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Cities and Counties Programme
Making Ireland a great country to grow old in
Conn MurrayLimerick City and County Council
Age Friendly Societies
Age Friendly programmes are about creating societies we all wish to be part of
The process of Ageing affects us all regardless of circumstance i.e.• The person pushing the buggy faces challenges everyday • The person in the wheelchair faces challenges everyday
Today gives an opportunity to outline an approach under the theme of Ageing that is now operating throughout all local authority areas in Ireland
The Need to Respond:
People are living longer and..
80% of people acquire a disability from the ages of 18-64
Over 65 population will increase 250% by 2036
1 in 3 new borns will live to 100
Over 80 population will increase by 400% by 2041
95% of this population are active
Implications for: Pensions, Health and Housing
A Global Response
A World Health Organisation Vision
Local AuthorityLed in
Framework for Developing Age Friendly Communities
Ireland’s NationalProgramme started in 2008 in Louth
Methodology devised using a Design & Build approach
Dublin Declarationsigned 2011/2013
CriticalSuccessFactors
What’s Different? New Thinking, New Approaches .
1. Participation
- Older people find solutions to issues.
-Help us determine priorities with positive meaningful engagement
2. Efficiency
-Sharing learning’s, adopting models of good practice.
-Demonstrating cost effectiveness, responsiblisation i.e. A quick description of what this term means
What’s Different? New Thinking, New Approaches . .
3. Collaboration - Working across public, private & NGO sector
4. Implementation - Measuring improved outcomes for older people and people with disabilities
5. Partnership - Key Stakeholders working collaboratively on an interagency basis
6. Innovation - Thinking differently and finding solutions
A Common Approach . . . The World Health Organisation Themes
Outdoor spaces and buildings
Transportation
Housing
Social Participation
Respect and Social Inclusion
Community Support and Health Services
Civic Participation and Employment
Communication and Information
What is an Inclusive Age-Friendly City or County?
Step 1 Local CollaborationAlliance formed by leaders and decision makers from:
- the local authorities, health and social services, Gardaí, transport,service providers, NGOs, business and academics
Step 2 Local Consultation - Consult with service providers and older adults
- Form an Older People’s Council
- Make a plan
- Implement real change in imaginative and cost-effective ways
What is an Inclusive Age-Friendly City or County?
Step 3 Joined up, real change in the following areas: - supports to stay at home- better public spaces and parks, - transport that meets needs, - safer places, - more opportunities to participate, - better health services - new opportunities to volunteer to make neighbourhoods better places
for all
Age Friendly Cities and Counties Programmes
The following examples:
- Demonstrate core programme related principles:
- Shared response to a shared problem
- Involve collaborative/multi-agency response;
- Born out of citizen engagement and co-design
- Voice of Older People influenced all approaches
Age Friendly Cities and Counties Programmes
The Challenge…
- Reconfigure resources to provide for more effective and equitable access to front line services
-
- Parallel empowering of ‘client’ towards greater self management
- ‘User’ not always a passive recipient of intervention but is often a co-designer
- Emphasis on low or zero cost
Cúltaca(Brokerage)
AgeFriendly
Cities & CountiesProgramme
HealthRoute
Age FriendlyBusiness
CrimePrevention
Ambassadors
Housing
Test Beds for Innovative Solutions. . .Key Features
Cúltaca (brokerage) - Provides a wide range of social and care supports to enable people to continue living in their own homes
- 2 full time staff, 50 volunteers.
- 650 Clients received visits
Health Route
- 47% missed hospital appointments.
- Costly/Limited access to Health Appointments.
- Targeted 600 patients
Test Beds for Innovative Solutions. . .Key Features
Age Friendly Business.
- Age Friendly Business Plan - Businesses provide discounts for older people
- Recognition Scheme
- Targeted 140 businesses. 2 National franchises, 2 Shopping centres and 6 Chambers of Commerce
Crime Prevention Ambassadors
- Set up programme in 3 counties, with 37 volunteers.
-Volunteers Garda Vetted. Trained by the Garda National Community Policing Office
- Volunteers visited 230 older people in their homes.
Outputs & Outcomes
Cúltaca (brokerage)
-Providing services to 120 extra people per year
- Effecting hospital avoidance/preventable residential care admission; Promoting early discharge
- Savings : €1.2 million per year
Health Route
- Significant reduction in missed appointments
- Reduction in health services and transport costs e.g.
- €88 per patient for contracted services
- €48 per patient under Patient Transport Services (PTS) budget
Outputs & Outcomes
Age Friendly Business Plan
-Training- Economic importance of AF principles for business
- Positive bottom line impacts recorded
Crime Prevention Ambassadors- Increase knowledge, risk awareness, enhanced coping/ response skills
- Visits assisted older people to feel safer in their homes.
- Potential to impact / address loneliness social isolation-
- Provide an additional and important local signposting/brokerage role.
Social and Economic Outcomes• Efficient reconfiguring of key services on part of key service providers• Bottom line cost savings/revenue generation opportunities for services• Recognise older people, as consumers, play a vital role in supporting
local businesses and services, thus keeping communities vibrant.• Holistic Age Friendly framework each area can put their own blueprint
on model • Flexibility to respond in creative / tailored ways to issues of local
importance• Parallel potential to ‘scale-up’ and share with national network when
evidence is gathered
Adaptive Housing . . .
Older people want to stay living in their own home and community . . .
I want to stay living in my home as long as possible.
Raheny is my home, whenever I go away, I can’t wait to come back.
But in appropriate accommodation . . .
And to feel Safe . . .
Even when I am on my own, I lock myself in and make sure all the doors and windows are closed.There isn’t a week that goes by where I don’t hear ‘ about a break in’.
The stairs are terrible; physically I find it hard to climb them
I’m on my own, what happens if I have a bad fall!
Response: To meet the needs, we need to think differently
• Locate new developments close (walking distance ) to services and
include adaptable design
• Integrate technology into developments, enhancing safety and security,
health monitoring, comfort and social connectedness
• Integrate social supports into developments; access to information, find
non health service based solutions and reduce demand
• Design of accommodation can be beneficial plus accompanying care
and support packages are crucial to supporting quality of life.
Social Research Centre
Becoming an Age Friendly City or County . . . The Process
• Consult with Older People
• Engage other key organisations
• Establish Older People’s Council
• Complete 1st Draft Strategy • Check strategy reflects priorities• Secure Alliance approval • Finalise and launch strategy • Affiliate to WHO Global Network
• Secure approval of Local Authority & Chief Executive
• Secure agreement of critical agencies
• Secure consent of political representatives
• Create an Age Friendly City Alliance • Hold a public launch
• Begin implementing the Strategy• Plan Forums• Establish Age Friendly Business
and Service Providers forum• Monitor & review implementation
1START
2CONSULT
3PLAN
4ACT
Age Friendly Cities and Counties
January 2009 January 2015
Thank You