Agenda

Title of Meeting: Older People’s Partnership Board

Date: 9 September 2010

Time: 10.00 – 12.00 noon

Venue: Committee Room 1 , Borough Hall, Cauldwell Street, Bedford

Contact: Lisa Johnson – 01234 228005 Ext 42005

N Item Please tick box below if Lead Person o there is an attachment 

1. Minutes of last meeting  Gillian Turrell 2. Matters arising All 3. Presentation by Andrew Kyle on Housing Options for Older People Andrew Kyle

 Questions from Presentation All

4. Impact of the Changes to Benefits announced in the  AS Emergency Budget

5. Alcohol and Older People Campaign  Gillian Turrell 6. Equipment Survey update AS 7. Service User news and views All

8. Carer news and views All

9. Safeguarding All 10. AOB All - Bedford Borough Older People’s Festival Gillian Turrell - Health Profiles  Gillian Turrell

11. Date of next meeting – 28 October 2010 - 10.00 am – 12.00 noon All to note Committee Room 1

Bedford Borough Council, Borough Hall, Cauldwell Street, Bedford, Beds, MK42 9AP

Minutes

Title of Older People’s Partnership Board Meeting: Date of Thursday 09 September 2010 Meeting: Attendees: Gillian Turrell (Vice-Chair - NHS ), Jean Ceiriog-Jones, Yvonne Clarke (Carers in Bedfordshire), Max Coleman (Bedford Ménière’s Support Group), Vanessa Connolly (BCHA), Sgt. Simon Daize (), Pat Horn (MCAG), Andrew Kyle (BBC), Pauline Readman (Carers In Bedfordshire), Tony Ruffin (Federation for Occupational Pensioners (N.F.O.P)), Kuldip Rupra (MENTER), Alison Shepherd (BBC), Jodi Simpson (BBC), Ian Petit (Bedfordshire Association of Senior Citizens) Apologies: John Bruynseels (BBC), Ted Bowen (Federation for Occupational Pensioners (N.F.O.P)), Chris Bradley-Rushe (SEPT), Declan Jacob (SEPT), Lisa Johnson (BBC), Sonia Minney (Bedford Guild House), Don Peet (BBC), Karen Perry (Age Concern),Jenny Poad (BBC), Pat Stock (Alzheimer’s Society), Steve Tomlin (BBC), Susannah Winter (East of Ambulance Service), Gillian Abbott (BBC), Frances Darlow (BBC & CBC), Suzy Gould (BBC), Jo Hawthorne (BBC), Arthur Hoggard (Bedford LiNK), George Hunt (BBC), Gail Shanahan (Advocacy for Older People), Martin Westwood (SEPT), Sue Audin (BBC), Ian McCreath ((Alzheimer’s Society), John Martin ( Ambulance Service), Martin Trinder (CVS)

No. Item Actions

1. Minutes of the last meeting

Please note that on the minutes of the last meeting (05 08 10) Pat Stock (Alzheimer’s Society) was missed off the attendance list. Also, Jean Ceiriog-Jones’ initials are noted as ‘CJC’, on pages 4 and 6, when it should be ‘JCJ’.

Agreed as accurate.

2. Matters Arising i) Draft leaflet outlining various leisure activities is awaiting final approval and will be distributed in due course. ii) There is no update on Conduit Road from John Bruynseels as yet.

KR raised a concern brought to his attention by customers who attend

G:\Adult Services Bedford Borough\Older People - Physical & Sensory Needs\Older People's Partnership Board\09 September 2010\OPPB Minutes 09 09 10.doc Page 1 of 6 Conduit Road where Users of the facilities have been receiving invoices charging for the service. It is felt that the papers regarding charges and the financial implications have not been communicated well to individuals. Most do not speak English and rely on family members or interpreters to explain. JS asked that KR pass a list of the people concerned and she will JS investigate and bring back the comments to the Financial Assessment Team. KR also commented that the people concerned believe that this is a way of encouraging non-attendance therefore leaving the way clear to close the facility down. iii) The common dataset for providers is ongoing. AS informed that she will be attending a meeting this afternoon (9th September 2010). iv) It was confirmed that the Handyperson Service, Age Concern leaflet has been distributed as per minutes 5th August 2010. v) GT is awaiting an updated version of the Dementia Strategy Action plan, from Howard, and will distribute as soon as possible, once received. vi) Regarding the ‘linking stop smoking to taxi stands and butchers’ statement contained in the Health Champions Report. GT advised this was about targeting smoking cessation advice for these workers, and not that you were still allowed to smoke in these areas. Aruna Sharma-Balls, Health Champion will be attending the October meeting to update the board. vii) GT clarified that the Older People’s Partnership Board has no funding directly attributed to it. viii) GT updated the board regarding Bone Density Scanning. It is not a blanket screening programme, there has to be a good reason to believe they may be osteoporotic e.g. previous fragility fractures, long term use of certain medications etc. The criteria are based on Royal College of Physicians Guidelines. NICE Guidelines suggest if someone over 74 has had a fragility fracture there is no need to scanned but will receive required treatment.

(ix) Some ideas for forward planning listed below:

 For a representative from Carelink/Telecare to attend and speak to the board and answer any questions.  To invite someone from the Inland Revenue and/or Benefits to come and speak to the board and answer any questions.  Jo Hawthorne to attend the partnership board and update them on Transforming Adult Social Care and explain about personalisation i.e. personal budgets & direct payments.  Representative from Financial Assessment Team.

3. Presentation

Andrew Kyle, Head of Supporting People gave an overview of housing options for older people. He gave an idea of some of the work ongoing at Attached present and the choice and opportunity it will provide for older people.

G:\Adult Services Bedford Borough\Older People - Physical & Sensory Needs\Older People's Partnership Board\09 September 2010\OPPB Minutes 09 09 10.doc Page 2 of 6 JCJ raised a question that why, after a presentation, to the same board, 5 months ago, Hilary Laughton suggested that a Milton Keynes resident from an Extra Care Housing facility come and give an overview of their personal experience of living there, it hasn’t happened.

PH suggested that it would be helpful for the board to go out and visit one of these facilities. AK agreed and offered to make the arrangements stating AK that there are facilities, not only in Milton Keynes but also Northampton and Luton.

IP raised a question about a register of people who have had their homes adapted and whether we have one for adaptations made in private housing. AK confirmed that there is a register for Social Housing but not for owner occupier properties although we can recoup monies of between £5k and £15k from adaptations we carry out. AK explained that although we can liaise with Social Housing and they will endeavour to house people with needs into an already adapted property we don’t have the powers to tell owners/occupiers who to sell their homes to.

PH informed that he had heard, from a reliable source, that Bedford Borough has a four year waiting list for adaptations. AK explained that we have had a sudden increase of requests for aids/adaptations through the OT Team. This was cleared but as part of the budget setting we have put in a request for more this year and next to help manage the waiting list.

JCJ queried to whom and how the survey for Extra Care Housing had been sent out. AK informed that it was sent to a select number of individuals and also appeared in the Bedford News and the Times and Citizen. It was also posted on the Bedford Borough website. So far there have been 900 respondents.

JCJ enquired as to why the River Valley Park, Willington, that has been awaiting planning permission since 2006 is being held up. AK explained that it’s with the planning department and that because of the various land owners it’s a very complex issue. The Chief Executive and the Mayor are working on it.

4. Impact of the Changes to Benefits announced in the Emergency Budget

AS circulated a report, for information, apprising of the possible changes to welfare benefits, following the emergency budget, and the impact this may have on Older People. She stated that this is to note and there is no call for immediate alarm.

5. Alcohol and Older People Campaign

GT tabled a briefing paper to the board, to note, regarding Alcohol and Older People. She informed the board that Breege Begley, CEO of Alcohol Services for the Community (asc) and Shaney-Ann Brandy, Commissioning Manager Vulnerable Communities are coming to the Partnership Board meeting in December to speak on this subject.

G:\Adult Services Bedford Borough\Older People - Physical & Sensory Needs\Older People's Partnership Board\09 September 2010\OPPB Minutes 09 09 10.doc Page 3 of 6 GT advised that Alcohol Identification and Brief Advice (IBA) Training is available to professionals and organisations working with Older People.

There is an Alcohol Campaign planned for December 2010 to raise the hidden harms caused by alcohol for Older People. They are requesting All to support/suggestions regarding the most effective way to distribute the note campaign information.

Sarah Pacey – Senior Health Improvement Specialist is the contact for training and for suggestions regarding the best way to distribute the campaign information. Contact details are included in the paper.

6. Equipment Survey update

AS gave feedback to the board on the results of the Equipment Survey, February 2010 where the aim was to find out whether people were satisfied with the service that they received. 96% of people said they were satisfied with the equipment or minor adaptation provided although there are certain aspects of the service that raised concerns. The Council will work with its partners to implement an action plan to improve those aspects. PH asked whether this report had been passed to housing and AS confirmed that it had.

7. Service User News

None discussed.

8. Carer News

YC raised the issue of Direct Payments and how they’re causing stress for some carers and that training would be advantageous. IP confirmed this and added that findings are, few people know about or understand the Putting People First, Transforming Adult Social Care and Personal Budgets. JS will feedback IP’s comments to Jo Hawthorne, Head of Transformation. JS JH will have a rethink on how to roll this information out and will be invited to CJ a future board meeting.

JS informed the board that we are beginning to rollout Personalisation/ Personal Budgets in a phased application. This pilot is starting in October with Physical Disabilities (under 65s) Team, which is a smaller group, and will run for 4 weeks.

IP raised concerns over the loss of cheques by 2015. These are to be replaced by plastic cards which will prove difficult for many older people and cause confusion. GT informed that nationally options for enabling people with individualised budgets to access their allocated money as easily as possible are being considered, and this will be something that we have to consider at a local level. JS added that frontline staff will be mindful of the additional support some of people will require with this and that businesses will also have to relook at their processes. TR gave an example of a 90 year old woman he assists in paying for her care. He stated that although he can understand the process of direct

G:\Adult Services Bedford Borough\Older People - Physical & Sensory Needs\Older People's Partnership Board\09 September 2010\OPPB Minutes 09 09 10.doc Page 4 of 6 payments it will prove confusing, complicated and time consuming for others. GT thanked everyone for their comments and that they will be valuable to feedback for this developing piece of work.

9. Safeguarding

th SD informed of a Safeguarding Conference, scheduled for the 11 October that is taking place at the Rufus Centre, Flitwick. Details to be sent out with CJ minutes.

SD also informed the Board that the Annual Report for Bedford Borough & is just about complete. Once ratified it will be circulated to the board. There are two serious case reviews for Bedford and two for Central. There are also a few Mental Capacity Act cases regarding neglect going through the courts at present.

10. AOB

(i) SD informed that at the next meeting his colleague Sgt. Vicki Clarke will be attending with him and thereafter will take over attending the meetings as he is retiring.

(ii) IP informed that he will be attending the Pensioners Rally in Central London on the 27th October and will update the board at the next meeting.

(iii) PH informed that he wrote to JB on the 21st June regarding the need to research the causes of deaths in Older People. As a Council and if the Board is serious then it needs to be involved in the death rates and causes i.e. heating, state of the home, income, structural problems. Only if we are aware can we ensure people in Bedford have a decent length of life. He asked JB to table this at the August meeting. PH received a letter from JB and it appears he didn’t make the point as strongly as he would have liked. PH is extremely cross as this is a very important matter.

(iv) Bedford Borough Older People’s Festival AS reminded everyone of the Older People’s Festival on the 15th September and asked if everyone had enough programmes.

(v) Health Profiles GT circulated the Health Profile 2010 for Bedford which gives a national view, local view etc. of health inequalities and is designed to help local government and the health service to reduce them. GT advised PH that this may be of use in relation to his previous point regarding mortality rates/factors.

(vi) PH circulated a leaflet for the Mature Citizen’s Action Group (MCAG).

11. Date and Time of Next Meeting

Thursday 28 October 2010 10am to 12 noon - Committee Room 1, Borough Hall

G:\Adult Services Bedford Borough\Older People - Physical & Sensory Needs\Older People's Partnership Board\09 September 2010\OPPB Minutes 09 09 10.doc Page 5 of 6

G:\Adult Services Bedford Borough\Older People - Physical & Sensory Needs\Older People's Partnership Board\09 September 2010\OPPB Minutes 09 09 10.doc Page 6 of 6 HousingHousing OptionsOptions forfor OlderOlder PeoplePeople

OlderOlder PersonsPersons PartnershipPartnership BoardBoard 0909th SeptemberSeptember 20102010 AnAn OverviewOverview ofof HousingHousing .. HousingHousing comescomes inin allall shapesshapes andand sizessizes – Flats – Bungalows – Houses .. ThereThere areare manymany differentdifferent typestypes withwith differentdifferent tenurestenures availableavailable – Social Rented Housing – Private Rented Housing – Shared Ownership – Owner Occupier WhereWhere dodo OlderOlder PeoplePeople Live?Live?

.. InIn BedfordBedford thethe majoritymajority ofof OlderOlder PeoplePeople areare OwnerOwner OccupiersOccupiers .. TheThe majoritymajority ofof thethe remainingremaining populationpopulation ofof OlderOlder PeoplePeople areare livingliving inin SocialSocial RentedRented properties,properties, mostlymostly withwith BPHABPHA andand BCHABCHA .. AA fewfew OlderOlder PeoplePeople livelive inin privateprivate rentedrented accommodationaccommodation .. MostMost overover 7575’’ss livelive inin TownTown CentresCentres

WhatWhat ServicesServices areare Available?Available?

.. SomeSome OlderOlder PeoplePeople choosechoose toto livelive inin aa ShelteredSheltered HousingHousing Scheme,Scheme, perhapsperhaps runrun byby BPHABPHA oror BCHABCHA .. ThisThis providesprovides wardenswardens whowho supportsupport peoplepeople toto maintainmaintain theirtheir tenanciestenancies .. TheThe wardenwarden isis onlyonly availableavailable toto peoplepeople whowho livelive inin aa ShelteredSheltered HousingHousing SchemeScheme .. AlarmAlarm services,services, suchsuch asas CarelinkCarelink,, areare availableavailable toto everyoneeveryone regardlessregardless ofof wherewhere theythey livelive WhatWhat ServicesServices areare wewe Developing?Developing?

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.. TheThe CouncilCouncil hashas securedsecured fundingfunding toto buildbuild 5555 flatsflats ofof ExtraExtra CareCare atat CardingtonCardington CourtCourt .. ThisThis isis beingbeing developeddeveloped jointlyjointly withwith BPHABPHA .. TheseThese ExtraExtra CareCare FlatsFlats willwill bebe availableavailable asas SocialSocial RentedRented PropertiesProperties .. ItIt isis expectedexpected thatthat thesethese flatsflats willwill bebe completedcompleted byby thethe end end ofof 20112011 WhatWhat areare wewe DevelopingDeveloping inin BedfordBedford

.. WeWe areare hopefulhopeful thatthat wewe cancan developdevelop moremore thanthan 100100 unitsunits ofof ExtraExtra CareCare atat thethe formerformer StSt BedesBedes SchoolSchool onon BromhamBromham RoadRoad .. WeWe areare workingworking inin partnershippartnership withwith OrbitOrbit HousingHousing AssociationAssociation toto deliverdeliver thisthis .. ItIt isis expectedexpected thatthat somesome ofof thethe propertiesproperties willwill bebe availableavailable toto buy,buy, oror asas sharedshared ownershipownership alongsidealongside SocialSocial RentedRented propertiesproperties WhatWhat areare wewe DevelopingDeveloping inin BedfordBedford

.. WeWe areare lookinglooking atat howhow wewe cancan provideprovide thethe wardenwarden typetype serviceservice toto peoplepeople whowho areare ownerowner occupiersoccupiers .. WeWe wantwant toto havehave aa moremore flexibleflexible serviceservice thatthat goesgoes toto people,people, ratherrather thanthan makingmaking peoplepeople gogo toto thethe serviceservice .. ThisThis meansmeans givinggiving moremore choicechoice toto howhow thethe serviceservice isis delivered,delivered, i.e.i.e. Monthly,Monthly, WeeklyWeekly oror dailydaily .. ThisThis alsoalso meansmeans givinggiving choicechoice toto peoplepeople alreadyalready inin ShelteredSheltered SchemesSchemes WhatWhat NextNext inin BedfordBedford

.. ThereThere willwill needneed toto bebe extensiveextensive consultationconsultation withwith residentsresidents beforebefore makingmaking changeschanges toto thethe wayway servicesservices areare delivereddelivered .. WeWe areare workingworking onon anan accommodationaccommodation strategystrategy forfor OlderOlder PeoplePeople whichwhich wewe willwill consultconsult onon onceonce completecomplete .. WeWe willwill continuecontinue toto looklook forfor waysways toto developdevelop ExtraExtra CareCare Housing,Housing, inin BedfordBedford andand inin thethe surroundingsurrounding areasareas AnyAny QuestionsQuestions

ITEM 4

For Publication

BEDFORD BOROUGH COUNCIL – OLDER PEOPLES PARTNERSHIP BOARD

REPORT BY THE COMMISSIONER: OLDER PEOPLE AND PHYSICAL DISABILITIES

DATE: 9 SEPTEMBER 2010

SUBJECT: POSSIBLE CHANGES TO WELFARE BENEFITS FOLLOWING THE EMERGENCY BUDGET

1. INTRODUCTION

Following the new coalition Government’s emergency budget on 22 June 2010 and a number of announcements about welfare reform savings designed to “reward work and protect the most vulnerable”, the Older Peoples Partnership Board was concerned about the impact of the potential changes on Older People. Noting that possible changes may impact on people with disabilities who were under 65, this report has been prepared for the Physical Disabilities & Sensory Impairments Board as well.

This report contains details of benefits that are unaffected by the emergency budget but are benefits that affect older people, and it also contains details of changes proposed that were already planned by the previous Government. This is to give the Partnership Boards a more complete picture of the benefits that affect older people and people with disabilities.

2. RECOMMENDATIONS

The Partnership Boards are requested to note the contents of the report.

3. DETAILS

On 22 June 2010 the Chancellor, George Osborne MP, delivered an emergency budget which set out welfare reforms designed to “reward work and protect the most vulnerable” and to make the benefit and tax credit system “fairer and more affordable”. Given below is a précis of the changes proposed that affect older people and people with disabilities.

(1)

Disability Living Allowance (DLA)

What is DLA?

DLA is a tax-free benefit for children and adults who need help with personal care or have walking difficulties because they have physically disabilities, learning disabilities or mental health problems. According to the Direct.gov website, people may get Disability Living Allowance if:

 they have a physical or mental disability, or both  their disability is severe enough to need help caring for themselves or they have walking difficulties, or both  they are under 65 when you claim

Disability Living Allowance has two components

 a care component  a mobility component

Some people will be entitled to get just one component; others may get both. The care component and mobility component are paid at different rates depending on how people’s disability affects them.

People can get Disability Living Allowance whether or not you work and it isn't usually affected by any savings or income people may have. DLA is designed to support people with disabilities with the additional expenditure that they incur for their care needs and mobility needs because of their disability. An example of this would be that a wheelchair accessible taxi will cost more than a standard taxi, so the DLA mobility component would help the person with disabilities with the additional cost of the taxi fare.

Currently, people don’t usually need a medical examination when they apply for DLA, but they may be asked to have one.

What is changing?

The Government will introduce the use of “objective medical assessments” for all DLA claimants from 2013/2014. It is not yet known what the objective medical assessments will comprise of.

Attendance Allowance

What is Attendance Allowance?

Attendance Allowance (AA) is a tax-free benefit that people get if they are 65 or over and need help with personal care because they have a physical disability, learning disability or mental health problem. The principle of it is similar to DLA for people under 65, however there is a care component but no mobility component.

(2)

People may get Attendance Allowance if any of the following apply:

 they have a physical or mental disability, or both  their disability is severe enough for them to need help caring for themselves  they are aged 65 or over when you claim

Attendance Allowance isn't usually affected by any savings or income people may have. People don't usually need a medical examination when they claim Attendance Allowance.

There are two rates of Attendance Allowance; Higher Rate and Lower Rate. The rate that people receive depends on how much their disability affects them.

What is changing?

The Government has proposed no changes to Attendance Allowance.

State Pension and Pension Credits

The State Pension is a regular payment that people can claim when they get to State Pension age. Most people build up some State Pension, but the amount they get varies. The State Pension gives people a regular income for the rest of their lives. It gives people a reliable foundation for their income in retirement, although it might not be enough to support the lifestyle that people may choose for themselves.

Pension Credits top up the State Pension for eligible people. They replace income support at pension age. There are two different types of Pension Credit; Guarantee Credit and Savings Credit. Both types of credit may be higher for people who are disabled, have caring responsibilities or certain housing costs, such as mortgage interest payments.

Guarantee Credit

People who have reached the minimum qualifying age (state pension age) may be entitled to the Guarantee Credit, which guarantees a minimum income by topping up their weekly income. The entitlement to this benefit for both men and women is linked to the minimum qualifying age at which women can receive state retirement pension.

Savings Credit

People who are 65 or over may be entitled to Savings Credit. People who have made some provision towards your retirement such as savings or a second pension may receive a Savings Credit; either on its own or with the Guarantee Credit.

(3)

What is changing?

The changes that are planned for the state pension and pension credits are happening anyway. The emergency budget announced nothing new.

The state pension age is changing. The State Pension age is currently 65 for men born before 6 April 1959, and for women born on or before 5 April 1950, the State Pension age is 60. The State Pension age for women born on or after 6 April 1950 will increase to 65 between 2010 and 2020. From 6 April 2020 the State Pension age will be 65 for both men and women.

What is changing?

The age at which the guarantee component of pension credit can be claimed is linked to the state pension age for women, which as discussed in this report, is rising.

The Government will review the age at which the state pension will rise to 66 and will also consult on how quickly it will phase out the default retirement age from April 2011.

The standard minimum guarantee of pension credit will increase in April 2011 by the cash rise in a full basic state pension.

The state pension will be uprated by a “triple guarantee” of earnings (whichever of the three measures is the highest, and at least at the equivalent of the Retail Price Index in April 2011).

Housing Benefit

What is Housing Benefit?

People on a low income (who may be disabled or an older person), whether they are working or not, and who need financial help to pay all or part of their rent may be able to get Housing Benefit. People may get Housing Benefit if they pay rent and their income and savings and investments are below a certain level.

What is changing?

From April 2011, housing benefit claimants who are a disabled person with a non resident carer can claim housing benefit for an additional bedroom for their carer, to support them in their caring role.

From April 2011, local housing allowance rates will be capped. This will affect private sector housing rents. Private rents are already restricted under the housing benefit system, but from April 2011 the local housing allowance rates will be further restricted. Therefore housing benefit claims for private sector housing rents will be affected.

(4)

In future (April 2013), the social sector rent levels may be looked at as well, but at the moment the social sector charges tenants agreed “fair rents” so the cap will not currently apply to the social sector. Housing benefit will be restricted to an amount required for household composition, and this would affect people living in the social rented sector.

4. CONCLUSION

There are a number of benefit changes planned, some from the emergency budget, and some that were being planned prior to the emergency budget that may impact on older people and people with physical disabilities, mainly from April 2013 onwards. The Partnership Boards should keep a watching brief on changes to benefits, and ensure that people have access to services that can support them to claim the benefits that they are entitled to.

(5)

Briefing Paper to: Bedford Borough’s Older People’s Partnership

Alcohol and Older People Purpose

This Briefing Paper provides an overview of some work undertaken in relation to Older People and Alcohol and work that planned for Bedford Borough.

Recommendation

The Board is requested to: 1. Note the contents of the paper

Reason for Recommendation

The Royal College of Physicians suggest that as many as 60% of Older People admitted to hospital because of confusion, repeated falls recurrent chest infections and hearing failure may have an unrecognised alcohol problem.

Given the severity of conditions that Older People may present with, it is easy to see how their alcohol intake can be missed or undiagnosed, and even if alcohol is suspected, raising the subject can be awkward.

Previous Work

Older and Wiser Campaign A training programme with the aim of enabling workers to distribute safer drinking messages effectively to the older population. Professionals trained included: o Age Concern health Champions o Bedford Borough Council In-House Carers enablement team o Polish Integration Centre workers o Community mental Health Team (SEPT)

This was delivered by Alcohol Services for The Community (asc).

The evaluation and outcomes will be discussed at the December Older Peoples Partnership Board meeting.

Page 1 of 2

Future Work

Alcohol Identification and Brief Advice (IBA) Training A Bespoke course for professionals / organisations working with Older People.

The objectives of the course are:

o To apply knowledge of alcohol unit system in the calculation of overall individual consumption o To use and interpret the AUDIT or FAST alcohol screening tools in order to assess presence or degree of alcohol dependence o To communicate effectively and confidently with service users about their alcohol use, based on a respectful and non-judgmental approach o To impart alcohol related knowledge such as health implications in an effective and non-judgmental way that supports change o To provide information about the various treatment and support options available for alcohol users in Bedfordshire

One support option is a referral into Alcohol Services for the Community (asc),

Breege Begley CEO, will talk more about the services provided by asc specifically for Older People, and present a case study at the December Older People’s Partnership Board.

The IBA is a Tier 1 Intervention – preventative non care planned approach. Research shows that identification of high risk drinkers and brief advice (IBAs) can reduce alcohol consumption by an average of 24% and that effect can be sustained for up to four years. Implementation of IBA is strongly supported by the Government in publications such as Models of Care for Alcohol Misuse and the National Alcohol Strategy; Safe Sensible Social.

Expressions of Interest are welcomed for the IBA training and / or contact details of relevant organisations we can approach. Contact Sarah Pacey – Senior Health Improvement Specialist - Alcohol and Mental Health, 01525 636869 or email: [email protected]

Alcohol Campaign

It is intended that this campaign will run in December to raise awareness of the hidden harms caused by alcohol for Older People

Support / suggestions are requested on how to distribute the campaign in the most effective way. Contact Sarah Pacey – Senior Health Improvement Specialist - Alcohol and Mental Health, 01525 636869 or email: [email protected]

Report Prepared by: Shaney-Ann Brandy, Commissioning Manager Vulnerable Communities, Contact Details: 01234 897073 [email protected]

Page 2 of 2

Feedback to Service Users and the Public about the Results of the Equipment Survey - February 2010

1. Bedford Borough Council surveyed people who had received equipment or minor adaptations to their homes which had been funded by the Council. The survey aimed to find out whether people were satisfied with the service that they have received, and whether people felt that they had been treated with dignity and respect. The survey also aimed to find out from people where the service could be improved.

2. People who used the service were happy with many aspects of the service. 96% of people said that the equipment or minor adaptation had made the quality of their life better. 82% of people said that they felt that they have control of their daily lives. Over a quarter (27%) of respondents said that they needed less help from other people after they received their equipment or minor adaptation.

3. Satisfaction with the service was high, with 78% of people being either very satisfied or extremely satisfied. 88% of people were very happy with the way that they were treated when a member of staff discussed their needs with them.

4. Waiting times for equipment or adaptations caused a low level of problems for people, with only 5% of people experiencing significant problems. From the comments given, it would appear that the problematic waiting times pertained to more to adaptations to people’s houses, rather than the delivery of pieces of equipment.

5. Most people felt that they had the right amount of help to be able to use the equipment or minor adaptation; however there is room to improve the amount of help further for the 8% of people who did have problems.

6. 68% of people received a telephone call or a visit after their equipment was delivered or the minor adaptation had been made to check that everything was ok. However, 24% of people said that they had not been contacted afterwards.

7. There were some less positive findings from the survey. 31% of respondents said that they had some worries about their personal safety. 27% of people said that their homes did not meet their needs.

8. The Council will work with its partners and implement an action plan to improve those aspects of the service that is not meetings people’s needs. The Joint Community Equipment Board will monitor the action plan to ensure that changes happen as a result of people’s feedback.

Alison Shepherd Commissioner: Older People and Physical Disabilities September 2010 Health Profile 2010 Bedford

ThisThis profileprofile gives a snapshotpicture of ofhealth in this area. It is designed to help local government and health services improve people’s health and reduce health inequalities.

Health Profiles are produced every year by the Association of Public Health Observatories.

Visit the Health Profiles website to:

• see profiles for other areas Bedford at a glance • use interactive maps • The health of people in Bedford is generally similar to • find more detailed information the England average. Deprivation is generally low and the proportion of children in poverty is better than the www.healthprofiles.info average for England. • Life expectancy for men is above the average for England. There is a difference of almost 9 years in the life expectancy between men living in the most A14(T)

A deprived and the least deprived areas. 10 6 A5A 5 1 9 3 • Over the past ten years, the rates of death from all A5028 28 Wellingborough A51

) A6(T) Rushden causes, rates of early death from cancer and from heart 45(T A disease and stroke have all improved and are similar to

Riseley PodingtonImage found and displayed. the England average. Rates of excess winter deaths and infant deaths are also similar to the England average. A428(T) Odell Little Barford • A GCSE attainment is lower than the England average, 4 Harrold 2 8 Carlton Wilden particularly in minority ethnic groups. Statutory #Name? Roxton Oakley homelessness and the proportion of people diagnosed Clapham Turvey Bromham with diabetes are worse than the England average. A Goldington A 5 Willington 5 1

0 4

9 1 BEDFORD 03 Sandy A6 • The measures of children's health such as obesity,

A5134 Fenlake physical activity and smoking in pregnancy are A Keeley Green 60 A422 0 Wootton generally worse than the England average. Rates of A 1 Biggleswade ( T ) breast feeding initiation have improved and are now similar to the England average. --- A5 130 • The estimates of adults' healthy lifestyle such as

Based on Ordnance Survey material. © Crown Copyright. All rights reserved. smoking and binge drinking are better than the England DH 100020290 2010. Other map data © Collins Bartholomew. average. • Population 155,700 For more information refer to www.bedfordshire.nhs.uk Mid-2008 population estimate and for further local adult lifestyle data please refer to Source: National Statistics website: www.statistics.gov.uk www.erpho.org.uk/lsr. ©CrownCopyright 2010

Bedford Deprivation: a national view

This map shows differences in deprivation levels in this area This chart shows the percentage of the population in based on national quintiles (of the Index of Multiple Deprivation England, this region, and this area who live in each of 2007 by Lower Super Output Area). The darkest coloured these quintiles. areas are some of the most deprived areas in England.

N 100

90

80

70

60

50 t. All rights reserved. DH 100020290 All2010. t.reserved. DH 100020290 rights

% Residents 40

30

20

10

0 England East of England Bedford

0 2 4 Miles

Based on Ordnance Survey Material. © Crown ©Crown Survey Copyrigh Material. Ordnance on Based 1 - least 2 3 4 5 - most deprived quintile deprived quintile

Health inequalities: a local view

This map shows differences in deprivation levels in this area This chart shows the life expectancy at birth for males and based on local quintiles (of the Index of Multiple Deprivation females (2004-2008) for each of the quintiles in this area. 2007 by Lower Super Output Area). The darkest coloured areas are the most deprived in this area. 95 N

90

85

80

75 t. All rights reserved. DH 100020290 All2010. t.reserved. DH 100020290 rights

70 Life expectancy at birth (years)

65

MMMMMFFFFF 60 Quintile 1 Quintile 2 Quintile 3 Quintile 4 Quintile 5

M = Males F = Females

95% confidence interval. These indicate the level of uncertainty about each 0 2 4 Miles value on the graph. Longer/wider intervals mean more uncertainty.

Based on Ordnance Survey Material. © Crown ©Crown Survey Copyrigh Material. Ordnance on Based 1 - least 2 3 4 5 - most deprived quintile deprived quintile Bedford www.healthprofiles.info © Crown Copyright 2010 Health inequalities: changes over time Trend 1: These graphs show how changes in death rates for this All age, all cause mortality area compare with changes for the whole of England. Data points on the graph are mid-points of 3-year 1250 averages of yearly rates. For example the dot labelled 1150 2003 represents the 3-year period 2002 to 2004. 1050 950 Trend 1 compares rates of death, at all ages and from 850 all causes, in this area with those for England. 750 650

Trend 2 compares rates of early death from heart population 550 disease and stroke (in people under 75) in this area with 450 those for England. 350

Age-standardised rate/100,000 250 Trend 3 compares rates of early death from cancer (in 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 people under 75) in this area with those for England. Years Males: England Bedford Females: England Bedford Trend 2: Trend 3: Early death rates from heart disease and stroke Early death rates from cancer

215 215

195 195

175 175

155 155

135 135

115 115

95 95 population population 75 75

55 55 Age-standardised rate/100,000 35 Age-standardised rate/100,000 35 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Years Years England Bedford England Bedford

Health inequalities: ethnicity

This chart shows the percentage of pupils by ethnic group in this area who achieved five GCSEs in 2008/09 (A* to C grades including English and Maths). Comparing results may help find possible inequalities between ethnic groups.

85 80 England 75 Bedford 70 65 % pupils No. of pupils 60 Ethnic achieved achieved 55 Groups 50 grades grades 45 White 52.2 738 40 Mixed 33.3 36 35 Percentage 30 Asian 36.2 81 25 Black 31.7 26 20 15 Chinese/other 53.8 7 10 5 If there are any empty cells in the table this is 0 because data has not been presented where the calculation involved pupil numbers of 0, 1 or 2. White Mixed Asian Black Chinese & Some further groups may not have data presented other ethnic in order to prevent counts of small numbers being groups calculated from values for other ethnic groups or 95% confidence intervals are shown for this local authority area areas.

© Crown Copyright 2010 www.healthprofiles.info Bedford Health summary for 00KB Bedford The chart below shows how the health of people in this area compares with the rest of England. This area's result for each indicator is shown as a circle. The average rate for England is shown by the red line, which is always at the centre of the chart. The range of results for all local areas in England is shown as a grey bar. A red circle means that this area is significantly worse than England for that indicator; however, a green circle may still indicate an important public health problem. Significantly worse than England average Not significantly different from England average Regional average + England Average England England Significantly better than England average Worst Best 25th 75th No significance can be calculated Percentile Percentile + In the South East Region this represents the Strategic Health Authority average

Local No. Local Eng Eng Eng Domain Indicator England Range Per Year Value Avg Worst Best 1 Deprivation 13341 8.7 19.9 89.2 0.0 2 Children in poverty 6361 20.6 22.4 66.5 6.0 3 Statutory homelessness 296 4.51 2.48 9.37 0.00 4 GCSE achieved (5A*-C inc. Eng & Maths) 894 48.1 50.9 32.1 76.1

Ourcommunities 5 Violent crime 1956 12.6 16.4 36.6 4.8 6 Carbon emissions 946 6.1 6.8 14.4 4.1 7 Smoking in pregnancy 348 17.4 14.6 33.5 3.8 8 Breast feeding initiation 1478 74.0 72.5 39.7 92.7 9 Physically active children 10612 47.9 49.6 24.6 79.1

health 10 Obese children 177 11.6 9.6 14.7 4.7 Children's and Children's youngpeople's 11 Tooth decay in children aged 5 years n/a 0.9 1.1 2.5 0.2 12 Teenage pregnancy (under 18) 118 40.9 40.9 74.8 14.9 13 Adults who smoke n/a 17.9 22.2 35.2 10.2 14 Binge drinking adults n/a 17.2 20.1 33.2 4.6 15 Healthy eating adults n/a 32.3 28.7 18.3 48.1 lifestyle 16 Physically active adults n/a 12.2 11.2 5.4 16.6 Adults' health and health Adults' 17 Obese adults n/a 22.7 24.2 32.8 13.2 18 Incidence of malignant melanoma 19 12.6 12.6 27.3 3.7 19 Incapacity benefits for mental illness 2210 22.9 27.6 58.5 9.0 20 Hospital stays for alcohol related harm 2711 1490 1580 2860 784 21 Drug misuse poor health poor Diseaseand 22 People diagnosed with diabetes 7174 4.61 4.30 6.72 2.69 23 New cases of tuberculosis 26 17 15 110 0 24 Hip fracture in over-65s 143 448.5 479.2 643.5 273.6 25 Excess winter deaths 86 21.1 15.6 26.3 2.3 26 Life expectancy - male n/a 78.6 77.9 73.6 84.3 27 Life expectancy - female n/a 82.1 82.0 78.8 88.9 28 Infant deaths 10 5.02 4.84 8.67 1.08 29 Deaths from smoking 193 171.3 206.8 360.3 118.7

causesdeath of 30 Early deaths: heart disease & stroke 110 67.7 74.8 125.0 40.1 Life expectancyLife and 31 Early deaths: cancer 169 106.3 114.0 164.3 70.5 32 Road injuries and deaths 81 52.3 51.3 167.0 14.6

Indicator Notes 1 % of people in this area living in 20% most deprived areas of England 2007 2 % of children living in families receiving means-tested benefits 2007 3 Crude rate per 1,000 households 2008/09 4 % at Key Stage 4 2008/09 5 Recorded violence against the person crimes crude rate per 1,000 population 2008/09 6 Total end user CO 2 emissions per capita (tonnes CO 2 per resident) 2007 7 % of mothers smoking in pregnancy where status is known 2008/09 8 % of mothers initiating breast feeding where status is known 2008/09 9 % of year 1-13 pupils who spend at least 3 hours per week on high quality PE and school sport 2008/09 10 % of school children in reception year 2008/09 11 Weighted mean number of teeth per 5 yr old child sampled that were actively decayed, missing or filled 2007/08 12 Under-18 conception rate per 1,000 females aged 15-17 (crude rate) 2006-2008 (provisional) 13 % adults, modelled estimate using Health Survey for England 2006-2008 14 % adults, modelled estimate using Health Survey for England 2007-2008 15 % adults, modelled estimate using Health Survey for England 2006-2008 16 % aged 16+ 2008/09 17 % adults, modelled estimate using Health Survey for England 2006-2008 18 Directly age standardised rate per 100,000 population under 75 2004-2006 19 Crude rate per 1,000 working age population 2008 20 Directly age and sex standardised rate per 100,000 population 2008/09 (rounded) 21 New Problematic Drug User estimates were not available in time for inclusion 22 % of people on GP registers with a recorded diagnosis of diabetes 2008/09 23 Crude rate per 100,000 population 2006-2008 24 Directly age-standardised rate per 100,000 population for emergency admission 2008/09 25 Ratio of excess winter deaths (observed winter deaths minus expected deaths based on non-winter deaths) to average non-winter deaths 1.08.05- 31.07.08 26 At birth, 2006-2008 27 At birth, 2006-2008 28 Rate per 1,000 live births 2006-2008 29 Per 100,000 population age 35+, directly age standardised rate 2006-2008 30 Directly age standardised rate per 100,000 population under 75, 2006-2008 31 Directly age standardised rate per 100,000 population under 75, 2006-2008 32 Rate per 100,000 population 2006-2008

More indicator information is available in The Indicator Guide: www.healthprofiles.info For information on your area contact your regional PHO: www.apho.org.uk

You may use this profile for non-commercial purposes as long as you acknowledge where the information came from by printing ‘Source: APHO and Department of Health. © Crown Copyright 2010’. Bedford www.healthprofiles.info © Crown Copyright 2010 Bedfordshire Safeguarding Adults Conference

Monday 11th October 2010 The Rufus Centre, Flitwick Abuse is everybody’s business Safeguarding is our responsibility

Bedford Borough Council, and Central Bedfordshire Council working with NHS Bedfordshire, the Police and local voluntary sector partners, is committed to protecting vulnerable adults. We would like to invite you to one of two sessions being delivered at the Bedfordshire Safeguarding Adults Conference

Morning session - Abuse is everybody’s business 9.30am to 12.30pm Understanding abuse and what it means for vulnerable people. Suitable for anyone who may come into contact with a vulnerable person through their personal or professional life, and would like to know more about spotting the signs of abuse and what to do about it. Afternoon session - Safeguarding is our responsibility 1.00pm to 4.00pm Understanding impacts of abuse and how to prevent it. Suitable for all care professionals, including social workers, nurses, police, care home workers, housing staff

To book a place log on to……………………..

Or telephone Dawn Morris on 0300 300 8122

Both events will include tea/coffee