1. Managing Better (A Critical Prevention Service)
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Speaker: Neil Williams, Care & Repair Cymru

2. Adopting a Long-Term Approach
Welsh Government Policy
The Wellbeing of Future Generations (Wales) Act (2015) WFG………….and
The Social Services and Well-Being (Wales) Act (2014) SSWB
A Healthier Wales (2018)
‘A whole system approach to health and social care…It will be a ‘wellness’ system, which aims to support and anticipate health needs, to prevent illness, and to reduce the impact of poor health.’.
Future Generations (Wales) Act (2015) - WFG
WFG
SSWB
 Prevention
 Early Intervention
 Collaboration
 Multi-Agency
 Integration
 Co-Production
 Involvement
 Voice & Control
 Adopting a Long-Term Approach
 Population Wellbeing
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3. Managing Better
A 3-Year Welsh Government funded project, under Sustainable Social Services
For 50+ and cross tenure
It is hosted by Care & Repair, a national housing charity core funded by Welsh Government to support older people to enable independent living
A collaboration with RNIB and Action on Hearing Loss
All-Wales – 13 Agencies – 13 Managing Better Caseworkers
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4. Sight Loss – A Specific Risk
Every day 3 people in Wales lose their sight…1 in 9 over 60 year olds live with sight loss and 1 in 3 if you have dementia
Visual impairment increases the risk of falls by 170% and the incidence of a hip fracture is 130% higher
Early intervention and eye health checks and proper prescription spectacles make sight loss preventable (up to 50% reduction)
Early cataract removal reduces falls by 34%
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5. How do we do it?
We ensure older people have confidence in our service and are able to access and communicate with us, to get the right service irrespective of the difficulties sensory loss issues present
At a home visit we provide a Healthy Home check that supports an individual approach and tailors adaptations and modifications with the end user in mind, in order to address sight loss challenges to independent living
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6. Helping with Cost Savings & Income
Care & Repair has some funded solutions for home adaptations and has the technical expertise to tailor to individual need
Our Caseworkers can help with Welfare Benefits and maximising income to support healthy living choices (often more difficult to access for those with sight loss)
We also have expertise in supporting older people with sight loss to access benevolent funding to help with home improvements
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7. Poor Housing is a General Risk
Irrespective of sight loss challenges, the need for stairlifts, lifts, level access bathing, wet rooms, improved heating, hand rails & grab rails, stair rails, ramps, and lighting are important falls prevention solutions
Managing Better ensures Care & Repair incorporates Visibly Better standards, for shades, colours, tones, contrasts etc. are considered
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8. Prudent Healthcare – Managing Risks
Caseworkers are skilled in motivational conversation (brief intervention) where prudent healthcare is the vehicle for self-management of risk
Alerts, prompts and highlighting principal falls risks common to all older people…..polypharmacy, healthy feet, good footwear, nutrition, hydration, keeping active, etc.
The solutions for vulnerable people might not only be advice but easy-access information and wider support
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9. Working in Partnership with Rehabilitation Officers
Critical sensory services are under enormous pressure and Care & Repair bring a new skill set to help clients receiving rehab and intermediate care
We have the flexibility and client-focus to tailor housing interventions to person-centred needs
Our early intervention approach and home-visiting aspect supports preventative benefits
We can help with the cost of interventions to support independent living
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10. Working Together We Can Make A Big Difference
Where we have a specific qualification for light assessment, aids and training people to help themselves to live independently…it is critical to have a wider partnership team that bring:
Technical skills in adapting property
Providing improved lighting solutions
Undertaking low level advice as agreed by our specification
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11. First Two Years Impact
People Helped (Healthy Home Assessments) = 3, Percentage with sensory loss = 2,516 (70%) Referrals from NHS/Social Care = 1,403 (Direct NHS ) Clients felt their ‘quality of life had improved’ = 91% Value of Housing Interventions = £819, Welfare Income = £956,532 (as a combined annual sum)
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12. Links to Managing Better Reports
Impact Report and Case Study
Links to Managing Better Reports
Client Case Study:
Year 1 Impact Report:
Bridgend Critical Prevention Case Study:
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