Rona Laing Head of Service Older People’s Services Chair of Partnership Management Group.
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Transcript of Rona Laing Head of Service Older People’s Services Chair of Partnership Management Group.
Rona LaingHead of Service
Older People’s ServicesChair of Partnership Management Group
Reshaping Care for Older People
Initiated and owned by the Ministerial Strategic Group for Health and Community Care
2009/10 – Developing ‘emerging proposals’ and getting attention
2010/11 – Public and Stakeholder engagement – 10 year Delivery plan (Early 2011)
2011 – 2012 Change Fund
Delivery and Development
What Matters for Older People
Feeling safe
Having meaningful things to do and opportunities to meet and support each other
Staying as well as possible
Living where and how you want to
Eliminating or dealing with discrimination and stigma
Being listened to, having your say in services/supports - and being treated with respect and dignity
Change Fund
£70 million to be made available to local ‘Partnerships’ (Spending Review) – expected circa £300 million over 4 years
Bridging finance to lever improvement across the entirety of older people’s spend in health and social care
Partnership planning process – Health, Local Government, voluntary and independent sectors
Development of Local Change /Transformation Plans – end of February 2011
2011/12 development of joint commissioning strategies – to 2020
Change Fund
Shift in Balance of Care
£4.9 million for Fife - Partnership planning process - Health, Local Authorities, Voluntary, Independent Sector
Opportunities to Invest in Change but …
Has to be sustainable
Change Plans – Purpose?
To demonstrate how partners will lever change to core budgets
Clarity around aims and ambitions
Enabling, supporting, promoting Community Capacity
Integrated care through partnership focus across all sectors
Leading to joint commissioning strategies 2012-2020
Change Plans – Year 1 Expectations?
Build on what partners are doing Connect to existing national and local strategies Set some bold aspirations and ambitions Use process to build stronger partnership relations Not overly detailed or prescriptive Follow the guidance….
What is working well in Fife
Telecare Programme Dementia Strategy Intermediate Care Lean NHS Service Redesign Comprehensive Geriatric Assessment Palliative Care Assessment
Re- Shaping Care for Older People in Fife : Strategic Intent
Preventative / Anticipatory Care – We will identify
and support, in a planned way, people with long term conditions and their carers enabling home based care to be provided wherever possible.
Unplanned Care - We will reduce level of unplanned care episodes, but where these occur, ensure return to community setting as soon as possible and ensure that life changing decisions are not made at the point of crisis
Strategic Intent
Hospital-based Care - Hospital-based care will provide specialist diagnostic and treatment services that cannot be provided within the community.
Home-based Care - We will refocus services to actively support people to feel safe while living at home whilst reducing reliance on care.
Recovery and rehabilitation - Everyone will have the opportunity to remain independent in their daily lives, and when indicated be actively supported to regain quality of life as defined by them.
Strategic Intent
Carers - We will keep carers at the centre of care provision - working together as true partners.
Community - We will actively nurture and develop communities to support older people as full participants within those communities.
Integrated Care - Integrated care provision should be put in place to support improved outcomes.