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

Developing our Older Peoples Strategy
for Hertfordshire
Frances Coupe
Head of Community Support
Commissioning
www.hertsdirect.org
www.hertsdirect.org
What Mary and Edna ( and their friends)
told us ….
• They need to feel useful ( they feel they still have a contribution to
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make, and they wanted this to be recognised)
They don’t 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
www.hertsdirect.org
Why a Older peoples strategy and MPS?
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“ 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 homes…increasing 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”
www.hertsdirect.org
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
www.hertsdirect.org
Having an Older Peoples strategy should
help achieve….
• Closer collaboration between commissioners
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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
www.hertsdirect.org
Key themes and principles identified so
far…
• We need a better understanding of who our
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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
www.hertsdirect.org
Themes and principles identified so far…
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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 75’s 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
www.hertsdirect.org
Public Health and the Older People’s Strategy..
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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
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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
Peer Support
Training
www.hertsdirect.org
What criteria were these themes examined under?
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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.
www.hertsdirect.org
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
www.hertsdirect.org
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
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Streamline care planning and commissioning – clearer
care plans that are not task specific
Be easier to use a direct payment
www.hertsdirect.org
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
www.hertsdirect.org
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
www.hertsdirect.org
Table based Outcomes exercise…
www.hertsdirect.org