reshaping residential care for older people

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE DOUGLAS HUTCHENS, INDEPENDENT CO-CHAIR Background and Working Structures Questions and Thoughts Emerging Themes and Discussions – Work In Progress Questions and Thoughts The Next Steps Questions and Thoughts

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Background and Working StructuresScottish Ministers and COSLA Established a High Level Task Force. It will Provide Recommendations– • To Reshape the Structure of the Sector • Develop a Framework for the Commissioning and Delivery of Care with Accommodation Set Up in Summer to Report by Autumn 2013!

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Background and Working StructuresThe Context in Which the Task Force is Working • The Wider Integration of Health and Social care • The Existing National Care Home Contract • The Current and Emerging Fiscal Picture • The Ageing Population • The Requirement for Joint Commissioning Plans and Links to Housing • The Review of the National care Standards • The Sustainability of the Sector

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE

Background and Working Structures- Co-Chaired By Independent Chair and COSLA H&W Spokesperson

Task Force Core Members Invited from –

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User Representatives Scottish Care

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Scottish Government COSLA Association of Directors of Social Work

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Society of Local Authority Chief Executives & Senior Managers NHS Directors of Planning & LA Directors of Planning (Heads of Planning Scotland) LA Directors of Finance

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Royal College of Nursing

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Coalition of Care and Support Providers in Scotland Royal College of General Practitioners

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The Joint Improvement Team The Care Inspectorate Scottish Federation of Housing Associations

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Workstream Sub Groups Workforce

(Judith Proctor) • Value • Flexibility • Specialisation • Locations • Training / registration • Volunteering / carers

Funding (Gillian Barclay) • • • •

State vs Citizen Welfare Benefits Fee structures Viability

Our vision

Regulation (Gillian Barclay and C.I)

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Care Standards Registration criteria Flexibility Business Models Workforce

‘To bring Scotland a choice of living spaces where older people feel safe and respected as part of their communities.’ • • • •

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Personalisation (Ron Culley) Rights Tenancy models Choice Personal Outcomes Place Making (Ranald Mair) • • • •

Physical planning Design Community Assets Capital Investment

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Commissioning (Brian Slater) Integration Quality Outcomes Capacity planning Levers Procurement

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Our Vision To bring Scotland a choice of living spaces where older people feel safe and respected as part of their communities by: • Developing accommodation that is flexible, organic and part of a community • Adapting to changing needs as people require more help • Ensuring privacy and dignity are respected at all times • Nurturing a caring workforce who are passionate about delivering high quality person-centered services • Planning services responsibly to develop sustainable communities • Making funding and charges simple and transparent • Assuring quality and safety

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Background and Working StructuresQuestions and Thoughts

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Emerging Themes • The Report is Shaping Residential Adult care Services for 20 to 30 Years – This is an Opportunity Which we Are Seldom Presented with. • The Provision of Care is Part of a Journey for Users and Carers and the Theme of the Report Needs to Reflect a Seamless Provision • Greater Involvement of Community, Families and Volunteers

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Emerging Themes • Greater Range of Options of Care • A Continuum of Care – Increased levels of Care, In the Same Place or Between Temporary and Permanent Home • The Connections with Communities and Other Mainstream Services

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Emerging Themes • Personalisation is a Key Driver – Choice, Greater Flexibility to Cater for Different Care Groups and Circumstances – Self Directed Support • Greater Control and Rights to Residents • Enhanced Information and Advice, allowing Choices to be made earlier and greater knowledge of options available

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Emerging Themes – • A Range of Financial Options aimed towards Choice and Personalisation • Workforce Flexibility Within and Between Sectors • Rurality Needs and Urban Needs • Potential for Residential Care Provided in Community ‘Hub’ Approach • Rights Based Approach to Regulation of Provision • Opportunities to Have a Range of Approaches to Support Commissioning

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Emerging Themes – Questions and Thoughts

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Next Steps – • Sub Group Reports This Week • Full Report to Ministers and COSLA by the End of the Year – Late Autumn!! • The Report Will Then be Published Early 2014

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Next Steps – • Ministers and COSLA Will be Able to Adopt All, Part or None of the Report • This Will Then Shape a Strategy For the Sector which is Due to be Open for Consultation in Spring 2014 • Implementation to Commence Summer 2014 • More Sustainable Residential Care which meets a range of Older People’s Needs for the next 20 – 30 Years

RESHAPING RESIDENTIAL CARE FOR OLDER PEOPLE – TASK FORCE Next Steps – Questions and Thoughts

Thank You