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Care at Home in England 4 th February 2010, Edinburgh

Care at Home in England 4 th February 2010, Edinburgh. Janet Crampton DH National Programme Manager, Ageing Strategy & Intergenerational Project. The English story …. …Building a Society for All Ages. The Older People & Dementia branch of the Department of Health’s Social Care Directorate

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Care at Home in England 4 th February 2010, Edinburgh

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  1. Care at Home in England4th February 2010, Edinburgh Janet Crampton DH National Programme Manager, Ageing Strategy & Intergenerational Project

  2. The English story ….…Building a Society for All Ages • The Older People & Dementia branch of the Department of Health’s Social Care Directorate • The context which is informing the need for change

  3. Building a Society for All Ages • National Dementia Strategy • Partnerships for Older People project • Dignity in Care (With Respect) • Green Paper on future funding of social care • NHS reforms • NHS Operating Framework • End-of-Life and Palliative Care

  4. Building a Society for All Ages • The Older People & Dementia branch of the Department of Health’s Social Care Directorate • The context which is informing the need for change

  5. Building a Society for All Ages • The context in which is informing the need for change : • demographic, economic and political challenges • an ageing workforce • strategic shifts from acute to prevention • greater investment in home-based solutions • move from buildings/service-based to individual needs

  6. Building a Society for All Ages • The context in which is informing the need for change (contd) : • role of housing and home-based services • Increasing using of telecare • sharing risk and giving people more control • partnership working to deliver better outcomes • commissioning ‘fundamentals’ – Getting it right, because it matters!

  7. Rapid growth of over 65s in next 10 years % increase in older people in England

  8. 34% of the population will be 50+ in 2009 – with concentrations in ‘retirement areas’

  9. By 2029 over 40% of the population will be over 50 - and virtually everywhere in the country will look like current ‘retirement areas’

  10. Why does England need to change? • A reminder of the present system – Based on matching a limited range of services to people’s assessed needs – not meeting growing expectations – Costs are rising and services are under increasing demographic pressures - Many services are still very ‘traditional’ – Many people assess the current situation as being ‘in crisis’

  11. Building a Society for All Ages Local authorities' response – Commissioners are still buying commodities and focusing on unit costs – time/task etc – and NOT outcomes - Looking to make efficiency savings (including shifting largevolumes of in-house services to the private and voluntary sectors) (Different in England to Scotland) – Changing eligibility criteria to restrict access. The current system of social care is not sustainable

  12. The Cost of Healthcare • NHS spending represents 7.3% of UK GDP • £20bn efficiency savings needed in 2011/14 (equivalent of 6% of NHS budget) • Parliamentary moves to reduce spending on healthcare, social care and public spending generally • People are to take more responsibility for their own health, their own care

  13. The Cost of Social Care (PSS) • Diverging patterns of social care commissioning across UK • £20.7 bn on PSS in 2007/08 • £15.3 bn on adults and older people’s PSS - 48% on residential care - 43% on domiciliary care • 40,000 new referrals every week • 1.77m clients receiving PSS in 07/08 • Fewer and fewer people to provide services • More and more people needing services

  14. Living – and dying – with LTC We need less inappropriate referral to unnecessary treatment  hospitalisation for the elderly with dementia  traditional response and ‘medical model’  End-of-Life care in institutionalised settings  avoidance of the sensitive but essential issues  unhelpful bureaucracy and poor regulation

  15. Living – and dying – with LTC We need more and better  pain management  ensuring the right to a ‘good death  (but) giving people a live, not a service  focus on real needs and people’s choices  innovation and creative solutions  staff training  more telecare and smarter use of all available resources  keeping people active, healthy and happy

  16. Thank you for listening   Janet Crampton National Programme Manager Department of Health’s Social Care Programmes + 44 7789 653196 janet.crampton@dh.gsi.gov.uk

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