Health and Social Care: a healthy, caring city.
We want to make sure that people are able to live heathy, fulfilling lives, and to have the right health and care support when they need it. Newcastle’s population has a growing proportion of older people, more people who have complex needs and greater numbers of people with recognised learning and physical disabilities.
Channelling Newcastle’s warm and generous spirit into how we ensure support, opportunity and care all who need it across the life course is important. We are committed to helping people live well and independently in their own homes, maintaining contact with family and friends, and being part of their communities.
We will use our powers to promote health across the city. We will continue to integrate public health improvement in to our decisions across the whole range of our city-wide activities.
- A city with healthy and thriving communities
- A city where people can live their lives and age well
- A city that protects the vulnerable and responds to their needs
What are we doing to achieve this priority during 2018-19?
- Having a greater focus on improving mental health, both through specific initiatives and by supporting health in all polices.
- Taking new approaches to drug and alcohol treatment and prevention, recognising their complexity and impact not only for users but for their families and communities.
- Having a new impetus to improved sexual health.
- Further developing population approaches that impact across physical, mental and social health, for example, through food policy, transport and clear air, environment and infrastructure.
- Collaborating more with the NHS for prevention and health improvement.
- Reshaping our services that support people to return to independence by working with health to review intermediate care services and by introducing a night time support service provided by our well regarded Reablement service.
- Continuing to invest in our ‘front door’, moving our focus more explicitly to digital prevention and the use of technology to provide information, advice and signposting services:
- Developing our digital offer which includes statutory advice on our website and advice on equipment and adaptations on our My Equipment Newcastle Website.
- We have recently brought the Information Now (a website commissioned by Newcastle City Council with advice and information aimed at over 55’s) staff in house and plan to form a small team which will work on our digital and prevention offer.
- We are testing the use of a virtual social care information assistant on our website. This will answer simple queries and signpost people to relevant digital information on things like gardening, housework and equipment. We do not want to replace existing staff with this approach, and there will always be the option for people to speak to someone, but it means that staff have more time to deal with more complex cases and issues
- Delivering on our housing with support programme, opening schemes throughout 2018-19 aimed at people with complex needs arising from their learning disability, autism, mental health issues or a combination of these.
- Testing new ways of working by creating social work capacity to support people with mental health issues who present to A&E, managing the vital interface between social care and health in the city’s hospitals, and freeing up social work time by creating a ‘brokerage’ team to take up the often-complex task of procuring care and support packages for people eligible for support.
- How will we measure our progress?
- Assessment against the Public Health Outcomes Framework
- Benchmarking of public health service quality through sector led improvement
- Annual Public Health Report
- Adult Social Care Local Account
- Number of adults aged 65 and over admitted permanently to council-funded residential or nursing care
- Quality of life experienced by adults using council-funded social care
- Proportion of adults using council-funded social care who feel in control over daily life
Some of our achievements in 2017-18
- We achieved UNICEF Baby Friendly Initiative accreditation, with breastfeeding maintenance at 6-8 weeks above the national average.
- Progress in child health as assessed by the biannual Health Related Behaviour Survey of school students.
- Successful progress with Newcastle Can, a new way to tackle health and obesity. With TV chef and campaigner Hugh Fearnley-Whittingstall at the helm, the experiment aims to encourage communities throughout the city to work together to get healthier and fitter and to lose 100,000lbs in weight.
- We saw another increase in the number of people requesting social care support, but we were able to signpost almost 40% of those to prevention services, information and advice which we have supported in the communities. The total number of people who receive support remained the same. Of all the people who were provided with a reablement service, designed to help people regain their independence, only 21% needed ongoing support.
- A continued fall in teenage conceptions.
- We continued with our ambitious programme of providing good quality housing with support for adults with more complex needs, opening two Extra Care schemes that focus on people with dementia or other cognitive conditions and two Supported Living schemes for people with a learning disability, autism, or both.
- Embedded an innovative approach to reviewing care and support packages to ensure we maximise both outcomes for the individual and efficiency, across a range of adults with complex needs.
- Created innovative new services, including a home from hospital service to allow a more focussed Reablement service, and ‘time to think’ flats that allow people to test out the idea of living in Extra Care.