OPTIONS A guide to care and independent living
Leaving hospital
Lancashire Autumn 2019
FREE
guide
What’s next?
NHS continuing healthcare Who’s eligible?
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SOCIAL CARE
tips
Healthcare services Choosing the right one
CONTRIBUTORS: Age UK Lancashire Alzheimer’s Society Blackpool Teaching Hospitals NHS FT University Hospitals of Morecambe Bay NHS FT The NHS
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Contents University Hospitals of Morecambe Bay NHS Foundation Trust – Caring for you in hospital and in the community............................................................. 4-5 Blackpool Teaching Hospitals NHS Foundation Trust – The right place for your care....... 6 Leaving hospital..................................................................................................................... 7 Intermediate care................................................................................................................ 8-9 When you leave hospital....................................................................................................... 9 Giving the hospital feedback................................................................................................ 9 NHS continuing healthcare............................................................................................. 10-11 Paying for your own care (self-funding)........................................................................ 12-13 Help at home from a carer............................................................................................. 14-15 Welcome to Age UK Lancashire..................................................................................... 16-17 Is your life affected by dementia? Alzheimer’s Society is here for you....................... 18-19 The Care Quality Commission Social Care top tips............................................................. 20 NHS hospitals and services in Lancashire............................................................................ 21 Useful contacts..................................................................................................................... 22
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.
University Hospitals of Morecambe Bay NHS Foundation Trust
OCTAGON DE S IG N & M A R K E T I NG LT D
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Caring for you in hospital and in the community For people living in south Cumbria and north Lancashire, there are three general hospital sites; Furness General Hospital in Barrow in Furness, the Royal Lancaster Infirmary in Lancaster and Westmorland General Hospital in Kendal. University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) operates these three sites, providing planned care for patients with a wide range of medical and surgical needs. These include outpatient services, diagnostics, therapies, day case and inpatient surgery. Furness General Hospital and Royal Lancaster Infirmary also have Accident and Emergency departments, while Westmorland General Hospital has a Primary Care Assessment Service. Hospitals are the right place for patients that require specialist or urgent treatment. However once this treatment is complete, the best place to continue your care is often at home or in a community setting. The “Supporting Patients’ choices to avoid long hospital stays” policy, which was launched locally in August 2017, helps hospital staff to effectively manage and plan for any ongoing care patients might need once they are well enough to leave hospital. This process begins from the moment of admission and continues once you have left hospital. It is a good idea to start planning for your discharge as
soon as you arrive in hospital, or even before you arrive if possible. This will help the hospital discharge teams to accurately assess what your needs are likely to be once you leave hospital, and allow enough time for any arrangements, such as equipment, services, a domiciliary care package or care home to be in place for when you are ready to leave hospital. If you are admitted to hospital, you will be made aware of how long you are expected to be in hospital at the beginning of your stay so you will be able to plan better with your family and/or carer. For most patients, they will return to their own home when they leave hospital but for those with additional health and care needs, they may need further support out of hospital. For these patients, the hospital staff will work closely with them and their families and/or carers to help them understand their options. Whilst the hospital Trust will do everything possible to ensure patients are discharged to their preferred setting, this may not always be immediately available. In these cases, an alternative option will be explored. Although this may not be ideal, our teams will continue to work towards the patient’s preferred choice of accommodation in order to transfer patients at the earliest opportunity. This new way of working will help you and your family to make informed decisions about your next steps after leaving hospital. If you have any questions or would like any information leaflets regarding your discharge from hospital, please do not hesitate to contact the Patient Advice and Liaison Service on 01539 715577.
What Is Discharge Planning? When you are admitted to hospital, your treatment plan, including details for discharge or transfer, is developed and discussed with you. A discharge assessment will determine whether 4
University Hospitals of Morecambe Bay NHS Foundation Trust
you need more care after you leave the hospital.
• You have any medication or other supplies you’ll need
Discharge planning is the process used to decide what a patient needs for their transition from hospital to their home or another community care setting. This process is completed by the hospital discharge team, with support from social workers, nurses, case managers, and other relevant teams in the hospital and wider community.
•Y ou’ve been trained how to use any equipment, aids or adaptations needed
Will I be discharged before my care has ended? No, we will never discharge a patient that still requires acute hospital treatment. The Consultant in charge of your care will assess your health regularly during your time in hospital, and will only give approval for your discharge once you are well enough to leave. Once you no longer need acute hospital treatment, you will be discharged to the most suitable setting for your needs. This could mean that your treatment continues at home or in the community, for example if you need physiotherapy sessions or a course of antibiotics.
•Y ou have money and any keys necessary for your destination A family member or care should also ensure that: •Y ou have appropriate clothes to wear to your destination • Suitable transport is arranged to get you there If you are being discharged to a care home, the care home should also be told the date and time of your discharge, and have a copy of the care plan.
What happens once I have been discharged from hospital? Your care should be monitored and reviewed as set out in your care plan. The care plan should also include details of who to contact if things don’t work as planned, this is usually a next of kin.
Once people no longer need hospital care, it is best to get home or to another community setting as quickly as possible because:
If your care plan includes community care services from a local authority, it should check that their care package is working well within two weeks of discharge. If you live alone, this should take place within the first few days of discharge. Following this, your care plan should be reviewed at least annually.
• Severely ill patients may be unable to access services if hospital beds are occupied with patients who no longer need them
Your experience of Morecambe Bay Hospitals
• There is less risk of catching a hospital-acquired infection, such as pneumonia or urinary tract infections
We are committed to providing you and your loved ones safe, high quality and compassionate care.
• People awaiting surgery, both urgent and non-urgent, may have their operations cancelled if a bed is unavailable
We would like to hear from you if you think we have done something well, or if you have suggestions on how we could do something differently. Equally we want to know if you are unhappy with the service provided or have a complaint.
Why do I need to leave hospital?
• Once people are aged 80 years and over, ten days spent in a hospital bed equates to ten years of muscle wasting
What will happen when I am ready to leave hospital? Once you are well enough to leave hospital, the person co-ordinating your discharge should make sure that: • You (and a carer if you have one) have a copy of your care plan. Your care plan should include details of any treatment or support you will be getting once you have left hospital, including who will provide it and how often • Any carers or family members will be available if needed • Your GP is notified in writing
You have several options to raise concerns, but first of all we would ask that you speak with the Doctor involved in your care, Ward Manager or Matron in the department. Many problems can be resolved quickly by talking things over. If you do not want to discuss your concerns with the staff or their manager, or if you have tried this and are unhappy with the outcome, please ask to speak to the Patient Advice and Liaison Service (PALS). You can also contact PALS directly by calling 01539 715577 or emailing pals@mbht.nhs.uk. 5
The right place for your care Your local hospital in partnership with other hospitals in the region, and your local authorities, Blackpool Borough Council and Fylde and Wyre Councils, recognise and support each patient to receive the right treatment, at the right place and by the right professional. An acute hospital Trust is a hospital that provides consultant led health services within the National Health Service. Acute care is for patients who require emergency medical or surgical services within a hospital environment. Blackpool Teaching Hospitals NHS Foundation Trust provides care for patients who require this level of care. Hospitals are the right place to be when you are in need of specific medical or surgical treatment. However, when your treatment has been completed, it is important that your stay is not delayed for the following reasons: • Beds are needed for people who are very unwell, and who may be waiting in the Accident and 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 • There is less risk of acquiring an infection at home compared to busy public health buildings such as hospitals • Some people find it harder to return home the longer they stay in hospital. It is good practice to start planning for your discharge as soon as you come into hospital or even before you arrive. This means that we can begin to: • Assess what your needs are likely to be when you are ready to leave • Involve relevant staff who can help in meeting those needs (e.g. social worker, occupational therapist, 6
physiotherapist, district nurse) • Make arrangements for equipment or services which need to be in place when it is deemed safe for you to be discharged • Make sure that your carer is given any information, help or advice that is needed to aid your recovery following your discharge.
speak to your pharmacist or a member of the nursing team. Relatives or carers coming to collect you can meet you or a member of the ward staff can escort you to the car park entrance.
All staff will work with you and your carer or relatives, as a team, in order to discuss your discharge with you.
You can also help us by moving from hospital when you no longer need our services. We will discuss with you the sort of help you and your carer may need when you return home, to make the transition as easy as possible.
We need to discuss any concerns you have at the earliest opportunity, e.g. your safety at home, managing your personal care or domestic arrangements, your ability to move around and any equipment you may need. You will be given an expected date for discharge based on when it is expected that your treatment will be completed. It is important that everyone involved is aware of this date so that we can all work towards it, and so that the necessary arrangements can be made.
Some of the arrangements may include: • Transport home. Patients are normally expected to arrange their own transport • Suitable clothing and footwear if you are not already using them in hospital • Access to a key to your property • Adequate food stocks • Adequate heating in your home • Adequate support for your carer or family members. A supply of your current medication will be ordered from the Hospital Pharmacy and delivered to you. If you have any questions or concerns about your medication please ask to
Finally, we understand that any hospital stay can be stressful and we need to support you and your carer during your time in our care.
Your Hospital Discharge Coordinator is the member of the team who is available to meet you on the ward and, along with the ward staff will begin planning your discharge from hospital. For most patients, being discharged from hospital to their home is straightforward. Some may need information and advice or may need the support of social services. Some people have ongoing health and social care needs which require a more detailed assessment. Staff from health and social care will work together to plan and deliver services to support such people after discharge. This guide explains some of these processes and explains the role of the hospital and Social Care team in the hospital discharge process.
Leaving hospital You will be transferred from hospital when your consultant led team decide that you are clinically ready to leave hospital and that you no longer require an acute hospital bed. For the majority of patients, you will go home from hospital with no additional support required. In some cases you may require some extra support to regain your independence. Your hospital team will help you, your family and carers to access these services if you need them. Your safe and timely transfer from hospital will also allow new patients who need acute hospital treatment to be admitted without delay. We fully support your transfer out of hospital for the following reasons: 1. To support you to regain your independence
2. Some people find it harder to return home the longer they stay in hospital 3. Acute beds are needed for people who are very unwell, and delays in transfer may result in patients waiting in the Emergency department for a bed to become available. 4. Although we work hard to ensure the highest standards of care there is a risk of acquiring infections in hospital. Leaving hospital as soon as you are fit and safe to do so means this is less likely and reduces the risk of any complication.
Your Hospital Team A Multi – disciplinary team which may include Hospital Discharge Coordinator, Consultant team, Matron and ward nurses, Therapists, and Social Workers will begin to plan your transfer from hospital as soon as you are admitted. This team of clinical experts will explain their key roles to you if they are involved in your hospital care.
The Assessment Process The assessment process will start with discussions with you and your family/carers. This process of information gathering and clarification of the situation will indicate which members of the multi disciplinary team need to be involved in your assessment. The team will work with you and your relatives/carers to:
Blackpool Teaching Hospitals
NHS Foundation Trust
• Provide you with information about services that could support you as you are discharged from hospital.
Therapies You may be referred to a therapist to assist in planning for your discharge from hospital. This could be any of the following; a dietician, occupational therapist, physiotherapist or a speech and language therapist. They 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. The therapists will discuss with you and the other members of the hospital team their findings and together with you and your family make a plan for your discharge from hospital.
Out-patient appointments If your Doctor needs to see you in an outpatient clinic to review your progress following discharge, you will either be given a note of your appointment before leaving the ward or be notified by post. If you find that you are unable to make that appointment after discharge please let the appointments office know so that we can reschedule the appointment and offer your time to someone else. (Telephone number is on the appointment card)
• Identify care needs to ensure they can be met following your discharge
Together we care 7
Intermediate care Across Blackpool, Fylde and Wyre, we have access to services called Intermediate Care. These services can support people who no longer require acute care, but still require some further support to ensure they are able to function with their daily activities. This period of intermediate care can provide rehabilitation from Therapy staff or a period of reablement prior to returning home. Your hospital Team will work with you to assess your level of need and which intermediate care service would suit your needs should you require it. All patients who no longer need acute care but cannot return home and do not require specialist care are eligible to enter the intermediate care pathway if they meet the following criteria: • Over the age of 18 • Resident of Blackpool, Fylde or Wyre or • Registered with a Blackpool, Fylde or Wyre GP. Intermediate care is provided under Health and Social Care joint Commissioning arrangements and is free of charge whilst you are on the intermediate care pathway. People may enter onto the intermediate care pathway following an episode
of acute care for a further short period of recovery and reablement. This can benefit patients and enables a more accurate assessment of your ongoing care needs prior to returning home or before long term care is considered.
Aiming to get you home The aim is to help you to relearn daily living skills so you do not need long-term support or go back into hospital. You need to know what you want to achieve and how this will be done to establish your reasons for going into Intermediate Care. The multidisciplinary team assessment will help you make this decision. First route out of hospital should always be your own home. If this is not possible, then Intermediate Care aims to get you home and to eliminate dependency on long term support.
The Assessment & Rehabilitation Centre - ARC The Assessment & Rehabilitation Centre (ARC) is based in a quiet residential area of Blackpool and offers social care rehabilitation for people who need a short period of intensive support in a 24-hour setting.
Type of Support Both social care and health professionals work to provide individually tailored support programmes for anything from a few days to six weeks to help people maximise their independence. The service is regulated by the Care Quality Commission.
Thornton House: Thornton House is owned by Lancashire County 8
Council and managed by Care Services. It is registered to provide care for 44 older people with varying needs of care and support, including specialist dementia care. All residential and domiciliary services provided by Care Services are registered with the Care Quality Commission (CQC) and comply with Lancashire County Council’s preferred provider requirements.
Residential Rehab: This service provides residential care with specialist support to help individuals regain capacity and independence as far as possible in their own home with or without direct therapy involvement. The service can be up to 6 weeks and is available for people who are resident in Fylde & Wyre. Access is via assessment from the Hospital Discharge Team or your Social Worker.
Rapid Response Team: The Rapid Response Service is a nurseled service for adults who meet the eligibility criteria in Blackpool, Fylde and Wyre. The service provides an alternative care option interfacing between primary and secondary care, aiming to prevent hospital admission or facilitate early discharge. Rapid Response is an integrated team of health and social care professionals that prevent hospital admissions and facilitate early hospital discharge of patients who meet specific criteria with a clinical need. Patients are required to have been seen by the referring personnel in the previous 24 hours. The service aims to provide an alternative care option to hospital.
Early Supported Discharge The Early Supported Discharge Team is a rehabilitation service for individuals within the Blackpool, Fylde and Wyre
areas. Patients are referred into the ESD service by therapists within both Blackpool Victoria and Clifton Hospitals. The ESDT consists of occupational therapists, technical instructors, staff nurse, physiotherapists, administrator and a team leader. The service is for adults who are medically stable but who would require a longer stay in hospital in order for them to return to their previous level of independence / function. By facilitating an earlier discharge home the ESDT increase the throughput of patients within both hospitals, reduce in patient length of stay, reduce the risk of patients developing hospital acquired infections and provide intensive rehabilitation for up to six weeks within patients own homes.
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 • Once your consultant led team assesses that you are medically fit for transfer, we will aim to transfer you from hospital on the same day • You will be transferred from the Blackpool Teaching Hospitals Trust when you are ready to leave hospital as there are more appropriate services and facilities available to you • We will aim to transfer you from hospital before 10am on your day of transfer and if you require transport, we will arrange this for you.
Useful contacts: • Alzheimer’s Society • Age UK Lancashire • Carers organisations • Healthwatch – Blackpool and Lancashire
Blackpool Teaching Hospitals
NHS Foundation Trust
When you leave hospital It is important to know that the majority of patients will be transferred home directly from hospital. If you no longer require consultant led care and there is a delay in the start of your care package or preferred community based placement, you
cannot choose to remain in an acute hospital bed. You will be transferred to a bed within a non hospital setting (within 48 hours) whilst this is arranged. We will only transfer you when the appropriate placement has been identified and confirmed.
Giving the hospital feedback Our Trust is committed to listening and responding to the views of our local population. Whether you are a patient who has received treatment with us, a carer, or an interested member of the public, it’s important you tell us what you think about our services - good and bad. So we know what we’re doing right and what we could do to improve. There are several ways in which you can give us your feedback including: The Friends and Family Test - Before you leave one of our sites you may be asked to fill in a very short survey called the ‘Friends and Family Test’ which asks if you would recommend our services to a friend or relative. You can also fill in this survey on our website or via telephone as long as it’s within 48 hours of your discharge. Spot surveys - Patient experience volunteers may approach you on the wards or in day clinics to find out if you are satisfied with your care so we can address any concerns you may have whilst you’re still receiving treatment. Postal surveys - A paper questionnaire may be sent to you at home shortly after an inpatient stay, an outpatient appointment, an A&E attendance or a home visit. It will be sent with a free
post envelope to return it to us. Via staff: if you have a concern request to speak to the service or ward manager or the matron for the area if you are in hospital. For out of hours concerns please call the Trust switchboard on 01253 300000 and ask for the out of hours matron. Via telephone: Contact the Patient Relations Team on 01253 65 5588 / 5589. The team offer impartial advice or support relating to any aspect of your care and deal with any concerns or complaints the Trusts receives. Write in to: The Chief Executive, Trust Headquarters, Second Floor, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool, FY3 8NR. If you’re writing in with a complaint please list the areas of concern you wish us to investigate. Digitally: members of our patient experience team can visit you in hospital or in the comfort of your own home to capture your experience on camera. Contact 01253 306374 for further details.
Together we care 9
NHS continuing healthcare Some people with long-term complex health needs qualify for free social care arranged and funded solely by the NHS. This is known as NHS continuing healthcare.
Where can NHS continuing healthcare be provided? NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your own home or in a care home.
Am I eligible for NHS continuing healthcare? 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). The team will look at all your care needs and relate them to: • what help you need • how complex your needs are • how intense your needs can be • how unpredictable they are, including any risks to your 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 for a full assessment for NHS continuing healthcare should usually be made within 28 days of an initial assessment or request for a full assessment. If you aren’t eligible for NHS continuing healthcare, you can be referred to your local council 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 pay for part of the package of support. This is sometimes known as a “joint package” of care.
Information and advice The process involved in NHS continuing healthcare assessments can be complex. An organisation called Beacon gives free independent advice on NHS continuing healthcare. Visit the Beacon website or call the free helpline on 0345 548 0300.
NHS continuing healthcare assessments 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. For most people, there’s 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. 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’ll 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’ll be referred for a full assessment of eligibility. Being referred for a full assessment doesn’t necessarily mean
Full assessment for NHS continuing healthcare Full assessments for NHS continuing healthcare are undertaken by a multidisciplinary team (MDT) made up of a minimum of 2 professionals from different healthcare professions. The MDT should usually include both health and social 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: • breathing • nutrition (food and drink) • continence • skin (including wounds and ulcers) • mobility • communication • psychological and emotional needs • cognition (understanding) • behaviour • drug therapies and medication • altered states of consciousness • other significant care needs These needs are given a weighting marked “priority”, “severe”, “high”, “moderate”, “low” or “no needs”. If you have at least one priority need, or severe needs in at least 2 areas, you can usually expect to 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.
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you’ll 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 in writing the reasons for their decision, and sign and date it. 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.
Fast-track assessment for NHS continuing healthcare If your health is deteriorating quickly and you’re nearing the end of your life, you 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’re 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’s agreed that a care home is the best option for you, there could be more than one local care home that’s 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’re eligible for NHS continuing healthcare, your needs and support package will normally be reviewed within 3 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’re still eligible for NHS continuing healthcare.
Q.
I have a local authority support package that works well. I’m now eligible for NHS continuing healthcare – will my support package change? If you’re 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”.
Q.
Can I refuse an assessment for NHS continuing healthcare? If I refuse, will I be able to get services from my local authority? An assessment for NHS continuing healthcare can’t be carried out without your consent, so it’s possible to refuse. However, if you refuse, although you’ll still be entitled to an assessment by the local authority there’s no guarantee that you’ll be provided with services. There’s a legal limit on the types 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.
Q.
Refunds for delays in NHS continuing healthcare funding
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?
CCGs will 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 there’s evidence that a move is likely to have a detrimental effect on your relative’s health or wellbeing, discuss this with the CCG. It will take your concerns into account when considering the most appropriate arrangements.
If the CCG decides you’re 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 you’re not eligible for NHS continuing healthcare If you’re not eligible for NHS continuing healthcare, but you’re assessed as requiring nursing care in a care home (in other words, a care home that’s registered to provide nursing care) you’ll be eligible for NHS-funded nursing care. This means that the NHS will pay a contribution towards the cost of your registered nursing care. NHS-funded nursing care is available irrespective of who is funding the rest of the care home fees.
If the CCG decides to arrange an alternative placement, they should provide a reasonable choice of homes.
Q.
Is it possible to pay top-up fees for NHS continuing healthcare?
No, it isn’t 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’re assessed as needing from the NHS. These private services should be provided by different staff and preferably in a different setting. 11
Paying for your own care (self-funding) You will not be entitled to help with the cost of care from your local council if: • you have savings worth more than £23,250 • you own your own property (this only applies if you’re moving into a care home)
You may be eligible for benefits, like Attendance Allowance and Personal Independence Payment (PIP), which aren’t means-tested. You can use them to pay towards the cost of your care.
You can ask your council for a financial assessment (means test) to check if you qualify for any help with costs.
Can I avoid selling my home?
You can choose to pay for care yourself if you don’t want a financial assessment.
You won’t have to sell your home to pay for help in your own home.
How to arrange your care as a self-funder
But you may have to sell your home to pay for a care home, unless your partner carries on living in it.
You can: • arrange and pay for care yourself without involving the council • ask the council to arrange and pay for your care (the council will then bill you, but not all councils offer this service and they may charge a fee)
Sometimes selling your home to pay care home fees is the best option. But there may be other ways to pay care home fees if you don’t want to sell your home straight away.
Find out what care you need
Releasing money from your home (equity release)
Even if you choose to pay for your care, your council can do an assessment to check what care you might need. This is called a needs assessment.
Equity release lets you take money that’s tied up in your home without selling it. It’s available if you’re over 55.
For example, it’ll tell you whether you need home help from a paid carer for 2 hours a day or 2 hours a week and precisely what they should help you with.
But you have to pay interest on the money you take out, which can be expensive.
The needs assessment is free and anyone can ask for one.
How much will care cost? Social care can be expensive. Knowing how much you’ll have to pay will help you budget. Paying for carers at home A typical hourly rate for a carer to come to your home is around £20, but this will vary depending on where you live. Having a carer who lives with you costs from around £650 a week. But it can cost as much as £1,600 a week if you need a lot of care. Paying for a care home There are 2 types of care home: • residential homes have staff that help with everyday tasks such as getting dressed and supply all your meals • nursing homes also offer 24-hour nursing care A room in a care home costs: • £600 a week in a residential home • £840 a week in a nursing home The price will vary according to where you live and the type of care you need. For example, serious health problems like dementia and chronic obstructive pulmonary disease (COPD) can increase the cost. 12
Benefits can help with care costs
The Money Advice Service has more information on equity release.
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Renting out your home
Telephone help
You can rent out your home and use the income to help pay your care home fees.
Get advice on paying for care from: • Age UK on freephone 0800 169 6565 • Independent Age on freephone 0800 319 6789 • the Money Advice Service on freephone 0800 138 7777
A deferred payment scheme A deferred payment scheme can be useful if you have savings less than £23,250 and all your money is tied up in your property. The council pays for your care home and you repay it later when you choose to sell your home, or after your death. Ask your council if you’re eligible for a deferred payment scheme. You can get more information from: • the Money Advice Service: deferred payment schemes
If your savings run out If your savings fall below £23,250, your council might be able to help with the cost of care. Contact your local council about 3 months before you think your savings will drop to below £23,250 and ask them to reassess your finances. Councils provide funding from the date you contact them. You won’t be reimbursed if your savings are less than £23,250 before you contact them.
• Independent Age: guide to care home fees and your property
Get expert financial help You can get unbiased expert advice from a specialist care fees adviser. They’ll help you compare all your options before you decide what’s right for you. Find a specialist care fees adviser in your area with: • PayingForCare, a free information service for older people • the Society of Later Life Advisers (SOLLA) on 0333 2020 454
What you can get for free You might be able to get some free help regardless of your income or if you’re paying for your care. This can include: • small bits of equipment or home adaptations that each cost less than £1,000 • NHS care, such as NHS continuing healthcare, NHSfunded nursing care and care after you have been discharged from hospital.
Wordsworth House
• 40-bedded home • Secure dementia unit • • Residential unit • Beautiful setting • • Lovely views • Friendly staff • Contact Aimee Green, Home Manager
01282 770101
Wordsworth House Care Home, Wordsworth Street, Hapton Burnley BB12 7JX
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Help at home from a carer Having a carer come to visit you in your home can make a huge difference to your life, especially if you have difficulty walking or getting around. It can help you stay living independently in your own home. This type of care is known as homecare or domiciliary care or sometimes home help. Help at home from a paid carer costs around £20 an hour, but it varies according to where you live. Sometimes, the council will contribute to the cost. Homecare is very flexible. You might need a carer for only an hour a week or for several hours a day. You might need a livein carer. It can be temporary – for example for a few weeks while you recover from an illness. Or it can be long term. You might also consider home adaptations or household gadgets or equipment to make life easier.
When should I consider help at home from a paid carer? You might want to consider care at home if: • you’re finding it difficult to cope with daily routines, such as washing, dressing and getting out and about • you don’t want to move into a care home • you can still get about your home and it’s safe for you to live in – or it can be adapted to make it safe
How can homecare help me? A carer can visit you at home to help you with all kinds of things including: • getting out of bed in the morning • washing and dressing • brushing your hair • using the toilet • preparing meals and drinks • remembering to take your medicines • doing your shopping • collecting prescriptions or your pension • getting out, for example to a lunch club • getting settled in the evening and ready for bed
Home help This is slightly different to homecare and means day-to-day domestic tasks that you may need a helping hand with such as: • cleaning (including putting on clean bed sheets) • doing the washing up • doing the laundry • gardening You might want some home help instead of or as well as homecare. Most councils don’t provide home help. Contact a charity such as the Royal Voluntary Service, the British Red Cross or your local Age UK to see whether they can help (they may not be free). 14
How to get help at home from a paid carer Your local council can arrange homecare for you if you’re eligible for it. You can arrange your own homecare.
How your council can help If you want the council to help with homecare for you, start by asking them for a needs assessment. Your needs assessment will help the council to decide whether you’re eligible for care. If you’re eligible, the council may recommend help at home from a paid carer. They will arrange the homecare for you. If you’re not eligible for care, the council must still give you free advice about where you can get help in your community. Even if you’re intending to make arrangements yourself with an agency or private carer, it’s still a good idea to have a needs assessment as it will help you to explain to the agency or carer what kind of help you need.
Paying for homecare Depending on your circumstances, your local council may contribute to the cost of homecare or you may have to pay for it yourself. If your needs assessment recommends home care, you may get help with the cost from the council. What you will contribute depends on your income and savings. The council will work this out in a financial assessment. If the council is paying for some or all of your homecare, they must give you a care and support plan. This sets out what your needs are, how they will be met and your personal budget (the amount the council thinks your care should cost). You can choose to receive your personal budget as a direct payment each month. This gives you the control to employ someone you know to care for you at home rather than using a homecare agency, though you’ll then have responsibilities as an employer. If you aren’t eligible for the council to contribute to your homecare costs, you will have to pay for it yourself.
Benefits that can help you with homecare Check if you’re eligible for benefits. Some, such as Attendance Allowance and Personal Independence Payments, aren’t means tested and they can help you meet the costs of homecare. Find out how to apply for: • benefits for under-65s • benefits for over-65s
How to choose a paid carer If you’re arranging your own homecare, there are 2 main ways to do this: • use a homecare agency • employ your own carer
The NHS have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the NHS endorse any of the products or services. All information and figures correct at the time of going to print.
Editorial content supplied by: the NHS
Homecare agencies
What to expect from agency carers
Homecare agencies employ trained carers and arrange for them to visit you in your home. You may not always have the same carer visiting your home, though the agency will try to match you with someone suitable.
Homecare agency carers should treat you in a respectful and dignified way. For example, they should always:
How much do they cost? It costs around £20 an hour for a carer to come to your home, but this will vary depending on where you live. If you’re paying for yourself, the agency should be able to give you a clear price list. They’ll send you a monthly bill for your homecare. How to find a local agency There are 4 main ways to do this: • search the NHS website for local homecare services and agencies and a list of national homecare organisations and then contact the ones that interest you • ask your council’s social services department for information on the homecare agencies in your area. They may have a directory of homecare agencies on their website • contact the Care Quality Commission (CQC). All homecare agencies must register with the CQC. It can give you the latest inspection report on an agency • ask the United Kingdom Homecare Association (UKHCA) for a list of approved homecare agencies in your area
• knock and ring the front door bell and announce their arrival before coming into your home • bring an identity card • know where your keys are kept if they’re not in your home • keep any entry codes to your house confidential • know what to do if they can’t get into your home • know what to do if you’ve had an accident Employing your own carer Instead of using an agency, you can hire your own carer, sometimes called a private carer or personal assistant. If you employ a carer, you have the legal responsibility of an employer. This includes arranging cover for their illness and holidays. Which? Later Life Care has advice on employing a private carer.
How to complain about homecare You have the right to complain if you’re not happy about the help at home you’re receiving. This might be because carers: • arrive late and leave early • don’t give your medicines to you properly • leave your home untidy after visits • give you poor care like dressing you wrongly First complain to your local council or, if you’re paying for yourself, the agency. The council or agency should have a formal complaints procedure on their website. Try to be specific about what happened and include staff names and dates if you can.
Questions to ask the agency Here are some questions you may want to ask an agency before employing them: • what charges, if any, will I be expected to pay? • what services are charged as extras? • have your carers looked after someone with similar needs to mine? • how will you choose the most suitable carer for me? • will the carer agree to visit in a specific time slot? And will they tell me if they’re delayed or running late? • what sort of training do your carers get? • if I’m paying for my own care, do you have a standard contract I can read before signing my own? • if the council is contributing to my care can I see a copy of the contract they’ve signed with the agency? • how can I contact your agency during the day, in an emergency or outside office hours?
If you’re not happy with the way the council or agency handles your complaint, ask the Local Government & Social Care Ombudsman to investigate further. An ombudsman is an independent person who’s been appointed to look into complaints about organisations. You can also tell the Care Quality Commission (CQC), which checks social care services in England. Your local council must provide you with an independent advocate (someone to speak up for you) to help you make a complaint if you need one.
Further help • the charity, Independent Age, has good advice on homecare • the CQC has a good booklet on what to expect from a good homecare agency • read how to organise homecare from Which? Later Life Care • Age UK has information on all aspects of homecare • if you need help with one-off jobs like changing a light bulb or moving furniture, the charity GoodGym has volunteers who will come round to help. 15
Welcome to Age UK Lancashire We are a local independent charity who are Passionate about Later Life and believe in enabling independence, choice and control. We believe that it is important to enable older people and their carers to have support to remain independent and to live interesting and fulfilled lives. We offer a range of services to help older people across Lancashire make more of their lives. Our care services are available to help frailer older people or those who feel lonely or isolated. These include access to social groups, exercise classes, activity groups, Home Help services and much more to assist older people in remaining active, independent and linked in to their local community. Our mission is to make Lancashire a great place to grow old and aim to support as many older people across the county as we can. We are able to provide services by generating income from; shops, trading, fundraising, donations and grants. Without the support of the general public we would not be able to continue the vital work we do.
Information and Advice Age UK Lancashire provides an information and advice service for older people aged 65+ and their carers. The service is free of charge, confidential, independent and impartial. We are able to help you with a range of issues. This may be about claiming benefits, housing or health and care issues or local services. You may be facing a crisis, or
just considering your options. We value diversity, promote equality and challenge discrimination in all that we do. We respond to an individual’s needs without regard to their gender, sexual orientation, disability, race or religion.
Hospital Aftercare Service This service provides short term practical and emotional support to adults, 18 years and over. Our well trained staff and volunteers provide help and support to individuals on discharge from hospital and rehabilitation units. We provide support such as crisis shopping, assistance with light household duties, emotional support, providing information and advice. We also offer supported discharge from hospital to your own home. This service can be accessed by selfreferral or through hospital and NHS staff.
Daytime support We provide support in a comforting and welcoming environment to encourage social interaction, inclusion and engagement in a variety of meaningful activities. This is a full day with lunch and refreshments provided. Enhanced and dementia support is also available from some of our centres, which can provide carers with much needed respite during the day. This service is provided by qualified support workers. There is a cost to this service.
Passionate about Later Life 16
Lancashire Older Veterans The Service aims to improve the quality of life and wellbeing of older veterans aged 65+. Our team of Navigators will help older veterans to identify their needs and overcome a range of barriers to accessing support. We can provide access to social activities and groups, practical support at home, information and advice.
Dementia Support This service enables individuals and their carers with memory problems to maintain or re-develop daily living skills, have opportunities to be involved in educational, leisure or creative activities and be supported in maintaining or developing contacts in their own community.
Home Help The service includes household chores, cleaning, shopping, assisted shopping and help with general tasks. We accompany to appointments, social events, activities; we support with interests and hobbies; Just tell us what you would like us to do, as we can be flexible in meeting your needs. There is a cost to this service.
Charity Shops Our shops are crucial to the work of our organisation. They help us raise much-needed cash which we can use to provide services which are not funded by other agencies. They are also a great place to find good quality clothes, books and other items and very reasonable prices and also provide information on a range of issues relevant to older people. Anyone interested in donating items to be sold can drop things in to their local shop. Don’t forget to Gift Aid your donations!
Donations & Fundraising To continue our work for older people across the county, Age UK Lancashire is dependent on the generous support of the people of the local area and beyond. Although we receive grants for some of our activities, we have no regular guaranteed income. Ways to support us are: making a one off or regular donation, donation in memory, participating in our fundraising events, taking on your own challenge or organising your own fundraiser and leaving a gift in your Will. 100% of the money donated and raised stays in Lancashire.
Contact us If you would like any information about our services and the support we provide: Call: 0300 303 1234 (charged at local rate) Visit: www.ageuklancs.org.uk Email: referrals@ageuklancs.org.uk
Case Study
One way in which a person can feel lonely We recently met a gentleman & his wife at the Hub in Lancaster.
Mr K explained that his wife had recently been diagnosed with Vascular Dementia. (They are both in their early 70s) It was in September this year that Mr K started to notice that Mrs K was becoming forgetful in particular with times and places. It was this that led to Mr & Mrs K‘s GP making a referral to the memory clinic. Having now had the appropriate assessments, Mrs K is being supported in her own home and Age UK Lancashire’s Dementia Support Team are providing access to appropriate events in their own local community, which are all working very well. The sad part to this synopsis is what Mr K stated to me that he has now “lost the women he married to vascular dementia & that there are many occasions that he feels very lonely.
Case Study
Advice Line
Mrs P was living on her own since her husband of 47 years passed away. With no family close by Mrs P felt very isolated and low on confidence. This led to Mrs P not wanting to go out and socialise or even visit the local shops. Having previously been quite active and involved with local community groups, the affect to Mrs P’s mental wellbeing became progressively worse until her daughter, who lives abroad, decided to contact Age UK Lancashire to look for support. The Advice line team arranged a telephone meeting with Mrs P and were able to provide her with information about Age UK Lancashire and other services that would help her to get out of the house and gain confidence. Mrs P decided to try out the Home Help service to help with jobs around the house and as a consequence the regular visits helped her regain confidence to speak to people and want to start going out. Age UK Lancashire was able to put her in contact with a local library group who meet weekly and encouraged her to go. Mrs P now enjoys the weekly group and has met some new friends who act as a support network for each other. 17
Is your life affected by dementia? We’re here for you, and provide a range of support services throughout Lancashire. Alzheimer’s Society will: ■L isten to your needs and offer tailored information and advice to support you to live well with dementia ■H elp you maintain independence and wellbeing ■L ink you up with professionals and services, including everything from social groups to help identifying practical supports We provide one-to-one supports and groups activities and can tell you about what’s available locally and happening in your area. Along with the Lancashire services listed overleaf you can also reach support from Alzheimer’s Society nationwide.
National Dementia Helpline If you have concerns about dementia, Alzheimer’s Society National Dementia Helpline can provide information, support, guidance, and signposting. The Helpline is open from 9am to 8pm Monday to Wednesday; 9am to 5pm Thursday to Friday; and Saturday to Sunday 10am to 4pm on 0300 222 11 22
Alzheimers.org.uk Alzheimer’s Society web site is an extensive resource with information, news, and guides on a wide range of subjects. You will also find a directory of local supports at www.alzheimers.org.uk/ dementiaconnect and a supportive community and discussion forum at www.alzheimers.org.uk/talkingpoint
Other ways to get involved Making Lancashire Dementia-Friendly Become a Dementia Friend or Dementia Champion and gain knowledge and confidence to help people living with dementia feel understood and included in your community.
Lancaster cadets with Alzheimer’s Society and Mayor David
Dementia Action Week helps people people at Lancaster Community Fire
Alzheimer’s Society’s #AskUsAnything campaign, marking 26 May), saw Carnforth Fire Cadets unite and include peo a conversation at an afternoon tea event at Lancaster Com Station on Wednesday 22 May. This came after a new Alz people with dementia found that six in ten people with dem loneliness and isolation. The afternoon tea and entertainment event funded by the supported by a number of our partner agencies was plann living with Dementia and their family/carers to enjoy an info food, singing and even some dancing. Carnforth Fire Cad Dementia Friends also attended to support the event. Gerry Hellier who has worked for Lancashire Fire and years and is a Community Safety Advisor and Demen Carnforth Fire Cadet Team Leader said: “This event offe engage with the older people attending and to practise the their recent Dementia Friends session. ‘It also fulfils part of their Skills for Justice community enga delighted to host the event at Lancaster’s new Community bring together young and old members of the community t Tara Edwards, Area Manager for Alzheimer’s Lanca Society in Lancashire said: “It was an Statio amazing turnout at Lancaster Community Fire and Ambulance station. In Lancaster 1,994 people are living with dementia. “Events like this as part of Alzheimer’s Society’s Dementia Action Week have united people, workplaces, schools and communities to take action and improve the lives of people living with dementia. We all have a role in Lancashire to help create a dementia-friendly generation changing the w also tackle the loneliness and isolation that many people w “Many people are worried about ‘saying the wrong thing’ to a friendly face or listening ear can make the world of differ more included in society.” Unite with Alzheimer’s Society now at alzheimers.org.uk
What is a Dementia Friend? A Dementia Friend learns a little bit more about what it’s like to live with dementia and then turns that understanding into action – anyone of any age can be a Dementia Friend.
What is a Dementia Champion? A Dementia Friends Champion is a volunteer who encourages others to make a positive difference to people living with dementia in their community. They do this by giving them information about the personal impact of dementia, and what they can do to help. To get involved visit www.dementiafriends.org.uk or contact your local Alzheimer’s Society office.
What is a Dementia Friendly Community (DFC)? Everyone, from governments and health boards to the local corner shop and hairdresser, share part of the responsibility for ensuring that people with dementia feel understood, valued and able to contribute to their community. For more information please contact your local Society office. 18
Alzheimer’s Society Ambassador Vick people to unite against dementia at Bl
Dementia is now the UK’s biggest killer, with someone dev the top 10 causes of death, dementia is the only one we c Alzheimer’s Society is calling on family, friends and colleag autumn by signing up for Memory Walk. I love taking part in my local Memory Walk every year. It’s of my Nana Iris who I lost to dementia, whilst uniting with t are also affected. I’d love to see more people attend Mem more money and more awareness. We need new treatments for dementia now - there have b We owe it to the 850,000 people in the UK currently living change this. Every pound raised will help Alzheimer’s Society provide v improve care, fund research and create lasting change. Unite against dementia and sign up to the Blackpool Mem September at memorywalk.org.uk
Whitaker
talk and include & Ambulance Station
g Dementia Action Week (20ople with dementia by starting mmunity Fire & Ambulance zheimer’s Society survey1 of mentia say they experience
Older Persons Forum and ned as an opportunity for those formal get together with some nice dets who have recently become
d Rescue Service for over 13 ntia Lead for Northern Area and ered the cadets the opportunity to e skills they have learned during
agement module. We were y Fire and Ambulance Station and to talk about dementia.�
aster Fire and Ambulance on Dementia Action Week
way people think, talk and act, and with dementia can feel. o someone with dementia, yet rence, helping people feel much
ky McClure urges lackpool Memory Walk
veloping it every three minutes. Of cannot prevent, cure or slow down. gues to unite against dementia this
an opportunity to celebrate the life thousands of other walkers who mory Walk than ever before, raising
For advice and support or for information about local services and activities please contact us Central and West Lancashire 01772 788700
Live well with dementia
North Lancashire 01253 696854 East Lancashire 0333 150 3456 Or our national helpline 0300 222 11 22 Or visit our web site www.alzheimers.org.uk
been none in the last 15 years. with dementia to do something to
vital information and support,
mory Walk on Sunday 15 19
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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3
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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. 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?
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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.
Safeguarding adults who receive social care
10 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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NHS Hospitals and
services in Lancashire University Hospitals of Morecambe Bay
University Hospitals of Morecambe Bay
NHS Foundation Trust
NHS Foundation Trust
Ulverston Community Health Centre University Hospitals of Morecambe Bay
Westmorland General Hospital Burton Road, Kendal, Cumbria, LA9 7RG. Tel: 01539 732288
Stanley St, Ulverston, Cumbria LA12 7BT. Tel: 01229 484045
NHS Foundation Trust
Furness General Hospital
Newby Bridge
Dalton Lane, Barrow-InFurness, Cumbria, LA14 4LF. Tel: 01539 732288
Kendal
University Hospitals of Morecambe Bay NHS Foundation Trust
Queen Victoria Hospital
Ulverston Barrow-inFurness
Thornton Road, Morecambe, Lancashire, LA4 5NN. Tel: 01524 406665
Grangeover-Sands
Morecambe
University Hospitals of Morecambe Bay
Clapham
Hornby
Age UK Lancashire 6-8 Castle Street, Clitheroe, BB7 2BX
LANCASTER
NHS Foundation Trust
Age UK Lancashire Walton Lane Community Centre, Leeds Road, Nelson, BB9 8RW
Royal Lancaster Infirmary Ashton Road, Lancaster, Lancashire LA1 4RP. Tel: 01539 732288
Dunsop Bridge
Fleetwood
Newton House - Mental Health Care, 183 Newton Drive, Blackpool FY3 8NU
Colne
Blackpool Blackpool Victoria Hospital - 38 Whinney Heys
Age UK Lancashire Knight Hill House, Memorial Park, Blackburn Road, Padiham BB12 8JZ
Burnley
Rd, Blackpool, Lancashire FY3 8NR. Tel: 01253 300000
Alzheimer’s Society North Lancashire, The Rowan Suite, Blackpool Centre for Independent Living, 259 Whitegate Drive, Blackpool, Lancashire FY3 9JL
Age UK Lancashire Unit 2, Number One Market Street, Nelson BB9 7LJ
Chipping
Preston
Blackburn Darwen
Southport
Age UK Lancashire 7 St George’s Road, Lytham St Annes FY8 2AE
Ramsbottom Rufford
NHS Foundation Trust
Trust Headquarters, Sceptre Point, Sceptre Way, Walton Summit, Preston, PR5 6AW. Tel: 01772 695300
Rochdale Bolton
Skelmersdale
Age UK Lancashire Preston Hub, 5-6 Cheapside, Preston PR1 2AP
Lancashire Care
Age UK Lancashire 24 Keirby Walk, Burnley, BB11 2DE
Leigh Bootle Age UK Lancashire Moorgate, Ormskirk L39 4RY
The locations on the map indicate where services operate out of.
Alzheimer’s Society Central and West Lancashire
Age UK Lancashire Lifestyle Centre, Gillibrand Street, Chorley, PR7 2EJ Head Office: Railway House, Railway Road, Chorley, Lancashire, PR6 0HW. Tel: 0300 303 1234
1st Floor, West Wing, Derby House, Lytham Road, Fulwood, Preston PR2 8JE. Tel: 01772 788 700
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Useful contacts A
E
Action on Elder Abuse 080 880 88141 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
Elderly Accommodation Counsel 0800 377 7070 Elderly Accommodation Counsel (EAC) is a national charity that aims to help older people make informed choices about meeting their housing and care needs. I www.eac.org.uk I info@firststopadvice.org.uk
Admiral Nurses 0800 888 6678 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. I www.dementiauk.org I helpline@dementiauk.org
M
Age UK Lancashire (locations countywide) 0300 303 1234 Railway House, Railway Road, Chorley, Lancashire, PR6 0HW I www.ageuklancs.org.uk I referrals@ageuklancs.org.uk Alzheimer’s Society Central and West Lancashire 01772 788 700 I centrallancashire@alzheimers.org.uk 1st Floor, West Wing, Derby House, Lytham Road, Fulwood, Preston PR2 8JE Alzheimer’s Society North Lancashire 01253 696854 I northlancashire@alzheimers.org.uk The Rowan Suite, Blackpool Centre for Independent Living, 259 Whitegate Drive, Blackpool, Lancashire FY3 9JL Alzheimer’s Society East Lancashire 0333 150 3456 I eastlancashire@alzheimers.org.uk I www.alzheimers.org.uk
C Care Quality Commission (CQC) 03000 616161 National Correspondence, Citygate, Gallowgate, Newcastle upon Tyne NE1 4PA I www.cqc.org.uk I enquiries@cqc.org.uk Carers UK Making life better for carers. I advice@carersuk.org I www.carersuk.org
0808 808 7777
Citizens Advice Lancashire West 0344 245 1294 Chorley Office: 35-39 Market Street, Chorley, Lancashire PR7 2SW Leyland Office: 78 Towngate, Leyland, Lancashire PR25 2LR Fleetwood Office: 122 Poulton Road, Fleetwood, Lancashire FY7 7AR Skelmersdale Office: Unit 47, The Concourse Shopping Centre, Skelmersdale, Lancashire WN8 6LN I www.citizensadvicelancashirewest.org.uk Citizens Advice North Lancashire 0344 488 9622 Morecambe office: Oban House, 87-89 Queen Street, Morecambe, Lancashire LA4 5EN Lancaster office: 87 King Street, Lancaster, Lancashire LA1 1RH I www.northlancashirecab.org.uk I enquiries@northlancashirecab.org.uk Cruse Bereavement Care 0808 808 1677 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 Disability Service Centre Get advice or information about a claim you’ve already made for Disability Living Allowance, Attendance Allowance or Personal Independence Payment. I www.gov.uk/disability-benefits-helpline
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Mind (National Association 0300 123 3393 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 info@mind.org.uk
N 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 NHS 111
111
P Parkinson's Disease Society I www.parkinsons.org.uk
0800 800 0303
R Royal Osteoporosis Society Advice, information and support group for people with osteoporosis. I www.theros.org.uk
0808 800 0035
Royal Voluntary Service 0330 555 0310 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, Beck Court, Cardiff Gate Business Park, Cardiff CF23 8RP I www.royalvoluntaryservice.org.uk
S Stroke Association 0303 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 I www.gov.uk/contact-pension-service Every possible care has been taken to ensure that the information given in this publication is correct at the time of going to print. Whilst the publisher would be grateful to learn of any errors, it cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without prior written consent of the copyright owners. Octagon Design & Marketing Ltd. ©2019. Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire, DN10 6AB. Telephone: 01302 714528 Options Lancashire is published by Octagon Design and Marketing Ltd with editorial contributions from University Hospitals of Morecambe Bay NHS Foundation Trust, Blackpool Teaching Hospitals NHS Foundation Trust, the CQC, Age UK Lancashire, Alzheimer’s Society and the NHS. The editorial contributors have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor do the editorial contributors endorse any of the products or services.
Residential Home Silverdale Cove Road, Silverdale, Carnforth, Lancashire, LA5 0SG
T: 01524 701219 W: www.abbeyfield.com E: information@covehouse.org.uk CHARITY NUMBER: 1174376
At Cove House we always put our residents at the centre of everything we do. As a registered charity with a high staff to resident ratio, our team have the time to care and make time for our residents by ensuring that each day offers something special. We provide full residential care for a wide range of conditions, including Dementia and Parkinsons, as well as respite stays.
...outstandingly beautiful 23
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