reshaping residential care for older people

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RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
DOUGLAS HUTCHENS, INDEPENDENT CO-CHAIR
Background and Working Structures
Questions and Thoughts
Emerging Themes and Discussions – Work In Progress
Questions and Thoughts
The Next Steps
Questions and Thoughts
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Background and Working StructuresScottish Ministers and COSLA Established a High Level Task Force.
It will Provide Recommendations–
• To Reshape the Structure of the Sector
• Develop a Framework for the Commissioning and Delivery of
Care with Accommodation
Set Up in Summer to Report by Autumn 2013!
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Background and Working StructuresThe Context in Which the Task Force is Working
• The Wider Integration of Health and Social care
• The Existing National Care Home Contract
• The Current and Emerging Fiscal Picture
• The Ageing Population
• The Requirement for Joint Commissioning Plans and Links to Housing
• The Review of the National care Standards
• The Sustainability of the Sector
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Background and Working Structures- Co-Chaired By Independent Chair and
COSLA H&W Spokesperson
Task Force Core Members Invited from –
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User Representatives
Scottish Care
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Scottish Government
COSLA
Association of Directors of Social Work
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Society of Local Authority Chief Executives & Senior Managers
NHS Directors of Planning & LA Directors of Planning (Heads of Planning Scotland)
LA Directors of Finance
•
Royal College of Nursing
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Coalition of Care and Support Providers in Scotland
Royal College of General Practitioners
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The Joint Improvement Team
The Care Inspectorate
Scottish Federation of Housing Associations
RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE
– TASK FORCE
Workstream Sub Groups
Workforce
(Judith Proctor)
• Value
• Flexibility
• Specialisation
• Locations
• Training /
registration
• Volunteering /
carers
Funding
(Gillian Barclay)
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•
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•
State vs Citizen
Welfare Benefits
Fee structures
Viability
Our vision
Regulation
(Gillian Barclay and C.I)
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•
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Care Standards
Registration criteria
Flexibility
Business Models
Workforce
‘To bring Scotland a
choice of living
spaces where older
people feel safe and
respected as part of
their communities.’
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•
•
•
•
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•
•
Personalisation
(Ron Culley)
Rights
Tenancy models
Choice
Personal Outcomes
Place Making
(Ranald Mair)
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•
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Physical planning
Design
Community Assets
Capital Investment
•
•
Commissioning
(Brian Slater)
Integration
Quality
Outcomes
Capacity
planning
Levers
Procurement
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Our Vision
To bring Scotland a choice of living spaces where older people feel safe and
respected as part of their communities by:
• Developing accommodation that is flexible, organic and part of a community
• Adapting to changing needs as people require more help
• Ensuring privacy and dignity are respected at all times
• Nurturing a caring workforce who are passionate about delivering high quality
person-centered services
• Planning services responsibly to develop sustainable communities
• Making funding and charges simple and transparent
• Assuring quality and safety
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Background and Working StructuresQuestions and Thoughts
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Emerging Themes • The Report is Shaping Residential Adult care Services for
20 to 30 Years – This is an Opportunity Which we Are
Seldom Presented with.
• The Provision of Care is Part of a Journey for Users and
Carers and the Theme of the Report Needs to Reflect a
Seamless Provision
• Greater Involvement of Community, Families and
Volunteers
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Emerging Themes • Greater Range of Options of Care
• A Continuum of Care – Increased levels of Care, In
the Same Place or Between Temporary and
Permanent Home
• The Connections with Communities and Other
Mainstream Services
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Emerging Themes • Personalisation is a Key Driver – Choice, Greater
Flexibility to Cater for Different Care Groups and
Circumstances – Self Directed Support
• Greater Control and Rights to Residents
• Enhanced Information and Advice, allowing Choices
to be made earlier and greater knowledge of
options available
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Emerging Themes –
• A Range of Financial Options aimed towards Choice and
Personalisation
• Workforce Flexibility Within and Between Sectors
• Rurality Needs and Urban Needs
• Potential for Residential Care Provided in Community ‘Hub’
Approach
• Rights Based Approach to Regulation of Provision
• Opportunities to Have a Range of Approaches to Support
Commissioning
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Emerging Themes –
Questions and Thoughts
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Next Steps –
• Sub Group Reports This Week
• Full Report to Ministers and COSLA by the End of the
Year – Late Autumn!!
• The Report Will Then be Published Early 2014
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Next Steps –
• Ministers and COSLA Will be Able to Adopt All, Part or
None of the Report
• This Will Then Shape a Strategy For the Sector which is
Due to be Open for Consultation in Spring 2014
• Implementation to Commence Summer 2014
• More Sustainable Residential Care which meets a range
of Older People’s Needs for the next 20 – 30 Years
RESHAPING RESIDENTIAL CARE FOR OLDER
PEOPLE – TASK FORCE
Next Steps –
Questions and Thoughts
Thank You
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