HOT at RCHT

June 6th, 2019 by

Innovative ‘HOT Team’ project to address alcohol A&E figures

In April 2018, national figures demonstrated that the number of people being admitted to A&E departments in England is the highest since records began.  Additional research has evidenced that a substantial amount of individuals frequently attending A&E departments are struggling with problematic drug and alcohol use.

Addaction, Cornwall’s commissioned drug and alcohol treatment service, has launched a rapid response team to cut the number of people frequently attending the hospital’s A&E department due to alcohol or drugs.

The HOT Team (Hospital Outreach Team) is the first team in the country to link up with a major Hospital to deliver a collaborative service offer to patients struggling with problematic alcohol and/or drug use, often becoming frequent attenders.

Addaction’s HOT team and RCHT was recently featured on ITV West Country News and the project is clearly thriving; with RCHT reporting a dramatic reduction in frequent attender numbers. The report was overwhelmingly positive and reflected the dynamic and innovative work being done in Cornwall to address the needs of some of our most vulnerable community members.

As a result of the HOT team’s success in Cornwall, the Government is now evaluating the project and considering delivering it across the country’s 50 major hospitals. This project is a great example of the collaborative work between the Commissioning team and Addaction, who continue to support a multi-agency response and service offer to individuals struggling with various vulnerabilities, including drug and alcohol related harm.

Author: Anna MacGregor

 

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Reviewing Cornwall’s Homelessness Strategy

June 5th, 2019 by

Homelessness can affect anyone at any time. Homelessness means not having a home. You are considered  homeless if you have nowhere to stay and are living on the streets – but you can also be homeless even if you have a roof over your head. Homelessness is complex and often reflects other vulnerabilities or circumstances related to health, justice or social services. Homelessness often results from a combination of events such as relationship breakdown, debt, adverse experiences in childhood and through ill health. Homelessness can be devastating. People affected by street homelessness, the most visible form of homelessness, are almost 17 times more likely to have been victims of violence, 15 times more likely to have suffered verbal abuse in the past year and are 9 times more likely to take their own life than on average. The average age of death for someone who is homeless and rough sleeping is just 47 – thirty years younger than the national average.

We are already achieving a lot in terms of helping homeless people in Cornwall but there is so much more to be done. Cornwall’s current Homelessness Strategy needs reviewing in light of recent legislative (Homelessness Reduction Act 2017) and other changes such as the publication of the Government’s Rough Sleeping Strategy and Delivery Plan. If you work with homeless people or are just concerned about homelessness in Cornwall please get involved in helping to develop our new strategy. Consultation and engagement on the review of the strategy will run for 12 weeks from Wednesday 15th May to Wednesday 7th August 2019.

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Inspiring frontline practitioners

June 5th, 2019 by

Inspiring frontline practitioners and their managers about working differently with people who self-neglect – Safeguarding Adults Board conference May 23rd 2019

Focussing on Self Neglect, this year’s Safeguarding Adults Board Conference brought together 120 multi-agency frontline practitioners and their managers to hear from nationally recognised sector leads and be inspired by organisations who work differently, to celebrate some great work already happening in Cornwall and to learn together about what we can do differently in future.

SAB Chair, Fiona Field, opened the day with a poignant video ‘Keith’s Story’ the real life journey of a person affected by hoarding.

 

Delegates then attended workshops lead by renowned experts in their field; Clouds End, Research in Practice for Adults, Community Fire and Rescue Service and Ardent Care.

Helen Charlesworth-May, Strategic Director Adult Social Care and Health, closed the morning session by acknowledging the way we worked with people historically is not the way we will work with people in future.

Professor Michael Preston-Shoot, Emeritus Professor of Social Worker, University of Bedfordshire,  delivered a thought provoking speech asking  delegates to look closely at the ‘masks’ we wear and to consider this in our work with people who self-neglect and hoard.  Dr Mary Rose Day, Independent Nurse Consultant, shared  the assessment tools she uses.

Other speeches included Lloyd Ncube of Ardent Care and a good news case story presented by  Angela King, Head of Service and Lin Cousin, Case Co-coordinator, Adult Social Care.  A short film of the day will be available soon on the SAB website.

 

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Council employees informed of how to be a safer driver.

June 2nd, 2019 by

On Monday 20th May at NCH an employee engagement event was held focusing on being a safer driver.

Staff were invited to come to speak to Cornwall Fire & Rescue and Cornwall Council staff regarding their safety on the road with the emphasis on being a safer driver ensuring you are fit to drive, you adopt safer driving behaviour as a driver and ensure your vehicle is road safe.

Messages included, in car distractions such mobile phones, vehicle checks, alcohol and being fit to drive. Information and advice was provided to increase drivers’ awareness, encouraging them to adopt or maintain safe driving behaviour, and make a positive change.

Guy Pomeroy from Falmouth Fire Station, supported by Green Watch from Truro, delivered mobile phone safety information to Council employees. Staff who engaged were given a signal blocker asked to complete a form to evaluate the use of the signal blocker.  The Health, Safety & Wellbeing team attended and offered bloody pressure tests, eye sight tests and checks and tailored health advice as we are aware of the increase of RTC’s being reported as medical episodes at the wheel.  Staff from the Prevention and Road Safety Team attended to deliver road safety messages to attendees.

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Rough sleeping

June 2nd, 2019 by

Cornwall Housing (CHL) are working with partners across the county to end rough sleeping across Cornwall. CHL have been awarded just over £970k via Cornwall Council to set up and run a number of 12 month projects aimed at further reducing rough sleeping. Adding to existing projects and initiatives funded via CHL, Cornwall Council and the MHCLG (Ministry of Housing, Communities and Local Government) 4 new projects are in the process of being set up. These projects will be:

 

  • A Somewhere Safe to Stay (SStS) hub. This will be a rapid assessment centre providing sit up space 24/7 for rough sleepers and those at risk of rough sleeping as a safe place to go, be assessed and then moved on into more sustainable housing as appropriate. This may be a move into a night shelter, into temporary accommodation via CHL, into a hostel or other supported accommodation, into a Short Term Accommodation and Resettlement (STAR) unit, into a Housing First Property or into the private rented sector. The SStS project will provide a roaming hub based out of existing community provision. It will move location every 6 weeks to ensure full county coverage. CHL will engage with local embers and organisations in the set-up of the hubs. At present locations in Truro, Penzance and Falmouth have been identified with additional sites in Newquay and St Austell currently being explored.

 

  • A Supported Lodgings scheme. This will provide tenancy sustainment to those moving into their own properties who have a history of rough sleeping to enable them to gain the skills needed to live independently going forwards without further risk of homelessness.

 

  • A new Navigator service which will support those with multiple/complex needs throughout their journey off the streets and into independence. The navigator service will be a single point of contact for all agencies involved with those supported and will coordinate support around them. As part of this service we will also be setting up a Homeless Health Peer Advocacy (HHPA) service in partnership with Groundswell. This service will work with those who have experience of homelessness and rough sleeping training them up to become peer mentors to those in need, encouraging and supporting access to health services and in engaging with services that can support a move away from the streets.

 

  • Expanding Cornwall Housing Private Lets team into the North and East of the County to provide a social lettings agency, supporting those with experience of homelessness to move into the private rented sector. Tenancy sustainment support across the county will now also be provided as part of this – one in the North and East and one down West.

 

If you would like more information on these projects or wish to get involved please contact Jude Cross, Rough Sleeping Strategic Lead on Judith.cross@cornwallhousing.org.uk

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1521 staff trained

June 2nd, 2019 by

Community Safety & DAAT Training Programme 2018/19 End of Year Report

This report covers the 12 month period April 2018 – March 2019, during which time the following training courses have been delivered:
  • 18x Alcohol Intervention & Brief Advice

A total of 317 people attended and completed the 3 hour Alcohol IBA session in 2018/19.

In additional to this, there was 3 Alcohol IBA Health Check sessions run for specific teams which were attended and completed by another 24 people, making a total of 341 people in year.

  • 11x Basic Drug Awareness PLUS 1 Train the Trainer session 

A total of 222 people attended and completed the 1 day BDA course in 2018/19.

  • Train the Trainer – 1 day course – (Trainer: Kim Hager)

Developing the bank of trainers who can deliver our local course. Following the Basic Drug Awareness Train the Trainer session on 26th November 2018 we have an additional 6 trainers for this course.  All 6 trainee trainers were assigned to future BDA course dates to train alongside the existing trainers.  This has been attended by 4 trainees so far with plans to co-train again in future courses to build experience.

  • 2x Blue Light course 

A total of 36 people attended and completed the 1 day Blue Light course in 2018/19.

The Blue Light Project is Alcohol Concern’s national initiative to develop alternative approaches and care pathways for people who are dependent drinkers, who resist change and are a high users of public services.

  • 14x Community Hospital Alcohol Detoxification (CHAD) training 

Between March 2018 and November 2018 work was carried out to identify and upskill Lead nurses within CFT to provide in-service leadership, training and development on the delivery of CHAD.

An initial Train the Trainer session was delivered on 30th January 2019 led by Angela Andrews.  Since then the above courses have been delivered by CFT nurses with DAAT and GP support.

A total of 106 people have attended and completed the CHAD training session in 2018/19 (this course is delivered annually for nursing competencies).

In addition, 2 Home Alcohol Detox training sessions have been delivered across 5 pharmacies, to enable them to support home detoxification from alcohol.

  • 4x Connect 5 Stage 1 Mental Wellbeing training 

Connect 5 is an evidence based collaborative prevention toolkit that promotes psychological knowledge, understanding and awareness and development of skills which empower people to take proactive steps to build resilience and look after themselves.

A total of 59 people attended and completed a Stage 1 Connect 5 course.  The subsequent Stage 2 and 3 will follow in 2019/20 programme.

  • 11x Dual Diagnosis courses 

This course is run specifically for mental health services and drug & alcohol service staff.  A total of 174 people attended and completed the 2 day Dual Diagnosis course in 2018/19.

Due to a number of requests and feedback we are looking to open the availability of this course to the wider training circulation in the 2019/20 programme.

  • 5x Mental Health First Aid courses 

A total of 76 people attended and completed the 2 day accredited Mental Health First Aid course in 2018/19.

No courses were delivered in Q4, due to the external accredited trainer moving out of county.  We are currently in the process of locating another trainer.

  • 10x Motivational Interviewing (general) 

A total of 195 people attended and completed the 1 day general MI course in 2018/19.

The DAAT have now brought the delivery of Motivational Interviewing course in-house, so we no longer require an external trainer to deliver.  Since October 2018, J

  • 7x Routine Enquiry into Adverse Childhood Experiences

A total of 137 people attended and completed the 1 day REACh training in 2018/19 (this course was introduced in Q3 of the programme).

The services that have attended and completed the REACh training in 2018/19 are DASV service staff, First Episode Psychosis Team, Young People Cornwall, Penhaligon Friends, Intercom Trust, Bosence Farm and Boswyns (including the YP Unit).

We will be organising an extra session for Young People Cornwall in June/July 2019 due to the number of staff still requiring the training.

  • 3x Time Credits and Supporting Asset Based Training 

Tempo Ltd are commissioned by DAAT to embed Time Credits into complex needs services (recovery, homelessness and Domestic Abuse) throughout the Area.  This training gives management and delivery staff an understanding of what to expect and how to utilise the currency in order to drive impact within client support planning in an asset-based approach.

A total of 42 people attended and completed the 3 hour Time Credits session in 2018/19 (this course was introduced in Q2 of the programme).

  • 11x Young People’s Substance Awareness and Screening 

A total of 133 people attended and completed the 1 day YP Screening course in 2018/19.

 

This is a total of 1521 staff in Cornwall in 2018/19.

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Partnership cyclist safety event in Falmouth

June 1st, 2019 by

On Tuesday the 9th April 2019, Blue Watch at Falmouth Community Fire Station in partnership with Devon & Cornwall Police delivered a cycle safety awareness event at The Moor in Falmouth which coincided with the Farmers Market and the Easter holidays to engage with drivers and cyclists to raise awareness of cyclist safety, focusing on the correct passing distances for vehicles overtaking cyclists.

Operation Close Pass was originally launched by West Midlands Police in 2016, and was designed to proactively identify and educate drivers who pass too closely to cyclists. In partnership with Devon & Cornwall Police the Watch engaged with 70 people.

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Celebrating Volunteers

June 1st, 2019 by

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Tri-Safety Service Officers

April 17th, 2019 by
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Cornwall Time Credits

April 10th, 2019 by

Members are now able to use their well earned Time Credits to access some exciting new activities in Cornwall including all four WTW Cinemas, Kidzworld in St Austell and over 25 courses at Cornwall College. These exciting offers will give Time Credit members the opportunity to access activities and experiences that may have otherwise been unable to. To find out where else you can spend your Time Credits visit timecredits.com

 

DISC, a group supporting some of the most disadvantaged in Newquay have been using Time Credits to encourage their service users to volunteer and help out at their drop in sessions on Wednesdays and Fridays. We caught up with them last week to talk about Time Credits:

“Time credits have made and are continuing to be a fantastic asset to DISC. Because of Time Credits DISC have motivated people and enabled them to find self-confidence. Time Credits are absolutely amazing and are helping people in recovery to stay on track, they are motivated to go to the gym or go for a swim. By earning Time Credits at DISC people feel useful and encouraged to actually go and look for a job and apply for it.

These Time Credits have given people an incentive to come and volunteer at DISC and to feel useful, loved and appreciated.”

If you know of a group or service who’re working with adults with complex needs we want to hear from you. Contact the Cornwall Network Manager Beth Ward for more details: bethanyward@wearetempo.org | 07578181277

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