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THE CHALLENGES WE FACE PARTNERSHIPS COMMISSIONING INTENTIONS. THE CHALLENGES WE FACE. CHANGING AND RISING EXPECTATIONS FINANCIAL AND WORKFORCE CONSTRAINTS DEMOGRAPHIC CHALLENGES. Table 1 Increase in older population by district.
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THE CHALLENGES WE FACE • PARTNERSHIPS • COMMISSIONING INTENTIONS
THE CHALLENGES WE FACE • CHANGING AND RISING EXPECTATIONS • FINANCIAL AND WORKFORCE CONSTRAINTS • DEMOGRAPHIC CHALLENGES
We have modelled the potential impact of these demographic changes against the current pattern of care. If the numbers of older people in care homes were to continue to be in the same proportion as we do now then: • by 2010 an extra 357 older people would be resident in care homes • by 2015 this would rise to an extra 1488, and • by 2025 an extra 4843 older people would be resident in care homes • THE CURRENT PATTERN OF CARE FOR OLDER PEOPLE IS THEREFORE SIMPLY UNSUSTAINABLE. IT WILL NOT DELIVER WHAT PEOPLE WILL WANT IN THE FUTURE AND WOULD MEAN EVEN MORE OLDER PEOPLE LIVING IN CARE HOMES, AND THIS IS NOT AFFORDABLE.
PARTNERSHIPS • WITH USERS AND CARERS: • OLDER PEOPLE FORUMS/OPAG • CARERS NETWORK • WITH HEALTH COMMISSIONERS: • JOINT COMMISSIONING GROUP • FALLS • INTERMEDIATE CARE • STROKE • DEMENTIA • END OF LIFE • WITH PROVIDERS: • PROVIDER FORUMS • LOCALITY CAPACITY PLANS • TASK GROUP WITH LCC PROVIDER ARM • LOPP
16 COMMISSIONING INTENTIONS • REVIEWING TRANSPORT ARRANGEMENTS FOR DAY CARE • PREVENTION SERVICES • SIMPLE EQUIPMENT • RESPITE CARE IN CARE HOMES • USING INDIVIDUAL BUDGETS FOR RESPITE CARE AT HOME • RESPITE CARE FOR OLDER PEOPLE WITH DEMENTIA
COMMISSIONING INTENTIONS • RESHAPING HOME CARE RE: NEW RAPID RESPONSE SUPPORT AND REABLEMENT SERVICE • RESHAPING INTERMEDIATE CARE • INTRODUCING INDIVIDUAL BUDGETS AND SUPPORT PLANS FOR OLDER PEOPLE • WORKING IN PARTNERSHIP WITH PCT RE: JOINT WORKING FOR LONG TERM CONDITIONS • IMPROVING QUALITY AND CHOICE IN CARE HOMES • DEVELOPING TELECARE • MODERNISING DAY CARE OPPORTUNITIES • GOOD INFORMATION AND ADVICE FOR ALL • EXTRA CARE HOUSING AND CARE VILLAGES • SUPPORTING CARERS
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