6. Health and Physical Disabilities How are we addressing health and physical disability care and support Partnership Activity A number of care and support in relation to health and physical disabilities were raised in the PNA, whereby responsibilities for addressing these lie with other Partnerships than the Regional Partnership Board. This Plan provides links to other delivery mechanisms and strategies in place to address the care and support needs identified: HPD1.1: Improve and protect the health and well-being of Cardiff and Vale of Glamorgan residents. Contribution to PNA Priorities: N1-N13 Contribution to Well-being Objectives: WBC2-WBC7, WBV1-WBV4 Contribution to National Outcomes: 1.1-1.2, 2.1-2.3, 4.1-4.2, 5.2, 7.2-7.4, 8.1 How will we Deliver? Partner Agencies Reporting Mechanism Resources IAA models Well-being Plans Primary Care Plan/GP Cluster Plans Wellbeing 4U Service Cardiff Independent Living Service Strategic Equality CVUHB, GPs, Local Authorities, Third Sector CVUHB IMTP Annual Report of the Director of Public Health Well-being Plan Annual Reports Core budgets Primary Care Fund ICF √ √ √ 7. Adult Mental Health and Cognitive Impairment How are we addressing care and support
How will we Deliver? Partner Agencies Reporting Mechanism Resources IAA models Cardiff and Vale of Glamorgan Community Cohesion Delivery Plan 2017-2010 Well-being Plans Inclusive Cardiff Network: Inclusive Cities Project (under development) Local Strategic Framework on New and Emerging Communities authorities, CVUHB, Welsh Refugee Coalition, Third Sector Public Service Boards Syrian Resettlement Leadership & Operational Groups Core budgets WG Community Cohesion Funding Home Office Syrian Resettlement Programme Funding √ √ √ 11. Offenders How are we addressing care and support needs? Other Partnership Activity A number of care and support needs in relation to offenders were raised in the PNA, whereby responsibilities for addressing these lie with other Partnerships than the Regional Partnership Board. This Plan provides links to other delivery mechanisms and strategies in place to address the care and support needs identified: O1.1 Contribution to PNA Priorities: N1-N10 Contribution to Well-being Objectives: WBC3-WBC5, WBC7, WBV2-WBV3 Contribution to National Outcomes: 1.1-1.6, 2.1, 2.3, 3.1, 3.3, 4.1, 5.2, 6.1-6.2, 7.3 How will we Deliver? Partner Agencies Reporting Mechanism Resources IAA models
residential rehabilitation placements Police and Crime Commissioner / National Offender Management Service budget for the Offender Intervention Service (Cardiff and Vale component) Overview of Population Needs – by Population Group 1. Older People N1 – Maintain sustainability of key services supporting older people N2 – Improve access to information and advice (e.g. one stop shop model)
N3 – Improve integrated management of mental health and physical issues N4 – Increase integration of health, housing and social care N5 – Reduce social isolation and loneliness while maintaining independence N6 – Increase support to access practical help with such as shopping and gardening N7 – Improve support and information for people with dementia, family and carers N8 – Provide appropriate housing to meet individuals’ and enable people to remain independent N9 – Promote accessible built environments (including good lighting and toilets) N10 – Improve the commissioning of care home places to enable consistent and high quality care N11 – Improve public transport services to enable access to activities promoting health and well-being N12 – Improve access to different types of advocacy N13 Increase digital inclusion to enable access to information and services N14 Promote inter-generational opportunities in communities 2. Children and Young People N1 – Improve support for children and young people affected by parental relationship breakdown and domestic violence N2 – Improve access to appropriate services in a timely fashion, including primary care and mental health services, and support for young people with ADHD and Autism N3 – Improve access to appropriate services for looked after children and children in need, recognising increased rates of emotional and mental health issues N4 – Increase support for young carers, including respite, and raise awareness of what they do N5 – Increase involvement of children and young people in decisions affecting them N6 Enable smoother transitions between children’s and adult’s services N7 – Provide appropriate and safe accommodation N8 – Further develop vocational educational opportunities and apprenticeships N9 – Respond to the increasing numbers and complexity of needs of children and young people with a disability N1 – Increase the availability of information and services N2 – Improve public transport services to enable access to activities promoting health and well-being
5. Health and Physical Disabilities N1 – Improve access to information and services N2 – Maintain and improve the provision and sustainability of community services N3 – Improve the flexibility of services, including offering provision closer to home N4 – Improve transitions between children’s and adult’s services N5 – Increase integration of health, housing and social care N6 – Promote and target service to meet the needs of vulnerable groups N7 – Improve public transport services to enable access to activities which promote health and well-being N8 – Improve the use of public buildings to join-up services and maximise resources N9 – Provide appropriate housing to meet individuals’ needs and enable people to remain independent N10 – Reduce the prevalence of unhealthy behaviours N11 – Respond to the increasing prevalence of long-term conditions N12 – Reduce the levels of air pollution N13 – Reduce the number of people living in food poverty 6. Adult Mental Health and Cognitive Impairment N1 – Increase timely access to low level mental health services (including counselling and family support) N2- Improve the join-up of information, advice and services N3 – Reduce loneliness and isolation (especially among people with dementia, asylum seekers and refugees) N4 – Provide appropriate housing to meet individuals’ and enable people to remain independent N5 – Continue partnership approach between statutory services and with the third sector N6 – Improve support for the families of people with mental health issues N7 – Improve access to services such as community hubs and one-stop-shops N8 – Improve information and support for GPs to inform decisions around referrals N9 – Improve support for people with dementia, their families and carers N10 – Improve peer support and mentoring to guide people through the system 7. Sensory Loss and Impairment N1 – Improve accessible communication and provision of information on services available N2 – Improve opportunities for increasing mobility and rehabilitation N3 – Review purpose and use of registers for sensory impairment N4 – Increase opportunities to improve social interaction, mental health and well-being N5 – Improve the provision of person centred equipment and technology N6 – Ensure appropriate housing to meet individuals’ needs and enable independent living N7 – Improve access to appropriate specialist services and assessments N8 – Continue partnership approach between statutory services and with the third sector
N9 – Identify people with complex needs and sensory impairment who require additional support N10 – Improve planning for increase in prevalence of people with sight loss N11 – Recognise and address diagnosed hearing impairment older people in care homes 8. Violence Against Women, Domestic Abuse and Sexual Violence N1 – Undertake awareness raising in schools to promote healthy relationships N2 – Promote the use of positive male role models N3 – Provide support and safeguarding to children in households where there is domestic abuse N4 – and reduce the incidences of adverse childhood experiences (ACEs) N5 – Ensure approaches are both needs-led and risk-led N6 – Increase the accountability of perpetrators N7 – Promote early reporting and the implementation of “Ask and Act” N8 – Improve transparency in family courts N9 – Improve access to information on services and support that is available N10 – Raise awareness in communities of how they can identify and support people experiencing domestic abuse and sexual violence N11 – Provide appropriate, safe and secure accommodation N12 – Improve the availability of age-appropriate counselling N13- Reduce incidences of child sexual exploitation N14 – Reduce incidences of ‘honour’-based violence 9. Asylum Seekers and Refugees N1 – Improve access to ESOL and interpretation for public services N2 – Improve access to information on education, hate crime, health and service provision. N3 – Improve access to the labour market N4 – Provide support to help establish links in the community N5 – Increase the availability of childcare N6 – Improve public transport services to enable access to health and social activities N7 – Improve engagement with schools N8 – Improve access to community mental health services 10. Offenders N1 –Improve access to mental health and substance misuse services, and counselling post release N2 – Respond to the increase in use of new psychoactive substances N3 – Improve support to enable family stability N4 – Provide appropriate housing and support N5 – Improve access to information on employment and welfare benefits support N6 – Provide youth support services and activities N7 – Promote healthy lifestyles (including sexual health) N8 – Increase engagement in education and community activities
N9 – Improve partnership working and communication between services N10 – Promote opportunities for continued adult learning and development of life skills 11. Veterans N1 – Improve mental health diagnosis and care N2 – Reduce social isolation N3 – Improve access to housing N4 – Improve the availability of financial advice N5 – Improve the provision of services for all conditions affecting veterans, not just post-traumatic stress disorder N6 – Reduce substance misuse and self-medication N7 – Increase diagnosis and preventative treatment to reduce long-term limiting illnesses N8 – Improve transition between active service and civilian life N9 – Improve access to information and services N10 – Reduce safeguarding issues relating to domestic violence 12. Substance Misuse N1 – Respond to the increased number of people buying illicit substances online N2 – Respond to the growing ‘hidden population’ misusing prescription and over the counter medication N3 – Reduce the misuse of neuropathic medications with alcohol and N4 – Reduce the use of synthetic cannabinoids and nitrous oxide N5 – Increase awareness of dual diagnosis (substance misuse and mental health issues in one individual) N6 – Respond to the increasing prevalence of alcohol related brain damage (ARBD) N7 – Respond to the growing impact of highs’ on emergency services N8 – Respond to the increased distribution of more portent heroin N9 – Reduce the number of older people (50+ years) misusing alcohol through loneliness and boredom N10 – Review access to substance misuse services (including opening hours) N11 – Improve co-ordination between services Appendix 2 Cardiff and Vale of Glamorgan Well-being Objectives Cardiff Well-being Objectives Vale of Glamorgan Objectives
What well-being means National well-being outcomes Securing rights and entitlements. Also for adults: control over day-to-day life. 1.1 1.2 1.3 1.4 1.5 1.6 I know and understand what care, support and opportunities are available and use to help me achieve my well-being I can access the right information, when I need it, in the way I want it and use this to manage and improve my well-being I am treated with dignity and respect and treat others the same My voice is heard and listened to My individual circumstances are considered I for myself and contribute to the decisions that affect my life, or have someone who can do it for me Physical and mental health and emotional Also for children: physical, intellectual, emotional, social and behavioural development. 2.1 2.2 2.3 I am healthy and active and do things to keep myself healthy I am happy and do the things that make me happy I get the care and support, as early as possible. Protection from abuse and neglect. 3.1 3.2 3.3 I am safe and protected from abuse and neglect I am supported to protect the people that matter to me from and neglect I am informed about how to make my concerns known. Education, training and recreation. 4.1 4.2 I can learn and develop to my full potential I do the things that matter to me. Domestic, family and personal relationships. 5.1 5.2 I belong I contribute to and enjoy safe and healthy relationships. Contribution made to society. 6.1 6.2 I engage and make a contribution to my community I feel valued in society. Social and economic well-being. Also for adults: participation in work. 7.1 7.2 7.3 7.4 7.5 I contribute towards my social life and can be with the people that I choose I do not live in poverty I am supported to work I get the help I need to grow up and be independent I get care and support through the Welsh language if I want it. Suitability of living accommodation. 8.1 I live in a home that best supports me to achieve my well-being. Appendix 4 Glossary