Living Life to the Full in West Kent

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Living life to the full in West Kent

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Introduction

Thank you for picking up this booklet. It contains information and contacts within West Kent to help you to enjoy living your life to the full as you get older. There’s advice and contact details should you need further support.

Many people find that life gets better as they get older because they finally have the time to do things they have wanted to do in the past but were too busy.

A positive attitude to life means taking the time and effort to do the things you enjoy, keeping as healthy and active as possible and making the most of what’s on offer.

Older people are staying healthier and more active now. Although for some this may not be possible, there are still things you can do to maintain your health and independence and this booklet gives you helpful ideas and suggestions.

You may want to make the most of leisure activities in your area, plan a new career, take up a new hobby or study. You could contribute to the work of the community via Kent Adult Social Services,West Kent NHS, your local Borough or District Council or voluntary organisations. All contact numbers are included in this booklet.

Whether you live in a town, village or a rural setting West Kent is enriched by a diverse cultural society. It does not need to cost you money to enjoy the many beautiful parks and gardens that the public can visit free of charge or places of interest or reference like your local library. We hope that you enjoy reading this booklet and find it useful. We welcome your views, comments and suggestions.

Margaret Howard Julie Hunt Michael Angell Director of Commissioning Director of Nursing and Quality Older People’s Champion and Provision for West Kent NHS West Kent Kent County Council Kent Adult Social Services

Contents

Keeping healthy and well A positive attitude - making the most of opportunities Choosing retirement - doing what you want to do Lifelong learning - join the learning revolution Keeping well - a healthy mind and a healthy body Looking after your health - making you feel better Alcohol and drugs - useful things to know Loving in later life - intimate relations Continence care - effective management

Dealing with life changes

Keeping mentally healthy - coping with change and new challenges Dementia - forgetfulness doesn’t necessarily mean dementia

Caring for someone else - shifting responsibilities and adjusting roles Coping with loss - your changing emotions Maintaining independence - dignity and choice Transport - staying mobile

Financial, legal and housing matters

Looking after your finances - you’ve worked hard, so make your money work hard too Knowing what you’re entitled to - the benefits are out there Organising your will and legal matters - making your wishes known Housing matters - living where you want

Keeping safe

Keeping yourself safe - reducing the risks Accident prevention at home - including reducing the risk of slips, trips and falls What to do in an emergency - staying in control Older people at risk of harm - keeping safe

Useful contacts and information

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A positive attitude

I may be a senior but that doesn’t mean I have to sit in a chair all day, staring at the TV. I like to get out, meet new people and have a good old chat. I’d get depressed if I stayed at home on my own. A positive attitude making the most of opportunities • Life is what you make it • A positive attitude makes a big difference • There are financial advantages to being over 60 • Make the most of the time retirement brings • You’re entitled to have fun! • Use the internet Many people find that they finally have the time • Winter fuel payments. to do all of the things they couldn't do in their • Concession schemes. younger working days. There’s more time to • Assisted transport and free bus travel. enjoy a social life and leisure facilities. Whatever Awareness your interests there will be plenty of activities for What’s on offer Life is what you make it and it doesn’t have to stop There are plenty of things to do that are free or you to join in nearby. just because you’re getting older. Think about your cost very little. Your local library should have interests and hobbies and plan for your future years. There are many sports centres in West Kent. They information about places of interest, events and Action Contacts provide classes for a wide range of abilities, gyms, groups you might like to join. There are websites Visit your local volunteer centre or library to find • Kent Connects swimming and café facilities. Please contact your aimed specifically at older people, such as age-net out what’s going on in your area. There may be Information local Council or Gateway for further information. (see weblinks opposite). many local events and organisations that you have 01622 694140 not been aware of. Many organisations are looking • Voluntary Action There are Gateways situated in Maidstone, KentARA is an association for any retired or semi for volunteers and support - so get in touch. West Kent Tonbridge and Tunbridge Wells. Gateway brings retired person that lives in Kent. A wide range of If you’ve access to the internet, try visiting 01892 530330 together County Council, District Council and social activities are arranged by the local clubs www.do-it.org.uk which is a national database • Volunteering, other services under one roof from voluntary across the County (visit www.kentara.co.uk). that allows you to search over 800,000 voluntary Community Information and community groups. Customers can talk to opportunities from around the UK. & Libraries - search for trained advisors about services from household Local services Talk to volunteering or check recycling and social care to Council tax and Local organisations, including those which are Talk to friends and neighbours about what they’ve out the Community, housing benefit enquiries to name a few. culturally specific offer help and advice. If you find found locally. Talk to local organisations and find out Living & Leisure pages it hard to get out an about or are worried about about local day or community centres. There are on Council websites There are beautiful gardens, stately homes, meeting new people, local organisations can help. organisations that may be seeking volunteers or have • North West Kent castles, theatres and cinemas to visit in West If you're active and keen to help others, a range of activities for you to participate in.Your Council for Voluntary Kent. If you are over 60 you may be eligible for volunteering can be stimulating and rewarding. local library can also provide more information. Service 01474 354479 discounted ticket prices at some attractions. • The University of Join your local Older People’s Prevention the Third Age (U3A) A positive attitude means making the effort to do Growing older is inevitable, but your outlook on 020 8466 6139 Forum life, health and lifestyle can make the difference the things you enjoy, keeping healthy, active and • First Stop Advice Line making the most of opportunities. There are Older People's Forums in Dartford, between slipping into old age or embracing it and 0800 377 7070 Maidstone and Tunbridge Wells and all it has to offer! • Maidstone Gateway The benefits of becoming 60+ Neighbourhood Forums in Gravesend. There is 01622 602000 EMAIL [email protected] There are lots of financial benefits once you also a Forum planned for Tonbridge and Malling. • Tunbridge Wells reach 60, depending on your financial status. Please contact the relevant Borough Council for EBLINKS Gateway 01892 526121 W www.kentconnects.com • www.kentara.co.uk • Further details can be found in the financial, legal further information. Some Councils have residents www.vam-online.org.uk • www.vawk.org.uk • • Tonbridge Gateway panels and Forums that you may like to join or you 01732 876322 and housing matters section of this booklet, www.age-net.co.uk • www.silversurfers.net • may wish to become a member of your Health www.volunteercentreskent.org.uk • • Health Network these include: www.u3a.org.uk • www.firststopcareadvice.org.uk • 01732 375287 • Free prescriptions and eye tests. Network Group (see contacts). Contribution of www.seniority.co.uk • An increase in tax allowances (at 65) and other your time, views and ideas greatly help to improve money benefits. services, facilities and amenities in your local area.

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Choosing retirement

I decided to take early retirement, and thought I’d try voluntary work through VSO. Choosing retirement doing what you want to do • Discuss whether there’s a mandatory retirement age at your workplace or options for flexible retirement • Think about the benefits of retirement • Retirement is a major life change - plan for it • Consider finding a new job - working life doesn’t stop at retirement - you may wish to seek a new direction to working life • Volunteering - giving some time to help others

Awareness home. If you’re currently out of work you can use Be aware that retirement is a major life change Planning and may take time to adjust to. Consider the pros A sudden change to your pattern of life can be volunteering as a stepping stone, gaining work and cons of retiring or whether you can continue very daunting. Make sure you plan ahead, so that experience, updating your CV and references. working. It may be possible to reduce your hours retirement is something you look forward to. If Voluntary work is very flexible and can be or the amount of responsibility you have in your you have the choice to continue working or to current job. Contacts tailored to suit the time you can give. Volunteers • North West Kent retire, there are a few factors you may want to Action can claim out of pocket expenses that don’t Council for Voluntary consider before deciding. affect their benefits. If you are retiring, plan ahead so that you’ve Service plenty to keep you occupied. Think long-term and 01474 354479 Retirement can be a time of fresh opportunities. Your local Volunteer Centre will help you identify keep up hobbies and interests that you’ve always You’ll have more time to spend with your friends had. Why not try something completely new, like • Voluntary Action the type of volunteering that best suits you so Adult Education, Evening Classes,Amateur West Kent and family. You can pick up old hobbies or take that you make the most of your volunteering Operatics/Drama etc. Also look at learning 01892 530330 up new interests. It’s a time when you can finally experience. opportunities through the University of the Third • The Pension Service relax and do what you really want to do. This can Age (U3A). The U3A is a network for sharing 0845 6060265 also be a time of major change in your life - your Alternatively visit www.do-it.org.uk where you interests and knowledge. • Jobcentre Plus income is likely to drop; you and your spouse or can explore volunteering opportunities. Talk to 0845 6060234 partner may also have to adjust to having more Talk to your employer about retirement plans; ask if • The University of free time together. Money management there’s a retirement course and whether it’s the Third Age (U3A) You may wish to seek financial advice about the possible to continue working if you wish to do so 020 8466 6139 Continuing to work options available to you and the implications of or whether flexible retirement options are available. • Age Concern If you are drawing a pension, you may not want different retirement options. If you’re interested in volunteering there are 0800 00 99 66 to give up a job you enjoy. Many companies see many organisations and websites that can give Information on what’s available to you from the • Equality & Human the benefits of having an older workforce. You advice and information on local, national and even Rights Commission State, and on financial choices you can make to international schemes. Helpline may wish to find another job with fewer hours prepare for retirement, is available from The and less responsibility. There are many Prevention 0845 604 6610 Pension Service (see Contacts). A booklet Suddenly finding yourself with no job and few organisations that can give you help and advice. ‘Pensions: the basics - a guide from the plans for how to spend your time can be daunting Government’ is also available from this source. and demoralising. Make sure you plan ahead so Voluntary work retirement is something you look forward to. If you devote a little time to helping the local If you’re a member of a company or private community you’ll be surprised at the rewards it pension scheme then you can also seek can bring. WEBLINKS www.ktcr.org.uk • www.vawk.org.uk • www.do-it.org.uk • information from your pension provider about www.thepensionservice.gov.uk • www.vso.org.uk • www.u3a.org.uk • It doesn’t matter what age you are or whether your pension position when you retire. See www.ageconcern.org.uk • www.equalityhumanrights.com you are employed, unemployed, retired or at Knowing what you’re entitled to page for further information on benefits advice.

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Lifelong learning

Lifelong learning join the learning revolution • Learning will keep you mentally active • Gaining knowledge will keep you interested - and interesting! • Learn at home, college, library or community centre • Classes give you the opportunity to make new friends The computer course the library ran was excellent - now I feel confident e-mailing my grandchildren in Canada. Don’t let age be a barrier to getting as much as or details of your local U3A group will be Just being able to keep in touch more easily you can out of life. The old saying that ‘it’s never available from your local library. has made a big difference to me. too late to learn’ is true - many people in their There’s a mobile library service across West 60s, 70s and 80s are taking courses and gaining Kent. A Home Library Service operates for degrees. But remaining mentally active doesn’t people unable to visit a library due to frailty or mean having to sit exams. Taking up chess, doing disability. Care homes, day centres and other the crossword puzzle or reading can be equally Awareness groups can borrow reminiscence material and Don’t let age be a barrier to learning something stimulating. new, or taking up an old hobby. Most people find books on activities. If you prefer audio there are that the more their days are filled with doing things Choosing what to do audio books on tape or CD. Libraries are also a that interest them, the more they remain active. There are many activities and courses available, good source of information for people who want Contacts you have to choose what you would like to do. to find out more about local or family history. Action They also provide free access to computers. There are many ways to learn. Your local library • Kent Adult Education Take into account your interests, skills and will have information about local activities and 0845 606 5606 budget and then find out what’s on offer. You can access the library catalogue remotely courses. You can check the West Kent Community • Niace - Promoting from a computer - library staff will give you a Adult Learning Information Service - either by asking for the hard Where to look Personal Identification Number (PIN) to do this. copy at your local library or by looking on the 0116 204 4200/4201 Your local library is a good source of You can reserve and renew books online as well website. You can also check local and national • Kent Innovation & information and will have leaflets and directories newspapers. Or log on to the learndirect or BBC as look at online databases. Enterprise - University about local activities. Local newspapers will also websites for advice on online learning. of Kent 01227 827376 or 01634 888873 list activities or events going on in your area. There’s a wide range of activities available through Talk to • Floodlight Kent Contact your community or adult education Kent Adult Education, call 0845 606 5606 for Phone or visit your local adult education or Regional Guide to college or the Open University for advice and more information. community college for advice and information, Learning 0800 100 900 information on what courses may suit you. Exercising our minds as well as our bodies is or ask at your library or local Council office. • Library Information 01622 696438 The Universities of the Third Age (U3As) in the important. By learning a language or playing Prevention UK are autonomous, self-help organisations run bridge, you’re keeping mentally active. This can • Online Library Keeping your mind active can help reduce the risk by the voluntary efforts of their members. U3A help keep you mentally healthy for longer. If of conditions such as Alzheimer’s disease and Information depression, as well as helping you to get out and 01622 696438 aims to encourage and enable older people, no you’re going out to a class or centre, you’ll also about and make new friends. • Learn Direct longer in full-time paid employment, to help each be meeting new people and making new friends, 0800 101 901 other to share their knowledge, skills, interests which is stimulating in itself. You’ll probably find WEBLINKS www.kentadulteducation.co.uk • www.niace.org.uk • • Basic Skills Agency and experiences. To find out more please call the you have lots in common with other people www.kent.gov.uk/libs • www.learndirect.co.uk • 0800 700 987 national telephone number on the contacts page you’ll meet as your interests will be similar. www.wea.org.uk • www.open.ac.uk • www.bbc.co.uk • The University of the Third Age (U3A) 020 8466 6139

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Keeping well

Keeping well a healthy mind and a healthy body • You’re never too old to start something new • Physical activity gives you more energy • Contact local organisations to find out what’s on offer in West Kent • Get help to get motivated

Research shows that many of us are too inactive Exercise also gives you the ‘feel-good factor’ Awareness to benefit our health, but age shouldn’t be a making you feel fitter, more energetic and more Growing older doesn’t have to mean you become barrier to being physically and mentally healthy. likely to get out and meet people. less able. The more aware you are of keeping There are many things you can do to exercise physically and mentally active the more you can both your body and mind. Research also Keeping mentally stimulated reduce the risk of health problems. highlights the benefits of maintaining emotional We all forget things sometimes but age doesn’t Action Contacts well-being by being physically and mentally active. have to mean sinking into mental decline - the Find a form of exercise that suits you - if you don’t • Kent County Council more you use your brain, the more mentally want to exercise as part of a group, think about Social Care & Health The benefits of physical activity active you’ll remain. There are many classes such walking or swimming. Brighter Futures for Older 08458 247 100 Keeping physically active has a huge number of as IT courses, heritage studies, singing or craft People have exercise schemes in Tonbridge and • Kent Connects benefits. It helps to reduce the risk of diabetes, activities available locally. For instance, you could Malling, Sevenoaks and Maidstone. Please contact Information heart disease and strokes. It strengthens your take a computer training course aimed at over your local Council or sports centre for further 01622 694140 information. Taking up activities that keep you muscles, aids mobility, encourages a healthy 50s or a Keep Fit 50+ course for beginners. mentally stimulated, such as chess or bingo, will not • The Gr@nd - Healthy appetite, regular bowel movements and a good only keep your brain active, but will help you to Living in Gravesham Exercising our minds as well as our bodies is 01474 320123 sleeping routine. It can reduce the risk of falls, meet new friends. osteoporosis, stress and depression. It stimulates important. Many activities help keep your brain • St Edmunds Church, mentally agile for example: crossword puzzles, Talk to the brain, keeping brain cells alert. Living Well Centre chess, bingo, learning a language or taking a Organisations in West Kent run a number of 01322 311201 classes aimed at the 50+ age group. Your local The recommended daily amount of physical cookery course. Your local library is a good Council will be able to provide details of the • British Heart exercise for adults is 30 minutes of activity that source of information (see Lifelong learning pages Foundation Cardiac ‘Health Walks’ in your area. makes you breathe a little harder than normal. 8 and 9). You can also train your memory to Age Concern can offer advice and information. courses 020 7554 0000 Remember this can be broken down into several some degree, for instance by making lists, or If it’s been a long time since you’ve done any 10 minute blocks throughout the day, and it’s a using certain ‘trigger’ words to jog your memory. exercise, or you are receiving any medical • Heart Helpline good idea to build up gradually. treatment, it’s a good idea to talk to your doctor 0300 330 3311 Just turning up at a local community centre and or practice nurse before you begin, or ask your • Age Concern Organisations like Age Concern can tell you meeting new people may be all the mental doctor about local ‘exercise referral’ schemes. 0800 00 99 66 about planned healthy walks,Tai Chi courses, stimulation you need. Check your local Prevention • Your local library is a newspapers, village hall or community centre good place to find out keep fit and seated exercise classes. Physical Enjoying mental and physical activities can help notice boards to see what’s going on in your area. reduce the risk of many conditions, such as about local courses activity doesn’t mean having to join a gym. You 08458 247200 could take up a dance class, walk to the shops Alzheimer’s disease, osteoporosis and depression, as It may seem daunting at first to go somewhere, well as helping you to get out and about and make instead of taking the bus, or tackle the garden, all • Kent Adult Education or try something new, but you’ll be made to feel new friends. 0845 606 5606 of which will be keeping your muscles toned and welcome. If you’re worried about language your joints supple. Even if you’re not able to be problems or fitting in with people from a active when standing up, there are lots of seated WEBLINKS www.kent.gov.uk/socialcare• www.thegrand.org.uk • www.ageconcern.org.uk• different ethnic background, staff and volunteers exercises you can do. Don’t forget lots of local www.stedmundsdartford.org.uk• www.whi.org.uk • www.nhsdirect.nhs.uk • will help you to feel comfortable. www.age-net.co.uk • www.seniority.co.uk • www.taichifinder.co.uk/local/seach.html leisure centres offer a range of activities like swimming, water-based exercises or dancing, with opportunities to keep fit and make new friends.

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Looking after your health

I know my eyesight is not as good as it used to be but never thought much more of it - until I got my eyes tested. I now wear glasses for reading and driving - it’s really Looking after your health made a huge difference to my life. making you feel better • It’s never too late to improve your health • Know what medicines you are taking and what they do for you • Have regular check-ups including eye tests and dental appointments • If you’re a smoker, giving up is the best thing you can do to improve your health As a society we are living longer and we now Stroke prevention have far more time to enjoy our retirement. It is According to the Stroke Association every five important to remember that it’s never too late minutes one person in the UK has a stroke. A to start to make changes to your lifestyle and stroke is when the blood supply to the brain is routines in order to improve your health and cut off, and can leave people paralysed, feeling well-being and ensure that your later years are weak on one side of the face and unable to talk. Awareness not hampered by ill health. Having a healthy lifestyle is the best thing you can Have you had a Medicines Review in the last do to reduce your chances of having a stroke. If twelve months? Talk to your doctor or General health you’re Asian, Black African or Caribbean you have pharmacist to arrange one. In order to be seen by a local doctor you need a higher risk of stroke and diabetes so it is A problem with your feet can lead to irritability, to register with a practice near your home. Contacts important that you contact your local NHS pain and limited mobility. Proper foot care is Contact your local practice in the first instance essential and should be part of your daily routine. • Kent Connects services who can help you keep well. Information or call the Primary Care Support Services Team Action 01622 694140 for a list and information on how to register. How’s your diet? Check the expiry dates on the medicines that • West Kent NHS you have in your cupboards. Don’t order more A library near you may also have this information If you’re overweight, you are more likely to get high Primary Care Trust blood pressure, heart disease or diabetes. These than you need. 0800 0 850 850 available. Take a moment to think about your feet, eyesight, • NHS Direct illnesses make your chances of having a stroke dental health and hearing - perhaps you’ve not 0845 4647 Other health professionals, such as pharmacists, greater. It’s important to have a good balanced diet noticed a gradual decline. • Medicines Information dentists, opticians, podiatrists (chiropodists) are even if you’re a healthy weight. Try to eat less Talk to Centre 020 8321 5880 also able to provide you with information and saturated fat and more fresh fruit and vegetables. Always discuss problems with your doctor, • The Society of advice on health matters. pharmacist, dentist, optician or podiatrist. Some Chiropodists & Are you active? conditions can be treated and not all aches and Podiatrists In West Kent there’s a scheme called West Kent Taking regular exercise helps your body stay pains are a consequence of getting older. 0845 450 3720 Care Call which is a telephone support service healthy and it’ll also make you feel better in • Diabetes UK Careline run by nurses. If you have a long-term condition Prevention 0845 120 2960 yourself. Anything that gets your heart beating Don’t wait until you’re ill to register with a local • Royal National Institute such as asthma, diabetes, Chronic Obstructive faster and leaves you slightly out of breath is doctor. For information on your nearest surgery for the Deaf (RNID) Pulmonary Disease or Cardiovascular Disease great. So climb the stairs instead of using a lift, contact the Primary Care Support Service Team. 0808 808 0123 they are able to support and advise about best get off the bus a stop earlier and do some Have regular dental and sight check ups. • The Stroke Association Talk to your pharmacist about any concerns that treatment options, act as a personal health coach gardening or housework. you may have. If you’re over 65 ask your doctor Helpline to tailor a programme for you and help with about receiving the flu vaccination. 0845 3033 100 or managing your condition. It’s simple to access, Do you smoke? 999 in an emergency If you do, stop! You’ll cut your risk of a stroke in • Arthritis Care Helpline just call freephone 0800 169 1824 between 8am WEBLINKS www.westkentpct.nhs.uk • www.nhsdirect.nhs.uk • 0808 800 4050 and 8pm Monday to Friday and between 8am and half. Smoking raises your blood pressure and www.rnid.org.uk • www.stroke.org.uk • 1pm Saturday. makes your arteries fur up, so it can lead to www.arthritiscare.org.uk • http://smokefree.nhs.uk a stroke.

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Looking after your health How much do you drink? Ageing feet medicines it can be difficult to remember what Hearing Drinking too much alcohol can raise your blood Footcare is one of the most important aspects of each one is for and when to take them. Ask your Unfortunately a hearing loss at any age can have pressure, so if you’re a woman don’t drink more personal healthcare whatever your age. However, doctor or pharmacist if you have any questions a huge impact on personal, social and working than three units a day, and if you’re a man don’t painful and uncomfortable feet needn’t simply be or need help with your medicines. lives if it’s not dealt with. Research shows that drink more than four units a day. Your doctor’s something to ‘put up with’ as we grow older. If you’re taking regular prescription medicines people sometimes wait up to 15 years between surgery will have further information about units. or suffer from a long-term illness you should the onset of hearing loss and seeking advice If you experience any pain something is most likely about it. However, it can be better to find out How’s your blood pressure? wrong. It’s important to seek prompt treatment, have a regular review of your medicines at least about hearing aids sooner rather than later as You might not know if you have high blood particularly if you have diabetes. People suffering once a year. getting used to amplified sound is harder if pressure, so it’s a good idea to get it checked from diabetes often suffer from poor circulation The review may be carried out by a pharmacist, you’ve already got used to a ‘quieter world’. regularly by your doctor. and loss of sensation in their feet, meaning that a doctor or a nurse. It will give you the problems may go unnoticed unless they examine opportunity to ask questions, talk about anything If you think you may have some hearing Are you stressed? their feet regularly. You may prefer to visit a that is worrying you and explain how your impairment you should visit your doctor as soon Stress can also raise your blood pressure, so try private registered podiatrist (chiropodist) for medicines are working for you. Ask for a leaflet as possible. Your doctor may do some simple to find out what’s making you feel stressed and information, advice and/or treatment. Contact the at your doctor’s surgery or the local pharmacy. tests, such as asking you to cover one ear, then get some help. Society of Chiropodists and Podiatrists to find one speaking at different levels or using a hand-held What are the symptoms? near you. (see Contacts) Repeat dispensing sound generator, to see how you respond to To help people recognise the symptoms of a Ask your doctor or pharmacist about ‘Repeat sounds at different volumes. Arthritis Dispensing’ if you are taking regular medicines. stroke quickly,The Stroke Association has funded Your doctor may refer you to an Ear, Nose and Osteoarthritis is the most common form of You may be able to collect monthly supplies of research into FAST - the Face Arm Speech Test. Throat (ENT) specialist or (particularly if you’re arthritis. Cartilage (connective tissue) between your medicine from your local pharmacy without FAST requires an assessment of three specific over 60) an Audiologist, who will test you the bones gradually wastes away and this can lead needing to obtain a repeat prescription from symptoms of a stroke. further to determine the cause of your hearing to painful rubbing of bone on bone in joints, most your doctor each time. Facial weakness - can the person smile? Has commonly in the hands, spine, knees and hips. loss and work with you to find the best possible their mouth or eye drooped? Remember to only order the medicines you are treatment. You may have to wait a few weeks for Rheumatoid arthritis is a more severe but less Arm weakness - can the person raise both arms? taking and tell your doctor or pharmacist if your first appointment. The Royal National common condition. The body's immune system Speech problems - can the person speak clearly you’ve stopped taking any of your medicines. Institute for Deaf People (RNID) hearing check attacks and destroys the joint, causing pain and and understand what you say? Check the expiry dates on the medicines that line is a quick and easy way for people to take swelling. It can lead to reduction of movement Time to call 999. you have in your cupboards. Just like foods, action to deal with a potential hearing problem. and the breakdown of bone and cartilage. medicines should not be taken after the use-by Signs of a stoke appear suddenly - a stroke is an Your hormones Arthritis can be life changing but there are many date. Return any out-of-date or unused emergency so if you see the signs of a stroke act One of the female hormones is oestrogen and in ways that can help you manage your condition medicines to your pharmacist. FAST and call 999. Early treatment saves lives and younger women production of this hormone plays and lead a full and active life: increases the chance of making a better recovery. an important role in maintaining bone strength. • Weight bearing exercises such as walking will Sight People over 60 are eligible for a free NHS sight help to prevent osteoarthritis by increasing the Once women reach the menopause, oestrogen The benefits of quitting smoking test every two years, annually if you’re over 70. If strength of the muscles that support your joints. levels drop and this protective factor is lost. It’s never too late to stop smoking! Giving up the test shows that you need glasses, you may • Good posture can strengthen healthy joint smoking increases your chances of living a also be eligible for help with the cost of glasses. Although women are more likely to have structures. healthier and longer life. Once you’ve stopped, Some opticians will visit you at home. NHS Direct osteoporosis, men can also have it, especially if • If you’re overweight, try to control your weight your body begins to repair the damage and you can provide a list of opticians in your area. they have low levels of the male hormone, to ease pressure on your joints. start to feel the benefits. Your health improves, testosterone. Bone mass also decreases as we you feel better and you have more money to • Physiotherapy and use of a walking stick or cane Dental care can help prevent worsening of existing conditions. get older and in some people it may be very low. spend on other things. Regular dental check-ups are very important, This can mean that they have osteoporosis and even if you have no natural teeth. Your dentist The local NHS Stop Smoking Service can help Medicines are at risk of fractured bones if they have a fall. will tell you how often you should go, and this you. It offers group or individual support and Your high street pharmacist will be able to Keeping physically active can help to maintain may be anywhere between six months and two advice on treatments such as nicotine patches, advise you on a range of medicines and remedies bone and muscle strength. Eating healthily is also years. If you’re on a low income or receiving gum and other stop-smoking aids. You are four for everyday illnesses. You don’t need to make an important so include foods with calcium and certain benefits you may be entitled to free times more likely to quit and stay quit by getting appointment and advice and information will be vitamin D in your diet, such as dairy foods, treatment. Always check the cost of treatment in support from the NHS Stop Smoking Service provided free of charge. sardines, soya products and green leafy advance, as it may be expensive. NHS Direct can (see weblinks). Call to refer yourself for free vegetables. If you’ve had a fall or a bone fracture, provide details of dentists in your local area. advice and details of a local group near you Medicines reviews speak to your doctor, who will advise if you For urgent dental treatment call DentaLine 01622 723836. Many of us rely on medicine to keep us fit and need extra calcium and vitamin D. well. If you’re taking a number of different 01634 890300.

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Alcohol and drugs

Alcohol and drugs useful things to know I enjoy an occasional drink with my friends, but • Follow the recommended guidelines for sensible drinking I know my limits. • Talk to your doctor if you’re concerned about your own or someone else’s drinking • Keep a note of all medicines or remedies you take regularly • Avoid buying medicines, preparations or remedies over the internet Awareness Reducing the risk of harm medicines or drugs without medical supervision As you get older it becomes more important to Many people enjoy drinking alcohol and sensible can be falls, low mood, confusion, apathy and know your limit and stick to it. Alcohol can help us moderate drinking will probably not harm you. poor appetite. Long-term effects can include ‘wind down’. However if it’s used as a remedy to ulcers, nutrition deficiency, organ failure and mask an underlying problem then it’s likely that the One unit of alcohol is the equivalent of one pub frequency and amounts will increase. measure of spirits, a half pint of lager, a small depression. Illegal drugs carry additional risks. Contacts If you take drugs - illegal or over the counter - you glass of wine or a small sherry. However, the • Speak to your doctor need to be aware that natural ageing processes measures that you pour at home are likely to be Can I drink when I am taking can lead to additional risks, even from drugs you or practice nurse larger than pub measures, and therefore contain medication? may have been taking for some time. • Action for Change Many tablets and medicines cause problems with There’s no shame in seeking help to address these (for difficulties with more units of alcohol. problems. alcohol, free & alcohol and you may need to stop drinking confidential) It’s recommended that men should drink no altogether. Painkillers and sleeping tablets are Action 01424 460066 more than four units a day and women no more particularly affected by alcohol. Always check Follow the recommended guidelines for sensible • Drinkline than three. Try to have one alcohol-free day a with your doctor or pharmacist before drinking drinking. For example, never drink alcohol on an week. Drinking more than this can lead to empty stomach. The best option may be to stop 0800 917 8282 if you are taking medication. drinking altogether. Illegal drugs are often • Alcoholics Anonymous significant health problems. 0845 769 7555 If you feel you need help please contact your highlighted as dangerous, but using prescribed As we get older we feel the effects of alcohol drugs, over-the-counter medicines, and buying • Al-Anon (for families doctor or one of the agencies listed in the drugs over the internet, also carry risks. & friends of alcoholics) more quickly, and our ability to process alcohol contacts section. 020 7403 0888 decreases with age. One reason for this is that the Talk to • ADFAM (Helpline for water content of our body decreases, so any Worried about the drinking or If you’re worried about your own, or someone families & friends alcohol we drink will be more concentrated in drug-taking of a friend or relative? else’s drinking or drug use, confidential advice and of drug users) our bodies. For example if you’re driving you may You may be worried that someone close to you support is available from a number of services in 020 7553 7640 reach the legal limit more quickly as you get older. West Kent (see Contacts). It’s usually a good idea is drinking too much or misusing drugs. This may • National Domestic make you feel alone, angry or ashamed. to talk to your doctor first as they can refer you Violence Helpline Whenever a doctor, nurse or pharmacist on to specialist services. 0808 2000 247 recommends a medication you should tell them Sometimes, having someone in the family who is Prevention • Oasis what you take already so they can give advice drinking or misusing drugs causes problems such Drinking sensibly will allow you to continue to (Domestic Violence about possible interactions. When taking any as arguments, physical fights or problems with enjoy alcohol but also to stay safe and healthy. Help - covers Kent) kind of drug or medicine check that it’s safe for 01702 300006 money. If this is the case you may feel torn Try to avoid using alcohol with any drugs you to drive or handle machinery. between loving the person and hating what they especially illegal drugs - or medicines.Always check with your doctor if it’s safe to drink What are the long-term effects are doing to themselves and the family. People in alcohol with prescribed drugs. this situation often find it very helpful to have of alcohol and drug taking? someone who is outside the family to talk to As with alcohol, drugs can be misused when they WEBLINKS www.alcoholics-anonymous.org.uk • www.al-anonuk.org.uk • www.nhs.uk • about their concerns or feelings. www.womensaid.org.uk • www.downyourdrink.org.uk • www.talktofrank.com are taken regularly without trying to address the underlying problem. Short-term effects of taking

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Loving in later life

I think my daughter would be shocked to know that I’m still interested in sex. But why shouldn’t I be? Just because I’m over 60 doesn’t mean I stop having those feelings and wanting to share my life Loving in later life with someone. intimate relations • Sexual desire doesn’t disappear because you’re older • Older people can enjoy active sex lives • Maintain intimacy in your relationship - keep the romance going • Dating agencies cater for all ages, and for heterosexual and same-sex relationships • Sexual problems can be resolved • Sexually Transmitted Infections (STIs) affect all ages, a condom is the best way of protecting yourself and your partner

The younger generation often assume that sexual your later years, socialising or taking up a new intimacy disappears once you reach 60. The truth hobby can introduce you to people with similar is that desiring sex and having sexual relations interests. If you’re a lesbian or gay man there doesn’t have to diminish as we get older. may be local groups you can join. The health benefits of sexual There are dating agencies that cater for older people, whether heterosexual, bisexual, lesbian, Awareness activity Many older people will be put off by language gay or transgender - including anyone with a There are many reasons why regular sex is good disability. Remember, safe sex isn’t just for that appears to trivialise sex as ‘for fun’ outside for you. In women it can increase blood oestrogen the context of a loving relationship. You don’t younger people - Sexually Transmitted Infections levels, helping to protect against coronary heart have to lose your zest for life and sexual (STIs) can affect anyone. relationship just because you’re getting older. disease and osteoporosis, and helping to keep the Contacts pelvic floor muscles toned, reducing the risk of Your changing body Action • Intimate Relations: incontinence. In men, sex releases hormones If you’ve lost intimacy between you, take time to It’s an inevitable fact that, however young we feel Living and Loving in which help strengthen bones and muscles, protect explore all aspects of your relationship again. Later Life by Dr Sarah inside, our bodies change physically as we age. against heart disease and may relieve congestion in Remember, as long as you are both comfortable Brewer. Available from Some people may find they have age related the prostate gland. For both sexes, in addition to with it, it’s never too late to learn new ways! Age Concern Books sexual problems. Men may find it more difficult to the emotional benefits, it can be a great stress Talk to £9.99 get and maintain an erection, while women may reliever, induce sleep and be fun! Talk to your spouse or partner if you feel you • The New Love and Sex find lubrication a problem. Erectile dysfunction would like to re-energise your sexual After 60 by can be a sign of other health problems, so do Robert N. Butler and relationship. You may be surprised by their Maintaining a relationship speak to your doctor. These problems should not response. Myrna I. Lewis When you’ve been with your spouse or partner be just accepted as a part of growing older - your Prevention • Relate for a great number of years, it can be easy to slip 01892 529927 doctor can probably help you, so don’t be Don’t let sexual problems prevent you from out of intimacy and into companionship. embarrassed to ask for advice. having an intimate relationship. Discuss your • NHS Direct concerns with your doctor who will be able to 0845 4647 Good communication will help you to discuss advise you and discuss possible treatment. ways of maintaining a close sexual relationship that suits both your needs. If you’re alone in WEBLINKS www.ageconcern.org.uk • www.nhs.uk • www.gayindex.co.uk • www.gaybritain.co.uk • www.condomessentialwear.co.uk • www.tht.org.uk • www.ageconcern.org.uk/AgeConcern/lesbian_gay_links.asp • www.nhsdirect.nhs.uk

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Continence care

When my bladder started to leak I thought it was something that I’d have to live with. Then I contacted my local continence service and realised that there was actually something that could be done to help me. Continence care effective management • Don’t be afraid to seek help • Remember your incontinence may be curable • Although you may feel it you’re not alone

Making you feel better Who can help? Do you have a problem? You can ask your doctor or any Health Care Most people consider their toilet habits to be Professional about referral to the Continence ‘normal’. But are they? Service. You can also contact the Continence Service direct and make a self-referral. • Do you go to the toilet to pass urine 4-6 times each day? Awareness What happens then? A full continence service assessment will be 'Around 5-9% of the adult population have • Do you have dry pants at all times? significant problems with urinary incontinence carried out to obtain a clear history of your and the majority of these could be successfully • Do you pass 300-400mls of urine at a time? complaint. This may include a bladder scan, treated/cured'(DH Good Practice in Continence (A mug holds about 250ml) bladder diary and urine testing. Following this a Service 2000). Urinary and faecal incontinence Contacts personalised treatment plan will be given to you are common problems affecting both women and • Do you pass urine easily, without straining men of all ages. • West Kent NHS and will be regularly reviewed. Primary Care Trust or pain? Action 0800 0 850 850 • Is your urine light in colour and odourless? What can you do to help Is this a new problem? Is your urine dark in • The Bladder & colour and/or smells offensive? Do you have any Bowel Foundation • Do you always make it to the toilet in time yourself? lower stomach or back pain? Does it hurt when Nurse Helpline without having to rush? you pass urine? If you have any of these 0845 345 0165 • Don’t go to the toilet just in case. symptoms contact your doctor as you may have Counsellor Helpline If the answer to the above questions is ‘yes’, a urinary infection. Have you been started on any 0870 770 3246 • Don’t hover over the toilet. Sit down properly. new medications? If so ask your pharmacist or you’ve no problems. However, if you’ve answered General Enquiry ‘no’ to any of the above you should seek help • Reduce your intake of tea, coffee and doctor if this could be a side effect. 01536 533255 before things become any worse. fizzy drinks. Talk to • Incontact If you’re experiencing any problems with urinary 0870 770 3246 • Don’t stop drinking water. or faecal incontinence, you should contact your doctor or Continence Service. Many problems • Seek help. can be treated and in a lot of cases cured. Prevention Don’t let the problem continue, it’s important that you seek help. You can help yourself by thinking about what you drink. Cut back on tea, coffee and fizzy drinks. If you can change to decaffeinated drinks, this can make a big difference. Never go to the toilet ‘just in case’. Most importantly don’t stop drinking water.

WEBLINKS www.westkentpct.nhs.uk • www.bladderandbowelfoundation.org

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Keeping mentally healthy

I felt depressed after I retired and for weeks I hardly went out. But after a few months I realised things weren’t getting better, so I went to my doctor for help. It was difficult at first, but now I’m making the most of my life. Keeping mentally healthy coping with change and new challenges • Ageing doesn’t have to mean a decline in mental health • Life changes can be positive • Physical activity helps keep you mentally active • Take steps to help prevent depression • Make the most of growing older Coping with life changes Looking after yourself There are many changes in life that can trigger Physical activity is not only a good way of keeping anxiety, loss of confidence and depression, such as: healthy - it also helps to keep you mentally alert, • Retirement. and can help with stress and anxiety too. Awareness • Bereavement. A well-balanced diet is also vital to your health and If you feel you’ve lost confidence, haven’t got the • Loss of health or mobility. well-being. This should include plenty of fruit and energy to go out, feel irritable, are sleeping • Moving home. vegetables - remember tinned and frozen can be as badly, drinking more alcohol, and take little care Retirement can lead to a loss of self-worth and good as fresh. Drink plenty of fresh water over your appearance, you may be suffering Contacts from depression. If you’re becoming more not feeling an active member of society. The especially in warm weather to keep yourself confused, forgetful or have sudden outbursts of • Kent Adult Social reduction in income can also force unwanted hydrated. Dehydration can cause dizziness and Services emotion, you may be suffering from dementia. lifestyle changes. Bereavement is particularly hard confusion. Make sure you get plenty of rest too. You should seek professional help. 08458 247 247 • Alzheimer’s Society to bear - not only have you lost a loved one, but Recognising there’s a problem Action 020 7423 3500 your lifestyle may completely change. It may take time to realise that you’re not There are many factors that can lead to depression, • Dementia Helpline A loss of health or mobility may mean getting out behaving normally. Talk to family and friends. See if 0808 808 3000 (24 hour) such as bereavement, loneliness and ill health. they have noticed any changes in your behaviour. less or becoming more dependent on others. If you Symptoms may include a loss of appetite, insomnia, • Samaritans have to move home, for instance into a smaller flat Contact your doctor if you’re worried. 08457 90 90 90 (24 hour) weight loss, lack of motivation and little energy. It’s or into a care home, you may find it hard to cope normal to feel one or two of these at any time, but Talk to • Mind info Line with the loss of friends and independence. 0845 766 0163 if you’re affected by a combination of them, talk to Discuss your concerns with your doctor, who your will be able to assess you and advise you. Discuss • Rethink But there are steps you can take to help cope doctor about diagnosis and treatment. any other symptoms you may have. Symptoms of 0845 456 0455 with these life changes (see Coping with loss Dementia or progressive brain dysfunction is a dehydration and urine infections can often be • Mental Health Matters page 30). Make sure you have other activities and common concern for many as they grow older. mistaken for symptoms of dementia. 0800 107 0160 hobbies in place when you retire, so that you’re Symptoms, such as forgetfulness, confusion, and Prevention not suddenly faced with long, empty days. Use emotional outbursts, may not be recognised as Get the support of family, friends and your the support of family, friends and local services if dementia at first, but will gradually worsen. If you doctor. The sooner you talk about any concerns, you’re looking after a sick partner - you’ll think you, or your spouse or partner, is being the more quickly you can be diagnosed, and appreciate and need the support network affected by dementia, talk to your doctor (see treated if necessary, before the problem gets especially if your partner dies. Keeping physically Dementia page). worse. If you’re dealing with someone who has a mental health problem, talk to Rethink, who and mentally active will help reduce the risk of Remember suicide can affect older people as can offer help and support to carers. illness and disease. If you have to move home, much as young people. If you’re concerned that try to stay within your local area, so that you someone is thinking of harming themselves WEBLINKS www.kent.gov.uk/socialcare • www.alzheimers.org.uk • can maintain contact with friends and family. support and advice is available. As the carer of www.samaritans.org.uk • www.mind.org.uk • www.rethink.org someone with a mental health condition you may be entitled to support yourself (see Caring for someone else page).

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Dementia

Dementia forgetfulness doesn’t necessarily mean dementia • Confusion or forgetfulness doesn’t mean someone has dementia • If you’re worried see your doctor • It’s important to have an early diagnosis to rule out any other condition that could be causing memory problems I realised my memory wasn’t as good as it used to be, so I made an • If you have a diagnosis of dementia you can continue to take an active part appointment with my doctor to find in the community and enjoy life out why I was being so forgetful.

What is dementia? worse as they get older but when someone has Dementia is the progressive loss of the powers of dementia they may forget the names of family the brain. There are many kinds of dementia but members, they may burn pans because they have Awareness the most common are Alzheimer's disease and forgotten them or forget whether they have Dementia is the progressive loss of the powers vascular dementia and possibly a mixture of both. eaten lunch. They may repeat the same question of the brain. Every person with dementia is What all types of dementia have in common is again and again and not know they are doing it. different depending on which areas of their brain that they damage and kill brain cells, so that the They may lose their sense of time, which day it is are most damaged. brain cannot work as well as it should. or the time of day. They may forget where they Action Contacts are, or get lost even in a familiar place. Confusion or forgetfulness does not mean • West Kent NHS What causes dementia? someone has dementia. Other conditions such as Primary Care Trust Medical researchers all over the world are People with dementia may often be confused. infections can cause similar problems so see 0800 0 850 850 working to find causes and develop treatments. Their ability to think can be damaged. They may your doctor. Help and support is there when it • Alzheimer's & is needed. Alzheimer's disease damages individual brain cells make odd decisions, find it hard to solve problems Dementia Support one by one, so that the brain can't work as well and handling money may become difficult. Services (ADSS) Talk to as it used to. There may be a genetic factor in The first step is to see a doctor if you suspect Gravesham Dementia can also cause personality and 01474 533990 some cases of Alzheimer’s, but this does not you or someone you know may have dementia. behaviour changes. • Alzheimer's Society mean that someone whose parent had (West Kent) Tonbridge Alzheimer's will automatically develop the Prevention disease. What should I do if I'm worried? 01732 370330 Confusion or forgetfulness does not nesessarily If your doctor finds no reason for the symptoms, (Maidstone & Rural they may want to refer you to the Mental Health Communities) In the vascular dementias, there are problems mean someone has dementia. Other conditions Services for older people, who are the dementia Maidstone with the blood supply to brain cells. For such as infections can cause similar problems, so specialists. 01622 609060 example, some people have tiny strokes (or see your doctor. • Alzheimer’s Society infarcts) which damage small areas of the brain. Dementia Helpline If your doctor finds no reason for the symptoms, 0845 300 0336 What are the symptoms? they may want to refer you to the Mental Health • Age Concern Every person with dementia is different. How Services for older people, who are the dementia EMAIL [email protected] specialists. Some treatments may be available which 0800 00 99 66 their illness affects them depends on which areas may help some people with the symptoms of some • Admiral Nurses of their brain are most damaged. forms of dementia particularly Alzheimer's disease, WEBLINKS www.westkentpct.nhs.uk • www.alzheimers.org.uk • 020 7874 7210 www.ageconcern.org.uk • www.fordementia.org.uk • • Rethink One of the most common symptoms of dementia and research is progressing all the time. Get the www.rethink.org 0845 456 0455 is memory loss. Most people's memory gets help and support you need.

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Caring for someone else

My husband and I have a wonderful relationship - but we’ve both had to adapt to Caring for someone else our changing roles. Since my stroke, he feels more like a shifting responsibilities and adjusting roles nurse than a husband, while I feel helpless rather than being • Get support from family, friends and other carers the one in control. • Carers can ask for an assessment to determine what benefits and support you’re entitled to • Adjust to your changing role • You’re not alone - ask for help

Awareness Being a carer has its rewards, but it’s also hard work. Make the most of any support offered by Adjusting to the role of carer you always have been, or as a mother, father, wife family, friends, Kent Adult Social Services or or husband. Don’t be afraid to remind them you relevant voluntary organisations, and other carers. If you’re looking after your spouse, partner, have your own hobbies and interests beyond There are specific rights for carers including Contacts parent, friend or other relative because of age, employment rights. Please contact one of the sickness or disability, you are a carer. As you caring. It’s important that you seek help in order organisations listed for further information. • Kent Adult Social to continue your previous activities. Services probably already know, becoming a carer can Action 08458 247 247 mean making major changes to your life and the Your role can often be a difficult one and it’s Don’t feel you have to cope alone. If you’re caring for • Carers First life of the person you’re caring for. While some natural at times to feel resentment, anger or someone, you may be entitled to benefits and Tonbridge, Tunbridge of these changes may bring their own rewards, services provided by Kent Adult Social Services and guilt. These are normal reactions to demanding other organisations, to help you manage and make Wells, Sevenoaks, others may take time to adapt to. circumstances, so don’t be too hard on yourself. life easier for you and the person you’re caring for. Edenbridge & surrounding areas In becoming a carer you’ll be facing issues that Make the most of support from family, friends Talk to 01732 357555 you may not have had to deal with before. It can and local organisations. Take a break when you Talk to Kent Adult Social Services about your • Ellenor Foundation be hard to adjust to becoming a carer and can - even a few minutes to yourself can situation - they can advise you on what help you may Dartford someone being dependent on your support. An sometimes help. be entitled to and also give you advice about 01322 221315 independent spouse or partner may now need It’s often very stressful caring for someone else, contacting other helpful organisations. • Heart of Kent Hospice constant attention, both physically and however much you love them, and stress lowers Prevention 01622 792200 emotionally, and you may need to deal with Looking after another person who is ill or disabled your immune system, leaving you more • Hospice in the Weald problems such as confusion or loss of memory, can be very stressful and can take a toll on your own 01892 820500 susceptible to injury and illness. It’s important health, mentally, physically and emotionally. If you feel incontinence and immobility. You may have been that you look after yourself as well as the person under pressure, there are people you can turn to. • Disability Benefits Enquiry Line caring for a younger person, maybe a son or a you’re caring for, which means eating a healthy, Carers organisations offer support and information. daughter, for many years and are now finding it Try to get help before you feel overwhelmed. 0800 88 22 00 balanced diet and trying not to take on more • Rethink more difficult to cope. than you can cope with. You should let your EMAIL [email protected] 0845 456 0455 You’ll also need to get used to other people’s doctor know that you are a carer, so that they • The Princess Royal new perceptions of you. Your spouse or partner, can support you in looking after your own Trust for Carers WEBLINKS www.alzheimers.org.uk • www.kent.gov.uk • health. Information is available locally to assist 0844 800 4361 family, friends and new people you meet may see www.carers.org • www.direct.gov.uk • you solely as a carer, rather than the individual you in your caring role (see Contacts). www.carersfirst.org.uk • www.vam-online.org.uk • • Carers Project www.wealdofkentcrossroads.org.uk • Maidstone www.ellenorfoundation.org • www.hokh.org • 01622 685276 www.hospiceintheweald.org.uk • • Kent Carers www.carersuk.org.uk • 08458 247100 www.nhs.uk/carersdirect • www.carers.gov.uk

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Caring for someone else

Assistance and benefits You may not label yourself a carer, and see it as As a carer, you are legally entitled to a Carer’s your duty to look after a family member or Assessment to find out your needs and what friend. However, you may be entitled to support services might be available to help you. You can services that can greatly improve the quality of have this at any time, even if the person you care your life and that of the person you’re caring for has refused an assessment or support for. Use the contact numbers in this section to services. The Carer’s Assessment is an essential get in touch with local organisations who can ‘first step’ in getting support services. Contact advise you. Kent Adult Social Services, for more information. Carers breaks Discussing how caring affects your life can be a Looking after yourself is important and valuable experience in its own right. It can also sometimes you’ll need to take a break from your give you lots of information about other services caring role. This might be to enjoy a hobby, catch that could help you, and other ideas for helping up with friends or family or simply to have a and supporting you as a carer. rest. Having a change of scenery and making contact with other people can be enjoyable for There are also grants and benefits, in the form of the person you care for too. Breaks from caring allowances, which you or the person you’re can range from a few hours to several weeks caring for may be entitled to, so it’s important to and can include having a holiday with the person contact the Disability Benefits Enquiry Line or you care for but without having responsibility for your local carers organisation, who will be able providing care. Alternative care services can be to advise you. provided in your home or away - contact your Care homes local carers organisation to find out more. If you, or the person you care for, are considering Kent Carers Emergency Card a care home or moving to more suitable If you spend time apart from the person you accommodation, Kent Adult Social Services can care for, even if it’s only for a few minutes, you advise you on quality, cost, and suitability for may worry what will happen should you be your needs even if you expect to bear the full taken ill or have an accident. Who will know that cost yourself. You may also consider contacting someone depends on you and how will they get the Care Quality Commission (CQC) on the help they need? As a carer you can apply for 03000 616161 for detailed reports on care an Emergency Card, which you would then carry homes and other regulated care services. Making practical changes Moving or handling the person you’re caring for in your purse or wallet. The emergency services Caring for someone may mean having to make may be physically difficult for you and must be Family life know to look for this card and be alerted to some practical changes. You may need adaptations done correctly to prevent injury to yourself. your caring role. The card will have a 24 hour It’s good to have the support of family and and improvements to your home to make life Kent Adult Social Services can assist with sources call centre number to ring and a unique friends, so try and keep in contact, even if you easier for both of you. This may mean simple of information and advice regarding equipment identification number which will enable the call live long distances apart. adjustments, or more major changes such as that may help. Households needing adaptations centre to activate a pre-arranged care plan for installing a hoist over the bath, or making a home may be eligible for a Disabled Facilities Grant the person you care for. To find out more and to suitable for wheelchair access. In some cases it from their local Council. Please see useful Getting support Carers often need support themselves, not only register contact your local carers organisation may be necessary to think about moving to a new contacts and information at the back of this (Contacts listed on page 26). home, more suited to your current needs. publication under your local area. to help cope with the workload, but to deal with their own associated problems, such as stress and depression.

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Coping with loss

Coping with loss your changing emotions • Even an expected death can come as a shock • Ask your funeral director for advice on arrangements • Expect emotional mood swings, grieving takes time I always thought it would be me that went • Look after yourself in your grief, get as much support as you can first. I’d feel completely helpless if it weren’t for • Help those closest to you by preparing legal matters and wills in advance my friends and family there to support me.

Awareness Your feelings Being practical Losing someone close to you is often a highly You may think you should be able to cope, There are a number of practical things to be traumatic event. Although each person will deal with especially if the death was expected, but you still done following a death. If you can, ask a family loss in their own way there are several recognisable find you can’t.You may think you’ve done all your member or friend to help out. emotions and reactions that many people go through. grieving and then find you haven’t. You may think • A doctor will need to issue a death certificate. This is an entirely normal part of grieving. Contacts that having other people who care for you will • You should appoint a funeral director to make Action • West Kent NHS make everything alright but it doesn’t - no one the arrangements. You may be entitled to help In the earliest days of your bereavement do ask can fill the gap in your life. If other people were with funeral expenses. someone to help you with the practicalities, such as Primary Care Trust informing friends and family, choosing a funeral 0800 0 850 850 not aware of the nature of your relationship • You must register the death within five days. director and getting the death certificate from the • The Kent Registration with the deceased you may feel excluded. Anger You’ll need to take the death certificate with Register Office. The National Association of Funeral Service is a common part of grieving - anger at yourself, you to the Register Office. Directors may be helpful at this time. Many people 08458 247 400 anger at the person who died, anger at friends • Tell family members, friends and colleagues. find these practical tasks help them cope with the • Cruse Bereavement and family and anger at the system. • There may be organisations to notify too. If the sorrow - painful though they are. Care deceased was receiving any welfare benefits 0844 477 9400 Everything you took for granted has gone and Talk to then you should inform the benefits office. you feel bereft and maybe worthless. You may Getting used to the loss of a loved one is not easy. • National Association Other organisations to be informed include of Funeral Directors feel you’ve nothing to look forward to. Allowing yourself to express your feelings can help DVLA, the UK Passport Agency, Inland you get used to it. Talking about death and the (NAFD) person who died helps too. As does dealing with 0845 230 1343 Having someone to talk to will help. Allow Revenue, and any bank or building societies. the practical aspects of your new life. If you • Age Concern yourself to express your feelings and talk about You may also need to contact their personal or continue to find it very difficult then speak to your 0800 00 99 66 the person who has died. occupational pension provider, insurance doctor. Cruse can put you in touch with • Samaritans companies, mortgage provider, housing bereavement support services. 08457 90 90 90 Your life may indeed have changed. Your financial association or Council housing office, social Prevention (24 hour) circumstances may be very different. You might care services, and utility suppliers. Grief can really knock you for six. It may affect be living by yourself for the first time. You might • It can be upsetting to continue to receive post, your emotional, physical and mental health. Slowly find that you have to manage tasks around the especially junk mail, in the deceased person’s you will probably find a new way of living whilst home that you’ve never had to do before. You name. You may want to register the name and remembering the person you’ve lost. Grief is a may have no one to share memories or special address of the deceased person with the natural process, take as long as you need to come jokes with. to terms with your loss. Bereavement Register who try to stop post being sent to people who have died. WEBLINKS www.westkentpct.nhs.uk • www.kent.gov.uk/community • www.dwp.gov.uk • • Read the will if there is one. www.the-bereavement-register.org.uk • www.crusebereavementcare.org.uk • www.nafd.org.uk • www.ageconcern.org.uk • www.samaritans.org

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Maintaining independence

I needed help, but was worried about contacting Social Services in case they said I had to leave my flat. But they were very helpful and sent someone to assess my situation. I now have regular support to lend a hand with things I find difficult which means Maintaining independence I can continue to live in my own home. dignity and choice • You can maintain your independence at home • Asking for support will help you to cope • Many local organisations can help • You may be entitled to payments to meet your needs • Contact your doctor or district nurse to find out about community health services • Consider whether you want to move to a smaller or sheltered property

Living in your own home, surrounded by With the right support and assistance you’re possessions and years of personal history, is more likely to be able to maintain your Awareness important to all of us. But looking after yourself independence and enjoy life in the security of Do you manage to eat healthily and cook yourself and maintaining a home - cleaning, shopping and your own home. hot meals? Do you shop regularly and keep on top cooking - can become more difficult as age You may not want to choose support from of the cleaning? If this is difficult for you, the affects speed and mobility. That’s why it’s social services, but instead, you may wish to sooner you get help, the easier your life will be important to seek help early on. With regular choose support through a local community and the less likely it is that you may need to leave Contacts support and assistance, you’re more likely to be your home because you cannot look after yourself. organisation or a leisure centre activity, which • Kent Adult Social able to maintain your independence and enjoy will meet your assessed need in a different way. Action Services life in the security of your own home. There are many services available and 08458 247 247 organisations ready to help - they just need to • West Kent Enable Getting the right services know you need their assistance! As a first step, Keep active! 01892 530330 The best way to maintain independence in your There’s a wide range of services that you may be contact Kent Adult Social Services for information eligible for. Kent Adult Social Services, your • Age Concern own home is by staying mentally and physically on services that might suit your needs. 0800 00 99 66 doctor and Primary Care Team, can provide active. Get out and about as much as possible, Talk to • NHS Direct services, either directly or by arranging for meet friends, take up hobbies and eat healthily. Kent Adult Social Services will arrange for an 0845 4647 services to be provided by another organisation. assessment of your needs to see if you’re eligible • Home Improvements Assessing your needs Kent Adult Social Services do have to make a for services from Adult Social Care. Once the Agency charge for their services. The actual cost will assessment has taken place they can provide you Kent Adult Social Services overall objective is to Dartford & Gravesham depend on your individual financial circumstances. with information about services that best suit 01474 566283 empower the people of Kent, to identify, choose your needs. You could also speak to your local Maidstone and control the support or care they need to doctor, district nurse or community matron. You may be offered an 'Enablement Service' 01622 765496 live safely and independently in their local which can support you to regain confidence and Mid & West Kent Prevention communities. We are modernising our services daily skills to maintain independence within your It’s better to seek help early on and get the help 01732 525520 so that: home. If you need further support you may be you need, rather than leaving it too late and not • Bereavement Register • People can get the support they need, when being able to manage in your own home. No one 0870 600 7222 offered a direct payment. You can decide how to wants you to leave the security of your own home. they need it. spend the money to get the service you need. • Access is easier. • Home support EMAIL [email protected] • People can choose the right support to live life You may be offered help with personal care, as they want. WEBLINKS www.kent.gov.uk • www.westkentenable.org.uk • www.ageconcern.org.uk • such as bathing, dressing and some domestic www.nhsdirect.nhs.uk tasks that you’re finding difficult.

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Maintaining independence • Daytime activities Contacting your doctor There are a variety of daytime activities across If you have any health problems, contact your the county which offer the chance to meet local doctor. If necessary they can refer you to other people outside your home, share someone in the community health service, such activities and have a meal. To attend, you may as a district nurse or physiotherapist, community have to be assessed as needing the service. It psychiatric nurse, or continence advisor. Minor may be possible to have help with transport to problems can often be solved by talking to your and from the day centre. community pharmacist. Problems such as corns • Personal alarm schemes and assistive or bunions can cause real difficulties in getting • People with mobility problems. and ready to be discharged, any support you technology around, so don’t feel you are being a nuisance by • People with serious mental health problems. need has been arranged. Ask ward staff for If you live alone or find it difficult getting out asking for help with minor ailments. You can also • People on certain medication which may affect more information. and about, an alarm system gives you the contact NHS Direct 0845 4647, if you have a sweating and temperature control. security of knowing you can contact someone question about a health problem. • People who misuse alcohol or drugs. Adapting your home in an emergency. New developments have huge There are all kinds of disability equipment potential to support people to live in their Keeping well in winter To reduce the risk: available, such as grab rails, stair rails, rails in the own homes and to complement traditional It’s important to keep warm during cold weather. • Avoid the heat. Stay out of the sun and plan bathroom or raised toilet seats. You may also care. Technology can provide you with more There are useful tips in leaflets from ahead so you don’t go out between 11am and want to get advice on altering your home. freedom and give carers more time to organisations like Help the Aged or from local 3pm (the hottest part of the day). Contact Kent Adult Social Services who can concentrate on the human aspects of support. ‘Keep Warm Keep Well’ campaigns. Details of • Avoid excessive physical activity, or do it later direct you to sources of information and advice. There’s a range of equipment that might help this scheme are on the website www.dh.gov.uk in the day. Householders may be eligible for a Disabled you with everyday activities and help you to or ask at Age Concern or your local Council. • Keep rooms as cool as possible with shades or Facilities Grant from their local Council. feel safer, without intruding into your reflective material external to the glass, if this is independent life. Contact Kent Adult Social Ask your doctor about the flu vaccination - if not possible close pale coloured curtains. Looking at alternatives Services or your local Lifeline via Age Concern you’re over 65, or have a long-term medical Metal blinds and dark curtains can make the Consider a more suitable type of home if you’re for further information. condition such as asthma or diabetes. Flu can be room hotter. struggling. There may come a time when you • Short breaks a serious illness and older people are more • Keep windows closed while the room is cooler realise that your current home is no longer If you’re a carer, or are being cared for by susceptible to its effects. It’s important therefore than it is outside. If safe to do so, open practical for you and should begin to consider another person, respite care offers the chance of to take up the opportunity to be vaccinated windows at night when the air is cooler. the alternatives. See ‘Housing matters’ section on a short break. This could mean someone coming each year. • Have cool baths or showers and splash page 44 for options available. in to take over care in the home for a limited You may be in receipt of benefits that qualify you yourself with cool water. period, or having a short stay in a care home. to receive loft or cavity insulation. There are also • Drink water or fruit juice regularly, avoid Continuing health care • Meals at home national and local grant schemes that you may be alcohol, tea or coffee. This is considered when a person has a long You can have meals delivered to your home if able to access. For further information please • Wear loose, cool clothing and a hat when standing illness, a severe disability, or a complex you’re having difficulty in cooking for yourself. contact www.energysavingtrust.co.uk or outdoors. physical or mental health care problem. There’s Special diets and diets to meet your cultural freephone 0800 512012. specific national guidance on the eligibility for Listen out for information on the radio or TV. continuing health care. needs can be catered for. Frozen meals can also If an amber alert is issued, there’s a 60% chance Following an assessment with input from all the be provided, so that you can defrost, heat and Heatwave - be prepared that a heatwave will occur within the next few days. people involved in your care, it will be decided if eat when you wish. Make sure you know how to look after yourself A red alert is issued when a heatwave is happening. and others if a heatwave occurs. you’re eligible for continuing health care funding. Other forms of help If someone feels unwell, get them somewhere cool If you meet the criteria, the necessary services If you’re finding it difficult to cope on your own, but Why is a heatwave a problem? to rest and give them plenty of fluids to drink. will be paid for and arranged by the National don’t want to move, you may want to consider The main risks are: Health Service. ‘live-in help’. ContactKent Adult Social Services • Dehydration (not having enough water). Symptoms such as breathlessness, confusion, who can advise you on how to go about arranging • Overheating can make symptoms worse for weakness, dizziness or cramps get worse or this safely. people with heart or breathing problems. don’t go away, seek medical help. • Heat exhaustion. Direct Payments • Heatstroke can make people very ill and can Time in hospital The Direct Payments scheme means that, if you sometimes be fatal. Whether you have to stay in hospital due to an qualify for services, Kent Adult Social Services accident, sudden illness or a planned admission, A heatwave can affect anyone, but most can give you money to arrange your own care you’ll be asked for information about your home vulnerable are: and support. This enables you to choose the circumstances and how you managed at home • Older people, especially those over 75. service you want for yourself. previously. From the point of admission your • People with chronic conditions, i.e. heart or hospital care team start planning for your breathing problems. discharge to ensure that, when you’re recovered

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Transport

Because I can't drive any more, using buses around West Kent has opened up my whole life. I enjoy concessionary travel as well as the beautiful Kent countryside. Transport staying mobile • Free bus travel • Dial-a-ride and community transport • Blue Badge Parking Scheme • Travelling to medical appointments

Bus travel Rail travel Many of the public bus routes are operated with Many rail stations now have step-free access to easy-access, low-floor buses, reducing the height platforms. For further information about rail between the pavement and the bus entrance, accessibility contact National Rail Enquiries or visit which helps if you’ve a mobility problem. The their website both listed on the contacts page. buses have space for wheelchair passengers too. If you’re 60 or over, you can buy a Senior Railcard. Everyone who is over 60, or with an eligible You’ll save 1/ on Standard and First Class rail Awareness 3 Kent County Council co-ordinates a wide range disability, is entitled to a bus pass allowing free fares throughout Great Britain for a whole year. of public transport services. This includes off-peak travel on local buses anywhere in specialist transport for people with mobility England. You should contact your local District Blue Badge Parking Scheme difficulties. There are also many voluntary or Borough Council to apply for this. If you can’t walk very far you might be eligible schemes operating in the county. Contacts for a blue car badge. You can use the badge • Kent Adult Social Traveline provides information on bus services and whether you are a driver or a passenger. It Action Services timetables for West Kent and the rest of the UK. means you can park nearer to your destination, Contact the numbers on this page and ask for 08458 247 247 details on the different schemes available. The Dial-a-ride and community and in restricted parking areas. Blue car badges sooner you find out the information you need, • North West Kent transport are part of a nationally recognised disabled the sooner you can get out and about. Dial-a-ride parking scheme but unfortunately cannot be Dial-a-ride provides door-to-door transport for 01622 605349 issued for a temporary mobility problem. anyone who finds it difficult to use ordinary bus Talk to • National Rail Contact Kent Adult Social Services to apply. If you’re applying for a concessionary travel Enquiries services, including disabled people or anyone scheme or Blue Badge, ask whether you’ll need a 08457 48 49 50 with a temporary disability, such as a broken leg. Travelling to medical mobility assessment or if your doctor needs to • Traveline appointments send information to support your application. Public Transport You’ll need to register with Dial-a-ride by Hospitals and doctor’s surgeries try to be Information telephoning for a registration form. Once you’ve flexible with the allocation of appointments Prevention 0871 200 22 33 completed and returned the form you’ll be able where transport difficulties may arise. Do It can be isolating and depressing when you • Blue Badge to make a booking by phone. The minibus will find it hard to get out and run daily errands or contact them if you’re having trouble arranging Parking Scheme collect you from your door and take you to your meet friends. The assisted transport services suitable transport. You may be entitled to further 01622 605020 chosen destination. There’s usually a charge for are there to help you - so find out now whether assistance, either financially or of a practical you are eligible. • COMPAID this service. Trust/Kent Karrier nature, to help you get to your appointment. Dial-a-ride Services A large number of volunteer driver schemes EMAIL [email protected] 01892 722297 operate in West Kent. Many only cover a specific geographical area. WEBLINKS www.direct.gov.uk • www.nationalrail.co.uk • www.traveline.org.uk

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Looking after your finances

Looking after your finances you’ve worked hard, so make your money work hard too • Look at your personal finances closely - do a financial health check • Know how to claim benefits, discounts and allowances, even with savings you may be entitled to some help • Update your finances and get help with any debts I hadn’t updated my financial situation • Seek professional advice for your financial future for years. But after getting advice, I realised I was missing out on some benefits and not making the most of my savings. Don’t neglect personal finances Getting advice As you get older, your needs and priorities If necessary discuss your personal finances with a change. If you have savings, make sure that they financial advisor. Banks and building societies have are in the right place. If money is tight check that their own financial advisors, but you don’t have to you’re claiming everything that you should. In fact take their advice. Alternatively, an independent Awareness check anyway - some benefits depend on age, financial advisor can give you advice but check their You may have had the same bank or building health or other circumstances rather than on fees first. The Citizens Advice will help with any debt society account for years, but feel you’re not how much money you already have (see problems - it’s never too soon to contact them and making the most from your money. Find out they won’t charge you for help and advice. whether concessions are available and which Knowing what you’re entitled to page for account might best suit your circumstances. Contacts contact details on where to get help). If you’re concerned about debts of any amount or Lasting Power of Attorney Action • Citizens Advice: This ensures that your wishes are carried out in Get advice on what benefits you may be entitled Dartford struggling to pay bills, help is available - contact to. Try Citizens Advice,Age Concern or The 01322 224686 your local Citizens Advice. the future should you be unable to take decisions Pension, Disability and Carers Service. For Edenbridge for yourself. See Organising your will and legal personal finances contact your bank or building 01732 865131 Insurance matters page for information on setting up a society, or use the services of an independent Gravesend Check that you are adequately insured for your lasting Power of Attorney. financial advisor. 01474 361239 car, home and contents. Can you get a better Maidstone deal with a different insurer? Pre-paid funeral plans Talk to 01622 757882 Discuss your personal finances with an There are many companies which offer a pre-paid Sevenoaks funeral arranging service, it’s a simple way to independent financial advisor. If you’re having 01732 454443 Utilities problems with money take advice as soon as Swanley Check to see whether you are getting the best provide for your funeral in advance. This will help possible. The Citizens Advice is a good place to 01322 664949 deal from your telephone, gas and/or electricity to reduce the emotional and financial burden on start. Their advice is free. Beware of people who Tonbridge company. Paying by direct debit may be cheaper. your family and friends. It also means that you charge for debt advice - it’s rarely a good option. 01732 350099 know that your wishes will be carried out after Prevention Tunbridge Wells Banking your death. Contact you local Citizens Advice Get help and advice early before debts build up. 0844 499 4140 Make sure that the bank accounts you hold are for information and help. Find cost-effective ways to make your money • The Pension Service still the best for your changing needs. Don’t spread a little further. Take advantage of incentives 0845 6060265 forget that your local Credit Union offers a Equity Release Schemes like having the same supplier for your gas and • Jobcentre Plus electricity. range of saving schemes and low-cost loans. Equity Release Schemes offer older homeowners 0800 055 6688 These are open to everyone but can be the chance to get cash for some of the value of • National Home Fees especially useful for people on a low income. their home. Sometimes this will be a lump sum WEBLINKS www.citizensadvice.org.uk • Association (NHFA) but other schemes will give you regular payments. 0800 99 88 33 www.thepensionservice.gov.uk • www.nhfa.co.uk • Income and outgoings Before you participate in an Equity Release • National Debtline www.direct.gov.uk • www.hmrc.gov.uk • Income, savings, pensions and taxes are often Scheme you must seek independent financial and www.taxaid.org.uk • www.publicguardian.gov.uk 0808 808 4000 inter-linked and changes to one can affect the legal advice to ensure that this is the best way to others. As there are often new deals available, make your money work for you. get advice on making the most of your money.

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Knowing what you’re entitled to

Knowing what you’re entitled to the benefits are out there I had a bit of money in the bank, so I didn’t think I would be entitled to • Don’t assume you’re not eligible for entitlements anything. But I got assessed by the Ask a benefits advisor to assess your financial situation benefits advisor and now the little • extra I get each month makes a big • Don’t be embarrassed to ask for advice difference to my quality of life. • You may still be entitled even if you have savings • Many older people are not claiming money they’re entitled to

There are many benefits, allowances, discounts You may be entitled to financial allowances if you and concessions you may be entitled to, even if need someone to help care for you, if you have a you have personal savings. It’s important to try physical or mental disability, or if you’re a carer. and work out what these are. Some benefits, At 60, you’ll also be entitled to other such as Council Tax, Housing Benefit and Pension concessions, such as free or reduced price travel, Credit, are based on your financial circumstances and reduced price entry to leisure centres or Awareness (but not the value of your home). Other benefits, adult education classes. Many older people are not claiming money such the Winter Fuel Payment and Age Related they’re entitled to because they haven’t looked Allowance, are based purely on your age. Others Attendance Allowance into whether they are eligible or not. Don’t miss This is a tax-free benefit for over 65s who have an out - even a small extra payment each week can are based on your care needs, such as the illness or disability and need help with personal make a big difference. Contacts Attendance Allowance, Disability Living Allowance or Carer’s Allowance. care. It is not affected by your savings. The money Action • West Kent Enable can be paid directly into an account of your choice. The pension and benefits system can be very 01892 530330 Over 60 Getting Attendance Allowance may increase other complex, so rather than trying to work out on • Citizens Advice: your own what you may be entitled to, and how You may be entitled to travel concessions from benefits that you’re already getting. Inform your Dartford benefits office if your health changes. your savings may affect this, you should seek 01322 224686 your District or Borough Council - please see specialist advice.Your local Council or Gateway Gravesend useful contacts and information at the back of this can also provide you with Citizens Advice 01474 361239 booklet. If you receive Pension Credit you may Disability Living Allowance contact details. Act now and get what you’re Maidstone also be able to get a refund on reasonable travel This allowance can be claimed by people who entitled to. 01622 757882 costs to hospital appointments. Contact need help in caring for themselves or in getting Talk to Sevenoaks organisations such as Age Concern, Citizens around because they are ill, disabled or It’s easy to quickly find out what benefits you 01732 454443 Advice and the Pension Service for advice. terminally ill. You’re not eligible to make a new may be entitled to, by contacting Age Concern or Swanley claim for Disability Living Allowance if you’re the Citizens Advice for a confidential discussion. 01322 664949 Tonbridge Understanding your entitlements over 65. In this case you should claim Prevention 01732 350099 While you may know that you’re eligible for Attendance Allowance instead. You’re entitled to financial help and support. Tunbridge Wells Many people find it difficult to make ends meet some entitlements, there may be other benefits 0844 499 4140 you’re unaware of, so ask your benefits advisor Council Tax reductions because they are not claiming the benefits they You’re entitled to a reduction of 25% in your are entitled to. All you have to do is ask. • Jobcentre Plus to check for you. These may include: Council Tax if you live alone. Some people who Age Concern and Citizens Advice both provide 0800 055 6688 • Pension Credit. have dementia and some carers are also able to benefit checks. • The Pension Service • Working Tax Credit (if you’ve not retired). claim a reduction. You may also be able to claim 0845 6060265 • Housing Benefit. WEBLINKS www.westkentenable.org.uk• a reduction to your bill if your home has been • Age Concern • Council Tax Benefit. www.adviceguide.org.uk • www.direct.gov.uk • 0800 00 99 66 adapted for a disabled person. www.thepensionservice.gov.uk • • Social Fund (such as Winter Fuel Payments, or www.ageconcern.org.uk to help cover extra costs, such as paying for a funeral).

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Organising your will and legal matters

Organising your will and legal matters making your wishes known • A will means that your wishes will be followed I wanted to get my affairs into • Make sure that your wishes are known order before I became too ill. I feel • Drawing up a will doesn’t have to cost a lot happier now because I know my • Get financial help for legal matters wishes will be carried out and that, • A Living Will states your wishes for future treatment when I die, those closest to me will Organising your legal matters will help your family benefit from my will. • Why make a will? wishes which are not legally binding and specific Even if you feel you don’t have much to leave, it’s refusals of treatment called 'Advanced Decisions'. important that what you do have is left to those You can use an Advanced Decision to indicate Awareness you care about. If you don’t make a will, this means your wish to refuse all or some forms of medical Writing a will helps save your family from worry you die ‘intestate’. Your spouse or partner will be treatment if you lose mental capacity in the in the future, and means your wishes will be met. the main beneficiary unless stated otherwise. If future. You cannot use it to request treatment. It If you have an illness that may lead you to be must be signed whilst mentally competent. mentally incapacitated in the future, and if you’ve you’re not married to your partner they won’t views about the kind of treatment you receive Contacts automatically be a beneficiary, so make and for how long, it makes sense to think about • Citizens Advice: arrangements in advance. The absence of a will Lasting Power of Attorney writing an advance statement or directive - a Dartford causes lengthy delays so organise things in advance. A Lasting Power of Attorney (LPA) is a legal ‘living will’. 01322 224686 document that lets you appoint someone you Action Gravesend Other legal matters trust as an 'attorney' to make decisions on your Contact one of the organisations listed to 01474 361239 behalf. It can be drawn up at any time while you Maidstone Visit www.lawsociety.org.uk to find details of a get more information on writing a will or a suitable local solicitor. Some solicitors may have have capacity but has no legal standing until it is living will. 01622 757882 Sevenoaks funding schemes to help with the cost. Remember registered with the Office of the Public Guardian. Talk to 01732 454443 to check in advance what fees will apply. A registered LPA can be used at any time, If you wish to make arrangements for someone to Swanley whether you’ve the mental ability to act for look after an adult/child with a learning disability or 01322 664949 yourself or not. mental illness in the event of your death please Tonbridge Making your wishes known speak to your local Citizens Advice for further 01732 350099 Age Concern provides a document that gives advice. A solicitor does not need to be involved in Tunbridge Wells details on your wishes for funeral arrangements. Partnership rights writing a directive, but you should discuss your 0844 4994 140 It has spaces where you can fill in information so If you and your partner are not married you should wishes with your family and yourdoctor . • Citizens Rights for your family and friends understand your wishes seek advice because different rules apply around: Prevention Older People (CROP) after your death. This document should be given • Bereavement and registration of death. Settling your legal matters in advance will give 01622 812228 to a trusted family member for safe keeping. It • Inheritance. • Age Concern you peace of mind and will also make things a lot can not be used as a will. • ‘Next of kin’ status and incapacity. easier and less stressful for your family if you 0800 00 99 66 • Pension provision. become ill or when you die. • Law Society Call freephone 0800 00 99 66 and ask for the 020 7242 1222 • Tenancy. • Find a solicitor form headed ‘To my family, friends and executors...’ • Wills and intestacy (if you die without leaving 0870 606 6575 a will). • NHS Organ Donor Living Will WEBLINKS www.citizensadvice.org.uk• www.ageconcern.org.uk• Line 0845 60 60 400 A Living Will usually takes the form of a written Organ donation www.lawsociety.org.uk• www.organdonation.nhs.uk• • Public Guardianship statement setting out your advance wishes in If you wish to become an organ donor call the www.publicguardian.gov.uk Office 0845 330 2900 agreeing to or refusing medical treatment. Living NHS Organ Donor Line on 0845 60 60 400 Wills can include general statements about your (7am to 11pm).

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Housing matters

I was worried I would have to leave my lovely home as I had no savings to repair it and make it safer and more comfortable for me to live in. But I found out that this needn’t be the case and was able to get a grant to help with the costs of some Housing matters of the adaptations. living where you want • Repairs may be needed to make your home safer or more comfortable • There may be grants available to help with the upkeep of your home • Where we live has a great effect on the quality of our lives • Choosing where and how you live should be your decision

Awareness The type of work that can be carried out can Many people think more about where they live as Home improvements Your home may need repairs to be safer or include, for example: they grow older. Upkeep of the home can become Repairs a problem and there are grants available to help. more comfortable. If you’re a homeowner with Where we live has a great effect on the quality of savings, you’ll probably have to pay for these • Roof repairs. our lives so it’s wise to look at all the options Contacts yourself. Your local Age Concern or Council can • Damp proofing and plastering. very carefully. • Kent Adult Social supply a list of tradespersons, or contact • Loft and other insulation. Action Services Consumer Direct. • Major structural repairs. Seek advice and information about alternative 08458 247 247 • Central heating. ways of remaining independent in your home, • Age Concern/Help the If you’re a homeowner getting means-tested • Electrical work. maintaining your home or moving to another Aged benefits, or at least one person in the household • Improvements to windows and doors. home. Talk things through with family and friends, 020 7278 1114 is 60 or over, has a long-term illness or disability, Adaptations or someone you trust such as your doctor or • Counsel & Care you may qualify for a grant. If you rent privately • Stair lifts or through floor lifts. social worker. 0845 300 7585 you may still get a grant for work you are • Ramps. Talk to • Kent Supporting People responsible for. Contact your Council’s Home 08458 247 100 • Installing ground floor showers and toilets. Talk to your local Age Concern, Citizens Advice, Improvement or Housing Team. Sheltered Housing Team or Housing Advice Centre. • Warmfront • Extensions and en-suite facilities. National organisations like Help the Aged, Counsel 0800 316 2814 Home Improvement Agencies • Moving electrical sockets and light switches to and Care and the Elderly Accommodation Counsel • Elderly Accommodation make them reachable. produce fact sheets and run helplines. Their advice Counsel 020 7820 1343 Home Improvement Agencies (HIA) provide includes renting and purchasing options. Council or • Dartford Borough advice, support and assistance to help older, A warmer home housing association tenants can talk to their housing Council 01322 343434 disabled or vulnerable people repair, improve, The Warm Front Scheme provides grants to make officer at their local neighbourhood office or maintain or adapt their own homes so they can homes (owned or privately-rented) warmer, Housing Association. • Gravesham Borough Council 01474 337000 remain living there independently and as safely healthier and more energy-efficient for people Prevention • Maidstone Borough and comfortable as possible. receiving benefits. If you don’t qualify for Warm It’s better to think ahead about your housing needs Council 01622 602000 Front your Council may offer energy-efficiency When you contact the HIA, they will arrange to rather than making a decision in a crisis. Choosing • Sevenoaks District grants. If eligible, you could receive a grant of up where and how you live should be your decision Council 01732 227000 visit your home and carry out an assessment to and no one should try and persuade you to do to £3,500 (or £6,000 where oil, low carbon or • Swanley Town Council find out what repairs or improvements you need. renewal technologies are recommended). These something that you’re not sure about. If you’re facing 01322 665855 Guidance will be given on the best way to pay for the possibility of losing your home you should grants help pay for a package of insulation and • Tonbridge & Malling contact the housing advice team at your Council. the work. This could be through, for example; heating improvements, such as: Borough Council local authority grants, home energy efficiency 01732 844522 • Loft insulation. grants, equity release schemes and loans, benefits, • Tunbridge Wells • Draught proofing. WEBLINKS www.ageconcern.org.ukand www.helptheaged.org.uk• insurance claims or charitable sources. Once you www.counselandcare.org.uk• www.spkweb.org.uk • Borough Council • Cavity wall insulation. have decided on the work, the HIA will prepare www.housingcare.org • www.stayingput.org.uk • 01892 526121 • Hot water tank insulation. the drawings and specification for the work and www.direct.gov.uk • www.managenergy.net • • Energy Saving Advice • Gas, electric or oil central heating. www.intouchsupport.co.uk • Service then engage reputable builders to tender and • Glass fronted fire. www.energysavingtrust.org.uk 0800 512012 compete for the work.

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An assessor will visit your home and ask to see • Life skills and being independent at home. proof of your benefits, discuss with you the • Staying safe at home. energy efficiency options available to you under • How to access daytime activities, training, Warm Front, and recommend improvements education and employment within a community. based on the needs of your property. The visit • Finding a doctor and accessing other necessary will take no longer than one hour and will services. normally happen within 21 working days once • Dealing with other agencies. they have approved your application. • Neighbour issues. Handyperson Schemes This service is free and available to regardless of There may be a Handyperson Scheme in your area whether you own your own home, rent privately, to help with odd jobs for older and disabled or are a Council or Housing Association tenant. homeowners or private tenants. Odd jobs can Contact your local Lifeline, Housing office or the include, for example; replacing light bulbs, fitting Supporting People Team. plugs and fuses, putting up curtains and shelves. This is a low-cost service, or free if you receive Housing options benefits. Contact your local Home Improvement You may be thinking about whether your current Agency (see Maintaining independence on page 32). home is still suitable for you now or will be suitable in the future. Where you live should be Disabled Facilities Grants your choice and there are many housing options One of the grants available to help older or available to you. disabled people pay for the costs of adapting their homes is called a Disabled Facilities Grant Housing and homelessness (DFG). This is a means tested grant, (unless the advice For impartial advice on housing and the options applicant is aged under 18), which can be available to you, contact your local Council obtained from your local Council. Eligible work is Housing Department. wide-ranging, providing for access to the home and basic facilities within it, for example: providing If you think you may be threatened with ramps, door widening, stair lifts and level access homelessness, don’t leave things until it’s too late. showers. Anyone can apply, whether they live in Contact your local Council as soon as possible their own home, are privately renting or a who will be able to offer you advice, and if Council or housing association tenant. eligible and in priority need, could provide you Applications are considered upon a referral from with housing assistance. an Occupational Therapist (OT) and your local Council can put you in touch with one. The If you’re a Council and Housing assessment that the OT carries out will Association tenant determine whether you have to make a You may be interested in swapping homes or contribution, if any, towards the costs of the moving to another area through a mutual Kent Homechoice Extra care housing adaptations. The grant would then cover the exchange with another tenant. Check with your All the local Councils in Kent, together with These are self-contained flats offering 24 hour remainder of the costs. The current maximum Council or Housing Association landlord about Housing Associations, now advertise their homes care and support on-site and usually some meals. grant allowed per application is £30,000. Contact how this works. You can also take part in the for rent and people can bid for a property of Contact your local Housing Department about your local Council for more information. national ‘HomeSwapper’ scheme their choice. This new system called Choiced renting. The Elderly Accommodation Council can (www.homeswapper.co.uk). Based Lettings, means that for the first time advise about purchase. Supporting People people have an active role in choosing where If your children have all left home now, you may This government programme pays for housing- they want to live. Care homes be living on your own in a family sized property related support to help you live independently Visit www.kenthomechoice.org.uk or contact Care homes provide 24 hour personal care and and be interested in downsizing to a smaller in your own home, including sheltered housing. your local Council for further details. some provide nursing care. Kent Adult Social Supporting People can provide floating support home. Many Council’s run schemes that offer Services can advise you on quality, cost and to help your remain living in your home. The cash incentive payments for releasing family sized Retirement housing or suitability for your needs. Contact Kent Adult type of support that can be offered includes, properties in return for moving into a smaller sheltered housing Social Services, Counsel and Care or Age Concern. for example: home. Contact your local Council to find out if These are self-contained flats specifically for • Budgeting and financial management. this is happening in your area. older people and are available to rent or buy, • Setting up home and resettlement support. with on-site or visiting support. If you would like • Understanding tenancy agreements. to find out more about this type of housing, ask your local Council Housing Department.

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Keeping yourself safe

Newspapers often make crime levels seem worse than they are. I like to feel safe, but while it is common sense to be careful about security, it doesn’t mean I have to turn my home into Fort Knox or be afraid to go out. Keeping yourself safe reducing the risks

• Secure your home so you feel safe - don’t let strangers in without identification • Don’t buy from doorstep callers, get quotes for work on your home and use recommended contractors. Don’t part with money before any work has been satisfactorily completed • Keep safe on the streets Secure windows and doors home. Keep your bag with you and don’t leave it Make sure not to leave windows or doors unattended, for example in a supermarket trolley. unlocked when you are out or sleeping. Front However, don’t fight any attempt to snatch your and back doors should be fitted with five-lever bag - you run the risk of harm or injury. Awareness The more aware you are of the potential risks, the mortice locks. If you like a window open at night, fit it with a lock so that it can only open a few Peace of mind less likely you are to be a victim of crime. Take a Insure your home contents for theft or fire. If inches. Locks should be fitted through one of the good look around your home and secure any you keep valuables at home take photographs of handyperson schemes (operated by the Home weak points. Keep your bag closed and close to them so you have a record of what’s missing if your body when you go out. Improvement Agencies - please see useful Contacts you’re burgled. Marking your property with your contacts and information at the back of this Action • Kent police postcode can deter burglars because it makes it booklet) or by a qualified locksmith. Make sure Check locks on doors and windows to make sure 01622 690690 (for all harder for them to sell the goods. Your local non-emergencies). you have a chain on your front door. they are secure. Never open the door to anybody Police station can provide special pens and unless you can check they are who they say they • Kent Fire & Rescue ‘postcode stickers’ to deter potential thieves. are. When out, keep to well-lit, busy streets and Service free home Bogus callers and doorstep sales don’t carry large amounts of cash. safety visit Sometimes people may try to gain entry to your Don’t keep large sums of money at home and 0800 923 7000 property by pretending that they are from a keep a list of credit cards and their emergency Talk to telephone numbers so you are able to inform the Organisations such as Kent Police (Crime • Victim Support reputable organisation. Always ask for identification Prevention), West Kent Trading Standards 0845 30 30 900 and only let people into your house if they provide company if your cards are stolen. (Consumer Direct) and West Kent Fire and • Age Concern/ this. If in doubt, you can telephone their company Rescue Service can give you free advice about Help the Aged to check. Don’t feel pressured into paying for things If you’ve suffered a crime keeping yourself safe in your home. Victim 020 7278 1114 sold at the door. By law you must be given time to Contact the Police immediately and give as many details as you can. If credit cards were stolen Support can help if you experience crime. Contact • Consumer Direct think about any purchase made on the doorstep. your Neighbourhood Police Officer - you can call 08454 04 05 06 Ask for time before deciding. If work is carried out inform the relevant companies and if keys are the main switchboard on 01622 690690 and ask on your property don’t pay for repairs until the missing change the locks. The Police can put you to be put through to the Neighbourhood Team. • Crimestoppers 0800 555 111 work is completed to your satisfaction. Get quotes in contact with Victim Support. Keep your local Prevention and use recommended contractors. The ‘Buy with Police number somewhere handy. It can be easy to think that every person who Confidence’ scheme can assist with this or contact knocks on your door is up to no good. In fact your local Home Improvement Agency. If you’re Almost all fires in the home can people over 60 are less likely to be victims of dissatisfied with work that you’ve paid for, call West be prevented crime than any other age group. However it’s still Kent Trading Standards or Consumer Direct. To make your home safer and to help reduce important to minimise the risks. Take steps to deaths and casualties from fire in the home, Kent reduce crime and to protect yourself sensibly. Prevention is better than cure. Out and about Fire and Rescue Service offers a free home safety In urban areas reduce your risk of an attack by visit. The visit involves home fire and safety advice from a Fire Officer and the installation of WEBLINKS www.kent.police.uk • www.kent.fire-uk.org • www.victimsupport.org.uk • sticking to busy routes where plenty of other www.helptheaged.org.uk • www.consumerdirect.gov.uk • people are about. Keep your house keys separate free smoke alarms, if required. The alarms have www.crimestoppers-uk.org • www.intouchsupport.co.uk from other possessions so that if your bag is batteries that last up to ten years for added stolen the thief does not have your address and peace of mind. To arrange a free home safety visit your keys. Also you’ll still be able to get into your telephone 0800 923 7000.

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Accident prevention at home

Slipping on the wet bathroom Accident prevention at home floor gave me a nasty shock. It including reducing the risk of slips, trips and falls could have been a lot worse, if I’d broken my hip instead of just Check your home for any possible hazards bruising it and I might have lain • there for hours. Now I’m a lot • If you fall, get help and keep warm more careful. • Consider a pendant alarm to get help quickly • Always tell your doctor or nurse if you, or your spouse or partner, has had a fall Being fit and active can help to reduce your risk In the bedroom of having a fall by maintaining muscle strength and Always switch off your electric fire or blanket better balance. Eat a healthy balanced diet, with before getting into bed, and check their cords regular meals and healthy snacks containing regularly for scorch marks. In autumn time, check calcium and vitamin D, for example dairy with your local Council to see if electric blanket Awareness produce, fruit, green vegetables and oily fish. testing is available in your area. Before getting As you get older, it’s easier to fall and hurt However active you are some aspects of ageing into bed, make sure that anything you need is yourself. Tell your doctor or nurse if you’ve had a can increase the risk of a fall so it’s important that within easy reach - a lamp, drink, medication fall as you may be at risk of having further falls. It’s and it's a good idea to have a torch by the important to make an action plan of what to do if your home is a safe place. Make your home you should fall. Contacts clutter-free and easily accessible. Evidence shows bedside. If you feel dizzy when you first sit up, that once an older person has had a fall, they are wait a couple of minutes before standing up. Action • Kent Adult Social Check to see how you can make your home safer, Services at a greater risk of falling again. Tell your doctor or 08458 247 247 nurse if you’ve had a fall. Falls are not an inevitable In the living area room by room. Install stair and handrails if If rugs are frayed, it’s safer to remove them. To necessary. Check loose carpets and make sure • In Touch part of getting older and the Specialist Falls items that you use every day are within reach. Tonbridge & Malling Service can help. Make sure you think about how prevent having to bend, make sure everyday Correctly fitting footwear can reduce the 01732 525520 you will get help if you fall and cannot get up. You objects, such as the telephone or remote control, likelihood of a fall - check your footwear regularly, • In Touch need to avoid lying for a long time on the floor, are kept within easy reach. Fitting a letter tray to including slippers. Maidstone especially in the cold. Consider getting an alarm. your letterbox will also save bending. Have fire Talk to 01622 356490 and gas equipment checked regularly - contact If you’re worried about getting help after falling, • Community Police Minimise the risks by: your local supplier or your local In Touch Home you may want to get a ‘Community Alarm’ 01622 690690 • Keeping clutter off the floor and stairs. Improvement Agency for details of approved (a Lifeline). The alarm can be worn on your wrist, • Seniorline • Using high wattage bulbs. contractors (see area contacts). Check smoke as a pendant, or it can be part of a special 0808 800 6565 alarm batteries regularly. telephone. Just pressing a button will alert staff at • Wearing flat, well-fitting shoes. • Age Concern • Getting help carrying heavy objects. a response centre. There are many local alarm 0800 00 99 66 schemes (see Contacts). • Arranging regular health and eye tests. What to do if you fall • NHS Direct • Doing gentle exercise to improve balance - • Call for help. Prevention 0845 4647 Age Concern have information on classes in • Keep warm, covering yourself with anything Age Concern and Help the Aged have information available and try to keep moving as much as leaflets about fall prevention. They can advise you your area. on home safety and what sort of equipment you you’re able, even if by just flexing your muscles. may need to help prevent accidents. You should In the bathroom • Rest before you try to get up if you’re able also talk to your doctor if you feel you need help Test your bath water, to prevent scalding. If you’re to do so. walking. Remaining fit and mobile will help in sheltered housing you can have thermostatic If you’re having difficulty getting in and out of the strengthen your bones, reducing the risk of falls. mixing valves fitted. Use a non-slip rubber mat to bath, difficulty with stairs etc. then call Kent Adult stop you sliding when you get into the bath. A Social Services 08458 247 247. WEBLINKS www.kent.gov.uk • www.intouchsupport.co.uk • www.direct.gov.uk • handrail is useful if you need extra support. It's a www.ageconcern.org.uk • www.nhsdirect.nhs.uk good idea to leave the door unlocked in case you need help.

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What to do in an emergency

When I could smell gas I was reassured by the prompt response I received from the National Gas Emergency Service. What to do in an emergency staying in control • Try to remain calm, think before acting and try to reassure others • Make sure 999 has been called if people are injured or if there’s a threat to life • Know where and how to turn off water, gas and electricity supplies in your home • If you’re at home and an emergency happens, try to gather together some essential items such as keys, cash and a list of useful phone numbers Awareness For an immediately serious situation, don’t with the Environment Agency or Floodline. A free hesitate to call 999. How to stay in control of an What about the less serious but still very emergency situation telephone warning service is also available. worrying things that can occur at any time? Don’t panic! Staying calm means the emergency What to do when a pipe bursts It’s helpful to have an idea of what to do as well Contacts as a list of some useful numbers you might need. services can get the information they need from Do you know where your mains stop tap is? If • Kent Adult Social you more easily. Summarise the situation briefly not, try looking under the sink or where the pipe Action Services and clearly. Try to use a landline telephone rather comes into your home. Turning it clockwise will You can prepare for some emergencies by having 08458 247 247 than a mobile so the services can locate you if you a box of essential items kept in a place you can shut down the supply. It could take a few • Ambulance, Fire get cut off. If it’s a fire, call from a safe distance. moments for the water to stop. easily locate. The box could include: a torch and Brigade, Police & batteries, candles and matches (not to be used if Coastguard DIAL 999 you suspect a gas leak!), a list of essential The emergency services, local authorities and What is a medical emergency? telephone numbers for family, friends and your • Floodline providers of residential accommodation would be When it comes to your health or the health of 0845 988 1188 doctor’s surgery, small first-aid kit, and spare hat on hand to assist in the event of a flood or other someone in your family, it’s often very obvious if and gloves in case your heating fails. • National Gas serious emergency. the person is seriously ill and needs immediate Have a plan, written down or in your mind, about Emergency Service what you would do if your property were to flood, 0800 111 999 What to do if you smell gas emergency care. catch fire, spring a leak, or need emergency repairs. • Power cuts Open the windows to clear the air. That should An emergency is a critical or life-threatening EDF Distribution reduce the smell, as well as any danger. If it’s dark, Talk to situation. The Accident and Emergency South East don’t turn on lights (to avoid the risk of sparks) Discuss what to do in different kinds of 0800 783 8866 Department is not an alternative to your doctor. and never use a naked flame to see your way. emergencies with family members or friends. Think • To report a leak Contact your doctor, pharmacist or NHS Direct about how you might get to a place of safety. for non-urgent medical care. from a water main It may not even be a leak - check your gas 0800 028 3399 Prevention cooker or fire has not been accidentally turned Do you have a mobile phone? Planning and being prepared for an emergency • NHS Direct on. If not then shut down all your gas appliances 0845 4647 If you find yourself outside the coverage area of helps to reduce the feelings of panic and fear. and turn off your gas at the mains supply. your mobile network and there’s an emergency, Reduce fire hazards in your home. Fit smoke • Consumer Direct detectors - at least one on every floor. The 08454 04 05 06 Do you know where that is? dial 112. The mobile will search any worldwide Community Safety Team may be able to provide It’s probably under the stairs or near the door. network to establish the emergency number these free of charge. Telephone 0800 177 7069 for you. for more information. Flooding Changes in our climate, such as more severe WEBLINKS www.pfe.gov.uk • www.environment-agency.gov.uk • storms and wetter winters, will increase the risk www.nhsdirect.nhs.uk • www.tradingstandards.gov.uk of flooding. To find out if you are at risk check

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Older people at risk of harm

I knew that the way she was Older people at risk of harm treating me wasn’t right, but I keeping safe didn’t know who to turn to. Luckily, another careworker realised I Abuse of older people has been called a ‘hidden and often ignored wasn’t quite my usual self and • encouraged me to talk. problem in society’ • Abuse isn’t common and you can do a great deal to keep safe • Both older men and women can be at risk of being harmed • Abuse can happen anywhere Awareness Anyone can experience abuse and the abuser may be known to them. The abuser can be someone you know well or a stranger. The Adult Social Care Emergency Service has a legal responsibility to The abuser may be well known to the older • Psychological or emotional abuse, prevent, investigate and take action where it is Contacts alleged a vulnerable adult is being abused. person. The strain of caring for someone, behaviour that makes you feel anxious, Abuse is an action affecting someone’s human or • Adult Social Care especially on a long-term basis, can lead people frightened or intimidated, including verbal civil rights. It may be a single act or happen Emergency Service to act in ways that they shouldn’t. There may be abuse or demeaning, threatening, or 08458 247 100 repeatedly over time. The abuse may be deliberate a single or occasional act of abuse as the result intimidating language. or the result of ignorance. The vulnerable adult • West Kent Enable of frustration. Or there are systematic attacks, • Financial abuse includes theft, fraud or may be neglected or taken advantage of. 01892 530330 deliberate acts with intent to harm. exploitation. It may be someone using, or • Care Quality Action putting pressure on you to use, your money Commission These may be caused by a relative or carer Explain your concerns to someone you trust and in a way that you don’t want or isn’t in your ask for action to be taken. Never feel embarrassed 03000 616161 having their own physical or mental health best interests. about highlighting abuse and don’t be afraid to • Age Concern problems, the breakdown of the relationship or 0800 00 99 66 • Neglect including ignoring or failing to meet complain. If the problem relates to a care service the carer’s inability to provide the level of care get a copy of their complaints policy and speak to your medical or physical care needs, or not • Carers UK needed. In nursing homes or residential care the registered manager. If the abuse involves 0808 808 7777 providing necessities such as medication, homes, abuse can occur when staff are physical or sexual assault, racial harassment or theft • Counsel & Care nutrition and heating. inadequately trained or supervised and have little you should involve the Police. 0845 300 7585 • Sexual harm involves someone making you management support or guidance. Abuse can be Talk to • National Domestic do something you don’t want to, or that you an unintentional reaction to circumstances a Contact somebody you trust like your doctor, a Violence Helpline didn’t or couldn’t consent to. person does not know how to deal with. relative, friend or carer. Call the Police, Social Care 0808 2000 247 • Discrimination being treated less favourably Emergency Service,Age Concern or Action on • Elder Abuse Response Elder Abuse. All of these people will make sure Domestic violence is a term used for abuse because of your race, sex, age, disability, sexual Helpline orientation, religion or role in society. somebody talks to you promptly. CRI Domestic 0808 808 8141 between people who share the same home or Abuse Project offer specialist information and ex-partner or other people no longer living in support for people experiencing domestic violence. the home. Domestic violence can affect victims What to do about it If a trader is abusing vulnerable people by exploiting in many ways, including isolation from family and Abuse stays hidden because people are afraid to them financially,Trading Standards will take action speak out. Abuse has a profound effect on the to stop this happening. friends, poor mental and physical health, anxiety, depression and a lowered sense of self-worth. quality of life of an older person and their rights Prevention need to be recognised. Ongoing abuse can lead The earlier abuse is identified, the less long-term You can be harmed by someone in to the loss of the person’s independence. If you harm will be caused - always trust your instincts if the following ways: are being harmed, or someone you care for tells you feel someone is not being treated in the way they should be. • Physical abuse causing physical harm either you they are being harmed, you should contact deliberately or by rough or thoughtless Kent Adult Social Services immediately. WEBLINKS www.kent.gov.uk/socialcare • www.westkentenable.org.uk • www.cqc.org.uk • behaviour. www.carersuk.org • www.refuge.org.uk • www.elderabuse.org.uk

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In Touch Home Improvement Agency The Gravesham Volunteer Centre Useful contacts and information Dartford & Gravesham The Arc, 43 Windmill Street, Gravesend, 01474 566283 Kent DA12 1BA. 01474 322729 West Kent NHS Helpline Crossroads Freephone helpline run by NHS West Kent 0845 450 0350 www.crossroads.org.uk Turning Point West Kent In Touch Home Improvement Agency Dartford Substance Misuse Service Dartford & Gravesham 01474 566283 Customer Services Team - first port of call for all North West Kent Independent Advocacy questions and comments about your local NHS. 4A-6A Hythe Street, Dartford, Kent DA1 1BS. Turning Point West Kent Scheme Dartford & Gravesham 01322 278916 0800 0 850 850 www.westkentpct.nhs.uk 07886 672254 or 07886 104109 Substance Misuse Service, 4a-6a Hythe Street, NHS Direct MIND - Dartford, Gravesham & Swanley Dartford, Kent DA1 1BS. 01322 278916 Assert - Advocacy Service The Almshouse, 18 West Hill, Dartford, Confidential health advice and information 01892 542088 Gravesham MIND 24 hours a day. Provides list of pharmacists open Kent DA1 2EP. The Almshouse, 18 West Hill, Dartford, after 5pm and on Bank Holidays. Kent Advocacy for Disabled People 01322 291380 www.dgsmind.co.uk Kent DA1 2EP. 0845 4647 www.nhsdirect.nhs.uk 01622 725282 Alzheimer & Dementia Support Service 01322 291380 www.dgsmind.co.uk DentaLine Gateway Dene Holm House, Dene Holm Road, Alzheimer & Dementia Support For emergency dentistry if you are not Maidstone Gateway Northfleet, Gravesend DA11 8JY. Dene Holm House, Dene Holm Road, registered with a dentist. 01634 890300 King Street, Maidstone ME15 6JQ. 01474 533990 www.alzheimers-dementia.org.uk Northfleet, Gravesend, Kent DA11 8JY. 01622 602000 NHS Choices Invicta Advocacy Network (and IMCA) 01474 533990 www.alzheimers-dementia.org.uk Information on healthy living Tunbridge Wells Gateway Mental Health Advocacy Service Rethink Sahayak www.nhs.uk/livewell 8 Grosvenor Road, Tunbridge Wells TN1 2AB. First Floor, 7/9 Hythe Street, Dartford, Support Services to the BME community who 01892 526121 Kent DA1 1BE. 01322 285234 use Mental Health Services Health Network www.invicta-advocacy-network.org.uk Get involved with your local NHS and for NHS Tonbridge Gateway 4-5 High Street, Gravesend, Kent DA11 0BQ. West Kent to seek your opinion. For more Tonbridge Castle, Castle Street, Acacia Hall 01474 364837 or 01474 364498 information go to Tonbridge TW9 1BG. (A Dartford Borough Council facility) www.rethink.org www.westkentpct.nhs.uk/Have_Your_Say 01732 876322 01322 343490 Advocacy or telephone NHS West Kent on 0800 0 850 850 Rehabilitation Circuit Tues 12.30-13.45 Mental Health Advocacy Service To enquire about a Gateway in your area please Cardiac Rehabilitation Circuit Wed 13.30-14.45 Age Concern Malling call 08458 247 247. 1st Floor, 7-9 Hythe Street, Dartford, Over 50’s - Mon 10am-11am and 13.30-15.30 Kent DA1 1BE. 01322 285234 01732 873977 www.ageconcernmalling.org.uk The Good Neighbour Project and Weds 13.30-15.30 01732 848008 Daycare www.invicta-advocacy-network.org.uk Help with befriending and exercise or falls Rethink Sahayak Age Concern Tonbridge prevention. For further information please Support Services to the BME community who MAIDSTONE 01732 366100 contact Kent Adult Social Services use Mental Health Services. 08458 247 100 or look on the website 4-5 High Street, Gravesend, Kent DA11 0BQ. Maidstone Borough Council Age Concern Tunbridge Wells www.kent.gov.uk and search for Brighter Futures. 01892 522591 01474 364837 or 01474 364498 Maidstone House, King Street, Maidstone, www.ageconcerntunbridgewells.co.uk www.rethink.org Kent ME15 6JQ. DARTFORD 01622 602000 www.digitalmaidstone.co.uk Positive Ageing Tonbridge 01732 354775 Dartford Borough Council GRAVESEND Maidstone Library St Faiths Street, Maidstone, Kent ME14 1LH. Civic Centre, Home Gardens, Dartford, Gravesend Borough Council Carers First - Tonbridge,Tunbridge Wells, Kent DA1 1DR. 01622 752344 www.kent.gov.uk Sevenoaks, Edenbridge and surrounding areas Civic Centre,Windmill St, Gravesham, 01322 343434 www.dartford.gov.uk 01732 357555 www.carersfirst.org.uk Kent DA12 1AU. Age Concern Maidstone Dartford Library 01474 337000 www.gravesham.gov.uk 11 Mill Street, Maidstone, Kent ME15 6XH. Citizens Rights for Older People Central Park, Dartford, Kent DA1 1EU. 01622 753618 www.ageconcernmaidstone.org.uk 01622 812228 www.cropkent.org.uk Gravesend Library 01322 221133 Windmill Street, Gravesend, Kent DA11 1BE. Maidstone Citizens Advice Bureau Tonbridge & Malling Access Group Age Concern Dartford 01474 352758 2 Bower Mount Road, Maidstone, Kent ME16 8RY. [email protected] 01622 752420 www.citizensadvice.org.uk Meadow Day Centre, Meadowside, Age Concern Gravesend Tunbridge Wells Access Group Dartford, Kent DA1 2LS. 01322 226496 Day Centre, Clarence Row, Gravesend, Maidstone Volunteer Centre - Voluntary [email protected] Rural Age Concern Darenth Valley Kent DA12 1HJ. Action Maidstone (VAM) North West Kent Carers Support Service 37 High Street, Swanley, Kent BR8 8AE. 01474 564898 www.gravesendageconcern.co.uk 39-48 Marsham Street, Maidstone, Kent ME14 1HH. 01622 677337 www.vam-online.org.uk 01322 662046 [email protected] 01322 666118 or 01322 668106 Rural Age Concern Carers Project Out of hours 07889 133633 27-37 High Street, Swanley, Kent BR8 8AE. In Touch Home Improvement Agency - 01622 685276 www.vam-online.org.uk www.ageconcerndarentvalley.org.uk 01322 666118 www.ageconcern.org.uk Maidstone Maidstone Community Support Centre Carers Direct Dartford Citizens Advice Bureau Gravesend Citizens Advice Bureau Trinity Resource Centre, High Street, Dartford, 39-48 Marsham Street, Maidstone, 0808 802 0202 [email protected] 44 Windmill Street, Gravesend, Kent DA12 1BA. Kent ME14 1HH. 01622 765496 Kent DA1 1DE. 01322 224686 8-9 Parrock Street, Gravesend, Kent DA12 1ET. CarersLine 01474 361239 www.gravesham.gov.uk Turning Point Substance Misuse Service 0808 808 7777 [email protected] Volunteer Centre Dartford District 33 Essex Road, Dartford, Kent DA1 2AU. 49 Marsham Street, Maidstone, Kent ME14 1EH. 01322 272476 www.dartfordvb.org 01622 690944

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MIND - Maidstone Residents Associations in Sevenoaks MIND - Sevenoaks area Tonbridge Library 23 College Road, Maidstone, Kent ME15 6YH. www.sevenoaks.gov.uk 34 St Johns Road, Sevenoaks, Kent TN13 3LW. Avebury Avenue, Tonbridge, Kent, TN9 1TG. 01622 692383 Hospitals in Sevenoaks District 01732 459998 01732 352754 Alzheimer & Dementia Support Edenbridge Community Hospital Alzheimer & Dementia Support Maidstone and Rural Communities Branch Mill Hill, Edenbridge, Kent TN8 5DA. TONBRIDGE & MALLING Alzheimer’s Society, Park Lodge, Goldsmid Hall, Tudeley Road, Tudeley, Tonbridge, Kent TN11 0NW. Alzheimers Society Sevenoaks Community Hospital Tonbridge & Malling Borough Council Room 1, North Wing,Turkey Court,Turkey Mill, Hospital Road, Sevenoaks, Kent TN13 3PH. Gibson Building, Gibson Drive, Kings Hill, 01732 370330 www.alzheimers-dementia.org.uk Maidstone, Kent ME14 5PP. 01732 862137 or 01732 470200 West Malling, Kent ME19 4LZ. 01622 609060 www.alzheimers-dementia.org.uk Volunteer Centre Sevenoaks 01732 844522 www.tmbc.gov.uk TUNBRIDGE WELLS Rethink Sahayak Volunteer Driving and Transport Service, Age Concern Malling Tunbridge Wells Community Safety Support Services to the BME community who Befriending and Volunteering Rotary House, Norman Road,West Malling, Partnership use Mental Health Services Brighter Futures Team,Volunteer Centre, Kent ME19 6RL. www.twellscommunitysafety.org.uk 4-5 High Street, Gravesend, Kent DA11 0BQ. Sevenoaks. 01732 873977 www.ageconcernmalling.org.uk Tunbridge Wells Borough Council 01474 364837 or 01474 364498 Bradbourne School, Bradbourne Vale Road, 01732 848008 Daycare www.rethink.org Town Hall, Mount Pleasant Road,Tunbridge Wells, Sevenoaks, Kent TN13 3LE. Age Concern Tonbridge Kent TN1 1RS. Advocacy Services 01732 454785 www.sevenoaksvolunteers.org.uk 5 Bradford Street,Tonbridge, Kent TN9 1DU. 01892 526121 www.tunbridgewells.gov.uk For people with Learning Disabilities Volunteer Centre Swanley 01732 366100 Vanguard House, 111 Mills Road, Quarry Wood Tunbridge Wells Library Volunteer Driving and Transport Service, [email protected] Mount Pleasant Road,Tunbridge Wells, Estate,Aylesford, Maidstone, Kent ME20 7NB. Befriending and Volunteering Volunteer Centre 01622 793050 Carers First Tonbridge Kent TN1 1RS. Swanley Library and Information Centre, London 192 High Street,Tonbridge, Kent TN9 1BE. 01892 522352 www.tunbridgewells.gov.uk Road, Swanley, Kent BR8 7AE. 01732 357555 www.carersfirst.org.uk SEVENOAKS 0845 241 2180 www.swanleyvolunteers.org.uk Age Concern Tunbridge Wells Positive Ageing Tonbridge Wood Street, Tunbridge Wells, Kent TN1 2QS. Sevenoaks District Council Alzheimer's Society 7 Cranford Road,Tonbridge, Kent TN10 4NL. 01892 522591 Council Offices,Argyle Road, Sevenoaks, Park Lodge, Goldsmid Hall,Tudeley Road,Tudeley, 01732 354775 www.ageconcerntunbridgewells.co.uk Kent TN13 1GN. Tonbridge, Kent TN11 0NW. 01732 227000 www.sevenoaks.gov.uk 01732 370330 Tonbridge & Malling Access Group Tunbridge Wells Citizens Advice Bureau www.alzheimers.org.uk/BranchWebsites/westkent [email protected] 31 Monson Road,Tunbridge Wells, Kent TN1 1LS. Age Concern Sevenoaks and District 0844 4994140 www.citizensadvice.org.uk The Old Meeting House, St John's Road, Sencio Community Leisure Citizens Rights for Older People Sevenoaks, Kent TN13 3LR. Prime Time Leisure activities for over 50’s Barham Court Business Centre,Teston, Tunbridge Wells Volunteer Centre 01732 454108 www.ageconcern7oaks.co.uk White Oak Leisure Centre, Hilda May Avenue, Maidstone, Kent ME18 5BZ. Wood House, Wood Street, Tunbridge Wells, Swanley, Kent BR8 7BT. 01732 812228 [email protected] Kent N1 2QS. Rural Age Concern Darenth Valley 01892 540131 www.touchtunbridgewells.com 37 High Street, Swanley, Kent BR8 8AE. Sevenoaks Leisure Centre Tonbridge Citizens Advice Bureau 01322 666118 or 01322 668106 Buckhurst Lane, Sevenoaks, Kent TN13 1LW. 3-4 River Walk, Tonbridge, Kent TN9 1DT. Tunbridge Wells Access Group Out of hours 07889 133633 01732 470700 01732 350099 www.tonbridgecab.org.uk (Voluntary Group working for better access in www.ageconcerndarentvalley.org.uk In Touch - Mid & West Kent Home the Tunbridge Wells Borough Area) Edenbridge Leisure Centre 01892 822705 or [email protected] KCC Social Services - Sevenoaks Area Stangrove Park, Edenbridge, Kent TN8 5LU. Improvement Agency Including Telecare and Telehealth Services 01322 662188 or 01732 865665 2 Kings Hill Avenue, Kings Hill,West Malling, In Touch Adult Services, Kent County Council, Brenchley www.sencio.org.uk Kent ME19 4AQ. 01732 525520 Mid & West Kent Home Improvement Agency House, County Hall, Maidstone, Kent ME14 1RF. Tonbridge Volunteer Centre 2 Kings Hill Avenue, Kings Hill,West Malling, Carers First Tonbridge Kent ME19 4AQ. 01732 525520 01732 525000 or 01732 585320 192 High Street,Tonbridge, Kent TN9 1BE. 3 St Mary’s Road,Tonbridge, Kent TN9 2LD. www.kent.gov.uk 01732 357555 www.carersfirst.org.uk 01732 357978 www.tonbridgevolunteers.org.uk Turning Point West Kent Lifeline for the Elderly Malling Volunteer Centre Substance Misuse Service, 58 Tunnel Road, Help the Aged Handy Van Tunbridge Wells, Kent TN1 2BU. 01892 534422 To apply for an alert button incase of emergency Home Support Service 18 Twisden Road, East Malling, Kent ME19 6SA. or fall Kent County Council Brenchley House 0845 026 1055 www.helptheaged.org.uk 01732 843346 Alzheimer & Dementia Support County Hall, Maidstone, Kent ME14 1RF. SeniorLine 0808 800 6565 HI Kent Alzheimer’s Society, Park Lodge, Goldsmid Hall, 01732 780999 www.kent.gov.uk Tudeley Road, Tudeley, Tonbridge, Kent TN11 0NW. (information for the hearing impaired) West Kent Housing Association 01732 370330 www.alzheimers-dementia.org.uk Sevenoaks Citizen Advice Bureau Sheltered and supported housing 01622 691151 www.hikent.org.uk Buckhurst Lane, Sevenoaks, Kent TN13 1HW. 101 London Road, Sevenoaks, Kent TN13 1AX. 01732 454443 www.sevenoakscab.org.uk/ Kent Adult Social Services Community Safety Team 08458 247 247 out of hours, weekends, bank Swanley & District Citizens Advice Bureau Crime and anti-social behaviour issues, holidays 0845 762 6777 16 High Street, Swanley, Kent BR8 8BG. Community Safety Co-ordinator, Sevenoaks 01322 664949 [email protected] District Council,Argyle Road, Sevenoaks, Edenbridge Citizens Advice Bureau Kent TN13 1GN. 68 High Street, Edenbridge, Kent TN8 5AB. 01732 227000 www.sevenoaks.gov.uk Every effort has been made to keep the information in this booklet up-to-date and accurate. However, we cannot guarantee 01732 865131 [email protected] that inaccuracies won’t occur. Kent County Council, its employees or partner agencies won’t be held responsible for any loss, damage or inconvenience caused as a result of reliance on such information.

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This booklet is about making the most of life as you get older, and tells you where to find information if you need support. If you need help or support to understand this information, please contact us at the West Kent Customer Care Team. This publication can also be supplied in braille, audio or large print if requested. An interpreting service is available for those who need it. For this information in your own language, please contact West Kent Customer Care on: 01732 525187

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