South East Glasgow Community Health & Care Partnership

Public Summary Development Plan

2007-2010

NHS Greater Glasgow & Clyde and Glasgow City Council Working together in your community

This document summarises the main priorities and actions of the South East Glasgow Community Health and Care Partnership for 2007 to 2010.

Community Health and Care Partnerships were introduced in April 2006 by Glasgow City Council and NHS Greater Glasgow and Clyde. They were set up to improve the health and wellbeing of residents and to improve the way health and social-care services are provided.

Community Health and Care Partnerships are a combination of organisations, managed by a team of professionals from health and social-work services. Community Health and Care Partnerships are answerable to Glasgow City Council and NHS Greater Glasgow and Clyde.

Introduction

Improving Health and Wellbeing for South East Glasgow - CHCP Development Plan 2007 -20102

3Improving Health and Wellbeing for South East Glasgow - CHCP Development Plan 2007 -2010

Welcome

Dealing with inequality is our main priority – we intend to focus on understanding and tackling the differences in lifestyles, living standards and opportunities for local people.

We believe that inequality is unacceptable and we want to play our part in removing inequality by making sure our services give people fair and equal opportunities.

To do this, we want to work closely with people who use our services and with carers and other agencies. We want to agree with them what our priorities should be for ensuring the good health and social wellbeing of the people of Glasgow.

We believe this approach demands that we cater for every person

living in Glasgow, whatever their situation. However, it also means we must actively include people who have been abused or need protecting, have low incomes, poor housing, lower educational achievement, insecure employment, are homeless or have poor health. One of the main features of this Development Plan will be our commitment to considering and tackling these factors that have a negative impact on people’s lives.

In recommending this plan to you, we would like to acknowledge the contribution that our staff, partner organisations, and the public have made in producing it. This was truly a joint effort! We need that same level of joint working to put into practice everything we want to achieve, and a commitment to making it happen in the years to come.

In 2006 we began life as a new social-care and healthpartnership, answerable to Glasgow City Council and GreaterGlasgow and Clyde NHS Board. Since then, we have fi rmly established ournew partnership and aim to work with other relevant people and agencies to tacklethe health and social inequalities in South East Glasgow.

Bailie James ScanlonCHAIR

Cathie CowanDIRECTOR

South East Glasgow

The South East Glasgow Community Health and Care Partnership is responsible for providing services to all areas shown on the map in Figure 1.

The Community Health and Care Partnership serves a population of 101,020 and some of the most deprived communities in Glasgow. There is also a large black and minority ethnic (BME) population in this area, and we have an increasing number of people living in the South East who come from Poland and Slovakia.

There are also signifi cant health and social inequalities in the area, and noticeable variations between the most and least deprived communities. For example, a man living in Battlefi eld can expect to live to over 70, while a man living in the Gorbals can expect to live to just over 62.

These variations in the needs of people living in the area give us diffi cult challenges in how we provide services and work with others to improve health and wellbeing.

Figure 1 – Areas covered by South East Glasgow CHCP

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This document describes how we intend to respond to these challenges, and to the priorities agreed by Glasgow City Council and NHS Greater Glasgow and Clyde. In writing this plan, we have also taken into account the views of our staff, service-users, carers, voluntary organisations, and the other agencies we work with.

We have developed these six themes to ensure that we respond to people’s needs effectively by getting the best from health and social care services working together, and recognising that everyone is an individual whose needs do not fi t neatly into one box.

Under each theme we outline the main things we will be doing.

Introducing the Cross Cutting Themes

The planis roughly

divided intosix mainthemes:

“Supporting”children and families in communities while

protecting and promoting good health, equality,

achievement and wellbeing

in communities while protecting and promoting

good health, equality, achievement and

“Coordinating”our services better so that we can support vulnerable adults (such as the elderly

and people with disabilities) to live normal lives in their

local communities.

divided into

“Creating”opportunities for work,

new projects and schemes, skills and income in places

where people can live, work and succeed.

opportunities for work, new projects and schemes, skills and income in places

where people can live, work and succeed.

“Improving”local environments and

making them places where people feel safe and want

to live.

divided into

“Improving”local environments and

making them places where

“Connecting”people and services from

different communities by developing a shared understanding of each other, and by sharing

knowledge and skills.

“Training”and developing our

managers and staff toprovide and support

changes to our serviceand new ways of working

with our main partner organisations.

My name is Louise. I’m 17 years old and I have a one-year-old daughter. I’ve just moved into my fi rst fl at, with the help of Children &

Families Services, and have been using this service for over

three years.

I was put into care three years ago due to the breakdown of my family. I left care when I fell pregnant and was then put into a mother-and-baby unit, and then into supported care for one year.

I’ve had three different social workers in the three years. At fi rst I’d see my social worker a few times a week but then less often when I got more confi dent. Because I’ve moved into my new fl at I see my support worker regularly.

By law, social workers have to support me until I’m 18, and will be responsible for my care until I’m 21.

I’m taking Legal Secretarial Studies at college. When I’m there, my daughter goes to child care, which is also supported by social-work services.

By 2010 we plan to do the following:

• Alongside our main partners, apply the Health for All Children National recommendations to ensure we meet the health and wellbeing needs of all children

living in South East Glasgow.• Tackle the health and wellbeing needs of

vulnerable children and give evidence that these needs have been met and are included in

care planning and care management.• Develop local child-protection forums (organised meetings) and a Local

Children’s Services Planning Group.• Ensure children and families receive the right services when they need

them. We will do this by ensuring they know where to go to get the help they need, by making it easier to refer them to services and by being more aware of children’s needs and the support they need.

• Apply the local Improving Children’s Services Action Plan, which will mean working much more closely with New Learning Communities, reshaping residential care and developing the learning disability and autism services.

My Story

Cross Cutting Themes - “Supporting”

My name is Louise. I’m 17 years old

Families Services, and have been

My Story

vulnerable children and give evidence that

“Supporting”children and families in communities while

protecting and promoting good health, equality,

achievement and wellbeing

Improving Health and Wellbeing for South East Glasgow - CHCP Development Plan 2007 -20106

7Improving Health and Wellbeing for South East Glasgow - CHCP Development Plan 2007 -2010Improving Health and Wellbeing for South East Glasgow

Cross Cutting Themes - “Coordinating”

My Story

I’m a 62-year-old man, married with two children. Three years ago I was diagnosed with Parkinson’s disease. I was in good health before that.

I go to my GP regularly for an update on my condition. Every 3–6 months I attend the Parkinson’s clinic in the

hospital, where there are medical staff who specialise in Parkinson’s disease, but I can go to the clinic at any time for a check-up on my medication or if I think my condition has got worse.

At the moment I’m attending STEPS, a mental-health support service. I go every 4–5 weeks to see a cognitive-behavioural therapist for a one-to-one consultation for anxiety and stress. I have previously attended a six-week course in stress management.

I also attend the Carr-Gomm Buddying Service. This is a person-centred support service that helps me with my social skills and to meet new people.

For two-and-a-half years I’ve been involved in a Parkinson’s support group. A Community Worker attends these meeting to give us support as a group. The support group has 70 members and offers exercise classes twice a week – I also try to go swimming at the leisure centre from time to time.

I attend the Stress Centre for refl exology and also see the psychiatrist at the local resource centre.

By 2010 we plan to do the following in Mental Health Services:

• Educate children in local schools about mental

illness to try to prevent the discrimination often associated

with this.• Provide new services to the most vulnerable and

harder-to-reach people in our communities, such as the elderly and people with disabilities.

• Try to get more people into training or employment using our services for assessing what people need and supporting them.

• Reduce spending on anti-depressant medication by offering alternative ‘talking therapies’.

illness to try to prevent the

“Coordinating”our services better so that we can support vulnerable adults (such as the elderly

and people with disabilities) to live normal lives in their

local communities.

I’m a 63-year-old woman and I’m married with two children and two grandchildren.

In 1994 I had a severe stroke that left me paralysed on my left side. Before that I was in good health.

I want to know what caused my stroke but no-one can give me a reason. I am on Warfarin, which means I have to visit the anti-coagulant clinic regularly. I also attend the cardiology department of the hospital for an annual heart scan, and I also go to my local health centre to see a chiropodist.

A charity called Different Strokes provides exercise classes for stroke survivors, and with the help of the founder, I set up the fi rst branch of the charity in Scotland. There are now fi ve groups across Scotland. For four years I’ve been part of the patients’ forum with the NHS Managed Clinical Network for stroke, and I’ve been on the Glasgow Disabled Access Panel for three years.

I fi nd using the phone very diffi cult, especially when I’m trying to work my way through automated phone systems – they’re just unsuitable for people with disabilities like mine. Even when I phone for a repeat prescription, I now have to choose the right button number, and then wait 48 hours before I can collect it. This is not ideal for people with short-term memory problems, a common side-effect of a stroke.

By 2010 we plan to do the following in Older People Services:

• Focus on assessment, anticipating people’s needs and

early intervention in people with long-term conditions and diseases of

old age, including chronic heart disease, diabetes and dementia.

• Ensure we target our service to provide help for elderly people with sensory impairment, poor oral health, incontinence and physical disability.

• Work with other agencies to ensure we make the most of the income we get and provide welfare advice, carer and advocacy support and access to Direct Payments.

• Make it easier for people to access services, in terms of travelling and waiting times. We will set up a single point of entry to services to ensure people can access the reception services in our health centres and social work offi ces easily and be directed to the most appropriate section of the service.

Improving Health and Wellbeing for South East Glasgow - CHCP Development Plan 2007 -20108

My Story

Cross Cutting Themes - “Coordinating”

“Coordinating”our services better so that we can support vulnerable adults (such as the elderly

and people with disabilities) to live normal lives in their

local communities.

I’m a 63-year-old woman and I’m married with two

on my left side. Before that I was in good health.

My Story

9Improving Health and Wellbeing for South East Glasgow - CHCP Development Plan 2007 -2010Improving Health and Wellbeing for South East Glasgow

My name is Peter. I’m 27, have a severe learning disability and signifi cant physical and sensory impairment. I use a

wheelchair and have a peg tube for feeding. Because I suffer from

poorly controlled epilepsy, I also need medication to manage it and prevent me being admitted to hospital. I live at home and I’m cared for by my elderly mother.

I attend a Learning Disabilities Resource Centre fi ve days a week and receive one-to-one support from an agency worker three days a week. I also receive external agency nursing support every day to help me eat my meals. On the days that I don’t have my agency worker, I’m cared for in the centre. On the day that I don’t have an external worker and need rescue medication, the emergency services are contacted.

I travel to the centre by taxi from home and we collect my agency worker on the way. This return journey takes an hour. At the centre I take part in sensory-stimulation activities, music and movement as well as community outings.

My name is Peter. I’m 27, have

wheelchair and have a peg tube

My Story

By 2010 we plan to do the following in Learning Disability Services:

• Introduce training sessions for staff to improve awareness of the health needs of adults with learning

disabilities.• Appoint a care manager for anyone who requests

a service and is assessed as needing community-based support.

• Redesign our day services to offer a wider range of vocational (job-related) opportunities as well as life-skills training and recreational activities.

By 2010 we plan to do the following in Community Addiction Services:

• Extend alcohol-awareness sessions to a wider section of the community.• Make a signifi cant contribution to assessing, supporting and protecting

children made vulnerable by their parents’ alcohol or drug use. We will identify gaps in the service and highlight areas where we can work with other organisations to help reduce addiction.

• Develop an integrated service by agreeing working methods and standards with other services, particularly older people’s services, mental health and primary care eg: GPs, pharmacists, district nurses and health visitors.

• Appoint a care manager for anyone who requests

“Coordinating”our services better so that we can support vulnerable adults (such as the elderly

and people with disabilities) to live normal lives in their

local communities.

Cross Cutting Themes - “Coordinating”

Cross Cutting Themes - “Coordinating”

By 2010 we plan to do the following in Physical Disability Services:

• Improve the way we work with our colleagues in hospital services and develop a more holistic approach (considering the whole person) to health and wellbeing.

• Encourage people to be more independent and in control of their lives.

• Work with other agencies to infl uence the way local services are provided so that, where possible, people with physical disabilities can remain in their own home.

• Improve referral, assessment, care-management and rehabilitation for people with disabilities.

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• Work with GPs to develop the new ‘social-prescribing initiative’. This is a scheme where GPs can prescribe programmes of activities rather than medication to encourage active lifestyles and can also give patients welfare-rights advice.• Work with our partner organisations to break down the barriers to

employment for: people not in education, employment or training; children who are looked after and accommodated; and people with

long-term medical conditions on incapacity benefi t.

Cross Cutting Themes - “Creating”

By 2010 we plan to do the following:

By 2010 we plan to do the following:

• Continue to contribute to the local regeneration programmes and community-safety initiatives in South East Glasgow.• Contribute to the development of

local housing strategy to ensure we have housing that meets the needs of larger families and people with disabilities.

• Develop more effective and realistic options for people who are subject to Community Service Orders and aim to integrate and keep these people in the local community.

• Develop plans for a local centre that brings together health, social and other key partners in East Pollokshields to meet local health and social care needs.

• Increase our role in preventing and reducing homelessness by working with partner organisations to help people keep their tenancies.

“Creating”opportunities for work,

new projects and schemes, skills and income in places

where people can live, work and succeed.

“Improving”local environments and

making them places where people feel safe and want

to live.

Cross Cutting Themes - “Improving”

• Introduce a new service to support people trying to get job or training opportunities (or both).

• Support staff to take a broad view of an individual’s needs so looking for a job and training opportunities are seen as central to the work staff do.

I’m in my late 60s and I’m originally from India. I speak only Punjabi. I can’t speak, read or write

English.

I have been attending a social-work offi ce in South East Glasgow since I arrived in Scotland, mainly for welfare-rights and benefi t advice. I also receive support from the community workers and the advocacy worker who speaks Punjabi, as my husband has been violent towards me.

My husband is no longer living with me and I need a support worker who speaks Punjabi to accompany me to my local health centre and to the hospital. My husband has been working with a social worker too.

We need more bilingual health and social-care workers who speak Punjabi and Urdu and black and minority ethnic workers, to understand Asian cultures and help support people like me.

By 2010 we plan to do the following:

• Build community capacity to support communities, local groups and individuals to

infl uence public agencies to make more informed decisions that are sensitive to local concerns.

• Put into practice the ‘GP collaborative scheme’, which will enable more patients to access primary-care services more

easily. We will also encourage other primary-care professionals through their new contracts to focus their services on communities in greatest need.

• Work with local pharmacies to support the new Pharmacy Contract, and ensure that we make the most of the skills, knowledge and expertise of community pharmacists to improve the health of the population.

• Introduce ways of providing community-based health improvements to achieve better value for money, and better use of resources where they are most needed.

Cross Cutting Themes - “Connecting”

I’m in my late 60s and I’m

English.

My Story

“Connecting”people and services from

different communities by developing a shared understanding of each other, and by sharing

knowledge and skills.

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13Improving Health and Wellbeing for South East Glasgow - CHCP Development Plan 2007 -2010

Cross Cutting Themes - “Equipping”

By 2010 we plan to do the following:

• Develop and implement a programme that promotes

healthy lifestyles, to encourage staff to take part in physical activity

and healthy eating, and support those who want to stop smoking.

• Continue to develop culturally sensitive services with our staff and implement our local Equality Action Plan , to fulfi l the requirements of equalities legislation and to ensure we provide services that hard-to-reach groups can access (such as ethnic minority groups).

• Help staff understand the best way for people to access health and social-care services so that they use the service that meets their needs with minimum diffi culty.

• With staff partnership, trade union liaison and staff involvement, develop services that show better outcomes for service-users, while ensuring we support and equip staff to take on new skills and challenges.

staff to take part in physical activity

“Training”and developing our

managers and staff toprovide and support

changes to our serviceand new ways of working

with our main partner organisations.

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Fit for life - 8th of June 2007

15Improving Health and Wellbeing for South East Glasgow - CHCP Development Plan 2007 -2010

How to get involvedPublic Partnership Forum

A key part of the Community Health and Care Partnership is the Public Partnership Forum. The forum is a group who meet regularly and represent

the views of the public, service-users, carers, voluntary organisations and community groups. The forum is a formal part of our decision-making

process, and two of its members are also on the Community Health and Care Partnership Committee.

If you want to know more about the Public Partnership Forum or become involved, please contact Una Fingleton, Public Involvement Offi cer, on

0141 276 6728, or email her at Una.Fingleton@sw.glasgow.gov.uk.

If you want more information about the Community Health and Care Partnership or a full copy of the Development Plan, please contact

South East CHCP, Forsyth House, 151 Coplaw Street, Glasgow G42 7DE. Telephone: 0141 276 6700

If you would like a copy of this document in large print or in a language other than English please contact Una Fingleton Public Involvement Offi cer,

on 0141 276 6728, or email her at Una.Fingleton@sw.glasgow.gov.uk

Further Information

South East Glasgow Community Health & Care Partnership

Working together in your community