Developing our Older Peoples Strategy for Hertfordshire Frances Coupe Head of Community Support Commissioning - PowerPoint PPT Presentation

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Developing our Older Peoples Strategy for Hertfordshire Frances Coupe Head of Community Support Commissioning

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Developing our Older Peoples Strategy for Hertfordshire Frances Coupe Head of Community Support Commissioning What Mary and Edna ( and their friends) told us . – PowerPoint PPT presentation

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Title: Developing our Older Peoples Strategy for Hertfordshire Frances Coupe Head of Community Support Commissioning


1
Developing our Older Peoples Strategy for
HertfordshireFrances CoupeHead of Community
Support Commissioning
2
(No Transcript)
3
What 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

4
Why 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

5
The 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

6
Having 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

7
Key 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

8
Themes 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

10
What 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.

11
Cross 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

12
Older 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

13
6 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

14
Strategy 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

15
Table based Outcomes exercise
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