Title: Developing our Older Peoples Strategy for Hertfordshire Frances Coupe Head of Community Support Commissioning
1Developing our Older Peoples Strategy for
HertfordshireFrances CoupeHead of Community
Support Commissioning
2(No Transcript)
3What Mary and Edna ( and their friends) told us .
- They need to feel useful ( they feel they still
have a contribution to make, and they wanted this
to be recognised) - They dont like waiting for things to happen
- They ( and their families ) mainly feel they know
what is best for them (care, support and
services) they wished social care/ and/or their
Doctors would listen!! - They want to live in their own homes for as long
as possible - But they miss the company they used to enjoy
there.( partners, pets) - They want to be in control and make their own
choices - They are often lonely, and feel isolated
- They want things to be as simple as possible
- Getting to know and trust the people who care for
them is important
4Why a Older peoples strategy and MPS?
- The current model of health and social care is
skewed towards delivering episodes of acute
health care in hospitals or providing permanent
care in residential and nursing homesincreasing
numbers of people with long term conditions will
need long term support closer to home. This calls
for an entirely different model in which social
care, NHS and other resources are much more
integrated around the needs of the individual
5The Care bill Market shaping and Provider
Engagement
- More flexibility for Providers
- More choice and control for service users
- Move away from one size fits all approach
development of Local offer of Support - Maximise use of all resources to support people
to live safely and independently at home
telecare, day services, hospital discharge
support, enablement
6Having an Older Peoples strategy should help
achieve.
- Closer collaboration between commissioners and
providers - Move away from fragmented provision not just
about numbers of providers but the range of
provision - Convening services and support around care
pathways - integrating - Joint ventures that provide care across primary,
community and acute settings
7Key themes and principles identified so far
- We need a better understanding of who our older
people are most 65-80 year olds are well - Focus needs to be on keeping these people well,
and ensuring they have things to do and feel
connected to their communities - When people become more frail and need more
support, interventions need to be timely and
appropriate address factors threatening
independence
8Themes and principles identified so far
- More opportunities need to be created to make the
most of community assets, i.e. schools and
libraries, to provide activities and services for
older people promote wellbeing and access to
universal services - There needs to be strong focus on emotional
health and well being 13 of over 75s are on
anti depressants - Access to therapy and support groups needs to be
improved - Once people move in to residential care, they
should continue to receive emotional support, and
have opportunities to keep fit and healthy
needs to be better links between residential
settings and community activities
9 Public Health and the Older Peoples Strategy..
- Strengthening communities
- Volunteering and engaging with older people
- Advice and information services
- To decrease social isolation and improve mental
wellbeing - The home environment and winter warmth
- Lifestyle
- The promotion of physical activity
- The provision of adult Health checks
- Obesity
- Smoking
- Alcohol
- Good Health
- Influenza vaccination
- The prevention of falls
- Providing a dementia friendly environment and
community - Diabetes Stroke
- Supporting Carers
- Carer breaks/respite
- Carer friendly communities/hospitals
10What criteria were these themes examined under?
- Strength of evidence base.
- Mortality attributed to each theme.
- Approximate financial savings per year.
- Political considerations where applicable.
- What services or assets we currently offer
under each theme.
11Cross cutting themes will be..
- Freedom and choice for service users
- Safeguarding
- Promoting dignity and repsect
- Health and Social Care intergration
- Promoting early intervention and prevention
- A clear commitment to a multi agency workforce
development startegy
12Older Peoples Outcomes Framework
- Why have an outcomes framework for older people?
- - Give more flexibility for providers and service
users to agree the outcomes they want - Enable all those involved in care planning,
commissioning and providing the service to focus
on common goals working together - Streamline care planning and commissioning
clearer care plans that are not task specific - Be easier to use a direct payment
136 ideas for outcomes so far.
- Being safe and secure in my own home
- Having positive things to do
- Eating well and staying fit and healthy
- Being emotionally well and happy
- Making my own choices about the care and support
I need - Creating sustainable relationships with carers
14Strategy development milestones etc
- Further consultation event with service users
17th July - Carers meeting ( homecare and Dementia) 19th July
- Older People and Dementia SCG on 23rd July
- Enablement service users meeting September
- Provider Forums September
- Back to OP and D SCG in October
- November finalise draft strategy and MPS
- Cabinet with Draft strategy and MPs December
2013 - Strategy and MPS in place by April 2014
15Table based Outcomes exercise