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Positive Change

Elizabeth MacDonaldScotland Policy Officer

College of Occupational Therapists

Drivers for change

• Ageing population,

• Growth in long-term conditions,

• Growth in emergency hospital admissions

• Health inequalities

• Changes in capacity of the workforce

• Developments in IT

• Vulnerability of rural healthcare2

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The changing shape of Scotland’s population

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Some headline projections

• Scotland’s 65+ population projected to rise by 21% between 2006 – 2016

By 2031 it will have risen by 62%

• For the 85+ age group specifically, a 38% rise is projected for 2016

And for 2031, the increase is 144%

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Demographic change for population aged 65+ Scotland

Potential impact on specialist care services 2007-2031

0

40000

80000

120000

160000

200000

Actual2007

2011 2016 2021 2026 2031

N of

peo

ple

1-9 hrsHome care

10+ hrsHome care

Care Home

Cont h/care (hosp)

Projection

26%

94%

P Knight Scottish Government

Projected Health and Social care expenditure for Scottish populatiion aged 65+

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

2007/08 Actual 2011 2016 2021 2026 2031

£m

NHS Social Work

22%

74%

Current service provision by service type

People aged 65 and over

hospital est

care home

home care

all others

Current service provision by age group

75-84

85+

65-74

97%

88%

60%

How can we prepare for the changing needs of the

population and to shape the future of health and social

care?

The policy context

Kerr Report - Building a Health Service Fit for the Future - a National Framework for Service Change

• (Delivering for Health) now Better Health, Better Care – Action Plan

• Changing Lives

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Key themes• Shift in balance of care

• Management of LTC

• Self management / personalisation / empowerment

• Anticipatory care

• People as partners

• Building community capacity

• Seamless transitions

• Integrated teams

• Prevention

• Carers as partners

• Proactive use of technology11

Government strategies etc• Coordinated, integrated and fit for purpose-A

Delivery Framework for Adult Rehabilitation in Scotland - Rehab Framework

• Guan Yersel!• Provision of Equipment and Adaptations• Reshape of Care for Older People• Dementia strategy

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Changing Lives, Changing Practice:

Occupational therapy in social work, enabling independent living

in Scotland

Dr Jill Riley

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What can you do?

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Be an active members of your professional body

Promote Occupation and Occupational Therapy

Enable and influence positive change

Get together with your colleagues

• learn,

• share,

• debate,

• contribute,

• Influence ...17

Hot topics ... ?• Integrated working across NHS and local authority• Making beset use of the OT resource• Skill mix• Loss of OT in your title - generic working – loss of

OT skills• Access to HNC in OT Support• Implementing Guidance on equipment and

adaptations• Community rehabilitation and re-enablement • Personalisation and self management

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Something positive ...

Form a

BAOT/COT

LOCAL GROUP

Speak to Anna, Lee, Chris-Elaine or me during the breaks for more information

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