Reshaping Care for Older People. The aim of the Reshaping Care for Older People programme is to redesign services and increase the range of supports to ensure they are both sustainable in the long term and that they improve outcomes. Older people have said that given the option, they want to stay in their own homes for as long as possible, and have care that is personalised according to their own individual needs and preferences. Reshaping Care promotes community capacity building and new models of care and support that shift the balance of provision away from institutional care, towards care at home. The Reshaping Care Strategy for Glasgow will shape the planning of older people’s services in the City, and contains representatives from the NHS Board, Social Work Services, the Independent Sector (represented by Scottish Care) and the Voluntary Sector (represented by GCVS, as part of the Third Sector Interface).
Reshaping Care for Older People. We will promote a culture of choice, independence and quality with older people in Moray, where they are supported to share responsibility for leading healthy, fulfilling lives in active communities that value and respect them - Xxxx Xxxxxx Introduction The Scottish Government outlined their requirements for local Health and Social Care organisations to produce a joint Commissioning Strategy for older people in the document “A Programme for Change” 2011-2021. The document set out the national framework within which local partnerships develop joint strategies and commissioning plans. The framework sits alongside the NHS Quality Strategy and sits above and supports the delivery of other strategies, including Dementia Strategy, Carers Strategy, Self directed support strategy and Living & Dying Well strategy, together building a cohesive and comprehensive approach to meeting the care and support needs of older people. The Scottish Government‟s introduction of the change fund (four year programme) provides the opportunity of bridging finance to make that change. The Moray Community Health and Social Care Partnership (MCHSCP) is committed to shifting the balance of care from acute to community settings and reshaping services for older people in their communities. A programme of work has been developed to achieve this shift as part of the Reshaping Care programme, with a stakeholder commissioning group agreeing the commissioning process to inform how health, social care, the Third sector and the Independent sector will work together in partnership to respond to the needs and expectations of Xxxxx‟s older population within a whole systems approach. The development of a joint approach to commissioning in Moray - working across all sectors - looks at the total spend of our resources in an environment where all partners who have responsibility for specifying, securing and monitoring services are able to contribute to future models of care for older people that achieve better outcomes for older people, created through shared ownership and co-production. Age 2011 2014 % change 2020 % change 2030 % change 50-64 18,380 18,720 1.8 19,776 7.6 16,147 -12 65-74 9,153 10,121 10.6 11,076 21 12,257 34 75-84 5,842 6,274 7.4 7,149 22.4 9,032 54.6 85+ 1,613 1,818 12.7 2,442 51.4 3,880 140.5 The table shows Moray population projections for 2020 and 2030, showing % change from 2011. The projected growth in the older population will create significant additional demand on health, car...
Reshaping Care for Older People. Following the commencement of the Reshaping Care for Older People Change Fund in 2011-12 a range of CPP partners have been developing a long-term approach to developing an assets based approach to Older Peoples services. The emphasis of the Change Fund and the activities that flow out of it are on: • Re-shaping the nature of service delivery away from reactive approaches to preventative and anticipatory care to meet the challenges of rising demand and reducing budgets • Providing services which optimise the independence and wellbeing for older people. For example, the Reablement service changes the culture of home care from task and time to improved outcomes and it shifts from ‘doing for’ the person to ‘doing with’ them to maximise long term independence, confidence and quality of life. Investment from Big Lottery in Seniors Together, older volunteers will support very socially isolated older People to remain at home through a mix of 1:1 and group befriending that provides opportunities for socialisation and reconnection with local communituies. • Re-balance the provision of care towards anticipatory and preventative care, to enable older people to retain independence for as long as possible and to remain engaged with their communities. Examples on how this will be achieved include: o This is achieved through focusing upon building community capacity in third sector organisations as well as increasing the number of older volunteers and volunteering opportunities in East Renfrewshire. .
Reshaping Care for Older People. The Reshaping Care for Older People Programme, funded by the Older People’s Change Fund, is an integrated and comprehensive whole systems framework. We have explained how the Reshaping Care Programme (Change Fund) will be taken forward in the Dundee Joint Strategic and Commissioning Statement for Older People which is underpinned by strong local authority, health, voluntary and private sector partnerships. The framework emphasises a requirement to invest in anticipatory and preventative approaches that will help manage demand for formal care; work closer with the third sector; develop community capacity and support carers. In order to achieve this we will continue to provide intensive (ten hours or more per week) homecare. In order to meet the demand which is anticipated to shift from the acute sector and as a consequence of demographic change, we will increase the number of people receiving Intensive Homecare by 5% and Enablement by 15% each year until 2017. We want to reduce unnecessary unscheduled hospital admissions and we have committed to reducing the emergency episodes and bed days for people aged over 65% by 2% each year until 2017. It is recognised that this is a challenging task as demographic, social and economic changes mean that we now need to provide more with less resources. In order for this to be achieved people, who use our services and their carers need to be partners in care planning and in control of their futures. To this end, over 200 older people were involved in the development of the Joint Strategic and Commissioning Statement for Older People. We will continue to revise, through consultative processes, how we provide services to encourage more choice and control. The development of the Change Fund Plan for Older People has facilitated an opportunity to test and review a number of changes. Our revised models of care are much more outcome focussed, integrated and collaborative with a much stronger emphasis on anticipatory care, early intervention and rehabilitation. Our voluntary and private sector partners have a greater role than ever before and we have worked with them to deliver Stirling University Best Practice Dementia Training in Care Homes and will roll this out to Care at Home Providers. The Dundee Celebrate Age Network (CAN) was tasked through the Change Plan to develop an older people's information resource. Working in partnership with the Dundee Independent Advocacy Service (XXXX), CAN has developed an Older People's He...
