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.
This profile provides a snapshot of child health in Islington. Compiled by Public Health England and published in June 2015 it found the health and wellbeing of children in Islington was mixed compared with the rest of the country.
The Camden and Islington Annual Public Health Report for 2015 focuses on four key areas: i) giving every child the best start in life, ii) addressing economic conditions, iii) improving mental health in the community, and iv) addressing physical and mental health conditions more holistically to improve life expectancy and quality of life.
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.
Islington Clinical Commissioning Group (CCG) plan, buy and monitor local health services. They are made up of GPs from 34 local practices and work closely with a variety of partners, patients and local people to improve the health of everyone in Islington. In 2014/5 they spent £315.3 million. See the review here.
In a world first King’s College London, commissioned by the Greater London Authority and Transport for London, have calculated the health impacts associated with the air pollutant nitrogen dioxide (NO2) in London. See the report here.
The Camden and Islington NHS Foundation Trust publishes a monthly list of documents they have released under the Freedom of Information. The Disclosure Log containss monthly additions from April 2013 onwards.