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Norfolk & Waveney Mental Health Partnership NHS Trust Consultation on behalf of Central Norfolk Primary Care Trusts. Looking after older people with mental illness in Central Norfolk . This Consultation is about….
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Norfolk & Waveney Mental Health Partnership NHS Trust Consultation on behalf of Central Norfolk Primary Care Trusts Looking after older people with mental illness in Central Norfolk
This Consultation is about… • Improving services for people over the age of 65 experiencing a variety of mental health problems • Making services for Older People with mental illness available 24 hours a day, 7 days a week, 52 weeks a year • Providing more choice so that people can decide when and where they receive care & treatment • Ensuring that people of all ages, including carers, are able to access the care and support they need
Setting the scene • There are in the region of 562,000 people living in Central Norfolk • Of these approximately 89,650 are over the age of 65 • An estimated 1:5 of people over the age of 65 have some form of mental illness at some stage • In 2003 about 10,500 older people received specialist mental health care • Of these 570 were admitted to hospital
Our Vision • To involve patients and carers in the planning of their care and the choice of services they receive. • To ensure that dignity, well-being and independence are maintained for older people. • To ensure that patients receive the right care in the right place at the right time.
Our Principles • Improved access to effective care • Independence and well-being • More choice • Care closer to or in your own home • To eliminate age discrimination • To make sure people are only admitted to hospital when they really need to be • More support for carers • To make our service a better place to work in • To work closer with other organisations
Why we need a new approach • The number of older people needing specialist mental health support is increasing • Advances in medical treatment • People need to have their conditions identified earlier in order to benefit from these advances • We all have increasing expectations for example the desire for more choice and greater independence
What we would like to do differently • Support people during times of crisis – 24 hours a day, 365 days a year • Provide more specialist mental health workers closer to home • Give more information and training to paid and family carers • Put specialist mental health care into other care settings for example the Norfolk & Norwich University Hospital • Provide specialist intensive support to people with dementia
What are the practical decisions that we are faced with? • Do we cease to use the five existing wards, Rebecca House, Cygnet House, Yew Tree, Laburnum & Ellacombe, for Continuing Care? • Should we seek to agree alternative care uses for these wards? • Do we open a centrally located Specialist Dementia Intensive Care facility for Continuing Care (inpatient and respite beds)?
What will happen to patients who are in the wards now? • Patients would be assessed together with carers by specialist mental health staff • Care home placements would be found for those who need permanent 24 hour care • Care funded for life (if admitted prior to 31.03.03) • Continued monitoring of care from specialist mental health staff
What will not happen to patients who are in the wards now? • They will not be discharged into the care of family or carers • They will not be transferred to a care home without the agreement of family or carers • They will not be placed in care homes that are not easy to reach by family and carers • If they were admitted before 31.03.03 they will not pay for their ongoing care needs • Their future care will not go unchecked by specialist mental health staff
How can we make sure there are enough good care homes • Quality - Specialist mental health staff working in care homes providing training & support to paid carers; improved inspection and regulation of care homes. • Quantity -Norfolk County Council Social Services Care Home review currently in progress with aim of increasing overall numbers of places
Last but not least…… We are genuinely • Consulting you (10 January - 15 April) • Listening to your views and ideas • Going to publicly present you with our findings (May/June 2005)
And finally…… We ask that you • Take time to read ‘Continuing to Care’ • Tell us your thoughts and views • Contact us for more information if needed at: Continuing to Care Norfolk & Waveney Mental Health Partnership Trust St Andrews Lodge Julian Hospital Norwich NR2 3TD Tel 01603 421867
Norfolk & Waveney Mental Health Partnership Trust Consultation on behalf of Central Norfolk Primary Care Trusts Looking after older people with mental illness in Central Norfolk