OPTIONS A guide to care and independent living
Leeds Autumn 2017
Leaving hospital
CONTRIBUTORS: Age UK Leeds Alzheimer’s Society British Red Cross Leeds Teaching Hospitals NHS Trust NHS Choices
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OPTIONS A guide to care
t living and independen
Leaving hospitxta?l
Leeds Autumn 2017
CONTRIBUTORS: Age UK Leeds ty Alzheimer’s Socie s British Red Cros Leeds Teaching Trust Hospitals NHS NHS Choices
What’s ne
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Contents The right place for your care...............................................................................................4 Our commitment to you......................................................................................................4 The Assessment Process.......................................................................................................5 Leaving hospital................................................................................................................5-6 Your Hospital Team..............................................................................................................6 Dementia Support................................................................................................................7 Neighbourhood Team Therapy...........................................................................................7 Friends and Family Test.....................................................................................................7-8 Patient Advice and Liaison Service (PALS)..........................................................................8 Our formal complaints process............................................................................................9 Chaplaincy............................................................................................................................9 NHS continuing healthcare.......................................................................................... 10-12 Personalised care.......................................................................................................... 12-13 What is NHS-funded nursing care?.................................................................................. 14 Paying for your own care and support....................................................................... 16-17 Care services in your home...........................................................................................18-19 The Motability Scheme......................................................................................................20 The Care Quality Commission Social Care top tips...........................................................21 Age UK Leeds............................................................................................................... 24-25 Alzheimer’s Society - Specialist support for people with dementia.......................... 26-27 British Red Cross........................................................................................................... 28-29 NHS Hospitals and services in Leeds..................................................................................30 Useful contacts...................................................................................................................31
Welcome and
introduction
This guide is intended to help you, your carer and your relatives understand how your local health services can help you after discharge from hospital. Also information to help you to live independently or access support and care services in your area.
The Leeds Teaching Hospitals NHS Trust
Leeds
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Hospitals are the right place to be when you are in need of acute medical or surgical care. However, when your treatment is completed it’s important your stay is not delayed for any reason. It is beneficial to your health to start planning your discharge from hospital at the earliest opportunity, which may be when you arrive or even before if your admission to hospital is for elective surgery. This means we can; • L isten to any concerns you may have at the earliest opportunity •A ssess what your needs are likely to be when you are ready to leave
• I nvolve relevant staff who can help meet those needs •G ive an indication of when you should be ready to leave hospital •M ake arrangements for equipment or services to be ready when you leave •M ake sure that your family or carer is given any information, help or advice that is needed to aid your recovery. This Information is intended to help you, your carer, relatives and friends understand how your discharge from hospital takes place. We hope you can help us so that this happens as efficiently and smoothly as possible.
The right place for your care Acute hospital services are for people who require emergency, medical or surgical treatment within a hospital environment. When your treatment has been completed it’s important that your stay is not delayed for the following reasons; • S ome people find it harder to return home the longer they stay in hospital. • P atients tell us they prefer to be at home in their familiar surroundings and this is often the best place for recovery.
• T here is a risk of acquiring infections in hospital, so leaving at the earliest opportunity means this is less likely. •H ospital beds are needed for people who are very unwell, and who may be waiting in the emergency department for a bed to become available. • P eople awaiting surgery, both urgent and non-urgent, may have their operations cancelled if a bed is unavailable.
Our commitment to you • Patients should receive the right treatment, at the right place and by the right professional • We place a high priority on keeping your stay in an acute hospital bed to a minimum • O nce your consultant led team assesses that you are medically fit for transfer, we will aim to transfer you from hospital on the same day • Y ou will be transferred from hospital when you are ready to leave as there are more appropriate services and facilities available to you. 4
The Assessment Process Your assessment begins as you are admitted to the ward and is a way of working out what your ongoing needs will be. Nurses looking after you on the ward will have discussions with you and your family or carer. We would like to know if you were receiving support from community health or social care before you were admitted, or whether there are any issues that may impact on your discharge from hospital. We also have a team of nurses called Discharge
Facilitators and Discharge coordinators who visit you on the ward to ensure that you are well supported in understanding every step of the way towards your transfer from hospital to home or ongoing care. They will help to go through your Home Planner document with you and your family and work with you to highlight any support requirements. If you or your family have any concerns about going home, please ask to speak to the ward staff and they will be able to contact the discharge team to support you.
Leaving hospital You will be discharged from hospital when your consultant-led team decides that you are clinically ready and that you no longer require acute hospital services. All staff will work with you and your carer or relatives as a team to discuss your discharge with you. Being discharged home is often very straightforward but if you have ongoing health
and social care needs you may require a more detailed assessment. If this is the case, you will be supported by staff working together from both health and social care. We need to discuss any concerns or needs you have at the earliest opportunity, for example the things that you want to be able to do when you go home. These may include managing your personal care, 5
domestic tasks, carer responsibilities, returning to work or leisure, staying safe and any equipment or care you feel you may require.
A supply of your current medication will be
You will be given an expected date for discharge based on when your treatment is due to be complete. It is important that everyone involved is aware of this date so that we can all work towards it and so the necessary arrangements can be made such as;
questions about your medication please ask to
• T ransport home. Patients are normally expected to arrange their own transport, however if this is not possible please tell us as soon as possible.
ordered from the hospital pharmacy to tide you over until you see your GP. If you have any speak to your pharmacist or a member of the nursing team. Relatives or carers coming to collect you can meet you in the lounge or a nurse can escort you to the main reception area. It is important to know that the majority of patients will be transferred home directly from hospital.
• S uitable clothing and footwear (if you are not already using them in hospital).
If you no longer require consultant led care and
• Access to a key to your property.
or preferred community based placement, you
• Adequate basic food stocks.
will be transferred to a bed
• Adequate heating in your home. •A dequate support for your carer or family members. We aim for patients to be discharged in the morning but if this is not possible you may be moved to the discharge lounge where this is available. The discharge lounge is a comfortable and safe place to wait and is staffed by nurses who will provide light refreshments throughout the day, as well as keeping you informed.
there is a delay in the start of your care package
within a non-hospital setting whilst this is arranged. We will only transfer you when the appropriate place has been identified and confirmed but this should be within 48 hours.
Your Hospital Team In the hospital you will find a multi–disciplinary team which may include doctors, ward nurses, a member of the discharge team, occupational therapists, physiotherapists, pharmacists, dietitians and social workers and you may be referred to any of these as part of your care. The relevant team member will discuss with you and assess what you are able to do and what you might need more help with. They will then discuss with you what treatment, help or support is available to improve your independence. They will discuss with the other members of the hospital team their findings and together with you and your family make a plan for your discharge from hospital. 6
Dementia Support If you have dementia our hospital staff will provide support for you and your relatives and carers. You will receive a document called ‘Know who I am’ which asks for details about your specific needs and personal preferences. This information will help our staff to deliver specific care needs during your stay in hospital. A referral to Carers Leeds may also be made should support be needed for your family members.
Neighbourhood Team Therapy It may be that you are medically well enough to leave hospital but are not yet at a level where you can manage at home without support. A period of further rehabilitation may be beneficial to you, and is delivered in the community by Neighbourhood Team Therapy. This care can be provided in your own home if you are able to manage or is provided in an alternative location such as a care home.
The aim is to support patients as they are discharged to reduce the length of time in hospital, to allow a more accurate assessment of ongoing care needs and to help re-learn daily living skills. There is a multi-disciplinary team approach which comprises of community nurses, occupational therapists and physiotherapists with access to your GP and community based Consultant Geriatricians.
Friends and Family Test When you receive care at any of the services provided by us, you will be given the opportunity to give your feedback by answering a simple question about your experience. The results will provide a way for you to easily compare NHS hospitals so that you know where you and your family can get the best possible care. The information will also give the NHS invaluable information on what patients think of services, which can be used to help make improvements if required.
similar care or treatment?” You will be invited to respond to the question by choosing one of six options, ranging from ‘extremely likely’ to ‘extremely unlikely’. It is really important to us that you tell us why you gave your answer, so please answer any follow-up questions. Your answer will not be traced back to you, and your details will not be passed on to anyone, so please tell us exactly what you think. A member of your family or a friend is welcome to help you give your feedback to the question if you are unable to.
How will it work?
Responses to the surveys are free.
When you are discharged you will either receive an automated phone call or text message survey and you will be asked to answer the following question:
Do you have to respond to the question?
“How likely are you to recommend our services to friends and family if they needed
Your feedback is extremely important and will help to continually improve our services. However, you do not have to respond to the 7
question. You can opt out at any time by simply replying STOP when you receive the text message or by pressing # if you receive an automated call. You will be opted out from receiving any future survey unless you change your contact details.
How will the results be used? We will gather the results and analyse them rapidly to see if any action is required. The NHS will publish the results and you will also be able to see results for other hospitals to see how they compare.
Does this replace the existing compliments or complaints procedure, or other forms of feedback used by the hospital? No, you can still pass your compliments or complaints to your hospital in the normal way. Hospitals can continue to use existing ways of gathering feedback, in addition to the Friends and Family Test.
Where will the results be published?
Where can I get more information?
The results will be published on the NHS Choices website (www.nhs.uk). We will also publish our results on our website (www.leedsth.nhs.uk), displayed within the trust and also in our annual reports and quality accounts.
For more information on the Friends and Family Test, please visit www.nhs.uk/ friendsandfamily.
Patient Advice and Liaison Service (PALS) Welcome to the Patient Advice and Liaison Service We know that it can be a worrying and confusing time when you or someone you know is unwell. If you have concerns or questions about any aspect of your care, or the service you receive, it is best to first speak with a member of staff involved with your/their care. If you find that staff cannot help you, or you are not comfortable speaking with them, you can contact PALS. PALS is a confidential, on-the-spot, advice and support service for patients, relatives and carers. You can ask a friend or relative to contact us on your behalf but we must have your permission before we can discuss your personal circumstances with anyone else. PALS act independently when handling patient and family concerns, liaising with staff, managers, 8
or relevant organisations, to negotiate immediate or prompt solutions. If necessary we can also refer patients and families to specific local or national based support agencies. PALS will:•H elp answer your questions about the Trust or your care • Offer advice and support if things go wrong •R espond to your concerns if you are unhappy about any aspect of your care • Provide information about our services • L isten to your suggestions for improving our services for patients and visitors • Pass on your compliments to staff • Provide advice on the NHS complaints procedure
Our formal complaints process We aim to resolve all complaints to the satisfaction of the person making the complaint. This may be the patient or anyone else/advocacy organisation making a complaint on behalf of the patient. If the latter, the patient will be required to give consent. Complaints should ideally be in writing, sent by either email or post to: Patient Experience Department, Leeds Teaching Hospitals Trust St James’s University Hospital Beckett Street, Leeds, LS9 7TF Email: patientexperience.leedsth@nhs.net Telephone 0113 2066261
We are able to support those wishing to complain but are unable to put their complaint in writing. Upon receipt of your complaint, we will send you an acknowledgement within three working days. You will also receive a phone call from one of our Complaints handlers, to confirm the key issues you would like resolved, your preferred method of response (e.g. letter, meeting) and the timeframe (typically 40 working days). This may be longer or not as long, depending on complexity of the case). You will also be given a contact name, direct telephone number and e-mail address, to make it easy for you to find out how the processing of your complaint is progressing or if you need to give us additional information.
Chaplaincy Welcome to the chaplaincy service The chaplaincy department has the responsibility of providing for the pastoral, religious and spiritual care of all patients, their relatives and carers, as well as the staff on all hospital sites. We are there for all people of any faith or none. Pastoral and spiritual care is an integral part of the holistic care provided within our hospitals. If you would like a visit from one of the chaplains whilst you are in hospital, then either make a referral in advance of your admission to hospital or ask a member of your healthcare team on the ward to contact a chaplain on your behalf. In addition, chapel and prayer room facilities are available for quiet prayer and reflection. We are pleased to welcome people of all faiths and none, who wish to use these areas for personal times of quiet, prayer and reflection. These areas are open to all, day and night. 9
NHS continuing healthcare NHS continuing healthcare, also known as “fully funded NHS care”, is free care outside of hospital that is arranged and funded by the NHS. This means that you will receive care and support to meet your assessed needs at no cost to you. Where can NHS continuing healthcare be provided?
NHS continuing healthcare assessments
NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your home or in a registered care home.
Clinical commissioning groups, known as CCGs (the NHS organisations that commission local health services), must assess you for NHS continuing healthcare if it seems that you may need it.
Eligibility for NHS continuing healthcare
For most people, there is an initial checklist assessment, which is used to decide if you need a full assessment. However, if you need care urgently – for example, if you’re terminally ill – your assessment may be fast-tracked.
NHS continuing healthcare is for adults. Children and young people may receive a “continuing care package” if they have needs arising from disability, accident or illness that can’t be met by existing universal or specialist services alone. To be eligible for NHS continuing healthcare, you must be assessed by a team of healthcare professionals (a “multidisciplinary team”) as having a “primary health need”. Whether or not someone has a primary health need is assessed by looking at all their care needs and relating them to: • what help is needed • how complex these needs are • how intense or severe these needs can be • how unpredictable they are, including any risks to the person’s health if the right care isn’t provided at the right time Your eligibility for NHS continuing healthcare depends on your assessed needs, and not on any particular diagnosis or condition. If your needs change then your eligibility for NHS continuing healthcare may change. You should be fully involved in the assessment process and kept informed, and have your views about your needs and support taken into account. Carers and family members should also be consulted where appropriate. A decision about eligibility should usually be made within 28 days of it being decided that the person needs a full assessment for NHS continuing healthcare. If you aren’t eligible for NHS continuing healthcare, you can be referred to your local authority who can discuss with you whether you may be eligible for support from them. If you still have some health needs then the NHS may still pay for part of the package of support. This is sometimes known as a “joint package” of care. 10
Initial assessment for NHS continuing healthcare The initial checklist assessment can be completed by a nurse, doctor, other healthcare professional or social worker. You should be told that you’re being assessed, and be asked for your consent. Depending on the outcome of the checklist, you will either be told that you don’t meet the criteria for a full assessment of NHS continuing healthcare and are therefore not eligible, or you will be referred for a full assessment of eligibility. Being referred for a full assessment doesn’t necessarily mean that you will be eligible for NHS continuing healthcare. The purpose of the checklist is to enable anyone who might be eligible to have
the opportunity for a full assessment. The professional(s) completing the checklist should record written reasons for their decision, and sign and date the checklist. You should be given a copy of the completed checklist. You can download a blank copy of the NHS continuing healthcare checklist from GOV.UK. Full assessments for NHS continuing healthcare are undertaken by a “multidisciplinary team” made up of a minimum of two health or care professionals who are already involved in your care. You should be informed who is co-ordinating the NHS continuing healthcare assessment. The team’s assessment will consider your needs under the following headings: • behaviour • cognition (understanding) • communication • psychological/emotional needs • mobility • nutrition (food and drink) • continence • skin (including wounds and ulcers) • breathing • symptom control through drug therapies and medication • altered states of consciousness • other significant needs These needs are then given a weighting marked “priority”, “severe”, “high”, “moderate”, “low” or “no needs”. The multidisciplinary team will consider: • what help is needed • how complex these needs are •h ow intense or severe these needs can be • how unpredictable they are, including any risks to the person’s health if the right care isn’t provided at the right time If you have at least one priority need, or severe needs in at least two areas, you should be eligible for NHS continuing healthcare. You may also be eligible if you have a severe need in one area plus a number of other needs, or a number of high or moderate needs, depending on their nature, intensity, complexity or unpredictability. In all cases, the overall need, and interactions between needs, will be taken into account, together with evidence from risk assessments, in deciding whether NHS continuing healthcare should be provided.
The assessment should take into account your views and the views of any carers you have. You should be given a copy of the decision documents, along with clear reasons for the decision. You can download a blank copy of the NHS continuing healthcare decision support tool.
Fast-track assessment for NHS continuing healthcare If someone’s condition is deteriorating quickly and they are nearing the end of their life, they should be considered for the NHS continuing healthcare fast track pathway, so that an appropriate care and support package can be put in place as soon as possible – usually within 48 hours.
Care and support planning If you are eligible for NHS continuing healthcare, the next stage is to arrange a care and support package that meets your assessed needs. Depending on your situation, different options could be suitable, including support in your own home and the option of a personal health budget. If it is agreed that a care home is the best option for you, there could be more than one local care home that is suitable. Your CCG should work collaboratively with you and consider your views when agreeing your care and support package and the setting where it will be provided. However, they can also take other factors into account, such as the cost and value for money of different options.
NHS continuing healthcare reviews If you are eligible for NHS continuing healthcare, your needs and support package should normally be reviewed within three months and thereafter at least annually. This review will consider whether your existing care and support package meets your assessed needs. If your needs have changed, the review will also consider whether you are still eligible for NHS continuing healthcare.
Refunds for delays in NHS continuing healthcare funding CCGs should normally make a decision about eligibility for NHS continuing healthcare within 28 days of getting a completed checklist or request for a full assessment, unless there are circumstances beyond its control. If the CCG decides that you are eligible, but takes longer than 28 days to decide this and the delay is unjustifiable, they should refund any care costs from the 29th day until the date of their decision. If your CCG decided that you weren’t eligible for NHS continuing healthcare, but then revised this decision after a dispute, it should refund your care costs for the period between their original decision and their >> revised decision. 11
If you are not eligible for NHS continuing healthcare If you are not eligible for NHS continuing healthcare, but you are assessed as requiring nursing care in a care home (in other words, a care home that is registered to provide nursing care) you will be eligible for NHS-funded nursing care. This means that the NHS will pay a contribution towards the cost of your registered nursing care. This is known as NHS-funding nursing care and is available irrespective of who is funding the rest of the care home fees. NHS England has issued guidance on how people can be compensated following eligibility disputes and delays in receiving NHS continuing healthcare.
Frequently asked questions about NHS continuing healthcare I have a local authority support package that works well. I am now eligible for NHS continuing healthcare – will my support package change? If you are concerned about changes to your care package because of a move to NHS continuing healthcare, your CCG should talk to you about ways that it can give you as much choice and control as possible. This could include the use of a personal health budget, with one option being a “direct payment for healthcare”. If you’re still not satisfied, you may want to complain. Can someone refuse an assessment for NHS continuing healthcare? If they do refuse, will they be able to get services from their local authority? An assessment for NHS continuing healthcare can’t be carried out without someone’s consent, so it is possible to refuse. However, if they do refuse, although they will still be entitled to an assessment by the local authority there is no guarantee that they will be provided with services. This is because there is a legal limit on the type of services that a local authority can provide. If you refuse to be assessed for NHS continuing healthcare, the CCG should explore your reasons for refusing, and try to address your concerns. If someone lacks the mental capacity to consent to or refuse an assessment, the principles of the Mental Capacity Act will apply and in most circumstances an assessment will be provided in the person’s best interest. My relative is in a care home and has become eligible for NHS continuing healthcare. The CCG says the fees charged by this care home are more than they would usually pay, and has proposed a move to a different care home. I think a move will have a negative effect on my relative. What can we do? If there is evidence that a move is likely to have a significantly detrimental effect on your relative’s health or wellbeing, you should discuss this with the CCG who will take your concerns into account when considering the most appropriate arrangements. If the CCG decides to arrange an alternative placement, they should make efforts to provide a reasonable choice of homes. Is it possible to pay top-up fees for NHS continuing healthcare? No, it is not possible to top up NHS continuing healthcare packages, like you can with local authority care packages. The only way that NHS continuing healthcare packages can be topped up privately is if you pay for additional private services on top of the services you get from the NHS. These private services should be provided by different staff and preferably in a different setting. Content supplied by:
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Personalis If your local authority agrees to pay for some or all of your home care needs, it must offer you choice over how to meet your needs – this is known as personalisation of your care and support. A good assessment of your needs will help you begin to think about the kinds of things you may want to do to meet you care and support needs. Following this, you will be involved in planning out how you would like to meet your needs, and be given a personal budget, and can choose to take a direct payment. Self-directed support through good planning, personal budgets and direct payments is often called “personalised support” or “personalisation”. It gives you choice and control over how your needs are met, and enables you to do the things you value the most.
Personal budgets A personal budget is the amount of money the local authority allocates for your care, based on its assessment of your needs. You can be put in charge of this “budget” either by telling the local authority how you would like it spent, or by the council giving you the money so that you can directly pay for your own care (a direct payment). It could also be given to a separate organisation (such as a usercontrolled trust) that will spend the money on your care as you see fit, if you prefer. These are commonly known as Individual Service Funds. Additionally, you can choose a combination of the above (for example, a direct payment with some council-arranged care and support), often called a mixed package.
Direct payments Direct payments give you the most control over your care, and mean that if you are unhappy with the services you’re getting, you can
sed care decide to change who gives you the care services without the process of going through the local authority. However, with this freedom comes the responsibility of accounting for how the budget is spent to ensure it is meeting your needs, and additional responsibilities if you decide to become an employer and hire a personal assistant with your direct payment. The Money Advice Service has a guide to using direct payments.
What does personalised support mean for me? Personalisation means that you will have to spend some time and effort thinking about your care and support needs, the outcomes you wish to achieve, and how you may want to meet your needs. Depending on the choices you make, there may be some additional responsibilities. For example, if you decide to request a direct payment to cover the cost of homecare, you could use the payment to hire an individual, giving you the responsibilities of an employer. Alternatively, you could hire careworkers through an agency, which removes the legal obligations of being employer, but may potentially add costs and may remove some of the benefits of having the same person provide your care. Read more about how to choose care services.
How does personalised care and support work? You and your social worker or care manager will work together to create a care and support plan. This plan details your care and support needs, and will be used to work out the value of your “personal budget”. Your support plan should consider: • what’s important to you, including your interests, lifestyle, personal tastes and the people in your life • your hopes for the future, such as whether you’d like to study or take on more hobbies outside the home • what limitations you currently have and how you want to change • what you want to achieve by managing your own support Ensure that you include information about how you’ll manage your money and what you’ll spend the money on (including personal assistants, transport, housing adaptations, therapists and respite services). You will need to clarify how you will manage your money. If you choose to receive your personal budget as a direct payment, the local authority may pay the money straight into a bank account that you control (you must set up a new bank account to do this) or they may give you a prepaid card. Alternatively, you may prefer your personal budget to be managed by the local authority or by someone else, such as:
• a friend or family member (the local authority must agree to this) • a broker, independent social worker or an advocate • y our care manager or social worker Discuss these options with your social worker or carer and consider which option is best for you. If someone else will be looking after your money, you may need to create a “decision-making agreement”. A decision-making agreement should state how they will look after your money and what decisions they can and can’t make on your behalf. The local authority may want to check what you do with your money, to make sure you’re spending your budget appropriately and that your care and support needs are being met. You may need to keep receipts where possible (especially for large purchases), so that you can show them you’ve spent your money responsibly. If you choose a direct payment, the council will give you a direct payment agreement that will set out the terms and conditions. If you’re struggling to manage your money, the local authority should advise you on how to make your money work best for you.
Checking your care plan is meeting your care and support needs You should meet with your local authority at least once a year to discuss whether your care plan is working. This is an opportunity to discuss whether your needs are being met in the best way, and it’s also your chance to talk about changes you want to make for the future. You don’t have to wait for a review meeting to change the way in which you spend your budget. You can change things as you go along. If you want to make a big change, consult your care manager or social worker, who may arrange a review. You can ask for a review meeting about your care plan at any time. To prepare for a review, you should provide any receipts you’ve kept since you were awarded a personal budget. If someone is managing your funds for you, get them to join the review meeting.
Disagreements about care plans and personal budgets If you’ve been informed that you’re not eligible for services, or you don’t agree with the amount allocated to you in your personal budget, you can request a reassessment. Speak to your social worker or care manager about being reassessed, or phone your local authority social services department and request a complaints form. Find out how direct payments and personal budgets work.
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What is NHS-funded nursing care? NHS-funded nursing care is care provided by a registered nurse for people who live in a care home. The NHS will pay a flat rate contribution directly to the care home towards the cost of this registered nursing care.
Who is eligible for NHS-funded nursing care? You may be eligible for NHS-funded nursing care if: • you are not eligible for NHS continuing healthcare but have been assessed as needing care from a registered nurse • you live in a care home registered to provide nursing care
How will my needs be assessed? You should be assessed for NHS continuing healthcare before a decision is made about whether you are eligible for NHS-funded nursing care. Most people don’t need a separate assessment for NHS-funded nursing care. However, if you do need an assessment or you haven’t already had one, your clinical commissioning group (CCG) can arrange an assessment for you.
Outcome of the assessment If you’re eligible for NHS-funded nursing care, the NHS will arrange and fund nursing care provided by registered nurses employed by the care home. Services provided by a registered nurse can include planning, supervising and monitoring nursing and healthcare tasks, as well as direct nursing care. If you’re not eligible for NHSfunded nursing care and you don’t agree with the decision 14
about your eligibility, you can ask your CCG to review the decision.
What is the rate of payment for NHS-funded nursing care? NHS-funded nursing care is paid at the same rate across England. In April 2017, the rate was set at £155.05 a week (standard rate). Before October 1 2007, there were three different levels or bands of payment for NHS-funded nursing care – low, medium and high. If you moved into a care home before October 1 2007, and you were on the low or medium bands, you would have been transferred to the standard rate from that date. If you moved into a care home before October 1 2007, and you were on the high band, NHSfunded nursing care is paid at a higher rate. In April 2017, the higher rate was set at £213.32 a week. You’re entitled to continue on this rate unless: • you no longer have nursing needs • you no longer live in a care home that provides nursing • your nursing needs have reduced and you’re no longer eligible for the high band, when you would change to the standard rate of £155.05 a week, or • you become entitled to NHS continuing healthcare instead. Content supplied by:
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Paying for your own care and support Many people who use care and support services will pay for all of the costs. This is known as being a “self-funder”. The cost of your care will vary depending on its type, intensity, specialisation, location and duration. For example, a place in a residential care home will cost hundreds of pounds a week. To make decisions that have such major financial implications, you may want to seek independent financial advice and it’s always worth researching the costs of alternatives first. For example, if you are considering a care home place, the cost should be weighed against the cost of care and support that may help you remain in your current home, such as homecare.
How much will care cost? If you are thinking about your future care needs or are facing immediate decisions about care options, it can be helpful to get an idea how much care can cost. Inevitably, the price you would pay will depend on your particular circumstances and needs. The costs also vary depending on where you live. Unfortunately, care homes and homecare agencies tend not to provide this information publicly but you may find it helpful to search for and contact care services in your area to get
some idea of likely costs.
The ‘cap on care costs’ Currently, it is not easy to plan for your future care needs, as it’s hard to estimate how long you will need care for and how your circumstances may change. From April 2020, a “cap” on the costs of meeting your eligible care needs (but not accommodation associated with care or nursing costs) is being introduced. The cap means that, once reached, the local authority will take over paying the cost of their eligible care needs. The cap will not cover your daily living costs. These costs include expenses such as rent, food and utilities and the costs you would face even if you did not have care needs. It is important to note that daily living costs will be a nationally set figure. This figure will be a “notional” amount rather than the actual costs. This is designed to support consistency and enable people to plan. To benefit from the cap once it comes in, you will need to contact your local authority to see if your needs are eligible. If you are seen to have eligible care needs, the local authority will open a “care account” for you. This account records your progress (the amount of costs you have incurred) towards the cap. The cap does not begin until April 2020 and any costs incurred before this will not count towards the cap. The BBC’s care calculator can estimate how much you may have to pay for care services depending on where you live in England, once the new rules are in place. This will give you an idea of how the cap will work for you, but actual costs will vary to reflect your individual circumstances and needs and how they change over time. For more information on how paying for care is changing from 2020, read about the changes in the Care Act.
Ask for help from your local authority It’s worth checking whether you’re eligible for meanstested support from your local authority or other financial support – for example, through a care needs assessment and a financial assessment. Few of us will have the income or ready access to the cash to pay for our ongoing care needs, and you may need to look at selling or remortgaging any property you may own. The new Care Act means more people may be able to benefit from “deferred payments”. Deferred payments can help people avoid being forced to sell their home in a crisis in order to pay for their care by having the council temporarily cover the cost – usually until you sell your property. Following the Care Act, every local authority in England has to make deferred payment agreements available. 16
As an alternative, you may be able to enter an “equity release scheme” with a financial organisation. Equity release can pay for the fees from the value of property you own. However, you should consider which of these options best meets your needs, and what the overall costs to you will be. Before taking such significant financial steps as equity release, you might want to get independent financial advice. You can find information on equity release for care at home from Which? Elderly Care or the Money Advice Service’s equity release information. If you’re planning ahead, you may consider arranging an investment or insurance plan to fund your care. Again, it may be worth taking independent advice on financial arrangements before making major changes. Because of the new rules, there are likely to be more financial products emerging that are designed to help people pay for care. You may also want to explore whether the NHS would meet some or all of your care and support costs, or you may have entitlement to benefits that may help you meet costs. Read about other ways of funding care.
Advice on paying for care Even if your local authority is not able to help fund your care, it will be able to make an assessment of your care and support needs. From this, the local authority can provide you with access to a range of information and advice available locally. You can also get independent advice from: • The Money Advice Service website: offers information on paying for care or the option to speak to an online adviser. You can call the Money Advice Service on 0300 500 5000. • The Society of Later Life Advisers: the society can also help you find advice on how to make financial plans for care in your old age. • Find Me Good Care: a website of the Social Care Institute for Excellence. It has advice on all aspects of planning and funding social care. • Age UK: has great advice for older people and those planning for their later years. • Carers UK: an excellent resource of advice for carers who need to help someone else. • Which? Elderly Care has a guide to financing care.
Deferred payments if you are unable to pay for care services Care home fees are a big financial commitment, and the decision to go into a care home is often made at a moment of crisis or urgency, such as when being discharged from hospital. This can make finding the money to pay for fees (usually several hundred pounds a week) challenging for people funding their own care. In particular, if you own property outright but have little in the way of savings, you may be expected to fund your own care but have little immediately available money to pay for it. Some people going to stay in a care home for a long time find that they have no option but to sell their property to pay the care home fees.
Your council may be able to help you if you are at risk of having to sell your home. Where there is a delay in selling the property, or you don’t want to sell the property immediately, you may be eligible to have your care fee payment “deferred”. This is where the local authority helps you to pay your care fees temporarily, and you repay the costs to the local authority at a later date. If the local authority agrees to the deferred payment and pays the care home fees, it will take payment from the money raised once the property is sold. This can be: • during your lifetime if you choose to sell your home • once you die, the local authority can be repaid from your estate All councils must offer people the chance to defer payment if they meet a set of eligibility criteria. A deferred payment scheme is only available if you don’t have enough income to cover your care home fees, and you have less in savings than £23,250. In these circumstances, the savings don’t include the value of your property, but does include money in bank accounts. The local authority will put a “legal charge” (similar to a mortgage) on the property and will then pay the remaining care fees in full. You will then be assessed to see whether they are able to pay a weekly charge to the authority. Your ability to pay is based on your income less a set “disposable income allowance” (currently £144 per week). Before considering deferred payments, you should look into whether the property will or won’t be counted in how your capital is calculated. For instance, it may be disregarded because your partner still lives there, and if it is a deferred payment agreement wouldn’t be necessary. It’s wise to get independent financial advice before agreeing to a deferred payment, and it’s worth bearing in mind that choosing deferred payments can impact on some welfare benefits.
Protection for self-funders While you may have the savings in place to afford care services, if you lack the capacity to make the arrangements, the local authority can step in to help. The local authority can also help people who lack capacity by negotiating fees with a care provider and paying them directly. The local authority will need to be reimbursed. Anyone entering into a contract for care services should be given adequate information about the fees. Care providers should supply: • information about the fees charged for various services provided • arrangements for paying the fees • the fees charged for any additional services If your capital falls below the set levels for local authority funding (currently £23,250), you will be eligible for reassessment for help with funding your care.
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Care services in your home If you need help around the home, a good option is to have a care worker come in to your home to help you. Types of care and support Care and support comes in many forms and has many names used to describe it, including home help, care attendants and “carers” (not to be confused with unpaid family or friends who care for you). Care and support can suit you if you need: • personal care, such as washing or dressing • housekeeping or domestic work, such as vacuuming • cooking or preparing meals • nursing and health care • companionship Care and support can be very flexible, in order to meet your needs, and the same person or agency may be able to provide some or all of these options for the duration of your care: • long-term 24-hour care • short breaks for an unpaid family carer • emergency care • day care • sessions ranging from 15-minute visits to 24-hour assistance and everything in between If you already know what you want, you can search NHS Choices directories for: • local care and support services and agencies • a list of national care and support organisations • services that can help you stay safe and well in your home on a long-term basis; these services, often known as “supported living services”, can include financial, help with medication, advocacy, social and practical support • a place to live in a family who will care for you, known as “shared lives services” or adult placement services
Independent care and support agencies If you use an independent care and support agency, you or the person you’re looking after has to find the care agency and pay them. The agency will provide a service through a trained team of care workers, which means you may not always have the same person visiting your home, although the agency will do its best to take your choices into account. Independent care and support providers are regulated by the Care Quality Commission (CQC). Care and support agencies must meet CQC’s national minimum standards and regulations in areas such as training and recordkeeping. The CQC has the power to inspect agencies and enforce standards. Care and support agencies must vet care and support workers before engaging them by taking up references and carrying out Disclosure and Barring Service (DBS) checks on potential employees. Care and support agencies can also: • take over the burden of being an employer – for example, payroll, training, disciplinary issues and insurance • train their care and support workers through national qualifications and service-specific training • replace workers when they are ill, on holiday or resign • put things right when they go wrong An agency will want to see you and the person you’re looking after so that they can assess your needs. This also means that a joint decision can be made about the most appropriate type of care and support.
If you believe that you might benefit from some help at home, the first thing to do is to contact your social services department to ask for an assessment of your care and support needs. To contact social services, go to GOV.UK: find your local authority.
You can find out more from the UK Homecare Association.
If you are eligible for care and support services, the local authority may provide or arrange the help themselves. Alternatively, you can arrange your own care, funded by the local authority, through direct payments or a personal budget.
The main disadvantage is the cost of using an agency. The agency will charge a fee on top of the payment made to the care worker to cover their running costs and profit.
If you have chosen direct payments or a personal budget, or you aren’t eligible for local authority help 18
and want to get care privately, you can arrange it in several different ways.
What are the disadvantages of using a care and support agency?
You normally have to make a regular payment to the agency, which includes both the worker’s earnings and the agency’s fee.
Questions to ask when using a care and support agency The fees some agencies charge can be quite high. Before deciding to go ahead with an agency, you should ask questions about the fee and what it covers, including: • Does the agency check references? • What training and supervision do they provide? • What is their complaints policy? • Who will be responsible for insurance? • Is there any out-of-hours or emergency contact if needed? • Will they be able to provide staff if your own care worker is ill or away? (If an agency contracts to provide care every day, it must ensure that it does.)
Hiring a personal assistant You can hire a “personal assistant” to act as a care and support worker for you. Personal assistants can offer you all that you’ll get from an agency worker, but you’ll also get the continuity, familiarity and ongoing relationship with your assistant. However, if you employ a personal assistant, you will then have the legal responsibility of an employer. This will include arranging cover for their illness and holidays. GOV.UK has more information on becoming an employer, while Which? Elderly Care also has advice on employing private individuals.
Care and support from charities Charities such as Age UK and Carers Trust can provide home help and domestic assistance services. The Carers Trust supports carers by giving them a break from their caring responsibilities through care and support services. Marie Curie Nurses can provide practical and emotional support for people near the end of their lives in their own homes.
Safeguarding vulnerable groups The DBS makes decisions about who is unsuitable to work or volunteer with vulnerable adults or children. It makes this decision based on information held by various agencies and government departments. The service decides who is unsuitable to work or volunteer with vulnerable adults or children. If someone who is barred from working with children or vulnerable adults is working, volunteering or trying to work or volunteer with these groups, they are breaking the law. They could face a fine and up to five years in prison.
Employers must apply for an enhanced DBS check (formerly known as a CRB check) when taking on new employees or volunteers to work with vulnerable adults or children. This includes a check of the barred lists. If an organisation fails to make the relevant checks, they can be penalised. If an organisation dismisses an employee or volunteer for harming a child or vulnerable adult, they must tell the DBS. The DBS must also be notified if any employee or volunteer harms a child or vulnerable adult, but isn’t dismissed because they leave voluntarily. If their organisation does not tell DBS, they will be acting illegally. Questions can be answered by the DBS call centre on 0870 909 0811, or by email.
Employing a care worker on a private basis If you employ a care worker privately, you will not be obliged to use the DBS scheme, but you can use it if you choose to. You need to ask social services or the police to make the checks on your behalf. The care worker must have already applied to be vetted, and must consent to the check. If you have concerns about the suitability of someone you employ privately to work with a vulnerable adult or child, you can ask social services to investigate the matter. They can refer the worker to the ISA on your behalf.
Manual handling If you need help to move, or you need someone to lift you (such as getting out of bed or getting on to the toilet), this can put the person doing the lifting at risk of injury. This “manual handling” can result in back pain and in the most serious cases, permanent disability if not done correctly. The law says that employers must take reasonable precautions to ensure their employees don’t do any manual handling that carries a risk of them being injured. This applies to you if you directly employ a personal assistant to care for you (but most likely will not if you hire someone through an agency). It is particularly important to consider insurance in this situation. This would cover any risk of the care worker injuring themselves, as well as any risk of them causing an injury. There are rules around the risk assessments you need to carry out, and the Health and Safety Executive produces advice on safe manual handling.
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The Motability Scheme The Motability scheme allows some disabled people getting DLA, PIP or War Pensioners’ Mobility Supplement to obtain a car, powered wheelchair or scooter. The scheme uses some or all of your mobility benefit payments to cover the cost of “contract hire” or “hire purchase” of an appropriate vehicle. You can also pay an extra amount of money if you want a more expensive vehicle. With hire purchase, the price of the car will be agreed directly with the Motability dealer, and you will own the vehicle outright at the end of the agreement. With contract hire, you won’t own a vehicle, but you will get a new car every three years, full NHS Choices have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does NHS Choices endorse any of the products or services. All information and figures correct at the time of going to print.
insurance for the driver and passengers, servicing, maintenance and repairs, vehicle excise duty, replacement tyres and breakdown cover. Adaptations to the car can be made if needed, although there may be an extra charge for some adaptations. Under the Motability scheme, cars can also be adapted for people in wheelchairs. If you don’t need or want a car, you can transfer your allowance to lease a scooter or powered wheelchair. Editorial content for pages 10-20 supplied by:
Contact and Support We are here to answer any questions you may have about the Mobility Scheme. You can contact our Customer Services team directly or one of our Scheme partners depending on the nature on your enquiry. Tel: 0300 456 4566. Opening times: 8am-7pm Monday to Friday, 9am-1pm Saturday, Monday 9am-11am is our busiest period. You may find it easier to call outside these times.
If you have specialist Minicom equipment, call our textphone number on 0300 037 0100 or speak to us through a British Sign Language (BSL) interpreter for Deaf customers who have an enquiry about the Motability Scheme. 20
The Care Quality Commission is here to make sure health and adult social care services including hospitals, home and residential care as well as GPs in England provide people with safe, effective, high-quality care. We publish independent inspection reports and ratings about services – information you can use when you’re choosing care for yourself, or a loved one. You can use our website to search for services you might be interested in by geographical area, or by specialism. For example, a care home that might offer specialist care for someone who has dementia. We also welcome your feedback on the care you have received – good or bad. We use this information to help inform our inspections and can alert authorities including local social services, if there are safeguarding concerns about care being provided. You can visit our website at www.cqc.org.uk to find our inspection reports, or share an experience of care. You can also call us to share an experience of care on 03000 61 61 61. Here are some tips to help you choose your care.
Social care Top tips 1
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The Care Quality Commission (CQC) registers all care homes and home care agencies. You can find out which ones support specific groups of people, such as people with a learning disability or those living with dementia. CQC’s Chief Inspector for Adult Social Care, Andrea Sutcliffe always uses ‘The Mum Test’: is a care home safe, caring, effective, responsive to people’s needs and well-led? In other words, is it good enough for my Mum (or anyone else I love and care for)? Look for care homes and home care agencies where the staff involve people who use services and their families and carers, and treat individuals with compassion, kindness, dignity and respect.
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Whether you are being cared for in your own home or in a residential setting, the staff looking after you need to be skilled, kind and supportive. They should also be capable and confident in dealing with your particular needs. You should always feel that their support is helping you to live the life you want to. A care home will be a home for you or your loved one. Residents should be treated as individuals with their likes and dislikes taken into account. Think about whether a home is close enough to family, friends, and community facilities. Look at how well-led and managed a home is. What does it have in place to ensure that it delivers high quality care? Does it promote meaningful activity and connect the home with the community?
If you or a loved one needs help with day-today care, you can contact your local council’s social services department. They will ‘make an assessment of your needs’ and depending on circumstances, may be able to help you access financial help. For more advice visit Age UK’s website www.ageuk.org.uk /home-and-care.
If you would like to organise your care yourself, you can find a care worker or personal assistant through an agency. Your local social services department should be able to provide details of approved agencies.
CQC’s ratings will identify services as:
Outstanding Good ● Requires improvement ● Inadequate ● This will help you make informed choices around your care. There’s also useful advice on the Social Care Institute for Excellence’s Find me good care website www.scie.org.uk/findmegoodcare/
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Safeguarding adults who receive social care is everybody’s business. If you are concerned about the safety of a loved one receiving care, contact the service provider in the first instance. You can also contact social services at your local council. If you feel a crime has been committed, contact the police. You can share your safeguarding concerns with us on our website or contact our National Customer Services on 03000 616161.
The Care Quality Commission has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the Care Quality Commission endorse any of the products or services.
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KIRKSTALL COURT CARE HOME
• Specialist unit for alcohol related brain injury (Korsakoffs Syndrome) • Quality person centred care • All bedrooms single and en-suite • Large communal lounges and dining areas
• Pleasant courtyard gardens • Rehabilitation programmes tailored to each individual’s unique needs
119-129 Vesper Road, Leeds LS5 3LJ
Telephone: 0113 259 1111
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Leeds Age UK Leeds has been working with older people in Leeds since 1975. We are an independent charity that wants to see a society where older people are respected, valued and able to contribute to their community. We work with all older people who live in Leeds to improve the quality of later life.
from 9am to 8pm.
We offer a number of services and activities that recognise you want choice in how you are supported, and that are designed to help you keep your independence and quality of life.
The team is based in Chancellor Wing and can be contacted on 0113 2065052 or internal bleep 2148
Independence at Home We have an experienced team of Wellbeing Coordinators and Caseworkers who will arrange to meet you in your home, find out what kind of assistance you require and then help you to gain the assistance. This could include help with managing your finances and claiming the benefits you’re entitled to, housing information, arranging for aids and adaptations, or getting involved in social and activity groups. We are able to identify what other services there are in your area and can help you access them. This service is available to older people who feel isolated or are finding it harder to get out and about. Our current projects include: Aged Veterans - supporting Veterans born before 1950 who have served in the Armed Forces or completed National Service. Supporting Wellbeing - for those aged 50 + requiring support with engaging in new opportunities, improving health & wellbeing, reducing social isolation. Connect Well – Social Prescribing service with Well-Being Coordinators based in GP Surgeries within the North Leeds area.
Hospital to Home service The Age UK Leeds Hospital to Home service is based at St James Hospital in Leeds and operates 7 days a week, including bank holidays 24
The service offers support to Leeds residents aged 60+ following an attendance at A&E. It aims to prevent unnecessary admissions and readmissions to hospital, reduce delays in being discharged home and improve the patient experience. Our team can also provide one to one support once back home to promote independent living.
Information and Advice We offer face to face appointments, a drop in and telephone advice on a range of issues including benefits and pensions, housing, care and local services. We also offer home visits to help with completion of Attendance Allowance forms. We also offer free legal sessions once a fortnight delivered by local solicitors.
Advocacy If you need someone to help you make sure that your voice is heard then our Advocacy service may be able to help. Issues we support with include Community Care, hospital discharge, residential and nursing home support and getting legal advice.
Ageing Well We provide opportunities for older people to get more active, take part in social activities and learn new skills. Come and take part in our Creative Writing sessions, or join our Healthy Walking Group. Join our Silver Surfers if you want to learn about computers, the internet, tablets and smartphones. There are courses for absolute beginners as well as people wishing to develop their skills. Our Sage project offers a range of support and social opportunities for older lesbian, gay, bi-sexual and transgender people. Digital Angels offers one to one volunteer support at home to isolated older people in South Leeds
who wish to get online and use the internet to connect with people via email, skype etc. Walking With Confidence can provide a volunteer to support you to build up your self confidence to get out and about again – it could be a walk to the local shop or a trip to the local luncheon club.
Products and Services As an agent of Age UK Enterprises we offer a range of quality and reliable products and services designed for the needs of the over 50s. Call into the office in our city centre premises or phone us on 0113 389 3005 to find out about products and services including insurance for home, car and travel; funeral plans; personal alarms; mobility and healthcare products. All net profits from the sale of these products and services go to support our charitable work both locally and nationally. Home, Car and Travel* Insurance are provided by Ageas Insurance Limited. * Subject to medical screening and acceptance by the underwriters. Age UK Leeds Trading Limited is an appointed representative of Age UK Enterprises Limited which is authorised and regulated by the Financial Conduct Authority for insurance mediation and introducing potential annuity customers.
To find out more about Age UK Leeds:
Visit our website: www.ageukleeds.org.uk or call us on 0113 389 3000
The Arch Café The Arch is our café sharing the Bradbury Building in Leeds city centre. Open six days a week for breakfast, lunch and our special afternoon teas, we serve delicious homemade food available to eat in or take out. Why not visit next time you’re in town? All profits from the café help Age UK Leeds continue their vital work in communities across Leeds. 25
Specialist support for people with dementia If you have dementia, our Memory Support Workers can help you to stay active and participate in the community to help you live well. Our Memory Support Worker service is a joint partnership with the Leeds and York Partnership NHS Foundation Trust developed to provide personalised information, support and advice to people with dementia, their families and carers. This can include signposting to local services like our activity groups, and helping you to strengthen existing support networks so you can maintain your independence for as long as possible. Alzheimer’s Society is the UK’s leading support and research charity, providing information, advice and support to people with dementia, their families and carers. We are committed to putting you at the heart of everything that we do, and our services are continually informed by our growing understanding of dementia and what you need to live well with it.
Get in touch with us today to find out more. Lynn Welsh, Memory Support Team Manager Leeds and York Partnership NHS Foundation Trust T: 0113 8555351 E: memorysupport.lypft@nhs.net
‘As a Memory Support Worker, I’m here to help people with dementia stay connected to their local community and living at home for as long as possible. It’s rewarding to see how the information and support I give can make such a difference to the lives of people with dementia and those around them.’ Gemma Stones, Memory Support Worker for the Leeds area In partnership with
Leeds and York Partnership NHS Foundation Trust
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“My Support Worker has seemingly put herself out to help me, and is always able to help and support. She is the ‘lighthouse in the stormy sea’” Person with dementia
alzheimers.org.uk 27
The British Red Cross has been delivering health and social care services since the NHS was established. We provide vital support to help people live safely and independently in their own homes. Our team, based within Leeds General Infirmary, offers short-term support and advice in the initial weeks following a hospital stay to help you regain your independence and the confidence to get back in to your daily routine. We can also help you reconnect with your community and
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find new interests and activities. Our staff and volunteers will work with you to discuss how we can help you and build a support plan to suit your needs.
Practical Support We are here to lend a hand with practical tasks in the home that you may be finding difficult. We can help you with a range of tasks, such as assisting with shopping, prescription collection,
Photograph courtesy of Rawles, Simon (BRC)
Local Advice Our team of staff and volunteers have excellent knowledge of local services and organisations and can help you access financial advice, nutrition, wellbeing, legal advice, benefit entitlement and other types of support. They can also assist by connecting you to other organisations that can help you live safely and independently in your own home for longer, including home adaptations, fire safety checks, trips and falls pendent alarms and home safety equipment.
Mobility Aids We can provide short-term loans of wheelchairs and other mobility aids to people experiencing difficulty with mobility. The wheelchairs can also be used by the staff and volunteers to help you attend hospital appointments or events.
Contact
opening letters and paying household bills, signposting to other organisations and escorting to local clubs or medical appointments.
Emotional Support British Red Cross staff and volunteers will visit you at home to offer company and friendly chats. They can provide you with information on social groups in your local area and help you to build new friendships.
If you are interested in finding out more about how we can support you or a family member or friend, please contact us on 0113 392 5799.
Volunteer with us We are always looking for new and enthusiastic volunteers to join our team. If you’re caring, compassionate and up for a natter, this could be the perfect role for you. Just a few hours a week of your time can change someone’s life. Visit www.redcross.org.uk/Get-involved/ Volunteer/Independent-living for more information or give us a call on 0113 392 5799.
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NHS Hospitals and services in Leeds The Leeds Teaching Hospitals NHS Trust
St James’s University Hospital
The Leeds Teaching Hospitals NHS Trust
Beckett Street, Leeds, West Yorkshire, LS9 7TF
Wharfedale Hospital
Newall Carr Road, Otley, West Yorkshire, LS21 2LY
Tel: (0113) 243 3144
Tel: (01943) 465522 Wetherby
The Leeds Teaching Hospitals NHS Trust
Chapel Allerton Hospital
Wharfedale
Chapeltown Road, Leeds, West Yorkshire, LS7 4SA
The Leeds Teaching Hospitals
Tel: (0113) 262 3404
NHS Trust
Leeds Dental Institute The Worsley Building, Clarendon Way, Leeds, West Yorkshire, LS2 9LU
Bardsey
The Leeds Teaching Hospitals
Shadwell
NHS Trust
Seacroft Hospital
Horsforth
Tel: (0113) 244 0111
HEADINGLEY
CHAPEL ALLERTON
York Road, Leeds, West Yorkshire, LS14 6UH
Whinmoor
Tel: (0113) 264 8164
KIRKSTALL
LEEDS
Pudsey
Micklefield
Morley Methley
Humanity House, 2 Armley Court, Armley Road, Leeds, LS12 2NB Tel: (0113) 201 5240 The Leeds Teaching Hospitals
Leeds
NHS Trust
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Leeds General Infirmary
Great George Street, Leeds, West Yorkshire, LS1 3EX
Age UK Leeds, Bradbury Building, Mark Lane, Leeds LS2 8JA
Tel: (0113) 243 2799
Tel: (0113) 389 3000
The locations on the map indicate where services operate out of.
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Useful contacts A
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Action on Elder Abuse 020 8835 9280 We work to protect, and prevent the abuse of, vulnerable older adults. Action on Elder Abuse, PO Box 60001, Streatham SW16 9BY I www.elderabuse.org.uk I enquiries@elderabuse.org.uk
Leeds Citizens Advice Bureau 0113 223 4400 City Centre Bureau, Westminster Buildings, 31 New York Street, Leeds LS2 7DT I www.leedscab.org.uk
Admiral Nursing DIRECT 0845 257 9406 This helpline has been set up to provide people with an opportunity to talk through their worries and concerns about themselves, friends or relatives with dementia. The lines are open on Tuesdays and Thursdays between 11am and 9pm. Callers can leave messages any time and request a call back I direct@fordementia.org.uk
Mind (National Association 020 8519 2122 for Mental Health) The leading mental health charity in England and Wales. We work to create a better life for everyone with experience of mental distress. I www.mind.org.uk I contact@mind.org.uk
Age UK Leeds Bradbury Building, Mark Lane, Leeds LS2 8JA I www.ageukleeds.org.uk
0113 389 3000
Arthritis - National Rheumatoid 0800 298 7650 Arthritis Society (NRAS) or 0845 458 3969 Provide information, support and advice for people living with Rheumatoid Arthritis. I www.nras.org.uk
B British Red Cross 0113 201 5240 Humanity House, 2 Armley Court, Armley Road, Leeds LS12 2NB I www.redcross.org.uk
C CareAware 0161 707 1107 A one stop shop for free advice on care fee funding for older people. I www.careaware.co.uk I enquiries@careaware.co.uk Care Quality Commission (CQC) National Correspondence, Citygate, Gallowgate, Newcastle upon Tyne NE1 4PA I www.cqc.org.uk I enquiries@cqc.org.uk
03000 616161
Cruse Bereavement Care 0844 477 9400 Cruse Bereavement Care is here to support you after the death of someone close. I www.cruse.org.uk I helpline@cruse.org.uk
D DIAL 0113 378 2990 (Disability Information Advice Line) DIAL Leeds provide information and advice to disabled people, their family and professionals on all aspects of living with a disability. DIAL (LEEDS), The Mary Thornton Suite, Armley Grange Drive, Leeds, LS12 3QH I www.dial-leeds.org.uk Disability Benefits – for Disability 0845 712 3456 Living Allowance and Attendance Allowance I Textphone: 0845 722 4433 I www.direct.gov.uk/en/Dl1/Directories DG_10011169
E Elderly Accommodation Counsel 0800 377 7070 A national charity that aims to help older people make informed choices about meeting their housing and care needs. It is now more commonly known as EAC. I www.eac.org.uk I info@firststopadvice.org.uk
I Integrated Care Council 01379 678243 (Formerly the National Homecare Council) The Integrated Care Council is a body which brings together British public and independent sector organisations who commission or directly provide support for people living at home.
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N National Osteoporosis Society 0845 450 0230 Advice, information and support group for people with osteoporosis. I www.nos.org.uk NHS 111
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P Parkinson's Disease Society I www.parkinsons.org.uk
0800 800 0303
R Royal Voluntary Service 0845 608 0122 A volunteer organisation that enriches the lives of older people and their families across Britain. We support older people by giving time and practical help to help them get the best from life. Royal Voluntary Service, Cardiff Gate, Beck Court, Cardiff Gate Business Park, Cardiff CF23 8RP I www.royalvoluntaryservice.org.uk
S Stroke Association 0845 3033 100 Advice and information for stroke patients and their families. I www.stroke.org.uk
T The Department of Work and Pensions I www.dwp.gov.uk The Pension Service 0845 606 0265 I www.dwp.gov.uk/about-dwp/customerdelivery/thepension-service
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