AGENDA ITEM DIGNITY AND RESPECT IN HEALTH AND SOCIAL CARE SERVICES FOR OLDER PEOPLE WORKING PARTY 5 DECENT HEALTH AND CARE FOR OLDER PEOPLE 19 MAY 2008 1. INTRODUCTION 1.1 What is decent care for Older People? The National Standards for Health, Treatment and Social Care of Older People in England, set in 2001 in the National Service Framework (NSF) for Older People, provided a good grounding. 1.2 The NSF for Older people set out eight standards to improve the experiences of older people and their carers who are using health, social care and other services, as follows : Rooting out age discrimination, Person centred care, Intermediate care, General hospital care, Stroke, Falls, Mental Health in older people, Promotion of health and active life. 2. A NEW AMBITION FOR OLD AGE 2.1 With the publication of the White Paper, ‘Our Health, Our Care, Our Say’, the government announced the relaunch of the NSF for Older People. In May 2006 Professor Ian Philip, UK National Clinical Director for Older People, presented the next steps for the Framework in the report ‘A New Ambition for Old Age’. This report examines how the Framework is being implemented and announced new aims and targets. 2.2 ‘A New Ambition for Old Age’ added a further ten programmes for implementing the framework, under three important and timely themes: Dignity and Care Joined up Care Healthy Aging 2.3 Appendix 1 gives the Working Party members an overview as to the programmes of activity contained within ‘A New Ambition for Old Age’. 2.4 Programme 1 focuses on dignity in care. Nationally there have been high profile cases of poor treatment of older people in mental health and general hospitals, in care homes and in domiciliary care. It is important that care in all these settings is geared to the needs of older people. 3. THE DIGNITY CHALLENGE 3.1 National consultation with a wide range of people including providers of health and care services, and people who use services themselves and carers, has resulted in much being learned about what dignity means to older people. Two things in particular become very clear. Firstly that being treated with dignity really matters to people, but the second is that people are not clear about what they should expect from the service that respects dignity. 3.2 The Working Party will receive a presentation by the Borough of Poole Head of Adult Social Services Commissioning to stimulate debate on what constitutes services that respect dignity with proposals for a series of dignity tests that can be used by the Working Party Members to see how their local services are performing. JOHN DERMODY Head of Adult Social Services Commissioning 29 January 2008 ss/reports/Dignity&RespectWPReport(JD)Jan08 2