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Mr. Tony O Brien

Director General of the Health Service

March 28th 2014

Care at Home

National Home Care Conference

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SOCIAL CARE (Older People & Disability Services) 2014 FUNDING

• The social care budget for 2014 is set at €3,055.3m which is a small increase of 0.5% on the 2013 position

• This includes reductions of €31.3m, which are principally pay related reductions associated with Haddington Road, the employment control framework (moratorium) and incentivised career break.

• It also includes additional resource of €45m representing €14m developments in disability services and additional resource of €31m to cover deficits in disability and older people services.

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SERVICES FOR OLDER PEOPLE 2014 Service Plan

• 2014 priorities emphasise providing comprehensive home care and community supports, to maintain older people in their own homes and communities for as long as possible.

• To support this priority, the health service will – Maintain existing home help services (10.3m hours nationally)

and home care packages (for 10,870 people), at 2013 levels– Allocate €23m from nursing home support scheme (A Fair Deal) to

increase home care & community supports

Social Care & Older People Services

In 2013

• 11,873 people in receipt of a Home Care Package

• 9.73m home help hours delivered

• 23,007 people were supported in long stay residential care services under the Nursing Homes Support Scheme

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SERVICES FOR OLDER PEOPLE – KEY POINTSNursing Home Support Scheme

• NHSS will continue to support over 22,000 in long term residential care at a cost of €939m.

• The overall number of people to be supported in long stay care in 2014 has consequently been reduced by 700.

• As in 2013, the Nursing Home Support Scheme (NHSS) will require careful management of applications as existing places become vacant to minimize waiting times for funding. There will be increased options available to support older people to remain at home including those with dementia who are at risk of admission to residential care.

Single Assessment Tool

Single Assessment Tool …will underpin the phased implementation of a new integrated model of care for older people.

It will identify people with similar needs and circumstances in a uniform way which will bring a more equitable approach to the level and range of services provided.

Integration

Care that is

• Safe, timely efficient

• Lowest level of complexity

• Close to home as possible

• National Clinical Programmes

• Clinical Lead Division

Keeping Older People Well

National Positive Aging Strategy

Dementia Strategy

Falls prevention

Protecting our Future –Report of the Working Group on Elder Abuse.

Keeping People Well National Positive Ageing Strategy

Vision StatementIreland will be a society for all ages that

celebrates and prepares properly for individual and population ageing. It will enable and support all ages and older people to enjoy physical and mental

health wellbeing to their full potential. It will promote and respect older people’s

engagement in economic, social, cultural, community and family life, and foster

better solidarity between generations. It will be a society in which the equality,

independence, participation, care, self-fulfilment and dignity of older people are

pursued at all times.

Seeks to create a shift in mind set in how we conceptualise ageing and what needs to be done to promote positive ageing.

Keeping Older People Well

Dementia Strategy

Keeping People Well - Elder Abuse

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Risks to Delivery of Service Plan

www.onepayhr.com

Challenges for Healthcare

Cost vs Quality

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Changing WorldsTransformation from Industrial Age Healthcare to Information

Age Healthcare

Person

Community

Primary

Secondary

Tertiary

Individual Self-care

Friends & Family

Community Networks

Professionals as Facilitators

Professionals as Partners

Professionals as Authorities

Industrial Age Healthcare Information Age Healthcare

Source: Adapted from Malaysian Telemedicine Blueprint

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Conclusion• Ageing is a positive achievement• Dual challenge of reducing costs while improving patient

outcomes• Continued demographic pressures and increasing

demand• Patient safety is paramount and a central theme of Health

Reform− Although care costs, poor quality care costs more

• We will continue with:– Providing home care and community supports – Integrated models of care across all services/care

groups– Workforce modernisation within the context of the

Public Service Agreements– Reformed services to provide effective, safe high

quality health and personal social services