A Community Tackling the Crisis of our Ageing Population

Aspirations No one, no matter how frail, should have to leave their family, friends, or community to receive the care that they deserve. It must be an exception that an elderly person is admitted to hospital when they can be cared for within their own community. When it may not be safe for a loved one to stay in their own home, they should not be asked to give up their friends, their family, and their grandchildren to “visiting when they can”.

Integrating Health and Social Care and Housing in a Community A Vision of Caring Integrating Health and Social Care and Housing in a Community Caring in the Community Caring for the Community Caring by the Community

A Comprehensive Community Care Trust

The Aims To provide community-led, person - centred, and integrated health and social care, and appropriate housing for all elderly frail members of our community and which meets their individual needs irrespective of their degree of frailty. To recognise the importance of the elderly to their families, friends, and community; and to assist them in remaining / being active in the social life of the locality.

20 Reasons Why – Find a reason why not! A high level of voluntary support Familiarity with the carers and cared-for Straightforward and local access to services (assisted if required) A local and informal “first port of call” for carers Increased wellbeing of family carers A flexible and tailored approach the delivery of services to the end-users The ability to monitor and manage the quality of service provision Activities and services focused on local and individual needs An ‘ownership’ of the problem and willingness to initiate further new services Encouragement for carers to seek help and to support each other Stronger relationships within the family and the community Continuing social and intellectual involvement Resource sharing Reduced demands on the GP practice Lower hospital bed days and reduced bed-blocking Reduced hospital incidents and emergency admissions A more effective delivery of social care support An increased provision of intermediate and high dependency care beds The immediate availability of resources in emergency situations Improvement in general level of health and welfare of the over 65s It makes sense – and it’s less costly!

The Economic Equation Costs Savings Investment: £10.1 M Capital cost: 0.62 M pa Operating: £1.95 M pa NHS: £0.55 M pa Social Care: £0.15 M pa Housing: £0.? M pa Cost Benefit: £0.4 M pa

Other Benefits: £?.? pa

Is Health and Social Care for the Elderly in Crisis? Do they deliver what they were set up to do? Yes they do Do they meet the needs of the frail elderly? No they don’t Will they survive in the future? Not without “doing things differently” Is there a solution? Yes. Perhaps, there is