Case Summary

Referral received form GP surgery asking for GP FSW support.

Initial referral stated:

 

Mum too anxious to attend GP appointments.

Two sons aged 13ys and 16yrs.

Mum off work for months with stress.

Eldest son is missing a lot of school.

 

Date support commenced 11/6/2015

 

 

Output

Contact made with referring GP to allow confirmation of receiving of referral.

Letter and telephone contact made with parent to allow home suitable home visit to be made.

Family told role of GP FSW and employed by Warwickshire County council. Documents signed as needed.

GP FSW confirmed with parent the knowledge of referral and this was verbally confirmed and home visit was planned.

 

On first home visit Mum told FSW of her mental health issues, she could not go outside. She felt that that she did not have any energy to clean the family home.

The eldest son has just taken his final school exams and because of both him and his younger brother appearance, school had informed social care, who were now involved. This had occurred within a week before GP FSW involvement.

GP  FSW met with both young people and asked if FSW could see their bedrooms. Bedroom had left over food on the floor, mouldy eating utensils, food wrappers, no bed linen on the beds; it was with great difficulty that FSW was able to enter the shared bedroom. It was acknowledged that all the rooms in the house were the same. Kitchen working top could not be seen for used plates and saucepans, together with food on the floor.

 

 

 

Outcome

 

GP spoke with Social Care worker to allow good networking and communication.

GP FSW expressed health concerns due to living environment, GP FSW worked with Mum and both boys to clear the bedrooms and kitchen area. Rubbish collected by Rugby Borough council to collect several black sacks of rubbish following GP FSW request.

Regular weekly home visits were undertaken, with up to three visits a week to help family maintain an acceptable living environment. Also telephone contact to allow flexibility of home visits and support as needed.

FSW took and accompanied Mum to her GP appointments, this leading to no further appointments being missed. FSW collected medication as prescribed by GP as the eldest son had been doing so. On last GP appointment FSW and mum walked into the town centre together to collect medication, this was the first times mum had done so.

GP referred to other professionals to allow support for the two young people, Targeted Youth now supporting the eldest, Young Carers offered but the boys did not want to attend, also financial support to help address the ongoing issues.

Sick notes were collected and taken to place of employment by GP FSW.

Food vouchers as needed.

Food collected for family due to lack of transport.

Joint visits with a Social worker undertaken, GP FSW aware of the new social worker who has been allocated the case and contact was made to allow ongoing networking. The Child In Need meeting to be attended together with reassurance and support to continue to the family re process.

Support for eldest son for college attendance in September, documents collected and signed and returned to college as required.

Charities appealed to re clothing issue of the two young people, awaiting outcome.

Triple P strategies used within the family home.

Regular updates given to GP and attended Practice meetings.

 

 

 

Impact

Both young people are attending school and college and are achieving.

Mum will be returning to work shortly on a phased return.

Mum becoming more confident in her everyday life and is now more consistent in her parenting.

Mum is now more empowered and house rules are in place. Home environment improved and a better standard is being maintained.

Mum now walking to the local shop alone on occasions and is aware of her personal needs and now attends GP appointments as required.

Good communication continues between GP FSW and Social worker.

 

 

 

 

 

*GP FSW – General Practitioner Family Support worker.