Community Resilience & Prevention (Carmarthenshire) ALL An asset based approach to identify and develop community based preventative and early intervention services which will have maximum impact in sustaining and improving wellbeing; proactively preventing needs increasing and reducing the prevalence of vulnerable people moving onto and up the ‘care escalator’. £178,193 £41,143.79 Home from Hospital (Carmarthenshire) Older Adults & Frail Elderly Enabling the continuation of an enhanced home from hospital service that will be able to provide support (including personal care support) over the weekends for individuals whose safe discharge from hospital is conditional on them being able to receive a daily care package. £34,766 Therapeutic Intervention Support Workers for Community Hospitals (Carmarthenshire) Adults & Frail Elderly Citizens live in a home that best supports them to achieve their well-being. Citizens get the right care and support, as early as possible. £81,967 £24,003.76 Information & Assessment Officer (Carers) (Carmarthenshire) Older Adults, Frail Elderly & LD To collaborate with carers services across the county to ensure carers are given the right information at the right time to support them in their caring role. To improve performance in relation to carers assessments across the County. £24,000 £4,861.48 Ceredigion Third Sector Core Community Resource Team Older Adults, Frail Elderly and those with LD/Complex needs Enabling key Third Sector partners in Ceredigion to work as a team to provide blended, timely and appropriate support to those who are frail and elderly. £294,000 £122,684.19 Ceredigion Third Sector Integration Facilitators Older Adults, Frail Elderly and those with LD/Complex needs Bridgeing the gaps between the statutory providers and the 3rd sector groups. The facilitators are employed by HDUHB, but are jointly managed between the stakeholders. £58,366 £24,765.31
Frailty Support Workers (Acute Wards) (Carmarthenshire) Older Adults & Frail Elderly Project completed. Process to embed learning in workforce development under consideration. £73,446 £100,319.49 TOCALS (Carmarthenshire) Older Adults & Frail Elderly The Transfer of Care Advice and Liaison Service (TOCALS) facilitates the active development and implementation of an effective frailty pathway, acknowledging the significant risk of permanent loss of function associated with frail elderly people being admitted to an acute general hospital £704,732 £344,641.06 Reablement Occupational Therapist’s (Carmarthenshire) Older Adults & Frail Elderly The Reablement model is changing from a Social Care to a therapy led intermediate care service. This will mean that individuals will have a functional assessment by an occupational therapist to determine what the person can do as opposed to what they cannot do, placing the individual at the centre of the process and consider what is important to them in what they want to achieve. £86,661 £21,098.78 Acute Response Team Enhancement (Carmarthenshire) ART operates 7 days per week, and has proven to respond to patient needs in a timely enough manner so as to prevent the need for admission / readmission to acute settings. £108,761 £62,156.76 Accessing Alternatives to Admission (Ceredigion) Older Adults, Frail Elderly and those with Complex needs To facilitate the continued development and implementation of an effective frailty pathway within Ceredigion’s acute general hospital. This acknowledges the significant risk of permanent loss of function associated with frail elderly people being admitted to an acute general £327,728 £102,395.62