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Explore service changes in accommodation & support for older individuals, from home-based care to residential & supported housing. Address funding, resources, demography challenges, and opportunities, emphasizing reablement & personalization. Embrace innovative developments to promote independence & improve outcomes. Prioritize deliverability & coordinated planning for tangible progress in 2012/13.
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Developing Accommodation and Support Options for Older People Kevin Keenan, Assistant Director of Social Services HSCB
The Change Agenda • Setting it in Context • Examining Options for Service Change • Seizing Opportunities
The Change Agenda • ‘Transforming Your Care’ • Older People a Priority • ‘Home is the Hub’
Context • Demography • Resources • Service System
Demography • Ageing as Challenge • Ageing as Solution • Targeting Need
Resources • Financial Context • Funding Pressures • Funding Vulnerability
Service Change – Home Based Care • Reablement - Intensive input - Maintaining Independence - Diversion from care system • Domiciliary Care Reform • Personalisation
Service Change – Nursing Home Care • Market Instability • Non-Strategic Development • Market Re-design
Service Change – Residential Care • Role of Statutory Care? • Suitability of Estate • Lack of Capital • Re-Design/Modernise/Close
Service Change – The Role of Supported Housing • Under-exploited Opportunity • Few Innovative Developments • Problematic Outcomes • Opportunistic Mindset • Clarity about need, the model & funding options.
Supported Living and Older PeopleLimitations and Opportunities • Audit of Regional Intent • Premised on Recycling Funding • Focus on Service Re-design • Based on assessment of need • Promoting appropriate service model/s • Informed Business Cases • Approve development programme • Re-visit floating support
In Conclusion...... • We have a window of opportunity • We need to prioritise and focus on deliverability • We need to acknowledge limitations • We need to consider planning on a co-ordinated, programme basis. • We need to see tangible development in 2012/13