Domicilary Physiotherapist

Examples of Practice

A lady with poor mobility with pain on standing/walking, reduced confidence in walking, difficulty with activities of daily living including bathing & stairs (only one banister) and problems related to chest infections. Financial worries and concerns related to her disease progression.

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Pharmacy Input to Carer Service

Examples of Practice

Support carers in the management of medicines to allow patients to have their medicines administered in a safe and informed manner and to allow older patients to remain in their home safely and to reduce unscheduled hospital admissions caused by inappropriate use of medicines

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Homecare Redesign

Examples of Practice

Falkirk Council Home Care Service provides care to approximately 1,600 in house service users and manages the care of approximately 300 + external agency only and in-house plus external agency and or voluntary provider service users.

The traditional model of management for this service had been to appoint home care managers on a geographical basis to manage the whole range of services to be provided. Whilst this was acceptable 15 years ago with the changes to care provision, increased volume of care at home services and the changing ethos of how we provide services, e.g. re-ablement, use of private providers etc. the traditional model was outdated, no longer met the needs of the service users and was preventing the capacity of managers to provide the high quality of care services which we aim to provide.

As part of our self evaluation exercise we highlighted the need to diversify our management arrangements and specifically aim to target the effective splitting of the patch home care manager’s role into three specialism’s. These will be long term service provision within a geographical patch, resource management of agency providers, shopping meals and laundry services and our 24/7 service providing specialist re-hab at home, crisis care and to move into a more involved relationship with facilitating more appropriate and timely discharge of patients as well as preventing hospital admission by extending the remit of our rapid response services and working closer with our colleagues in Reach.

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Carers Innovative Personalised Short Breaks

Examples of Practice

Carer burn-out or extreme fatigue has often been anecdotally cited by carers themselves as the lead cause for the cared-for being moved on to institutional hospital care, often viewed as an avoidable hospital admission.

This can often lead to poor personal outcomes for both the cared-for and the carer.  Tackling this in a preventative manner has allowed carers to retain their physical and mental well-being, supporting them in the longer term in their caring role.

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Supporting Carers

Examples of Practice

We were trying to prevent crisis in caring, in recognition that often older people require institutional care, as carers are no longer able to cope.

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