Armed Forces Community Health Workshop

1
Armed Forces Community Health Workshop
2
Welcome and introduction
Armed Forces Community Health Workshop 6th
November 2012

• Andy Bacon, Associate Director
• Armed Forces and Veterans

3
A priority for the North West

• Equates to 500k veterans plus families (200k lt65)
  (1m Community)
• About30k Armed forces community per CCG (4
  receive disability payments)
• North West also has very small Regular Services
  footprint but extensive TA and Reserve Forces
• Historically facilities for discharging service
  personnel and veterans have been linked to
  regular army locations e.g. Army Recovery and
  Rehabilitation Centres East of England, South
  East, South West and Scotland

4
A Perfect Storm?

• Strong DH Political Policy and Support
• High Tempo of Military Operations
• (MH issues peak 5-10 years post deployment)
• MoD Redundancies Transition of soldiers back to
  society
• Growing local political interest Community
  Covenant
• NHS Reforms
• Multiple and Competing charities and welfare
  organisation

5
From Solider to SocietyTransition and health
issuesaffecting the Armed Forces

• Brigadier N Fitzgerald,
• Commander, 42 (North West) Brigade

6
The National PerspectiveHealth and healthcare
for the Armed Forces Community

• Dave Rutter
• Head of Military and Veterans Policy Team,
  Department of Health

7
The Community Covenant

• Councillor Mike France
• Lancashire County Council and
• Chair, North West Veterans Advisory and Pensions
  Committee (VAPC)

8
North West Pilot ProjectsMV IAPT Live At-Ease

• Chair Andy Bacon

9
North West Regional Pilots

• Murrison Report More Psychological Therapy
  (PT) services needed
• Options to
• Up-skill PT for Military Veterans
• Specialist PT for Military Veterans
• Commissioned Apr 11 Launched Nov 11
• Used pooled non recurrent PCT Funds

10
Socio-economic and Welfare issues

• Anecdotal evidence that PT outcomes are enhanced
  if socio-economic and welfare issues addressed
• Specialist wrap around service
• Multiplicity of welfare sources no single point
  regional variability
• Outcomes based
• EU procurement
• Commissioned Jan 12 Launched Apr 12
• Used pooled PCT Bundle

11
North West Future Programme

• Chair Andy Bacon

12
AFN/Forum Identified Areas of Need

• Professional updates and pathway improvements
• TA and Reservists
• Families
• Prisons
• AF Transition Support

13
AF Transition Support

• Identify the Vulnerable
• Common Assessment Framework
• Personnel Recovery Unit - HARDFACTS
• Monitor the transition
• smart/mobile phone applications
• Provide holistic support to those in need
• Lessons from PRU (PRU Lite)
• Lessons from Live at-Ease (the vulnerable rather
  than the struggling)

14
Assessing Vulnerability
Name Rank No
REQUIREMENT REQUIREMENT Score Score Score REMARKS REMARKS
Weight Red Amber Green Total Score
Score (Think of serving person and any dependents) Score (Think of serving person and any dependents) 2 1 0 Weight X score
H - Health H - Health 15 - - - - -
Pre and post discharge medical and dental needs. Pre and post discharge medical and dental needs. 1
Prostheses fitted? Requirement must be discussed at MDT. Prostheses fitted? Requirement must be discussed at MDT. 2
Post discharge resettlement plan. Post discharge resettlement plan. 1
Armed Forces Compensation Scheme seek advice from Unit Admin / SPVA. Armed Forces Compensation Scheme seek advice from Unit Admin / SPVA. 1
Mental Health needs. Mental Health needs. 2
Previous occasions reported sick in last 12 months Previous occasions reported sick in last 12 months 3
Found a GP Found a GP 5
A - Accommodation R - Relocation A - Accommodation R - Relocation 15 -
Current Housing notice to move from Service accommodation - JSP 464. Current Housing notice to move from Service accommodation - JSP 464. 1
Future accommodation - requirement for adapted social housing? (LA) Return to family? Own home? Care needs met in planned accommodation? Future accommodation - requirement for adapted social housing? (LA) Return to family? Own home? Care needs met in planned accommodation? 5
Friends/ family nearby and enthusiasm for new (rejoining family member), housing circumstances? Friends/ family nearby and enthusiasm for new (rejoining family member), housing circumstances? 3
15
Armed Forces Leavers Support Application

• Use of text messaging to support service leavers
• Concept has been trialled in NHS with tracking
  mental health
• Veterans contacted on a regular basis to confirm,
  via a series of text questions, satisfactory
  resettlement
• Issues supported may be personalised to be
  appropriate to the individual
• Additional questions would help to monitor the
  individuals mood
• Problems would be highlighted to the back
  office function where appropriate action could
  be taken
• Will probably need some goodies for the service
  leaver to encourage use (e.g. Forces discount
  info, regimental news, pension advice
• Will complement education/training process, Live
  at-Ease Plus, MoD reporting, etc.

16
Single assessment, ..More than one need
MOD
Case Managers
Health
Housing
Education
Employment
Welfare
NHS
Social Worker
SWP
Council
Live At-Ease
Self employment
RSL
Apprenticeship/ Entrepreneurship
NVQs / FEI / HEI
Skills Support