  • Local Press and local newsletters
  • Websites
  • Churches
  • How to reach people – change the title
  • Life publications – Peebles and Galashiels
  • Local shops
  • Community Centre – groups and classes and their members
  • School concerts and amateur operatic productions especially 60+ folk
  • Ability Borders
  • Focal points for notification
  • Find the people in each community
  • Community council members
  • Pharmacists
  • Village hall - committees /members and their network of groups
  • Keep general e.g. parent of child at group looking for support for older relatives
  • Reassure people that person in local shop (for example) knows about the pop up information session, they do not know all about what people say there
  • Hard to reach minority groups

We asked

Who do you know and how could you engage with them?

You said

  • Contact in Community Resilience Earlston Group
  • Talk to New Horizons
  • Community council member Peebles
  • Engaging with people as I cycle around rural areas
  • Leisure/recreation clubs
  • Youth organisations
  • 65Community Hub Hawick
  • Have conversations with user groups (BVCV)
  • Local playground chat
  • Local playgroup committee
  • Ask contacts at all coffee mornings
  • Housing providers
  • Scottish Welfare Fund

We asked

What do you think different groups of people would say about their experience of connecting with, being supported by or working within health and social care a year from now when Community Led Support is starting to make a difference to people’s lives?

You said

For people who need support/care:

  • I am engaged in the process
  • I find solutions for myself
  • I’m living my life
  • I only had to tell them once
  • I was listened to and understood
  • I trust

For community and voluntary groups and organisations:

  • I can help people to access H&SC locally near to them
  • I am happy with the changes that have taken place
  • What service I offer is valued/recognised as equal to all others
  • I am confident that people who could benefit from the service I provide know about it
  • I feel valued by all professional colleagues
  • I know where to go/who to talk too for more information
  • I am confident about what and how services run

For health and social care staff (at all levels):

  • I don’t have any waiting lists
  • I have time I need to see more people because I am not spending time on processes that didn’t help
  • I’m not seeing people falling through the gaps and coming back to us quickly (because they never have the support they need)
  • I know the money we have is going further and more people are benefitting
  • I’m taking on more roles and I feel supported and have the skills. I see how I’m making a difference to people.
  • I’m still enjoying my job and it is easier to do my job.

For families and carers:

  • I am listened to
  • I know I am not alone
  • I am empowered to help myself
  • I know where to go when I need support
  • I can access support as and when I need it
  • I have confidence and trust in the services my parents receive
  • I enjoy life again

We did

There was an evaluation workshop in January 2017 where practical steps will be taken to make sure this work helps to make Community Led Support a reality in the Borders.