Welcome to InfoIslington, a blog dedicated to delivering quality information about Islington today. Produced by staff at the Islington Reference Library it will bring you details about quality web sites and other new social media , upcoming events, reports and where to find information today with a special relevance to Islington.
From April to September 2014, Islington Safeguarding Adults received 585 alerts, an increase of 38% on the same period in the previous year. This increase will in part be the result of efforts by Islington Safeguarding Adults team to raise awareness of the abuse and the different types of abuse and encourage reporting. The substantive programme of training to raise awareness of abuse has included delivery to health, social care and housing staff, voluntary sector groups (including Healthwatch) and members of the public.
In the same period from April to September 2014, the three most common types of abuse were financial (28%), physical (26%) and neglect (23%). Nearly half of the alerts proceeded to investigation (this is a similar proportion to the national average) with most (78%) taking place in a community setting (many in the home) with only small numbers alleged to have taken place in a residential/nursing setting (14%) and 5% in a hospital setting.
Healthwatch Islington decided to carry out some research with a small number of voluntary organisations to identify how the process of raising an alert, and the subsequent contact from the Access Team, works in practice.
The decision to look at the process arose because concerns were raised with Healthwatch about the ease of raising an alert and obtaining information about the response.
Healthwatch Islington was approached by Islington Clinical Commissioning Group to carry out some work on local complaints processes. This included mapping the existing ways in which patients can complain. We were also asked to gather the views and experiences of local people who had made or tried to make a complaint to find out what worked well about local processes and what could be improved.
Our right to complain and what we can expect:
The NHS Constitution sets out a series of rights and pledges in relation to our NHS treatment and care. It states that the NHS ‘encourages and welcomes feedback from families, carers, staff and the public. We use this to improve the care we provide and build on our successes’. The constitution then sets out some basic rights which include the right to an acknowledgement within three working days and to have complaints ‘properly investigated’, the right to discuss how the complaint will be handled and how long this is likely to take and the right to be kept informed of progress and outcomes, with explanations if requested.
In addition, the constitution sets out a pledge to ensure that raising a complaint does not put us at a disadvantage and that responses to complaints be delivered sensitively and with an apology as well as ensuring that lessons will be learned from complaints in order to improve services. We have used these rights to inform our survey.
As the report was commissioned by Islington Clinical Commissioning Group, the recommendations set out are directed at them. However, during the course of the work Healthwatch Islington also saw areas that providers could improve. We have compiled a list of suggestions for providers on page 23 of this report, which Islington Clinical Commissioning Group and Healthwatch Islington will aim to take forward.
Islington Clinical Commissioning Group (CCG) commissioned Healthwatch Islington to carry out interviews with users who have experienced integrated care through the Multi-Disciplinary Team pilots. These pilots are aimed at more intensive users of services. The model seeks to bring together professionals from primary care, community services and social care to deliver person centred care. This ensures that patients don’t fall into the gaps between services, and avoids the duplication that comes when those responsible for different areas of a person’s care are not working together.
Generally patients (and relatives/ carers) had a lot of praise for the care delivered and understand the pressures that staff are working under. At this stage it is difficult from these findings to draw conclusions about whether additional community matron input has improved the overall experience.
This consultation exercise from Healthwatch Islington has provides an in-depth insight into the mental health needs of young adults facing multiple vulnerabilities and suggests there is likely to be an increase in the number of young adults in Islington facing mental health problems now and in the future.
It provides a body of evidence from young adults experiencing poor mental health and professionals working with individuals with mental health needs that current services are having a limited impact on engaging with and sustaining positive relationships with those who are vulnerable.
Within this report vulnerable respondents were predominantly from: Asian and African backgrounds, those struggling to secure accommodation, the homeless, socially isolated, individuals from LBGT backgrounds and those who are living in poverty. This respondent profile was not based on a sample but rather, reflected individuals who were prepared to talk to us from the referring organisations. This may have implications for the demographic of young adults accessing adult mental health services.
However for those who did receive help, most reported positive experiences and a sense that they were more able to cope and manage a variety of practical, social and psychological problems. We would also like to mention that young people (under 18) were not a target group however interviews with young adults and professionals did suggest that young adults who had experience of using CAMHS services did not have a successful transition to adult mental health services.
Since 2010 Islington has delivered over 1800 new affordable homes and brought 300 homes back into use that were previously empty or illegally sublet. We have helped over 16,000 residents tackle fuel poverty, and spent £7M on environmental improvements whilst completing the Decent Homes Standard for all council homes.
Our housing ambitions for the next five years To help achieve our housing vision we have identified four priorities through consultation with our key stakeholders, including residents: a) Increase supply and choice b) Provide well managed and well maintained places to live c) Improve health and wellbeing d) Prevent homelessness and provide options .
The Winter Wellbeing project 2014/2015 from North London Cares mobilised young people to help their older neighbours in Camden and Islington to stay warm, active, healthy and connected during the most isolating time of the year.
Through a combination of interactions, interventions, activities, grants and referrals to various local services, the project was commissioned by the joint Camden and Islington Public Health department to help us reach as many older neighbours as possible during the long, cold, dark winter months. They demonstrate the importance of a targeted, preventative, inclusive approach to combating isolation, connecting local people to local activities and services that they can relate to and feel reassured by. connecting local people to local activities and services that they can relate to and feel reassured by.
The Voluntary Action Academy has been developed by Voluntary Action Services Ltd to provide affordable training for volunteers, paid staff and trustees involved in voluntary and community action.
They offer a range of short courses and two awards that are accredited by the Institute of Leadership and Management through the Centre for Facilitative Leadership. The accredited awards are recognised throughout the UK and beyond. See the program here.