GuyRobertsonandRajKa ur

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Promoting Independence Learning the lessons from the pilots White Paper Summit Briefing – 5th March Guy Robertson – CSIP Raj Kaur - DoH

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Learning the lessons POPP Examples of service delivery models Critical success factors

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Partnerships for Older People Projects £60m ring-fenced funding 29 council based pilots to lead innovative projects Aim – to improve the health, well being and independence of older people through:- Promoting better co-ordination of care Encouraging investment in preventative approaches Outcomes:- Providing more low level care Reducing avoidable emergency admissions Supporting older people to live at home

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Poole Locality steering groups of older people, with project support and access to health and social care information and dedicated budget Older people working with LA and NHS to determine what service interventions are needed Case management to support early discharge and avoid long term care admission directly from hospital Close working with GPs: POPP workers notified on daily basis of patients of concern. Generic workers follow up to provide integrated health and social care response

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Poole (contd) Strong data sharing with acute and ambulance trust:- all acute admissions notified to POPP team on day after admission, which in turn triggers ‘in reach’ by team and earlier discharge Older people calling 999 are identified to the POPP team to follow up where not transported Key learning Benefits of moving existing information around the health and social care system Older people can be meaningfully engaged beyond the level of consultation

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East Sussex Case finding using PARR2 Links with community matron service Referrals to ‘Navigator Service’, commissioned from vol sector Undertake simple ‘holistic assessments’ and work to ‘plug people into services’. Can provide “Individual Grants” (average £150) from four categories:- Exercise and well being Carer support Community transport (6 week limit) Simple aids and equipment – navigators are ‘trusted assessors’ 3 to 6 month follow up. Monitoring impact through PARR scores

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East Sussex (contd) Key learning Importance of rigour in case finding and targetting of interventions Need to focus on two dimensions:- Preventing people from getting ‘iller’ or more dependent Preventing the people from using/being drawn into the ‘wrong services’

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Sheffield Elder Experts provide a voice for older people in commissioning and service development. Community Portraits Rejected the proposal of being paid for involvement in case that influenced them to be less critical Being provided training in ‘how the system works’, leadership and a range of other topics Approaches being made to VSH and care homes to recruit EE’s

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Sheffield(contd) Care Homes Support Team of 8 nurses for 90 care homes Provide training ‘across the board’, but also target training based on:- Nurses’ observations CSCI ‘amber’ as well as ‘red’ reports Social care commissioning feedback Nurses attached to particular homes and become trusted by the managers to a certain extent Have developed “Care Homes Best Practice and Development Forum” to drive up standards. Experience of the team is linked with workforce development planning and use of training support grant

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Sheffield (contd) Key learning Commissioners have greater engagement with care homes and are therefore able to drive up standards Commissioners have greater influence because they can point to investment they are making in the sector POPPs nurses are being confided upon by managers (as opposed to owners) Older people can be effectively engaged in commissioning, locality needs assessment, and service re-design

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Critical Success Factors - Key Dimensions Whole systems Leadership Involvement of older people Commissioning Change management Sustainability

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Guy Robertson – Guy.Robertson@dh.gsi.gov.uk Raj Kaur – Raj.Kaur@dh.gsi.gov.uk