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Service Solutions to Changing Lives

Service Solutions to Changing Lives. Scott Bennett. Understanding Cornwall . Increased older population 56,000 carers Over 23% of over 50s live alone 46% of people in dispersed settlements less than 3,000 Two acute hospitals 45,000 people fall every year High levels of deprivation

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Service Solutions to Changing Lives

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  1. Service Solutions to Changing Lives Scott Bennett

  2. Understanding Cornwall • Increased older population • 56,000 carers • Over 23% of over 50s live alone • 46% of people in dispersed settlements less than 3,000 • Two acute hospitals • 45,000 people fall every year • High levels of deprivation • 21% of over 75s live with long term conditions Produced by Cornwall Council

  3. Impact of reforms • Structural changes and new partners • Fragmentation in delivery • Professional boundaries • Prevention as a bolt-on • Dependency culture www.cartoonstock.com

  4. Opportunities for Change • Increasing Role of the Voluntary Sector • Repositioning of Organisations • Searching for new solutions • Availability of some short term resources www.cartoonstock.com

  5. Experiences Age is just a label Lets work together to find a better future How do we change the view that the professional always knows best? How do we bridge communication between generations? Always see the person, not the patient We want to be listened to Older people are individuals, not a collection Why do so many people come up my garden path? We have seen it all before, so ask us for solutions

  6. The Principals • Adding value without adding layers • Shared understanding of multiple outcomes • Mainstreaming prevention throughout • Self management, self care and mutual aid • Build social capital, bonding and bridging • Underpinned through the coproduction of services • Understand boundary dynamics, institutional and communities of place, interest, need and practice • Reshaping not layering policy design and delivery • Identify network relationships • Building a network of delivery “agents” • Support emerging innovation from interactions • Underpinned by evidence

  7. Macrosystem Multiple Level Embedded System Wider Environment Town/neighbourhood Health & Care Institutions Son/Daughter’s Work place Mesosystem Exosystem Family Feedback Feedback VCS & other Institutions e.g. Police Peers & Friends Older Person Central Nervous System Immune System Physical System Cellular Level (Adapted from Bronfenbrenner, 1979, 1986)

  8. Our Approach

  9. What Get Well, Stay Well Steady On Community support for people Trained volunteers VIVA Cognitive Stimulation How Co-production First contact approach Virtual community networks Accredited training Engaging forums and groups Practical Developments

  10. Multiple Outcomes

  11. Lessons Learned • Talk the language • Be realistic about the impact • You can’t do it alone • Find local solutions to national direction • So what! www.cartoonstock.com

  12. A Short video

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