Achieving a range of improvements of access, ongoing support and recovery for people experiencing difficulty and/ or distress related to mental ill- health or substance misuse issues
Workforce scoping underway to identify training needs/resource required to begin
to row out trauma-informed practice to Health and Social Care, Children’s
Services, Primary Care, Housing and Community Development.
Prevention Training will be delivered alongside given the complimentary nature
of the input
Addressing the health inequalities experienced by people with substance misuse needs, and those with poor mental health, particularly those with severe and enduring conditions
Health Needs Assessment for East Lothian very recently completed by Public
Health to inform our planning of the needs of the population in relation to
substance misuse and sexual health needs
Collaboration with community justice to support those with poor mental health and/or substance misuse needs
Update: Following two public engagement events, the MH Reference Group is currently prioritising actions for year 1 of the action plan which will be reported to the January 2020 Reference Group, and subsequent Change Board. There are also drug rehab organizations that can help.
Improved access to a range of treatment and supports locally, i.e. in East Lothian and within the area partnerships across East Lothian
Update: Development of a service specification and development of an enhanced Grade 4 rehabilitation and recovery housing care and treatment support service, increasing access to this aspect of care for East Lothian by 50%.
Same day Triage and advice/consultation in support of Inveresk, The Harbours and Tranent practices, bringing a total of 52000 patients into the care model
HIVE practices are in consultation over concerns about capacity in CWIC. This
may delay rollout
Physio Practitioner and Primary Care OT led services available by self-referral/care navigation from all East Lothian GP practices, available same day to all East Lothian residents
We have recruited five additional Primary Care (mental health) Occupational
Therapists, who are now in post
Treatment Room nurse led services available by self-referral/care navigation from all East Lothian GP practices, available same day to all East Lothian residents
Work on treatment-room nurse-led services is recruitment dependent
Paramedic and Nurse Practitioner led home visiting services in support of East Lothian GP Practices
An ELHVIS pilot is in progress and further expansion likely to follow in 2020
dependent upon evaluation
Level 3 Pharmacotherapy Service for all East Lothian practices as specified in 2018 GP Contract
There is a variable level of Pharmacotherapy support, with not all practices
yet receiving support. Staff turnover and recruitment shortfalls relevant
Links worker service for all East Lothian practices as specified in 2018 GP Contract, by April 2020
Pilot still running in four practices in west of county. Engagement with
potential service providers and with service users including GP practices, in
progress October 19. Service specification and tendering process to follow.
Ensure that NHS are sell informed of support available to carers and how to refer carers for services
COEL has continued to provide Think carer training to NHS staff over the course
of the year completing sessions with clinical support staff, OTs, managers and
Hospital to Home services. A further
session is planned for Jan 2020. These
are being conducted alongside Jess Kearslake from VOCAL. COEL has now completed their move to the East
Lothian Community Hospital and hopes that this will raise their profile among
NHS staff to make referrals for their services more likely. Discussions are taking place with John Gibson
and Gordon Gray around including COEL within staff induction into the hospital
Provide ELHSCP with an assessment of how well minority ethnic groups and those with protected characteristics are included within our services, policies and strategies
The MECOPP audit steering group has met again in November. The audit is underway and MECOPP hope to have
a draft completed by end Dec. Training
sessions on outcomes workshops will be planned for 2020. Dates to be confirmed.
Develop a longer-term plan for carer funding through a formal procurement process to provide greater security for our carer organisations and meet procurement and legal requirements
The procurement working group comprising of staff from Childrens Wellbeing,
MELDAP, The One Partnership Fund and Adult Wellbeing is continuing to outline
plans for procurement of carer services.
Engagement is ongoing with carers.
Surveymonkey questionnaires have been sent to adult carers, both hard
copies via COEL’s newsletter and an online survey available through the
consultation hub. There have been delays
with engagement with young carers due to challenges working with ELYC. Members of the working group recommended that
schools and guidance teachers be involved in completing the survey with young
carers known to them. ELYC are also to
complete focus groups with young carers in November. Feedback from the engagement will inform the
service specification. Current carer
services have also been mapped against the outcomes within the carers’ strategy
– as a result it has been noted that much of the current funding is focused on
awareness raising, information and advice and identification of carers. While this is appropriate at this stage as we
try to raise awareness of carers and carer issues, the group are keen that
procurement look at improving provision of services to carers (outcomes 4 – 8
of the strategy), that is, breaks from caring, supporting carers to have a life
outside of their caring role.
Brief staff on changes to replacement care and respite charging
Replacement care briefings have taken place over October to assessment staff in
Adult Wellbeing. Staff now understand
the approach ELHSCP are taking to charging for breaks from caring and
replacement care. Support plans are
beginning to filter through for carers to access free breaks from
caring/replacement care. Work is still
ongoing with MOSAIC team around changing how this support is logged on the
system. Performance reports may have to
be amended to reflect the changes and need to be planned to ensure they capture
the data correctly
Ensure that carers have access to counselling support through their local carers’ organisations
Carers of East Lothian was provided with funding this year to set up a
counselling post within their service.
The counselling coordinator has been recruited and will provide both
direct counselling as well as co-ordinate counselling students to provide a
service to carers. COEL has now
confirmed the service will start once they have moved to the new hospital with
carers being offered six sessions.
Recruitment of student counsellors will happen once the service is more
Transforming Services for Older People Board – about to begin work
Stakeholders are actively involved in the reference groups
that support these boards. The Change Boards themselves feed into the Strategic
Planning Group which in turn reports to the Integration Joint Board (IJB).