Think Carer – East Sussex Hospitals – Staff Training

    Think Carer – East Sussex Hospitals – Staff Training

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    Delivered in Partnership with the East Sussex Healthcare NHS Trust and East Sussex County Council

    Sussex Health Care

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    About this training

    Audio version

    How to complete this training

    To listen to the audio version, click the Play button .

    Scroll through the following pages.

    At the beginning of each main section, you will find a short video explaining the topic in a little more detail.

    There will also be some questions to answer as you progress through. You will be prompted when you have answered them all correctly to continue to the next page.

    Raising awareness

    This training will give you more awareness about carers, the role they play in supporting patients and the support available to carers to fulfil their role. Everyone who completes this online training will be able to download a certificate of completion.

    If you are working in East Sussex, we can provide you with resources, support and a Carer Champion badge.

    Illustration: man emerging from laptop with certificate

    Think carer…

    We work in partnership with

    We are accredited by

    Welcome

    Please watch the following short video.

    Introduction by Jennifer (03:03)

    My name is Jennifer Twist. I am the Chief Executive at Care for the Carers and I’ve also been a carer myself. 

    Welcome to this free Think Carer training session.

    Why do this course?

    The East Sussex Health Care NHS Trust recognises the essential role that unpaid carers undertake, including carers under the age of 18. The Trust is committed to improving identification and support of carers within the hospital setting and works in partnership with the Care for the Carers team to make this happen.

    There are also duties under the Care Act 2014 and the Health and Care Act 2022 for the NHS to involve carers and those they care for in decision making and in plans for patient discharge and to cooperate with local authorities in delivering their Care Act duties.

    This training aims to raise awareness of carers, the huge part they play as partners in care, the role that hospital staff have in supporting this and how we can help. Thank you for taking this step towards “Thinking Carer”.

    Together we really can build a carer friendly hospital and make a real difference. 

    Carer champions

    We would love all hospital staff to be carer champions. This simply means that carers are on your radar, that staff are having conversations and information and support is provided to carers who come onto your ward or into your department.

    Following this training you’ll be invited to sign up as a carer champion. Please do give this some consideration. We know that you already have a busy role so the commitment is not time consuming but it makes a huge difference to people’s lives.

    I sincerely hope you’ll agree to be a champion and join us in making positive change for carers.

    Who we are

    Care for the Carers is the Carers Center for East Sussex. We’re an independent charity. We receive funding from the NHS and East Sussex County Council.

    We also receive funding from a range of trusts and foundations to deliver projects supporting local carers and we do lots of fundraising. We’ve been supporting and representing unpaid carers in East Sussex since 1989 and we provide a one -stop shop for local carers working across East Sussex.

    Let’s get started

    You’re now about to start the first section, where we will look at what being a carer means. I hope you enjoy the session, and wish you all the very best!

    What do we mean by the term “Carer”?

    An unpaid carer is a person who provides help to a family member, friend or neighbour who due to illness, disability, mental ill health, addiction or old age, could not cope without their support.

    Family and friend carers don’t have to live with the person, and the help they give doesn’t have to be physical care – it might be emotional support, or more practical help. Caring is undertaken by individuals of all ages and from all walks of life.

    For example, a carer could be a 14-year-old girl helping her parents look after her disabled brother; an 80-year-old man caring for his wife who has Alzheimer’s; or a 40 year-old woman in full-time employment who provides regular support to an elderly relative as well as looking after her young family.

    Caring picture

    There are at least 5.7 million carers in the UK

    The contribution carers make to the UK economy in a year is equivalent to the annual cost of running the NHS.

    Those aged 45 to 54 are most likely to have no choice when taking on a caring role and are most likely to say that caring has had a significant negative impact on their finances, career and pensions.

    There is a significant issue with men not identifying themselves as carers and from the age of 80 years onwards, men were statistically significantly more likely to provide unpaid care.

    In East Sussex:

    • 87% reported their physical health has been impacted by caring.  
    • 96% reported that they feel stressed (63% feel stressed ‘a lot’).   
    • 89% reported that they feel isolated or alone.
    • 79% reported that they have been affected financially. 

    A higher percentage of women provide care (65% among carers that Care for the Carers support).

    Illustration: map of the UK

    There are many carers caring for more than one person.

    1 in 7 carers are juggling work with caring. 

    1 in 3 NHS staff are caring for someone outside of work.

    Carers: who, the challenges & the impacts

    Please watch the following short video.

    Dan and Rachel (06:34)

    Who do we mean when we refer to carers and specifically an unpaid family or friend carer?

    The term care is often understood or taken as someone who is a paid professional and maybe works in a care home or for an agency.

    We define it as people who provide unpaid care for family, friends, neighbours, etc. Not health care professionals supporting someone, who couldn’t manage without their help.

    Can you give me an example of an Unpaid Carer

    Every situation is unique.

    They may be family, friend or even a neighbour. Their situation, age, who they care for, the reason for the care, financial resources and care they provide all vary. It might be a wife looking after her husband with dementia, someone looking after their partner with cancer.

    It may a parent carer caring for their child who has a disability. It could be young adult carers looking after a parent with a mental health challenge or supporting with the sibling that has a disability or perhaps a neighbour supporting their neighbour who perhaps due to disability, frailty and older age need some support.

    So how does this affect people?

    It can be life changing. A caring role can happen in an instant or be a gradual progression. For example caring for a person after an accident or stroke has different initial requirements compared to looking after someone with dementia or frailty due to age.

    Do carers have to live with the person they care for?

    No, not at all. They may even live in a different city or a different country. They might live miles away and that can bring different challenges.

    So does everyone realise they are in a caring role and can get help?

    Absolutely not. It can take a while for someone to realise that they have a carering role. Research suggests half of all carers, around 51%, took over a year to recognise their caring role and over a third, around 36%, took over three years to recognize themselves as a carer.

    What barriers might there be to somebody identifying as care?

    Sadly there are many. As I mentioned sometimes the term itself is a barrier. It is thought of only as for professionals or people who don’t want to be labelled in this way.

    They might feel their relationship is diminished by the term. We so often hear, I’m their partner, their wife, their husband, not their carer. Some might be cultural or religious. The person providing the care might feel that it’s just the normal or right thing for them to do.

    They have a sense of duty to provide the care. There may be an expectation. In some cultures, there can even be feelings of shame that care is having to be provided or needed. It might be the case that caring has evolved out of normal life, such as people living together who naturally help each other but maybe frailty has led to more reliance on one person.

    Are there any barriers in accessing support?

    Yes, many carers are unaware there is any support. There are also people who just don’t want to be a burden or have people interfering in their lives. Some carer are worried they will be judged, perhaps seen as not coping.

    They might not be coping, but we don’t want people to see that side of us. There may be fear that the person they are caring for will be taken away into a home. That can be a fear particularly for young or elderly carers. It can be a perception they have. It might be that the carer would like some support but the person they’re caring for doesn’t want anyone involved.

    Time to register can be problem too and especially where the Carer may have work as well.

    Are there any other barriers?

    Again, yes. Some people might think they have to be receiving Carer’s Allowance to be identified as a carer.

    For working carers there can be fear that they will miss out on a promotion or other opportunities if they reveal to their employer that have a caring role. Lastly, getting information and registering as a carer might be quite difficult, even scary if you don’t have the internet access or know how to use it, maybe the information is not presented to you in a way that you can access, or understand it or English isn’t your first language.

    It can also be time-consuming, and many carers don’t get a lot of or any spare time.

    So carer’s roles are not all the same?

    Exactly. Carers’ experiences are unique even though there might be similarities.

    What one may be able to manage, another may find incredibly challenging. There are many carer caring for more than one person. There were many cares juggling work with care. Some carers might have family and friends around some carers have no one.

    So what might a caring role actually look like?

    Each situation is unique. Caring roles can be 24 -7 or just a few hours a week, but there are so many things many carers will do. Things like they might be providing practical help with things like washing, cleaning, cooking, shopping etc.

    They might assist the person to take medication or provide personal care, such as helping them to visit the bathroom, wash, shower etc. The help provided might be about financial matters or it could be giving the person emotional support.

    They might be arranging and taking the person they care for to appointments, assisting with communication, keeping someone safe. The key is that without that support the person would not be able to cope.

    What about the impact on carers?

    For some carers it can be draining, physically and emotionally. Carers may also be managing their own health conditions, or perhaps not managing them as they perhaps should be due to the caring situation.

    Carers may become vulnerable as caring can be stressful and lead to a risk of illness. Some other ways they can be impacted include being isolated, not seeing anyone, losing contact with people like friends and family.

    A huge number of carers suffer a negative financial impact. Almost certainly they have less personal freedom because of the support they provide. Not having a social life, perhaps not moving forward in their job, or having to reduce their hours or give up their job. Carers lives are often on hold.

    a close up of a surfboard on a wall

    Carers may become vulnerable because of their caring role…

    …in terms of

    A caring role might involve……

    Click on each circle to see some examples of caring roles.

    Look at each circle to see some examples of caring roles.

    Common barriers

    to identifying carers and acceptance of care role

    Click on the images to see common responses.

    “I hate the term carer, I’m a mum.”

    “Stigma, shame of using services – It’s our duty to care – it’s the normal thing to do.”

    “She’s my mum, I’m her daughter.”

    “I don’t want the council round here.”

    “Carers are the paid workers.”

    “I’m too young.”

    “We don’t like to ask for help. We manage the best we can.”

    “Traditionally, women of the house are the unsaid caregivers in my home country.”

    “They’re my mum and dad, they can’t manage like they used to.”

    “I could be sacked or miss promotion if I make it official.”

    “I didn’t know what being a carer meant.”

    “I sometimes struggle with language, and technology.”

    Diverse carers

    ‘What being a carer means and what the role entails can vary with cultural and religious expectations.’

    Race Equality Foundation 2020
    Group of carers

    If required, Care for the Carers can arrange for an interpreter when providing support to a carer. Our website and resources can all be accessed in different languages.

    A carer’s story

    Please watch the following short video.

    A carer’s story: Carole (04:15)

    A carer’s story: Carole

    How did you become a carer?

    When my son was born 38 years ago, my husband and I were quickly given the news that he had spina bifida. We didn’t know what that was. We were informed he could have an operation and if we wanted that it would need to happen quite quickly.

    The hospital staff told us they couldn’t be sure if he would survive the operation. They said he might have brain damage, he might never walk. They couldn’t say at that time. They said one thing was certain:  if they didn’t operate he would die.

    We felt like we’d been hit by a bus. That was my entry into caring, being a parent carer. Only I’m not his carer, I’m his mum.

    Our son

    In his younger years my son had several operations in hospital stays. He went to mainstream school.

    My son can’t walk, he now lives in supported housing. Life for him has been very challenging and it was challenging for us too. We had to learn new skills, nursing, physio, speech therapy. We had to negotiate the maze and that was on top of all the other stuff life throws at you.

    Our daughter

    Our daughter was born nine years later. A few days after she was born we were given the news that she had  a cleft palate. Nothing too major but more hospital stays. Growing up she too faced various challenges. We learnt she had dyslexia, a congenital heart condition and in recent years she’s experienced serious mental health issues.

    My husband

    12 years ago I lost my husband to cancer. He was diagnosed in August and he passed away in December. He was my school sweetheart, my rock, my soul mate.

    My parents

    I then supported both my parents as they grew older. My dad was blind, hard of hearing and riddled with arthritis. My mum was diagnosed with dementia.

    They lived at home and had carers coming in to assist them. I did the shopping, the finances, the hospital appointments, liaised with professionals and provided emotional support, all while working full-time and supporting my kids.

    My mum

    My dad passed away during COVID. When he was in hospital at end of life I was having to consider giving up my job to look after my mum. I then took a call from my daughter who was in Australia. She was clearly in a bad place mentally and I told her she needed to come home.

    The day before my dad’s funeral my daughter returned home from Australia and she moved in with my mum. She looked after my mum and I kept a close eye on both of them.

    What I’ve learnt

    It’s been hard. I’ve learnt a lot including resilience.

    There’s been lows, some serious lows, but there’s also been highs. I’ve met some amazing people and I’ve always been so grateful for their support. But there have been times when although I’ve had people around me I’ve felt so very alone in dealing with everything.

    It’s not just me

    My story is not unique, there are many carers like me, caring for more than one person, spinning plates as I call it. Some have been caring for a long time and for others it’s a new experience or a new ordeal, whichever way you look at it.

    Why I do it

    I do what I do because I love my family. Has it impacted on me? I’m sure it has, but I didn’t want to be a victim of circumstances. I’ve learnt to make the best of things. I’ve had to.

    We don’t choose this journey

    Not everyone is as fortunate as me.

    I have good family and friends, some carers have no one. Some carers are in relationships that are not good. We don’t choose this journey, it just happens.

    Carers Quiz

    1. How might we define family/friend carers?

    Please select True or False.

    They must be getting carers allowance 0TrueFalse

    A unpaid family friend does not necessarily get carers allowance.
    That's the right answer.

    They must be registered as a carer with an organisation 0TrueFalse

    A family friend carer does not have to register with an organisation.
    That's correct.

    They have a partner or family member with an illness or disability 0TrueFalse

    Carers often deal with long term issues.
    That's true.

    They support their elderly parents with shopping, hospital appointments, housework etc. 0TrueFalse

    Many carers look after elderly parents.
    That's true.

    They must live with the person receiving care 0TrueFalse

    Carers don’t have to live with the person they care for.
    Yes, that's right.

    2. Are these barriers to someone seeing themselves as a carer?

    Select Yes or No.

    They are related, in a relationship, a friend or a neighbour, just doing what you do 0YesNo

    This might be considered a barrier.

    They worry they might be judged 0YesNo

    This might be considered a barrier.

    They worry the person they care for might get taken into care 0YesNo

    This might be considered a barrier.

    Their understanding is that carers are paid workers 0YesNo

    This might be considered a barrier.
    Yes, that's right, these are all potential barriers.
    This might be considered a barrier.

    3. What are possible impacts on carers because of the support they provide?

    Select all that apply.
    Caring can impact negatively on a carers mental health.
    There may be a loss in income or additional costs.
    That's right, all of these are possible impacts.

    What do we mean by …?

    Please watch the following short video.

    Rosie on young carers (02:44)

    Let’s talk about young carers

    A young carer is a young person under the age of 18 caring for someone in their family whilst young adult carer usually refers to someone aged 16 to 25.

    We look at the individual young carer to establish the appropriateness of the support. They may be supporting a family member for various reasons including someone with a long-term health condition disability or substance misuse issue.

    This is usually someone who the young person lives with such as their parent or sibling, but it can include other family members they see regularly.

    How might a young carer help out?

    Young carers can provide support in different ways for example they may carry out practical or physical tasks or support with medical or personal care.

    Many young carers are also providing emotional support for example to family members with a mental health condition. This type of care goes unseen by others but provides much needed support to the family member. Often young people are not even aware that what they are doing is considered caring.

    How can this affect a young carer?

    Depending on the level of support a young person provides their caring responsibilities can have a significant impact on their health, education or social life. For example inappropriate levels of care can impact on a young person’s own emotional or physical well-being.

    They may feel tired from getting up in the night to support their sibling or be anxious or fearful about their parents’ health. Looking after someone can also impact on a Young Person’s social life or educational achievement as they may have less time to spend with friends or to do homework.

    What support is available?

    The Young Carer’s Project supports young people living at East Sussex aged 5 to 17 to access the help they need to manage their caring role and its impact. Care for the Carers also supports young adult carers up to the age of 25.

    We offer one-to-one emotional support around the child’s experiences as a young carer to build their resilience and support to increase the young carer ‘s knowledge and understanding of their relative’s condition.

    We also offer advice on making transitions in life and how their care and wellbeing may be affected. We advocate to assist the family in their liasison with other professionals on issues relating to the caring role. Young carers can meet others in similar situations at our clubs and holiday activities which run after school and in the holidays giving them much needed respite time, a chance to relax, make new friends and most importantly, to have fun.

    Who are Young Carers?

    Young Carers are young people under the age of 18 who:

    • help to look after a family member with a health condition, disability, or addiction.
    • may take on caring responsibilities including tasks typically carried out by an adult or considered inappropriate for their age.
    • have their own daily lives affected by the family member’s condition.
    • can miss out on childhood support, activities and experiences.

    This is usually a parent or sibling but can be any family member who the young carer may or may not live with but who they see on a regular/daily basis.

    Cartoon of young carers

    A young carer does not have to be the only or primary carer to be affected by their caring role or to be eligible for support.

    Young Adult Carers (YACs) refers to young people with a caring role between the ages of 18 and 25.

    What do Young Carers do?

    A Young Carer may support a family member with any of the following:

    Practical careDomestic tasks, going to the shops, managing money, locking up the house, communicating, looking after siblings because parent is too unwell.

    Physical careLifting, pushing a wheelchair, helping with stairs, exercises or using equipment.

    Medical careAdministering medication or injections, organising and attending appointments, picking up prescriptions.

    Personal/intimate careWashing, dressing, feeding, toileting.

    Emotional careListening to and supporting the cared for person, comforting or being present. Feeling that they cannot leave the person, or worrying about what happens to them when they are not there.

    Cartoon of young carers

    Impact of caring

    Caring can have different kinds of impact. Click on each box to identify impacts…

    Impact of caring

    ???

    Physical health

    ???

    Mental health

    ???

    Education

    ???

    Social life

    Young Carers Quiz

    1. A young carer might be supporting a parent, sibling or grandparent

    Please select True or False.
    0TrueFalse
    That's not correct
    That's right.

    2. A young carer might be looking after a family member for the following reasons

    Please select True or False.

    Physical or mental health condition 0TrueFalse

    Long term illness is often a reason.
    That's right.

    Disability 0TrueFalse

    Young carers frequently look after a familiy member with a disability.
    Correct.

    Substance misuse 0TrueFalse

    Young carers can play a crucial role in families where parents misuse substances.
    Yes, that's right.

    Short term illness e.g. cold, toothache 0TrueFalse

    Whilst a young person might provide support during these times, this does not identify them as a young carers.
    That's correct.

    3. How might a young carer support their family member?

    Select all that apply.
    That's correct, there are many ways young carers offer support.
    That's not correct

    4. Which areas of a young person’s life can be impacted?

    Select all that apply.
    That’s right, all of these areas of a young persons life can be impacted
    That's not correct

    5. What type of support does Care for the Carers provide to young people?

    Select all that apply.
    Correct, these are all types of support provided by the Young Carers Project.
    Care for the Carers does not provide direct financial support to young carers although we can help young carers to access individual grants.

    6. What percentage of young carers felt the Young Carers Service had helped them make friends?

    Select an answer.

    022%52%92%

    That's not correct.
    That's the right answer.

    Supporting carers in the hospital setting

    Please watch the following short video.

    Sue on care in hospital (02:52)

    We often start our caring lives after a hospital admission.

    We may be tired and emotional initially but we know what is likely to motivate our loved one to engage with treatment and we know what the limits and possibilities are back at home.

    Some carers do so out of love for the person they are caring for, but not all relationships are so good or there may be more than one carer involved. Every situation is different.

    We may overcommit our support in our keenness to get a loved one’s home.

    I would need to be taught how to use some equipment like a catheter or a peg line at home.

    Can I sustain all there is to do and keep my own life going?

    What about my work my health or my own family life?

    The care act says I have the right to choose whether to take caring role or not.

    I may need help to gauge what is realistic.

    I may need staff to understand that sometimes I have to say no.

    The Health And Care Act says I have a right to be involved in the discharge planning.

    The Care Quality Commission can also request records of how carers have been consulted.

    But it can all feel very different on the ground.

    So if you involve me I can probably help get the person home quicker.

    I can help you understand the problems better so you know what is realistic and sustainable which will prevent a failed discharge.

    If you explain to me about how you assess the person’s needs and how any rehabilitation support might work I can help fill the gaps and help with a safe discharge.

    You can ask me “How are you doing” “How are things at home?” “Do you help your mum out?” or “Are you getting any support?”, “Do you have any questions?”

    If there’s more than one carer involved, please agree with us who will be the main contact person.

    If you give me the number for Care For The Carers they will help me too.

    All you need to do is to use the email address info@ cftc.org.uk or our phone number 01323 738 390.

    Ask for the Hospital Project and we’ll ring you back.

    If carers require an interpreter we can support with that.

    Don’t just think visitor, THINK CARER.

    Carers and health professionals

    7 out of 10 carers start their caring journey in an NHS setting.

    Carers have a wealth of knowledge about the person they care for and are often key to understanding the patient’s needs and preferences.

    Carers are often the only part of the care team and the care plan that remains consistent, so if we do not understand and meet carers’ needs, we are not going to achieve the outcomes we all want.

    Carers can struggle for recognition and support from health professionals. Involving carers in decision-making and recognising their role as expert partners in care serves to benefit patients, carers and the NHS alike.

    When the carer’s value is recognised and respected as a core member of the team around the person they care for, everyone wins.

    Supporting carers

    Carers should be supported to actively participate in decision making and care planning for the person they care about (providing the person gives consent and their wishes remain central).

    This will help to ensure that care planning is based on accurate and detailed information, as well as supporting the carer in their role and helping to sustain the caring relationship.

    The patient themselves might be a carer, as such it will be important to ascertain whether the person they care for is receiving care during their absence.

    A systematic review study found that when comparing discharge planning in usual care transitions with those where the carers had been integrated, there was a 25% reduction in hospital re-admission.

    Source: Toolkit for London Hospitals and Community Providers – Carers and Hospital Discharge

    Benefits to supporting carers

    Click on each heading to learn about the benefits of supporting carers.

    Involving a carer in discharge planning can highlight potential problems, provide reassurance and lead to a smooth and safe discharge. Which in turn can prevent a readmission.

    Carers have knowledge. They can help build the bigger picture and fill in the gaps. This can save time.

    Proving information and support to a carer can help their wellbeing, which may allow them to continue to provide care.

    When a carer feels heard they feel respected and supported, it builds a positive relationship, creates a good experience and supports good outcomes.

    Involving a carer in planning keeps them informed. It can establish a carer’s willingness and ability to provide required care, and it can highlight any possible issues or concerns.

    Effective communication is key

    Never assume & remember:

    Carers may have been caring for your patient for some time, or this might all be new to them.

    At admission carers can feel overwhelmed. Make an early appointment for carers to speak with a member of staff to ensure the initial assessment is balanced, correct, and considers all factors. This is especially true when the patient is a child or lacks mental capacity. This could prevent some anxiety and stress for the carer.

    For many carers a period of hospitalisation may provide the first real break they have had from caring in many years.

    Confidentiality is an often-cited issue to not working with a carer but even where the patient has not provided consent there is nothing to stop you listening to the concerns raised by carers or providing them with general information not linked to the patient (e.g. around the condition/medication).

    Questions to ask the patient

    Identify who is, or may become involved, with caring.

    Click on each speech bubble to see some possible questions to ask the patient.

    ???

    Who supports you at home?

    ???

    Are there any children or grandchildren around?

    ???

    Are you happy for us to talk and involve this person in discussion about your health and care whilst in hospital and for when you are discharged??

    Starting the conversation

    Instead of saying “Are you a carer?”

    Click on each speech bubble to see some better approaches.

    ???

    Are you helping your mum with… washing, meals?

    ???

    If you are helping your ….. There is support and information available to you …..

    ???

    Do you spend a lot time worrying about your sister?

    ???

    Have you ever thought about getting some help with….?

    ???

    How about you, how are you managing?

    Questions to ask the carer

    Are they getting the support they need?

    Click on each speech bubble to see some possible questions to ask the carer.

    ???

    Are you getting any support?

    ???

    Are you aware there is support available?

    ???

    Would you like any information about support?

    ???

    Do you have what you need for when the patient comes out of the hospital?

    ???

    Are you in touch with Care for the Carers?

    ???

    Would you like us to make a referral to Care for the Carers for you?

    Supporting Young Carers in the hospital

    What Young Carers told us:

    Their experiences

    “The paramedics were really useful with my family mental breakdown situation. They helped not only the patient but also our family.”

    “The hospital offered help but no one actually helped.”

    “They didn’t even realise I was a carer, no one asked me.”

    “During COVID if someone wasn’t in a wheelchair they wouldn’t let the carer go in with them.”

    What would be helpful

    Recognise that someone under 18 can be a carer.

    Children and young people may not recognise themselves as a carer.

    Have a conversation to support with identification.

    Follow through on what you say you will do.

    Kids don’t forget being let down and will carry that lack of trust with them.

    Think Carer
    Think bigger picture
    THINK YOUNG CARER

    Carer Identification

    • Actively seek to identify carers at first contact (in line with the Care Act 2014 and Children and Families Act 2014) at every entry point into hospital, including accident and emergency departments
    • Be aware that some people might not view themselves as a carer or may not ask for support as they consider it outside that member of staff’s professional role
    • Do not get hung up on the ‘C’ word. If people are reluctant to take on the term carer that is their choice. They are still entitled to advice, information and support
    • Record their details on the patient records if the patient gives their consent. If consent is not provided by the patient, carers still have their own rights to advice and support, therefore record carer status on their own records.
    • If there are multiple carers ask them to agree who will be the point of contact for them all.

    Care Act 2014

    Significant rights for carers in England

    To be identified as a carer – Carers have the right to choose – there is no legal obligation on anyone to be a carer.

    To request a carer’s assessment and have eligible needs met.

    There is a general duty on local authorities to promote a person’s WELLBEING to provide information and advice to carers in relation to their caring role and their own needs.

    There is a duty on NHS bodies to co-operate with local authorities in delivering the Care Act functions.

    For more detail, see:
    Care Act 2014: Discharge of hospital patients with care and support needs

    Health and Care Act 2022

    New rights for carers have been introduced.

    Section 91 – Places a duty on NHS hospital trusts to ensure that unpaid carers of all ages are involved as soon as feasible when plans for the patient’s discharge are being made.

    The new statutory guidance is clear about the need to ensure that carers and young carers are identified, kept safe during the discharge process and signposted to sources of help and assessment of their needs.

    The guidance also highlights the need to “ensure that no carers are left without adequate support or an assessment of their longer-term needs (if needed)”.

    For more detail, see:
    Health and Care Act 2022: New key provisions and rights for carers

    Statutory guidance: Hospital discharge and community support

    ESHT supports John’s Campaign

    What is John’s Campaign?
    John’s Campaign recognises that a person living with dementia has the right to be supported in hospital by their loved-one at whatever time is right for them.

    Support
    People with dementia often find the unfamiliar, busy hospital environment an overwhelming and frightening place to be. Carers can provide an incalculable amount of emotional support to their loved-one whilst in hospital. They are a vital aid in their care and should be considered as ‘experts by experience’ in their loved-one’s health and well-being. This is true of all patients, but for those living with dementia and experiencing subsequent memory loss, it is all the more pertinent.

    The Trust upholds this mission through offering unrestricted visiting hours for carers of people living with dementia.

    Supporting treatment
    Often the carer is able to assist in supporting practical tasks such as food and fluid intake or helping with personal care. However, part of the Trusts commitment to acknowledging the input of carers is to recognise that they may be exhausted by their caring responsibilities and feel burnt out.

    We understand that sometimes hospital admissions can provide some much needed respite for a carer and therefore their practical involvement in their loved-one’s care must not be assumed or expected.

    Better outcomes
    Evidence shows that by involving the family and/or friends of a person living with dementia, better health outcomes are achieved and inpatient stays are shorter.

    For more information please speak to the Dementia Care Team within the hospital.

    Carers in the hospital Quiz

    1. Why is it important to support carers in the hospital?

    Select all that apply.
    That's right, these are all important reasons.

    2. How many carers start their caring journey in a NHS setting?

    Select an answer.

    03 out of 105 out of 107 out of 10

    That's not correct.
    That's the right answer.

    3. There is no legal duty on anyone to do a caring role

    Choose True or False.

    0TrueFalse

    That's not correct.
    That's right.

    4. How should hospital staff be involving carers?

    Choose Agree or Disagree.

    They should be seen as a valuable resource and often as an expert by experience 0AgreeDisagree

    That's not correct.
    That's right.

    They should be having conversations to keep them informed, involved and to understand the situation 0AgreeDisagree

    That's not correct.
    That's right.

    They should encourage them to be providing care while they are in the hospital 0AgreeDisagree

    That's not correct.
    That's right.

    They should be checking a carer is willing and able to provide care to the cared for 0AgreeDisagree

    That's not correct.
    That's right.

    They should wait for a carer to identify and give them a leaflet 0AgreeDisagree

    That's not correct.
    That's right.

    Carers should be identified and recorded in the patients paperwork 0AgreeDisagree

    That's not correct.
    That's right.

    5. Which of the following phrases are most helpful when starting a conversation with someone you think may have a care role?

    Select all that apply.
    That's correct, these are the most helpful phrases.
    Asking "Are you a carer?" is not so helpful.

    NHS staff who are carers

    Before we move on to talk about Care for the Carers services, we have mentioned 1 in 3 NHS staff are juggling work with caring.

    • Is that you?
    • Are you a working carer?
    • Are you getting any support?
    • Is your manager aware you are in a caring role?

    The NHS is keen to support the workforce who are carers.

    Do you know about what is in place to support you at work?

    • The Carers Policy
    • Flexible working
    • Carers Leave
    • Carers Passport

    And don’t forget to register as a carer with Care for the Carers!

    If your manager is unaware, ask to have a chat and let them know. Or if you prefer get in touch with HR or the Wellbeing Team. Please ensure you are aware and getting the support that is available to you.

    The Wellbeing Team esht.wellbeingteam@nhs.net

    HR esht.hrsolutions@nhs.net

    Care for the Carers services

    Please watch the following short video.

    Dan and Rachel (04:19)

    How does Care for the Carers support carers?

    There are various ways we can support carers. We will have a chat, discuss the situation and speak about the options available to them. We will inform them about Care for the Carers, advice clinics, support groups, activities and our counselling service.

    We will also tell them about other specialist carers services and support in the county. We can make referrals or sign posts as appropriate. We also speak to carers about their rights. In some areas of the county the team deal with casework that supports complex situations.

    What might that support look like?

    Carers can access a Carers Card. This card identifies them as a carer and it allows adult Carers to set up emergency planning. It also gives carers discounts on a variety of goods and services both local and nationally.

    Is there anything else?

    Yes, we have a health appointment respite grant. If carers need to go to a health appointment and need a sitter for the person they care for as they can’t be left, the grant will fund a sitter.

    There is a criteria. We also have a quarterly magazine called CareLine and a monthly newsletter that both carers and professionals can sign up to.

    What about specialist support?

    We have specific support for carers who are looking after someone with a mental health challenge.

    This service can offer specific information, support, monthly groups and activities.

    It sounds like quite a lot so far. Is there anything else?

    Yes, we are working with GPs in the hospital. Raising awareness, supporting direct referrals and helping to make healthcare settings carer friendly.

    So carers are identified and supported. As mentioned previously we also support Young Carers and Young Adult Carers. We know that there is a lot to remember, so please feel free to give us a call or check our website for more information.

    You mentioned previously that carers have rights…

    There’s the Care Act, the right to choose, so the right to choose to be a carer, the right to an assessment of a carer’s needs, not the cared for necessarily, rights in the workplace and more, and the Health and Care Act that came into power in 2022, the right to be involved and informed about hospital discharge of the person they care for.

    That is from when planning for discharge starts, really at the beginning of admission.

    How does someone register?

    Carers can be referred by professionals such as hospital staff, GP staff, social workers, or they can self -refer.

    Referrals can be done online or by phone or email.

    What happens and is it free?

    Yes, all our services are free. When a carer referral comes through, a carer support worker will make a call to the carer.

    This might be a quick call to answer a specific question or to make an arrangement for a call on a certain date and time that suits the carer. This longer call gives the carer the opportunity to talk about their situation, what’s in place if anything and perhaps what they are struggling with.

    We can also agree to a face -to -face meeting. Part of the call discusses the type of support they would like to access. We seek to support them practically but also we encourage them to consider the importance of their own well -being.

    I’ve heard about Carer’s Allowance.

    There is an allowance that some carers can claim but they are still seen as an unpaid carer. We can provide more information to carers about the Carer’s Allowance.

    What about if someone is working as well as being a carer?

    There are fact sheets and resources available for working carers and employers. The digital resources are available to any carer in East Sussex.

    We can provide information to carers about how to access these resources. For professionals listening to all of this information it’s a lot to take in. I guess they don’t need to remember all the details just simply remember to inform, signpost and refer to Care for the Carers.

    Care for the Carers

    We are the one stop shop for carers living in East Sussex.

    All our services are free to carers.
    We offer:

    • information and advice
    • carers card
    • carers groups
    • counselling
    • telephone Time to talk
    • social and wellbeing activities
    • specialist project support
    • training
    • and more…

    We work with various other organisations to ensure carers get the support they need.

    Care for the Carers – the referral process

    Carers can self-refer or someone can refer on their behalf. You need verbal consent.

    CftC website: Professional Referral Form (dizions.co.uk)

    Email: info@cftc.org.uk

    Telephone: 01323 738390

    Please ensure Carer is aware you are referring into CFTC 

    Please include:

    • Referrer’s name and Department / Ward 
    • Carer’s name and contact details   
    • Carer’s relationship to patient, i.e. spouse/partner/friend etc.  
    • If relevant, any additional communication or support needs required by the Carer   

    What happens next:

    • A member of the Care for the Carers team will make contact with the carer and depending on the situation, they may offer to meet with them, have a call with them, or send them some information.
    • A member of the Care for the Carers team will identify what support is in place and what might be required or helpful.
    • They will inform the carer about services that are available to meet the carers’ needs, and as appropriate support them to navigate the maze of health and social care systems.
    • Appropriate referrals or signposting will be done as required.
    • Follow up phone calls will be made as required.

    Care for the Carers Quiz

    1. If you identify someone is a carer, you should…?

    Choose True or False.

    Have a conversation about the support available to them 0TrueFalse

    That's not correct.
    That's the right answer.

    Offer to refer them to Care for the Carers 0TrueFalse

    That's not correct.
    That's the right answer.

    Offer them some Care for the Carers information 0TrueFalse

    That's not correct.
    That's the right answer.

    Tell them to contact the council 0TrueFalse

    That's not correct.
    That's the right answer.

    2.Care for the Carers can support carers with:

    Choose True or False.

    Accessing benefit checks 0TrueFalse

    That's not correct.
    That's the right answer.

    Information about support available 0TrueFalse

    Sorry, that's not right.
    That's the right answer.

    Accessing a carers assessment 0TrueFalse

    That's incorrect.
    That's the right answer.

    Providing a blue badge 0TrueFalse

    Incorrect – they can sign post but not provide a blue badge
    That's the right answer.

    Providing a carers card 0TrueFalse

    That's not correct.
    That's the right answer.

    Counselling 0TrueFalse

    Incorrect, try again.
    That's the right answer.

    Invites to groups and activities 0TrueFalse

    That's not accurate.
    That's the right answer.

    3. Care for the Carers is:

    Please select the correct answer.

    0Local authorityA businessAn independent charity

    That's not correct.
    That's the right answer.

    4.Care for the Carers is an emergency service

    Choose True or False.

    0TrueFalse

    That's not correct.
    That's the right answer.

    Get in touch

    Remember: you can contact us as a health professional for information or advice.

    Call us on 01323 738390

    Text us on 07860 077300

    Email us on info@cftc.org.uk

    Further information about who we are, what we do, carers rights, getting involved etc, can be found on our website:
    www.cftc.org.uk

    We are an independent charity, we are here for carers and professionals working with carers.

    We are available Monday – Friday 10am – 5pm.
    Care for the Carers is not an emergency Service.


    Additional support for Young Carers can be found at IMAGO

    Additional support for young Carers can be found at IMAGO
    Email: youngcarers@imago.community | Tel: 0300 111 1110                                           
    Website: imago.community/Children-and-Young-People/East-Sussex-Young-Carers


    For parents with disabled children and young people (parent carers)

    AMAZE can also offer information and advice: Email: info@amazesussex.org.uk | Tel: 01273 772289
    Website: amazesussex.org.uk


    For adult carers requiring support out of hours

    Health & Social Care Connect:
    Tel: 0345 60 80 191
    8am to 8pm, 7 days a week, including bank holidays.


    Information for carers can also be found on East Sussex County Council Carer Support page:
    eastsussex.gov.uk/social-care/carers/support


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    Become a Carer Champion

    Following this training we hope you will start to automatically ‘Think Carer’.

    This training will qualify you to be registered with us as a Carer Champion.

    Carer Champions are essential to building and maintaining a carer friendly ward or service.

    As a Carer Champion you can:

    • Support carer identification – check systems are in place and are being used to ensure carer details are recorded and conversations are happening.
    • Raise awareness – have resources available: a notice board and leaflets available to make carers and staff aware, and encourage colleagues to do the training.
    • Make referrals – offer to refer carers to Care for the Carers.
    • Stay in touch – have contact with Care for the Carers – quarterly emails and get in touch if you have any questions or require any resources.
    • Support staff in your team who are carers – be aware of what is in place for NHS staff who are carers, share that knowledge and signpost.
    • Evidence the good practice – this will support CQC inspections.
    • MAKE A DIFFERENCE!
    We are carer friendly - No one left alone

    There can be more than one Champion in your team.

    Care for the Carers can provide resources and support you in your role as Carer Champion.

    It does not require a big commitment.

    Please consider opting in to be a Carer Champion.

    If you choose to opt in, we will contact you to confirm your registration, you will then receive a pin badge to add to your lanyard and you will be added to our contact database to receive useful quarterly updates.

    Consent

    Thank you for taking time to find out more about unpaid family/friend carers.

    By entering the following details you consent to us holding data and contacting you about the completion and follow up of this training.

    Our privacy policy: www.cftc.org.uk/privacy-policy

    Register

    skipNo, please do not register me as a Carer ChampionYes, please register me as a Carer Champion and send me a carer friendly pin badge

    Your Feedback

    Before you download your certificate, we’d love it if you could leave us some brief feedback about your experience.

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    Please state

    Well done!

    You have completed the training.

    We really hope you enjoyed the session and found it useful.

    Please contact us if you have any questions or requests:
    info@cftc.org.uk.