Independence & Well-being Independence & Well-being of Older Peopleof Older People

Community Services Scrutiny Community Services Scrutiny Committee - 12 June 2007Committee - 12 June 2007

Morag CuthbertsonMorag CuthbertsonJulie CushionJulie Cushion

“Our own future selves”

We have a growing older population, some We have a growing older population, some who will have a need for serviceswho will have a need for services

Having increasing expectation to be Having increasing expectation to be involved in shaping service improvements involved in shaping service improvements & active engagement in their community& active engagement in their community

Strategic direction and leadership through Strategic direction and leadership through Local Strategic PartnershipLocal Strategic Partnership

BackgroundBackground

Vision StatementVision Statement

“Older people in Southend will

be supported to retain their independence and enjoy an active life, continuing to contribute to the growth of strong local communities and

included in planning the future of the services that they need

and value”.

Structure of StrategyStructure of StrategyIn 6 Sections:In 6 Sections:

Scope and PurposeScope and PurposeHow the Strategy was preparedHow the Strategy was preparedOur Ageing ChallengeOur Ageing ChallengeDriving up our StandardsDriving up our StandardsOur Aims – Your Priorities and OutcomesOur Aims – Your Priorities and OutcomesHow you can contribute to the StrategyHow you can contribute to the Strategy

+ Appendix: Delivery Plan 2007-2010+ Appendix: Delivery Plan 2007-2010

Scope and PurposeScope and Purpose

Goes beyond health and social care to embrace all services such as housing, transport and community safety

The voluntary and community sector are key contributors

Older people and carers are themselves a major resource and

not just consumers of resources.

How the Strategy was PreparedHow the Strategy was Prepared

Stage 1

Completion of Interim

Commissioning Framework

Stage 2

Overview & Scrutiny Committee :

In-depth independence and well being project

Older People Survey of needs

and services

Witness Statements: key

providers & stakeholders

Feedback to Older People Focus Group on findings

to developOptions and Proposals

Complete Older People

Strategy

Stage 3

ReworkCommissioning

Strategy

The Strategy was prepared with major

inputs from both survey findings and the Scrutiny witness

statements provided by key providers and

stakeholders.

Our Ageing ChallengeOur Ageing Challenge

More 65 years + than England More 65 years + than England average average

19.8% compared to 15.9%19.8% compared to 15.9%

Fast growing populationFast growing population32,800 in 5 years time32,800 in 5 years time

Areas of health inequalitiesAreas of health inequalitiesMore older people withMore older people with

Learning disabilitiesLearning disabilities Long-term conditionsLong-term conditions Mental health problemsMental health problemsLiving to very “older old age 85 Living to very “older old age 85 years+years+

Driving up Our StandardsDriving up Our Standards

NSF for Older People NSF for Older People (7 standards)(7 standards)

Our Health, Our Care, Our Our Health, Our Care, Our Say Say (White Paper)(White Paper)

Choosing Health Choosing Health (White Paper)(White Paper)

Mental Health “Everybody's Mental Health “Everybody's Business”Business”

Opportunity Age: Active Opportunity Age: Active CitizenshipCitizenship

A Sure Start to Later LifeA Sure Start to Later Life

Our Aims:Your Priorities & OutcomesOur Aims:Your Priorities & Outcomes

(a) Improved Health and Well-being(a) Improved Health and Well-being

Southend overall a healthy place to liveSouthend overall a healthy place to live

Examples of what we will do:Examples of what we will do:

Promote public health information & initiatives Promote public health information & initiatives through consultations with local pharmaciststhrough consultations with local pharmacists

Increase the number of older people Increase the number of older people participating in adult education & learning, using participating in adult education & learning, using libraries for day opportunities libraries for day opportunities

Explore with our partners the development of Explore with our partners the development of dementia services for older peopledementia services for older people

Develop more day time opportunities for older Develop more day time opportunities for older people, in partnership with the PCT, housing & people, in partnership with the PCT, housing & voluntary sector voluntary sector

(b) (b) Quality of Life - IndependenceQuality of Life - Independence

The large majority maintain their The large majority maintain their independence, even into very “old,older independence, even into very “old,older age” with appropriate care, advice and age” with appropriate care, advice and supportsupportExamples of what we will do:Examples of what we will do:

Continue to develop the falls prevention service Continue to develop the falls prevention service with our partners including training and with our partners including training and awareness raisingawareness raising

Increase and actively promote services for minor Increase and actively promote services for minor repairs like ‘handyman’ or small repair schemesrepairs like ‘handyman’ or small repair schemes

Develop a Community Transport Strategy to Develop a Community Transport Strategy to enable older people from all communities & enable older people from all communities & culturescultures

Raise awareness of bus drivers of the safety Raise awareness of bus drivers of the safety needs of older people when using busesneeds of older people when using buses

(c) Positive Contribution Opportunities(c) Positive Contribution OpportunitiesMany older people already make a huge Many older people already make a huge contribution, the voluntary sector and contribution, the voluntary sector and other services depend on their other services depend on their experience,skills and commitment.experience,skills and commitment.Examples of what we will do:Examples of what we will do:

Engage with carers at a ‘strategy day’ or Engage with carers at a ‘strategy day’ or conference to improve servicesconference to improve services

Set up a representative body of older citizens to Set up a representative body of older citizens to enable regular and constructive views e.g. Older enable regular and constructive views e.g. Older Persons Parliament Persons Parliament

Work in partnership with other agencies to Work in partnership with other agencies to promote volunteeringpromote volunteering

(d) More Choice & Control(d) More Choice & ControlExpectations of older people to have Expectations of older people to have more choice of flexible and personalised more choice of flexible and personalised services have increased.services have increased.Examples of what we will do:Examples of what we will do:

Improve the co-ordination of advice and Improve the co-ordination of advice and information for older people – this will be information for older people – this will be supported by the introduction of a Council A-Z supported by the introduction of a Council A-Z Directory Directory

Actively promote expert patient programmes Actively promote expert patient programmes with health colleagueswith health colleagues

Increase the number of older people in receipt of Increase the number of older people in receipt of direct payments by making direct payments a direct payments by making direct payments a first choice option for social care service usersfirst choice option for social care service users

Develop & improve out translation & interpreting Develop & improve out translation & interpreting services & make more use of local champions services & make more use of local champions and faith forums to raise awarenessand faith forums to raise awareness

(e) Safe & Secure(e) Safe & SecureAlmost 80% of older people say they feel Almost 80% of older people say they feel safe living in Southend. However fear of safe living in Southend. However fear of crime remains a concern for a significant crime remains a concern for a significant number of residents.number of residents.Examples of what we will do:Examples of what we will do:

Include crime related contacts & issues within the Include crime related contacts & issues within the A-Z Council guide including where older people A-Z Council guide including where older people can go for extra security & advicecan go for extra security & advice

Work with local Police to ensure needs of older Work with local Police to ensure needs of older people in Southend are recognised and introduce people in Southend are recognised and introduce crime awareness and prevention campaign crime awareness and prevention campaign specifically for older peoplespecifically for older people

Work with the Community Safety & Crime Work with the Community Safety & Crime Reduction Partnerships to achieve the targets set Reduction Partnerships to achieve the targets set out in the LAA to ensure older people feel safe out in the LAA to ensure older people feel safe and secure in their communities and secure in their communities

Deliver a co-ordinated older peoples community Deliver a co-ordinated older peoples community safety programmesafety programme

(f) Economic Well-being(f) Economic Well-beingMost answering our survey (70%) Most answering our survey (70%) indicated that they had few financial indicated that they had few financial worries..but poverty remains a concern worries..but poverty remains a concern for some older people.for some older people.Examples of what we will do:Examples of what we will do:

Introduce a campaign to raise awareness and Introduce a campaign to raise awareness and use of attendance allowance and other benefits use of attendance allowance and other benefits to fund homecare etcto fund homecare etc

Use voluntary organisations to carry out regular Use voluntary organisations to carry out regular take up campaigns e.g. Age concern, DWP)take up campaigns e.g. Age concern, DWP)

Through a carers strategy, actively support Through a carers strategy, actively support carers to have opportunity to re-enter education, carers to have opportunity to re-enter education, training, or employment, and have benefits training, or employment, and have benefits advice & supportadvice & support

Develop an older persons Benefit & Grants Develop an older persons Benefit & Grants checklistchecklist

(g) Treated with Respect & Dignity(g) Treated with Respect & DignityOur long-term Care Charter sets out our Our long-term Care Charter sets out our core values – agreed between health, core values – agreed between health, social care, housing and other services- social care, housing and other services- for respecting your dignity at all times.for respecting your dignity at all times.Examples of what we will do:Examples of what we will do:

Ensure our buildings are appropriate to the Ensure our buildings are appropriate to the needs of older people with disabilities needs of older people with disabilities

Continue to develop the joint strategy for the Continue to develop the joint strategy for the Protection of Vulnerable Adults with partnersProtection of Vulnerable Adults with partners

Deal with complaints in a timely, appropriate and Deal with complaints in a timely, appropriate and sensitive waysensitive way

Ensure choice for an older person in residential Ensure choice for an older person in residential or nursing home placements according to their or nursing home placements according to their needs and wishes and the availability of their needs and wishes and the availability of their own bedroomown bedroom

FeedbackFeedback

Arrangements for publishing the strategyArrangements for publishing the strategy

Dissemination – main contact pointsDissemination – main contact points

Brief questionnaire/response pageBrief questionnaire/response page

Opportunity to engage in voluntary work, focus groups and other consultationsOpportunity to engage in voluntary work, focus groups and other consultations

Delivery PlanDelivery Plan

Can not happen all at once – over 3 yearsCan not happen all at once – over 3 years

Sets out aims, outcomes and lead agencySets out aims, outcomes and lead agency

Monitoring arrangements:Monitoring arrangements:

Health and Well-being Partnership BoardHealth and Well-being Partnership Board

Continuing role for Scrutiny.Continuing role for Scrutiny.

Not “cast in tablets of stone” – Not “cast in tablets of stone” – annual review September 2008annual review September 2008