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Developing Accommodation and Support Options for Older People. Kevin Keenan, Assistant Director of Social Services HSCB. The Change Agenda Setting it in Context Examining Options for Service Change Seizing Opportunities. The Change Agenda. ‘Transforming Your Care’
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Developing Accommodation and Support Options for Older People Kevin Keenan, Assistant Director of Social Services HSCB
The Change Agenda • Setting it in Context • Examining Options for Service Change • Seizing Opportunities
The Change Agenda • ‘Transforming Your Care’ • Older People a Priority • ‘Home is the Hub’
Context • Demography • Resources • Service System
Demography • Ageing as Challenge • Ageing as Solution • Targeting Need
Resources • Financial Context • Funding Pressures • Funding Vulnerability
Service Change – Home Based Care • Reablement - Intensive input - Maintaining Independence - Diversion from care system • Domiciliary Care Reform • Personalisation
Service Change – Nursing Home Care • Market Instability • Non-Strategic Development • Market Re-design
Service Change – Residential Care • Role of Statutory Care? • Suitability of Estate • Lack of Capital • Re-Design/Modernise/Close
Service Change – The Role of Supported Housing • Under-exploited Opportunity • Few Innovative Developments • Problematic Outcomes • Opportunistic Mindset • Clarity about need, the model & funding options.
Supported Living and Older PeopleLimitations and Opportunities • Audit of Regional Intent • Premised on Recycling Funding • Focus on Service Re-design • Based on assessment of need • Promoting appropriate service model/s • Informed Business Cases • Approve development programme • Re-visit floating support
In Conclusion...... • We have a window of opportunity • We need to prioritise and focus on deliverability • We need to acknowledge limitations • We need to consider planning on a co-ordinated, programme basis. • We need to see tangible development in 2012/13