Welcome back to a brief update of another group I chair with support of London Hospitals and the carer centres of London, along with carers who want the best service of those using the NHS.

The group is called the “Carers hospital discharge toolkit meeting”. This group runs every 2 months and follows off the work the previous NHS England carer lead for London developed.

The community deserves the best care possible from the NHS and that includes carers who support those they care for using the hospitals in London and beyond. This was taken up by NHS England Carer lead for London Debbie Hustings who worked very hard to produce the toolkit linked below.

London Carers Hospital Discharge toolkit

Feeling passionate on continuing the work, Carer centres and hospital representatives came together to support me in driving this brilliant toolkit. The group has been running 2 years and developing rapidly.

Here is the update for November 2024

The meeting for November focused on the development and progress of various resources aimed at supporting carers and families during hospital discharge, including a comprehensive carers’ pack, a digital resource, and a new pilot project at the Carers Hub Lambeth. The group members discussed the importance of collaboration, sustainability, and language accessibility in these resources, with plans for further development and translation. The meeting also highlighted the challenges faced in hospital discharge and capacity, and the need for more integrated work with partners and other local authorities.

Matthew Mckenzie welcomed everyone to the London Hospital Discharge Toolkit group meeting. The meeting aimed to keep the momentum going on a resource that helps hospitals engage more families and carers, especially during discharge. Matthew encouraged participants to introduce themselves and share their experiences. The attendees included representatives from Tower Hamlet Carers, Barnet Carers, Sutton Carers Centre, Lewisham & Greenwich NHS Trust, Greenwich Council, Greenwich Carers Centre, St Georges University hospital trust or GESH, Lambeth Carers Hub, Bexley Carers Centre and unpaid carers. Each participant shared their roles and experiences in their respective organizations, with a focus on hospital discharge and carer support. The conversation ended with Matthew encouraging further participation and updates on the toolkit’s progress across the London hospitals in order to work with carer centres and local authorities.

Carers Hub Pilot Project Update
Rachael discussed the progress of a new pilot project at the Carers Hub Lambeth, which involves a hospital discharge lead supporting carers and promoting carer awareness. She mentioned the introduction of an additional tier of service for registered carers and the need to join forces with other GSTT and Kings College NHS trust to support carers. Rachael also expressed interest in discussing the project developments further with Matthew and others in the New Year.

Greenwich Council then presented the Greenwich Carers Pack, a comprehensive information booklet developed in co-production with unpaid carers in Greenwich. The pack includes information about carers’ rights, assessments, and support, as well as details about local community resources. Greenwich council mentioned plans to translate the pack into Nepalese and distribute physical copies to hospitals, GP surgeries, and community centers.

Carers Pack Development and Resources
Evie who chairs Greenwich Councils Carers Partnership board then discussed the development of a carers pack, which was designed to be interactive and easy to navigate. The pack covers various resources available to carers, including local and national ones, and provides bite-sized notes for carers to jot down important information. It also includes sections on employment rights, respite, legal responsibilities, financial support, home safety, and advocacy. The pack is designed to be a one-stop resource for carers, with links to all the resources mentioned. Evie also mentioned that the design team has done an excellent job, and the pack will be further developed as it goes to double pages. Matthew expressed his appreciation for the pack and requested the link to it when he runs his carer stall at the hospitals.

Digital Resource and Carer Navigation
Greenwich Council thn discussed the development of a digital resource and physical copies for a project, with plans for posters featuring QR codes for easy access. The project was well-received, with a carer and Matthew expressing their appreciation and interest in using it for their respective areas. A carer also highlighted the importance of connection and navigation for carers, noting that many learn from other carers rather than official sources. The team agreed to continue developing the project and to share it with other local authorities.

Improving Carers’ Information Pack Development
A carer expressed concerns about the lack of connection and input from various parts of the system in the development of the carers’ information pack. She highlighted the need for a more comprehensive approach, especially considering the cross-borough nature of some carers’ support. Greenwich council representive acknowledged these concerns and explained that the pack was developed by a different team, with input from Oxleas NHS trust and other organizations. She also mentioned that they are working on a more summary version and translations. The team agreed on the need for more integrated work with partners and other local authorities.

Comprehensive Carer Handbook Development Discussed
Members continued to discuss the development of a comprehensive handbook for carers. The presenters clarified that they were not planning to create a smaller, bite-sized version of the handbook, but were open to feedback suggesting such a change. The handbook will be available in various locations, including GP practices, libraries, and community centers, and can be accessed digitally via QR codes. THey also mentioned the importance of keeping the information up to date and being mindful of sustainability policies. A hospital representative expressed interest in sharing the document with other boroughs and asked about contacts within the hospital for potential distribution of the handbook. They agreed to check with colleagues about existing contacts and welcomed any additional contacts. The group encouraged others to share relevant contacts.

Consistent Information for Carers
Greenwich Council reps emphasized the importance of having consistent information spread across South East London, particularly for carers. Greenwich Carers representative praised the new greenwich council carers resource, noting its potential to be a valuable resource for carers. She also mentioned the commitment to keeping the information up-to-date, particularly on the digital portal. Evie added that they plan to translate the pack into Nepalese and other key languages for carers in the borough, and also consider developing an easy-read version. Matthew ended the conversation by noting the ease of language changes in a digital format.

St Georges Hospital NHS Trust Progress and Future Plans
Wendy from St Georges hospital who shared her team’s achievements, including virtual training sessions, bespoke staff training, and the upcoming launch of a carers’ information section on the St. George’s website. Wendy also mentioned her goal for 2025: developing a carers’ charter and survey. The team expressed their anticipation for the upcoming carers’ forum, which Matthew will be attending.

Carer Support Challenges and Progress
Tower Hamlet Carers Centre discussed the challenges and progress of their work in Tower Hamlets at royal london hospital which one of the 5 hospitals under Barts NHS Trust.

Tower Hamlet Carers centre representative is expressed her hope for having volunteers who were carers themselves to help provide the service. She also mentioned a plan to create a co-produced pack of resources for carers, which would be based at the hospital’s front desk. She highlighted the difficulty in discharge planning due to the pressures of the hospital system, which sometimes led to carers not being fully involved. Despite these challenges, Tower Hamlets Carers centre expressed optimism about the service’s progress and future plans, including the potential addition of more carer support workers. Wendy from St Georges offer her support, which I thought was very admirable.

Barnet Carers Centre update
Matthew then handed over to Mike the CEO of Barnet Carers Centre, who presented a project aimed at directing carers to the right support organization through a portal. The portal, currently under development, would direct carers to the appropriate center based on their postcode. Mike also mentioned the project’s expansion to include mental health and allied health professionals this would be the merged Mental health trusts Camden & Islington and Barnet, Enfield & Haringey who have combined into north london mental health partnership.

A carer raised a question about identifying carers during pre-assessment, to which Wendy Doyle responded that their system includes a question about whether the patient is a carer. The possibility of discussing this further in a future meeting was left open.

This concludes the short update to continue progression of the excellent legacy Debbie husting has left for London hospitals and beyond.