IMPROVING OUTCOMES AND SUPPORTING INNOVATION. Dr Margaret Whoriskey Director, Joint Improvement Partnership Board. A Scottish Approach to Public Service Reform. Prevention – decisive shift: Reduce future demand by preventing problems arising or dealing with them early on.
IMPROVING OUTCOMES AND SUPPORTING INNOVATION
Dr Margaret Whoriskey
Director, Joint Improvement Partnership Board
By 2020 everyone is able to live longer healthier lives at home, or in a homely setting.
Understand outcomes as the impact or end result of support and/or services on a person’s life:
BUT start by defining expectations and outcomes with the person
Focus on strengths and capacities more than deficits
Identify the person’s role as well as other people in their life and services
Outcomes can be measured both for the individual and for the service as a whole
Believing that the participation of the person is core to practice
The “So what?” question – if we have provided support or service to someone, what did that achieve? Did the person benefit and how do they see it?
This requires both the services, and the person themself to think through together what matters and how it can be best achieved.
The big challenge is to develop what we often do well at the individual level to be the basis of our whole organisational approach – keeping people and what they want at the heart of everything we do. We refer to this as a personal outcomes approach.
“Most older people (89.5%) do not receive ‘formal’ care in NHS continuing care, a care home or a home care service organised by social work agencies.”
10 Year National Programme 2011-2021
£ 300 million Change Fund 2011 - 2015
32 Partnership Change Plans agreed by:
NHS: primary, acute and mental health services
Local Authority: social care and housing
Reshaping Care and Integration Improvement Network to support partnerships to transform care
Increasing focus on dementia
Post diagnostic support
Focus on Physical environment , housing, adaptations, telecare
Training for all
Need for better integration across mental health, older people services and support
More focus required on post diagnostic support
Support for care homes
8 Pillars – needs to be integrated in wider work
Dementia friendly communities
More opportunities for telecare
More recognition and support for carers
Communication tool app for phones and tablets for people with dementia
Care and repair
Perth and Kinross open access memory clinic and disinvestment from community hospital beds to alternative NHS services in the Strathmore locality
Midlothian family group conferencing initiative and detailed IRF work with primary care
North Lanarkshire dementia cafe work (for which they have received an award); reminiscence initiative re football; dementia friendly community work in Motherwell involving local traders and other statutory agencies; outreach from day care work.
Housing initiative with all sites
In five years to 31/3/2012, 325 users of the Renfrewshire Care 24 telecare service had dementia; over 30% of all users. The Service has provided a range of equipment including door contacts, pressure mats and bed monitors, operates a Responder service in the event of an alarm being triggered and has a specific dementia pathway; all with the aim of keeping these vulnerable people safely at home.
The Renfrewshire Telecare service estimated 114 hospital and 88 care home admissions were avoided by this group because of telecare.
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