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NZCCSS President Opening Address Rod Watts 8 th May 2014. Services for Older People Policy Group. Nicola Turner (Convenor), Presbyterian Support Central Gillian Bremner, Presbyterian Support Otago, Dunedin Shirley Hennessey, Home of St Barnabas, Dunedin
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NZCCSS President Opening Address Rod Watts 8th May 2014
Services for Older People Policy Group Nicola Turner (Convenor), Presbyterian Support Central Gillian Bremner, Presbyterian Support Otago, Dunedin Shirley Hennessey, Home of St Barnabas, Dunedin Louis Fick Tamahere Eventide, Hamilton Rod Perkins, Selwyn Foundation, Auckland Alison Jephson, Anglican Care Christchurch John Murray, LifeWise, Auckland Thanks to former policy group member: Meng Cheong Salvation Army HomeCare (Sept 2013)
The Next Stretch • Acknowledge the past • Looking back 10 – 15 years: • Government policies providing direction and alignment • health for older people • ageing in place • Consistency in funding approach and mechanisms • National service requirements, standardisation, access mostly the same • Large, medium, but mostly small providers • owner operated rest homes • localized community support
Looking back 10 – 15 years • unknown workforce, poorly paid • untrained workforce, not qualified • inadequate quality assurance throughout the sector • high staff turnover, gaps in community services • poor employment conditions • little if any career pathways • little if any professional development
The Next Stretch…Assess the present • increase in trained and qualified staff • lack of policy framework • inconsistent funding approaches & mechanisms • improved employment conditions, but still low wages • improved quality assurances throughout the sector • large providers, increasing in size, providing options • stress to ensure sustainability • reduction of small providers • increased prevalence of part-charging
the next stretch…Strategic considerations • Service provider OR Business activity • Values and dilemmas about part-charging • Sustainability and an increasing competitive environment • Investment to remain competitive • How to plan without a policy framework • How to plan amidst substantial challenges • What about access to high quality services for all • Impact of an ageing workforce & increasing older population
the next stretch…What is stretching? • Gap between rich and poor • 285,000, or 27% of NZ children live in poverty • Older people impacted by increasing inequality • Home ownership is decreasing; will impact in the future • How to lift wages of support workers? • Can we ensure a living wage? • Can we offer high quality to all, OR • Can only those who pay extra utilise what’s best?
the next stretch... Suggestions to help for the future • Avoid the ‘stretch too far’, or ‘stretch to the end’ • A government policy framework that is resourced • An older person centred approach • Offering choices, options - sustainably provided • Localised, helping to build communities of engagement • Funding methodology that is consistent, fair, reasonable • Providers of quality have flexibility to ensure best outcomes • Mechanisms for collaboration are developed
the next stretch…What is stretching? Central to the way forward is: - What is best for clients - A trained and qualified workforce - Workers who at least attain a living wage - Access to quality services not determined by the ability to pay