Louth: Smart about AgeingEmbedding Innovation into the

WHO’s Age-Friendly Cities Framework in Co. Louth

The Competitive Advantage of

“Age Friendly Cities”

Rodd Bond, Director, Netwell Centre,

Dundalk Institute of Technology, Ireland

Newcastle, UK 8th June 2011

• A paradigm shift to a more wholistic view of ageing and longer living - fromburden to bounty – (new vision)

• Trans-sectoral actions requires trans-agency collaboration and sharedservices co-ordination - (cooperation)

• Achieving more with less requires innovative models of service design anddelivery supported by ICT – (sustainable innovations)

Key messages …… early lessons from Louth ..

• Louth’s Age-Friendly County strategy is providing a robust framework toshape and drive more integrated transformation and improvement

• The embedded strategy is providing synergistic opportunities to activateimprovements in many related products and services for all groups and ages

Local government - planning context

Louth as an Age-Friendly County

Ageing-in-place – A services perspective

Longer living – An economic perspective

The role of 3rd level research / BRAID

Transformational challenges

Approach …… Louth: a place for all

Organisation: Operating within existing structures

Participation: Finding the voice of older people,

the voice of business,

the voice of NGOs and service providers

Replicability: Developing a model that can work

in any Community

in any City

in any County

Underlying principles …… sustainability

Settlement

• Global

– Urbanisation

– Globalisation

– Climate change

– Demographic ageing

• National – in Ireland

– Spatial strategy

– Economic competitiveness

– Greening framework

– Positive Ageing - Ageing well

• Local - in Co Louth

– Future area planning of the county

– Future health service planning

– Future economic planning

• Resources & resourcing change

– From Celtic tiger to Hibernian Hyena !

– Where are our certainties ?

– Not all pressures pushing in same direction ?

– Building on our strengths

Economy

Demographic

change

Climate

change

our future ?

sustainability context Universal connections

• Implications

– Longer living

– Working patterns

– Life-long learning

• Getting it right

– From burden to bounty

– Participation & cohesion

– The wealth of nations & places

• Getting it wrong

– Depression / isolation

– Health and social costs

– Inter-generational tensions

Total population :

4,253,800

Population 65 & over :

467,920 (11%)

Total population :

5,568,220

Population 65 & over:

1,002,280 (20%)

65 &

over

80 &

over

inclusivity context Counter ageing

Orio Giarini. New Welfare / Risk Institute, Geneva

40% of electricity is to be suppliedby renewable sources

12% of heat is to be supplied byrenewable sources

Energy demand is to be reduced by20% (33% for public sector)

10% of transport fuels is to consistof bio-fuels

Sustainable energy context Targets for 2020

High dependency on fossil fuels which will peak in 2015 so..

Twin needs to reduce demand and change sources of supply ..

50 - 64 65 - 79 80+

DE

NS

ITY

PO

PU

LA

TIO

N

Louth Age-Friendly County Urban and rural

• A recognition that older people are critical contributors to oursociety as a resource, not a burden;

• Communities that find imaginative ways of capitalising on thediverse assets of older adults can find new ways of addressingmany of our complex challenges and provide much neededservices;

• A commitment to the direct involvement of older people indeciding priorities, shaping actions and bringing about change;

• ICT innovations can play an important part in improvingcommunications, improving processes and increasing resourceeffectiveness

Thinking behind the strategy … People, place, process

– Buildings and outdoor spaces

– Housing

– Transport

– Respect and inclusion

– Social participation

– Civic participation and employment

– Information and communication

– Community and health services

Louth: An age-friendly county The WHO framework

• Louth County Council

• The Health Services Executive

• The Gardai

• Dundalk Institute of Technology

• Sustainable Energy Ireland

• The Ageing Well Network

• Older People’s Forum

• Irish Council of Social Housing

• Irish Farmers Association

A New Alliance change framework

LOUTH

OLDER PEOPLE’S

FORUM

LOUTH

SERVICES PROVIDERS

FORUM

LOUTH

ECONOMIC

FORUM

LOUTH

AGE-FRIENDLY COUNTY

ALLIANCE

LOUTH AGE-FRIENDLY

COUNTY OFFICE

LOUTH COUNTY DEVELOPMENT BOARD

ECONOMICCULTURAL

SOCIAL

Louth Age-Friendly County Delivery structure

longer living economy Ageing-in-place

INNOVATIONSWealth of place Health of place

Acute hospital

Out-patient Inpatient

Non

-Acu

te

Reh

ab

Hos

pice

Res

pite

With

Ther

apy

Hom

e

GP

Hom

e care

package

Com

munity

nursing

With

Therapy

Outside AEP performance Pathway challenges

Long term

care

Admission avoidance (19%)

Cases/

Episodes

49

15

14

13

25

3

3

7

9

Discharges (42%)

23

38

10

38

23

20

20

15

Accelerate discharge (47%)

Strengthen ageing-in-place

– access, independence and security

Improve hospital performance

Improve management of chronic diseases in

community

Improve approaches for frailty & falls

Information, education and health promotion

Empowerment of older persons / healthy

ageing

Doing more with less

Ageing-in-placeLouth Services Forum

CULTACACOMMUNICATION

CULTACACOMMUNICATION

GNH - ASSISTEDLIVING

TRANSITION

COORDINATIO

N &

MONITORING

TELE

CARE / H

OM

E

SUPPORT

CARE C

ULTU

RAL

TRANSFO

RM

ATIO

N

MANAGECHRONICDISEASEINCOMMUNITY

Older Person Ageing in

place

Core Governing Principles

Person-centred careCollaborative Services

Sustainability

Demonstration project around Barrack St.,

Multi-stakeholder collaboration

Fusion: environment, technology, care model

Evidence-base for growth and intensification

Inform and accelerate policy area development

Stimulate product/service innovation

Foster culture of CQI in community

Build sustainability

Barrack St base Nominal service area for team

Ageing-in-place initiative Great Northern Haven

• Barrack St Housing Project

– Collaboration between Dundalk TownCouncil, HSE North East and DkIT

– Enhances Quality of Life

– Development consists of 16 2-bedroom apartments

– Clients come from LLA housing lists,HSE lists and others

• Housing Grants

– Review of process for assessment andallocation of housing grants and theinclusion of ICT products and servicesas eligible interventions supported bythe grant.

Innovations in housing Great Northern Haven

Technology in place Kitchen / living area

Living in

Great Northern Haven

Brokering

access

Managing the

home

Remote

Telehealthcare

monitoring

Community &

Primary care

services

Making a difference …… The services mix ..

LOUTH

OLDER PEOPLE’S

FORUM

LOUTH

SERVICES PROVIDERS

FORUM

LOUTH

ECONOMIC

FORUM

LOUTH

AGE-FRIENDLY COUNTY

ALLIANCE

LOUTH AGE-FRIENDLY

COUNTY OFFICE

LOUTH COUNTY DEVELOPMENT BOARD

ECONOMICCULTURAL

SOCIAL

Louth Age-Friendly County Delivery structure

longer living economy Ageing-in-place

INNOVATIONSWealth of place Health of place

Louth Economic Forum 10 Point Plan

FDI

Tourism/Heritage

DDN corridor

Indigenous Industry Doing business

Education/training

Sustainable Energy

Agriculture / Food

Fisheries

Broadband

Impact on products, services, delivery channels, and places of delivery

for other key action areas.

Longer living

As an R&D living-lab /

development location.

Low carbon / behaviour

management

Age-aware services and

destinations

Design-for-all product &

service development

Skills development and

life-style planning for

longer living

Food production and

nutrition

ICT infrastructure

Louth Age-Friendly County Longer Living Actions

Longer living economic

Development

PRODUCT/SERVICE

OPPORTUNITIES

BUILD AWARENESS

RECOGNITION

INCENTIVES

SENIOR ENTERPRISE

WISDOM IN WORKFORCE

Age-friendly design

Design for all

Flexible working and

reward practices

Volunteering

Welfare, pensions & savings

Active behaviours / choices

Economic contribution

Senior start-ups

Social enterprise

Business succession

Volunteering

Monitoring

Measurement

Accreditations

Louth Economic Forum Sustainable Energy

• Renewable electricity

• Renewable heat

• Energy efficiency

• S.E. Zone

– Transport

– Public/Health sector

– Education

– Residential

– Industry

– Commerce and Leisure

• S.E.Community

– Commitments / charter

– Behaviour change

– Measurement / recognition

Declan Mealy, Aideen O’Hora – SEAI, Ireland

TransportInclusion &

respect

Social

participation

Volunteering

&

employment

Communic.

&

information

Community

& health

services

Housing

buildings &

outdoor

spaces

sustainable neighbourhoods

life-time housing

personalised transport & mobility

Dundalk 2020 - energy

ParlAGE/Cultaca

AAL / Connected Health

smarter environments smarter technologiesuser awareness

Design for all Ecological design

Smart & sustainable living

Context Aware Broker and

Inference Engine (CABIE)

Data Entry (e .g., computers , health equipment , TV)

On Body (e.g., clothes , watches and shoes )

Environment (e .g., room sensors and furniture )

Objects (e .g., remote controls , mobile /land phones )

Evaluative Reports

Overt Actions

Physiological Data

Behavioural Patterns

Sensing

Locations

Data Parsing for Context

Estimation

Environmental Changes

( e.g.lighting and sound )

Music , images , and video

Inward Communication

( feedback )

Outward Communication

Sensing Intervention

Characteristics of State Intervention Pathways

Technology platform converging services

Technology platfrom Services ecosystems

3rd level supporting change Louth as a ‘living lab’

CAVE Simulator and technical

workshop / laboratory

GNH – ‘Aware homes’

Living laboratory

LAFC – County-wide

trial infrastructure

Pe

rso

n c

en

tre

d d

es

ign

Ps

yc

ho

-so

cia

l a

na

lys

is

As co-designer

As participant

As subject

As seeker

En

ga

ge

me

nt

co

mp

lex

ity

Contextual complexity

customer

Local Regional National European

Building capacity to

maximise international

engagement for global

markets

International.

3rd level supporting change User engagement

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Bridging Research in Ageing and ICT Development

BRAID Feeder projects

NOW

THEN

Roadmap

plan of actio

ns

0

5

10

15

20

25

Vision

Baseline

Vision-based

roadmapping

3 Main components

BRAID Notion of a roadmap

• Four Workshops with

Advisory Board and Local

Stakeholders

1) Denmark (June)

2) Ireland (September -

Jointly with WHO meeting)

3) Eastern Europe

(November)

• Final Presentations in

Brussels and Australia

• Check out our website and

WiKi athttp://www.braidproject.eu

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BRAID Next steps

Pilot phase Roll out phaseInnovations funded by:

EU programmes

National programmes

Foundations

Other.

(Temporary)

Need to embed innovations in structural financing

systems, to gain clear relation between investments

and revenue/savings

Ref: Erwin Van Leussen – Achmea Health Innovations (Holland)

AAL Policy workshop Sept.. 2008

Transformational culture

Scaling / replicability / growing

Internal pull as much as push

Implementation roadmap

The key challenge Energising state change

Physical

resources

Energy

(matter)

Human

Psycho-social

Energy

(individual,

& human

spirit)

activitypassivity

ENERGY

A capacity for

action &

interaction

Future

Evolving

complexity/

consciousness

growth

diminishment

Some new areas Hope and fire (Prometheus)

• Explore cultural andenvironmental attitudes/valueswithin longitudinal studies onageing

• Transdisciplinary – developing ashared vision of a shared futureacross domains - including neweconomics

• A more unified model of humanaction and physical resourcesand energy

• New measures for success andgrowth – beyond GDP,emissions and admissions !

Now is the time to change Metanoia ……

For further information:

rodd.bond@netwellcentre.org

WHO Global Age-FriendlyCities Network Conference

Dublin, Ireland – 28/29/30September 2011www.afc-internationalconference.ie