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 £161,655.95 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) Older 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 £48,066.85 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 £26,234.48 Careline £50,535.00 Clinical Psychologists (slippage) £15,358.04 Ceredigion Third Sector Core Community Resource Team 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 £220,684.00
Ceredigion 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 £40,551.32 Now is the Time: Pembrokeshire Time Banking ALL Exploring the feasibility of setting up a Time banking system. £1,877 PIVOT – Pembrokeshire Intermediate Voluntary Organisations Team Older Adults, Frail Elderly and those with LD/Complex needs PIVOT prevents unnecessary admission to hospital and facilitates early discharge arrangements. The service is open to all, but mainly meets the needs of the elderly population – 75% of all referrals in 2016/17 were aged over 65 years. Once admitted to hospital, evidence shows that the average stay rate for an elderly patient is 10 days which is not only expensive, but often does not deliver the best long-term outcomes for the individual. £160,712 £90,000 Community Connectors (Active & Connected Communities) (Pembrokeshire) ALL Community Connectors service is a key element of the Active & Connected Communities programme, a 2-year project piloting a third sector-led community and citizen-centred approach to improving health and well-being in Pembrokeshire £30,000 £30,750.00 Third sector Health and Well-being Facilitator (Pembrokeshire) ALL Ensuring the third sector is integral to the delivery and strategic planning of both Social Care and Hywel Dda University Health Board’s strategic aim to build community resilience and develop preventative services to reduce the need for statutory interventions. £34,000 £17,000.00 Caring Communities Innovations Grants (Pembrokeshire) Older Adults, Frail Elderly and those Investing in the development of community-based preventative services, including social enterprise, cooperatives, user-led and third sector provision £30,000 £30,000.00
Reablement (Pembrokeshire) Older Adults, Frail Elderly and those with Complex needs Assessors to ensure that transfers of care and exits with no long term care are facilitated in a timely manner to ensure reablement capacity is focussed on the core intervention. £247,563 £255,817.94 Releasing Time to Care (OT) (Pembrokeshire) Older Adults & Frail Elderly The RTTC occupational therapist works with people who have experienced a decline in functional abilities, which result in a request for significant formal care provision. They are routinely assessed and reviewed by occupational therapy to ensure their abilities are optimised and equipment & techniques are utilised appropriately. £40,000 £31,213.74 Accommodation and Efficiency (Pembrokeshire) LD Complex needs Two social workers to support core service provision through the reviewing of a target group of high cost packages of care; to maximise independence. Identify cases that will be reviewed so that service users are supported to maximise their independence with appropriate alternatives to long term institutional care and are accessing support appropriate to their assessed needs. £87,918 £68,218.45 Complex Accommodation Project (Pembrokeshire) elderly, LD & Complex needs Proactively developing accommodation options for adults with complex needs and matching clients’ needs to appropriate properties £20,000 £2,073.91 Assistive Technology (Pembrokeshire) LD Complex A project targeting people require support on discharge from hospital or are fast tracked for palliative care. Rapid response equipment delivery will release hospital beds more quickly and allow personal choice for end of life care. This directly links to the Social Services and £13,000 £2,559.73