Linking the Thinking; Policy into Practice

1. Linking the Thinking;Policy into Practice Tricia Morris Care Services Improvement Partnership 20th November 2007

2. By 2025, a quarter of the entire adult population will be over 65 And expectations of public services will rise A few facts • Older people are the largest consumer group of both social care and the NHS • About 65% of people in acute care are aged 65 and over Projected % of England's adult population aged 65 and over

3. Policy - Older People • National Director for Older PeopleProfessor Ian Philp • Directorate of Social Care, Local Government & Care PartnershipsDavid Behan; Director General

4. Strengthening performance management Better care and support Shaping and building the market Increasing capability People Shaping the Service One system to drive reform Inspection will judge how everyone experiences care services Everyone will benefit from better trained staff across the profession, and the development of new technologies Better commissioning will strengthen the market in local areas, benefiting all people Privately funded and State funded users will follow slightly different routes through a single system. Many of the reforms will address the needs of both groups of users Better information and mechanisms such as direct payments will help users to shape services

5. Strengthening performance management Better care and support Shaping and building the market Increasing capability People Shaping the Service Priorities Policy • Personalisation • Early Intervention • Dementia • Dignity • Carers Enablers • The Workforce and Status of Social Care • Commissioning • New Performance Framework • Delivery of CSR and Efficiency • Reform of care and support system – Green Paper

6. Policy drivers • National Service Framework for Older People • Published in 2001 • Sets standards for what we can expect in old age • A 10 year programme of reform • A recipe for care - not a single ingredient • Published 2007 • Endorsing whole system reform

7. A recipe for care5 key ingredients • Early intervention and assessment of old age conditions • Long term conditions management in the community integrated with social care • Early supported discharge whenever possible • General acute hospital care when needed combined with quick access to specialist centres • Partnership built around the needs and wishes of older people

8. Our Health Our Care Our Say • A new direction for community service • White paper • Published January 2006 • Key themes • Improved mental health services • Easier access to services • Care closer to home • Better information • Improving health • Care for people with ongoing needs • Help for carers • Joined up care

9. Sensory impairment • Social care for Deafblind children & adults • Local authority circular (guidance) • Issued March 2001 • UK Vision strategy • Consultation from 1st November 2007 to 17th January 2008 • 4 strategic areasEye health awareness & the prevention of blindnessCorrection treatment and the eye care journeySupport for independent livingEmpowerment and the inclusive society

10. Sensory impairment • Stepping away from the edge • Improving services for deaf and hard of hearing people • Practical guidance and current positive practice • Published 1999 • NHS Eyecare services programme • Provides national facilitation & co-ordination for the testing & development of eye care pathwaysGlaucoma, Age related macular degeneration, low vision

11. Our NHS Our Future • NHS review led by Lord Darzi • Interim report published 10th October 2007 • Fairness • Establishes an access fund to establish new GP run health centres • Personalisation • Improved access to GPs (evening & weekends) • Improved psychological therapy services • Innovation • Establish the healthcare innovation council • Safety • Reducing healthcare acquired infections

12. Comprehensive Spending Review • Spending rises • From £90 billion in 2007/08 • To £110 billion in 2010/11 • 4% a year increase on planned spending • To meet the demands of • an ageing population • New technology • Rising public expectation

13. Public Service Agreements • PSA 18: Better Health & Wellbeing for All • PSA 19: Ensure Better Care for All • Links with • Local Area Agreements • Department of Works & Pensions

14. Commissioning • World class commissioning • Adding life to years and years to life • Practice based commissioning

15. Review current service provision Decide priorities Assess needs Strategic planning Design service Specify outcomes &procure services Managing demand and performance Managing performance (quality, performance, outcomes) Shape structure of supply Clinical decision making Manage demand and ensure appropriate access to care Commissioning

16. Major challenges • Funding target to those most in need • Public understanding of the funding system • Public awareness of the need to save • Inequalities in access • local eligibility criteria • Variable standards amongst providers • Low skilled and low paid workforce

17. Acknowledgements • A number of slides & pictures are taken from presentations given by others at public meetings • One system to drive reformDavid Behan • A recipe for care - not a single ingredientProfessor Ian Philp • Commissioning Gary Belfield

18. Thank you Tricia Morris Tel: 07721 642 447 Email: tricia.morris@mac.com