early intervention approaches to ageing in a united kingdom policy context
DESCRIPTION
Early intervention approaches to ageing in a United Kingdom policy context. For IFA – Prague, 31 May 2012 Katrina Ritters and Howard Davis, with Ian Philp , Natalie Byrom and Hanneke Wiltjer. Introduction. The case for early intervention United Kingdom policy focus - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/1.jpg)
Early intervention approaches to ageing in a United
Kingdom policy context
For IFA – Prague, 31 May 2012
Katrina Ritters and Howard Davis, with Ian Philp, Natalie Byrom and Hanneke Wiltjer
![Page 2: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/2.jpg)
Introduction• The case for early intervention• United Kingdom policy focus• Use of EASY-Care as part of an
early intervention project in Warwickshire, UK
• The EASY-Care network
![Page 3: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/3.jpg)
The case for early intervention
• Inverting the triangle of care• A vision for ageing well:
- older people, agencies and communities working together
- joint working between agencies- a shift in ‘professional’ thinking- information and advice to support
empowerment in accessing services
![Page 4: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/4.jpg)
Source: ADSS/LGA, 2003, All Our Tomorrows – Inverting the Triangle of Care
![Page 5: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/5.jpg)
Source: ADSS/LGA, 2003, All Our Tomorrows – Inverting the Triangle of Care
![Page 6: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/6.jpg)
Early Intervention Benefits•Quality of life•Stronger communities•More positive view of ageing•Cost effective- Potential benefit for every £1 invested -£1.80 for society- plus an additional £1.40 benefit to the older person
Davis and Ritters, LAP Evaluation; Watt and Blair, The Business Case for LAP, DWP, 2009
![Page 7: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/7.jpg)
UK Policy Context
• Ageing population, both in UK and globally• Austerity, austerity, austerity
– Government austerity– Individual austerity
• Structural changes• Dementia Challenge• Personalisation Agenda
– ‘No decision about me, without me’– Individual budgets– Choice and control
![Page 8: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/8.jpg)
Choice and Responsibility
• Citizen Choice• Decline in moral authority in health and social care• Economic ‘risk’ of growing older population • Moral responsibility for ill health/ frailty
“A new era shimmers on the horizon: patients are attempting to become expert in their chronic illnesses, getting information from the web (using many of the same resources that doctors
do), and arranging their own care with the help of clinicians and hospital services.”
Chris Del Mar
![Page 9: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/9.jpg)
The Warwickshire Project
Aim: To demonstrate the benefits of the EASY-Care Needs Assessment Instrument in identifying & responding to the unmet needs of older people (65+) in Stratford
• To digitise the EASY-Care instrument and • Make it available to the public • Test out different access channels • Test EASY-Care as a digitised self assessment
Our project sponsors also wanted to use the project to develop• Joint working• Early intervention approaches
![Page 10: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/10.jpg)
Digitisation
![Page 11: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/11.jpg)
The EASY-Care tool
![Page 12: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/12.jpg)
Target Groups
Triangle of CareAcute
Services
Frail
At-risk
General Population
Aimed at:
Older people ‘at risk’ or those in the general population beginning to have concerns about their health and well Being
![Page 13: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/13.jpg)
Access channels
Self Assessment:• internet application • Accessible from peoples homes• In Stratford Library• In the Stratford District Council Offices (reception)• Available as a kiosk view with signposting to the system by
practice staff in Rother House MC
Assisted assessment:• Tesco’s Pharmacist• Bridge Street Practise Nurse• Age UK Stratford Case Workers (Gateway Project)• Events across Stratford-on-Avon
![Page 14: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/14.jpg)
Preliminary Results
• Over 80% found it very easy or easy to complete• Over 70% would recommend the assessment to people they
know• Over 70% found the information given either very or quite
useful
‘‘The business of going through the questionnaire was a useful exercise, made you think about things more. A whole spectrum of possibilities that the questions open up..’
Idealistic assumption that doctors have got time to talk - they have so little time. Being like a log book and updating it from time to time would be useful. Even if only 10 minutes here and there gives a time to focus on your life in a way that doesn't usually happen - good to take stock.
![Page 15: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/15.jpg)
Most useful for…. (% positive)
• Helping you understand more about your health and well-being – 87%
• As a record of your state of health and well-being that you can go back to over time – 83%
• Prompting you to make changes for a more active and healthy life – 79%
• To help you talk to family and carers about your overall state of health and well-being – 79%
• To help you to talk to your doctor about your overall state of health and well-being – 71%
![Page 16: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/16.jpg)
Responses to computerisation
If you were to complete the assessment again, what would you prefer to use to fill it in?
Response
Percent
1 Desktop computer
16.67%
2 Laptop
33.33%
3 Touch screen device (such as an i-pad)
8.33%
4 Pen and paper
41.67%
![Page 17: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/17.jpg)
Ease of Use
• Over 80% found it very easy or easy to complete• Mostly took around 10-20 minutes to complete
(50%); some more, some less.• For most people (87%), this felt about right
‘I did it at my own pace and there was a discussion at every point - I was able to discuss my answers and I was aware that it was my individual input and that was important.’
‘It gives you an opportunity that people will open up when you've got their confidence. You can't put a time limit because people are different.’
![Page 18: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/18.jpg)
The questions themselves
Did the questions cover all the main areas that concerned you about your health and well-being?
Response
Percent
1 Yes
70.83%
2 No
8.33%
3 Partly
20.83%
![Page 19: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/19.jpg)
Current or
future need?
Were you seeking information on a current need or for a potential future area of concern? Please tick all that apply.
Response
Percent
1 Current need, mild concern
25.00%
2 Current need, major concern
12.50%
3 Future need, possible concern
29.17%
4 Future need, likely concern
8.33%
5 Future need, definite concern
12.50%
6 Other:
33.33%
![Page 20: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/20.jpg)
Issues of confidence and pride
‘You have to understand that people of my age are afraid they have lost it. Everyone has slight reservations about what might be found out.’
‘Intervention is inclined to mean interference, it sounds like you will interfere, suggest early help or early assistance.‘
‘The term OAP is derogatory, this term means you are nothing, it is a slur. It is not right and is often used in the news. I feel very strongly about the term OAP.’
![Page 21: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/21.jpg)
After the Assessme
nt – Information given
AFTER THE ASSESSMENT Were you given information on your areas of concern? Please indicate which areas you received information on.
Response
Percent
1 Seeing, hearing, communicating
20.83%
2 Looking after yourself
20.83%
3 Getting around
29.17%
4 Your safety 0.00%
5 Accommodation and finance
12.50%
6 Staying healthy
20.83%
7 Your mental health and well-being
16.67%
8 Other, please specify:
25.00%
![Page 22: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/22.jpg)
How useful?
How useful was the information given to you?
Response
Percent
1 Very useful
37.50%
2 Quite useful
37.50%
3 Not all that useful
12.50%
4 Not useful at all
12.50%
![Page 23: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/23.jpg)
Follow up study (work in progress)Hanneke Wiltjer and Dr Jackie Sturt, Warwick Medical School
• Often no immediate health need, so urgency for follow up was reduced
• Main benefit was recognition that help might be available and where they might look for it (once the concept was understood).
• Appreciation of contact time in assisted assessments
• But low recollection of content and results of assessment
![Page 24: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/24.jpg)
Conclusion
• Success in digitising the EASY-Care assessment tool – but internet connectivity was a problem in field trials
• Older people response to computerisation more favourable than anticipated
• Positive response to ease of use and range of questions
• But so far, little follow up in terms of positive lifestyle changes
![Page 25: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/25.jpg)
Next Steps
• Develop range of assisted assessment channels
• Widen use; build recognition and trust to reach critical mass
• Develop supporting information resources in a sustainable way
• Work to realise potential of underlying scoring mechanism
![Page 26: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/26.jpg)
![Page 27: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/27.jpg)
![Page 28: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/28.jpg)
Find out more….
www.easycare.org.uk
![Page 29: Early intervention approaches to ageing in a United Kingdom policy context](https://reader035.vdocuments.site/reader035/viewer/2022070419/56815c4e550346895dca50d1/html5/thumbnails/29.jpg)
Thank You
Katrina Ritters, [email protected]
Howard Davis, Professor of Local and Social Policy, Coventry University
Howard [email protected]
Judith Long, EASY-Care Project Co-ordinator,[email protected]