Reshaping Care: Shifting the Focus and Shifting the Power?

22 June 2012

Chair:

Martin SimeChief Executive

Scottish Council for Voluntary Organisations (SCVO)

Elaine LamontNHS Dumfries & Galloway

Community Engagement, Resilience & Health Service Development

in Annandale & Eskdale

Community…

• Engagement• Resilience• Health Service Development

Support in the Community

• Identifying existing sources of support

• Identify need • Strengthen existing

pathways • Co-produce new sources

of support• Information &

Communication

• Maximising use by professionals and public– Older People 65+– Long Term Conditions– Self management and care– Isolation– Care Planning– Carers– Dementia

‘Tests of change’

1. Establish appropriate methods to ensure information is accessible to those who need it.

2. Increase wellbeing and confidence to self- manage through better provision and use of appropriate support in the community

3. Create and co-ordinate health and wellbeing related learning opportunities – individuals, communities and organisations

4. Carers are informed, involved and supported

How are we doing this...?• Community Agents and

Development Worker– Mapping– Gathering and sharing

information and views– Identifying hidden Carers– co-production of support

services– Signposting and enabling

access

• Communication and information– Information Hubs– ALISS– Broadband Pathfinder - Annan

TV

Strengthening capacity and resilience across all sectors

– Cultural/attitude/behaviour change

– Connecting people, communities, professionals and services Identifying learning needs for health and wellbeing

– Consistent and sustainable delivery

• Evaluation– Local measurement tools – Consistent measurement

methods across projects e.g. Wellbeing Tool, Carers Assessment, Staff Survey, Service User Questionnaire, Story Telling and Focus Groups.

Norrie MoaneSignpost Recovery

Community Development and Older Adults Support in Clackmannanshire

Community Development

Worker

Older Adults Support Worker

Change Fund Older Adults Support Project

Project Methodology

• Delivered by Signpost Recovery through its CHL function• Service has two distinct complimentary arms –Support &

Development• Implementation – Moane (2012)• Local Change Plan JIT Clackmannanshire (2012)–

Project Outcomes• Interventions and Monitoring• Evidence and Evaluation• The Project in Action?

Clackmannanshire Older Adults Forum

Early Successes

Flora Henderson Thistle Foundation

“We believe that life is for living.”

Lifestyle Management forLong Terms Conditions

Lifestyle Management

• Lifestyle management addresses common needs, concerns and hopes people have when living with a long term condition.

• The service is staff led, but co-facilitated by peer volunteers who have come through the programme and have personal experience of a long term condition.

• The 10 x 3 h sessions are informed by person-centred working, solution focused practice and medical rehabilitation programmes.

Reach

• Thistle provides services in Craigmillar & across central belt of Scotland.

• In 2011/12 we supported 233 people in 15 courses, which includes 1-to-1 consults on a limited basis.

• The service supports ~ 15 active volunteers.• . We receive 35 referrals per month (2011/12). • 73% report at least one long term condition• 13% report two or more

Outcomes

• As a result of our programme, people increase their confidence, ability to cope, and mood.

• As a result of improving their situation, we notice that people want to stay connected through volunteering.

• People who access our service value peer support highly, and volunteers say it helps them maintain and continue positive health behaviours.

• We notice that people use lifestyle management skills to better manage relapses and sometimes use other services differently

What Makes “The Difference”

• Personal outreach for people in complex situations: there is a need for persistence and a personal approach.

• - encourage access of other services & follow up• A non-expert approach which is about noticing small

changes and exploring what helps a person move on.• An inclusive approach• - it’s ok to drop out and come back later• - it’s ok to stop volunteering and use the service• - promoting choice (not exclusion criteria)

Irene OldfatherLong Term Conditions Alliance Scotland

(LTCAS)

Active Ageing

Aims • Promote positive attitudes towards ageing;

• Increase activity that empowers people to stay in good physical and mental health and reduces social isolation;

• Raise awareness and disseminate information on the benefits of physical activity;

• Support quality of life, independent living and self management.

• Identify good practice and exchange knowledge.

• Harness the contribution of the third sector and the voice of older people and unpaid carers.

• Encouraging inclusion of older people within local communities;

• Scottish Contribution to European Year of AA and WCAA.

Benefits of Physical Activity

• Physical– 20% lower risk of breast cancer;– 30% lower risk of CHD and colon cancer;– Activity can improve muscle function, reduce bone– Loss, reduce falls and improve balance.

• Mental– Reduces the risk of depression;– Some evidence that it improves sleep;– Can enhance psychological well being;– Reduce anxiety.

• Social– Reduce isolation and loneliness;– Promote independence;– Encourage people to adopt a preventative/self management approach to

their health.

How Much Physical Activity ? Key Messages

• Some is better than none;• More physical activity provides greater benefits;• CMO Guidance – Over a week 150 mins of moderate intensity ( 30

mins walking over 5 days or 10 min walks x 3).• Risks of sedentary behaviour (one week bed rest = 10years of

ageing on body;• Following a week of bed rest – 1year to gain lost bone density and 6

months to regain strength and endurance.• Break long periods of sitting has positive effect on health.• Nursing home residents spend 80 – 90% time seated or lying down.

EVERYTHING COUNTS!!!

Conference Conclusions - Propositions for Active Ageing

• Involve older people• Raise awareness of benefits• Role of GPs and Health Professionals• Physical activity should be fun• Challenge ageism and promote good practice• Project location and accessibility• Partnerships for learning and volunteering• Intergenerational activity• Empower older people with information• Holistic approach in “Active Communities”

Gerry PowerNational Lead

Community Capacity Building& Coproduction

Joint Improvement Team