regional policies and situation

Regional Policies and Situation

October 7th, 2014

Brussels (Belgium)

Regional policy for independent living of older people in the region of Castilla y León

CASA and INNOVAGE

JOINT FINAL CONFERENCE

ONE OF THE LARGEST EUROPEAN REGIONS: 93,853 Km2, MAKING UP ALMOST 20% OF SPAIN.

2,248 MUNICIPALITIES: 28% OF ALL SPANISH MUNICIPALITIES

Population 2,519,875 inhab.: 5.34% OF THE POPULATION OF SPAIN

SOCIO-DEMOGRAPHIC CHARACTERISTICS REGION OF CASTILLA Y LEÓN

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More than 20,000 inhab. From 5,000 to 20,000 inhab. 00 bbb.b. hahaininn abab

Less than 5,000 inhab.

Municipality Size

M

FF

L

M

Nr Municipalities < 20,000 inhab: 2,233 (99.3%)

Population > 65: 586,750 inhab.

54.8% of the population >65 live in rural areas

SOCIO-DEMOGRAPHIC CHARACTERISTICS REGION OF CASTILLA Y LEON

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Nr Municipalities < 1,000 inhab: 1,981 (88.1%)

Population > 65: 166,926 inhab.

52% of the population >65 live in municipalities >1,000 inhab.

Municipality Size

More than 20,000 inhab. From 5,000 to 20,000 inhab. hahaaaaaababbb..

From 1,000 to 5,000 inhab. 0 in ..hanin aabbbb..

Less than 1,000 inhab.


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One of the highest life expectancies in the world

CASTILLA Y LEÓN 2014 Population >65: 23.3%

Population >80 (with respect to >65): 36% Population foreseen in 2020:

Population >65 : 24.9% Population >80 (with respect to>65): 38%

Higher life expectancy than the rest of Spain

• In 2020, 64% of elderly people will need support and preventative activities (elderly

people less than 80 years old)

• In 2020, 36% of elderly people will need assistance (elderly people less than 80 years old)

SPAIN 2014 Population >65: 17.68%

Population >80 (with respect to >65): 30.89% Population foreseen in 2020:

Population >65 : 19.8% Population >80 (with respect of >65): 31.2%

SOCIAL SERVICIES = OPPORTUNITY

Forecasts for 2020:


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Conclussions

2,248 TOWNS

LARGE DISPERSION

45% of elderly people older than 65 years live in towns of less than 5,000 inhabitants.

Many elderly people, very old people, majority living in rural areas and mostly women.

SOCIAL SERVICES = OPPORTUNITY

54.8% of elderly people older than 65 years, live in the country side (rural areas with less than 20.000 inhabitants)

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SOCIAL SERVICES REGIONAL AUTHORITY - Castilla y León

The GSS is responsible of the excellence, innovation and quality in the management process of social services, programs and centers, being a national reference in terms of excellence, with national awards and many figures or KPIs (Key Performance Indicators) showing it.

SUPPORT & CARE

PREVENTIVE PROGRAMS

SOCIAL INTEGRATION

sible of thetion and quality inprocess of socials and centers,eference in termsh national awardsor KPIs (Key ators) showing it.

SUPPORT & CAR

PREVENTIVEPROGRAMS

SOCIAL INTEGRA

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i. Quick service assignation ii. High integration level of

the dependency law iii. Ongoing efforts in financing

dependency careiv. A lead on job creation v. Generation of turnover

People in a waiting list : National: 22.2% | Castilla y León: 2.3%

Population receiving services (%): National: 1.58% | Castilla y León: 2.4%

Castilla y Leon the region with the highest per capita contribution

Job creation rate above 30% Around 40% of spending, per million

invested

SOCIAL SERVICES REGIONAL AUTHORITY - Social Services System of Castilla y León highlights in:

SOCIAL SERVICES REGIONAL AUTHORITY - Castilla y León ESTRATEGIC LINES

To adapt services to new needs and demands of elderly people: NEW ASSISTANCE MODELS

Territorial and professional services model: quality, care in the territory and job creation

Firm commitment to Innovation

Direct care to persons: equal

opportunities and professionalisation

of caregivers

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SOCIAL SERVICES REGIONAL AUTHORITY - Castilla y León Innovation Lines of action on elderly

Integral Active Aging Program

Person-centred care

ICT Systems and services for integrated care (PPI)

SIVI CLUSTER

INNOVATION TO CITIZENS

SIVI CLUSTER

44

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NATIONAL AND INTERNATIONAL SCOPE

• Was created within the Interreg IVC INNOVAge project that gathered together 14 European regions showing a great commitment to improve regional sectorial policies for boosting Independent Living.

FRAMEWORK

MAIN GOAL

• SIVI Cluster constitute a Innovation Hub that drives economy, helps to further develop policy and create new and effective social-health & health care in the Region, having the elderly citizen at its core. Stimulate the Independent Living & Active and Healthy Ageing. It also helps to reduce the high level of fragmentation between the technological and service offer existing before.

Innovation Lines of action on elderly: 1. SIVI CLUSTER - Innovative Solutions for Independent Living

t th d t th

IMPROVING LIFE QUALITY OF PEOPLE IN SITUATION OF DEPENDENCY (DISABLED, ELDERLY AND CHRONIC)

• Promoting Business Innovation and boosting Technology Transfer boost for development of sustainable socio-health solutions

• Improving Professional Qualification and Professionalisation within the sector

• Increasing Public Procurement of Innovative Technology • Fostering Consolidation and Cooperation among Enterprises • Positioning the Cluster and its partners at International level

Innovation Lines of action on elderly: 1. SIVI CLUSTER - Innovative Solutions for Independent Living - Mission and objectives

46

+ Health care received

+ Dependent - Dependent

Health services

Social services

Telemedicine, Unit for Hospital Care at Home,

remote monitoring…

Telecare (mobile, video), social and health monitoring

and follow-up…

Educational services, health management services, games, ….

1. SIVI CLUSTER - Lines of action

m

Educational services and consumer behaviour

. . .

THREE ACTION LINES WITH A COMMON ELEMENT:

DEPENDENCY

47

27 PARTNERS REPRESENTING ENTITIES OF SYNERGISTIC NATURE (QUADRUPLE HELIX MODEL)

PUBLIC ADMINISTRATIONS

RESERACH CENTRES

TECHNOLOGY ENTERPRISES AND SERVICE PROVIDERS

END USERS

1. SIVI CLUSTER - Partners

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1. SIVI CLUSTER - Collaborative model

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Cooperation in Product Creation

ENTERPRISES OF CARE TECHNOLOGIES

ENTERPRISES OF SOCIO-HEALTH SERVICES

+ INTERMEDIATE BODIES

PUBLIC ADMINISTRATION

RESEARCH GROUPS (UNIVERSITY)

+ TECHNOLOGY CENTRES

Cooperation in Produccccccccccccttttttttttttttttttttttttttttttttttttttttt C ti

R+D

COM

ERSIALISATION

INN

OVA

TIVE

DEM

AND

• Creating a positive impact in public and private investments in R&D&i.

• Supporting the activities of the SIVI cluster

• Promoting RDI strategic projects.

• To focus on end-user needs and incorporate the “design for all” (IT developments).

• Raising a cluster awareness amongst cluster members

• Facilitating the access to eco-innovation market to SMEs.

• Disseminating activities of this Pilot Action

OUTPUTS UNDER DEVELOPMENT…

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1. SIVI CLUSTER

ANNOUNCED BY: Social Services Regional Authority and Health Regional Authority of Castilla y León.

OBJECTIVE: Fostering, by opening a process of technical dialogue, actions for research and innovation in order to contribute to improving the efficiency and quality of social services system of public accountability.

Promoting the creation of innovative solutions aimed at developing a map of early demand within the socio-health field.

PROJECT: Technology platform for socio-health care of chronic patients and people in situation of dependency.

Innovation Lines of action on elderly: 2. ICT Systems and services for integrated care: PPI

51

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Workshops & Activities on active

ageing

Intergenerational Programmes among the

elderly and university students

PROGRAMMES

HABITS AND LIFESTYLES PREVENTION AND HEALTH PROMOTION DAILY LIFE SKILLSART, CULTURE, LEISURE, CURRENT AFFAIRS ACTIVE AND SUPPORTIVE PARTICIPATION

HOMOGENEOUS AND UNIQUE PROGRAMME (290.728 Users)

LINES OF ACTION

Interuniveristy Programme ‘Experience’

Trips Hydrotherapy

Innovation Lines of action on elderly: 3. Integral Active Aging Program

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• Provide Professional Services as an alternative to family care at home: Home

• Health services, personal autonomy ,etc

Multi-Service Centers

Cohabitation Units

• Ensure Balance between Supply and • Demand of Residential Centers Some services: rehabilitation, laundry facility,

catering, social canteens, care in the home…

Innovation Lines of action on elderly: 4. Elderly People “At my home”

Thank you

CASTILLA AND LEÓN REGION: AN INTEGRATED POLICY APPROACH ON

INDEPENDENT LIVING, ACTIVE & HEALTHY AGEING AND INNOVATION

Carlos Raúl de Pablos Pérez

Regional Managing Director of Family and Social Policies [email protected]

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WIELKOPOLSKA 7th of October 2014 Final Conference of CASA Project

CASA PROJECT IN WIELKOPOLSKA

SOCIAL POLICY

HEALTH POLICY

REGIONAL POLICY

THE ELDERLY

• Supporting the enviroment and the quality of life of the elderly in Wielkopolska, as well as their healthy active ageing using modern technology.

MAIN GOAL

STRENGHT •People are more and more interested

in using the technology supporting them in their everyday life.

CHANCE • Increasing the social integration and

health policy on the regional level.

WEAKNESS•Lack of cooperation among the

health and social care systemts.

THREAT •Difficulties in engaging the

stakeholders, manages and professionals

THREAT

SWOT

HEALTH CARE

• Flanders • Noord-Brabant • Kent County • Veneto Region • Friuli-Venezia Giulia • Scotland • Southern Denmark • Catalonia • Timis County • Andalucia • East-Sweden • Region Halland

SOCIAL CARE

• Wielkopolska

Main goal of the Regional Centre of Social Policy in

Poznan in the CASA project

al

Pwas to as to

combine the health and social care,

which, in Poland, are disjointed

Good practices chosen for sharing during the Transfer Knowledge Conference in Poznan:

Innovative solutions in the hospitals and wards architecture, creating non stigmatizing, space efficient patient rooms


Electronic

Prescription - an easy and safe way to buy the precscripted drugs and medicaments


Small social

innovations Little ideas that makes the everyday life of the elderly easier.


Telecare Center – an inititative that combines health and social care, supporting the elderly and dependants.

TELECARE CENTER – an inititative that combines health and social care, supporting the elderly and dependants. As our main goal was to combine the health and social care, we decided that the Telecare Center is the good practice that we should focus on and try to implement in Wielkopolska. After the Transfer Knowledge Conference we created the CASA Project Interdisciplinary Work Group, which contains the experts in the fields of health, social care, IT, elderly activisation and support. The group have already created a SWOT analysis for implementation of the GP in Wielkopolska:

SWOT analysis for the implementation of the Telecare Center in Wielkopolska.

STRENGHTS

• Innovativeness • Simplicity • Availability of the service • Complex and proffesional care services • Information sharing • Minimal reaction time • Personal approach

CHANCES

• Aging society creating a demand for such service • Cooperation between institutions • Existing E-Infrastructure • Cost effectiveness • Involvement of the regional government • Existing marketing channels • Extarnal funding (EU) • Cooperation with the private sector and NGOs

THREATS

• Fear of the new solutions • Resistance of the care workers • Lack of experience • Current condition of economy • The magnitude of the project • High cost • Source of financing • Lack of awerness in the society

WEAKNESSES • Mental barrier • Disjunction of the health and social care in Poland

SWOT analysis for the implementation of the Telecare Center in Wielkopolska.

ACTIONS TAKEN

At the end of August 2014 we submitted a project proposal for European Commission. The project name is "pROPSgress - Partnership for Innovation in Social Welfare, Health Care and Activation of the elderly". The concept of the project assumes the creation of a tripartite partnership (public – social - private) and the development of the Care, Help and Support Center on the regional and national level. The pROPSgress project proposal was created as continuation of the CASA project in Wielkopolska.

FUTHER ACTIONS

Organizing an internal study visit for the CASA Interdisciplinary Work Group members in the

Pomorskie Region of Poland, where a similiar project was implemented.

Organizing a CASA project secondment for the CASA Interdisciplinary Work Group members in the Andalucia, Spain, to learn how a completely

functional Telecare Center works

THANK YOU FOR YOUR ATTENTION

Aleksandra Kowalska Director of the Regional Centre

of Social Policy in Poznan WIELKOPOLSKA

CASA Regional Project Coordinator: Monika Zembrzycka

e-mail: [email protected] telefon: +48 61 8567334

Kent’s CASA Programme

• Pleased that KCC has been part of the CASA Programme. • Important to create cooperation between EU states and

regions • Learning from each other through exchanges of good

practice. • A programme like CASA where integration of health and

social care , the use of technology for preventative services and exchange of good practice are key components , very much represents what I as Cabinet member for Adult Services and Public Health in Kent expect us to develop in Kent.

• We are aiming to implement the learning from CASA in

several developments we are taking forward as part of the Kent Integration Pioneer and are also reporting these into the National Pioneer programme.

• The CASA learning , once implemented in Kent will become part of the Kent Strategic Plan and local policies.

• The CASA programme has disseminated its learning into Kent

via several workshops and conferences , this has been very successful and has resulted in Kent adopting some of the good practice from the other regions.

• As Cabinet member I am keen that we continue to develop

the links with other regions and continue the learning ,in order to improve the health and wellbeing of people in Kent and contribute to the scaling up of good practice in Europe.

Brussels, 7th October 2014

AGEING AS SMART SPECIALIZATION REGIONAL POLICIES AND SITUATION IN MARCHE REGION

Speech of the Regional Minister for the European

Policies of Marche Region PAOLA GIORGI

CASA and INNOVAge Joint Final Conference – “Creating unity out of diversity: sustaining lessons learnt in active ageing”

LLONGEVITY: THE MARCHE REGION WITH EUROPEAN PRIMACY

The Marche Region ranks in the 1st place in

Europe for life expectancy together

with Ile de France and Comunidad de Madrid. The Marche Region is among the most long-living Regions in the

world.

76,077,078,079,080,081,0

Longevity is a complex and positive phenomenon, resulting from life standards and from the social and economic growth of a community.

Life expectancy at birth in the Regions (years))

LONGEVITY: THE MARCHE REGION WITH EUROPEAN PRIMACY

SCENARIOS: MARCHE REGION PRIMACY BOUND TO LAST

- P. M. Ricci: un “ponte” tra la cultura orienta

-P

Projections for age groups (2011-2065)

pop. >80 years

pop. 65-80 years

4,56,58,5

10,512,514,516,518,520,5

2011

2014

2017

2020

2023

2026

2029

2032

2035

2038

2041

2044

2047

2050

2053

2056

2059

2062

2065

65-79 ITA 80 + ITA65-79 Marche 80 + Marche

Active ageing key project of the Marche Region government for community development and cohesion

3rd e 4th age are not a disease: project aimed at making elderly’s life and activities easier, more independent and vital.

Besides community health, it involves economy, technology and research with universities, companies, professions, institutions.

NATIONAL HEALTHCARE

SYSTEM COSTS:

People aged 20: 600 Euro per year Over 65: 5,000 Euro per year

ACTIVE AGEING: A STRATEGIC VARIABLE FOR THE COMMUNITY

Rationale : concentrating knowledge resources and linking them to a limited number of priority economic activities, countries and regions can become competitive in the global economy. S3 allows regions to take advantage of scale, scope and spillovers in knowledge production and use, which are important drivers of productivity. In short, Smart Specialisation is about generating unique assets and capabilities based on the region's distinctive industry structures and knowledge bases.

SMART SPECIALIZATION STRATEGY (S3)

MARCHE REGION S3: STRATEGIES AND INSTRUMENTS FOR ACTIVE AGEING

Strategic Vision


KEY SCIENCES AND ENABLING TECHNOLOGIES New

Materials ICT and

Electronics Mechanics and Energy Biotechnologies Social

Sciences

Economic Specialization

Mechanics and Electronics

Furniture

Home Applications

Fashion

Smart Specialization

Domotics

Mechatronics

SustainableManufacturing

Health and Wellbeing

Challenges

Demographical Change

Manufacturing decline

International Competition

Brain Drain Risk

Environmental Challenges


Economic Specialization

Mechanics and Electronics

Furnitures

Home Applications

Smart Specialization

Domotics

Health and Wellbeing

Challenges

Demographical Change

Manufacturing decline

International Competition

Policies priorities and expected changes

MMARCHE REGION S3: STRATEGIES AND INSTRUMENTS FOR ACTIVE AGEING

Policies priorities and expected changes

• A more innovative manufacturing system able to get and increase knowledge and cross-fertilize with other sectors in terms of technology equipment and services for human capital valorization

To foster investments in research and innovation (eco-innovation of processes and products included) through projects

encouraging cooperation between companies and companies networks, research and technology centers and

universities according to a smart specialization and a specific field approach

• A system of companies cooperating with research bodies in order to increase the production of smart and high quality goods and services for people and communities

To foster innovative solutions to tackle the challenges of local communities thanks to

research projects characterized by cooperation between universities, businesses and public stakeholders

I.

II.

MMARCHE REGION S3: STRATEGIES AND INSTRUMENTS FOR ACTIVE AGEING

Action Plan

PRIORITIES ACTIONS TOOLS

I) To foster investments in R&D, innovation of enterprises, business networks, universities, technology centers

• R&D initiatives implemented by clusters of businesses, technology centers and univesities

• Transfer of results coming from best academic research programmes

• Support to projects through voucher for enterprises and business networks

• Actions for empowerment and capacity building

• Mixed subsidies (capital/interests)

• Actions of financial engineering

• Fellownships and doctorates

• Voucher

I) To foster innovative solutions to tackle the challenges of local communities encouraging cooperation between universities, business and public authorities

• Actions aiming at tutoring Pulic Administrations in identifying innovation needs

• R&D, testing and innovation initiatives aiming at introducing innovative services

• Capital subsidies • Voucher for needs

identification • Pre-commercial

procurement and Public Procurement of Innovation

AAndalusia Dr Ana Carriazo Regional Ministry of Equality, Health and Social Policies [email protected]

Geographical situation Andalusia: 87,597 Km2 8,392,635 habitants (657,815 foreigners) >22 M tourists yearly

Regional Parliament

Regional Court of Justice

Andalusia: Political context • Political Autonomy since 1981 • Regional Institutions

• Parliament • Government (“Junta de Andalucía”) • Court of Justice (TSJA)

Susana Díaz. President of Government

Manuel Gracia. Speaker of the Parliament

Lorenzo del Río. Chief Justice Regional

Government

María José Sánchez

Regional Minister of Equality, Health and Social Policies

General Secretary

For Social Policies

Deputy Regional Minister

Of Equality, Health and

Social Policies

General Secretary

For Quality, Innovation and Public Health

Andalusian Health Service

Ana M. Rey Aquilino Alonso Josefa Ruiz

José M. Aranda

General Secretary

For Economic Planning and

Evaluation

Martin Blanco

Agency of

Social Services And Dependency

Manuel Martínez

Regional Ministry of Equality, Health and Social Policies

• The guarantee of rights on health and social welfare

• Progress on efficiency and sustainability as an essential perspective of public health services and social protection

• Promoting the professional development of all those who are directly or indirectly related to the services provided within the Ministry

• Promoting of research, to consolidate a model of innovation and a production model different, more sustainable and solidary

• Enhancement of transparency, the access to information and the public participation in the context of an open government

Public Health and Social System in Andalusia Main Principles

Andalusian Public Healthcare System Full responsibility on health policies and healthcare provision since 1984

Basic data: • 100% publicly funded • Universal coverage • 2 levels of care:

• 1,506 primary care centres (gatekeeper) • 47 public hospitals (93% all inpatient beds)

• 100,000 healthcare professionals • 2014 budget: 8,210 M€

Social Services in Andalusia Social Services include a wide range of types of centres and benefits. More than 3,500 social centres are under the regulatory framework of the Regional Ministry, including:

child care, drug addiction, people with disabilities, elderly people and community social services (roma people, migrants, immigrants).

Social services are provided in coordination with local authorities, and close collaboration with the third sector. 1,978 centres are devoted to the elderly (day-care centres, active participation centres and others).

Intensive use of ICT Collaborative initiatives

Health Care Information and Management Integrated System

105 Million of e-prescriptions/year

95 Million of appointments/year

8.3 Million of individual EHR

3 Million of e-referrals/year

3.5 Million of x-Ray images/year

186,000 Users

m

A wide range of activities: exchange of good practices, bilateral secondments and study visits organised by each participanting region, covering the themes of:

Monitoring, safety and self management

Social interaction

Chronic diseases

Healthy lifestyle and rehabilitation

Informal care

Telemedicine evaluation model

Mobility, integrated regional policy, business and knowledge development

User driven innovation through public private partnership

Large scale deployment

CASA experience I

CASA experience II

•Changing environment

•Cultural barriers

•Organisational differences

•Digital and tech gaps

•Budget restrictions

CASA experience III •Strategic view •Promote innovation •Assessment •Involve all stakeholders •Public-private collaboration •Informal carers •Trans-regional cooperation

regional policies and situation

Documents

world castilla y len

region of castilla y

elderly people older

old people

assistance elderly people

generation of turnover

years old spain

national reference