Emma Rose Care Service Advice

Personal Care Assistant (PA)

2011-01-05T12:36:00.000-08:00

Personalised care planning

Personalised care planning is not new; the aim now is to embed it into the system and standardise care throughout the country. Personalised care planning will complement Self Care and Information Prescriptions in the way that healthcare is delivered in the NHS.
What is personalised care planning?
Personalised care planning goes beyond the normal clinical and medical conditions. It extends into other areas of the individual's life and recognises that many different issues can impact on their health and well-being.
Care planning discussions should focus on supporting the individual to tell their story and set their own agenda, with agreed goal setting and action planning, problem solving, negotiation and shared decision making.
Who is personalised care planning aimed at?
Personalised care planning is aimed at all individuals who requires help due to long term conditions such as asthma, cancer, diabetes, stroke, physical difficulties, or mental health illness. It sets out ways how to overcome dependnace for the individual who requires help. Many individuals with long term conditions don't think of themselves as ill and needing to be cared for; they just want to get on with their lives and to remain as independent as possible.
They might not want a care plan, but they should still expect a discussion with and health and social care professional about how they can manage their condition. This is a core part of self care.
Who is responsible for creating personalised care plans?
Care professionals are most likely to facilitate the development of personalised care plans as part of their clinical role. Some people will be happy to complete a plan on their own, while others will require help. Care professionals are there to facilitate the planning with support, guidance and resources.
What is a personalised care plan?
Professional carers have a variety of skills - some have nursing and first aid qualifications and others may be home helps or personal assistants. Some examples of the type of tasks a carer might help with are:
cooking and cleaning
help with personal care like washing and using the toilet
driving or help with getting around
medical tasks like giving injections or changing a catheter
shopping, banking and paying bills
Being enabled to get to the shops,
Transport to visit their friends and relatives
To go out for a meal, and for companionship.
Help at hand to manage the those tasks that requires help.
The term 'carer' is often used for this job description as well, but this would
be more accurately defined as a ‘personal assistant’, 'paid carer' or ‘personal
care assistant’.
Personal Assistant or PA is usually preferred by disabled people, as it is the
only term which really accurately describes the job of enabling them to
achieve greater choice and control in their life and therefore more
independence. It supports the Independent Living Philosophy.
People who are on direct payments or employing privately who are looking for PA contact;

07855 195038 0r forward your enquires to;
enquiries@careserviceadvice.co.uk

Register with us if you wish to become a PA.

Progress for

2010-10-16T05:07:00.000-07:00

“Vitamin B tablets could slow and even halt the devastating march of Alzheimer's disease,”

2010-09-10T09:45:00.000-07:00

Vitamin B clue to dementia
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Swine flu (26).Thursday September 9 2010

Brain shrinkage is not the same as dementia
“Vitamin B tablets could slow and even halt the devastating march of Alzheimer's disease,” The Daily Telegraph reported. According to the newspaper, large daily doses of vitamin B can halve the rate of brain shrinkage, a process that can precede Alzheimer’s disease and dementia.

This story is based on a well-conducted two-year trial, which compared vitamin B pills with inactive placebo pills in 271 elderly people with mild memory problems. The study found that those given vitamin B experienced brain shrinkage (atrophy) 30% slower than those given inactive tablets. However, slower brain shrinkage may not necessarily lead to any improvement in symptoms.

This research does not show that vitamin B can prevent Alzheimer’s disease or dementia because there is no evidence to confirm that slower brain shrinkage will lead to benefits for people with early dementia symptoms. Nevertheless, these results are promising and clearly warrant more research.

Where did the story come from?
The study was carried out by researchers from the University of Oxford, the Oxford Radcliffe Hospitals NHS Trust and the University of Oslo in Norway.

Should I take vitamin B supplements?
This was early research and cannot yet tell us whether vitamin B can slow the progress of dementia.

If you have been advised by your doctor to take vitamin B, continue to do so, although talk to your GP before changing the dose. Harms have been noted with long-term use of high doses and vitamin B should be avoided with some conditions. If you wish to use vitamin B supplements as a precautionary measure, particularly at doses over the RDA (recommended daily allowance), consult your GP to make sure it is safe to do so.

Good dietary sources of vitamin B include leafy green vegetables, meat, eggs and yeast spreads.
The study received funding from a number of sources, including the Charles Wolfson Charitable Trust, the Medical Research Council, the Alzheimer’s Research Trust and the National Institute for Health Research. It was published in PLoS One, the peer-reviewed journal of the Public Library of Science.

Newspapers generally covered the research in a balanced way, although the headlines are overly optimistic in proclaiming that vitamin B will delay or beat Alzheimer’s disease. A diagnosis of Alzheimer’s is based on specific, characteristic clinical features and the exclusion of other causes of cognitive impairment. However, this research only assessed an outcome of brain shrinkage, which is not necessarily the same thing. The functional effects of reducing brain shrinkage were not investigated and it is an extrapolation to conclude that B vitamins improved cognitive health or protected against Alzheimer’s disease.

What kind of research was this?
Brain atrophy, which describes the loss of neurones and their connections, can be caused by a number of diseases. Some degree of atrophy and subsequent brain shrinkage is common with old age, even in people who are cognitively healthy. However, this brain shrinkage is accelerated in people with mild cognitive impairment and even faster in those who ultimately progress from mild cognitive impairment to Alzheimer’s disease. A range of factors has been implicated in affecting the rate of brain atrophy, one of which is high levels of an amino acid in the blood called homocysteine (tHcy). Studies have shown that raised levels of tHcy increase the risk of Alzheimer’s disease.

In this randomised controlled trial, the researchers investigated the role of vitamin B in regulating levels of tHcy. They specifically wanted to test whether lowering tHcy through giving high doses of vitamin B for two years could reduce the rate of brain atrophy in people with pre-existing mild cognitive impairment.

What did the research involve?
Volunteers aged 70 and over with concerns about their memory were recruited in the Oxford area, through radio and newspaper advertisements, between April 2004 and November 2006. It was specified that volunteers should have a diagnosis of mild cognitive impairment, defined using specific criteria. These included a concern about memory that did not interfere with activities of daily living and pre-specified scores on some cognitive scales assessing word recall and fluency. The study excluded people with a diagnosis of dementia, who were taking anti-dementia drugs or who had active cancer. People taking folic acid and vitamin B6 or B12 above certain doses were also excluded.

Every six months, the volunteers were randomly assigned to receive either high-dose oral vitamin B tablets (0.8 mg folic acid, 0.5 mg vitamin B12 and 20 mg vitamin B6) or placebo pills during the two-year period. The participants, their partners and all staff directly involved in the study were unaware which pills were being received. The double blind nature of the study was important as it eliminated potential biases associated with the patients’ or researchers’ knowledge of which treatment was being received. MRI scans were performed at the start of the study and again after two years. The researchers used these to calculate the rate of brain atrophy each year.

A total of 271 people were randomly assigned a treatment, although five did not start the study. A similar proportion from each treatment group dropped out along the course of the study. The researchers measured adherence to the study treatments by counting returned tablets. For the main analysis of brain shrinkage, the researchers used data on 168 people (85 receiving active treatment and 83 receiving placebo) who had completed an MRI at both the start and at follow-up. The analyses took into account a variety of factors that may be linked to brain atrophy or use of vitamin B, which the researchers had tested and found to be important. These factors were age, blood pressure, initial brain volume and concentration of tHcy at the start of the study.

What were the basic results?
Treatment with vitamin B tablets had notable effects on the levels of tHcy in the blood, reducing it by 22.5%. Levels of tHcy increased by 7.7% in the placebo group. Overall, treatment with B vitamins for a period of 24 months led to a reduction in the rate of brain atrophy. After the age of the participants was taken into account, the rate of shrinkage in people receiving the vitamins was 30% less than in the placebo group (0.76% shrinkage and 1.08% shrinkage respectively). The effect was greater in people who were more compliant with taking their medication and in those who started with the highest levels of tHcy. The researchers also found that, overall, the safety of vitamins was good with no adverse events.

How did the researchers interpret the results?
The researchers concluded that they have shown that a “simple and safe treatment” can slow down the accelerated rate of brain atrophy in people with mild cognitive impairment.

Conclusion
This is an important but early study in establishing the effects of vitamin B on the stages of brain atrophy that precede Alzheimer’s disease. It assessed the effects of the vitamin on the rate of brain shrinkage, a process that has been linked to old age, mild cognitive impairment and Alzheimer’s disease in other studies. Although other studies have found that the rate of brain atrophy is linked to cognitive decline, this particular study did not assess whether the participants’ brain changes translated into changes of cognitive ability or memory.

This was a well-conducted, albeit small, study. It was a randomised controlled trial, which is the most appropriate way to assess the effects of a new treatment. No study is perfect, though, and the researchers highlighted some shortcomings:

•The treatment was a combination of three B vitamins, so the researchers could not determine whether these have different effects individually.
•The study was not set up to assess the effects of treatment on cognition, but only on the rate of change in brain measurements.
This study will pave the way for future research into the use of vitamin B to prevent Alzheimer’s disease. Based on the evidence gathered so far, it is too early to claim that vitamin B can prevent clinical disease, but these results are promising. More research will undoubtedly follow.

.Links to the headlines
Vitamin B is revolutionary new weapon against Alzheimer's Disease. The Daily Telegraph, September 9 2010

Vitamin B 'puts off Alzheimer's'. BBC News, September 9 2010

Vitamin B 'cocktail' to beat Alzheimer's. The Sun, September 9 2010

Vitamin B 'may slow' dementia. Daily Mirror, September 9 2010

Vitamin B claim on Alzheimer's. Financial Times, September 9 2010

Daily vitamin pill could reduce dementia's effects by up to 50 per cent. The Independent, September 9 2010

Links to the science
David Smith A, Smith SM, de Jager CA et al. Homocysteine-Lowering by B Vitamins Slows the Rate of Accelerated Brain Atrophy in Mild Cognitive Impairment: A Randomized Controlled Trial. PLoS One 5(9): e12244

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..Comments1 Comments about ‘Vitamin B12 may prevent the brain shrinkage behind some dementia - Health News - NHS Choices’
Our rules:
.EvanHarris said on 10 September 2010
I would be interested to know what the Bazian or NHS Choices team think about the problem of the high drop out and the apparent lack of an Intention to Treat analysis which would avoid bias introduced by differential drop out.
This was raised here http://trusttheevidence.net/carl-heneghan/vitamin-b-and-slowing-the-rate-of-brain-atrophy-the-numbers-don%E2%80%99t-add-up/100909109 and I cant see how this concern has been dealt with anywhere.
This article (http://www.ox.ac.uk/media/science_blog/100909_1.html cites the concern and gives the authors response as "dealt with by minimization" but my understanding of minimization (http://www.bmj.com/content/330/7495/843.extract) is that it can be used to help get more representative samples when the sample sizes are small not to help adjust for any bias introduced by high drop-outs.

Please let me know
a) If this was dealt with in the paper (it does not seem to be)
b) Why, even though you mention it, you do not identify it as a potential problem in your analysis
c) What is your view of the apparent mention of minimisation as a means to deal with lack of ITT analysis.

Thanks

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Analysis by

Ageing Britain

2010-07-23T08:05:00.000-07:00

Click on the linck below for more details

http://www.guardian.co.uk/uk/series/ageing-britain

Find out how telcare might benefit you.

2010-07-20T11:35:00.000-07:00

Chubb Community Care Shadsworth Road, Blackburn
BB1 2PR Tel: 01254 688 774 Fax: 01254 696 460
Warrington Borough Council
Enid is a 66 year old female who is suffering
from severe dementia and has had a recent
stroke. She is living in her owner occupied
bungalow, being supported by her daughter and
son who take turns to stay with her day and
night.
The main worries are that Enid gets out of her
armchair whenever she is left alone, which is
resulting in frequent falls so the family is being
unable to have any sort of respite from her.
Also during the night Enid gets out of bed and
has had several falls. This therefore means that
her family are getting very little sleep because of
the fear of Enid getting up and them not hearing
her.
Warrington Carecall Community Services
conducted a telecare assessment and
recommended the Chubb Carer Alert,
Pressure on sensor and pressure mat, fitted by
the bed, and Pressure off sensor and pressure
mat, fitted on armchair which was fitted.
The pressure on sensor raises an alarm to the
Carer Alert as soon as Enid puts her legs out of
bed onto the pressure mat next to the bed, so
enabling her family to get to her before she
stands up and puts herself at risk of falling and
the pressure off sensor raises an alarm to the
Carer Alert as soon as Enid lifts her weight off
the seat so reducing Enid's chance of falling.
This equipment was installed in February
2008, and during this time there have
been no further falls as a result of Enid
getting out of bed or off her chair.
Enid’s daughter states that she feels
their lives have much improved since the
equipment was installed. They can now
go out into the garden or into the kitchen
without worrying that Enid will get out of
her chair without them knowing. And at
night they are getting more quality sleep
knowing that the Carer Alert will wake
them if Enid attempts to get out of bed.

How to avoid care fees

2010-07-18T09:35:00.000-07:00

Click on the following link to find out more.

www.howtoavoidcarefees.co.uk

New contact details for you

2010-05-15T06:37:00.001-07:00

Age Concern EnglandTel: 0800 00 99 66Web: http://www.ageconcern.org.uk/Provides information on issues affecting older people and their carers.
The Alzheimer's SocietyTel: 020 7306 0606Web: http://www.alzheimers.org.uk/Promotes its unique knowledge and understanding of dementia, develops quality in its care services, to support people with dementia, their families and their carers.
ACT - Applied Care TrainingTel: 0115 9655 776Specialist dementia training organisation
Association for Real Change (ARC)Tel: 01246 555043Web: http://www.arcuk.org.uk/An umbrella organisation that brings together those who provide services for people with learning disabilities.
Association of Charity OfficersTel: 01707 651777Web: http://www.aco.uk.net/A national umbrella body for 'benevolent charities' - which provide aid and advice to individuals in need.
Association of Independent Care Advisers, The (AICA)Tel: 01483 203066Web: http://www.aica.org.uk/Represents member organisations around the country that help people decide on the best choice of care.
British Heart FoundationTel: 0845 070 8070Web: http://www.bhf.org.uk/Plays a leading role in the fight against heart disease so that it is no longer a major cause of disability and premature death.
Benefits AdviceTel: 0845 7123456
Web:
http://www.direct.gov.uk
Benefit advice on tax credits, pensions and estimate of benefits.
Care Standards Inspectorate for WalesTel: 01443 848450Web: http://www.csiw.wales.gov.uk/Registers and inspects care services in Wales.
Carers UKTel: 020 7490 8818Web: http://www.carersuk.org/Provides support to anyone who is a carer and undertakes a variety of work to support the needs of carers.
The Carer,
http://www.thecarer.co.uk/
The Carer was formed to offer a unique reference point on the practicalities and emotional needs of carers.
Care Select HelplineTel: 0800 389 2077Web: http://www.carechoices.co.uk/
Counsel and CareTel: 0845 300 7585Web: http://www.counselandcare.org.uk/Advice for people over 60, their friends and families.
The Commission for Social Care Inspection, Tel: 0845 015 0120Web: http://www.csci.org.uk/A national organisation responsible for inspecting and regulating care services.

Department of Health, Social Services and Public Safety (Northern Ireland)Tel: 028 9052 3315Web: http://www.dhsspni.gov.uk/Aims to improve the health and social wellbeing of people and ensure the provision of appropriate health and social care services.
Deaf blind UKTel: 0800 132 320 Web: http://www.deafblind.org.uk/For people who are deaf and blind.
Elderly Accommodation CounselTel: 020 7820 1343Web: http://www.housingcare.org/Helps people make decisions about where to live and any support or care they need.
Eldercare Solutions Ltd
Tel: 01707 368945
Web: http://www.eldercare-solutions.co.uk/
Provide information, financial advice and solutions to paying for care.
ECCA - English Community Care AssociationTel: 020 7220 9595Web: http://www.ecca.org.uk/The largest representative body for community care in England.
First Stop Care Advice
Tel: 0800 377 7070
Web: http://www.firststopcareadvice.org.uk/
An independent, free advice and information service for older people provided jointly by Help the Aged, Elderly Accommodation Counsel, Counsel and Care and NHFA Care Advice.
Friends of the ElderlyTel: 020 7730 8263Web: http://www.fote.org.uk/Committed to enhancing the quality of life for older people by providing a range of high standard services.
Help the AgedTel: 020 7278 1114Web: http://www.helptheaged.org.uk/Addresses the issues that matter to older people, working with them to campaign, research and develop practical solutions.
Health Service Ombudsman for EnglandTel: 0845 015 4033Web: http://www.ombudsman.org.uk/Investigates complaints that a hardship or injustice has been caused by the NHS's failure to provide a service, by a failure in service, or by maladministration.
Housing Learning and Improvement NetworkWeb: www.changeagentteam.org.uk/housing
Leonard Cheshire FoundationTel: 020 7802 8200Web: http://www.leonard-cheshire.org/Helps disabled people to live on their own, whether for a few hours of care at home, or more intensive support within a care home.
MindTel: 020 8519 2122 Info line: 0845 766 0163Web: http://www.mind.org.uk/Works to create a better life for everyone with experience of mental distress.

NCF - National Care ForumTel: 024 7624 3619Web: http://www.nationalcareforum.org.uk/Represents the interests of the not-for-profit sector.
National Institute for Mental Health in England (NIMHE)Tel: 0113 254 5127Web: http://www.nimhe.org.uk/This organisation aims to improve the quality of life for people of all ages who experience mental distress.
NAPATel: 0207 078 9375Web: http://www.napa-activities.net/Works to create new opportunities for community involvement and activity in care settings.
National Association of Citizens Advice BureauWeb: http://www.citizensadvice.org.uk/The Citizens Advice Bureau Service offers free, confidential, impartial and independent advice.
NHFAAdvice line: 0800 998 833Web: http://www.nhfa.co.uk/Offer specialist advice on funding care. Also advice on benefits, legal matters and the investment of capital.
NHS DirectTel: 0845 46 47Web: http://www.nhsdirect.nhs.uk/For immediate medical advice and for help finding your local Patient Advice and Liaison Service.
The National Care Association Tel: 020 7831 7090Web: http://www.nca.gb.com/Lobbies the Government to benefit both its members and the people in their care, represent members and their residents nationally and promote high standards of care.
Office of Fair TradingTel: 020 7211 8000Web: http://www.oft.gov.uk/Promotes and protects consumers' interests.
Occupational Benevolent Funds AllianceTel: 01707 651777Email: helpline@aco.uk.netThis is a network of charities that provide a range of support services for people with connections to particular industries, trades and professions.
Parkinson's Disease SocietyAdvice line: 0808 800 0303Web: http://www.parkinsons.org.uk/Provides support, advice and information to people with Parkinson's, their carers, families and friends.
The Pension Service Tel: 0845 606 0265Web: http://www.thepensionservice.gov.uk/The Government set this up to improve the service older people receive with a network of pension centers supported by a local service.
Office of the Public Guardian
Tel: 0300 456 0300
Web: http://www.publicguardian.gov.uk
Supports & promotes decision making for those who lack capacity or would like to plan for your future.

RNIBInfo line: 0845 766 9999Web: http://www.rnib.org.uk/Offers information, support and advice to over two million people with sight problems.
RNIDInfo line: 0808 808 0123Web: http://www.rnid.org.uk/Offers free confidential and impartial information on employment, equipment, legislation, benefits and issues relating to deafness and hearing loss.
Relatives and Residents' Association, TheAdvice Line: 020 359 8136Web: http://www.relres.org/Offers support and information to families, friends and relatives about issues affecting care homes.
Royal United Beneficent Kingdom Association (RUKBA)Tel: 020 7605 4200Web: http://www.rukba.org.uk/Helps older people on very low incomes to live independently in their own homes and when this is no longer possible, they can help with care home fees.
Registered Nursing Home Association, TheTel: 0121 454 2511Web: http://www.rnha.co.uk/Campaigns strongly for high standards in nursing home care.
Saga Care Funding Advice Service Tel: 0800 056 6101 Web: www.saga.co.uk/ltc Helping you to make sense of paying for care
ScopeTel: 0808 800 3333Web: http://www.scope.org.uk/Aims to achieve society in which disabled people are valued and have the same human and civil rights as everyone else.
Solicitors for the ElderlyTel: 01992 471568Web: http://www.solicitorsfortheelderly.com/A national association of solicitors, barristers and legal executives providing and promoting range of legal services for older people.
Scottish Commission for the Regulation of CareTel: 01382 207100Web: http://www.carecommission.com/Responsible for registering and inspecting care services in Scotland.
Stroke Association, TheHelpline: 0845 30 33 100Web: http://www.stroke.org.uk/Funds research into prevention, treatment a better method of rehabilitation and helps stroke patients and their families directly through its community services.
United Kingdom Home Care AssociationTel: 020 8288 5291Web: http://www.ukhca.co.uk/Promotes the high standards of homecare and takes an active role in liaison with local and central government
Citizen Advice Bureau
Tel: 01252 617922 (Fleet)
Web: http://www.advice.org.uk
Advice, information and help.

Financial help for you, check and claim it today.

2009-08-15T05:28:00.000-07:00

Attendance Allowance

Home > Advice & support > Financial advice > Help claiming benefits > Attendance Allowance

Attendance Allowance

Some older people may need help with daily living, for example, dressing, washing, or moving around indoors. Claiming Attendance Allowance can help with these costs.

On these pages

This section gives details about Attendance Allowance, for those aged 65 or over. If you are under 65, you should claim Disability Living Allowance rather than Attendance Allowance.

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The four national Age Concerns in the UK have joined together with Help the Aged to form new national charities dedicated to improving the lives of older people.

Free advice

SeniorLine
0808 800 6565
(Textphone-Minicom 0800 26 96 26)
Seniorline in Northern Ireland
0808 808 7575

Publications and downloads

Attendance Allowance
(PDF,111k)

What are your views on the future of the care systerm and its funding.

2009-08-04T12:59:00.000-07:00

Shaping the future of care together

Document type:

Publication
Author:

HM Government
Published date:

14 July 2009
Primary audience:

Health and social care professionals, Public
Alternative title:

Shaping the Future of Care Together Green Paper
Product number:

Cm 7673
Gateway reference:

11774
Copyright holder:

Crown

Shaping the Future of Care Together sets out a vision for a new care and support system. The Green Paper highlights the challenges faced by the current system and the need for radical reform, to develop a National Care Service that is fair, simple and affordable for everyone.

Within the Green Paper, it sets out a number of consultation questions and asks everyone to provide their views about how they think Government can make this vision a reality and develop a care and support system fit for the 21st century.

The consultation will run from 14 July 2009 to 13 November 2009.

Link to the consultation

Shaping the future of care together - consultation

Useful numbers and advice for swine flu

2009-07-28T13:43:00.000-07:00

Find flu information

0800 1 513 513

Northern Ireland

Health information www.dhsspsni.gov.uk

Public information www.nidirect.gov.uk

Business information www.nibusinessinfo.co.uk

Scotland

Health information www.nhs24.com

Public information www.scotland.gov.uk

Business information www.bgateway.com

Wales Cymraeg

Health information www.nhsdirect.wales.nhs.uk

Public information www.wales.gov.uk

Business information www.business-support-wales.gov.uk

England

Health information www.nhs.uk

Public information www.direct.gov.uk

Business information www.businesslink.gov.uk

Get flu treatment or further advice

If you have flu-like symptoms and are concerned:

In England:

Stay at home
Click here for your symptoms to be assessed

You can also call one of the numbers below:

Tel: 0800 1 513 100

Textphone for people who are deaf or hard of hearing:
0800 1 513 200

In Scotland:

Stay at home
Contact your GP or NHS 24

NHS 24: 08454 24 24 24

In Wales:

Stay at home
Contact your GP
Contact NHS Direct Wales for further advice

NHS Direct Wales:
0845 46 47

In Northern Ireland:

Stay at home
Contact your GP if you are concerned
For further advice, contact the Northern Ireland Swine Flu Helpline

Northern Ireland Swine Flu Helpline:
0800 0514 142
(Monday to Friday, 9am to 5pm)

Dementia Care

2009-05-21T02:48:00.001-07:00

Welcome to Emma RoseCare Service Advice. This website is for you unsung heros' who provide care and support to those in need. We would like to hear and know your views and comments. Tells us about the services you provide.........one of the greatest opportunities that faces us this century is to respond to the needs of the ageing population and to harness effectively the contributions older people can and do make to society. Please take some time and look at the current informtion with dementia. http://www.nhs.uk/conditions/dementia/pages/introduction.aspx

Emma Rose Care Service Advice

Personal Care Assistant (PA)

Progress for

“Vitamin B tablets could slow and even halt the devastating march of Alzheimer's disease,”

Ageing Britain

Find out how telcare might benefit you.

How to avoid care fees

New contact details for you

Financial help for you, check and claim it today.

Attendance Allowance

Attendance Allowance

Free advice

Publications and downloads

What are your views on the future of the care systerm and its funding.

Shaping the future of care together

Link to the consultation

Useful numbers and advice for swine flu

Find flu information

0800 1 513 513

Northern Ireland

Scotland

Wales Cymraeg

England

Get flu treatment or further advice

In England:

In Scotland:

In Wales:

In Northern Ireland:

Global links

Dementia Care