Contextual conditions - PowerPoint Presentation

Slide1

Contextual conditions

An aging population in Wiltshire. Within our over 65s age group, there will be a particular increase in the number of Wiltshire residents aged >75 (+13,086), and >85 by 2021. Care package budget constraints. 66% are self funded but personal budgets are stretchedArea includes three Super Outputs Areas in 20% most deprived in WiltsNew CCG funded Care coordinators working with the GP practices Social isolation and loneliness is a key concern for older people - 565 enquires by GNC service 2012/13. Social isolation and loneliness impacts on physical health and mental well-being of older people and that this is why it is important to address this key factor in helping to improve health and keep people out of hospital.  In addition supporting the maintenance of social networks enables people to find greater support among friends/family at critical time e.g. on discharge from hospitalNationally, over a million older people go a month or more without seeing or speaking to anyoneNot enough locally based provision which older people have support to access Identified lack of Non emergency passenger transport services and supported transport 90% of Wiltshire is rural Nearly two-thirds of people admitted to hospital are over 65. Unplanned admissions for people over 65 account for nearly 70% of hospital emergency bed days. From the Older People JSA: The numbers of people aged 65 or over suffering from depression is expected to rise by around 15% from 8,300 to 9,600.Patients with a single long-term condition cost about £3,000 per year whilst those with three or more conditions cost nearly £8,000 per year. Older people are more likely to need health and care services and we know that nearly half of Wiltshire’s NHS financial resources (47.4%) are used by people aged over 65.

Key policy conditionsCCG vision is that Health and Social Care services in Wiltshire should support and sustain independent healthy living Rate of falls admissions to hospital in over 65 per 100,000 population Wiltshire: 1936 (England- 2011)- not significantly different from England averageCCG Five Year Strategic Plan aspires to create a model within which, when care is needed it can be delivered closer to home complimenting the services of health and social care with resources in the community and voluntary sector.Over 65s consume the largest volume of resources per head, as well as the largest overall proportion of the CCGs resources Dementia is identified as a priority. One in 14 people over 65 have a form of dementia Multi agency “Campus” developments across Wiltshire being developedKey priority is increasing the proportion of older people living independently at home following discharge from hospital.Cuts to local authority budgets including transport and health (amount TBC)

Intended OutcomesAt least 75% (34 people supported) feel less socially isolated each yearAt least 70% (34 people supported) feel their wellbeing is increased each year80% clients supported feel that they have a greater say in solutionsPartners supporting older people are more informed about the needs of individualised solutions and sources of helpMore volunteers supporting older people and the economic value is understood

Intended ImpactsThe % of adult social care users who have as much social contact as they would like in Devizes is (Sue to confirmed) 2% reduction each year on Wiltshire average 40.7 (England 43.2) – Devizes to be confirmedThe % of adult carers who feel they have adequate social contact – 2% reduction on Wilts 29.1 average (England 41.3) - Devizes to be confirmed5% reduction in falls and injuries for over 65s - Devizes: 1662Number and percentage of patients with depression 65+ in Devizes is reduced by 10% (GP Quality Outcomes Framework (QOF)

Project: Slide2

Programme

ObjectivesIncreasing routes out of loneliness Evidencing the benefits of early intervention and preventionCost efficienciesRationaleResources are stretched and we know that nearly half of Wiltshire’s NHS financial resources (47.4%) are used by people aged over 65. Looking forward, the financial future is characterised by austerity, with current national forecasts pointing to a £30billion gap in funding by 2020/21, despite NHS budgets being protected. The biggest factor that creates this pressure is from demographic change, especially increases in the elderly population . The savings of intervening early to prevent ill health can be made and better understoodInputs per year£30,000 for GNC/CO(Area Board, Trusts, CCG/WC?)£5,000 Community Transport Grants (TBC)Partnership training on safeguarding, befriending, CO/healthwatch WiltshireHealthwatch

Wiltshire volunteers 100 hours@ £13.90 = £1390ActvitiesGood Neighbour Community Organiser is supporting at least 45 older people a year and social isolation solutions found 20 volunteers identified, recruited and supported as researchers, co-designers and project volunteers by partners to support routes out of loneliness each yearOver 100 people reached through CO “Listenings” and other engagement exercises each year and shared with decision makers to influence policy and servicesNew opportunities out of loneliness are developed 3 each year

Partnership training programme delivered for volunteers including safeguardingPartnership training/workshops for referral partners including Care CoordinatorsNew transport schemes helping 40 older people access supportPromotion of services through local networks DCAP online newsletters, local events to professionals, clients and referrersAnnual celebration event to recognise volunteers supporting loneliness agenda in DCAP areaOngoing mapping to improve signposting

Outputs20 volunteers trained45 older people supported into social activity over 3 years3 new community projects 36 people who are supported feel they have a say in developing their support package40 people benefit from Community transport solutionsDecision makers are better informed of local needs and gaps