Common use of Reshaping Care for Older People Clause in Contracts

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, care and support services, unpaid carers and available housing. This is particularly relevant in the over 85 age group, which is most likely to have the highest level of need. The change in the future working population will put pressure on the availability of a workforce within health and social care to meet the increasing needs of older people. It confirms that services in their current form are not sustainable for the future. Our joint commissioning plan for older people identifies how we plan to reshape care for older people in Moray to enable us to meet their needs. Since 2000 the number of care home places in Moray has increased by about 10%, while the number of residents has remained at about the same level. 40 30 25 20 15 10 5 0 Home Care Clients aged 65 & over receiving 10+ hours 400 350 300 250 200 150 100 50 0 Rate per 1,000 pop'n Moray Rate per 1,000 pop'n Scotland Number of clients Moray Care Homes in Moray 700 600 500 400 300 200 100 0 Total Number of Residents Number of Registered Places Nationally there has been a 6% reduction in places and a 7% reduction in residents. However, due to the increase in the older population the number of places in Moray per 1,000 population aged 65 and over has reduced by 14% compared with a 12% reduction nationally, indicating that a larger proportion of the older population is remaining in their own homes [38]. Rate per 1,000 pop'n This is supported by the considerable increase in the number of home care clients aged 65 and over receiving 10+hrs of home care. The rate per 1,000 population has overtaken the national rate [39]. The graph opposite shows the shift in the balance of care in Moray over the last 10 years, indicated by the increased proportion of clients receiving 10+ hours of homecare. Report to Health & Social Care Partnership In Place Develop/Review Implement Led By Working Group Older peoples Strategy 2009- 2014 Revise and review with a joint commissioning approach across the four sectors Change Fund for older people year three of four Review and agree change fund spend Submit change fund application Change Fund Governance Group Change Fund Governance Group Develop Change fund progress evaluation framework to monitor outcomes Monitor change fund outcomes Implementation leads Change fund governance Group Joint Commissioning Strategy for Older People 2013- 2023 Wider stakeholder Group established Health Needs Analysis Service Mapping National and local policy review Consultation Plan Develop implementation plans for each identified work stream Community Capacity building Frail Elderly Housing Modernising community services Dementia Carers Embracing Technology Plans for each work stream Community Capacity building Frail Elderly Housing Modernising community services Dementia Carers Embracing Technology Identified leads for each one Joint commissioning group Develop joint performance framework Joint Basket of measures to monitor performance Joint performance management group Change Fund Governance Group Launch JCS to staff and public Complete launch programme for CFGG Training/dev staff Complete launch programme for CFGG Older Peoples Reference Group public BV4M Supporting rehabilitation and recovery so that people can live independently. Providing home care services and supporting carers to allow more people to live in their own homes as long as possible Helping those with learning disabilities into jobs Keeping vulnerable people safe in their own homes Report to Health & Social Care Partnership Indicators 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 Value Value Value Value Target Target 32.92% 32.93% 513 of 1558 (Baseline) By April 2013, reduce the proportion of service users 65+ in permanent care as a 508 Reduce to percentage of the overall number of people receiving care of 31% 1543 Increase the number of homecare hours provided as a rate per 1,000 population ages 65+ (SPI) 491.4 475.9 493.1 30.82% 30.72% Target By April 2013, the proportion of home care service users 65+ receiving an intensive care package will be no less than 33% 319 out of 1035 321 out of 1045 33% (Baseline 2011/12 As a proportion of home care clients age 65+, the percentage receiving Personal care; a service during evenings / overnight / a service at weekends (SPI & QMS) 84.7% 35.1% 52.9% 81.6% N/A 62.4% 87.2% 30.4% 65.0% Achieve target in the percentage of older people satisfied with their involvement in the design of the care package (SPI & QMS) 90% 94.39% 97.94% SOA 4 A growing and diverse economy (Xxx Xxxxx)

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 Commiss ioning 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, care and support services, unpaid carers and available housing. This is particularly relevant in the over 85 age group, which is most likely to have the highest level of need. The change in the future working population will put pressure on the availability of a workforce within health and social care to meet the increasing needs of older people. It confirms that services in their current form are not sustainable for the future. Our joint commissioning plan for older people identifies how we plan to reshape care for older people in Moray to enable us to meet their needs. Since 2000 the number of care home places in Moray has increased by about 10%, while the number of residents has remained at about the same level. 40 30 25 20 15 10 5 0 Home Care Clients aged 65 & over receiving 10+ hours 400 350 300 250 200 150 100 50 0 Rate per 1,000 pop'n Moray Rate per 1,000 pop'n Scotland Number of clients Moray Care Homes in Moray 700 600 500 400 300 200 100 0 Total Number of Residents Number of Registered Places Nationally there has been a 6% reduction in places and a 7% reduction in residents. However, due to the increase in the older population the number of places in Moray per 1,000 population aged 65 and over has reduced by 14% compared with a 12% reduction nationally, indicating that a larger proportion of the older population is remaining in their own homes [38]. Rate per 1,000 pop'n This is supported by the considerable increase in the number of home care clients aged 65 and over receiving 10+hrs of home care. The rate per 1,000 population has overtaken the national rate [39]. The graph opposite shows the shift in the balance of care in Moray over the last 10 years, indicated by the increased proportion of clients receiving 10+ hours of homecare. Report to Health & Social Care Partnership In Place Develop/Review Implement Led By Working Group Older peoples Strategy 2009- 2014 Revise and review with a joint commissioning approach across the four sectors Change Fund for older people year three of four Review and agree change fund spend Submit change fund application Change Fund Governance Group Change Fund Governance Group Develop Change fund progress evaluation framework to monitor outcomes Monitor change fund outcomes Implementation leads Change fund governance Group Joint Commissioning Strategy for Older People 2013- 2023 Wider stakeholder Group established Health Needs Analysis Service Mapping National and local policy review Consultation Plan Develop implementation plans for each identified work stream Community Capacity building Frail Elderly Housing Modernising community services Dementia Carers Embracing Technology Plans for each work stream Community Capacity building Frail Elderly Housing Modernising community services Dementia Carers Embracing Technology Identified leads for each one Joint commissioning group Develop joint performance framework Joint Basket of measures to monitor performance Joint performance management group Change Fund Governance Group Launch JCS to staff and public Complete launch programme for CFGG Training/dev staff Complete launch programme for CFGG Older Peoples Reference Group public BV4M Supporting rehabilitation and recovery so that people can live independently. Providing home care services and supporting carers to allow more people to live in their own homes as long as possible Helping those with learning disabilities into jobs Keeping vulnerable people safe in their own homes Report to Health & Social Care Partnership Indicators 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 Value Value Value Value Target Target 32.92% 32.93% 513 of 1558 (Baseline) By April 2013, reduce the proportion of service users 65+ in permanent care as a 508 Reduce to percentage of the overall number of people receiving care 32.92%508 of 1543 32.93% 513 of 1558 (Baseline) Reduce to 31% 1543 Increase the number of homecare hours provided as a rate per 1,000 population ages 65+ (SPI) 491.4 475.9 493.1 30.82% 30.72% Target By April 2013, the proportion of home care service users 65+ receiving an intensive care package will be no less than 33% 30.82% 319 out of 1035 30.72% 321 out of 1045 Target 33% (Baseline 2011/12 As a proportion of home care clients age 65+, the percentage receiving Personal care; a service during evenings / overnight / a service at weekends (SPI & QMS) 84.7% 35.1% 52.9% 81.6% N/A 62.4% 87.2% 30.4% 65.0% Achieve target in the percentage of older people satisfied with their involvement in the design of the care package (SPI & QMS) 90% 94.39% 97.94% SOA 4 A growing and diverse economy (Xxx Xxxxx)

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 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 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, care and support services, unpaid carers and available housing. This is particularly relevant in the over 85 age group, which is most likely to have the highest level of need. The change in the future working population will put pressure on the availability of a workforce within health and social care to meet the increasing needs of older people. It confirms that services in their current form are not sustainable for the future. Our joint commissioning plan for older people identifies how we plan to reshape care for older people in Moray to enable us to meet their needs. Since 2000 the number of care home places in Moray has increased by about 10%, while the number of residents has remained at about the same level. 40 30 25 20 15 10 5 0 Home Care Clients aged 65 & over receiving 10+ hours 40 35 30 25 20 15 10 5 0 400 350 300 250 200 150 100 50 0 Rate per 1,000 pop'n Moray Rate per 1,000 pop'n Scotland Number of clients Moray Care Homes in Moray 700 600 500 400 300 200 100 0 Total Number of Residents Number of Registered Places Nationally there has been a 6% reduction in places and a 7% reduction in residents. However, due to the increase in the older population the number of places in Moray per 1,000 population aged 65 and over has reduced by 14% compared with a 12% reduction nationally, indicating that a larger proportion of the older population is remaining in their own homes [38]. Rate per 1,000 pop'n This is supported by the considerable increase in the number of home care clients aged 65 and over receiving 10+hrs of home care. The rate per 1,000 population has overtaken the national rate [39]. The graph opposite shows the shift in the balance of care in Moray over the last 10 years, indicated by the increased proportion of clients receiving 10+ hours of homecare. Report to Health & Social Care Partnership In Place Develop/Review Implement Led By Working Group Older peoples Strategy 2009- 2014 Revise and review with a joint commissioning approach across the four sectors Change Fund for older people year three of four Review and agree change fund spend Submit change fund application Change Fund Governance Group Change Fund Governance Group Develop Change fund progress evaluation framework to monitor outcomes Monitor change fund outcomes Implementation leads Change fund governance Group Joint Commissioning Strategy for Older People 2013- 2023 • Wider stakeholder Group established • Health Needs Analysis • Service Mapping • National and local policy review • Consultation Plan Develop implementation plans for each identified work stream • Community Capacity building • Frail Elderly • Housing • Modernising community services • Dementia • Carers • Embracing Technology Plans for each work stream • Community Capacity building • Frail Elderly • Housing • Modernising community services • Dementia • Carers • Embracing Technology Identified leads for each one Joint commissioning group Develop joint performance framework Joint Basket of measures to monitor performance Joint performance management group Change Fund Governance Group Launch JCS to staff and public Complete launch programme for CFGG Training/dev staff Complete launch programme for CFGG Older Peoples Reference Group public BV4M Supporting rehabilitation and recovery so that people can live independently. Providing home care services and supporting carers to allow more people to live in their own homes as long as possible Helping those with learning disabilities into jobs Keeping vulnerable people safe in their own homes Report to Health & Social Care Partnership Indicators 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 Value Value Value Value Target Target 32.92% 32.93% 513 of 1558 (Baseline) By April 2013, reduce the proportion of service users 65+ in permanent care as a 508 Reduce to percentage of the overall number of people receiving care 32.92%508 of 1543 32.93% 513 of 1558 (Baseline) Reduce to 31% 1543 Increase the number of homecare hours provided as a rate per 1,000 population ages 65+ (SPI) 491.4 475.9 493.1 30.82% 30.72% Target By April 2013, the proportion of home care service users 65+ receiving an intensive care package will be no less than 33% 30.82% 319 out of 1035 30.72% 321 out of 1045 Target 33% (Baseline 2011/12 As a proportion of home care clients age 65+, the percentage receiving Personal care; a service during evenings / overnight / a service at weekends (SPI & QMS) 84.7% 35.1% 52.9% 81.6% N/A 62.4% 87.2% 30.4% 65.0% Achieve target in the percentage of older people satisfied with their involvement in the design of the care package (SPI & QMS) 90% 94.39% 97.94% SOA 4 A growing and diverse economy (Xxx Xxxxx)

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 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 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, care and support services, unpaid carers and available housing. This is particularly relevant in the over 85 age group, which is most likely to have the highest level of need. The change in the future working population will put pressure on the availability of a workforce within health and social care to meet the increasing needs of older people. It confirms that services in their current form are not sustainable for the future. Our joint commissioning plan for older people identifies how we plan to reshape care for older people in Moray to enable us to meet their needs. Since 2000 the number of care home places in Moray has increased by about 10%, while the number of residents has remained at about the same level. 40 30 25 20 15 10 5 0 Home Care Clients aged 65 & over receiving 10+ hours 40 35 30 25 20 15 10 5 0 400 350 300 250 200 150 100 50 0 Rate per 1,000 pop'n Moray Rate per 1,000 pop'n Scotland Number of clients Moray Care Homes in Moray 700 600 500 400 300 200 100 0 Total Number of Residents Number of Registered Places Nationally there has been a 6% reduction in places and a 7% reduction in residents. However, due to the increase in the older population the number of places in Moray per 1,000 population aged 65 and over has reduced by 14% compared with a 12% reduction nationally, indicating that a larger proportion of the older population is remaining in their own homes [38]. Rate per 1,000 pop'n This is supported by the considerable increase in the number of home care clients aged 65 and over receiving 10+hrs of home care. The rate per 1,000 population has overtaken the national rate [39]. The graph opposite shows the shift in the balance of care in Moray over the last 10 years, indicated by the increased proportion of clients receiving 10+ hours of homecare. Report to Health & Social Care Partnership In Place Develop/Review Implement Led By Working Group Older peoples Strategy 2009- 2014 Revise and review with a joint commissioning approach across the four sectors Change Fund for older people year three of four Review and agree change fund spend Submit change fund application Change Fund Governance Group Change Fund Governance Group Develop Change fund progress evaluation framework to monitor outcomes Monitor change fund outcomes Implementation leads Change fund governance Group Joint Commissioning Strategy for Older People 2013- 2023 • Wider stakeholder Group established • Health Needs Analysis • Service Mapping • National and local policy review • Consultation Plan Develop implementation plans for each identified work stream • Community Capacity building • Frail Elderly • Housing • Modernising community services • Dementia • Carers • Embracing Technology Plans for each work stream • Community Capacity building • Frail Elderly • Housing • Modernising community services • Dementia • Carers • Embracing Technology Identified leads for each one Joint commissioning group Develop joint performance framework Joint Basket of measures to monitor performance Joint performance management group Change Fund Governance Group Launch JCS to staff and public Complete launch programme for CFGG Training/dev staff Complete launch programme for CFGG Older Peoples Reference Group public BV4M Supporting rehabilitation and recovery so that people can live independently. Providing home care services and supporting carers to allow more people to live in their own homes as long as possible Helping those with learning disabilities into jobs Keeping vulnerable people safe in their own homes Report to Health & Social Care Partnership Indicators 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 Value Value Value Value Target Target 32.92% 32.93% 513 of 1558 (Baseline) By April 2013, reduce the proportion of service users 65+ in permanent care as a 508 Reduce to percentage of the overall number of people receiving care of 31% 1543 Increase the number of homecare hours provided as a rate per 1,000 population ages 65+ (SPI) 491.4 475.9 493.1 30.82% 30.72% Target By April 2013, the proportion of home care service users 65+ receiving an intensive care package will be no less than 33% 319 out of 1035 321 out of 1045 33% (Baseline 33%(Baseline 2011/12 As a proportion of home care clients age 65+, the percentage receiving Personal care; a service during evenings / overnight / a service at weekends (SPI & QMS) 84.7% 35.1% 52.9% 81.6% N/A 62.4% 87.2% 30.4% 65.0% Achieve target in the percentage of older people satisfied with their involvement in the design of the care package (SPI & QMS) 90% 94.39% 97.94% SOA 4 A growing and diverse economy (Xxx Xxxxx)