Reshaping Care for Older People in Argyll & Bute Discussion paper Joint Strategic Commissioning January & February 2013
Why are we here today? To move towards a shared understanding about the vision and � outcomes we wish to deliver in the future for older people in Argyll & Bute To reflect on the priorities for Reshaping Care for Older People To reflect on the priorities for Reshaping Care for Older People � � building on the work so far as part of the evolving process of joint building on the work so far as part of the evolving process of joint strategic commissioning To find out from you: � - What is important for older people - Where you think there are gaps - What you would like to see happening in the next 1, 3 & 10 years for older people - How, as members of communities, you can support the work to make the vision a reality
Outline of the next hour Item Who Time Introductions Derek Leslie or Jim Robb 5 mins or Pat Tyrrell or Anne 10-15 mins Austin Presentation Presentation Questions and Answers All 45-50 mins Derek Leslie or Jim Robb 5 mins or Pat Tyrrell or Anne Summary Austin
Scottish Government ‘2020 vision’ By 2020 everyone is able to live longer healthier lives at home, or in a homely setting where we have: � Integrated health and social care � Prevention, anticipation & supported self management � Prevention, anticipation & supported self management � If hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm � Highest standards of quality and safety, with the person at the centre of all decisions � People back into their home or community environment as soon as appropriate, with minimal risk of re-admission
Context Consultation on the Integration of Health and Social � care Increasing number of people and diminishing level of � resources Joint Strategic Commissioning for Older People – Joint Strategic Commissioning for Older People – � � Reshaping Care for Older People Discussion paper Care Services should - � � be planned on the basis of what options and choices deliver best outcomes for those who use services � meet the changing needs and preferences of service users � consistently deliver Best Value regardless of sector � be sustainable over time
Strategic Vision in Argyll and Bute Our vision is that the people in Argyll and Bute will live lives that are as long, healthy, active and happy as possible. and happy as possible. The overall aim for Argyll and Bute Community Care Services will be to enhance the quality of the lives of the people with whom we work in order to achieve this vision.
Strategic Vision in Argyll and Bute Our Services will be aligned to focus on four common goals: � Maintaining independence � Recognising and preventing difficulties � Recognising and preventing difficulties � Regaining skills and confidence � Delivering care that is dignified, respectful and person centred
Our biggest challenges …. � To build a consensus across citizens/public, clinicians and care providers around the philosophy and shape of care over the next 20 years � To translate “agreement in principle” into decisions, actions and real changes � To identify and de-commission relevant current services in order to invest in new developments � To work together through a mutual care approach to achieve positive and sustainable change
What are Our Priorities for investment for older people in Argyll and Bute? Support communities to support older people � Help people to be independent and to look after themselves � Improve support for Carers � Reduce the number of people who fall � Make sure people get the right medicines at the right time Make sure people get the right medicines at the right time � Reduce Emergency Admissions to Hospital � Establish effective Extended Community Care Teams � Provide palliative/end of life care in the right place � Improve housing adaptations, equipment provision and use � of technology to support people in their own homes Improve care for people with Dementia � Provide high quality individualised services for older people �
15 Key Principles of the Model of Care Single point of access in the community for both health and � social care services Joint use of an electronic assessment focussed on personal � outcomes plans outcomes plans Person centred joint anticipatory care planning � Joint monitoring and reviewing of care plans � Shift in culture towards enablement/re-ablement � Prevention of unnecessary admissions to hospital � Prompt discharge home from hospital �
15 Key Principles of the Model of Care Supporting structured community management of high risk � individuals High quality end of life care delivered in place of choice � People to have more control, choice and independence � Supporting people to manage their own illness Supporting people to manage their own illness � Support people to actively engage with the independent and � third sector Developing services with third and independent sector, � coproduction modelling Clearly defined roles and responsibilities � Flexible and responsive team approach to care, delivered at � home across 24/7
Reshaping Care for Older People So overall we want … To help older people stay safe and well outside the care system by: � Promoting healthy ageing � Promoting healthy ageing � Supporting Self Care � Supporting communities and unpaid carers � Focusing on more preventative and anticipatory care � Using more telecare/equipment/adaptations
Reshaping Care for Older People Key to this is partnership working of the NHS, Council, independent & voluntary sectors, users and carers � To support people to live at home with a combination of � To support people to live at home with a combination of anticipatory care involving, as appropriate, community nursing, home care, day and respite services supported by Telecare technology � To support people in appropriately designed Extra Care Housing � Admission to care homes should be for high dependency, specialist dementia or for end of life care if this is the person’s preferred choice
Questions for Discussion � What is important for older people? � Are there gaps in the priorities? What are they? � What you think is important to see happening in the next 1, 3 and 10 years for older people? � How, as members of communities, can you support the vision and work going forward to make the changes needed?
Questions & Discussion Grow old with me! The best is yet to be Robert Browning Growing old is compulsory, getting old is optional Bob Monkhouse
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