Introduction to Safe and Well: Keeping You Safe and Well

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? 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.

7. 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:-

8. 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

9. 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

10. 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. What is a Safe and Well visit?

11. 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

12. 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.

13. 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

14. 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

15. Click on the images to see examples of how person centred thinking can improve outcomes for individuals and organisations. 2. 1. 3.

16. 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.

17. 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.

18. 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

19. 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.

21. 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?

22. 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.

23. Identifying and responding to risk during a Safe and Well visit

24. Recording Safe and Well Visits (Long term process)

25. Recording Safe and Well Visits (Interim Process)

26. Benefits for the people we visit Outputs Outcomes 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 • 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

27. 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.

28. 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

29. What next…….Training for 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 The following training will be provided to staff who deliver Safe and Well.

30. 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 email safeandwell@manchesterfire.gov.uk

31. Feedback • Please click here to complete a feedback form. We require you answers to these specific questions only with a tick only. If you have any further comments then please send these to safeandwell@manchesterfire.gov.uk Thank you for completing the Safe and Well Induction