Toolkit

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Toolkit

Training resources to help with improving the identification and support of young carers

These resources are designed to support the training of a wide range of professionals and volunteers to identify and support young carers.
Outcomes: 
PreventionWellbeingIntegrationHealth inequalitiesCarer awarenessIdentifying carers
I work in: 
Health careCarers servicesSocial careEducationCommissioning
I work with: 
Young carersSibling carersFamilies
Caring for: 
AdultsOlder adultsYoung peopleChildren
Location: 
England
Date Revised: 
Monday, September 10, 2018 - 13:00
Body: 
The Department of Health and Social Care funded Carers Trust to develop these training resources, which support a wide variety of professionals, including volunteers, from:
  • Education, health and social care statutory sectors. 
  • Children and young people’s services including youth workers.
  • Young carer services. 
  • Voluntary and community sector organisations. 
  • Faith organisations. 
 
The resources will help professionals to understand young carers, and how an offer of support can be made to them and their families, to reduce excessive or inappropriate caring. 
 
The training covers:
 
  • Defining who young carers are and the challenges they face. 
  • Different types of young carer roles. 
  • Nature of tasks that young carers carry out. 

FileModule 1 - Handout 1 Sample Agenda
PDF iconModule 1 - Handout 2 - What kinds of caring do young carers do
PDF iconModule 1 - Handout 3 What is the impact of caring on young carers

  • Understanding the extent of young carer involvement: nationally and by area.
  • How you may be able to identify who is a young carer.
  • Understanding young carer issues, and potential barriers to their achievement.
  • Different models for identifying young carers.
  • Barriers to young carers seeking support.
 
  • Guidance and advice on how to approach an initial conversation with a child, or parent, in an appropriate and sensitive way.
  • Guidance and advice on who else to involve when, and how to involve them in a sensitive manner that is appropriate for the child and their families. 
  • Recognising appropriate safeguarding issues in relation to young carers and guidance on how to address these.
  • Understanding of confidentiality issues. 
 
Module 4 
  • Guidance and advice on key local stakeholders to involve. 
  • Where to find local support and services to signpost young carers.
Module 5
  • Resource library of tools and templates.
Module 6
  • Securing commitment from participants to take action.

Other materials: 

The training can be delivered in one day, or in modules, for example over a series of team meetings.
 
Carers Trust worked with four Carers Trust Network Partners to develop and deliver these resources in face-to-face training in spring and early summer 2018 to over 220 people:
 
 
We will also deliver a webinar.
 
Please email our Policy team with any feedback about the materials and let us know how you have used them. 
 
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Toolkit

Triangle of Care in Wales

Carers Trust Wales and the Royal College of Nursing are delighted to have been able to explore an adaptation of the Triangle of Care to meet the needs of carers of people with dementia in acute hospitals in Wales.
Area of Care: 
Secondary CareAcute CareDementia care
Outcomes: 
PreventionWellbeingIntegrationCarer awarenessIdentifying carers
I work in: 
Health care
I work with: 
Adult carersYoung adult carersYoung carersFamilies
Caring for: 
AdultsOlder adults
Location: 
Wales
Date Revised: 
Wednesday, May 9, 2018 - 13:15
Body: 

The Triangle of Care, Carers Included: A Guide to Best Practice in Dementia Care, Wales Edition

Carers Trust Wales has been extremely keen to build on the success of the Triangle of Care model in England and Scotland  by advocating and supporting the implementation of the Triangle of Care standards for carers accessing services in local health boards across Wales.

Funded through the RCN Foundation, the recent development of a Triangle of Care for dementia Wales edition has been a collaborative effort between the Royal College of Nursing and Carers Trust Wales. It has been developed from the original Triangle of Care for dementia, which was co-designed with carers, people with dementia and practitioners, with the support of Uniting Carers and Dementia UK. 

Overview

According to the National Assembly for Wales Research Service, dementia is the top health concern in Wales and yet Wales has the lowest rate of diagnosis across all UK nations at just 43%. There are an estimated 45,000 people in Wales currently living with dementia and this figure is predicted to rise steadily over the next decade bringing with it dramatic financial and human impact. The cost to the Welsh economy is an estimated £1.4bn a year which includes costs to the NHS and social services, although research shows that people with dementia, carers and their families currently bear around two-thirds of the costs themselves (National Assembly for Wales Research Service, 2016).

In Wales, 50% of health boards have shown an active interest in implementing a Triangle of Care model and support is growing within other health boards throughout Wales. We hope the new Welsh edition for best practice in dementia care can lead to consistent carer involvement and support across all health and social care services irrespective of where and when a person is being treated. The partnership between Carers Trust and the Royal College of Nursing has been incredibly positive and we hope that this can be replicated across health services with nurses and carers working as partners.

Further information

For further information on the Triangle of Care in Wales contact Gill Winter, Carers Partnership Manager, Carers Trust Wales.

 

Downloads: 
PDF icon Triangle of Carer Carers Included: A Guide to Best Practice for Dementia Care, Wales editionPDF icon Triongl Gofal Cynnwys Gofalwyr: Canllaw i Arfer Gorau ar gyfer Gofal Dementia, Argraffiad Cymru
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Toolkit

Time to Think About You

Time to Think About You is a new resource which has been co-produced with The Health Innovation Network (HIN) in South London to help carers self-identify and access support.
Area of Care: 
Primary Care
Outcomes: 
Carer awarenessIdentifying carers
I work in: 
Health carePrimary careCarers services
I work with: 
Adult carersYoung adult carersYoung carersParent carersSibling carersFamilies
Caring for: 
AdultsOlder adultsYoung peopleChildren
Location: 
Whole UK
Date Revised: 
Monday, April 30, 2018 - 14:15
Body: 

The Health Innovation Network and Carers Trust have worked with carers on Time to Think About You.

Time to Think About You is a project to encourage carers to be more aware of their own health, and the support available to them at their local GP and carers services.

We have developed a range of materials for this project, including a poster and prompt cards.

You can help us to raise awareness among carers by sharing these, putting them up in your workspaces, and giving them out to any carers you may know. 

Download the Time to think about you materials

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Toolkit

GP Practice Quick-start Toolkit

A variety of tools and practical guidance to enable GP practice teams to identify and support patients who are carers.
Area of Care: 
Primary Care
I work in: 
Health carePrimary care
Location: 
England
Date Revised: 
Monday, April 30, 2018 - 13:15
Body: 

GP practice carer questionnaire

Find out how successful your practice is in supporting patients who are carers and how you might be able to support them better in future using this Carer Questionnaire which you can display in your practice waiting room and ask staff to hand out to patients they already know to be carers. 

Download a Word version and adapt it to suit your needs.

Identify carers through the condition of the person they care for

Carers can sometimes be identified through the person they care for by searching through disease registers and focusing on patients with medical conditions where it's likely that they'll be supported by a carer. Download our list of conditions suggesting a patient may have a carer for some suggestions.

You can then send our letter to patients with a condition suggesting they have a carer to the carer via the patient with the medical condition. There's a cover note attached to the front of the letter asking the patient to pass it on to the person who looks after them. As well as encouraging the carer to identify themselves to you, it also recommends a referral to their local carer service for information, advice and support.

For patients whose carer is registered at a different GP practice, the letter suggests they let their own GP practice know instead. Download the letter to patients with a condition suggesting they have a carer as an editable Word document.

Refresh your carers register

Every day, 6,000 people in the UK become carers and for a similar number of people, caring comes to an end, which is why your carers register can easily become out of date. Download our letter to patients already identified as a carer which asks the carer on your register to let you know if they're no longer looking after someone. For those who are still carers, the letter encourages them to be referred to their local carer service.

If you discover that someone is no longer a carer, they may be finding life difficult, even if caring ended some time ago. If this is the case, we would recommend that a clinican should ask the carer how they are and, if necessary, screen them for depression, next time they visit the practice. Some carer organisations provide specialist support to bereaved carers so it's worth checking to see what's available in your own local area. Download the letter to patients already identified as a carer as a Word document.

What kind of services are available for carers?

Your staff may be unsure of what kind of services are available for carers and this may make them reluctant to engage with carers or encourage them to contact their local carer service. We have put together a flyer showing typical services for carers which we recommend you give to every member of your team, as well as to carers themselves.

Best-practice action plan

This diagram, showing the six steps to supporting carers has been adapted from Supporting Carers: An Action Guide for GP Practices and their Teams which Carers Trust co-authored with the Royal College of GPs. It illustrates the different ways GP practices can support carers, from appointing a member of the team as a Carer Champion to offering carers annual health checks.

Top tips in carer identification: What do carer-friendly practices do to find out which of their patients are carers?

  • They ask patients if they ‘look after someone’ instead of asking them if they are a carer because they know carers don’t always identify with the label.
  • They know which services are available to carers in their locality and use examples to encourage carers to self-identify.  
  • They know that posters and leaflets are not enough on their own to encourage carers to self-identify; that staff need to talk to carers as well. 
  • They have a carers notice board, but instead of calling it a carers notice board they fix a banner above it saying: If you look after someone, this is for you.”
  • They always have leaflets on display for carers at flu clinics and encourage staff to give them out to people accompanying patients to the clinic.

You can download the full list of suggestions as a top tips in carer identification.

Other useful documents

Demonstrating that a practice is caring.

Further information

For more details about how your local carers service can help you identify carers and offer them support, email Carers Trust

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Toolkit

Carers Hub: A commissioners tool for mapping local services in consultation with carers

The Carers’ Hub can be used in consultation with carers and local services as a tool to map local carer need and service provision.
Area of Care: 
Mental HealthPhysical illnessAlcohol MisuseSubstance MisuseSpecial education needsPrimary CareSecondary Care
Outcomes: 
PreventionWellbeingIntegrationCarer awarenessIdentifying carers
I work in: 
Health carePrimary careHospitalsMental health careHealth and wellbeingCarers servicesEmploymentSocial careEducationCommissioning
I work with: 
Adult carersYoung adult carersYoung carersParent carersSibling carersFamilies
Caring for: 
AdultsOlder adultsYoung peopleChildren
Location: 
Whole UK
Date Revised: 
Monday, April 30, 2018 - 10:45
Body: 

The Carers’ Hub is a model of comprehensive carers support, developed by Carers Trust with assistance from the Association of Directors of Adult Social Services and funding from the Department of Health. It can be used as a resource for all those looking to commission and develop personalised services for carers.

At the centre of the Hub diagram are the outcomes of the refreshed National Carers Strategy for England. The white band represents a three-pronged approach that can be used to inform strategic planning, and the 17 spokes on the outside of the circle illustrate the complete range of interventions that every area needs in order to deliver the intended outcomes.

Using the Carers' Hub

The Carers’ Hub can be used in consultation with carers and local services as a tool to map local carer need and service provision. In order to assess what mixture of interventions might be necessary to achieve the outcomes of the National Carers’ Strategy in a local area, the first step would be to carry out consultation to establish:
  • What services are currently available.
  • Which of the National Carers’ Strategy outcomes are being met.
  • Which groups are being served.
  • What local carers and their families want.
A simple way to do this is by printing large copies of the Hub and asking carers to write comments or attach post-it notes under the interventions that are well provided locally. Then use another copy of the Hub (or different colour post-it notes) to repeat the process asking carers to indicate where there are gaps in services. 
 
You may wish to ask carers to make notes on the post-its about the quality of services and who is providing them. As a separate exercise, you may wish to ask carers to repeat the process indicating how well each of the five outcomes at the centre of the Hub are being met. Involving professionals and local service providers in the process will help to give you a complete picture of services in your area.

Local strategic planning

The Hub's three-pronged approach to local strategic planning - in the white middle band of the Hub: carer-led, identify and include and whole-area - can then be applied in order to inform the development and implementation of the most appropriate mix of interventions. 
 
Ideally, carer representatives and professionals should sit down together to analyse the messages and identify priorities, so it may be best to carry out this process at meetings (for example, of carer strategy groups or multi-disciplinary agency groups).
 
The results of the Carers’ Hub consultation process can help to inform Joint Strategic Needs Assessments, Joint Health and Wellbeing Strategies and other audit and planning processes, and maximise resources through the development of more efficient services and partnerships. The process can be repeated at a later date in order to help monitor local progress on strategy implementation.
 
Although the terminology on the Hub comes from English legislation, the rationale and process are applicable across the whole of the UK.

Further information

Download the PDF iconCarers Hub Toolkit for Commissioners (PDF, 1,241 KB).

There is also a Powerpoint version of the Hub with editable text boxes to make notes and/or compile your results.

Further details of the origins of the Hub and how to assess local services in relation to the Carers' Strategy can be found in Commissioning for Carers: an Action Guide for Decision-Makers and Commissioning Better Outcomes for Carers.

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Toolkit

Young Carers Pharmacy project

Pharmacies are visited by about 1.6 million people every day in England so they are ideally positioned to identify carers of all all ages including young carers. They can therefore play a key role in the early initiation of assessment and support which can be life changing.
Area of Care: 
Primary Care
Outcomes: 
PreventionWellbeingIntegrationCarer awarenessIdentifying carers
I work in: 
Health carePrimary carePharmacy ServicesCarers servicesSocial care
I work with: 
Adult carersYoung adult carersParent carersSibling carersFamilies
Caring for: 
AdultsOlder adultsYoung peopleChildren
Location: 
Whole UK
Date Revised: 
Friday, April 27, 2018 - 15:30
Body: 

The Engaging with Pharmacies toolkit is aimed at young carer services to support them to work collaboratively with pharmacies. It draws on the Young Carers Pharmacy Project that took place between 2014 and 2016. This was delivered by Carers Trust Network Partner Salford Carers Centre as one of Carers Trust’s Innovation Generation projects.

Further information

Download the following resources:

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Toolkit

5. Tools to support services with limited capacity to signpost schools to Young Carers in Schools

This step, taken from Supporting Young Carers in Schools: A Toolkit for Young Carers Services, provides key information for young carers services who have limited capacity to signpost schools to Young Carers in Schools.
Area of Care: 
Mental HealthPhysical illnessAlcohol MisuseSubstance MisuseSpecial education needsPrimary CareSecondary CareDementia care
Outcomes: 
PreventionWellbeingIntegrationCarer awarenessIdentifying carers
I work in: 
Carers servicesCommissioning for young carersEducation
I work with: 
Young adult carersYoung carers
Caring for: 
AdultsOlder adultsYoung peopleChildren
Location: 
England
Date Revised: 
Friday, September 15, 2017 - 16:15
Body: 

This is section 5 of the tools in Supporting Young Carers in Schools: A Toolkit for Young Carers Services

For tools to support your work to signpost schools to the Young Carers in School programme in your local area, please see below: 

FileTool 1: Template text for use on websites (Word 948KB)

PDF iconTool 2: Young Carers in Schools impact inographic (PDF 162KB)

Downloads: 
PDF icon Supporting Young Carers in Schools: A Toolkit for Young Carers Services
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4. Tools to support services to gather impact data from schools

This step, taken from Supporting Young Carers in Schools: A Toolkit for Young Carers Services, provides key information for services who want to gather impact data from schools.
Area of Care: 
Mental HealthPhysical illnessAlcohol MisuseSubstance MisuseSpecial education needsPrimary CareSecondary CareDementia care
Outcomes: 
PreventionWellbeingIntegrationCarer awarenessIdentifying carers
I work in: 
Carers servicesCommissioning for young carersEducation
I work with: 
Young adult carersYoung carers
Caring for: 
AdultsOlder adultsYoung peopleChildren
Location: 
England
Date Revised: 
Friday, September 15, 2017 - 16:00
Downloads: 
PDF icon Supporting Young Carers in Schools: A Toolkit for Young Carers Services
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3. Tools to support services to build and maintain engagement with schools

This step, taken from Supporting Young Carers in Schools: A Toolkit for Young Carers Services, provides key information for schools who want to build and maintain engagement with schools.
Area of Care: 
Mental HealthPhysical illnessAlcohol MisuseSubstance MisuseSpecial education needsPrimary CareSecondary CareDementia care
Outcomes: 
PreventionWellbeingIntegrationCarer awarenessIdentifying carers
I work in: 
Carers servicesCommissioning for young carersEducation
I work with: 
Young adult carersYoung carers
Caring for: 
AdultsOlder adultsYoung peopleChildren
Location: 
England
Date Revised: 
Friday, September 15, 2017 - 15:45
Downloads: 
PDF icon Supporting Young Carers in Schools: A Toolkit for Young Carers Services
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2. Tools to support services to raise the local profile of Young Carers in Schools

This step, taken from Supporting Young Carers in Schools: A Toolkit for Young Carers Services, provides key information for young carers services who want to raise the local profile of the Young Carers in Schools programme.
Area of Care: 
Mental HealthPhysical illnessAlcohol MisuseSubstance MisuseSpecial education needsPrimary CareSecondary CareDementia care
Outcomes: 
PreventionWellbeingIntegrationCarer awarenessIdentifying carers
I work in: 
Carers servicesCommissioning for young carersEducation
I work with: 
Young adult carersYoung carers
Caring for: 
AdultsOlder adultsYoung peopleChildren
Location: 
England
Date Revised: 
Friday, September 15, 2017 - 15:00
Body: 

This is section 2 of the tools in Supporting Young Carers in Schools: A Toolkit for Young Carers Services. 

For tools to support your work to raise the profile of the Young Carers in School programme in your local area, please see below: 

FileTool 1: Template letter to local authorities (Word 953KB)

FileTool 2: Template letter to Regional Schools Commissioners (Word 954KB)

FileTool 3: Template letter to dioceses (Word 953KB)

FileTool 4: Template letter to local branches of education sector trade unions and associations (Word 951KB)

PDF iconTool 5: Education sector trade unions and associations newsletter articles/blogs promoting Young Carers in Schools (PDF 154KB)

FileTool 6: Template letter and newsletter articles to school networks promoting Young Carers in Schools (Word 954KB)

FileTool 7: Template text about Young Carers in Schools for use on websites (Word 950KB)

PDF iconTool 8: Young Carers in Schools impact infographic (PDF 162KB)

FileTool 9: Template letter to governors (Word 954KB)

FileTool 10: Template letter to headteachers (for young carers services which are currently in partnership with schools) (Word 952KB)

FileTool 11: Template letter for headteachers (for young carers who have not engaged with schools previously) (Word 953KB)

Office presentation iconTool 12: Young Carers in Schools introductory powerpoint (PP 1,996KB)

FileTool 13: Checklist of key messages to include in communications with schools (Word 950KB)

FileTool 14: Checklist of resources to hand out to schools (Word 948KB)

PDF iconTool 15: Young Carers in Schools A4 promotional leaflet (editable) (PDF 190KB)

FileTool 16: Young Carers in Schools quote bank (Word 951KB)

FileTool 17: A checklist to support governing bodies to evaluate the effectiveness of their school's provision (Excel 19KB)

Downloads: 
PDF icon Supporting Young Carers in Schools: A Toolkit for Young Carers Services
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