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Dr. Thomas Avery (Martin Sheen) is an American ophthalmologist who goes to France following the death of his adult son, Daniel (Emilio Estevez), killed in the Pyrenees during a storm while walking the Camino de Santiago (the Way of St. James), a Catholic pilgrimage route to the Cathedral of Santiago de Compostela in Galicia, Spain. Tom’s purpose is initially to retrieve his son’s body. However, in a combination of grief and homage to his son, Tom decides to walk the ancient spiritual trail where his son died, taking Daniel’s ashes with him. While walking the Camino, Tom meets others from around the world, all looking for greater meaning in their lives.
Haringey Better Care Fund Community Event
Approximately 100 participants attended the Haringey Better care Fund (BCF) Community Event which focused on the theme of loneliness.
The event included two participative techniques:
Round table discussions
Several themes emerged from these techniques on the causes of loneliness in Haringey, with the key ones being:
Loss – through bereavement or people leaving home, which leaves people isolated
Lack of money – either for Haringey residents so they cannot afford to participate in certain activities or for local community groups which may have to close due to a lack of funding
Disability – affecting both physical health, mobility and mental health, which may limit people being able to leave their house or using service.
Participants heard about three services being funded out of the Better Care Fund that could help to reduce loneliness:
Information, Advice and Guidance
Participants had an opportunity to make suggestions on what could be done to tackle loneliness in Haringey, including suggestions for the three BCF services. The following table summarises the key themes from these discussions and also provides the response from NHS Haringey CCG and the London Borough of Haringey:
You Said: 1. You want better communication about services and events that will help to reduce loneliness.
An online directory for health and social care services, known as Haricare (www.haricare.haringey.gov.uk ), has been produced by the London Borough of Haringey. This directory includes services that may help to reduce loneliness.
We have commissioned IAG (Information Advice and Guidance) services from Citizens Advice Bureaux (CAB), Age UK and the Law Centre which can be accessed in the community both face-to-face or via the telephone. These services include ones that may help to reduce loneliness.
We have commissioned Groundworks and HAGA (Haringey Advisory Group on Alcohol) to deliver the Neighbourhoods Connect service which can identify people who are isolated and link them to local services and events.
2. You want more access to talking therapies (psychotherapy/ counselling)
Haringey CCG wants to make sure all those in need of talking therapies know about the NHS IAPT (Improving Access to Psychological Therapies) service, which is why we promote the service on our website, to GPs, HAVCO (Haringey Association for Voluntary and Community Organisations) and Healthwatch.
The IAPT service undertakes a large amount of outreach to local community groups, health services and welfare hubs to target people who may be in particular need of support. The service is achieving a range of targets including accessibility and recovery rates.
Our Neighbourhoods Connect providers, HAGA and Groundworks, have established relationships with organisations such as Tottenham Thinking Space and the IAPT service. When they work with individuals that they feel will benefit from talking therapies, they make them aware of what is available and let them know that self ¡V referral for the IAPT service is possible, as it means that they do not have to wait to be referred by their GPs.
3. You want more trained volunteers in services that may help to reduce loneliness
The Better Care Fund is a pooled fund across Haringey that is used to fund a number of integrated health and social care services. A number of these providers are from the voluntary or charity sector e.g. Age UK, Groundworks, HAGA. Haringey believes that the voluntary sector are a valued partner in tackling local priorities such as loneliness and isolation.
In addition Haringey Council is commissioning a strategic partner, itself a voluntary sector organisation, to support and strengthen the voluntary sector locally. This means that the voluntary sector will maximise their ability to bid for services that focus on the priorities for Haringey residents, including the reduction of loneliness and isolation.
4. You want improved access to transport for events and services
The online directory Haricare (www.haricare.haringey.gov.uk), produced by the London Borough of Haringey also includes information about the range of transport options available in the borough. This information can also be accessed via the Citizens Advice Bureau.
There are a number of transport options available to residents in Haringey including:
Dial A Ride- free transport for people with long term disabilities and unable to use public transport
Taxicard ¡V subsidised transport for people with serious mobility impairment and difficulty in using public transport
Community Transport ¡V low cost accessible minibus hire for community groups
5. You think Self-Management Support is good but it needs to be for longer than six weeks
During the six weeks of a Self-Management Support programme the service users attending often become a cohesive group. To maintain the momentum of the group, and the friendship and support that has developed, the provider will help the group to meet regularly. This may be by helping to find a suitable venue.
In some cases people will become involved in other activities. They may decide to be trained as a Self-Management Support group trainer or they may join local groups such as The British Lung Foundation¡¦s Breathe Easy Group or the local Diabetes UK group. It may be the case that people are motivated to access other lifestyle support such as a Change 4 Life programme or smoking cessation.
6. You want more participation from the health service to tackle issues of loneliness.
The Primary Care team at Haringey CCG are working with GPs to increase their level of involvement in patient care. They have made great strides in this area with the launch of Locality Teams, consisting of both health and social care professionals, who will deliver care packages tailored to individual patient needs.
Through these different initiatives we hope to identify patients who are isolated and lonely and link them into services that may help.
Twenty-six participants completed evaluation forms.
The key themes from these were:
Most people thought the event was very good, with lots of people attending and great discussions
The information and presentations on loneliness were valued
More events that were well advertised were requested
Improvements to the sound system were needed
All the feedback will go towards the development of the next BCF Community Event.
Appendix A: Better Care Fund Community Event –‘Let’s talk about loneliness and the community 16th September 2015 Evaluation Form
Twenty-six participants at the Haringey Better Care Fund (BCF) Community Event completed evaluation forms.
The comments made have been grouped into themes:
1. What did you like about today’s event? General positive comments
The event was excellent
Enjoyable and helpful in many ways
It went well
It was very good
Information and presentations
Interesting topics – overcoming loneliness and health maintenance
The treatment of the topic of loneliness
Difficult subject handled well
Informative – brought to light organisations previously unknown
Finding out about the services that are currently available
The music and learning about Neighbourhoods Connect
A good amount of time spent on each topic
Succinctness of speakers
The Forum Theatre group
Participation and discussion
Good turnout – sharing of experiences and opinions
Good socialising and finding out about all the things that go into helping people
Provided opportunities for participation and learning about local services
A good opportunity to discuss the topic of loneliness – how to counteract it
A very good event discussing different topics
2. What could be improved about today’s event? Advertising
Better advertising for upcoming events
The event was badly advertised – material should be displayed in all libraries not just GP’s
The event could have been advertised a bit more
There needs to be an information board that highlights all of the meetings and activities going in the entire borough, not just particular areas and should be classified by type of event
More events with higher attendance
Have these events more regularly
Keep these sort of events coming
Would like to see more similar events
The event could have been slightly shorter
The length of the event (make it longer)
A bit long winded in parts – but overall OK
Mic/equipment checks should have been carried out prior to the event
The P.A system
More materials to take away
Better refreshments – fruit and an alternative to sandwiches
The addition of cold beverage
More group discussion
Nothing could be improved
Nothing could be improved as it was a very organised and useful event. Just to have more of these types of events in the future
To encourage the council to save the Day centres for older people
Haringey Clinical Commissioning Group (CCG) and Haringey Council will consider these comments for future public engagement activities for the Better Care Fund.