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The Gathering 23 February 2011 Mike Martin Partnership Improvement and Outcomes Division

The Gathering 23 February 2011 Mike Martin Partnership Improvement and Outcomes Division. Doing it right – getting it wrong!!!. WHY we need to ‘Reshape’ Care: Sustainability – Rapidly ageing population – Declining public finances Desirability – Promoting independence not dependence.

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The Gathering 23 February 2011 Mike Martin Partnership Improvement and Outcomes Division

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  1. The Gathering 23 February 2011 Mike Martin Partnership Improvement and Outcomes Division

  2. Doing it right – getting it wrong!!!

  3. WHY we need to ‘Reshape’ Care: • Sustainability – Rapidly ageing population – Declining public finances • Desirability – Promoting independence not dependence

  4. PAUSE FOR THOUGHT: • More of the same will cost an extra £1.1 billion by 2016 – where will this come from? • Over 1/3 of all money spent on health/social care for over 65’s is on emergency hospital admission [£1.4 billion out of £4.5 billion each year] • 89.5% of people over 65 yrs are not in the ‘care system’ [97% of people between 65-74 yrs] • 3,000 people 65 yrs+ receive more than 20hrs paid care per week • 40,000 people 65 years+ provide more than 20hrs unpaid care per week

  5. How do we spend the £4.5 billion …

  6. Current service provision by service type

  7. Current service provision by age group 65-74 75-84 85+ 97% 88% 60%

  8. The challenge of change – more HOW than WHAT? WHAT: • A new philosophy of care – partnership and co-production • A shift of focus – enablement, empowerment, responsibility • A shift of resources – from institution to community • A conducive infrastructure to promote rather than prevent integration

  9. HOW • Build an enduring consensus for the long haul • Clarity of ambition – what will success look like? • A decommissioning strategy – will impact on the acute sector • A commissioning strategy – coherent service redesign and development • Mutually reinforcing national and local strategies • Building Community Capacity – the ‘spine’ for re-shaping care

  10. HOW – THE CHANGE FUND • £70 million for 2011/12 [circa £300 million over 4 yrs] • Subject to Change Plans – developed/agreed by Council/Health Board/3rd sector/Independent Sector • To invest in community based provision – preventative and anticipatory • To impact on Core Budgets to promote de-commissioning • To promote effective partnership working

  11. Reshaping Care for Older People – A Programme for Change 2011-2021 • Publish on 4 March 2011 • Our commitments: • Double proportion of spend on care at home – from 6.7% to 13.5% • Build capacity of community/3rd sector to support/grow “supported self care” • Change Fund introduced - £300m over 4 yrs • Reduce unnecessary variation – potential to take out 11% of hospital beds • Reduce bed days for 75+ due to emergency admissions by 10% by 2015 • No discharge direct from hospital to care home • All over 75+ to be offered a telecare package based on assessed need

  12. OVERVIEW: COMMUNITY CAPACITY AND CO-PRODUCTION WORKSTREAM

  13. CONTEXT • DEMOGRAPHY/ECONOMY • RESHAPING CARE FOR OLDER PEOPLE • WORKSTREAMS • CHANGE FUND • OPPORTUNITIES/CHALLENGES

  14. COMMUNITY CAPACITY AND CO-PRODUCTION WORKSTREAM (1) • Values the capacity, skills, knowledge connections and potential in a community…sees citizens and communities as co-producers of health and well being (and) instead of doing things for people shares power and helps a community to do things for itself’ (Improvement and Development Agency, 2010)

  15. COMMUNITY CAPACITY AND CO-PRODUCTION WORKSTREAM (2) • Older People are an asset not a burden • Community capacity building is working with the voluntary and community sectors to build a philosophy of care based on co-production principles and to develop new community driven models of care provision. • A partnership between those providing care and support and those providing it.

  16. COMMUNITY CAPACITY AND CO-PRODUCTION WORKSTREAM (3) • Success has as much to do with shifting attitudes and expectations as it has about shifting resources, care institutions, providers and workforces. • Change Fund/ Change Plan – Opportunity and Challenge!

  17. OUR ROLE • General Support for Partnerships • Developing the Knowledge and Evidence base • Building Networks and Communities of Practice • Sharing Good Practice • Signposting/Developing Guidance • Link to Scottish Government

  18. Contact Details Scottish Government leads for Community Capacity Building & Co-production • Gerry Powergerry.power@scotland.gsi.gov.uk0131 244 2374 • Andrew Jacksonandrew.jackson@scotland.gsi.gov.uk0131 244 5424

  19. Co-production • Delivering public services in an equal and reciprocal relationship between professionals, people using services, their families and their neighbours. Where activities are co-produced in this way, both services and neighbourhoods become far more effective agents of change. National Endowment for Science, Technology & the Arts (NESTA) & New Economics Foundation (NEF)

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