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London Borough of Hounslow

Local Authority- Civic Duty

11 July 2019
Arts, Businesses and shops, Care, Charity, Children Young People and Students, Clinical Commissioning Group, Commissioners Sector, Communication, Community organisations, Domiciliary Care, Education Sector, Emergency Services Sector, Faith Groups, Finance, GP Surgery, Health, heritage, Hospices, Hospitality, Hospitals and Hospital Trusts, Housing Sector, Law, Legal, Letting, Local Authorities, Local DAA Members, Medical, Membership organisation, Membership Organisations, Other, Retail, Schools, Social Care, Transport Sector, Voluntary, Voluntary Sector

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

Over the next year Hounslow has a clear ambition of which the following priorities have been formed:

A strategy is developed and delivered

Deliver a Business Operating model for a dementia services

Upgrade the quality of care and access to services.

Increase awareness and champion business improvement to become a dementia friendly borough

Become a dementia friendly Borough

Develop and implement a training strategy across London Borough of Hounslow and its partners

That Dementia Friends and Champions are created across the origination and its partners

Implement the ‘Herbert’ Protocol with Emergency Services

That awareness and training is rolled out across LB Hounslow and its partners

Equal access to diagnosis for everyone

•  ensure coordination and continuity of care for people with dementia

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

limitation in resources

2. Actions

  • Dementia Awareness

    Hounslow want to create a network of dementia friends who play an active role within their workplace or community. Hounslow Dementia Friends plays a pivotal role in ensuring that those living with Dementia and their carers have the best possible level of service and that they go the extra mile to ensure that services are the best on offer and Hounslow residents are placed at the heart. Dementia Friends ensure that across Hounslow in varying forms: • Dementia awareness is promoted & kept high on the agenda • That priorities set by Dementia Champion are followed through as directed • That priorities implemented are robust and effective • Issues identify are flagged and measures taken to ensure effective resolution • That continuous improvement is at the heart of how dementia friends go about day-to-day operations • That effective referral to other services is conducted (where appropriate) • That as a Dementia Friend you are respectful, sensitive and responsive to the needs as they present • That you encourage others to join in and get involved with Hounslow dementia friend programme • That relevant information is fed back to the Dementia Champion as appropriate Hounslow welcomes everyone to become a dementia friend and will provide relevant training and support to you so you are well equipped to be a Dementia Friend
    Being implemented
  • To become a Dementia Friendly Borough

    Across Hounslow  there are many organisations offering support and doing lots of work in the drive to make the Borough more dementia friendly.  There is more the Council can do across all of its services by leading and supporting the work to create a truly Dementia Friendly community in Hounslow, particularly through the changes as health and social care services work more closely together. It is also important that people can get information about getting involved in activities or groups to improve their mental health and wellbeing.

    Being implemented
  • Enhance & Develop asset based approaches for those living with dementia

    Dementia is a condition that is increasingly common; it can have a profound impact on an individual and their family and friends. Traditionally, the focus for dementia care has been NHS treatments and care services delivered by us as a  local authority. Nationally and locally there has been a shift to a focus on how we can enable people who have been diagnosed with dementia to live as full a life as possible and encourage communities to work together to help people to stay healthier for longer. LB Hounslow has a key role in developing inclusive dementia friendly communities and as part of the wider prevention agenda within Adult Social Care.

    We have taken steps to align the development of Dementia services with a strongfocus on the concept and practice of community-centered approaches and look to create conditions for community assets to thrive. Recognising assets helps value community strengths and ensure everyone has access to them. It builds on the positives and ensures that health action is co-produced equally between communities and services. We have taken anagile approach and started to work in partnership with local communities to develop innovative ways to enable people with dementia to take part in everyday activities and retain their independence for as long as they are able and help embed everyday support though communities into the wider advance practitioner community development approach.  Examples of what we work towards include developing dementia friendly streets, where as a result of simple adaptations and awareness raising among staff working in shops, shopping becomes easier for people with dementia. Simple changes to existing services, and awareness raising for those who come into day-to-day contact with people with dementia such as staff working in libraries or in leisure centres, also help people with dementia feel more confident and welcome in using council services working towards the overall vision of community based approach within Adult social care. Longer term we look to implement services such as memory café through the use of social enterprise to continually support and enhance a community based approach to what is provided to those living with dementia.   

    By growing the interest locally by way of  community-centered approaches to enhance individual and community capabilities we are creating healthier places and reduce health inequalities. Community-centered approaches are not just community-based, but about mobilising assets within communities, promoting equity, and increasing people’s control over their health and lives. Our vision is to:

    Use  non-clinical methodsUse participatory approaches, such as community members actively involved in design, delivery and evaluationReduce barriers to engagementUtilize and build on the local community assetsCollaborate with those most at risk of poor healthChallenge the conditions that drive poor healthAddress Community-level factors such as social networks, social capital and empowermentIncrease people’s control over their health

    Most localities have good examples of community-centred practice. By scaling-up of a whole-system community-centred approach that is also built ‘bottom-up’ from the diversity of grassroots community organizations and members. Hounslow have embraced community-centred ways of working but this is not without challenge. Again by scaling-up of a whole-system community-centred and asset-based approach through the community development work of the Advance Practitioners. Community-centred approaches offer a different way to use local resources, and within Hounslow have shown that there is good social return on investment.

    By focusing on enhancing individuals’ capabilities to provide advice, information and support and activities around health and wellbeing in their or other communities. The premise is that people will use their life experience, cultural awareness and social connections to relate with other community members, to communicate in a way that people understand and to reach those not in touch with services, this includes bridging roles such as:

    health trainerspeer supportvolunteer health roles

    The Dementia Programme has brought both communities and local services together with an aim of working collaboratively through each stage of the planning cycle (identifying needs-to implementation and evaluation) It includes community-based participatory research, area-based initiatives such as healthy cities, community engagement in planning and co-production. The aim is to work towards a social prescribing model connect people to community resources, practical help, group activities and volunteering opportunities to meet health needs and increase social participation and include approaches that improve pathways to participation such as:

    social prescribingcommunity hubscommunity-based commissioning

    By working with members of the community in identifying and developing the skills, knowledge, networks, relationships and facilities available that contribute to health and wellbeing for all community members. Community action is a necessary component of place-based approaches to reduce health inequalities, alongside and as part of, healthy public policy and prevention services. Devolution plans present an opportunity to increase the power and control of local communities. This can also be supported through the Localism Act and the Social Value Act. Initiatives such as supporting community business support local economic growth and community wellbeing.

    Being implemented