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Please help me with a checklist!

7 replies

Vicbarbarkley · 16/06/2020 21:28

I have just got my mum into sheltered housing, after a six month wait!
She currently has carers - 30 mins in the morning and 30 mins in the evening. Also, district nurses visit daily to prepare, and watch, her inject insulin.
The real issue is that I will be moving her from one local authority to another, so transferring assistance might not be automatic.
She does not need to move in the day she gets her keys, but I need to get my head around the logistics.
Thoughts so far are to contact her social worker and beg for his advice and make appointment with her GP for advice on insulin injections and medication.
Obviously I need to register her with a GP here as soon as possible.

Any, and I mean any advice would be very welcome as I am feeling a wee bit iverwhelmed with what needs to be sorted out in a short time 😶

OP posts:
LadyFeliciaMontague · 17/06/2020 13:49

Sorry I can’t help, just wanted to bump in case someone else has advice.

Vicbarbarkley · 17/06/2020 15:31

@LadyFeliciaMontague thank you!

Still need help, but I have calmed down and made out a list of what needs to be done, and my own suggestions for who to ask! Probably wrong, but hopefully they will be able to point me in the right direction.
My main concern are her meds. I need to understand what, how and when - at least then I could ensure she is safe. Her district nurses dont come in at a set time, so I can't arrange to be there when they are, iykwim, so thinking an appointment with GP would help.
If anyone can point me in the right direction with all of this, I would really appreciate it.

OP posts:
HappyHammy · 17/06/2020 18:15

You will need to get her registered with a new gp and district nurse service. I would start investigating that now as some practices may not be taking on new patients. Her current gp can print you out a list of her current meds and either the gp or her diabetes nurse can print out her insulin regime. I would contact the diabetes nurse at the hospital who can advise you about moving areas and could make enquires for you. If she needs to have blood tests done in the future the diabetes team can arrange this. Is she on a set dose of insulin through a pen each day which is easier to control. With any tablets the new gp will get the list of what she is on and prescribe them in a dossett box that the carers can give her. Most gp like to see new patients so ask for an appt when she registers.

Sparticuscaticus · 18/06/2020 14:51

I hope this might help?

  1. Transferring between LAs- ring her social worker to advise them they need to liaise to hand over care and ring referral into the new LA (Local authority) area adult services (adult health and care) asking them to set up care for her from day one (or two/3 if you are planning to stay) . The LAs will work together and should send a copy of her assessment and support plan over.. remind them th ET need to do this as she can't be without care. let the care agency know, they might have an office that covers the new area and can offer to new LA to set up for them, pending their further assessment. During this period they'll probably be very grateful to just use previous social care assessment. Get current SW to email you the later copy. Forward it to people that need it.

2 notify GP in your area which Gp surgery she will be moving to and new address and you contact new GP surgery asking them to tell you what you need to arrange to make a smooth exchange, can they give you list of medications and health summary to hand in (medical records can take 2-4 weeks to be posted over on new registration)

  1. do same with her community nurses who do the insulin injections. Doesn't matter if you double up as many community nursing teams work seals retry from GP surgeries.
  • Because you cannot have a delay in her health or social care provision-
  1. Tell all of them which pharmacy you will be using or ask advice. Might be worth dropping into old pharmacy to ask them what new pharmacy will need - is thee any special service they provide (nomad packs deliveries or insulin deliveries) that you'll need to check new pharmacy can cater for.

5 write to hospital teams, specialists, both nursing teams, both LAs, both GP,S, both housing all with of the relevant details to
them , bullet point what she needs from each of their service in their specific letter or what information/arrangements they need to handover for what date.

Include her old address and new address and DOB nhs number hospital number, social services reference number in letters.

  1. notify DWP (with NI no) of address change and from what date- if you are certain about it, wait until after if any chance of change. Ditto the new borough council for any HB or CTB applications try to fill out ahead of time if you can.
  1. Then there's utility companies and other usual moving house stuff, vets, insurance companies, banks, building societies, private pension companies. Set up postal redirect for a year on her own address before she moves. Incase there's anything that you've missed that gets annual statements. (That forgotten savings bond etc)
  1. Don't change dentist unless it's a distance away , juSt update address after you've moved
Vicbarbarkley · 18/06/2020 20:38

@Sparticuscaticus that is fab, thank you so much!
Had a long meeting with sheletered housing provider and they were incredible.
They provide carers, so no problems there. I need to sort out gp, but they will contact district nurses for insulin injections. They will have meds delivered from pharmacy and will ensure she takes them correctly.
They really were bloody marvellous!

Back to my lists now! Thank you so much😗

OP posts:
Sparticuscaticus · 18/06/2020 22:37

No worries Vivbarbarley Pleased to help.

I suspect care at the sheltered scheme ifs for eg personal care twice daily is provided by LA under a need assessment, unless is just a welfare supported housing check, so you might still need liaison between LA adult social services depts (adults health and care)

Sparticuscaticus · 18/06/2020 22:44

Oh and a couple top tips!

See if you can get Nurse to provide few days of insulin/ travel pack if that's possible to take over or important meds .Keep their medication list easy to find to show visiting nurses and staff. There's always a hiccup in a move / delay in paperwork, usually medication related.

Watch for 'just before weekend' moves. Midweek or early week is far better than a Friday-Sunday, when it might be harder to get hold of the right team who 'haven't turned up'. Get the nurse to show you how to do injection if needed.

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