Reshaping Care for Older People in Argyll & Bute Discussion - - PowerPoint PPT Presentation

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
• utcomes we wish to deliver in the future for older people in

Argyll & Bute

• 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

• 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 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

Item Who Time

Introductions Derek Leslie or Jim Robb

• r Pat Tyrrell or Anne

Austin 5 mins Presentation 10-15 mins

Outline of the next hour

Presentation Questions and Answers All 45-50 mins Summary Derek Leslie or Jim Robb

• r Pat Tyrrell or Anne

Austin 5 mins

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

• f 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

• f 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

• f 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

• lder 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
• f 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
• utcomes plans
• utcomes 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

Growing old is compulsory, getting old is optional Bob Monkhouse Grow old with me! The best is yet to be Robert Browning