Minutes:
The Committee considered a joint report of the Directors of
Adults and Communities, Children and Family Services and Public Health, the
purpose of which was to advise on the outcomes of an engagement exercise and
invite comments on the draft joint Leicestershire, Leicestershire
and Rutland (LLR) Carers Strategy 2022 – 2025, as part of the formal
consultation process. A copy of the report marked ‘Agenda Item 10’, is filed
with these minutes.
The Chairman welcomed Mr. J. Morgan CC, in his capacity as
Chairman of the Council’s Health Overview and Scrutiny Committee, and Mrs. H.
Fryer CC, in her capacity as the Chairman of the Council’s Children and
Families Overview and Scrutiny Committee, to the meeting for this item.
Arising from discussion the following points were made:
(i)
Members felt that more needed to be done to
identify carers early and raise awareness of the support services available
across the County. Concern was raised over the level of reliance on GPs and
hospitals to identify carers and the limited action that was taken in this
regard. In response to questions raised, the following points were confirmed:
a.
Given the front line
service they provided, GPs had the principal duty to identify and register
people who were carers. Once registered, the person identified would go on to
receive assessments of their caring responsibilities from both Primary Care and
Adult Social Care to assess types and level of need.
b.
A key area of the Strategy partners would be
focusing on was improving the quality of and access to the information carers
needed. Information was already publicised in a number of ways – outside of the
Health System this included in Council buildings and on its websites. However,
it was recognised that there were more opportunities, such as through the
Council’s library and education services, to be explored. The new Carers’
Support Service was expected to be a key part of getting information out more
widely.
c.
Feedback previously received from carers had
suggested that the best place to publicise information and advice for carers
was through GP surgeries/Primary Care services. Though it was acknowledged that
the changes that had occurred over the last few years (e.g.
less physical visits taking place in GP surgeries) would need to be taken into
account going forward. There would be an
opportunity for the Council to influence health related actions via the local
Carers’ Delivery Group.
d.
Regarding whether the Council was able to access
carer registration details stored on Health managed databases to support with
the identification of carers and coordination of services, it was stated that
due to data protection the Council could only access personal information on a
‘need to know’ basis. However, including a ‘carers flag’ on the LLR Shared Care
Record was something that would be considered with NHS colleagues developing
the Record.
(ii)
Members suggested the following ways to promote
information for carers and to help those with caring responsibilities recognise
themselves as carers:
a.
By working with District Councils through the
services they delivered.
b.
Articles could be included in each
Leicestershire Matters newsletter distributed to every residents
in the County. Hangers on dustbins could also include the same information.
c.
County Councillors to be kept informed about the
support available to discuss with their constituents. For example, provide them with leaflets to
handout at community social group meetings.
d.
Information should be kept simple and advice on
completing forms, that could often be long and complex, could be usefully
provided.
(iii)
The physical and mental strain on people (who
may be challenged by their own health problems) caring for family members was
highlighted. It was commented that such people were integral to supporting the
NHS and the economy. Members were reassured that improving support for such
people would be a key area of focus. It was acknowledged that many were carers
because they wanted to care for their loved ones, but the right support needed
to be put in place to help them remain as carers. A key issue was that many
people also worked alongside their caring duties so promotion of work life
balance and the support available through the private sector/businesses was an
avenue that would be explored. Members noted that the proposed contract for the
new Carers’ Support Service also factored in the need to attract inward
investment into the County to support such carers.
(iv)
In reference to who the Strategy was for, it was
suggested that those suffering from cognitive decline be specifically
referenced as a cohort that carers provided support for. It was felt that
whilst this was a condition that a number of the cohorts already referenced
within the Strategy may experience (such as those living with Mental Health or
Substance Misuse needs), there were other groups such as older people that also
suffered from this condition who might not identify with the existing references.
(v)
In response to a question raised around how the
outcomes of the engagement event undertaken in 2021 had been used to inform the
draft Strategy, the Director advised that overall, the event had confirmed the
priorities identified within the draft Strategy to be accurate. However, it had
highlighted that more focus was needed to make improvements around information
and advice and promoting the use of digital options available (in line with the
Department’s Delivering Wellbeing and Opportunity in Leicestershire Strategy
and direction being taken nationally).
(vi)
Members were further advised that young carers
had not wanted their own priority which had been taken into
account. However, given that many aspects of the Strategy related to
young carers efforts had been made to ensure this cohort was sufficiently
referenced throughout. Mrs Fryer CC
commented that the disruptions to the education system during the pandemic may
have had an effect on the number of young carers being identified which was
something the Children and Families Overview and Scrutiny Committee would be
keeping under review.
(vii)
It was commented that schools were able to offer
additional support to children with a recognised health condition such as by
providing extra equipment or time to complete exams. It was suggested there was
potential to match the offer for young carers in education.
(viii)
In terms of the options to improve the support
package available to carers a Member suggested that
with smart phones being commonly used, having an app specifically designed for
Leicestershire for people to download might be an effective and accessible way
for information and advice to be provided all in one place. Having a webmail
facility attached to the Customer Service Centre might also be helpful for
answering any queries. A number of other
Members highlighted that whilst digital technology could be useful for some not
everyone could work a smart phone so there needed to be a range of options
available.
(ix)
There were mixed views on whether the target
audiences to engage with on the Strategy should be gender focussed given the
large majority of respondents to the engagement undertaken in 2021 were female.
A number of Members felt that many people, particularly men, may not identify
themselves as carers so the consultation needed to be as inclusive as possible
to encourage a greater response.
(x)
The Committee thanked the Director for the
report and acknowledged that delivering the Strategy relied on each partner
delivering their areas of responsibility. It was requested that Members be
updated as appropriate on progress with the new Carers Support Service for
Leicestershire contract.
RESOLVED:
(a)
That the Director be requested to consider the
comments now raised regarding the draft refreshed LLR Carers’ Strategy
2022-2025 and action plan as part of the formal consultation process.
(b) That Members be updated as appropriate on progress with the new Carers Support Service for Leicestershire contract.
Supporting documents: