Living not existing: putting prevention at the heart of care for older people (July 17)

1. Living not existing: putting prevention at the heart of care for older people (July 17) (Add your country) Choose your image(s) and resize

2. Why now? • The RCOT campaign Occupational Therapy – Improving Lives Saving Money is making the case for occupational therapists in three key pressure points in NHS and care services: • NHS and care services reaching a tipping point across the UK • People with commissioning powers under extreme pressure • Critical in this climate that occupational therapy states how it is • Improving lives and • 2. Saving money for public purse

3. Policy Drivers in England Sustainability and Transformation Plans (STPs) • Submitted in June to be actioned in the autumn • 44 STP footprints • Combined health and social care approach to meet local population needs. • Shift to place based systems approach. • Combine resources, create alliances and partnerships- relationship centred delivery of care. • Move away from competition as driver for care.

4. Policy Drivers in Wales The Social Services and Well-being (Wales) Act • Duty to promote wellbeing and take a preventative approach • People have control over what support they need, making decisions about their care and support • Carers have an equal right to assessment for support. • Easy access to information and advice • Stronger powers to safeguard people • Local authorities and health boards work together in new statutory partnerships to drive integration, innovation and service change

5. Policy Drivers in Scotland Public Bodies (Joint Working) (Scotland) Act 2014 • Live from 1st April 2016 • Are integrated from the point of view of service-users • Take account of the particular needs of different service-users within the local population and their participation in the community. • Respects the rights and dignity of service-users • Protects and improves the safety of service-users • Are planned and led locally in a way which is engaged with the community and makes the best use of the available facilities, people and other resources • Best anticipates needs and prevents them arising • 9 National Health and Wellbeing Outcomes to drive quality improvement across health and social care.

6. Policy Drivers in Northern Ireland • Quality 2020 (Nov 2011) A 10 year strategy to protect and improve quality in health and social care Northern Ireland Safe and Effective • Transforming Your Care (Dec 2011) A Review of H&SC in Northern Ireland • Personalisation, independence and integration • Making Life Better – A Whole System Framework for Public Health 2013-2023 Prevention and tackling inequalities • Systems, Not Structures, (2016) Changing Health & Social Care Expert Panel Report ‘Accountable Care Systems’ to integrate, Triple Aim Objective (population health, experience of care and per capita cost) • Health & Wellbeing 2026 (2016) Delivering Together

7. Northern Ireland (continued)12 key principles of Transforming Your Care • Individual at centre • Evidenced based services • Right care right place right time • Population- based planning of services • Prevention focus and tackling inequalitites • Integrated care • Promoting independence and personalisation of care • Safeguarding most vulnerable • Ensuring sustainability of service provision • Realising value for money • Maximising use of technology • Incentivising innovation at a local level

8. ‘The social care system is facing unprecedented pressure and is broken’ • Julia Scott, Chief Executive Officer, Royal College of Occupational Therapists • We must focus on creating services that help older people to do as much as they can for themselves. This can be achieved by • Prevention or delaying the need for care and support • Helping older people remain in their communities • Ensuring equality of access to occupational therapy • Those that receive help from an occupational therapist are more likely to be able to adapt successfully to change and manage the consequences of fragility and ill health – and remain independent.

9. Occupational therapy • Occupational therapy provides practical support to enable people to facilitate recovery and overcome any barriers that prevent them from doing the activities (occupations) that matter to them. • This helps to increase people's independence and satisfaction in all aspects of life. "Occupation" refers to practical and purposeful activities that allow people to live independently and have a sense of identity. This could be essential day-to-day tasks such as self-care, work or leisure.

10. Why occupational therapists? • Occupational therapists are unique as they are trained to work in both health and social care and also work across mental and physical health • Investing in occupational therapy has the potential to improve care quality without increasing overall spending

11. Living not existing: putting prevention at the heart of care for older people (July 17) • The evidence for the reports was gathered from data examples from services around the UK • The College has published four reports one for each UK nation

12. Living not existing: putting prevention at the heart of care for older peoplePublication 13 July 2017 Briefing meeting at the Shard kicked off with a national debate how to deliver on prevention with key stakeholders

13. Living not existing: putting prevention at the heart of care for older people The report is supported by a film for the public and stakeholders has been produced to show the difference occupational therapy can make.Available on You Tube https://youtu.be/8S7P0ON9w1A or can be downloaded from: http://mbf.me/Xp8e0M

14. Living not Existing - Messages • Deploying more of the occupational therapy workforce in primary care to use their skills to intervene early • Occupational therapists are a limited resource. We can be more effective in addressing the needs of the local population bytrainingandsupervisingothers to be competent to deliver on aspects of traditional practice – minor adaptations, practising skills in activities of daily living.  e.g. Trusted Assessors, Health & Work Champions • We need to support developing wider partnerships for further innovation. Occupational therapists can act ascatalysts for addressing needs beyond traditional health and social care, such as poor housing and social isolation.

15. Living not Existing: recommendations for England

16. Living not Existing: recommendations for Northern Ireland

17. Living not Existing: recommendations for Scotland

18. Living not Existing: recommendations for Wales Please choose the Welsh or English one and resize

19. We have chosen some data impact examples on the following slides. You can add local examples or other relevant report examples if this will be helpful. All the examples are in the reports if you need further detail

20. Demonstrating the value of occupational therapy The reports showed the following… Flint County Council Occupational therapists have enabled an average of three people a year to move from residential care to a suitable home. SAVING: £123,781.32

21. Demonstrating the value of occupational therapy Kent Reablement at Home Teams Nine teams across the country 83% of people seen are able to live independently at home SAVING: £3.2 million

22. Demonstrating the value of occupational therapy The Bridgeway Service: An occupational therapy and reablement programme enabled Mr Evans to stay at home and keep active in his community.. SAVING: £34,620 annually

26. Add some local practice examples here or choose some from the report in areas where you wish to develop services. Choosing ones showing savings has a great impact You can use the impact data guidance on the microsite to help you http://cotimprovinglives.com/tell-your-story/

27. In summary Occupational therapists should be commissioned with work older people as they begin to become frail. Helping in small ways early on, can prevent or delay the need for more intensive support following a crisis. This enables people to Live, not just Exist while also saving money for services

28. ADD A LOCAL SUMMARY – WHAT ARE YOU ASKING FOR ETC e.g. ask the audience to consider how they can adopt the recommendations in services How can they help with taking the report forward

29. For further information contact: ADD YOUR CONTACT DETAILS