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Positive Ageing

Positive Ageing. Shaping the future of older Londoners’ health and social care. Anne Bristow Corporate Director of Adult & Community Services, LB Barking & Dagenham. Society is changing. Advancing technology. Shifting demography. Rising expectations. Longer lives.

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Positive Ageing

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  1. Positive Ageing Shaping the future of older Londoners’ health and social care Anne BristowCorporate Director of Adult & Community Services, LB Barking & Dagenham

  2. Society is changing Advancing technology Shifting demography Rising expectations Longer lives

  3. What Do Older People want? 0 10 20 30 40 50 60 70 80 90 100 Would you ask this question of everyone in this age bracket? So why do we ask it about everyone in this age bracket? To stay in control? To have choices? To carry on being ‘me’?

  4. The Changing Care System The cost of personal care Personal budgets Personal assistants Micro-providers

  5. The Changing Care System Prevention/wellbeing Increasing emphasis on preventing or delaying care needs, including through better choices earlier Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform

  6. The Changing Care System Prevention/wellbeing Right to an assessment and a duty on the Council to provide services for carers in their own right Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform

  7. The Changing Care System Prevention/wellbeing Statutory basis for Safeguarding Adults Boards Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform

  8. The Changing Care System Prevention/wellbeing A duty on the Council to work to ‘shape’ an active market in social care services locally. Presumption everyone has a personal budget Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform

  9. The Changing Care System Prevention/wellbeing A duty to provide information and advice for the whole community, and independent financial advice Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform

  10. The Changing Care System Prevention/wellbeing • A raft of funding reforms, including: • cap on lifetime care costs; • new financial and eligibility criteria; • deferred payments; • portable assessments; • portable ‘Care Account’ Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform

  11. Elements and timings

  12. Integration • Avoiding the queue of professionals on the garden path • A single, shared view of service user needs • Care closer to home • Joining up funding… • …but fundamentally different funding regimes continues to be an issue

  13. Challenges Loneliness and isolation Dementia Getting the funding right Getting the new system in place Supporting choice

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