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Carers Needs Assessment

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Transcript of Carers Needs Assessment

Carers JSNA Needs Assessment
Warwickshire's JSNA
Produced to
inform
the commissioning of Warwickshire's Carers Support Services and Warwickshire's Joint Carers Strategy refresh

3
year work programme (2015-2018) with annual review
5
overarching themes and
11
priority topics:
How?
Range of intelligence
Voluntary and community sector intelligence
Emma Adams/
Kate Rushall
jsna@warwickshire.gov.uk
More information
2011 Census provides a valuable update of the picture of unpaid care across Warwickshire
Hidden Carers - hidden in the numbers
108,000
patients in Warwickshire with caring responsibilities according to GP register data in 2013/14
Nearly
twice
as many carers as identified in the 2011 Census
Age of carers and gender gap in care provision
(according to the 2011 Census)
Women are much more likely than men to provide unpaid care:

58%
of provision provided by
women
42%
of provision provided by
men
Provision is highest for women aged
50-64
years
One in four
women in this age group provides some level of unpaid care
Health
Deteriorating health with rising levels of care
– clear relationship between poor health and caring that increases hours of care.
Do not access formal services as a result; this is identified as a particular problem with black and minority ethnic (BME) carers.

Identifying these hidden carers is essential in to assess the full extent of unpaid care across Warwickshire that is currently hidden from view.
Hidden carers - hidden from view
Gap between GP patients numbers and 2011 Census
Some thoughs from carers in our recent engagement week:
Young Carers
Who's caring for who in Warwickshire?
Applying proportions to Census figures, it's estimated that:

30,000
Warwickshire carers care for someone aged over 75 years

4,700
Warwickshire carers care for someone under the age of 16 years

Nearly
20,000
carers in Warwickshire are caring for their parent and
just under
8,000
are caring for their child

34,000
carers in Warwickshire are caring for someone with a physical disability

Over
6,500
carers in Warwickshire caring for someone with a learning disability

Just under
6,000
carers in Warwickshire are caring for someone with dementia

Over
7,700
carers in Warwickshire care for someone with a mental
health disorder

Just under
2,500
people in Warwickshire care for someone with a
terminal illness
Just over
3,500
children & young people (0-24 years) providing some unpaid care
Almost
400
young people reporting
caring for more than 50 hours per week
Carers in this age category are
twice
as likely to report that their health is ‘not good’ compared with their peers who provide no care.
Young carers who care for 50 hours or more are
five
times more likely to report their health as ‘not good’ compared to those of the same age providing no care.
Deprivation
Positive relationship between those providing more care in the more deprived areas of the county i.e. those areas that are relatively more deprived are more likely to have more residents providing 50 or more hours of care per week.
Future numbers and the Care 'Gap'
Number of carers could increase by 40% by 2037
Over next 20 years, the number of people aged over 85 is expected to double
Older people in need of care is predicted to outstrip the number of family members able to provide it for the first time in 2017
The number of carers is estimated to increase by just under 5,000 people by 2021 to
64,115
carers with the majority of these aged 65 years and over (3,930).
What carers told us about services
Just over
12%
of carers in Warwickshire who provide 50 or more hours of care a week state that their health is either ‘bad or very bad’ compared to 4.6% among those who provide no care and 4% of other carers.

National evidence suggests that a significant number of hospital admissions are due to
problems associated with the carer
. Nationally, problems associated with the carer contributed to readmission in
62%
of cases.

20%
of over 75 year olds those needing care were admitted to hospital because of the breakdown of a single carer on whom the person was dependent.
Recommendations
Identifying, signposting and referring (hidden) carers early including
those who are at high risk of reaching crisis point.
Raise awareness of carers’ needs across the health landscape,
including with General Practice Nursing, District Nursing services,
GP surgeries, pharmacies and hospitals.
Every GP practice should be encouraged to identify a lead worker for
carer support.
Capture the numbers of hospital admissions in Warwickshire that are
due to carer breakdown in order to quantify potential savings.
All agencies to have an awareness of the particular challenges when a
carer is bereaved and loses what is often their key purpose in life.
Carers to be fully involved in shaping the services that support them.
The identification of carers should be part of the assurance process
in contracts with all services commissioned by WCC and partners.
Further support-based intervention tools to be designed and
developed, including self-help guides.
Raise carer awareness of their rights to an assessment and
information and advice.
Engage with carers to ascertain range of support groups that are most
wanted to support their wellbeing and increase resilience including
when/where they should be held.
More routine performance reporting from commissioned services
related to carers and inclusion of a data sharing agreement in any
future specifications for future commissioned services.
Full transcript